Effect of educational and supportive strategies on the ability of caregivers of people with dementia to maintain participation in that role / Andrea THINNES in American Journal of Occupational Therapy, Vol. 65/5 (septembre-octobre 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/5 (septembre-octobre 2011) . - p. 541-549 Titre : Effect of educational and supportive strategies on the ability of caregivers of people with dementia to maintain participation in that role Type de document : texte imprimé Auteurs : Andrea THINNES ; René PADILLA Année de publication : 2011 Article en page(s) : p. 541-549 Langues : Anglais (eng) Mots-clés : Démence Alzheimer  Education Résumé : A systematic review of evidence of the effectiveness of educational and supportive strategies for enabling caregivers of people with Alzheimer’s disease (AD) or related dementias to maintain participation in that role was conducted as part of the American Occupational Therapy Association’s Evidence-Based Literature Review Project. Forty-three articles met inclusion criteria. Results suggest that interventions that jointly engage people with AD and their caregivers in education and training in the home setting are more successful than strategies that focus solely on people with AD. Greater carryover is noted when education and training are implemented at the time that the caregiver identifies concerns. Interventions should provide caregivers with problem solving, technical skills, support, simple home modification strategies, and referral to community resources. Interventions mediated by technology have a positive effect on the caregiver and are especially important for those who live in rural areas. Permalink : ./index.php?lvl=notice_display&id=14057 [article] Effect of educational and supportive strategies on the ability of caregivers of people with dementia to maintain participation in that role [texte imprimé] / Andrea THINNES ; René PADILLA . - 2011 . - p. 541-549. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/5 (septembre-octobre 2011) . - p. 541-549 Mots-clés : Démence Alzheimer  Education Résumé : A systematic review of evidence of the effectiveness of educational and supportive strategies for enabling caregivers of people with Alzheimer’s disease (AD) or related dementias to maintain participation in that role was conducted as part of the American Occupational Therapy Association’s Evidence-Based Literature Review Project. Forty-three articles met inclusion criteria. Results suggest that interventions that jointly engage people with AD and their caregivers in education and training in the home setting are more successful than strategies that focus solely on people with AD. Greater carryover is noted when education and training are implemented at the time that the caregiver identifies concerns. Interventions should provide caregivers with problem solving, technical skills, support, simple home modification strategies, and referral to community resources. Interventions mediated by technology have a positive effect on the caregiver and are especially important for those who live in rural areas. Permalink : ./index.php?lvl=notice_display&id=14057

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Effectiveness of environment-based interventions for people with Alzheimer’s disease and related dementias / René PADILLA in American Journal of Occupational Therapy, Vol. 65/5 (septembre-octobre 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/5 (septembre-octobre 2011) . - p. 514-522 Titre : Effectiveness of environment-based interventions for people with Alzheimer’s disease and related dementias Type de document : texte imprimé Auteurs : René PADILLA Année de publication : 2011 Article en page(s) : p. 514-522 Langues : Anglais (eng) Mots-clés : Démence Alzheimer  Comportement  Médecine fondée sur les preuves Résumé : A systematic review of evidence for the efficacy of environment-based interventions on the affect, behavior, and performance of people with Alzheimer’s disease and related dementias was conducted as part of the American Occupational Therapy Association’s Evidence-Based Literature Review Project. Thirty-three reports met inclusion criteria. Results suggest that ambient music, aromatherapy, and Snoezelen® are modestly effective in reducing agitation but do not consistently have long-term effects. Visually complex environments that give the illusion of barriers deter people from wandering to unsafe places but do not reduce the urge to wander. Evidence that bright light therapy can aid in regulating mood and the sleep–wake cycle and thus help people remain awake during the day is preliminary. Montessori-based programming can be useful in matching activities to the person’s remaining skills. Further research is needed to evaluate the long-term effect, contraindications, and best dosages of these interventions. Permalink : ./index.php?lvl=notice_display&id=14072 [article] Effectiveness of environment-based interventions for people with Alzheimer’s disease and related dementias [texte imprimé] / René PADILLA . - 2011 . - p. 514-522. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/5 (septembre-octobre 2011) . - p. 514-522 Mots-clés : Démence Alzheimer  Comportement  Médecine fondée sur les preuves Résumé : A systematic review of evidence for the efficacy of environment-based interventions on the affect, behavior, and performance of people with Alzheimer’s disease and related dementias was conducted as part of the American Occupational Therapy Association’s Evidence-Based Literature Review Project. Thirty-three reports met inclusion criteria. Results suggest that ambient music, aromatherapy, and Snoezelen® are modestly effective in reducing agitation but do not consistently have long-term effects. Visually complex environments that give the illusion of barriers deter people from wandering to unsafe places but do not reduce the urge to wander. Evidence that bright light therapy can aid in regulating mood and the sleep–wake cycle and thus help people remain awake during the day is preliminary. Montessori-based programming can be useful in matching activities to the person’s remaining skills. Further research is needed to evaluate the long-term effect, contraindications, and best dosages of these interventions. Permalink : ./index.php?lvl=notice_display&id=14072

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Effectiveness of interventions designed to modify the activity demands of the occupations of self-care and leisure for people with Alzheimer’s disease and related dementias / René PADILLA in American Journal of Occupational Therapy, Vol. 65/5 (septembre-octobre 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/5 (septembre-octobre 2011) . - p. 523-531 Titre : Effectiveness of interventions designed to modify the activity demands of the occupations of self-care and leisure for people with Alzheimer’s disease and related dementias Type de document : texte imprimé Auteurs : René PADILLA Année de publication : 2011 Article en page(s) : p. 523-531 Langues : Anglais (eng) Mots-clés : Démence Alzheimer  Loisir  Soins autogérés Résumé : A systematic review of evidence for the effectiveness of modification of activity demands in the care of people with Alzheimer’s disease (AD) was conducted as part of the American Occupational Therapy Association’s Evidence-Based Literature Review Project. The review included 10 articles addressing occupations of self-care and leisure. No reports related to work and social participation were located. Results suggest that evidence for this intervention’s effectiveness is strong. Four practice principles were derived from this appraisal: (1) Occupational therapy programs should be individualized to elicit the person’s highest level of retained skill and interest, (2) cues used while assisting people with AD to complete tasks should be short and provide clear direction, (3) compensatory strategies in the form of environmental modifications and simple adaptive equipment should be specifically implemented on the basis of the unique needs of the person, and (4) caregiver training and involvement are essential in implementing individualized programs. Permalink : ./index.php?lvl=notice_display&id=14074 [article] Effectiveness of interventions designed to modify the activity demands of the occupations of self-care and leisure for people with Alzheimer’s disease and related dementias [texte imprimé] / René PADILLA . - 2011 . - p. 523-531. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/5 (septembre-octobre 2011) . - p. 523-531 Mots-clés : Démence Alzheimer  Loisir  Soins autogérés Résumé : A systematic review of evidence for the effectiveness of modification of activity demands in the care of people with Alzheimer’s disease (AD) was conducted as part of the American Occupational Therapy Association’s Evidence-Based Literature Review Project. The review included 10 articles addressing occupations of self-care and leisure. No reports related to work and social participation were located. Results suggest that evidence for this intervention’s effectiveness is strong. Four practice principles were derived from this appraisal: (1) Occupational therapy programs should be individualized to elicit the person’s highest level of retained skill and interest, (2) cues used while assisting people with AD to complete tasks should be short and provide clear direction, (3) compensatory strategies in the form of environmental modifications and simple adaptive equipment should be specifically implemented on the basis of the unique needs of the person, and (4) caregiver training and involvement are essential in implementing individualized programs. Permalink : ./index.php?lvl=notice_display&id=14074

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Effectiveness of interventions to prevent falls in people with Alzheimer’s disease and related dementias / Lou E. JENSEN in American Journal of Occupational Therapy, Vol. 65/5 (septembre-octobre 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/5 (septembre-octobre 2011) . - p. 532-540 Titre : Effectiveness of interventions to prevent falls in people with Alzheimer’s disease and related dementias Type de document : texte imprimé Auteurs : Lou E. JENSEN ; René PADILLA Année de publication : 2011 Article en page(s) : p. 532-540 Langues : Anglais (eng) Mots-clés : Prévention  Vertige  Démence Alzheimer Résumé : A systematic review was conducted to determine the effectiveness of interventions to prevent falls in people with Alzheimer’s disease (AD) and related dementias. Twelve research reports met inclusion criteria. Studies reported on three types of intervention: (1) exercise- and motor-based interventions, (2) nursing staff–directed interventions, and (3) multidisciplinary interventions. Strategies were offered as single or multifaceted intervention programs. All types of intervention resulted in benefit, although the evidence for effectiveness is tentative because of the studies’ limitations. More research is needed to better understand appropriate dosages of intervention. No evidence was found for the effectiveness of prevention programs accessed as part of occasional respite care. Occupational therapy was seldom involved in the interventions researched. Because effective fall prevention programs are embedded in people’s daily routines and encouraged participation in occupation, the contribution occupational therapy practitioners can make to the care of people with AD has yet to be fully realized. Permalink : ./index.php?lvl=notice_display&id=14075 [article] Effectiveness of interventions to prevent falls in people with Alzheimer’s disease and related dementias [texte imprimé] / Lou E. JENSEN ; René PADILLA . - 2011 . - p. 532-540. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/5 (septembre-octobre 2011) . - p. 532-540 Mots-clés : Prévention  Vertige  Démence Alzheimer Résumé : A systematic review was conducted to determine the effectiveness of interventions to prevent falls in people with Alzheimer’s disease (AD) and related dementias. Twelve research reports met inclusion criteria. Studies reported on three types of intervention: (1) exercise- and motor-based interventions, (2) nursing staff–directed interventions, and (3) multidisciplinary interventions. Strategies were offered as single or multifaceted intervention programs. All types of intervention resulted in benefit, although the evidence for effectiveness is tentative because of the studies’ limitations. More research is needed to better understand appropriate dosages of intervention. No evidence was found for the effectiveness of prevention programs accessed as part of occasional respite care. Occupational therapy was seldom involved in the interventions researched. Because effective fall prevention programs are embedded in people’s daily routines and encouraged participation in occupation, the contribution occupational therapy practitioners can make to the care of people with AD has yet to be fully realized. Permalink : ./index.php?lvl=notice_display&id=14075

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Effectiveness of Sensory Stimulation to Improve Arousal and Alertness of People in a Coma or Persistent Vegetative State After Traumatic Brain Injury / René PADILLA in American Journal of Occupational Therapy, Vol. 70/3 (mai - juin 2016)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 70/3 (mai - juin 2016) Titre : Effectiveness of Sensory Stimulation to Improve Arousal and Alertness of People in a Coma or Persistent Vegetative State After Traumatic Brain Injury : A Systematic Review Type de document : texte imprimé Auteurs : René PADILLA ; Anna DOMINA Année de publication : 2016 Langues : Anglais (eng) Mots-clés : Stimulation  Coma  Etat végétatif  Accident cérébrovasculaire  Sensation Résumé : OBJECTIVE. This systematic review evaluates the effectiveness of sensory stimulation to improve arousal and alertness of people in a coma or persistent vegetative state after traumatic brain injury (TBI). METHOD. Databases searched included Medline, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of Systematic Reviews. The search was limited to outcomes studies published in English in peer-reviewed journals between 2008 and 2013. RESULTS. Included studies provide strong evidence that multimodal sensory stimulation improves arousal and enhances clinical outcomes for people in a coma or persistent vegetative state after TBI. Moderate evidence was also provided for auditory stimulation, limited evidence was provided for complex stimuli, and insufficient evidence was provided for median nerve stimulation. CONCLUSION. Interventions should be tailored to client tolerance and premorbid preferences. Bimodal or multimodal stimulation should begin early, be frequent, and be sustained until more complex activity is possible. Permalink : ./index.php?lvl=notice_display&id=44351 [article] Effectiveness of Sensory Stimulation to Improve Arousal and Alertness of People in a Coma or Persistent Vegetative State After Traumatic Brain Injury : A Systematic Review [texte imprimé] / René PADILLA ; Anna DOMINA . - 2016. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 70/3 (mai - juin 2016) Mots-clés : Stimulation  Coma  Etat végétatif  Accident cérébrovasculaire  Sensation Résumé : OBJECTIVE. This systematic review evaluates the effectiveness of sensory stimulation to improve arousal and alertness of people in a coma or persistent vegetative state after traumatic brain injury (TBI). METHOD. Databases searched included Medline, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of Systematic Reviews. The search was limited to outcomes studies published in English in peer-reviewed journals between 2008 and 2013. RESULTS. Included studies provide strong evidence that multimodal sensory stimulation improves arousal and enhances clinical outcomes for people in a coma or persistent vegetative state after TBI. Moderate evidence was also provided for auditory stimulation, limited evidence was provided for complex stimuli, and insufficient evidence was provided for median nerve stimulation. CONCLUSION. Interventions should be tailored to client tolerance and premorbid preferences. Bimodal or multimodal stimulation should begin early, be frequent, and be sustained until more complex activity is possible. Permalink : ./index.php?lvl=notice_display&id=44351

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