[en] Introduction: The benefit of cognitive rehabilitation (CR) for patients with early-stage Alzheimer disease (AD) remains difficult
to assess. Method: An observational, prospective study was conducted in a sample of 52 patients with AD included in a clinical,
individualized CR program. Cognitive rehabilitation consisted of 1 weekly session during 3 months at home, followed by
1 monthly contact for 9 months. Rehabilitation techniques were used by experienced therapists to adapt activities important for
the patient. Evaluation of patient’s dependence in activities and objective and subjective caregiver’s burden was performed with a
research quantitative scale immediately after the intervention and at 6-month and 1-year follow-up. Results: Analyses with
repeated measure analysis of variance showed decreased patient’s dependence for adapted activities at 3 months, 6 months, and
1 year. Objective and subjective percentage of caregiver’s burden was also decreased at all evaluations with our research
functional scale, while there was no change on Zarit’s burden scale. Global cognition slightly decreased over 1 year. Conclusions:
This observational study in a clinical setting is in line with the benefit of CR for patients with mild AD reported in recent randomized
controlled trials. The benefit obtained for adapted activities remained after 1 year, even if global cognition declined.
Moreover caregiver’s burden related to all individually relevant daily activities (from a list of 98) evaluated within the CR program
was decreased after 1 year. Those preliminary results emphasize the importance of choice for the measurement instrument to
report CR efficacy and claim for further validation of such tools.
Research Center/Unit :
GIGA Cyclotorn Research Centre in vivo imaging
Disciplines :
Neurosciences & behavior
Author, co-author :
Germain, Sophie ; Université de Liège - ULiège > Neurologie > Clinique de la Mémoire
WOJTASIK, Vinciane ; Centre Hospitalier Universitaire de Liège - CHU > Département infirmier > Clinique de la Mémoire
LEKEU, Françoise ; Centre Hospitalier Universitaire de Liège - CHU > Services opérationnels de l'Administrateur Délégué > Unité de neuropsychologie clinique
QUITTRE, Anne ; Centre Hospitalier Universitaire de Liège - CHU > Services opérationnels de l'Administrateur Délégué > Unité de neuropsychologie clinique
OLIVIER, Catherine ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Centre de jour interdisciplinaire des troubles de la mémoire
Salmon, Eric ; Université de Liège - ULiège > Département des sciences cliniques > GIGA Cyclotron Research Centre IVI
Language :
English
Title :
Efficacy of Cognitive Rehabilitation in Alzheimer Disease: A 1-Year Follow-Up Study
Publication date :
2019
Journal title :
Journal of Geriatric Psychiatry and Neurology
ISSN :
0891-9887
Publisher :
SAGE Publications, New York, United States - New York
scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.
Bibliography
McKhann GM, Knopman DS, Chertkow H. The diagnosis of dementia due to Alzheimer’s disease: recommendations from the National Institute on aging-Alzheimer’s association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimers Dement. 2011;7(3):263–269
Hebert LE, Weuve J, Scherr PA, Evans DA. Alzheimer disease in the United States (2010-2050) estimated using the 2010 census. Neurology. 2013;80(19):1778–1783
Vossius C, Rongve A, Testad I, Wimo A, Aarsland D. The use and costs of formal care in newly diagnosed dementia: a three-year prospective follow-up study. Am J Geriatr Psychiatry. 2014;22(4):381–388
Salomone S, Caraci F, Leggio GM, Fedotova J, Drago F. New pharmacological strategies for treatment of Alzheimer’s disease: focus on disease modifying drugs. Br J Clin Pharmacol. 2012;73(4):504–517
Buschert V, Bokde AL, Hampel H. Cognitive intervention in Alzheimer disease. Nat Rev Neurol. 2010;6(9):508–517
Brodaty H, Arasaratnam C. Meta-analysis of nonpharmacological interventions for neuropsychiatric symptoms of dementia. Am J Psychiatry. 2012;169(9):946–953
Bahar-Fuchs A, Clare L, Woods B. Cognitive training and cognitive rehabilitation for mild to moderate Alzheimer’s disease and vascular dementia. Cochrane Database Syst Rev. 2013;6, CD003260
Clare L, Woods RT, Moniz Cook ED, Orrell M, Spector A. Cognitive rehabilitation and cognitive training for early-stage Alzheimer’s disease and vascular dementia. Cochrane Database Syst Rev. 2003(4), CD003260
Cove J, Jacobi N, Donovan H, Orrell M, Stott J, Spector A. Effectiveness of weekly cognitive stimulation therapy for people with dementia and the additional impact of enhancing cognitive stimulation therapy with a carer training program. Clin Interv Aging. 2014;9:2143–2150
Wilson BA. Towards a comprehensive model of cognitive rehabilitation. Neuropsychological Rehabilitation. 2002;12(2):97–110
Lopez OL. The growing burden of Alzheimer’s disease. Am J Manag Care. 2011;17 Suppl 13: S339–345
Sitzer DI, Twamley EW, Jeste DV. Cognitive training in Alzheimer’s disease: a meta-analysis of the literature. Acta Psychiatr Scand. 2006;114(2):75–90
Garcia-Casal JA, Loizeau A, Csipke E, Franco-Martin M, Perea-Bartolome MV, Orrell M. Computer-based cognitive interventions for people living with dementia: a systematic literature review and meta-analysis. Aging Ment Health. 2017;21(5):454–467
Oltra-Cucarella J, Perez-Elvira R, Espert R, Sohn McCormick A. Are cognitive interventions effective in Alzheimer’s disease? A controlled meta-analysis of the effects of bias. Neuropsychology. 2016;30(5):631–652
Adam S, van der Linden M, Juillerat AC, Salmon E. The cognitive management of daily life activities in patients with mild to moderate Alzheimer’s disease in a day care centre: a case report. Neuropsychological Rehabilitation. 2000;10:485–509
Anderson J, Arens K, Coppens P. Spaced retrieval versus memory tape therapy in memory rehabilitation for dementia of the Alzheimer’s type. Clinical Gerontologist. 2001;24(1-2):123–139
Clare L, Wilson BA, Carter G, Roth I, Hodges JR. Relearning face-name associations in early Alzheimer’s disease. Neuropsychology. 2002;16(4):538–547
Amieva H, Robert PH, Grandoulier AS. Group and individual cognitive therapies in Alzheimer’s disease: the ETNA3 randomized trial. Int Psychogeriatr. 2016;28(5):707–717
Clare L, Linden DE, Woods RT. Goal-oriented cognitive rehabilitation for people with early-stage Alzheimer’s disease: a single-blind randomized controlled trial of clinical efficacy. Am J Geriatr Psychiatry. 2010;18(10):928–939
Thivierge S, Jean L, Simard M. A randomized cross-over controlled study on cognitive rehabilitation of instrumental activities of daily living in Alzheimer’s disease. Am J Geriatr Psychiatry. 2014;22(11):1188–1199
Voigt-Radloff S, de Werd MM, Leonhart R. Structured relearning of activities of daily living in dementia: the randomized controlled REDALI-DEM trial on errorless learning. Alzheimers Res Ther. 2017;9(1):22
Greenaway MC, Duncan NL, Smith GE. The memory support system for mild cognitive impairment: randomized trial of a cognitive rehabilitation intervention. Int J Geriatr Psychiatry. 2013;28(4):402–409
Brueggen K, Kasper E, Ochmann S, Pfaff H, Webel S, Schneider W, Teipel S. Cognitive rehabilitation in Alzheimer’s disease: a controlled intervention trial. J Alzheimers Dis. 2017;57(4):1315–1324
Kurz A, Thone-Otto A, Cramer B. CORDIAL: cognitive rehabilitation and cognitive-behavioral treatment for early dementia in Alzheimer disease: a multicenter, randomized, controlled trial. Alzheimer Dis Assoc Disord. 2012;26(3):246–253
Hindmarch I, Lehfeld H, de Jongh P, Erzigkeit H. The Bayer activities of daily living scale (B-ADL). Dement Geriatr Cogn Disord. 1998;9 Suppl 2:20–26
Law M, Baptiste S, McColl M, Opzoomer A, Polatajko H, Pollock N. The Canadian occupational performance measure: an outcome measure for occupational therapy. Can J Occup Ther. 1990;57(2):82–87
Farias ST, Mungas D, Reed BR. The measurement of everyday cognition (ECog): scale development and psychometric properties. Neuropsychology. 2008;22(4):531–544
Skurla E, Rogers JC, Sunderland T. Direct assessment of activities of daily living in Alzheimer’s disease. A controlled study. J Am Geriatr Soc. 1988;36(2):97–103
Gelinas I, Gauthier L, McIntyre M, Gauthier S. Development of a functional measure for persons with Alzheimer’s disease: the disability assessment for dementia. Am J Occup Ther. 1999;53(5):471–481
Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist. 1980;20(6):649–655
Anselme P, Poncelet M, Bouwens S. Profinteg: A tool for real-life assessment of activities of daily living in patients with cognitive impairment. Psychologica Belgica. 2013;53(1):3–22
Wojtasik V, Olivier C, Lekeu F, Quittre A, Adam S, Salmon E. A grid for a precise analysis of daily activities. Neuropsychol Rehabil. 2010;20(1):120–136
Salmon E., Les Cahiers Du Troisième Âge. Principes D’adaptation Cognitive Dans Les Démences. Waterloo: Wolters Kluwer Belgium SA; 2006
de Werd MM, Boelen D, Rikkert MG, Kessels RP. Errorless learning of everyday tasks in people with dementia. Clin Interv Aging. 2013;8:1177–1190
Thivierge S, Simard M, Jean L, Grandmaison E. Errorless learning and spaced retrieval techniques to relearn instrumental activities of daily living in mild Alzheimer’s disease: A case report study. Neuropsychiatr Dis Treat. 2008;4(5):987–999
Lekeu F, Wojtasik V, Van der Linden M, Salmon E. Training early Alzheimer patients to use a mobile phone. Acta Neurol Belg. 2002;102(3):114–121
Fischer M, Lekeu F, Quittre A. Proof of concept of a cost-utility analysis for treatment by cognitive rehabilitation in early dementia. Rev Neuropsychol. 2012;4(3):151–162
Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189–198
Sikkes SA, Pijnenburg YA, Knol DL, de Lange-de Klerk ES, Scheltens P, Uitdehaag BM. Assessment of instrumental activities of daily living in dementia: diagnostic value of the Amsterdam Instrumental Activities of Daily Living Questionnaire. J Geriatr Psychiatry Neurol. 2013;26(4):244–250
Choi J, Twamley EW. Cognitive rehabilitation therapies for Alzheimer’s disease: a review of methods to improve treatment engagement and self-efficacy. Neuropsychol Rev. 2013;23(1):48–62
Salmon E, Ruby P, Perani D. Two aspects of impaired consciousness in Alzheimer’s disease. Prog Brain Res. 2005;150:287–298 (http://hdl.handle.net/2268/4083)
Similar publications
Sorry the service is unavailable at the moment. Please try again later.
This website uses cookies to improve user experience. Read more
Save & Close
Accept all
Decline all
Show detailsHide details
Cookie declaration
About cookies
Strictly necessary
Performance
Strictly necessary cookies allow core website functionality such as user login and account management. The website cannot be used properly without strictly necessary cookies.
This cookie is used by Cookie-Script.com service to remember visitor cookie consent preferences. It is necessary for Cookie-Script.com cookie banner to work properly.
Performance cookies are used to see how visitors use the website, eg. analytics cookies. Those cookies cannot be used to directly identify a certain visitor.
Used to store the attribution information, the referrer initially used to visit the website
Cookies are small text files that are placed on your computer by websites that you visit. Websites use cookies to help users navigate efficiently and perform certain functions. Cookies that are required for the website to operate properly are allowed to be set without your permission. All other cookies need to be approved before they can be set in the browser.
You can change your consent to cookie usage at any time on our Privacy Policy page.