ROMA (Reminiscence, Reality Orientation, Music and Art ) Therapy, Cognition, Depression and Behavioral Problems in the Population With Dementia

Study Overview
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Brief Summary
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This study aimed to conduct a randomized controlled trial to examine the effectiveness of ROMA therapy( Reminiscence, Reality Orientation, Music, and Art) on improving cognitive function, behavioral and psychological symptoms in population with dementia. The hypotheis of this study is that these patients with dementia receiving ROMA therapy featuring reminiscence, reality orientation, music, and art would improve their cognition, depressive symptoms, and behavioral symptoms.

Detailed Description
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This study aimed to conduct a randomized controlled trial to examine the effectiveness of ROMA therapy( Reminiscence, Reality Orientation, Music, and Art) on improving cognitive function, behavioral and psychological symptoms in demented population. A total of 60 patients with mild to moderate dementia will be recruited and randomly assigned to two groups: experimental group and control group. The experimental group will undergo ROMA therapy with a 60 minute per week for eight weeks. The control group will receive three times ROMA therapy after completing outcome measurements. Two groups will receive questionnaire interview at pre-test, post-test, and at 4 weeks after intervention. The measurements comprises: Short Portable Mental Status Questionnaire(SPMSQ), Cornell Scale for Depression in Dementia(CSDD),and Neuropsychiatric Inventory-Questionnaire(NPI-Q). By identifying the effectiveness of ROMA therapy, suitable intervention can be suggested for those demented population to improve cognitive function, behavioral and psychological symptoms.

Official Title
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The Effect of ROMA Therapy on Improving Cognitive Functions, Depressive Symptoms and Behavioral Problems in the Population With Dementia

Conditions
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Dementia

Intervention / Treatment
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* Behavioral: ROMA therapy(reminiacence therpy, orientation, music, and art)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Been diagnosed as mild to moderate dementia and CDR score between 0.5 2 can communicate in Chinese or Taiwanese without visual or auditory impairment after equipping assist devices Exclusion Criteria: severe dementia and Clinical Dementia Rating (CDR) score more than 2 points functional dependence incapable of expressing their feelings

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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: ROMA therapy<br>ROMA therapy combines four elements including reminiscence, reality orientation, music, and art in the intervention. | Behavioral: ROMA therapy(reminiacence therpy, orientation, music, and art)<br>* An intervention comprising reminiscence of annual festivals, orientation, and familiar music listening and singing, and animation interaction to improve cognitive functions, depressive symptoms and behaviors problems.<br>|
| No Intervention: control group<br>usual care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| cognitive functions | Short Portable Mental Status Questionnaire(SPMSQ) | cognitive functions at baseline | 
| cognitive functions | Short Portable Mental Status Questionnaire(SPMSQ) | cognitive functions after the completion of intervention | 
| cognitive functions | Short Portable Mental Status Questionnaire(SPMSQ) | cognitive functions at 4 weeks after the completion of intervention | 
| depressive symptoms | Cornell Scale for Depression in Dementia(CSDD) | depressive symptoms at baseline | 
| depressive symptoms | Cornell Scale for Depression in Dementia(CSDD) | depressive symptoms after the completion of intervention | 
| depressive symptoms | Cornell Scale for Depression in Dementia(CSDD) | depressive symptoms at 4 weeks after the completion of intervention | 
| behavioral problems | Neuropsychiatric Inventory-Questionnaire(NPI-Q) | behavioral problems at baseline | 
| behavioral problems | Neuropsychiatric Inventory-Questionnaire(NPI-Q) | behavioral problems after the completion of intervention | 
| behavioral problems | Neuropsychiatric Inventory-Questionnaire(NPI-Q) | behavioral problems at 4 weeks after the completion of intervention |