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Effect of Home-based Multi-Component Activity Program (Home-MAP) for mild Alzheimer's Disease Patients and Caregivers
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 Title & Authors
Effect of Home-based Multi-Component Activity Program (Home-MAP) for mild Alzheimer's Disease Patients and Caregivers
Hwang, Yun-Jung; Jeong, Won-Mee; Lee, Dong-Young;
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Objective : The aim of this study was to examine the effects of the Home-based Multi-component Activity Program (Home-MAP) for the maintenance activities of daily living (ADL) for patients with mild Alzheimer's disease (AD) and on caregiver burden for caregivers. Methods : Nine mild AD patients and family caregivers. The Home-MAP was performed 1d/wk, for a total of 10 times over 10 weeks. Results : After the 10 sessions, participants' motor and process skills scores on the AMPS were found to have significantly improved (p=.028 and p=.028, respectively). The BPSD frequency score on the R-MBPC was found to be significantly reduced (p=.017). The BPSD symptoms related to caregiver reaction score on the R-MBPC and distress score on the NPI-Q were significantly reduced (p=.039 and p=.018, respectively). Conclusions : The Home-MAP appears to have contributed to the improvement of patients' capabilities in performing in ADL, to a reduction of BPSD, and to a reduction of burden related to BPSD.
AD;Caregiver Burden;Daily Living Skills;Home-MAP;
 Cited by
Ministry of Health and Welfare(2012),

J.H. Noh, E.J. Lim, J. Hur(2012), The factors influencing careworker's care performance for elders with dementia, The Korean Jurnal of Health Service Management, Vol.6(3);75-84. crossref(new window)

G. Kielhofner(2002), A model of Human Occupational: Theory and application, Lippincott Williams & Wilkins, pp.13-25.

H.R. Ji, S.H. Choi, M.S. Cho, R.A. Ju(2004), The effects of the continuous dementia nursing intervention program on cognitive function and depression of the elderly with mild dementia in the community, Journal of Korean Gerontological Nursing, Vol.6(2);216-227.

A.E. Prick, J. de Lange, N. van't Leven, A.M. Pot(2014), Process evaluation of a multicomponent dyadic intervention study with exercise and support for people with dementia and their family caregivers, Trials, Vol.15;401-414. crossref(new window)

L.N. Gitlin, W.W. Hauck, M.P. Dennis, L. Winter(2005), Maintenance of effects of the home environmental skill-building programme for family caregivers and individuals with Alzheimer's disease and related disorders, Journal of Gerontology series A: Biological and Medical Science, Vol.60;369-374.

M.J. Graff(2009), Teaching and Supporting Clients with Dementia and Their Caregivers in Daily Functioning, Soderback I, International Handbook of Occupational Therapy Interventions, Springer, pp.217-223.

K. Omstein, J.E. Gaugler(2012), The problem with "problem behaviors": a systemic review of the association between individual patient behavioral and psychological symptoms and caregiver depression and burden within the dementia patient-caregiver dyad, International Psychogeriatrics, Vol.24(10);1536-1552. crossref(new window)

A. Johannessen, F.K. Bruvik, S. Hauge(2015), Family carers' experiences of attending a multicomponent psychosocial intervention program for carers and persons with dementia, Journal of Multidisciplinary Healthcare, Vol.12(8);91-99.

K.S. Cheung, B.H. Lau, P.W. Wong, A.Y. Leung, V.W. Lou, G.M. Chan, R. Schilt(2015), Multicomponent intervention on enhancing dementia caregiver well-being and reducing behavioral problems among Hong Kong Chinese: a translational study based on REACH II, International Journal of Geriatric Psychiatry, Vol.30(5);460-469. crossref(new window)

A.G. Fisher, L.A. Griswold(2013), Performance skills: Implementing performance analyses to evaluate quality of occupational performance. In B. B. Schell, G. Gillen, M. Scaffa, E. Cohn(eds.), Willard & Spackman's occupational therapy(12th ed.), Philadelphia:Lippincott Williams & Wilkins, pp.249-264.

D.Y. Lee, K.U. Lee, J.H. Lee, K.W. Kim, J.H. Jhoo, J.C. Youn(2002), A normative study of the Mini Mental State Examination in the Korean elderly, Journal of Korean Neuropsychiatry Association, Vol.41;508-525.

American Psychiatric Association(1994), Diagnostic and Statistical Manual of Mental disorders, the 4th edition, American Psychiatric Association, pp.191-200.

G.M. McKhann, D. Drachman, M. Folstein, R. Katzman, D. Price, E.M. Stadlan(1984), Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA work group under the auspices of department of health and human services task force on Alzheimer's disease, Neurology, Vol.34;939-944. crossref(new window)

C.P. Hughes, L. Berg, W.L. Danziger, L.A. Coben, R.L. Martin(1982), A new clinical scale for the staging of dementia, British Journal of Psychiatry, Vol.140;566-572. crossref(new window)

A.G. Fisher(2003), Assessment of Motor and Process Skills (5th ed.), Three StarPress, pp.20-24.

S.E. Doble, J.D. Fisk, K. Rockwood(1999), Assessing the ADL Functioning of Persons With Alzheimer's Disease: Comparison of Family Informants' Ratings and Performance-Based Assessment Findings, International Psychogeriatrics, Vol.11(4);399-410. crossref(new window)

L. Teri, P. Truax, R. Logsdon, J. Uomoto, S. Zarit, P.P. Vitaliano(1992), Assessment of Behavioral Problems in Dementia: The Revised Memory and Behavior Problems Checklist, Psychology and Aging, Vol.7(4);622-631. crossref(new window)

J.L. Cummings(1997), The Neuropsychiatric Inventory: Assessing psychopathology in dementia patients, Neurology, Vol.48(6);S10-S16

J.A. Yesavage, T.L. Brink, T.L. Rose, O. Lum, V. Huang, M. Adey, O. Von (1983), Development and validation of a geriatric depression screening scale: A preliminary report, Journal Psychiatry Research, Vol.17(1);37-49.

M.J. Cho, J.N. Bae, G.H. Suh, B.J. Hahm, J.K. Kim, D.W. Lee, M.H. Kang(1999), Validation of Geriatric Depression Scale, Korean Version(GDS) in the Assessment of DSM-III-R Major Depression, Journal of Korean Neuropsychiatry Association, Vol.38(1);48-63.

W. Wood, J.M. Quinn, D.A. Kashy(2002), Habits in everyday life: Though, emotion, and action, Journal of Personality and Social Psychology, Vol.83(6);1281-1297. crossref(new window)

L.N. Gitlin H.C. Kales, C.G. Lyketsos(2012), Nonpharmacologic management of behavioral symptoms in dementia, Journal of American Medical Association, Vol.308(19);2020-2029. crossref(new window)

S.G. Jo(2004), Factors related with caregiver burden for dementia patient(Master's thesis), Kosin University Graduate School, pp.17-18.

L.N. Gitlin, L. Winter, J. Burke, N. Chernett, M.P. Dennis, W.W. Hauck(2008), Tailored Activities to manage neuropsychiatric behaviors in persons with dementia and reduce caregiver burden: A randomized pilot study, The American Journal of Geriatric Psychiatry, Vol.16(3);229-239. crossref(new window)