Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors (including presenting author) :
SS HUI, Steffi TY CHOW, KL WONG
Affiliation :
(1) Occupational Therapy Deparatment (2)Cheshire Home, Chung Hom Kok
Introduction :
WHO recommended cognitive interventions applying principles of cognitive stimulation, reality orientation and reminiscence therapy can be considered in the care of people with Dementia. The aim of this pilot study was to assess the efficacy of using Multi-sensory Cognitive Training Program by using cognitive stimulation therapy (CST) approach for the long stay patients with Dementia.
Objectives :
(1) To provide stimulation to cognition with different sensory modalities
(2) To promote communication between participants through active encouragement
(3) To encourage participants to learn new things in a stress-free environment
(4) To enhance optimal engagement in meaning functional domains with person-centered
approach
Methodology :
(1) This was a pre and post intervention study.
(2) Participants (N=6) were selected from an infirmary setting with mild to moderate
Dementia.
(3) The program was based on the principles of CST in 12 structured group sessions
that led by Occupational Therapists.
(4) Primary outcomes measures used were HKMoCa-5, Holden Communication Scale (HCS).
Secondary measure used was patient’s self-report questionnaire and CST record
sheet.
Result & Outcome :
Data collected was analyzed by SPSS and the findings were positive. For HKMoCa-5, a mean difference of +2.25 is found (p=0.058). For HCS, a mean difference of -5.2 is found (p = 0.099). For the patient’s self-report questionnaire and CST record sheet, participants showed satisfied and well engaged in the group.
As such, the program can enhance both cognitive function and engagement for the long-stay residents with Dementia. The program can be used as a feasible and sustainable model for service provision in infirmary setting.
