Reality orientation therapy to delay outcomes of progression in patients with dementia. A retrospective study

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Title Reality orientation therapy to delay outcomes of progression in patients with dementia. A retrospective study
Author Metitieri, Tiziana; Zanetti, Orazio; Geroldi, Christina; Frisoni, Giovanni B; De Leo, Diego; Buono, Marirosa Dello; Bianchetti, Angelo; Trabucchi, M
Journal Name Clinical Rehabilitation
Editor Dr Derick Wade
Year Published 2001
Place of publication UK
Publisher Arnold, Hodder Headline PLC
Abstract Objective: To evaluate the impact of continued Reality Orientation Therapy (ROT) in delaying the outcomes of dementia progression. Design: Retrospective study. Data collection was based on review of clinical charts and on telephone interviews performed with patients or primary caregivers. Setting: Day hospital of the Alzheimer's Disease Unit, Brescia (Italy). Subjects: Seventy-four patients enrolled in at least one cycle of ROT from 1994 to 1998 were studied. Interventions: Rehabilitative intervention based on formal ROT. Main outcome measures: This study analysed the time to the occurrence of any of the following: cognitive decline on Mini-Mental State Examination scores, urinary incontinence as an index of functional decline, institutionalization, and death. Results: Data on a 30-month period after the first ROT session were analysed. We compared 46 patients (treatment group) who completed from 2 to 10 ROT cycles (corresponding to 8–40 weeks of training; mean = 15.48) with 28 patients (control group) who completed only one ROT cycle (4 weeks). Treatment group showed higher estimated survival rates than control group on cognitive decline (p = 0.022) and institutionalization (p = 0.002). The relative risks for cognitive decline and institutionalization in the control group compared with treatment group were 0.60 (p = 0.014), and 0.42 (p = 0.021), respectively. Conclusions: Continued ROT classes during the early to middle stages of dementia may delay nursing home placement and slow down the progression of cognitive decline.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1191/026921501680425199
Volume 15
Issue Number 5
Page from 471
Page to 478
ISSN 0269-2155
Date Accessioned 2002-06-21
Language en_AU
Research Centre Australian Institute for Suicide Research and Prevention
Faculty Griffith Health Faculty
Subject PRE2009-Public Health and Health Services
URI http://hdl.handle.net/10072/3520
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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