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http://dx.doi.org/10.18598/kcbot.2020.10.2.03

The Effect of Tailored Occupational Intervention on the Elderly with Mild Dementia using the Day Care Center  

Lee, Chun-Yeop (Dept. of Occupational Therapy, Kaya University)
Kim, Ji-Hoon (Dept. of Occupational Therapy, Kaya University)
Kim, Hee-Jung (Dept. of Occupational Therapy, Kosin University)
Hong, Ki-Hoon (Dept. of Occupational Therapy, Kaya University)
Jung, Hye-Rim (Dept. of Occupational Therapy, Kaya University)
Publication Information
The Journal of Korean society of community based occupational therapy / v.10, no.2, 2020 , pp. 25-36 More about this Journal
Abstract
Objective : This study identified the effect of tailored occupational intervention applied to the elderly with mild dementia using the day care center. Methods : This study applied the single-group experimental design to 29 elderly with mild dementia who use the day care center in B area, and conducted a total of 10 sessions once a week, 60 minutes. Intervention consisted largely of group activities and individual activities, and individual activities were conducted one-on-one with various activities necessary to select occupational goals and achieve the goals through consultation between the elderly with mild dementia and the person in charge. The effects of tailored occupational intervention were confirmed through CERAD, BBS, and GDS. Results : Significant differences were shown in the total score of MMSE-KC, time orientation, attention, constructional praxis delayed recall, and trail making test B in the cognitive function changes, and standing to sitting, standing unsupported with eyes closed of BBS in the physical function changes, and in the GDS score in the depression changes (p<.05). Conclusion : Tailored occupational intervention has been shown to be effective in improving cognitive and physical functions of the elderly with mild dementia and reducing depression. This provided a basis for proposing a tailored occupational intervention as an intervention that can be applied to the elderly with mild dementia.
Keywords
Day Care Center; Mild Dementia; Occupation; Tailored Intervention;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Jung, I. K., Kwak, D. I., Shin, D. K., Lee, M. S., Lee, H. S., & Kim, J. Y. (1997). A reliability and validity study of geriatric depression scale. Journal of Korean Neuropsychiatric Association, 136(1), 103-112.
2 Kim, D. D. (2017). Effects of walking exercise and red onion power on health-related fitness, cardiovascular risk factors, vascular inflammatory markers, vascular endothelial growth factor and vascular compliance in elderly men. published doctoral dissertation, Pusan National University, Busan.
3 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. Journal of Korean Society of Community Based Occupational Therapy, 5(2), 11-21.   DOI
4 Kim, H. S., Lee, Y. W., Jung, D. W., & Lee, J. Y. (2019). Satisfaction and experience of the elderly with dementia for the service provided by the dementia day care center. Journal of the Korea Contents Association, 19(7), 609-627. doi:10.5392/JKCA.2019.19.07.609   DOI
5 Kwon, M. H., & Kim, S. K. (2019). The effects of a personalized reminiscence therapy program on cognitive function, depression, quality of life and work performance in patients with dementia. Korean Journal of Occupational Therapy, 27(2), 13-23. doi:https://doi.org/10.14519/kjot.2019.27.2.02   DOI
6 Lauver, D. R., Ward, S. E., Heidrich, S. M., Keller, M. L., Bowers, B. J., Brennan, P. F., et al. (2002). Patient-centered interventions. Research in Nursing & Health, 25(4), 246-255. doi:10.1002/nur.10044   DOI
7 Law, M., Polatajko, H., Pollock, N., McColl, M. A., Carswell, A., & Baptiste, S. (1994). Pilot testing of the Canadian Occupational Performance Measure: Clinical and measurement issues. Canadian Journal of Occupational Therapy, 61(4), 191-197. doi:10.1177/000841749406100403   DOI
8 Paik, Y. R., & Lee, J. S. (2013). Occupational performance and leisure activity participation level research according to cognitive level of the elderly with dementia. Korean Journal of Occupational Therapy, 21(3), 61-74.
9 Park, B. K., & Jung, M. S. (2018). The effect of the service quality of the day care center on the intention of reuse. Korean Journal of Converging Humanities, 6(1), 7-29. doi:http://dx.doi.org/10.14729/converging.k.2018.6.17   DOI
10 Park, J. P. (2006). A study on satisfaction and utilization desire of the elderly day care service. Journal of Welfare for the Aged, 31, 250-281.
11 Polatajko, H. J., & Davis, J. A. (2012). Advancing occupation-based practice: Interpreting the rhetoric. Canadian Journal of Occupational Therapy, 79(5), 259-262. doi:10.2182/CJOT.2012.79.5.1   DOI
12 Schulz, R., & Martire, L. M. (2004). Family caregiving of persons with dementia: Prevalence, health effects, and support strategies. American Journal of Geriatric Psychiatry, 12(3), 240-249.   DOI
13 Woo, J. I., Lee, D. Y., Kim, G. U., Kim, S. Y., Kim, J. H., Woo, S. I., et al. (2018). The Korean version of the consortium to establish a registry for alzheimer's disease assessment packet (2nd ed.). Seoul: Snupress.
14 World Federation of Occupational Therapists. (2010). Statement on occupational therapy. Retrieved February, 27, 2014, from http://www.wfot.org/Portals/0/PDF/
15 Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49.   DOI
16 Nakamae, T., Yotsumoto, K., Tatsumi, E., & Hashimoto, T. (2014). Effects of productive activities with reminiscence in occupational therapy for people with dementia: A pilot randomized controlled study. Hong Kong Journal of Occupational Therapy, 24, 13-19. doi:http://dx.doi.org/10.1016/j.hkjot.2014.01.003   DOI
17 Lee, J. Y. (2013). The effects of the perceived quality of day care services on customary satisfaction and post behavior. Journal of Welfare for the Aged, 59(1), 139-158.
18 Lee, Y. G., Yeom, J. H., & Lee, S. H. (2013). A study of demand estimation and reorganization of provision system for elderly welfare service in response to an aging society. Seoul: Korea Institute for Health and Social Affairs.
19 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. Korean Journal of Occupational Therapy, 22(3), 85-97. doi:https://doi.org/10.14519/jksot.2014.22.3.07   DOI
20 Nam, H. J., Hwang, S. H., Kim, Y. J., & Kim, G. U. (2018). Korean Dementia Observatory 2018. Seongnam: National Institute of Dementia.
21 National Health Insurance Service. (2020). Types and contents of the act on long-term care insurance for aged. Retrieved August, 12, 2020, from http://www.longtermcare.or.kr/npbs/index.jsp
22 National Institute of Dementia. (2020). Today of dementia. Retrieved August, 12, 2020, from https://www.nid.or.kr/info/today_list.aspx
23 Odenheimer, G., Borson, S., Sanders, A. E., Swain-Eng, R. J., Kyomen, H. H., Tierney, S., et al. (2013). Quality improvement in neurology: Dementia management quality measures (executive summary). American Journal of Occupational Therapy, 67(6), 704-710. doi:http://dx.doi.org/10.5014/ajot.2013.676004   DOI
24 Gitlin, L. N., Winter, L., Earland, T. V., Herge, E. A., Chernett, N. L., Piersol, C. V., et al. (2009). The tailored activity program to reduce behavioral symptoms in individuals with dementia: Feasibility, acceptability, and replication potential. Gerontologist, 29(3), 428-439. doi:10.1093/geront/gnp087   DOI
25 Baek, D. R., & Jung, H. (2016). Effect of client-centered home-based occupational therapy service on activity participation of clients with a special grade of dementia: A case study. Korean Journal of Occupational Therapy, 24(2), 83-98.   DOI
26 Baker, R., Camosso-Stefinovic, J., Gillies, C., Shaw, E. J., Cheater, F., Flottorp, S., et al. (2015). Tailored interventions to address determinants of practice. Cochrane Database of Systematic Reviews, 2015(4), CD005470. doi:10.1002/14651858.CD005470.pub3
27 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.
28 Cho, E. J., Lee, S., & Jeon, H. (2002). Satisfaction with day-care center for the elderly and their life satisfaction. Yonsei Educational Science, 50(1), 105-122.
29 Gitlin, L. N., Winter, L., Burke, J., Chernett, N., Dennis, M. P., & Hauck, W. W. (2008). Tailored activities to manage neuropsychiatric behaviors in persons with dementia and reduce caregiver burden: A randomized pilot study. American Journal of Geriatric Psychiatry, 16(3), 229-239. doi:10.1097/JGP.0b013e318160da72   DOI
30 Graff, M. J., Vernooij-Dassen, M. J., Thijssen, M., Decker, J., Hoefnagels, W. H., & OldeRikkert, M. G. (2007). Effect of community occupational therapy on quality of life, mood, and health status in dementia patients and their caregivers: A randomized controlled trial. Journal of Gerontology Series A: Biological and Medical Science, 62(9), 1002-1009. doi:https://doi.org/10.1093/gerona/62.9.1002   DOI
31 Graff, M. J., Vernooij-Dassen, M. J., Zajec, J., Olde-Rikkert, M. G., Hoefnagels, W. H., & Dekker, J. (2006). How can occupational therapy improve the daily performance and communication of an older patient with dementia and his primary caregiver?: A case study. Dementia, 5(4), 503-532. doi:https://doi.org/10.1177/1471301206069918   DOI
32 Ham, M. J., Hong, D. G., Moon, K. U., & Jeon, B. J. (2019). Effects of community-based cognitive rehabilitation therapy based on occupational therapy in elderly people with mild cognitive impairment and dementia. Korean Journal of Occupational Therapy, 27(4), 31-43. doi:https://doi.org/10.14519/kjot.2019.27.4.03   DOI
33 Hong, S. P., & Lee, J. H. (2018). The survey on the need of education about assessment and intervention of cognitive function in the day care center for the elderly. Journal of Korean Society of Cognitive Rehabilitation, 7(1), 33-47.
34 Fisher, A. G. (2013). Occupation-centred, occupationbased, occupation-focused: Same, same or different? Scandinavian Journal of Occupational Therapy, 20(3), 162-173. doi:10.3109/11038128.2012.754492   DOI
35 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. Korean Journal of Occupational Therapy, 26(1), 91-102. doi:https://doi.org/10.14519/jksot.2018.26.1.07
36 Han, A., Radel, J., McDowd, J. M., & Sabata, D. (2016). Perspectives of people with dementia about meaningful activities: A synthesis. American Journal of Alzheimer's Disease and Other Dementias, 31(2), 115-123. https://doi.org/10.1177/1533317515598857   DOI
37 James, B. D., Wilson, R. S., Barnes, L. L., & Bennett, D. A. (2011). Late-life social activity and cognitive decline in old age. Journal of the International Neuropsychological Society, 17(6), 998-1005. doi:10.1017/S1355617711000531   DOI
38 Jeong, W. M., Lee, J. S., Hwang, Y. J., & Youn, J. C. (2010). Effects of a Tailored Activity Program (TAP) to manage neuropsychiatric behaviors in client with dementia and reduce caregiver burden. Korean Journal of Occupational Therapy, 18(1), 79-93.
39 Ji, H. R. (2003). Effects of dementia nursing intervention program on cognitive function, depression, activities of daily living, and social behavior in the elderly with mild dementia. published doctoral dissertation, Chonnam National University, Gwangju.
40 Joo, B. H. (2019). The current status and challenges of housing support policy for the elderly with dementia. Health and Welfare Policy Forum, 276, 59-73.