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dc.contributor.authorMetitieri, Tizianaen_US
dc.contributor.authorZanetti, Orazioen_US
dc.contributor.authorGeroldi, Christinaen_US
dc.contributor.authorFrisoni, Giovannien_US
dc.contributor.authorDe Leo, Diegoen_US
dc.contributor.authorBuono, Marirosa Delloen_US
dc.contributor.authorBianchetti, Angeloen_US
dc.contributor.authorTrabucchi, Men_US
dc.contributor.editorDr Derick Wadeen_US
dc.date.accessioned2017-04-24T10:42:56Z
dc.date.available2017-04-24T10:42:56Z
dc.date.issued2001en_US
dc.date.modified2010-09-08T04:55:51Z
dc.identifier.issn02692155en_US
dc.identifier.doi10.1191/026921501680425199en_AU
dc.identifier.urihttp://hdl.handle.net/10072/3520
dc.description.abstractObjective: To evaluate the impact of continued Reality Orientation Therapy (ROT) in delaying the outcomes of dementia progression. Design: Retrospective study. Data collection was based on review of clinical charts and on telephone interviews performed with patients or primary caregivers. Setting: Day hospital of the Alzheimer's Disease Unit, Brescia (Italy). Subjects: Seventy-four patients enrolled in at least one cycle of ROT from 1994 to 1998 were studied. Interventions: Rehabilitative intervention based on formal ROT. Main outcome measures: This study analysed the time to the occurrence of any of the following: cognitive decline on Mini-Mental State Examination scores, urinary incontinence as an index of functional decline, institutionalization, and death. Results: Data on a 30-month period after the first ROT session were analysed. We compared 46 patients (treatment group) who completed from 2 to 10 ROT cycles (corresponding to 8-40 weeks of training; mean = 15.48) with 28 patients (control group) who completed only one ROT cycle (4 weeks). Treatment group showed higher estimated survival rates than control group on cognitive decline (p = 0.022) and institutionalization (p = 0.002). The relative risks for cognitive decline and institutionalization in the control group compared with treatment group were 0.60 (p = 0.014), and 0.42 (p = 0.021), respectively. Conclusions: Continued ROT classes during the early to middle stages of dementia may delay nursing home placement and slow down the progression of cognitive decline.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherArnold, Hodder Headline PLCen_US
dc.publisher.placeUKen_US
dc.relation.ispartofpagefrom471en_US
dc.relation.ispartofpageto478en_US
dc.relation.ispartofissue5en_US
dc.relation.ispartofjournalClinical Rehabilitationen_US
dc.relation.ispartofvolume15en_US
dc.subject.fieldofresearchcode321299en_US
dc.titleReality orientation therapy to delay outcomes of progression in patients with dementia. A retrospective studyen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.date.issued2001
gro.hasfulltextNo Full Text


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