A Quasi-Randomized Controlled Trial of Brain-Activating Rehabilitation in an Acute Hospital.
We aimed to confirm the effectiveness of brain-activating rehabilitation (BAR) performed in the day care setting at an acute hospital. Brain-activating rehabilitation is based on 5 principles: developing a pleasant atmosphere, promoting communication, praising patients, giving patients a social role, and providing supportive care. A total of 48 patients with dementia or cognitive impairment were selected and randomly divided into the intervention and control groups. The BAR-based intervention was conducted for 1 hour, 3 times a week. The patients' score of the Multidimensional Observation Scale for Elderly Subjects (MOSES) were used as outcome measures. Repeated-measures analysis of covariance detected a significant interaction between the MOSES disorientation (F = 4.437, P = .041) and the withdrawal (F = 5.052, P = .030) subscales. A BAR-based intervention performed at our acute hospital was effective at maintaining and improving the cognitive and psychosocial functioning of patients with dementia or cognitive impairment.
Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, Maebashi, Gunma, Japan kbkjs933@yahoo.co.jp.
Kenji
K
Tsuchiya
Department of Rehabilitation, Gunma University of Health and Welfare, Maebashi, Japan.
Tomoharu
T
Yamaguchi
Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University, Sendai, Japan.
Takaaki
T
Fujita
Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, Maebashi, Gunma, Japan.
Maya
M
Taguchi
Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, Maebashi, Gunma, Japan.
Aoi
A
Honda
Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, Maebashi, Gunma, Japan.
Yuki
Y
Satou
Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, Maebashi, Gunma, Japan.
Hiroshi
H
Sekiguchi
Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, Maebashi, Gunma, Japan.
Noriko
N
Kimura
Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, Maebashi, Gunma, Japan.
Tenshi
T
Osawa
Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, Maebashi, Gunma, Japan.
Masanori
M
Terauchi
D000368:Aged; D000369:Aged, 80 and over; D060825:Cognitive Dysfunction / Q000534:rehabilitation*; D003704:Dementia / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care / Q000379:methods*; D000067250:Psychiatric Rehabilitation / Q000379:methods*
acute hospital; brain-activating rehabilitation; cognitive and psychosocial functioning; day care; patients with cognitive impairment; patients with dementia