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http://dx.doi.org/10.22683/tsnr.2019.8.3.057

Effects of a Short-term Multimodal Group Intervention Program on Cognitive Function and Depression of the Elderly  

Jung, Beom-Jin (Dept. of Occupational Therapy, College of Health Science, Jungwon University)
Choi, Yu-Jin (Dept. of Occupational Therapy, College of Health Science, Jungwon University)
Publication Information
Therapeutic Science for Rehabilitation / v.8, no.3, 2019 , pp. 57-68 More about this Journal
Abstract
Purpose: This study aimed to investigate the effects of a short-term group multimodal intervention program that mixes physical activity, cognitive motion, and social interaction, on the cognitive function and depression level of healthy over 75-year-old individuals. Method: This study used a one group pre-test-post-test design, and intervention was made for 70 minutes per session, once a week, for four sessions in total. To compare changes in cognitive function, depression level and physical function before and after intervention, this study used the Mini-Mental State Examination-Dementia Screening (MMSE-DS), Geriatric Depression Scale-Short Form (GDS-SF), and Berg Balance Scale (BBS). Result: After applying group multimodal interventions to healthy over 75-year-old individuals, there was a statistically significant improvement in their cognitive function (p < 0.01), and there was a statistically significant decrease in their depression level (p < 0.05). Also, there was an increase in the rating score of the degree of balance from $46.83{\pm}9.11$ points before the intervention, to $48.08{\pm}7.00$ points after the intervention; however, it was not statistically significant (p > 0.05). Conclusion: Short-term group multimodal intervention that mixes physical activity, cognitive motion, and social interaction had a significant effect on slowing down the deterioration of cognitive function in healthy over 75 year-old individuals, and decreased their depression level. This study is significant in that it presents a foundation for providing more systematic intervention for the prevention of dementia and depression in the healthy older individuals. Follow-up studies should verify the result through research on the effects of an occupational therapist's professional treatment, and experimental group-control research.
Keywords
Balance; Cognitive function; Community-based occupational therapy; Depression; Elderly; Multimodal group intervention;
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Times Cited By KSCI : 6  (Citation Analysis)
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1 Bae, Y. S., Um, K. M., & Kim, N. S. (2009). The effect of proprioceptive exercise of ankle joint on postural alignment in woman elderly person. The Journal of Korean Physical Therapy, 21(3), 53-60.
2 Berg, K., Wood-Dauphine, S., Williams, J. I., & Gayton, D. (1989). Measuring balance in the elderly: Preliminary development of an instrument. Physiotherapy Canada, 41(6), 304-311. doi:10.3138/ptc.41.6.304   DOI
3 Berg, K. O., Wood-Dauphinee, S. L., Williams, J. I., & Maki, B. (1992). Measuring balance in the elderly: Validation of an instrument. Canadian Journal of Public Health, 83(2), 7-11.
4 Boyle, P. A., Buchman, A. S., Wilson, R. S., Leurgans, S. E., & Bennett, D. A. (2010). Physical frailty is associated with incident mild cognitive impairment in communitybased older persons. Journal of the American Geriatrics Society, 58(2), 248-255. doi:10.1111/j.1532-5415.2009.02671.x   DOI
5 Burgener, S. C., Yang, Y., Gilbert, R., & Marsh-Yant, S. (2008). The effects of a multimodal intervention on outcomes of persons with early-stage dementia. American Journal of Alzheimer's Disease & Other Dementias, 23(4), 382-394. doi:10.1177/1533317508317527   DOI
6 Cho, C. H., & Cho, Y. J. (2003). The effects of specialty aptitude education activity on anxiety and depression of the middle school boy. Korea Sport Research, 14(5), 1131-1141.
7 Kang, H. S., & Kim, K. J. (2000). The correlation between depression and physical health among the aged. Journal Korean Public Health Association, 26(4), 451-459.
8 Galante, E., Venturini, G., & Fiaccadori, C. (2007). Computer-based cognitive intervention for dementia: Preliminary results of a randomized clinical trial. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 29(3), 26-32.
9 Giuli, C., Papa, R., Lattanzio, F., & Postacchini, D. (2016). The effects of cognitive training for elderly: Results from my mind project. Rejuvenation Research, 19(6), 485-494. doi:10.1089/rej.2015.1791   DOI
10 Hafstrom, A., Malmstrom, E. M., Terden, J., Fransson, P. A., & Magnusson, M. (2016). Improved balance confidence and stability for elderly after 6 weeks of a multimodal self-administered balance-enhancing exercise program: A randomized single arm crossover study. Gerontology and Geriatric Medicine, 2, 1-13, doi:10.1177/2333721416644149
11 Kang, K. B., Jeong, U. J., Park, C. W., Kim, S. R., & Moon, D. G. (2005). A case study on the effect of leisure activities on the depression of the disabled elderly - the case of therapeutic recreation. Korea Sport Research, 6(6), 665-672.
12 Kim, C. M., Park, M. S., & Kim, S. H. (2012). Analysis of trends in non-pharmacological studies for elders with dementia in Korea. Journal of Korean Gerontological Nursing Society, 14(2), 129-141.
13 Kim, H. A., & Lee, J. S. (2015). A study on the moderating effects of social support in between physical health and depression of elderly women. Korean Journal Care Management, 17(17), 29-54.
14 Kim, H. J., Lee, C. Y., Jung, H. R., Lee, G. H., & Kim, D.H. (2015). The effect of the multi intervention program applying to dementia elderly. The Journal of Korean Society of Community Based Occupational Therapy, 5(2), 11-21. doi:10.18598/kcbot.2015.05.02.02   DOI
15 National institute of dementia. (2014). Dementia prevention dance. Retrieved fromhttps://www.nid.or.kr/
16 Lee, Y. J., Lee, J. H., Kim, Y. J., Yang, N., Y., & Park, J., H. (2014). The effect of multimodal intervention on quality of life, depression, and cognitive function in elderly people with dementia: A pilot study. The Journal of Korean Society of Occupational Therapy, 22(3), 85-97. doi:10.14519/jksot.2014.22.3.07   DOI
17 Lee, Y. J., Park, J. Y., Park, H. J., Shin, H. J., Choi, D. K., & Shin, H. S. (2014). The effect of swiss ball program on lower extremity function of elderly with mild cognitive impairment. Journal of International Academy of Physical Therapy Research, 5(1), 691-695. doi:10.5854/JIAPTR.2014.03.31.691   DOI
18 National Collaborating Centre for Mental Health. (2007). Dementia: A NICE-SCIE guideline on supporting people with dementia and their carers in health and social care. Retrieved from https://www.scie.org.uk/publications/misc/dem entia/dementia-fullguideline.pdf
19 Oh, Y. S., Park, J. Y., & Kang, S. G. (2003). The effect of physical activity participation on the loneliness and depression for Korean, Chinese, and Japanese elderly. Korean Journal of Sport Psychology, 14(3), 1-13.
20 Park, J. S., Park, S. J., Yun, J. Y., & Choi, K. G. (2015). Efficacy of dementia prevention program for cognitive function, depression, and physical function in the elderly non-demented women-focused on senior citizens center. The Journal of Korean Society of Occupational Therapy, 23(3), 79-96. doi:10.14519/jksot.2015.23.3.07   DOI
21 Han, Y. R., Song, M. S., & Lim, J. Y. (2010). The effects of a cognitive enhancement group training program for community-dwelling elders. Journal of Korean Academy of Nursing, 40(5), 724-735. doi:10.4040/jkan.2010.40.5.724   DOI
22 Cho, M. J., Bae, J. N., Suh, G. H., Hahm, B. J., Kim, J. K., Lee, D. W., & Kang, M. H. (1999). Validation of geriatric depression scale Korean version (GDS) in the assessment of DSM-III-R major depression. Journal Korean Neuropsychiatric Association, 38(1), 48-63.
23 Cho, S. H., & Yang, Y. A. (2017). The effect of occupational therapy based multimodal cognitive rehabilitation therapy on cognitive function in elderly people with mild dementia: A randomized controlled trial. The Journal of Korean Society of Occupational Therapy, 25(3), 71-86. doi:10.14519/jksot.2017.25.3.06   DOI
24 Coelho, F. G. D. M., Andrade, L. P., Pedroso, R. V., Santos-Galduroz, R. F., Gobbi, S., Costa, J. L. R., & Gobbi, L. T. B. (2013). Multimodal exercise intervention improves frontal cognitive functions and gait in Alzheimer's disease: A controlled trial. Geriatrics & Gerontology International, 13(1), 198-203. doi:10.1111/j.1447-0594.2012.00887.x   DOI
25 Ham, M. J., Kim, S. K., Yoo, D. H., & Lee, J. S. (2018). The effects of a multimodal interventional program on cognitive function, instrumental activities of daily living in patients with mild alzheimer's disease. The Journal of Korean Society of Occupational Therapy, 26(1), 91-102. doi:10.14519/jksot.2018.26.1.07   DOI
26 Han, J. W., Kim, T. H., Jhoo, J. H., Park, J. H., Kim, J. L., Ryu, S. H., ... Do, Y. J. (2010). A normative study of the Mini-Mental State Examination for Dementia Screening (MMSE-DS) and its short form (SMMSE-DS) in the Korean elderly. Journal of Korean Geriatric Psychiatry, 14(1), 27-37.
27 Janssen, I. (2006). Influence of sarcopenia on the development of physical disability: The cardiovascular health study. Journal of the American Geriatrics Society, 54(1), 56-62. doi:10.1111/j.1532-5415.2005.00540.x   DOI
28 Kim, S. I. (2006). The analysis of social and cultural factors by subjective well-being, social support, depression and self-esteem of old sports participants. Korea Sport Research, 17(2), 485- 502.
29 Kim, J. K., Kim, H. S., & Park, S. J. (2017). The effect of occupational participation on the quality of life and self-esteem of the elderly. Journal of Society of Occupational Therapy for the Aged and Dementia, 11(1), 21-28.
30 Kim, S. S., & Jo, H. M. (2018). Dementia prevention programs among Koreans: A systematic review. The Journal of the Korea Contents Association, 18(4), 89-98. doi:10.5392/JKCA.2018.18.04.089   DOI
31 Kim, Y. W., & Oh, S. H. (2017). Meta-analysis of the effects of regularly exercise on fitness and body composition in elderly people. The Korean Journal of Physical Education, 56(1), 753-769. doi:10.23949/kjpe.2017.01.56.1.56   DOI
32 Janssen, I., Baumgartner, R. N., Ross, R., Rosenberg, I. H., & Roubenoff, R. (2004). Skeletal muscle cut points associated with elevated physical disability risk in older men and women. American Journal of Epidemiology, 159(4), 413-421. doi:10.1093/aje/kwh058   DOI
33 Jeong, K. H., Oh, Y. H., Kang, E. N., Kim. K. R., Lee, Y. K., Oh. M. A., ... Hong S. Y. (2017). 2017 national survey of the older Koreans. Sejong: Ministry of health and welfare, Korea insititute for health and social affairs.
34 Kanehisa, H., Miyatani, M., Azuma, K., Kuno, S., & Fukunaga, T. (2004). Influences of age and sex on abdominal muscle and subcutaneous fat thickness. European Journal of Applied Physiology, 91, 534-537. doi:10.1007/s00421-003-1034-9   DOI
35 Kim, S. E., Park, S. M., & Jung, M. Y. (2017). Effects of a multimodal intervention program on cognitive function and depression of the elderly with early dementia. The Journal of Korean Society of Occupational Therapy, 25(1), 45-55. doi:10.14519/jksot.2017.25.1.04   DOI
36 Kim, Y. H. (2008). Effect of the physical activity promotion program on physical function and quality of life in elderly. Journal of Korean Biological Nursing Science, 10(1), 11-18.
37 Ko, D. S., & Park, W. S. (2014). The effects of fall prevention exercise programs on the balancing ability of elderly women: A meta analysis. Journal of the Korea Entertainment Industry Association, 8(4), 117-126. doi:10.21184/jkeia.2014.12.8.4.117
38 Kok, R. M., &Reynolds, C. F. (2017). Management of depression in older adults: A review. Journal of American medical Association, 317(20), 2114-2122. doi:10.1001/jama.2017.5706   DOI
39 Kwon, S. M. (2013). Contemporary abnormal psychology. Seoul, Korea: Hakjisa.
40 Kwon, Y. S. (2004). Life health of the elderly. Seoul, Korea: Yoopoong.
41 Shin, S. J., Lee, J. S., Kim, S. K., & Jeon, B. J. (2013). The effect of a group occupational therapy on cognitive function and depression for mild dementia patients in a community. Journal of Korean Society of Occupational Therapy, 21(3), 45-60.
42 Lee, H. J., Kahng, S. K., & Lee, J. Y. (2008). The effects of socioeconomic position and health behavior on geriatric depressive symptom. Journal of The Korean Gerontological Society, 28(4), 1129-1145.
43 Lee, M. S., Joung, W. J., & Hwang, E. M. (2016). Recovery process from depression of middle-aged low-income women in Korea through text analysis on the data of depression experience. Textlinguitics, 40, 199-223.
44 Park, K. S., Jeong, H. Y., So, S. Y., Park, Y. H., Yang, H. J., Jung, K. R., ... Yang, K. H. (2013). The effects of the activity program for preventing dementia against depression, cognitive function, and quality of life for the elderly. Journal of Oriental Neuropsychiatry, 24(4), 353-362. doi:10.7231/jon.2013.24.4.353   DOI
45 Park, S. Y. (2018). The effects of health-related factors and social networks on depressive symptoms in elderly men and women. Health and Social Welfare Review, 38(1), 154-190. doi:10.15709/hswr.2018.38.1.154   DOI
46 Pourtaghi, F., Emami Moghadam, Z., Ramezani, M., Behnam Vashani, H., & Mohajer, S. (2017). Effect of resistance training using thera-band on muscular strength and quality of life among the elderly. Evidence Based Care, 7(3), 7-16. doi:10.22038/EBCJ.2017.25876.1584
47 Rankin, G., Stokes, M., & Newham, D. J. (2006). Abdominal muscle size and symmetry in normal subjects. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine, 34(3), 320-326. doi:10.1002/mus.20589   DOI
48 Seo, D. K., & Lee, S. W. (2013). The age related changes of thickness and symmetry of deep trunk muscles. Journal of the Korean Society of Physical Medicine, 8(3), 379-385. doi:10.13066/kspm.2013.8.3.379   DOI
49 Sim, C. S. (2004). The effect of sports participation on self-esteem, depression and anxiety. Korea Sport Research, 15(5), 719-729.
50 Statistics Korea. (2018). Estimated future population of Korea. Retrieved from http://kosis.kr
51 Yoon, S. Y., & Han, J. H. (2012). Analysis on the recovery process of depression of the undergraduates. Journal of Human Understanding and Counseling, 33(1), 21-33.
52 Teyhen, D. S., Gill, N. W., Whittaker, J. L., Henry, S. M., Hides, J. A., & Hodeges, P. (2007). Rehabilitative ultrasound imaging of the abdominal muscles. Gournal of Orthopaedic & Sports Physical Therapy, 37(8), 450-466. doi:10.2519/jospt.2007.2558   DOI
53 The Korean Geriatrics Society. (2005). Geriatric medicine. Seoul: Uihak
54 Wilson, R. S., De Leon, C. M., Bennett, D. A., Bienias, J. L., & Evans, D. A. (2004). Depressive symptoms and cognitive decline in a community population of older persons. Journal of Neurology, Neurosurgery & Psychiatry, 75(1), 126-129.
55 Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37-49. doi:10.1016/0022-3956(82)90033-4   DOI