Clinical trial NCT04352387: Montessori Based Activities for Dementia
Official title: Effects of a Culturally Adapted Group Based Montessori Based Activities on Engagement and Affect in Chinese Older People With Dementia
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Dementia
Keywords: person-centered
community support
Lead sponsor: Food and Health Bureau, Hong Kong
Sponsor class: OTHER_GOV
Collaborators: name: The Salvation Army, Hong Kong and Macau Command
First posted: 2020-04-20
Enrollment: 108
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Engagement between the 1st minute - 10th minute of each session
timeFrame: through study completion for 8 weeks
measure: Engagement between the 25th minute - 35th minute of each session
timeFrame: through study completion for 8 weeks
measure: Engagement between the 50th minute - 60th minute of each session
timeFrame: through study completion for 8 weeks
measure: Affect between the 1st minute - 10th minute of each session
timeFrame: through study completion for 8 weeks
measure: Affect between the 25th minute - 35th minute of each session
timeFrame: through study completion for 8 weeks
measure: Affect between the 50th minute - 60th minute of each session
timeFrame: through study completion for 8 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Hong Kong
country: Hong Kong
facility: The Salvation Army, Hong Kong and Macau Command
Study officials:
affiliation: Chinese University of Hong Kong
name: Helen Chan, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Chan HY, Yau YM, Li SF, Kwong KS, Chong YY, Lee IF, Yu DS. Effects of a culturally adapted group based Montessori based activities on engagement and affect in Chinese older people with dementia: a randomized controlled trial. BMC Geriatr. 2021 Jan 7;21(1):24. doi: 10.1186/s12877-020-01967-0.