Evidence map›Paper›PMID 24982692›Full record

ArticleInternational archives of medicine2014

Novel occupational therapy interventions may improve quality of life in older adults with dementia.

Prakash Kumar, Sarvada Chandra Tiwari, Ashish Goel, Vishnubhatla Sreenivas, Nand Kumar, Rakesh Kumar Tripathi, Vineet Gupta, Aparajit Ballave Dey

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In one paragraph

Article in International archives of medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Prakash KumarDepartment of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi 110029, India ; Department of Geriatric Mental Health, King George's Medical University, Lucknow, India.
Sarvada Chandra TiwariDepartment of Geriatric Mental Health, King George's Medical University, Lucknow, India.
Ashish GoelDepartment of Medicine University College of Medical Sciences, Delhi, India.
Vishnubhatla SreenivasDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Nand KumarDepartment of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
Rakesh Kumar TripathiDepartment of Geriatric Mental Health, King George's Medical University, Lucknow, India.
Vineet GuptaUniversity of Pittsburgh Medical Center (UPMC) Mercy, Pittsburgh PA 15219, USA.
Aparajit Ballave DeyDepartment of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi 110029, India.
All India Institute of Medical Sciences · INKing George's Medical University · INUniversity College of Medical Sciences · INUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDementia is a major health problem in advancing age with no definitive treatment. Occupational therapy interventions are recognized strategies in treatment of dementia. Quality of life (QOL) assessment has been reliably used as an objective index of an individual's well being pertaining to interventions in dementia. A randomized controlled trial was conducted to study the effects of a novel occupational therapy program in improving QOL of subjects having mild to moderate dementia. METHODOLOGY: 273 subjects older than 60 years were screened. 196 were excluded having cognitive impairment with no dementia (CIND). Remaining 77 subjects after satisfying DSM IV criteria for diagnosis of dementia were included in the study and were randomly assigned to experimental and control groups. Experimental group received a novel occupational therapy regimen along with medical treatment, while control group received only medical treatment for 5 weeks. Outcome measures included standard occupational therapy assessment and WHOQOL-BREF. Subjects were assessed at baseline and post intervention.

resultThe mean age of participants was 69.39 years with male preponderance (80.5% male, 19.5% female). The quality of life (QOL) scores of physical and psychological domain in experimental groups significantly increased from 37.30 ± 5.42 and 45.13 ± 3.52 to 45.43 ± 7.32 and 51.50 ± 6.46 respectively. The QOL scores in social and environmental domains did not change significantly. The QOL scores in control groups declined in all domains with statistical significance found in social and environmental domain. (29.67 ± 4.58 and 38.49 ± 1.77 to 28.45 ± 5.26 and 38.18 ± 2.15 respectively).

conclusionThis novel occupational therapy program improved the short term physical performance and psychological well being domain of quality of life in older adults with dementia. An improved physical performance is achieved by physical exercise of novel program and it creates sense of independency, increased motivation, positive outlook and reduced behavioral and psychological symptoms. The long term effects of the intervention can be ascertained in a study with longer period of intervention and follow-up.

trial registration[CTRI/2014/01/004290].

Indexed as

DementiaOccupational therapyQuality of lifeWHOQOL-BREFF

Identifiers

PMID24982692
PMCPMC4076057
OpenAlexW2105567454

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.