The Home-Based Occupational Therapy Intervention in the Alzheimer's Disease Multiple Intervention Trial (ADMIT)

Overview

Journal Occup Ther Ment Health

Specialty Psychiatry

Date 2016 Mar 22

PMID 26997685

Citations 1

Authors

Arlene A Schmid

Carrie Spangler-Morris

Rachel C Beauchamp

Miranda C Wellington

Whitney M Hayden

Hannah S Porterfield

Denisha Ferguson

Christopher M Callahan

Affiliations

Soon will be listed here.

Abstract

There is no way to prevent functional declines related to Alzheimer's Disease (AD). The use of occupational therapy (OT) has been shown to be successful in managing some aspects of AD. We added home-based OT to evidence-based best practice for AD with the aim of delaying functional decline in people with AD. OT was delivered in the home to a caregiver dyad including the person with AD and her/his caregiver. This paper describes the OT intervention for the AD Multiple Intervention Trial, a parallel randomized controlled trial. We include baseline data on the 180 caregiver dyads.

Citing Articles

Targeting Functional Decline in Alzheimer Disease: A Randomized Trial.

Callahan C, Boustani M, Schmid A, LaMantia M, Austrom M, Miller D Ann Intern Med. 2016; 166(3):164-171.

PMID: 27893087 PMC: 5554402. DOI: 10.7326/M16-0830.

References

Vellas B, Villars H, Abellan G, Soto M, Rolland Y, Guigoz Y . Overview of the MNA--Its history and challenges. J Nutr Health Aging. 2006; 10(6):456-63. View

Callahan C, Boustani M, Schmid A, Austrom M, Miller D, Gao S . Alzheimer's disease multiple intervention trial (ADMIT): study protocol for a randomized controlled clinical trial. Trials. 2012; 13:92. PMC: 3518146. DOI: 10.1186/1745-6215-13-92. View

Galasko D, Bennett D, Sano M, Ernesto C, Thomas R, Grundman M . An inventory to assess activities of daily living for clinical trials in Alzheimer's disease. The Alzheimer's Disease Cooperative Study. Alzheimer Dis Assoc Disord. 1997; 11 Suppl 2:S33-9. View

Velligan D, Mahurin R, Miller A, Dassori A, Erdely F . Concurrent and predictive validity of the Allen Cognitive Levels Assessment. Psychiatry Res. 1998; 80(3):287-98. DOI: 10.1016/s0165-1781(98)00078-x. View

Gitlin L, Winter L, Vause Earland T, Herge E, Chernett N, Piersol C . The Tailored Activity Program to reduce behavioral symptoms in individuals with dementia: feasibility, acceptability, and replication potential. Gerontologist. 2009; 49(3):428-39. PMC: 2682173. DOI: 10.1093/geront/gnp087. View

. 2014 Alzheimer's disease facts and figures. Alzheimers Dement. 2014; 10(2):e47-92. DOI: 10.1016/j.jalz.2014.02.001. View

Berg K, Williams J, Maki B . Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992; 83 Suppl 2:S7-11. View

Strong S, Rigby P, Stewart D, Law M, Letts L, Cooper B . Application of the Person-Environment-Occupation Model: a practical tool. Can J Occup Ther. 1999; 66(3):122-33. DOI: 10.1177/000841749906600304. View

Granger C, Hamilton B, Linacre J, Heinemann A, Wright B . Performance profiles of the functional independence measure. Am J Phys Med Rehabil. 1993; 72(2):84-9. DOI: 10.1097/00002060-199304000-00005. View

10.

Arfken C, Lach H, Birge S, Miller J . The prevalence and correlates of fear of falling in elderly persons living in the community. Am J Public Health. 1994; 84(4):565-70. PMC: 1614787. DOI: 10.2105/ajph.84.4.565. View

11.

Doig E, Fleming J, Cornwell P, Kuipers P . Qualitative exploration of a client-centered, goal-directed approach to community-based occupational therapy for adults with traumatic brain injury. Am J Occup Ther. 2009; 63(5):559-68. DOI: 10.5014/ajot.63.5.559. View

12.

Roley S, Delany J, Barrows C, Brownrigg S, Honaker D, Sava D . Occupational therapy practice framework: domain & practice, 2nd edition. Am J Occup Ther. 2008; 62(6):625-83. DOI: 10.5014/ajot.62.6.625. View

13.

Gitlin L, Winter L, Dennis M, Hodgson N, Hauck W . Targeting and managing behavioral symptoms in individuals with dementia: a randomized trial of a nonpharmacological intervention. J Am Geriatr Soc. 2010; 58(8):1465-74. PMC: 2955191. DOI: 10.1111/j.1532-5415.2010.02971.x. View

14.

ALLEN C . Occupational therapy: functional assessment of the severity of mental disorders. Hosp Community Psychiatry. 1988; 39(2):140-2. DOI: 10.1176/ps.39.2.140. View

15.

McLaren A, LaMantia M, Callahan C . Systematic review of non-pharmacologic interventions to delay functional decline in community-dwelling patients with dementia. Aging Ment Health. 2013; 17(6):655-66. PMC: 3723698. DOI: 10.1080/13607863.2013.781121. View

16.

Bauer J, Kaiser M, Anthony P, Guigoz Y, Sieber C . The Mini Nutritional Assessment--its history, today's practice, and future perspectives. Nutr Clin Pract. 2008; 23(4):388-96. DOI: 10.1177/0884533608321132. View

17.

Callahan C, Boustani M, Unverzagt F, Austrom M, Damush T, Perkins A . Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: a randomized controlled trial. JAMA. 2006; 295(18):2148-57. DOI: 10.1001/jama.295.18.2148. View

18.

Gitlin L, Kales H, Lyketsos C . Nonpharmacologic management of behavioral symptoms in dementia. JAMA. 2012; 308(19):2020-9. PMC: 3711645. DOI: 10.1001/jama.2012.36918. View

19.

Kim S, Yoo E, Jung M, Park S, Park J . A systematic review of the effects of occupational therapy for persons with dementia: a meta-analysis of randomized controlled trials. NeuroRehabilitation. 2012; 31(2):107-15. DOI: 10.3233/NRE-2012-0779. View