A Randomized Controlled Trial of Brain-Activating Rehabilitation for Elderly Participants with Dementia in Residential Care Homes

A Randomized Controlled Trial of Brain-Activating Rehabilitation for Elderly Participants with Dementia in Residential Care Homes

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Background/Aims: We aimed to prove the effectiveness of brain-activating rehabilitation for dementia, which consisted of 5 principles: pleasant atmosphere, communication, praising, social role, and supportive care.Methods: The design was a randomized controlled trial that was not blinded.Fifty-four elderly participants with dementia (mean age: 85.2 years) were selected.

Intervention based on the Short Set 5 principles of brain-activating rehabilitation was conducted for 1 h, twice a week, for 12 weeks (24 sessions).The control group had no treatment.Outcome measures consisted of two observation scales, namely sum of boxes in clinical dementia rating (CDR-SB) and the multidimensional observation scale for elderly subjects (MOSES), and two cognitive tests: the Hasegawa dementia scale revised (HDS-R) and trail making test A.Results: Repeated measure ANCOVA showed a significant interaction for total score of CDR-SB (F = 7.

190, p Skinning = 0.015) and MOSES (F = 4.525, p = 0.038).

There were no significant changes in the two cognitive test scores.Conclusion: Intervention based on the principles of brain-activating rehabilitation was effective in maintaining and improving daily life functions in elderly participants with dementia in residential care homes.