Comparative Study of Two Cognitive Stimulation Approaches Using the Non-verbal Communication on People With Alzheimer's Disease and/or Related Diseases at a Moderate to Advanced Stage of Evolution
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 2
- 主要终点
- gestuality frequency
研究概览
简要总结
Cognitive impairements in Alzheimer's and apparented disorders may lead to the decreased engagement in activities, spetially in moderate and advanced stages of evolution. The lack of stimulation for people with dementia is associated with the risk of challenging behaviors, depressives symptoms, sleeping disorders or faster cognitive deterioration. Those challenges may lead to the increased administration of pharmacological treatments, though the risks of neurleptics use in this population are currently known. In this context, non-pharacological interventions hold a significant place in dementia care.
This research focuses on cognitve stimulation activities. More precisly, our study compares two aproaches using the reading groups. The first type (" usual " reading group) is based on the principle of stimulating those cognitive functions which dicreases with the evolution of dementia. The second (Montessori reading group) approach relies on the idea to use preserved capacities in order to compensate the cognitive impariments.
The aim of our study is to compare the impact of these two non-pharmalogical interventions on non-verbal communication. The collected datas will help analyzing and understanding the internal and behavioral states of people living with dementia. Our study will also extend relfexions about cognitive stimulation groups in care institutions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 100 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •65 years and more
- •Diagnosed with Alzheimer's disease and/or related disease (frontotemporal dementia, vascular dementia, multiple etiologies dementia, Lewy's Body dementia) according to DSM-IV-TR criteria (2005)
- •MMSE ≤ 15
- •Good reading ability assessed using Montessori Reading Test (ability to read text written in Arial 40)
- •The written agreement of the patient, primary caregiver or curator or or guardian to participate in the study and to make a film about the participant.
- •Patient receiving social security benefits
排除标准
- •Previously known associated psychotic disorder
- •Deafness not compensated by hearing aid
- •Extrapyramidal syndrome diagnosed by a practitioner
- •Tendency to daytime sleepiness (Score 6 on the Karolinska somnolence scale)
- •Patient with disruptive behaviour disorders such as screaming and/or motor agitation likely to affect the smooth running of the workshop
- •Subject deprived of liberty by judicial or administrative decision.
- •Subject under exclusion for another research protocol.
- •Presence of motor stereotypes
- •Patient receiving State Medical Assistance (AME)
- •Patient under Justice Safeguard
- •If the patient or guardian cannot be given informed information
结局指标
主要结局
gestuality frequency
时间窗: 18 months
frequency of gestures (number of gestures observed) unrelated with the activity (item manipulations unrelated with the activity, comfort posture, self-focus gestures, look outside the interaction space) measured by ANVIL software.
gestuality duration
时间窗: 18 months
duration of gestures (duration of gestures observed in seconds) unrelated with the activity (item manipulations unrelated with the activity, comfort posture, self-focus gestures, look outside the interaction space) measured by ANVIL
次要结局
- Score in NeuroPsychiatric Inventory(18 months)
- Score in Menorah Park Engagement Scale(18 months)
- score in Observed Emotions Scale(18 months)
- Participants satisfaction(18 months)
- Score in Cornell depression Scale(18 months)