Complementary Interventions on Patients With Dementia: Comparative and Longitudinal Research

Study Overview
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Brief Summary
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Cognitive function, behavioral and psychological symptoms, and quality of life will improve after administration of cognitive stimulation therapy, reminiscence therapy, and aroma-massage therapy in patients with dementia.

Detailed Description
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This study will base on the pattern of behavioral and psychological symptoms of dementia, to verify and compare the effectiveness of the three non-pharmacological complementary interventions, cognitive stimulation therapy, reminiscence therapy, and aroma-massage therapy on patients' cognitive function, behavior and psychological symptoms, and quality of life.

Official Title
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The Health Effects of Cognitive Stimulation, Reminiscence, and Aroma-massage Complementary Interventions on Different Behavior Patterns of Patients With Dementia: Comparative and Longitudinal Research

Conditions
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Dementia

Intervention / Treatment
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* Behavioral: Reminiscence
* Behavioral: Cognitive stimulation
* Behavioral: Aroma-massage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: been diagnosed with dementia (all stages) or MMSE below 23 for high school educated and 17 for less than high school education able to communicate verbally or nonverbally able to understand short sentences can sit for at least 50 mins. Exclusion Criteria: no hospitalization within the past two weeks not under severe acute illness no psychiatric disorders.

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cognitive stimulation<br>One cognitive stimulation session per week for a continuous 10 weeks, each session contains 50 minutes, totally 10 session topics related to cognitive stimulation. | Behavioral: Reminiscence<br>* The 10 session topics include Happy to seeing you, Childhood stories, Food flavor, Our old songs, Festival, My family, My Carrier, Unforgettable events, My home, and My award. small group intervention (8-12 per group), expected total number of group is 5.<br>* Other names: Reminiscence complementary therapy;|
| Experimental: Aroma-massage<br>One hand and shoulder massage session per week for a continuous 10 weeks, each session contains 30 minutes, totally 10 session massage. | Behavioral: Cognitive stimulation<br>* The 10 session topics include psycial activities, sound, face, food, word association, number and games, being creative, categorizing objects, orientation, and team qiuz. small group intervention (8-12 per group), total number of group is 5.<br>|
| Experimental: reminiscence<br>One reminiscence session per week for a continuous 10 weeks, each session contains 50 minutes, totally 10 session topics related to reminiscence. | Behavioral: Aroma-massage<br>* Researcher will conduct hand and arm massage to a patient, once a week, each time session for 30 mins with natural tested and safe aroma-essential oil.<br>|
| No Intervention: Control<br>Control group remain regular activities | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| behavioral and psychological symptoms of dementia | To examine if patients' behavioral and psychological symptoms decrease after the intervention. Chinese version of Cohen-Mansfield Agitation Inventory (CMAI) will be used to measure this outcome. Data will be analyzed through GLM repeated measure-GEE. | 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| quality of life | To examine if patients' quality of life improve after the intervention. WHO Quality of Life-brief Taiwanese version (WHOQOL-BREF) will be used to measure this outcome. Data will be analyzed through GLM-repeated measure-GEE. | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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dementia, behavioral and psychological symptoms, quality of life