The Tailored Activity Program to Reduce Behavioral Symptoms in Individuals with Dementia: Feasibility, Acceptability, and Replication Potential

Autor/inn/en	Gitlin, Laura N.; Winter, Laraine; Earland, Tracey Vause; Herge, E. Adel; Chernett, Nancy L.; Piersol, Catherine V.; Burke, Janice P.
Titel	The Tailored Activity Program to Reduce Behavioral Symptoms in Individuals with Dementia: Feasibility, Acceptability, and Replication Potential
Quelle	In: Gerontologist, 49 (2009) 3, S.428-439 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0016-9013
DOI	10.1093/geront/gnp087
Schlagwörter	Dementia; Caregivers; Evaluation Methods; Occupational Therapy; Intervention; Symptoms (Individual Disorders); Profiles; Neuropsychology; Tests; Outcomes of Treatment; Activities; Interests + Suchen Sie Ihr Suchwort? Demenz; Caregiver; Carer; Betreuungsperson; Pfleger; Beschäftigungstherapie; Psychiatrische Symptomatik; Charakterisierung; Profilanalyse; Neuropsychologie; Examination; Prüfung; Examen; Bildungsinteresse
Abstract	Purpose: The Tailored Activity Program (TAP) is a home-based occupational therapy intervention shown to reduce behavioral symptoms and caregiver burden in a randomized trial. This article describes TAP, its assessments, acceptability, and replication potential. Design and Methods: TAP involves 8 sessions for a period of 4 months. Interventionists identify preserved capabilities, previous roles, habits, and interests of individuals with dementia; develop activities customized to individual profiles; and train families in activity use. Interventionists documented time spent and ease conducting assessments, and observed receptivity of TAP. For each implemented prescribed activity, caregivers reported the amount of time their relative spent in activity and perceived benefits. Results: The TAP assessment, a combination of neuropsychological tests, standardized performance-based observations, and clinical interviewing, yielded information on capabilities from which to identify and tailor activities. Assessments were easy to administer, taking an average of two 1-hr sessions. Of 170 prescribed activities, 81.5% were used, for an average of 4 times for 23 min by families between treatment sessions for a period of months. Caregivers reported high confidence in using activities, being less upset with behavioral symptoms (86%), and enhanced skills (93%) and personal control (95%). Interventionists observed enhanced engagement (100%) and pleasure (98%) in individuals with dementia during sessions. Implications: TAP offers families knowledge of their relative's capabilities and easy-to-use activities. The program was well received by caregivers. Prescribed activities appeared to be pleasurable and engaging to individuals with dementia. TAP merits further evaluation to establish efficacy with larger more diverse populations and consideration as a nonpharmacological approach to manage behavioral symptoms. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10