Effect of Reminiscence Therapy on Functioning of Older Adults: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16
- 试验地点
- 2
- 主要终点
- Multidimensional Observation Scale for Elderly Subjects (MOSES):
研究概览
简要总结
This study was conducted to examine the effect of reminiscence therapy on the functionality of older adults aged 65 and over living in nursing homes.
详细描述
ABSTRACT Objective : This study was conducted to examine the effect of reminiscence therapy on the level of functionality of individuals aged 65 and over.
Method: The sample of the study consisted of 16 residents who lived in a public nursing home between December 2019 and February 2020 and agreed to participate in the study. Participants were divided into intervention and control groups using the simple random sampling method. Reminiscence therapy was performed with each participant in the intervention group for 8 weeks. The participants in the control group received routine services and were regularly visited for 8 weeks. The research data were obtained by implementing the "Personal Information Form," "Multidimensional Observation Scale for Elderly Subjects (MOSES), and "Mini Mental State Examination (MMSE)" with all participants before the reminiscence therapy and at the end of week eight. Non-parametric tests were completed in analyzing the data as the sample size was lower than 30.
Findings: It was determined that 87.5% of the participants in the intervention group had a chronic disease, 50% were male, and 37.5% were elementary school graduates. All the participants in the control group had a chronic disease, 62.5% were male, and 50% were elementary school graduates. When the pre- and post-reminiscence therapy results were compared, a significant difference was found in the MMSE and MOSES (in the areas of disoriented behavior, depressed/anxious mood, and withdrawn behavior) scores in the intervention group. In the post-test evaluation, a significant difference was found between the intervention and comparison group in MOSES scores. It was determined that the participants in the intervention group that received reminiscence therapy had better functional and cognitive competency than the control group in the areas of self-care, depression/anxiety, and withdrawal from society.
Conclusion: It was concluded that the reminiscence therapy contributed to increase the mental competence and functionality of the older adult participants.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 90 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •were 65 years of age and older
- •had a Standardized Mini Mental Test (SMMT) score between 24 and 30
- •Individuals who did not have communication difficulties and mental problems
- •agreed to participate in the study were included in the study sample.
排除标准
- •were 64 years of age and younger
- •have communication difficulties and mental problems
- •had a Standardized Mini Mental Test (SMMT) score 24 and more less
- •nor agreed to participate in the study.
结局指标
主要结局
Multidimensional Observation Scale for Elderly Subjects (MOSES):
时间窗: 15 minutes
MOSES is a multi-dimensional measurement tool developed by Helmes, Csapo, and Short to evaluate the functionality of older adults (Helmeset al., 1987). The scale consists of 40 questions and provides evaluation in 5 functional sub-dimension areas. The dimensions of the scale are Self-Care , Disorientation , Depressed/Anxious Mood, Irritable behavior, and Withdrawal from society. Each item in the scale is scored between 0 and 4. Twenty-two items of the scale have 4 choices and 18 items have 5 choices. The last option in the five-choice items was created with the thought that the older adult would not be able to answer the question and/or the question would not be suitable for the older adult. The lowest score that can be obtained from the scale is 0, and the highest score is 138. A low score indicates that the functionality of the older adult is high, while a high score indicates that the functionality of the older adult is low (Helmes et al. 1987).
Standardized Mini-Mental State Exam (MMSE):
时间窗: 5 minutes
Developed by Folstein et al., SMMT is a short, useful, and standardized assessment tool that can be used to determine the cognitive level globally. The test consists of five subsections: orientation of time and space, recording memory, attention, recall, and language. MMSE can be applied by physicians, nurses, and psychologists in a short time. The highest score that can be obtained in MMSE is 30. In the test, a score of 24-30 points is considered normal, 20-23 mild dementia, 10-19 moderate dementia, and 0-9 advanced dementia (Folstein et al. 1975). The validity and reliability study of the test for Turkish population was completed by Güngen et al. (2002).
次要结局
未报告次要终点
研究者
Done Gunay
PhD student
Cumhuriyet University