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KMID : 0603920170250030087
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Journal of Korean Academy of Occupational Therapy
2017 Volume.25 No. 3 p.87 ~ p.101
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A Systematic Review of Randomized Controlled Trials (RCTs) With Community-Based Intervention for Patients With Dementia
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Shin Ga-In
Woo Ye-Shin
Park Ha-Eun
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Abstract
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Objective: The purpose of this study was to provide a basis for the effects of community-based interventions on dementia patients.
Methods: The study was used systematic review method. The databases were collected using RISS, Pubmed, Google Scholar. Each articles were assessed for quality using the PEDro Scale. Nine articles were chosen, and the articles analyzed about the method of intervention, the evaluation tool, the evaluation area, and the experts who performed the intervention. Selected articles were systematically organized in PICO.
Results: The qualitative level of the articles were all level 1 in the study of the level 5 step classification. Because all nine articles analyzed the randomized control study. The 55.5% of the articles’ subjects were dementia only. The most frequent intervention was the exercise program(33.3%), and the use of the single domain intervention was higher than complex domain intervention. Community-based intervention was effective in the physical domain of dementia patients and in the quality of life domain of the caregivers. The interventions were effective in the areas of exercise, cognition, QOL, and ADL. Specialists were often referred to as physical therapists, occupational therapists, and nurses.
Conclusion: This study could be used by occupational therapists as a basis for community intervention for patients with dementia.
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KEYWORD
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Community-Based Intervention, Dementia, Randomized Control Trial(RCT), Systematic Review
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