Title: EVALUATING RESULTS OF A 6 MONTH INTERVENTION PROGRAM IN A DEMENTIA DAY CARE CENTER
1EVALUATING 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
2Dementia 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
3Dementia 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. -
4Dementia 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
5Cognitive 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
6Health Professionals
- 1 Psychiatrist Scientific Supervisor
- 1 Neurologist
- 4 Psychologists
- 2 Nurse
- 1 Social Worker
- 1 Speech and Language Therapist
- 2 Assistant Personnel
7Scheduling Therapeutic Intervention
- Physical examination
- Neuropsychological Assessment
- Functional Assessment
- Case History
8Therapeutic 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
9Method
- 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
10MethodNeuropsychological 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
11RESULTS
12RESULTS
13Results 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
14ResultsGroup B C
- In group B C analysis, there was no
statistical significance between pre and post
intervention
15ResultsGroup 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
16Conclusions
- 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.
17PHOTOS
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25- Nomiki Karpathiou
- Eleni Dimakopoulou
- Efstathios Tryfonopoulos
- Theofilos Krasakis
- Danai Kavouridi
- Lena Margioti
- Nandia Avrami
- Kartsaklis Lykourgos
- Kostas Nikolaou
- Paraskevi Sakka
COLLEAGUES
26Thank you for you attention