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Article
Approaches to engaging people with dementia in meaningful occupations in institutional settings: A scoping review
Available from: Taylor and Francis Online
Publication: Scandinavian Journal of Occupational Therapy, vol. 28, no. 5
Date: 2021
Pages: 329-347
Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)
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Abstract/Notes: Background People with dementia in institutional settings lack engagement in meaningful occupations, which may cause decreased quality of life. Although many researchers and professionals have proposed approaches to engage people with dementia in these occupations, an overview seems to be missing. Aim This scoping review provides an overview by categorizing and describing the characteristics of the approaches. Material and method A thorough literature search in nine databases identified the studies on approaches. We included 54 studies, and extracted bibliometric data. A content analysis revealed the characteristics of the approaches. Results Four categories of approaches were uncovered. First, the literature defined the concept of meaningful occupation in various ways. Second, a category of approaches provided theoretical knowledge of meaningful occupations. The third category focussed on specific themes, such as certain methods. The final described comprehensive multilevel approaches. Conclusion This review contributes to knowledge of the diversity of approaches to engage people with dementia in meaningful occupation within institutional settings. Significance We suggest that occupational therapy researchers and practitioners consider how the concept of meaningful occupation is embedded in the theoretical landscape. Furthermore, activity programming requires reflexive decision-making at the policy and practice level, as engagement in meaningful occupations is complex.
Language: English
DOI: 10.1080/11038128.2020.1791952
ISSN: 1103-8128
Article
Effectiveness of Montessori-Based Activities on Agitation Among Asian Patients with Dementia: A Systematic Review and Meta-Analysis
Available from: PubMed
Publication: Medicine (Baltimore), vol. 101, no. 32
Date: Aug 12, 2022
Pages: e29847
Alzheimer's disease, Dementia, Gerontology, Montessori method of education - Criticism, interpretation, etc., Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)
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Abstract/Notes: OBJECTIVES: Montessori based activity are supposed to be an effective nonpharmacological intervention in the treatment of agitation in western countries. However, most studies conducted to evaluate the effectiveness of Montessori based activities on agitation in Asian patients were small sample size, as well as inconsistent outcomes, which may limit the reliability of the conclusions. The present pooled analysis, hence, was conducted to evaluate the effectiveness of the activity on agitation related with dementia in Asian patients with dementia. DESIGN: Prospective randomized clinical studies were included, of which available data was extracted. Outcomes of physical aggressive behaviors, physical nonaggressive behaviors, and verbal aggressive behaviors were pooled for the analysis by weighted mean differences. DATA SOURCES: Medline, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), WanFang, and China Science and Technology Journal Database (VIP). ELIGIBILITY CRITERIA: Prospective, randomized, controlled clinical studies, conducted to evaluate the effectiveness of the activity on agitation related with dementia in Asian patients with dementia. DATA EXTRACTION AND SYNTHESIS: Available data including baseline characteristics and interested outcomes from the included literature were extracted independently by 2 investigators. Measuring scales including CMAI and NOSIE were adopted for the efficacy comparison between Montessori based activity and standard activity. Weighted mean difference was used for the pooled analysis. RESULTS: A total of 460 participants were included in the present meta-analysis. The pooled mean difference agitation for Montessori based activity was -3.86 (95% CI: -7.38 to -0.34, P = 0.03) comparing to standard activity. The pooled mean differences for physical aggressive behaviors, physical nonaggressive behaviors, and verbal aggressive behaviors in Montessori based activity group were -0.82 (95% CI: -1.10 to -0.55; P < 0.00001), -0.81 (95% CI: -1.68 to 0.55; P = 0.07), and 0.38 (95% CI: -0.92 to 1.68; P = 0.57). CONCLUSIONS: Montessori based activities may reduce the frequency of agitation, especially in physical aggressive behaviors comparing to standard activities in Asian patients with dementia. However, the effectiveness of Montessori based activities on reduction of subcategorized agitated behaviors including physical nonaggressive behaviors, and verbal aggressive behaviors may not be reliable as physical aggressive behaviors.
Language: English
DOI: 10.1097/MD.0000000000029847
ISSN: 1536-5964
Article
A Systematic Review of Montessori-Based Activities for Persons With Dementia
Available from: ScienceDirect
Publication: Journal of the American Medical Directors Association, vol. 17, no. 2
Date: 2016
Pages: 117-122
Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)
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Abstract/Notes: Montessori-based activities are becoming a popular approach for the care of older adults living with dementia. The aim of this study was to systematically assess the quality of the research examining the benefits of Montessori-based activities for persons with dementia. Six peer-reviewed databases were systematically searched for all relevant articles published until April 2015. Included articles were peer-reviewed studies published in English that employed Montessori-based activities with persons with dementia. Methodological quality was assessed by 2 independent raters using the Physiotherapy Evidence Database Scale or the Downs and Black evaluation tool. Levels of evidence were assigned to the study design using a modified Sackett scale. One hundred fifty articles were identified, and 14 were selected for inclusion. Level-2 evidence examining the impact of Montessori-based activities on eating behaviors suggested that difficulties with eating could be reduced with Montessori training. There was limited level-4 evidence for the benefits of Montessori-based activities on cognition, wherein benefits appeared to be specific to lower-level cognitive abilities including memory and attention. Finally, there is level-1 (n = 1), level-2 (n = 3), and level-4 (n = 6) evidence for the benefits of Montessori-based activities on engagement and affect, whereby constructive engagement and positive affect were heightened. Overall, there is a strong level of evidence for the benefits of Montessori-based activities on eating behaviors and weak evidence for the benefits on cognition. Evidence for the benefits of Montessori-based activities on engagement and affect are mixed. Future research is needed to examine the long-term benefits of Montessori-based activities.
Language: English
DOI: 10.1016/j.jamda.2015.10.006
ISSN: 1525-8610
Article
The Montessori Method in Dementia Care
Available from: Care Info
Publication: Journal of Dementia Care, vol. 20, no. 4
Date: 2012
Pages: 18-19
Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)
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Abstract/Notes: Ten years ago Tom and Karen Brenner developed a new approach to caring for people with dementia – Montessori for Dementia Care. Here, they explain their programme and training for care staff
Language: English
ISSN: 1351-8372
Article
Memory training improves cognitive ability in patients with dementia
Available from: University of California eScholarship
Publication: Neuropsychological Rehabilitation, vol. 11, no. 3/4
Date: Jul 2001
Pages: 245-261
Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)
Article
From Efficacy to Effectiveness to Diffusion: Making the Transitions in Dementia Intervention Research
Available from: Taylor and Francis Online
Publication: Neuropsychological Rehabilitation, vol. 11, no. 3/4
Date: Jul 2001
Pages: 495-517
Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)
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Abstract/Notes: Translating research outcomes into clinical application in neuropsychological rehabilitation is seen as requiring two critical transitions. The first is a transition in research outcome emphasis from efficacy (demonstrating that an intervention works under controlled conditions) to effectiveness (demonstrating that an intervention works as implemented in real-world contexts). The second is a transition in which effective interventions are required to be diffused within caregiving systems to enable them to be implemented on a large scale. Examples of these transitions are provided within the context of designing interventions for persons with dementia.
Language: English
DOI: 10.1080/09602010042000079
ISSN: 0960-2011
Article
Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Montessori-Based Interventions
Available from: Gale Academic Online
Publication: Journal of Medical Speech-Language Pathology, vol. 14, no. 1
Date: 2006
Pages: xv-xxv
Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)
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Abstract/Notes: This is a review of experimental studies that investigated the use of Montessori-based interventions for individuals with Alzheimer's disease. This review is part of a series of reports from the Academy of Neurologic Communication Disorders and Science specific to the assessment and management of individuals with dementia.
Language: English
ISSN: 1065-1438
Article
Montessori-Based Activities as a Transgenerational Interface for Persons With Dementia and Preschool Children
Available from: Taylor and Francis Online
Publication: Journal of Intergenerational Relationships, vol. 9, no. 4
Date: 2011
Pages: 366-373
Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)
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Abstract/Notes: Montessori-based activities for persons with dementia have been used to successfully provide opportunities for programming between older adults and preschool children in shared site intergenerational care programs. Such intergenerational programming allows older adults with dementia to fulfill roles of teacher or mentor to younger children or as collaborative workmates for persons with more advanced dementia while providing children with positive one-on-one interactions with older adults. We review several studies using this approach; describe characteristics of the programs, participants, and results obtained; and provide recommendations for those interested in extending this line of work.
Language: English
DOI: 10.1080/15350770.2011.618374
ISSN: 1535-0770
Article
The Efficacy of Memory Training Using Montessori Philosophy-based Activities in Mild Dementia Elderly
Available from: Thai Journals Online
Publication: Journal of the Psychiatric Association of Thailand, vol. 54, no. 2
Date: 2009
Pages: 197-208
Alzheimer's disease, Asia, Dementia, Gerontology, Maria Montessori - Philosophy, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI), Southeast Asia, Thailand
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Abstract/Notes: AbstractObjective: To compare the memory scores in mild dementia elderly who attended Montessori-based Memory training with the control group who did not.Method: The Solomon four-group design was used to test the memory of the subjects. The subject of the study consisted of 40 elderly at Banbanglamung Social Welfare Development Center for Older Persons. Participants were divided to 2 experimental and 2 control groups by random sampling technique. Mini mental status Exam-Thai 2002 and Thai Geriatric Depression scale were used as a tool in selecting the subject and a tool to differentiate the mild dementia elderly group from the depressed group. The digit span and digit symbol subtests of The Wechsler Intelligence scale were used in memory testing. The data obtained was analyzed by means of descriptive statistics, t-test and one-way ANOVA.Results: The average scores of the digit span and digit symbol of the experimental groups and the controlled groups were significantly different (p<0.05). After 4 weeks of training, the average scores ofthe experimental groups increased more than that of the controlled group. After training, the average scores of memory of the four groups were significantly indifferent (p<0.05). Digit symbol scores of the experimental groups were higher than of the controlled groups by using LSD method.Conclusion: After memory training, the average scores of the digit span and digit symbol of the experimental groups were significantly higher than the controlled group. This differentce still persistedat the 12th week of training. Therefore, this memory training should be used with the elderly to prevent and delay dementia.
Language: Thai
ISSN: 2697-4126
Article
Research in Practice I: Montessori-Based Dementia Programming
Publication: Alzheimer's Care Quarterly, vol. 8, no. 1
Date: 2007
Pages: 53-64
Alzheimer's disease, Dementia, Gerontology, Montessori method of education, Montessori therapy, Montessori-Based Dementia Programming (MBDP), Montessori-based interventions (MBI)
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Language: English
ISSN: 1525-3279, 1550-3240