Apathy in nursing home residents with dementia : results from a cluster-randomized controlled trial

Treusch, Yvonne; Majic, Tomislav; Page, Julie; Gutzmann, Hans; Heinz, Andreas; Rapp, Michael

doi:10.1016/j.eurpsy.2014.02.004

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Apathy in nursing home residents with dementia : results from a cluster-randomized controlled trial
Authors:	Treusch, Yvonne Majic, Tomislav Page, Julie Gutzmann, Hans Heinz, Andreas Rapp, Michael
DOI:	10.1016/j.eurpsy.2014.02.004
Published in:	European Psychiatry
Volume(Issue):	30
Issue:	2
Page(s):	251
Pages to:	257
Issue Date:	Feb-2015
Publisher / Ed. Institution:	Elsevier
ISSN:	0924-9338 1778-3585
Language:	English
Subject (DDC):	362: Health and social services 616.8: Neurology, diseases of nervous system
Abstract:	Purpose: Here we evaluate an interdisciplinary occupational and sport therapy intervention for dementia patients suffering from apathy. Subjects and methods: A prospective, controlled, rater-blinded, clinical trial with two follow-ups was conducted as part of a larger cluster-randomized trial in 18 nursing homes in Berlin. n=117 dementia patients with apathy, defined as a score of 40 or more on the apathy evaluation scale (AES) or presence of apathy on the Neuropsychiatric Inventory (NPI), were randomly assigned to intervention or control group. The intervention included 10 months of brief activities, provided once a week. The primary outcome measure was the total score on the AES scale measured directly after the intervention period and again after 12 months. Results: We found significant group differences with respect to apathy during the 10 month intervention period (F2,82=7.79, P < 0.01), which reflected an increase in apathy in the control group, but not in the intervention group. Within one year after the intervention was ceased, the treatment group worsened and no longer differed significantly from the control group (P = 0.55). Conclusion: Our intervention was effective for the therapy of apathy in dementia, when applied, but not one year after cessation of therapy.
URI:	https://digitalcollection.zhaw.ch/handle/11475/4547
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Occupational Therapy (IER)
Appears in collections:	Publikationen Gesundheit

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Treusch, Y., Majic, T., Page, J., Gutzmann, H., Heinz, A., & Rapp, M. (2015). Apathy in nursing home residents with dementia : results from a cluster-randomized controlled trial. European Psychiatry, 30(2), 251–257. https://doi.org/10.1016/j.eurpsy.2014.02.004

Treusch, Y. et al. (2015) ‘Apathy in nursing home residents with dementia : results from a cluster-randomized controlled trial’, European Psychiatry, 30(2), pp. 251–257. Available at: https://doi.org/10.1016/j.eurpsy.2014.02.004.

Y. Treusch, T. Majic, J. Page, H. Gutzmann, A. Heinz, and M. Rapp, “Apathy in nursing home residents with dementia : results from a cluster-randomized controlled trial,” European Psychiatry, vol. 30, no. 2, pp. 251–257, Feb. 2015, doi: 10.1016/j.eurpsy.2014.02.004.

TREUSCH, Yvonne, Tomislav MAJIC, Julie PAGE, Hans GUTZMANN, Andreas HEINZ und Michael RAPP, 2015. Apathy in nursing home residents with dementia : results from a cluster-randomized controlled trial. European Psychiatry. Februar 2015. Bd. 30, Nr. 2, S. 251–257. DOI 10.1016/j.eurpsy.2014.02.004

Treusch, Yvonne, Tomislav Majic, Julie Page, Hans Gutzmann, Andreas Heinz, and Michael Rapp. 2015. “Apathy in Nursing Home Residents with Dementia : Results from a Cluster-Randomized Controlled Trial.” European Psychiatry 30 (2): 251–57. https://doi.org/10.1016/j.eurpsy.2014.02.004.

Treusch, Yvonne, et al. “Apathy in Nursing Home Residents with Dementia : Results from a Cluster-Randomized Controlled Trial.” European Psychiatry, vol. 30, no. 2, Feb. 2015, pp. 251–57, https://doi.org/10.1016/j.eurpsy.2014.02.004.