The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Effect of Home-based Multi-Component Activity Program (Home-MAP) for mild Alzheimer's Disease Patients and Caregivers

경도 알츠하이머 치매환자와 보호자를 위한 가정기반 다요인 활동 프로그램(Home-based Multi-component Activities Program: Home-MAP)의 효과

  • Hwang, Yun-Jung (Department of Neuropsychiatry and Clinical Research Institute, Seoul National University Hospital) ;
  • Jeong, Won-Mee (Department of Occupational Therapy, Dongnam Health College) ;
  • Lee, Dong-Young (Deartment of Neuropsychiatry, Seoul National University Hospital)
  • 황윤정 (서울대학교병원 정신건강의학과 의생명연구원) ;
  • 정원미 (동남보건대학교 작업치료과) ;
  • 이동영 (서울대학교병원 정신건강의학과)
  • Received : 2015.08.01
  • Accepted : 2015.09.11
  • Published : 2015.09.30
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Abstract

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.

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References

  1. Ministry of Health and Welfare(2012), http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=286138&SEARCHKEY=TITLE&SEARCHVALUE=dementia.
  2. 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. https://doi.org/10.12811/kshsm.2012.6.3.075
  3. G. Kielhofner(2002), A model of Human Occupational: Theory and application, Lippincott Williams & Wilkins, pp.13-25.
  4. 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.
  5. 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. https://doi.org/10.1186/1745-6215-15-401
  6. 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.
  7. 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.
  8. 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. https://doi.org/10.1017/S1041610212000737
  9. 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.
  10. 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. https://doi.org/10.1002/gps.4160
  11. 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.
  12. 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.
  13. American Psychiatric Association(1994), Diagnostic and Statistical Manual of Mental disorders, the 4th edition, American Psychiatric Association, pp.191-200.
  14. 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. https://doi.org/10.1212/WNL.34.7.939
  15. 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. https://doi.org/10.1192/bjp.140.6.566
  16. A.G. Fisher(2003), Assessment of Motor and Process Skills (5th ed.), Three StarPress, pp.20-24.
  17. 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. https://doi.org/10.1017/S1041610299006018
  18. 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. https://doi.org/10.1037/0882-7974.7.4.622
  19. J.L. Cummings(1997), The Neuropsychiatric Inventory: Assessing psychopathology in dementia patients, Neurology, Vol.48(6);S10-S16
  20. 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.
  21. 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.
  22. 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. https://doi.org/10.1037/0022-3514.83.6.1281
  23. 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. https://doi.org/10.1001/jama.2012.36918
  24. S.G. Jo(2004), Factors related with caregiver burden for dementia patient(Master's thesis), Kosin University Graduate School, pp.17-18.
  25. 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. https://doi.org/10.1097/01.JGP.0000300629.35408.94

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