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Effectiveness of environment-based interventions for people with Alzheimer's disease and related dementias

PADILLA R
AM J OCCUP THER , 2011, vol. 65, n° 5, p. 514-522
Doc n°: 153570
Localisation : Documentation IRR
Descripteurs : KB2 - ERGOTHERAPIE EN SANTE MENTALE, AF921 - ALZHEIMER

A systematic review of evidence for the efficacy of environment-based
interventions on the affect, behavior, and performance of people with Alzheimer's
disease and related dementias was conducted as part of the American Occupational
Therapy Association's Evidence-Based Literature Review Project. Thirty-three
reports met inclusion criteria. Results suggest that ambient music, aromatherapy,
and Snoezelen are modestly effective in reducingagitation but do not consistently
have long-term effects. Visually complex environments that give the illusion of
barriers deter people from wandering to unsafe places but do not reduce the urge
to wander. Evidence that bright light therapy can aid in regulating mood and the
sleep-wake cycle and thus help people remain awake during the day is preliminary.
Montessori-based programming can be useful in matching activities to the person's
remaining skills. Further research is needed to evaluate the long-term effect,
contraindications, and best dosages of these interventions.

Langue : ANGLAIS

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