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American Journal of Alzheimer's Disease and Other Dementias logoLink to American Journal of Alzheimer's Disease and Other Dementias
. 2004 Jan-Feb;19(1):39–44. doi: 10.1177/153331750401900109

Effects of repetitive work on maintaining function in Alzheimer's disease patients

Theressa Bums, J Riley McCarten 1, Geri Adler 2, Mary Bauer, Michael A Kuskowski 3
PMCID: PMC10833957  PMID: 15002344

Abstract

The effects of repetitive work on Alzheimer ' disease (AD) patientfunctioning were examined when nine veterans were movedfrom a work program to a traditional adult day care program. Subjects were reassessedfour months after the move with the Mini-Mental State Examination (MMSE), Cognitive Performance Test (CPT), and Geriatric Depression Scale (GDS). Individual slopes were calculatedfor seven subjects who had longitudinal scores, and expected scores were predicted based on the rate ofdecline. Observed scores at reassessment were significantly lower than expected scores. The MMSE was on average 4.9 points lower, and the CPT. 64 points lower than expected. The GDS did not change. The spouses of all nine patients reported declines in daily living activities. Compared to traditional day care activities, work activities involve sequencing skills and practice may translate to self-care activities at home.

Keywords: Alzheimer's disease, Allen cognitive level, function, adult day care, Cognitive Performance Test

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Contributor Information

J. Riley McCarten, Geriatric Research, Education and Clinical Center, Veterans Affairs Medical Center, Minneapolis, Minnesota.

Geri Adler, University of South Carolina, Columbia, South Carolina.

Michael A. Kuskowski, Geriatric Research, Education and Clinical Center Veterans Affairs Medical Center, Minneapolis, Minnesota.

References

  1. 1. Cohen-Mansfield J, Lipson S, Brenneman KS, et al.: Health status of participants in adult day care centers. JHealth Soc Policy. 2001; 14(2): 71-89. [DOI] [PubMed] [Google Scholar]
  2. 2. Sobel BP: Bingo vs. physical intervention in stimulating short-term cognition in Alzheimer's disease patients. Am JAlzheimers Dis Other 44 Demen. 2001; 16(2): 115-120. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. 3. Folstein MF, Folstein SE, McHugh PR: Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. JPsychiatrRes. 1975; 12(3): 189-198. [DOI] [PubMed] [Google Scholar]
  4. 4. Ishizaki J, Meguro K, Ohe K, et al.: Therapeutic psychosocial intervention for elderly subjects with very mild Alzheimer disease in a community: The tajiri project. Alzheimer Dis Assoc Disord. 2002; 16(4): 261-269. [DOI] [PubMed] [Google Scholar]
  5. 5. Zank S, Schacke C: Evaluation of geriatric day care units: effects on patients and caregivers. J Gerontol B Psycho Sci Sco Sci. 2002; 57B(4): 348-357. [DOI] [PubMed] [Google Scholar]
  6. 6. Trafton E: The Adapted Work Program and its application in VA hospitals and other facilities: an interview with Theressa Burns. Activities Directors' Quarterly for Alzheimer s & Other Dementia Patients. 2002; 3(3): 4-10. [Google Scholar]
  7. 7. Ebbitt B, Burns T, Christensen R: Work therapy: Intervention for community based Alzheimer's patients. Am J Alzheimer 's Care RelatedDisordRes. 1989; 4: 7-15. [Google Scholar]
  8. 8. Burns T, Buell J: The effectiveness of work programming with an Alzheimer population. Occupational Therapy Practice. 1990; 1: 28-32. [Google Scholar]
  9. 9. American Psychiatric Association: Diagnostic & Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC, American Psychiatric Association, 1994. [Google Scholar]
  10. 10. McKhann G. Drachman D, Folstein M, et al.: Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology. 1984; 34(7): 939-944. [DOI] [PubMed] [Google Scholar]
  11. 11. Burns T, Mortimer JA, Merchak P: Cognitive Performance Test: A new approach to functional assessment in Alzheimer's disease. J Geriatr Psychiatry Neurol. 1994; 7: 46-54. [PubMed] [Google Scholar]
  12. 12. Allen CK, Allen E: Cognitive disability: Measuring the social consequences of mental disorders. J Clin Psychiatry. 1987; 48(5): 185-190. [PubMed] [Google Scholar]
  13. 13. Allen CK, Earhart CA, Blue T: Occupational Therapy Treatment Goals for the Physically and Cognitively Disabled. Bethesda, MD: The American Occupational Therapy Association, 1992. [Google Scholar]
  14. 14. Yesavage J, Brink T, Rose T, et al.: Development and validation of a geriatric depression screening scale: a preliminary report. J PsychiatrRes. 1983; 17: 37-49. [DOI] [PubMed] [Google Scholar]
  15. 15. Clark CM, Sheppard L, Fillenbaum GG, et al.: Variability in annual Mini-Mental State Examination score in patients with probable Alzheimer disease: A clinical perspective of data from the Consortium to Establish a Registry for Alzheimer's Disease. Arch Neurol. 1999; 56(7): 857-862. [DOI] [PubMed] [Google Scholar]
  16. 16. Han L, Cole M, Bellavance F, et al.: Tracking cognitive decline in Alzheimer's disease using the mini-mental state examination: A meta-analysis. Int Psychogeriatr. 2000; 12(2): 231-247. [DOI] [PubMed] [Google Scholar]
  17. 17. Clark F, Azen SP, Zemke R, et al.: Occupational therapy for independent-living older adults: Arandomized controlled trial. JAMA. 1997; 278(16): 1321-1326. [PubMed] [Google Scholar]

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