Effects of rehabilitation program focused on improving real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers

Objective: To evaluate the effectiveness of a dyadic outpatient rehabilitation program focused on improving the real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers. Design: Retrospective study. Subjects: Eight patients with mild cognitive impairm...

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Main Authors: Yohei Otaka, Shin Kitamura, Megumi Suzuki, Akiko Maeda, Chinami Kato, Rena Ito, Asuka Hirano, Yuki Okochi, Koji Mizutani, Hiroshi Yoshino, Hajime Takechi
Format: Article
Language:English
Published: Medical Journals Sweden 2023-10-01
Series:Journal of Rehabilitation Medicine - Clinical Communications
Subjects:
Online Access:https://medicaljournalssweden.se/jrm-cc/article/view/12293
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author Yohei Otaka
Shin Kitamura
Megumi Suzuki
Akiko Maeda
Chinami Kato
Rena Ito
Asuka Hirano
Yuki Okochi
Koji Mizutani
Hiroshi Yoshino
Hajime Takechi
author_facet Yohei Otaka
Shin Kitamura
Megumi Suzuki
Akiko Maeda
Chinami Kato
Rena Ito
Asuka Hirano
Yuki Okochi
Koji Mizutani
Hiroshi Yoshino
Hajime Takechi
author_sort Yohei Otaka
collection DOAJ
description Objective: To evaluate the effectiveness of a dyadic outpatient rehabilitation program focused on improving the real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers. Design: Retrospective study. Subjects: Eight patients with mild cognitive impairments or dementia and their caregivers. Methods: The rehabilitation program comprised eight 1-hour sessions by occupational therapists with patients and his/her caregivers. Patients were assessed for motor function, cognitive function, and quality of life, and their caregivers were assessed for depression and caregiver burden. Participants were assessed at pre-program and post-program, and 3-month follow-up. Results: The scores of caregiver-assessed Quality of life in Alzheimer’s disease scale in patients significantly improved at post-program (median [interquartile range], 30.0 [7.0]) compared with pre-program (27.0 [2.8], effect size = 0.77, p = 0.029). In caregivers, the Zarit Caregiver Burden Interview scores decreased significantly at post-program (16.5 [13.0]) compared with pre-program (22.0 [17.5], effect size = 0.72, p = 0.042). There were no significant differences in other assessments. Conclusions: The rehabilitation program focused on real daily activities and demonstrated to improve patients’ quality of life and caregivers’ depression and caring burden through patient-caregiver interaction. Future enhanced follow-up systems are warranted.
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spelling doaj.art-fd25eb94ec734f60a9858c8284d8ceb82023-10-06T06:34:16ZengMedical Journals SwedenJournal of Rehabilitation Medicine - Clinical Communications2003-07112023-10-01610.2340/jrmcc.v6.12293Effects of rehabilitation program focused on improving real-life daily activities of patients with mild cognitive impairments or dementia and their caregiversYohei Otaka0Shin Kitamura1Megumi Suzuki2Akiko Maeda3Chinami Kato4Rena Ito5Asuka Hirano6Yuki Okochi7Koji Mizutani8Hiroshi Yoshino9Hajime Takechi10Department of Rehabilitation Medicine I, School of Medicine, Aichi, JapanDepartment of Rehabilitation Medicine I, School of Medicine, Aichi, Japan; Faculty of Rehabilitation, School of Health Sciences, Aichi, JapanFaculty of Rehabilitation, School of Health Sciences, Aichi, JapanFaculty of Rehabilitation, School of Health Sciences, Aichi, JapanDepartment of Rehabilitation, Fujita Health University Hospital, Aichi, JapanDepartment of Rehabilitation, Fujita Health University Hospital, Aichi, JapanDepartment of Rehabilitation, Fujita Health University Hospital, Aichi, JapanDepartment of Rehabilitation, Fujita Health University Hospital, Aichi, JapanDepartment of Rehabilitation, Fujita Health University Hospital, Aichi, JapanDepartment of Geriatrics and Cognitive Disorders, School of Medicine, Fujita Health University, Aichi, JapanDepartment of Geriatrics and Cognitive Disorders, School of Medicine, Fujita Health University, Aichi, JapanObjective: To evaluate the effectiveness of a dyadic outpatient rehabilitation program focused on improving the real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers. Design: Retrospective study. Subjects: Eight patients with mild cognitive impairments or dementia and their caregivers. Methods: The rehabilitation program comprised eight 1-hour sessions by occupational therapists with patients and his/her caregivers. Patients were assessed for motor function, cognitive function, and quality of life, and their caregivers were assessed for depression and caregiver burden. Participants were assessed at pre-program and post-program, and 3-month follow-up. Results: The scores of caregiver-assessed Quality of life in Alzheimer’s disease scale in patients significantly improved at post-program (median [interquartile range], 30.0 [7.0]) compared with pre-program (27.0 [2.8], effect size = 0.77, p = 0.029). In caregivers, the Zarit Caregiver Burden Interview scores decreased significantly at post-program (16.5 [13.0]) compared with pre-program (22.0 [17.5], effect size = 0.72, p = 0.042). There were no significant differences in other assessments. Conclusions: The rehabilitation program focused on real daily activities and demonstrated to improve patients’ quality of life and caregivers’ depression and caring burden through patient-caregiver interaction. Future enhanced follow-up systems are warranted. https://medicaljournalssweden.se/jrm-cc/article/view/12293Alzheimer DiseaseBehavior TherapyCaregiversDementiaRehabilitation
spellingShingle Yohei Otaka
Shin Kitamura
Megumi Suzuki
Akiko Maeda
Chinami Kato
Rena Ito
Asuka Hirano
Yuki Okochi
Koji Mizutani
Hiroshi Yoshino
Hajime Takechi
Effects of rehabilitation program focused on improving real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers
Journal of Rehabilitation Medicine - Clinical Communications
Alzheimer Disease
Behavior Therapy
Caregivers
Dementia
Rehabilitation
title Effects of rehabilitation program focused on improving real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers
title_full Effects of rehabilitation program focused on improving real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers
title_fullStr Effects of rehabilitation program focused on improving real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers
title_full_unstemmed Effects of rehabilitation program focused on improving real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers
title_short Effects of rehabilitation program focused on improving real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers
title_sort effects of rehabilitation program focused on improving real life daily activities of patients with mild cognitive impairments or dementia and their caregivers
topic Alzheimer Disease
Behavior Therapy
Caregivers
Dementia
Rehabilitation
url https://medicaljournalssweden.se/jrm-cc/article/view/12293
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