dc.contributor.author | Hine, TJ | |
dc.contributor.author | Pitchford, NJ | |
dc.contributor.author | Kingdom, FAA | |
dc.contributor.author | Koenekoop, R | |
dc.date.accessioned | 2017-05-03T16:30:55Z | |
dc.date.available | 2017-05-03T16:30:55Z | |
dc.date.issued | 2000 | |
dc.date.modified | 2010-09-08T04:55:47Z | |
dc.identifier.issn | 0033-3182 | |
dc.identifier.doi | 10.1176/appi.psy.41.4.370-a | |
dc.identifier.uri | http://hdl.handle.net/10072/8579 | |
dc.description.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. | |
dc.description.publicationstatus | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | American Psychiatric Press,Inc.,Journals Division | |
dc.publisher.place | United States | |
dc.relation.ispartofpagefrom | 370 | |
dc.relation.ispartofpageto | 371 | |
dc.relation.ispartofissue | 4 | |
dc.relation.ispartofjournal | Psychosomatics | |
dc.relation.ispartofvolume | 41 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearchcode | 3202 | |
dc.title | In Reply | |
dc.type | Journal article | |
dc.type.description | C3 - Articles (Letter/ Note) | |
dc.type.code | C - Journal Articles | |
gro.faculty | Griffith Health, Australian Institute for Suicide Research & Prevention | |
gro.date.issued | 2000 | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | De Leo, Diego | |