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. 2008 Oct 1;8(4):1–98.

Table 6: Summary of Randomized Controlled Trial by Graff et al. 2006, 2007 (35;36).

Study/
Year
Population Description
of
Intervention
Outcome/
Follow-Up
Results Limitations
Graff et al.(35)

2006

Graff et al. (36)

2007
N=135

Mild to moderate dementia
Intervention: 10 1-hour sessions of occupational therapy (OT) over 5 weeks (including cognitive and behavioural interventions)

Total time: 18 hrs per patient and CG together

Control: no OT
CG burden

Patients’ daily functioning assessment (determined by assessment of motor and process skills [AMPS] and interview of deterioration in daily activities in dementia [IDDD])
CGs: At 6 wks CGs who received OT felt significantly more competent than those who did not

Mean competence score (assessed by sense of competence questionnaire [SCQ])

Difference at 6 weeks 11.0 (9.2–12.8) statistically and clinically significant Number needed to treat: 2.5 (2.3–2.7)
Generalizability of results, due to recruitment of patients from a memory clinic and day clinic of a university hospital.

Short study duration (12 weeks).

Unclear if controls were on wait-list.

Intervention was directed at patients and CGs – unclear.
      Baseline, 6 weeks, and 3 months Outcomes remained at 12 weeks In 18% of cases (n=21) the assessors knew the treatment allocation.
      Outcomes(36) CG:
  • QOL

  • Health status

  • Mood

  • Control over life (mastery)

Patient: At 6 weeks, patients in the OT group significantly improved in daily functioning and outcomes remained significant at 3 months  
        Results(36)
At 6 weeks, CGs in the OT group had significantly improved outcomes for overall quality of life, health status, depression, and mastery than those in the control group (P < .0001). Outcomes remained significant at 3 months.
 
*

CG indicates caregiver; QOL, quality of life.