The tailored activity program (TAP) to address behavioral disturbances in frontotemporal dementia: a feasibility and pilot study

O’Connor, Claire; Clemson, Lindy; Brodaty, Henry; Low, Lee Fay; Jeon, Yun‐Hee; Gitlin, Laura N.; Piguet, Olivier; Mioshi, Eneida

doi:10.1080/09638288.2017.1387614

Cited by 43 publications

(82 citation statements)

References 65 publications

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“…TAP-VA also benefited caregivers by reducing distress with behavior. Results are consistent with those of other TAP trials (initial pilot, TAP-hospital, 22 TAP Brazil, 23 TAP-Australia), 24 extending reported benefits to pain and functional dependence.…”

Section: Discussionsupporting

confidence: 89%

Targeting Behavioral Symptoms and Functional Decline in Dementia: A Randomized Clinical Trial

Gitlin

Arthur

Piersol

et al. 2017

J American Geriatrics Society

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126

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BACKGROUND/OBJECTIVES: Dementia-related behavioral symptoms and functional dependence result in poor quality of life for persons with dementia and their caregivers. The goal was to determine whether a home-based activity program (Tailored Activity Program; TAP-VA) would reduce behavioral symptoms and functional dependence of veterans with dementia and caregiver burden. DESIGN: Single-blind (interviewer), parallel, randomized, controlled trial (Clinicaltrials.gov: NCT01357564). SETTING: Veteran's homes. PARTICIPANTS: Veterans with dementia and their family caregivers (N = 160 dyads). INTERVENTION: Dyads in TAP-VA underwent 8 sessions with occupational therapists to customize activities to the interests and abilities of the veterans and educate their caregivers about dementia and use of customized activity. Caregivers assigned to attention control received up to 8 telephone-based dementia education sessions with a research team member. MEASUREMENTS: Primary outcomes included number of behaviors and frequency of their occurrence multiplied by severity of occurrence; secondary outcomes were functional dependence, pain, emotional well-being, caregiver burden (time spent caregiving, upset with behaviors) and affect at 4 (primary endpoint) and 8 months. RESULTS: Of 160 dyads (n = 76 TAP-VA; n = 84 control), 111 completed 4-month interviews (n = 51 TAP-VA; n = 60 control), and 103 completed 8-month interviews (n = 50 TAP-VA; n = 53 control). At 4 months, compared

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Section: Discussionsupporting

confidence: 89%

Targeting Behavioral Symptoms and Functional Decline in Dementia: A Randomized Clinical Trial

Gitlin

Arthur

Piersol

et al. 2017

J American Geriatrics Society

Self Cite

126

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“…This preliminary study replicates in part previous studies testing the TAP in-home version 5,18,20,28 and nonpharmacological interventions in reducing hallucinations, 29 agitation, [30][31][32] anxiety, 30 and motor disturbance. 33 Brodaty and Burns 34 report there are NPS that are more responsive to nonpharmacological interventions when compared with hallucinations and delusions.…”

Section: Discussionsupporting

confidence: 80%

“…Evidence suggests that individuals with dementia can effectively engage in activities when these activities are adapted to meet the individual's abilities. 17,18 Gitlin et al 5,16,19,20…”

mentioning

confidence: 99%

An intervention to reduce neuropsychiatric symptoms and caregiver burden in dementia: Preliminary results from a randomized trial of the tailored activity program–outpatient version

Oliveira

Radanovic

Mello

et al. 2018

Int J Geriat Psychiatry

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“…Fifteen studies14 15 17 31–42 were eligible for inclusion from a total of 9737 articles identified from database searches and other sources (see online supplementary file 4: PRISMA flow diagram). A number of these studies reported the results of different outcomes for the same study in separate reports.…”

Section: Resultsmentioning

confidence: 99%

Occupational therapy for people with dementia and their family carers provided at home: a systematic review and meta-analysis

et al. 2019

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ObjectiveTo determine the effect of occupational therapy provided at home on activities of daily living, behavioural and psychological symptoms of dementia (BPSD) and quality of life (QOL) for people with dementia, and the effect on family carer burden, depression and QOL.DesignSystematic review and meta-analysis.MethodsEight databases were searched to February 2018. Randomised controlled trials of occupational therapy delivered at home for people with dementia and their family carers that measured ADL, and/or BPSD were included. Two independent reviewers determined eligibility, risk of bias and extracted data.ResultsFifteen trials were included (n=2063). Occupational therapy comprised multiple components (median=8 sessions). Compared with usual care or attention control occupational therapy resulted in improvements in the following outcomes for people with dementia: overall ADL after intervention (standardised means difference (SMD) 0.61, 95% CI 0.16 to 1.05); instrumental ADL alone (SMD 0.22, 95% CI 0.07 to 0.37; moderate quality); number of behavioural and psychological symptoms (SMD −0.32, 95% CI −0.57 to −0.08; moderate quality); and QOL (SMD 0.76, 95% CI 0.28 to 1.24) after the intervention and at follow-up (SMD 1.07, 95% CI 0.58 to 1.55). Carers reported less hours assisting the person with dementia (SMD −0.33, 95% CI −0.58 to −0.07); had less distress with behaviours (SMD −0.23, 95% CI −0.42 to −0.05; moderate quality) and improved QOL (SMD 0.99, 95% CI 0.66 to 1.33; moderate quality). Two studies compared occupational therapy with a comparison intervention and found no statistically significant results. GRADE ratings indicated evidence was very low to moderate quality.ConclusionsFindings suggest that occupational therapy provided at home may improve a range of important outcomes for people with dementia and their family carers. Health professionals could consider referring them for occupational therapy.PROSPERO registration numberCRD42011001166.

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The tailored activity program (TAP) to address behavioral disturbances in frontotemporal dementia: a feasibility and pilot study

Cited by 43 publications

References 65 publications

Targeting Behavioral Symptoms and Functional Decline in Dementia: A Randomized Clinical Trial

Targeting Behavioral Symptoms and Functional Decline in Dementia: A Randomized Clinical Trial

An intervention to reduce neuropsychiatric symptoms and caregiver burden in dementia: Preliminary results from a randomized trial of the tailored activity program–outpatient version

Occupational therapy for people with dementia and their family carers provided at home: a systematic review and meta-analysis

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