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A home assistance model for dementia: Outcome in patients with mild-to-moderate Alzheimer's disease after three months

Overview of attention for article published in Annali dell'Istituto Superiore di Sanità, January 2013
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Title
A home assistance model for dementia: Outcome in patients with mild-to-moderate Alzheimer's disease after three months
Published in
Annali dell'Istituto Superiore di Sanità, January 2013
DOI 10.4415/ann_13_01_07
Pubmed ID
Authors

Gabriele Carbone, Francesca Barreca, Giovanni Mancini, Giovanni Pauletti, Veronica Salvi, Nicola Vanacore, Carla Salvitti, Fiorella Ubaldi, Luigi Sinibaldi, Carbone, Gabriele, Barreca, Francesca, Mancini, Giovanni, Pauletti, Giovanni, Salvi, Veronica, Vanacore, Nicola, Salvitti, Carla, Ubaldi, Fiorella, Sinibaldi, Luigi

Abstract

The treatment of dementias, which are currently incurable pathologies, requires an approach to care that involves both the patients and their families. The effect of alternative interventions, besides the pharmacological approach, therefore warrants evaluation. In this paper, we describe one such intervention, which was provided by our home care team for Alzheimer's Disease. Patients were granted a three-month period of home care assistance, which included physical and cognitive rehabilitation as well as interventions on the home environment and the family, such as psychological support for the main caregivers. The assistance was provided in thrice-weekly sessions, each lasting six hours. Twenty-two patients (age 78.4±6.5 yrs), all of whom had received a diagnosis of probable AD, were enrolled. There was a statistically significant improvement in the NPI score (p = 0.004), Barthel index (p = 0.01), Tinetti's scale (p = 0.013) and CBI score (p = 0.016) at the end of the 3-month treatment period. The patients' caregivers also reported a significant improvement in the physical and social burden at the CBI at the end of the period of home care assistance (p = 0.026 and p = 0.006). In a further evaluation performed 3 months after the end of the treatment period, the beneficial effect previously observed in both patients and caregivers was no longer present.

Mendeley readers

The data shown below were compiled from readership statistics for 40 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 3%
Spain 1 3%
Italy 1 3%
Unknown 37 93%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 13 33%
Researcher 9 23%
Student > Master 8 20%
Student > Bachelor 4 10%
Other 3 8%
Other 10 25%
Readers by discipline Count As %
Nursing and Health Professions 12 30%
Psychology 9 23%
Medicine and Dentistry 8 20%
Social Sciences 6 15%
Computer Science 2 5%
Other 10 25%