Enhancement of carer skills and patient function in the non-pharmacological management of frontotemporal dementia (FTD): A call for randomised controlled studies

ABSTRACT FTD is a unique condition which manifests with a range of behavioural symptoms, marked dysfunction in activities of daily living (ADL) and increased levels of carer burden as compared to carers of other dementias. No efficacious pharmacological interventions to treat FTD currently exist, an...

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Main Authors: Claire M. O'Connor, Lindy Clemson, Thaís Bento Lima da Silva, Olivier Piguet, John R. Hodges, Eneida Mioshi
Format: Article
Language:English
Published: Associação Neurologia Cognitiva e do Comportamento
Series:Dementia & Neuropsychologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642013000200143&lng=en&tlng=en
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author Claire M. O'Connor
Lindy Clemson
Thaís Bento Lima da Silva
Olivier Piguet
John R. Hodges
Eneida Mioshi
author_facet Claire M. O'Connor
Lindy Clemson
Thaís Bento Lima da Silva
Olivier Piguet
John R. Hodges
Eneida Mioshi
author_sort Claire M. O'Connor
collection DOAJ
description ABSTRACT FTD is a unique condition which manifests with a range of behavioural symptoms, marked dysfunction in activities of daily living (ADL) and increased levels of carer burden as compared to carers of other dementias. No efficacious pharmacological interventions to treat FTD currently exist, and research on pharmacological symptom management is variable. The few studies on non-pharmacological interventions in FTD focus on either the carer or the patients' symptoms, and lack methodological rigour. This paper reviews and discusses current studies utilising non-pharmacological approaches, exposing the clear need for more rigorous methodologies to be applied in this field. Finally, a successful randomised controlled trial helped reduce behaviours of concern in dementia, and through implementing participation in tailored activities, the FTD-specific Tailored Activities Program (TAP) is presented. Crucially, this protocol has scope to target both the person with FTD and their carer. This paper highlights that studies in this area would help to elucidate the potential for using activities to reduce characteristic behaviours in FTD, improving quality of life and the caregiving experience in FTD.
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spelling doaj.art-3c3aada9804a47a1ae9ce8aa387954002022-12-22T00:49:03ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-57647214315010.1590/S1980-57642013DN70200002S1980-57642013000200143Enhancement of carer skills and patient function in the non-pharmacological management of frontotemporal dementia (FTD): A call for randomised controlled studiesClaire M. O'ConnorLindy ClemsonThaís Bento Lima da SilvaOlivier PiguetJohn R. HodgesEneida MioshiABSTRACT FTD is a unique condition which manifests with a range of behavioural symptoms, marked dysfunction in activities of daily living (ADL) and increased levels of carer burden as compared to carers of other dementias. No efficacious pharmacological interventions to treat FTD currently exist, and research on pharmacological symptom management is variable. The few studies on non-pharmacological interventions in FTD focus on either the carer or the patients' symptoms, and lack methodological rigour. This paper reviews and discusses current studies utilising non-pharmacological approaches, exposing the clear need for more rigorous methodologies to be applied in this field. Finally, a successful randomised controlled trial helped reduce behaviours of concern in dementia, and through implementing participation in tailored activities, the FTD-specific Tailored Activities Program (TAP) is presented. Crucially, this protocol has scope to target both the person with FTD and their carer. This paper highlights that studies in this area would help to elucidate the potential for using activities to reduce characteristic behaviours in FTD, improving quality of life and the caregiving experience in FTD.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642013000200143&lng=en&tlng=enfrontotemporal dementianon-pharmacological interventionfunctional disabilityrandomised controlled trial
spellingShingle Claire M. O'Connor
Lindy Clemson
Thaís Bento Lima da Silva
Olivier Piguet
John R. Hodges
Eneida Mioshi
Enhancement of carer skills and patient function in the non-pharmacological management of frontotemporal dementia (FTD): A call for randomised controlled studies
Dementia & Neuropsychologia
frontotemporal dementia
non-pharmacological intervention
functional disability
randomised controlled trial
title Enhancement of carer skills and patient function in the non-pharmacological management of frontotemporal dementia (FTD): A call for randomised controlled studies
title_full Enhancement of carer skills and patient function in the non-pharmacological management of frontotemporal dementia (FTD): A call for randomised controlled studies
title_fullStr Enhancement of carer skills and patient function in the non-pharmacological management of frontotemporal dementia (FTD): A call for randomised controlled studies
title_full_unstemmed Enhancement of carer skills and patient function in the non-pharmacological management of frontotemporal dementia (FTD): A call for randomised controlled studies
title_short Enhancement of carer skills and patient function in the non-pharmacological management of frontotemporal dementia (FTD): A call for randomised controlled studies
title_sort enhancement of carer skills and patient function in the non pharmacological management of frontotemporal dementia ftd a call for randomised controlled studies
topic frontotemporal dementia
non-pharmacological intervention
functional disability
randomised controlled trial
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642013000200143&lng=en&tlng=en
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