Effects of rehabilitation program focused on improving real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers

Yohei Otaka; Shin Kitamura; Megumi Suzuki; Akiko Maeda; Chinami Kato; Rena Ito; Asuka Hirano; Yuki Okochi; Koji Mizutani; Hiroshi Yoshino; Hajime Takechi

doi:10.2340/jrmcc.v6.12293

Authors

Yohei Otaka Department of Rehabilitation Medicine I, School of Medicine, Aichi, Japan
Shin Kitamura Department of Rehabilitation Medicine I, School of Medicine, Aichi, Japan; Faculty of Rehabilitation, School of Health Sciences, Aichi, Japan https://orcid.org/0000-0002-4442-0854
Megumi Suzuki Faculty of Rehabilitation, School of Health Sciences, Aichi, Japan
Akiko Maeda Faculty of Rehabilitation, School of Health Sciences, Aichi, Japan
Chinami Kato Department of Rehabilitation, Fujita Health University Hospital, Aichi, Japan
Rena Ito Department of Rehabilitation, Fujita Health University Hospital, Aichi, Japan
Asuka Hirano Department of Rehabilitation, Fujita Health University Hospital, Aichi, Japan
Yuki Okochi Department of Rehabilitation, Fujita Health University Hospital, Aichi, Japan
Koji Mizutani Department of Rehabilitation, Fujita Health University Hospital, Aichi, Japan
Hiroshi Yoshino Department of Geriatrics and Cognitive Disorders, School of Medicine, Fujita Health University, Aichi, Japan
Hajime Takechi Department of Geriatrics and Cognitive Disorders, School of Medicine, Fujita Health University, Aichi, Japan

DOI:

https://doi.org/10.2340/jrmcc.v6.12293

Keywords:

Alzheimer Disease, Behavior Therapy, Caregivers, Dementia, Rehabilitation

Abstract

Objective: To evaluate the effectiveness of a dyadic outpatient rehabilitation program focused on improving the real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers.

Design: Retrospective study.

Subjects: Eight patients with mild cognitive impairments or dementia and their caregivers.

Methods: The rehabilitation program comprised eight 1-hour sessions by occupational therapists with patients and his/her caregivers. Patients were assessed for motor function, cognitive function, and quality of life, and their caregivers were assessed for depression and caregiver burden. Participants were assessed at pre-program and post-program, and 3-month follow-up.

Results: The scores of caregiver-assessed Quality of life in Alzheimer’s disease scale in patients significantly improved at post-program (median [interquartile range], 30.0 [7.0]) compared with pre-program (27.0 [2.8], effect size = 0.77, p = 0.029). In caregivers, the Zarit Caregiver Burden Interview scores decreased significantly at post-program (16.5 [13.0]) compared with pre-program (22.0 [17.5], effect size = 0.72, p = 0.042). There were no significant differences in other assessments.

Conclusions: The rehabilitation program focused on real daily activities and demonstrated to improve patients’ quality of life and caregivers’ depression and caring burden through patient-caregiver interaction. Future enhanced follow-up systems are warranted.

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