EVALUATING RESULTS OF A 6 MONTH INTERVENTION PROGRAM IN A DEMENTIA DAY CARE CENTER - PowerPoint PPT Presentation

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EVALUATING RESULTS OF A 6 MONTH INTERVENTION PROGRAM IN A DEMENTIA DAY CARE CENTER

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EVALUATING RESULTS OF A 6 MONTH INTERVENTION PROGRAM IN A DEMENTIA DAY CARE CENTER Efthymiou, A., Karpathiou, N., Dimakopoulou, E., Nikolaou, K., Sakka, P. – PowerPoint PPT presentation

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Title: EVALUATING RESULTS OF A 6 MONTH INTERVENTION PROGRAM IN A DEMENTIA DAY CARE CENTER


1
EVALUATING RESULTS OF A 6 MONTH INTERVENTION
PROGRAM IN A DEMENTIA DAY CARE CENTER
  • Efthymiou, A., Karpathiou, N., Dimakopoulou, E.,
    Nikolaou, K., Sakka, P.
  • ATHENS ASSOCIATION OF ALZHEIMERS DISEASE AND
    RELATED DISORDERS
  • www.alzheimerathens.gr

2
Dementia in Greece
  • 150.000 demented patients in Greece
  • 89 of patients cared for at home
  • Principal caregivers

DEMENTIA SURVEY , Greece 2005
  • 15 Memory Clinics organised from Neurology
    departments of General Hospitals
  • 7 Day Care Centers

3
Dementia Day Care Center in
Athens
  • Since February 2007, a Dementia Day Center
    for patients suffering from dementia and their
    families has opened in Athens.
  • The project is supported by European Social
    Funds (3rd Community Support Framework) and the
    Greek Ministry of Health with the responsibility
    of the Athens Association of Alzheimers Disease
    and Related Disorders.

4
Dementia Day Care Center in Athens
  • AIMS
  • Training, help and support of patients suffering
    from Dementia (cognitive training, physical
    exercise, occupational therapy, art therapy)
  • Education and support of carers
  • Advocacy of patients and carers rights and
    needs
  • Increase of public awareness
  • Scientific research on Dementia

5
Cognitive training Groups / Reminiscence sessions
Memory Clinic
Occupational Therapy/ Language Therapy
Dementia Day Care Center
Increase of Public Awareness
Physical training programs
Help at Home Programs
Management of behavioural disorders
Support groups For Caregivers
6
Health Professionals
  • 1 Psychiatrist Scientific Supervisor
  • 1 Neurologist
  • 4 Psychologists
  • 2 Nurse
  • 1 Social Worker
  • 1 Speech and Language Therapist
  • 2 Assistant Personnel

7
Scheduling Therapeutic Intervention
  • Physical examination
  • Neuropsychological Assessment
  • Functional Assessment
  • Case History

8
Therapeutic framework
  • Cognitive Training and Cognitive Stimulation
  • Cognitive training consists of a variety of
    exercises designed to help improve functioning in
    areas such as attention, memory, visual and
    auditory processing, language process, thinking
    skills and executive skills

9
Method
  • Patients were divided in 4 levels (8 groups- A,
    B, C, D), according to their cognitive and
    functional status, social skills and educational
    level
  • Each group consisted of 8 10 members and was
    run by 2 coordinators
  • The frequency of intervention was twice a week
    and every session lasted 50
  • The total number of participants was 75 Results
    of the intervention are presented for 65
    participants.
  • Statistical analysis was made with SPSS 13.0

10
MethodNeuropsychological Assessment
  • Test Administration
  • Neuropsychological tests
  • MINI MENTAL STATE EXAMINATION
  • CLOCK DRAWING TEST (CDT)
  • GERIATRIC DEPRESSION SCALE (GDS)
  • MONTREAL COGNITIVE ASSESSMENT (MOCA)
  • BOSTON NAMING TEST- 15SH (BNT)
  • FRONTAL ASSESSMENT BATTERY (FAB)
  • VERBAL AND CATEGORY FLUENCY
  • STROOP TEST
  • REY COMPLEX FIGURE
  • Period of Intervention 6 months
  • Reassessement Test readministration

11
RESULTS
12
RESULTS


13
Results GROUP A
Neuropsychological assessment t Sig. (2-tailed)
MOCA_pre MOCA_post -5,27 ,000
BNT_pre BNT_post -2,95 ,009
VERBL Fl._pre-VERBAL Fl._post -4,32 ,000
CATEGORY Fl._pre- CATEGORY Fl._post -2,19 ,039
REYDELAYEDREC _pre REYDELAYEDREC-post -2,11 ,046
14
ResultsGroup B C
  • In group B C analysis, there was no
    statistical significance between pre and post
    intervention

15
ResultsGroup D
  • In group D, there was a statistically significant
    difference (p 0.17, p 0,35) in post and pre
    intervention for the Category Fluency and Rey
    Complex Figure (copy condition)
  • Patients of that group had lower scores at
    post intervention assessment

Neuropsychological assessment ? Sig. (2-tailed)
_ Categ Fl _Categ Fl_post -2.38(b) .017
REY copy_ REY copy_post -2.11(b) .035
16
Conclusions
  • The Dementia Day Care Users with Mild Cognitive
    Impairment and early Dementia seems to benefit
    more from a well structured non-pharmachological
    program than patients in more severe stages of
    Dementia.
  • Patients in medium and severe stage had a
    qualitative improvement in social abilities,
    mood, eye contact that couldnt be depicted in
    neuropsychological assessment.
  • In a following research it is essential the
    Quality of Life of Caregivers of Demented
    Patients is measured.

17
PHOTOS
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  • Nomiki Karpathiou
  • Eleni Dimakopoulou
  • Efstathios Tryfonopoulos
  • Theofilos Krasakis
  • Danai Kavouridi
  • Lena Margioti
  • Nandia Avrami
  • Kartsaklis Lykourgos
  • Kostas Nikolaou
  • Paraskevi Sakka

COLLEAGUES
26
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