Dementia
Conditions
Keywords
person-centered, community support
Brief summary
The objectives of this study are to examine the feasibility of a culturally-adapted group-based Montessori Method for Dementia program in Chinese community and examine its effects on engagement and affect in community-dwelling people with dementia.
Detailed description
People who were aged 60 years or over and with mild to moderate dementia were recruited from six community centres and three care homes. Participants were randomly assigned to either the intervention group to attend the Montessori-based activities or the comparison group to attend the conventional group activities for one hour twice per week over eight weeks. All sessions were videotaped to facilitate analysis. Observations of engagement and affect were conducted for each intervention session on the individual participant for a ten-minute period at the beginning, middle, and end of the activity in order to have observations from multiple time points. The Menorah Park Engagement Scale and the Apparent Affect Rating Scale were used to assess the engagement and affect during the activities based on observations.
Interventions
BEHAVIORALMontessori Method for Dementia
The Montessori Method highlights the importance of considering the past experiences, identifying interests and maximizing spared capacity and abilities of each individual.
BEHAVIORALUsual care
Activities delivered regularly in the usual care, such as reading out newspapers, physical activities, and watching videos, in the 1-hour sessions.
Sponsors
The Salvation Army, Hong Kong and Macau Command
Food and Health Bureau, Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
Two research assistants who conducted the observations were blinded to the group allocation.
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* with a diagnosis of dementia at a stage 3 to 5 on the global deterioration scale (GDS)
Exclusion criteria
* were joining any other dementia training activities * would highly likely present a hazard to others through disruptive behaviors * proxy consent could not be obtained
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Engagement between the 1st minute - 10th minute of each session | through study completion for 8 weeks | Score of Menorah Park Engagement Scale will be used to assess the level of engagement, with the minimum score of 0 and the maximum of 2, with a higher score higher level of engagement. |
| Engagement between the 25th minute - 35th minute of each session | through study completion for 8 weeks | Score of Menorah Park Engagement Scale will be used to assess the level of engagement, with the minimum score of 0 and the maximum of 2, with a higher score higher level of engagement. |
| Engagement between the 50th minute - 60th minute of each session | through study completion for 8 weeks | Score of Menorah Park Engagement Scale will be used to assess the level of engagement, with the minimum score of 0 and the maximum of 2, with a higher score higher level of engagement. |
| Affect between the 1st minute - 10th minute of each session | through study completion for 8 weeks | Score of the Apparent Affect Rating Scale will be used to assess the level of affect, with 1 (Never) to 5 (over 5 minutes), in the aspect of pleasure and interest. |
| Affect between the 25th minute - 35th minute of each session | through study completion for 8 weeks | Score of the Apparent Affect Rating Scale will be used to assess the level of affect, with 1 (Never) to 5 (over 5 minutes), in the aspect of pleasure and interest. |
| Affect between the 50th minute - 60th minute of each session | through study completion for 8 weeks | Score of the Apparent Affect Rating Scale will be used to assess the level of affect, with 1 (Never) to 5 (over 5 minutes), in the aspect of pleasure and interest. |
Countries
Hong Kong
Outcome results
None listed