Authors (including presenting author) :
Leung SP(1), Lee KL(2), Mo KC(1), Wong WY(1), Wong MO(2), Ip YK(2), Ng CF(2), Vong YP(1), To YL(1), Tam WC(2), Lam CW(2), Sun TF(3)
Affiliation :
(1)Physiotherapy Department, North District Hospital (2)Psychogeriatric Outreach Team, NTEC (3)Hospital Chief Executive Office, North District Hospital
Introduction :
Many elderly with dementia, especially those labeled with BPSD, were institutionalized in old aged homes(OAHs). Non-pharmalogical approach was suggested for managing this group of patients. Hence, Multimodal Stimulation and Movement(MSM) program had been launched in New Territories East Cluster since 2011, aimed at improving mood and behavioral symptoms, physical well-being and function of daily activities in this client group. MSM program consisted of exercise with multimodal stimulations including music, dance designed after movement analysis, reminiscence and reality orientation. It was a group activity for an hour, twice per week and 24 sessions in total. Through having enjoyment and positive social interactions, participants’ physical functions, mood and behavioral symptoms might be improved.
Objectives :
Objectives To evaluate the effectiveness of the MSM program held from 2011 to 10/2019 for elderly with dementia institutionalized in private OAHs.
Methodology :
Method Retrospective analysis, paired-sample T-test and 2-way repeat measured analysis of variance(ANOVA), were applied. Following were the outcome measures: 1. BPSD: Neuropsychiatric Inventory(NPI) 2. Mood: Cornell Scale for Depression in Dementia(CSDD) 3. Physical function: Elderly Mobility Scale(EMS) and Berg Balance Scale(BBS) 4. Function of daily activities: Modified Barthel Index(MBI) OAHs staff was invited to complete an evaluation survey which included the participants’ feeling, changes in mood and behavioural problem, mobility and staff’s satisfaction and if the program would be recommended.
Result & Outcome :
Result 294 participants, mean aged 84.08±7.35, completed the program. 74%(n=218) were female. 38%(n=68) were labeled with BPSD. Statistically significant improvement found in NPI scores(p=0.000), CSDD scores(p=0.000), EMS scores(p< .05), BBS scores(p=.000) and MBI score (p=.000). BPSD group showed greater improvement in mobility(21.2% in BPSD group and 2.73% in non-BPSD group, p=0.050). Among 11 OAHs being interviewed, 75% of participants enjoyed the program. 92% OAHs’ staff satisfied with the program and reflected it helpful in improving participants’ mood and behavioural problem and their mobility level. All of them would recommend it to other potential candidates. Conclusions BPSD, mood, mobility, especially for those labeled with BPSD, balance and function of daily activities were improved after participating the program. Along with the partnership with OAH staff, they witnessed and appreciated the changes of the participants that they actively promoted it to other potential candidates. To conclude, MSM was safe and effective intervention to promote in private OAHs in managing elderly with dementia.
