Montessori Based Activities for Dementia

Not Applicable

Completed

• Conditions: Dementia
• Interventions: Behavioral: Usual care; Behavioral: Montessori Method for Dementia

• Registration Number: NCT04352387
• Lead Sponsor: Food and Health Bureau, Hong Kong

Brief Summary

The objectives of this study are to examine the feasibility of a culturally-adapted group-based Montessori Method for Dementia program in Chinese community and examine its effects on engagement and affect in community-dwelling people with dementia.

Detailed Description

People who were aged 60 years or over and with mild to moderate dementia were recruited from six community centres and three care homes. Participants were randomly assigned to either the intervention group to attend the Montessori-based activities or the comparison group to attend the conventional group activities for one hour twice per week over eight weeks. All sessions were videotaped to facilitate analysis. Observations of engagement and affect were conducted for each intervention session on the individual participant for a ten-minute period at the beginning, middle, and end of the activity in order to have observations from multiple time points. The Menorah Park Engagement Scale and the Apparent Affect Rating Scale were used to assess the engagement and affect during the activities based on observations.

Study Timeline

• Study Start: 2018-08-24
• Primary Completion: 2019-07-31
• Study Completion: 2019-12-31
• Status Verified: 2020-04
• Study First Submitted: 2020-04-15
• Study First Submitted QC: 2020-04-16
• Last Update Submitted: 2020-04-16
• Study First Posted: 2020-04-20
• Last Update Posted: 2020-04-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 108

Inclusion Criteria

• with a diagnosis of dementia at a stage 3 to 5 on the global deterioration scale (GDS)

Exclusion Criteria

• were joining any other dementia training activities
• would highly likely present a hazard to others through disruptive behaviors
• proxy consent could not be obtained

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Usual care	Usual care	Activities delivered regularly in the usual care, such as reading out newspapers, physical activities, and watching videos, in the 1-hour sessions.
Montessori Method for Dementia	Montessori Method for Dementia	The design of the Montessori Method for Dementia program covered five aspects, namely cognitive stimulation, life skills, motor movements and fitness, sensory stimulation, and socialization. Each 1-hour session included two to three activities tailored to the local cultural context.

Primary Outcome Measures

Name	Time	Method
Engagement between the 25th minute - 35th minute of each session	through study completion for 8 weeks	Score of Menorah Park Engagement Scale will be used to assess the level of engagement, with the minimum score of 0 and the maximum of 2, with a higher score higher level of engagement.
Engagement between the 1st minute - 10th minute of each session	through study completion for 8 weeks	Score of Menorah Park Engagement Scale will be used to assess the level of engagement, with the minimum score of 0 and the maximum of 2, with a higher score higher level of engagement.
Engagement between the 50th minute - 60th minute of each session	through study completion for 8 weeks	Score of Menorah Park Engagement Scale will be used to assess the level of engagement, with the minimum score of 0 and the maximum of 2, with a higher score higher level of engagement.
Affect between the 1st minute - 10th minute of each session	through study completion for 8 weeks	Score of the Apparent Affect Rating Scale will be used to assess the level of affect, with 1 (Never) to 5 (over 5 minutes), in the aspect of pleasure and interest.
Affect between the 50th minute - 60th minute of each session	through study completion for 8 weeks	Score of the Apparent Affect Rating Scale will be used to assess the level of affect, with 1 (Never) to 5 (over 5 minutes), in the aspect of pleasure and interest.
Affect between the 25th minute - 35th minute of each session	through study completion for 8 weeks	Score of the Apparent Affect Rating Scale will be used to assess the level of affect, with 1 (Never) to 5 (over 5 minutes), in the aspect of pleasure and interest.

Trial Locations

Locations (1)

The Salvation Army, Hong Kong and Macau Command; 🇭🇰 Hong Kong, Hong Kong