Effectiveness of Environment-Based Interventions That Address Behavior, Perception, and Falls in People With Alzheimer's Disease and Related Major Neurocognitive Disorders: A Systematic Review. / Lou E. JENSEN in American Journal of Occupational Therapy, Vol. 71/5 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/5 (2017) . - p.1-10 Titre : Effectiveness of Environment-Based Interventions That Address Behavior, Perception, and Falls in People With Alzheimer's Disease and Related Major Neurocognitive Disorders: A Systematic Review. Type de document : texte imprimé Auteurs : Lou E. JENSEN, Auteur ; Ren'e Padilla, Auteur Année de publication : 2017 Article en page(s) : p.1-10 Langues : Américain (ame) Mots-clés : maladie d'Alzheimer  ergothérapie  cognition  Chutes accidentelles  Comportement dangereux Résumé : OBJECTIVE. This systematic review evaluated the effectiveness of environment-based interventions that address behavior, perception, and falls in the home and other settings for people with Alzheimer's disease (AD) and related major neurocognitive disorders (NCDs). METHOD. Database searches were limited to outcomes studies published in English in peer-reviewed journals between January 2006 and April 2014. RESULTS. A total of 1,854 articles were initially identified, of which 42 met inclusion criteria. CONCLUSION. Strong evidence indicates that person-centered approaches can improve behavior. Moderate evidence supports noise regulation, environmental design, unobtrusive visual barriers, and environmental relocation strategies to reduce problematic behaviors. Evidence is insufficient for the effectiveness of mealtime ambient music, bright light, proprioceptive input, wander gardens, optical strategies, and sensory devices in improving behavior or reducing wandering and falls. Although evidence supports many environment- based interventions used by occupational therapy practitioners to address behavior, perception, and falls in people with AD and related major NCDs, more studies are needed. Permalink : ./index.php?lvl=notice_display&id=56160 [article] Effectiveness of Environment-Based Interventions That Address Behavior, Perception, and Falls in People With Alzheimer's Disease and Related Major Neurocognitive Disorders: A Systematic Review. [texte imprimé] / Lou E. JENSEN, Auteur ; Ren'e Padilla, Auteur . - 2017 . - p.1-10. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/5 (2017) . - p.1-10 Mots-clés : maladie d'Alzheimer  ergothérapie  cognition  Chutes accidentelles  Comportement dangereux Résumé : OBJECTIVE. This systematic review evaluated the effectiveness of environment-based interventions that address behavior, perception, and falls in the home and other settings for people with Alzheimer's disease (AD) and related major neurocognitive disorders (NCDs). METHOD. Database searches were limited to outcomes studies published in English in peer-reviewed journals between January 2006 and April 2014. RESULTS. A total of 1,854 articles were initially identified, of which 42 met inclusion criteria. CONCLUSION. Strong evidence indicates that person-centered approaches can improve behavior. Moderate evidence supports noise regulation, environmental design, unobtrusive visual barriers, and environmental relocation strategies to reduce problematic behaviors. Evidence is insufficient for the effectiveness of mealtime ambient music, bright light, proprioceptive input, wander gardens, optical strategies, and sensory devices in improving behavior or reducing wandering and falls. Although evidence supports many environment- based interventions used by occupational therapy practitioners to address behavior, perception, and falls in people with AD and related major NCDs, more studies are needed. Permalink : ./index.php?lvl=notice_display&id=56160

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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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Occupational Therapy Interventions for People With Alzheimer's Disease. / Catherine Verrier Piersol in American Journal of Occupational Therapy, Vol. 72/1 (January/February 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/1 (January/February 2018) . - pp.1-6 Titre : Occupational Therapy Interventions for People With Alzheimer's Disease. Type de document : texte imprimé Auteurs : Catherine Verrier Piersol, Auteur ; Lou E. JENSEN, Auteur ; Deborah LIEBERMAN, Auteur Année de publication : 2018 Article en page(s) : pp.1-6 Langues : Américain (ame) Mots-clés : ergothérapie  maladie d'Alzheimer  Services de soins à domicile  Etats-Unis Résumé : Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice Project. In this Evidence Connection article, we describe a case report of a person with Alzheimer's disease. The occupational therapy assessment and intervention process in the home setting is described. Findings from the systematic reviews on this topic were published in the November/December 2017 issue of the American Journal of Occupational Therapy and in AOTA's Occupational Therapy Practice Guidelines for Adults With Alzheimer's Disease and Related Major Neurocognitive Disorders. Each article in this series summarizes the evidence from the published reviews on a given topic and presents an application of the evidence to a related clinical case. Evidence Connection articles illustrate how the research evidence from the reviews can be used to inform and guide clinical reasoning. Permalink : ./index.php?lvl=notice_display&id=60736 [article] Occupational Therapy Interventions for People With Alzheimer's Disease. [texte imprimé] / Catherine Verrier Piersol, Auteur ; Lou E. JENSEN, Auteur ; Deborah LIEBERMAN, Auteur . - 2018 . - pp.1-6. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/1 (January/February 2018) . - pp.1-6 Mots-clés : ergothérapie  maladie d'Alzheimer  Services de soins à domicile  Etats-Unis Résumé : Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice Project. In this Evidence Connection article, we describe a case report of a person with Alzheimer's disease. The occupational therapy assessment and intervention process in the home setting is described. Findings from the systematic reviews on this topic were published in the November/December 2017 issue of the American Journal of Occupational Therapy and in AOTA's Occupational Therapy Practice Guidelines for Adults With Alzheimer's Disease and Related Major Neurocognitive Disorders. Each article in this series summarizes the evidence from the published reviews on a given topic and presents an application of the evidence to a related clinical case. Evidence Connection articles illustrate how the research evidence from the reviews can be used to inform and guide clinical reasoning. Permalink : ./index.php?lvl=notice_display&id=60736

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