Ergotherapie - Repository of the LBI-HTA - Ludwig Boltzmann ...

Ergebnisse der systematischen Reviews der American Occupational Therapy Association
Author/Year
Inpatient/ or Outpatient
Study Objectives
Level/Design/ Participants
Intervention and Outcomes
Measure
Results
Study Limitations
Leisure Interventions
Gitlin et al. (2008)
OUTPATIENT
Politis et al. (2004)
INPATIENT
To evaluate the effectiveness of
the Tailored Activity Program
(TAP) for people with dementia.
To compare the effectiveness of
a kit-based activity intervention
with a time and attention control
intervention.
Pilot RCT
N=60 community-dwelling
people with moderate dementia
and their resident caregivers
RCT
N=37 residents with dementia
in a model care facility (with a
substantial amount of stimulating,
background activity)
specializing in the long term
care of patients with dementia
Intervention
TAP, including initial assessment and activity
prescription of 3 activities per participant
with 8 contacts over 4 mo
Control
No intervention
(control group wait listed for 4 mo)
Outcome Measures
Quality of Life-AD scores; acceptability
of TAP
Intervention
A single activity therapist spent 30 min,
3x/wk for 4 wk with participant choosing
an activity from 5 standardized
structured activities (geography, fun
foods, farm animals, vegetables, musical
instruments).
Control
Alternative OT-intervention
(for time and attention control, the
same single activity therapist spent
same time one-on-one either conversing
or participating in unstructured, relaxed
activities like puzzles, artwork, reading
or mixture of these.)
Outcome Measures
Apathy, neuropsychiatric inventory,
quality of life, activity success
No significant differences were Attention bias may be present.
found between groups in quality Sample size may not have had
of life. The intervention was accepted
by almost all patients and ence in quality of life. The num-
adequate power to detect differ-
their caregivers.
ber and training of interventionists
are not described.
No significant between-group
differences were found on any of
the measures. Both interventions
resulted in improved quality of
life and reduced apathy.
A possible rater bias exists, as raters
knew participants were receiving
some intervention. Limited
information is provided on
measurement properties of outcome
measures.
LBI-HTA | 2012 29