A randomized controlled trial of the effects of multi‐sensory stimulation (MSS) for people with dementia

心情 随机对照试验 痴呆 心理学 认知 一般化 听力学 物理疗法 发展心理学 临床心理学 精神科 医学 疾病 内科学 数学 数学分析
作者
Roger Baker,Steven Bell,Emma K. Baker,Jane Holloway,Rebecca Pearce,Zena Dowling,Peter Thomas,Julian Assey,Lesley‐Ann Wareing
出处
期刊:British Journal of Clinical Psychology [Wiley]
卷期号:40 (1): 81-96 被引量:193
标识
DOI:10.1348/014466501163508
摘要

To investigate short-term effects of Multi-Sensory Stimulation (MSS) on behaviour, mood and cognition of older adults with dementia, the generalization of effects to day hospital and home environments and the endurance of any effects over time.A randomized controlled trial comparing MSS with a credible control of one-to-one activities.Fifty patients with diagnoses of moderate to severe dementia were randomized to either MSS or Activity groups. Patients participated in eight 30-minute sessions over a 4-week period. Ratings of behaviour and mood were taken before, during and after sessions to investigate immediate effects. Pre, mid, post-trial, and follow-up assessments were taken to investigate any generalization of effects on cognition, behaviour at the day hospital and behaviour and mood at home and endurance of effects once sessions had ceased.Immediately after MSS and Activity sessions patients talked more spontaneously, related better to others, did more from their own initiative, were less bored/inactive, and were more happy, active or alert. Both groups were more attentive to their environment than before, with a significantly greater improvement from the MSS group. At the day hospital, patients in the Activity group improved on their 'speech skills' (amount of speech; initiation of speech), whereas the MSS group remained unchanged during the trial. The MSS group showed a significant improvement in mood and behaviour at home compared to the Activity group whose behaviour deteriorated. No longer-term benefits were shown; indeed, behaviour declined sharply during the month follow-up period.Both MSS and Activity sessions appear to be effective and appropriate therapies for people with dementia.
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