Montessori Based Activities for Dementia

Study Overview
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Brief Summary
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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
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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.

Official Title
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Effects of a Culturally Adapted Group Based Montessori Based Activities on Engagement and Affect in Chinese Older People With Dementia

Conditions
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Dementia

Intervention / Treatment
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* Behavioral: Montessori Method for Dementia
* Behavioral: Usual care


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 60 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: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Montessori Method for Dementia<br>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. | Behavioral: Montessori Method for Dementia<br>* The Montessori Method highlights the importance of considering the past experiences, identifying interests and maximizing spared capacity and abilities of each individual.<br>|
| Active Comparator: Usual care<br>Activities delivered regularly in the usual care, such as reading out newspapers, physical activities, and watching videos, in the 1-hour sessions. | Behavioral: Usual care<br>* Activities delivered regularly in the usual care, such as reading out newspapers, physical activities, and watching videos, in the 1-hour sessions.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Engagement between the 1st minute - 10th minute of each session | 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. | through study completion for 8 weeks | 
| Engagement between the 25th minute - 35th minute of each session | 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. | through study completion for 8 weeks | 
| Engagement between the 50th minute - 60th minute of each session | 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. | through study completion for 8 weeks | 
| Affect between the 1st minute - 10th minute of each session | 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. | through study completion for 8 weeks | 
| Affect between the 25th minute - 35th minute of each session | 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. | through study completion for 8 weeks | 
| Affect between the 50th minute - 60th minute of each session | 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. | through study completion for 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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person-centered, community support