A Quasi-Randomized Controlled Trial of Brain-Activating Rehabilitation in an Acute Hospital. (December 2016)

• Record Type: Journal Article
• Authors: Tsuchiya, Kenji; Yamaguchi, Tomoharu; Fujita, Takaaki; Taguchi, Maya; Honda, Aoi; Satou, Yuki; Sekiguchi, Hiroshi; Kimura, Noriko; Osawa, Tenshi; Terauchi, Masanori
• Is Part Of: American journal of Alzheimer's disease & other dementias. Volume 31:Number 8(2016)
• Page Start: 612
• Page End: 617
• Publication Date: 2016-12
• Subjects: brain-activating rehabilitation -- patients with dementia -- patients with cognitive impairment -- day care -- acute hospital -- cognitive and psychosocial functioning; Alzheimer's disease -- Periodicals; Dementia -- Periodicals; Alzheimer's disease -- Patients -- Care -- United States -- Periodicals; 616.83
• DOI: 10.1177/1533317516653822
• Languages: English
• ISSNs: 1533-3175

Abstract

We aimed to confirm the effectiveness of brain-activating rehabilitation (BAR) performed in the day care setting at an acute hospital. Brain-activating rehabilitation is based on 5 principles: developing a pleasant atmosphere, promoting communication, praising patients, giving patients a social role, and providing supportive care. A total of 48 patients with dementia or cognitive impairment were selected and randomly divided into the intervention and control groups. The BAR-based intervention was conducted for 1 hour, 3 times a week. The patients' score of the Multidimensional Observation Scale for Elderly Subjects (MOSES) were used as outcome measures. Repeated-measures analysis of covariance detected a significant interaction between the MOSES disorientation ( F = 4.437, P = .041) and the withdrawal ( F = 5.052, P = .030) subscales. A BAR-based intervention performed at our acute hospital was effective at maintaining and improving the cognitive and psychosocial functioning of patients with dementia or cognitive impairment.