Enabling Alzheimer's Disease patients and families to cope

Aug 11, 2010

Providing people with early-stage Alzheimer's Disease with rehabilitation directed towards helping them with everyday activities is an effective means of enabling them and their families to manage the effects of the condition, research at Bangor University has shown.

With increasing numbers among an ageing population expected to develop Alzheimer's and age related and the consequent increased pressure on caring and health related services, it's vital that research establishes the most effective and cost effective methods of providing support to these individuals and their carers.

This particular three year trial at Bangor University's School of Psychology, funded by the Alzheimer's Society, compared a treatment called cognitive rehabilitation against relaxation therapy and no treatment. In the cognitive rehabilitation treatment, participants identified and worked towards goals that they wanted to achieve, with the support of a therapist, so as to manage their everyday activities better.

The results showed that participants rated their performance of activities significantly better after the course of rehabilitation and were significantly more satisfied with how they performed activities. Almost all the selected goals were either fully or partially achieved. Goals were tailored to specific individual needs and preferences, and included things like remembering details of jobs to be done around the house, learning to use a mobile phone, maintaining concentration when cooking, or remembering the names of people at a 'keep fit' class. The focus was always on things that were important to the individual.

"Improving performance of everyday activities can help the person to gain enjoyment and satisfaction, and to feel more in control or more independent. This is good for family carers too, and carers also seemed to benefit from the therapist's visits, rating their quality of life more highly," explained Professor Linda Clare, who led the research.

"We also used fMRI imaging technology to investigate whether the changes observed in the participants who received cognitive rehabilitation were reflected in changes in how the brain responds to a memory task. We found that the brains of participants who received cognitive rehabilitation did show different responses after the intervention. This suggests that the treatment stimulated greater activity in certain brain areas and networks, reactivating some areas that were under-functioning due to the effects of the disease."

Staff in the Betsi Cadwaladr University Health Board attended a one-day training course to learn about the cognitive rehabilitation approach.

"It is vital that we find more effective ways of supporting people with Alzheimer's and other degenerative diseases, and their families. The results of this study show for the first time that cognitive rehabilitation addressing individually-tailored goals can help to maintain or improve aspects of everyday functioning, and may have an effect on how the brain is working too. This is a promising new approach that offers some help to people living with early-stage dementia and their families," commented Dr Bobby Kurian, Consultant Psychiatrist in Old Age Mental at the Betsi Cadwaladr University Health Board.

Explore further: Hospitals should follow CDC recommendations for Ebola care

Provided by University of Wales

not rated yet
add to favorites email to friend print save as pdf

Related Stories

Education protects against pre-Alzheimer's memory loss

Oct 20, 2008

ST. PAUL, Minn. – People with more education and more mentally demanding occupations may have protection against the memory loss that precedes Alzheimer's disease, according to a study published in the October 21, 2008, ...

Cognitive rehab helps people with acquired brain injury

Jan 13, 2009

Cognitive rehabilitation after a serious brain injury or stroke can help the mind in much the same way that physical therapy helps the body, according to a new meta-analysis. Because the data suggest that treatment may work ...

Hypnosis shown to reduce symptoms of dementia

Jul 28, 2008

A scientist at the University of Liverpool has found that hypnosis can slow down the impacts of dementia and improve quality of life for those living with the condition.

Gene tests and brain imaging reveal early dementia

Mar 06, 2007

Dementia diseases develop insidiously and are generally discovered when the memory has already started to deteriorate. New research form Karolinska Institutet shows, however, that approaching Alzheimer's can be detected several ...

Recommended for you

Girls in Colombian town struck by mystery illness

5 hours ago

A mystery illness has overwhelmed a small town in northern Colombia as scores of teenage girls have been hospitalized with symptoms that parents fear could be an adverse reaction to a popular vaccine against cervical cancer.

Oral contraceptive equal to antibiotics for acne care

13 hours ago

(HealthDay)—At six months, oral contraceptive pills (OCPs) are comparable to systemic antibiotics for acne management, according to a review published in the September issue of the Journal of the American Ac ...

User comments : 0