P1‐654: Comparison of Pharmacologic and Non‐pharmacologic Interventions in People With Alzheimer's Disease and Related Disorders

Abstract

Background: Although recent studies have shown that multimodal intervention has positive effects on cognition, little is known about how frequent intervention should be held to keep their cognition for mild cognitive impairment (MCI). The purpose of this study was to investigate the relationship between the participation rate in a multimodal day-care program and longitudinal cognitive outcome in MCI patients. Methods: Sixty-three patients with MCI (28 female), aged 54-83 years (70.7 6 6.6 years) participated in this study. They attended a multimodal program (exercise, art therapy, music therapy, cognitive training) at the day-care center once a week. The mini mental state examination (MMSE) was conducted at the baseline as well as 6-, 12-, 18-, 24-, and 30-month follow-ups. We divided them into two groups by varying the attendance rate of over 40% and under, 50%, 60%, 70%, respectively. We employed a mixed model ANOVA to analyze data. Results: There were significant interaction effects of the attendance rate and time course of MMSE when the group was divided by attendance rate of 50% and 60%. The effect of the attendance on the MMSE score was also significant after adjusting the age and sex in 50 % and 60 % (P < 0.01). When divided by the attendance rate of 40 % or 70 %, the effect of the attendance rate on MMSE score was not significant (P ¼ 0.

Nonpharmacological nursing interventions for behavioural and psychological symptoms of dementia in acute and subacute settings: A systematic review

“…The complexity of BPSD is a contributing factor to fragmented patient care resulting in a poorer prognosis, accelerated cognitive decline, illness progression and prolonged institutionalization (Anderson et al, 2020; Wolverson et al, 2019). The pharmacological interventions identified in the literature emphasized the use of antipsychotics and antidepressants to minimize the symptoms of BPSD (Dannenbaum et al, 2018; Mishriky & Reyad, 2018) used by the multidisciplinary team (Cohen‐Mansfield, 2018; Sutherland, 2018). Current systematic and literature reviews have identified evidence‐based nonpharmacological interventions to manage BPSD, including aromatherapy, pet therapy, environmental modification, sensory modulation and so on.…”

“…In acute and subacute hospital settings, the therapeutic approaches to managing BPSD in patients with dementia vary because of the multifactorial and complex symptomology (Bailey et al, 2017; Brodaty et al, 2018). Management of BPSD includes both pharmacological and nonpharmacological interventions (Caspar et al, 2018; Dannenbaum et al, 2018; Kishita et al, 2020). Historically, pharmacological interventions have been commonly used by health care professionals to manage the complexity of BPSD (Kales et al, 2019; Nemlekar & Srivastava, 2020).…”