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

Ergebnisse der systematischen Reviews der American Occupational Therapy Association
Author/Year Study Objectives Design/ Participants
Intervention and Outcomes
Measure
Results
Study Limitations
Livingston, Johnston, Katona,
Paton & Lyketsos (2005)
Opie, Rosewarne & O’Connor
(1999)
To review the literature on
psychological approaches to
treating the neuropsychiatric
symptoms of dementia.
To review evidence on nonpharmacological
strategies to
alleviate behavioural disturbances
in elderly people with
dementia.
Holliman (2001): N=12
Music therapy:
Garland (2007): N=30
Holmes (2006): N=32
Svansdottir (2006): N= 46
Multi-sensory stimulation or
Snoezelen:
Baker (2003): N=136, includes
Baker (2001)
Balancing arousal:
Kovach (2004): N=78
SR
N = 162 studies (47 related to
environmental and/ or multisensory
interventions) – only
1 RCT: Baker (2001) zu Snoezelen:
N=50
Interventions
Music, Snoezelen or multisensory
stimulation; simulated
presence; decreased sensory
stimulation; visually complex
environments
Outcome Measures
Agitation, behaviour, social interaction,
anxiety, institutionalization
SR
Interventions
N = 43 studies, 4 RCTs: N=215
Activity program
Robichaud (1994): N=40
Rovner (1996): N=81
Multidisciplinary team
Hinchcliffe (1995): N=40
Carer education
Outcome measures
Burgener (1998): N=54
Rovner (1996): N=81
Changes to the physical environment;
activity programs;
exposure to music, voice and
language; massage and aromatherapy;
light therapy; multidisciplinary
teams; carer education
Agitation, aggression, verbal
disruption
Music, Snoezelen and multisensory
stimulation were
useful during treatment sessions
but had no long-term effects.
Interventions that
changed the visual environment
looked promising, but
more research is needed.
Evidence was found to support
the efficacy of activity programs,
music, behaviour therapy,
light therapy, carer education,
and changes to the
physical environment.
Sample sizes were small. Outcome
measurement instruments
were not reported.
Most studies had low rigor.
Sample sizes were small and
data collection methods were
imprecise. Attrition rates were
high.
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