Novelli 2018.
| Study characteristics | |
| Methods |
Study design: RCT Duration of study: the study was conducted between 2013 and 2014. Country: Brazil Income classification: upper‐middle‐income country in 2013‐2014 Geographical scope: urban, Santos, a large seaside city in the Southeast of Brazil Healthcare setting: home of participants |
| Participants | 1. Age: patients: 81.37 ± 7.57; caregivers 65.97 ± 10.13 2. Gender: both 3. Socioeconomic background: not specified 4. Educational background: patients: 9.97 (± 5.32) years; caregivers: 12.10 (± 4.44) years; “In addition, caregivers who participated had high levels of education, which do not reflect the Brazilian demographic characteristics.” Inclusion criteria—caregivers Family caregivers had to a. be 18 years of age or older; b. provide at least 4 hours of daily care; and c. be willing to learn to use activities during care. Inclusion criteria—people with dementia a. 60 years of age or older; b. previous diagnosis of dementia according to National Institute on Aging‐Alzheimerʼs Association criteria; c. able to perform at least 2 basic activities of daily living (e.g. bathing, grooming, and dressing); d. presence of ≥ 2 BPSD in the last 30 days; e. being under stable pharmacological treatment for at least 3 months. Exclusion criteria: none reported. Note: at baseline, the intervention and control group scores for Zarit Burden Interview were, respectively, 30.33 (11.44) and 32.47 (11.55). Stated purpose: to evaluate the effects of the Tailored Activity Program—Brazilian version (TAP‐BR) on behavioural symptoms and the quality of life (QOL) in persons with dementia, as well as on their caregivers and on caregiver burden |
| Interventions |
Name: TAP‐BR Title/name of PW and number: occupational therapist (7) 1. Selection: not specified 2. Educational background: not specified 3. Training: 24 hours of training involving lectures and role‐play by a master trainer certified in the TAP programme 4. Supervision: closely supervised by the study co‐ordinator and participated in biweekly meetings to review cases and troubleshoot implementation challenges 5. Incentives/remuneration: not specified Prevention type: indicated – participants, caregivers of people with dementia, presented with some level of distress as indicated by the Zarit Burden Interview scores. Intervention details: intervention focusing on matching activities to the capabilities, habits, and interests of the person with dementia, as well as training of the caregiver in their use as part of daily care. It consists of 8 sessions, delivered over 4 months, divided into 3 treatment phases. 1) Assessment: to identify preserved capabilities; 2) implementation: to find and provide training for potential activities of interest to be implemented by caregivers; 3) generalization: to provide caregiver training to learn how to simplify the activity in preparation for future declines, and generate the strategies learned. Control: waiting list |
| Outcomes |
Participants’outcomes of interest for this review
Note: included in the adult population given that the intervention does not have a prevention component for patients with dementia Carers’ outcomes of interest for this review Nil Economic outcomes Nil Time points: baseline, post‐intervention (< 1 month) |
| Notes |
Source of funding: not reported Notes on validation of instruments (screening and outcomes): “All measures used in this study with people with dementia and caregivers are widely used in clinical practice and scientific research and have been validated for use in Brazil.” Additional information: none Handling the data: not applicable Prospective trial registration number: not reported |