Ergotherapie - Repository of the LBI-HTA - Ludwig Boltzmann ...
Ergotherapie - Repository of the LBI-HTA - Ludwig Boltzmann ...
Ergotherapie - Repository of the LBI-HTA - Ludwig Boltzmann ...
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Ergebnisse der systematischen Reviews der American Occupational Therapy Association<br />
Author/Year Study Objectives Design/ Participants<br />
Intervention and Outcomes<br />
Measure<br />
Results<br />
Study Limitations<br />
Music<br />
Sherratt, Thornton & Hatton<br />
(2004)<br />
Holt et al. (2003)<br />
Zitation Pubmed:<br />
Thorgrimsen et al. (2003)<br />
Thorgrimsen, Spector, Wiles &<br />
Orrell (2003)<br />
To qualitatively review <strong>the</strong> effects<br />
<strong>of</strong> music on emotional<br />
and behavioural responses in<br />
people with dementia.<br />
To assess <strong>the</strong> effectiveness <strong>of</strong><br />
aroma<strong>the</strong>rapy for people with<br />
dementia.<br />
To assess <strong>the</strong> efficacy <strong>of</strong> aroma<strong>the</strong>rapy<br />
as an intervention<br />
for people with dementia.<br />
SR<br />
N = 21 articles<br />
(no description <strong>of</strong> design <strong>of</strong> included<br />
studies available, apparently<br />
few RCTs)<br />
Intervention<br />
Group and individual music<br />
<strong>the</strong>rapy, listening to tapes and<br />
ambient music<br />
Outcome Measures<br />
Agitation, disruptive vocalizations,<br />
participation, wandering,<br />
memory, mood, social interaction,<br />
aggression<br />
Aroma<strong>the</strong>rapy<br />
SR<br />
Intervention<br />
N = 4 RCTs, only one had useable<br />
data: Ballard (2002): lemon balm or lavender in lo-<br />
Fragrance from plants (10%<br />
N=72<br />
tion) applied topically, lavender<br />
applied topically, or lavender<br />
diffused<br />
Outcome Measures<br />
SR<br />
N = 2 RCTs; only one had useable<br />
data: Ballard (2002):<br />
N=72<br />
Cognitive function, functional<br />
performance, quality <strong>of</strong> life, relaxation,<br />
wandering, sleep,<br />
mood, disruptive behaviour<br />
Intervention<br />
Trials using fragrance from<br />
plants used in aroma<strong>the</strong>rapy<br />
Outcome Measures<br />
Cognitive function, quality <strong>of</strong><br />
life, relaxation<br />
Music was effective in decreasing<br />
aggression, agitation,<br />
wandering, repetitive vocalizations<br />
and irritability. Music also<br />
increased reality orientation,<br />
memory, engagement<br />
and participation.<br />
A significant effect was found<br />
in favour <strong>of</strong> <strong>the</strong> intervention<br />
on measures <strong>of</strong> agitation and<br />
neuropsychiatric symptoms.<br />
Evidence <strong>of</strong> a small effect <strong>of</strong><br />
harm due to allergies was<br />
found.<br />
A significant treatment effect<br />
was shown in favour <strong>of</strong> aroma<strong>the</strong>rapy<br />
after 4 wk <strong>of</strong><br />
treatment on several outcome<br />
measures.<br />
Most studies had small and<br />
non-representative samples<br />
and did not report reliability or<br />
validity.<br />
Sample size <strong>of</strong> included studies<br />
was small. Several different essential<br />
oils were used, and relative<br />
effectiveness is unclear.<br />
Studies, participants and o<strong>the</strong>r<br />
factors were heterogeneous.<br />
Participants were taking psychiatric<br />
medications.<br />
<strong>LBI</strong>-<strong>HTA</strong> | 2012 45