Open Access Open Access  Restricted Access Subscription or Fee Access

The effects of student home visits on activity engagement in persons with Alzheimer’s disease and related disorders

Barbara A. Braddock, PhD, Ellen Phipps, CTRS

Abstract


Purpose: To examine the effects of activity setup and student home visits on level of engagement in participants with Alzheimer’s disease and related disorders (ADRD) and on caregivers’ stress and confidence.
Method: Participants in the Intervention group (N = 16) were matched to those in the Comparison group (N = 16). Participants and caregivers in the Intervention group received intervention over 8 weeks, whereas the Comparison group received activity selection and setup only.
Results: Activity setup and cognitive aids promoted high levels of physical and verbal engagement in both groups. Persons with relatively less cognitive impairment were significantly more likely to engage in activity with adaptation and setup only. Compared with caregivers who did not receive student visits, caregivers with student support reported significant reductions in burden.
Conclusions: Activity setup and student home visits may be most beneficial to the caregiver to reduce stress while sustaining home activity for the individual with ADRD.


Keywords


Alzheimer’s disease, caregiver stress, engagement, partnered volunteering, dementia, activity engagement

Full Text:

PDF

References


Bronfenbrenner U: The Ecology of Human Development. Cambridge: Harvard University Press, 1979.

Braddock BA, Phipps E: Activity engagement in dementia care: A student-delivered home program. Am J Recreat Therapy. 2010; 9(4): 19-30.

Buettner LL, Lundegren H, Lago D, et al.: Therapeutic recreation as an intervention for persons with dementia and agitation: An efficacy study. Am J Alzheimers Dis Other Demen. 1996; 11(5): 4-10, 12.

Kolanowski A, Buettner L: Prescribing activities that engage passive residents: An innovative model. J Gerontol Nurs. 2008; 34(1): 13-18.

Zarit SH, Orr NK, Zarit JM: Families Under Stress: Caring for the Patient with Alzheimer’s Disease and Related Disorders. New York: University Press, 1985.

Dunkin JJ, Anderson-Hanley C: Dementia caregiver burden: A review of the literature and guidelines for assessment and intervention. Neurology. 1998; 51(1): S53-S60.

Saad K, Hartman J, Ballard C, et al.: Coping by the carers of dementia sufferers. Age Ageing. 1995; 24: 495-498.

Bourgeois MS: Communication treatment for adults with dementia. J Speech Lang Hear Res. 1991; 34: 831-844.

Boczko F: The breakfast club: A multi-modal language stimulation program for nursing home residents with Alzheimer’s disease. Am J Alzheimers Dis Other Demen. 1994; 9: 35-38.

Pietro MS, Boczko F: The breakfast club: Results of a study examining the effectiveness of a multi-modality group communication treatment. Am J Alzheimers Dis. 1998; 13(3): 146-158.

Bourgeois MS: Enhancing conversation skills in patients with Alzheimer’s disease using a prosthetic memory aid. J Appl Behav Anal. 1990; 23: 31-64.

Bourgeois MS: Evaluating memory wallets in conversations with persons with dementia. J Speech Lang Hear Res. 1992; 35: 1344-1357.

Bourgeois MS, Camp C, Rose M, et al.: A comparison of training strategies to enhance use of external aids by persons with dementia. J Commun Disord. 2003; 36: 361-378.

Vance D, Camp CJ, Kabacoff M, et al.: Montessori methods: Innovative interventions for adults with Alzheimer’s disease. Montessori Life. 1996; 8: 10-12.

Judge KS, Camp CJ, Orsulic-Jeras S: Use of Montessoribased activities for clients with dementia in adult day care: Effects on engagement. Am J Alzheimers Dis. 2000; 15: 42- 46.

Folstein MF, Folstein SE, McHugh PR: Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12: 189-198.

Zarit SH, Reever KE, Bach-Peterson J: Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist. 1980; 20: 649-655.

Arkin SM: Volunteers in partnership: An Alzheimer’s rehabilitation program delivered by students. Am J Alzheimers Dis Other Demen. 1996; 1: 12-22.




DOI: https://doi.org/10.5055/ajrt.2011.0023

Refbacks

  • There are currently no refbacks.