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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

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