Effectiveness of Home Based Occupational Therapy for Dementia. (ERGODEM)

Technische Universität Dresden

Status: Completed

Conditions: Dementia

Treatments: Behavioral: Occupational Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT00732329

LT-DEMENZ-44-074

Details and patient eligibility

About

The purpose of this study is to determine if a home based occupational therapy is effective in the treatment of dementia.

Enrollment: 160 patients

Sex: All

Ages: 55+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Dementia (according to DSM-IV TR)
2. A score 26 to 12 on the MMSE
3. Must be 55 or older
4. Patient is living at home or therapeutical flat sharing
5. Primary care giver at least 2 days / week available at home
6. Written informed consent from patient and care giver
7. German as dominant language

Exclusion criteria

1. Other dementia (p.e. frontotemporal dementia, dementia with Lewy Bodies, Creutzfeldt-Jakob disease, Parkinson's disease or atypical Parkinson's syndromes
2. Dementia with relevant displaying behavioural problems (neuropsychiatric Inventory; NPI, Subscore ≥ 8)
3. Depressive episodes (Geriatric Depression Scale, GDS (short version) ≥ 6)
4. Mental disability
5. Home Based Occupational Therapy for Dementia within the last 6 months
6. Impairment of visual and/or acoustic cognition which does not allow Occupational Therapy
7. Apoplexy with movement disorders which does not allow Occupational Therapy
8. Severe physical/systemic illnesses (cardio-pulmonal, Hematological or metabolic) which do not allow participating
9. Recent history of addictive disorder
10. Intermittent intake of depressant medication, that likely causes an impairment of cognitive performance during the trial
11. Participation in another clinical trial

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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160 participants in 2 patient groups

A

Experimental group

Description:

optimized home based occupational therapy including: * diagnostic assessment * patient-centered definition of targets involving the care giver * occupational therapy

Treatment:

Behavioral: Occupational Therapy

B

No Intervention group

Description:

treatment according to guidelines of German Society for Psychiatry, Psychotherapy and Nervous Diseases (DGPPN) and German Society of Neurology (DGN) without optimized occupational therapy