youtube for dementia
TRANSCRIPT
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Multi-media as a useful aid
for reminiscence therapy indementia
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Aims
• Discuss the role of reminiscence therapy
(RT) in dementia care
• Address the novel approach of using
multi-media as an aid for RT
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The act or process of recalling past experiences and
events
Types of RT
• Individualised or group participation• Use personal or general prompts/stimuli
• With or without the inclusion of familial caregivers
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•
11 participants• MMSE scores ranging from 23-9
• Compared a computerised multi-media touch
screen tool (CIRCA) with traditional reminiscence
therapy (TRAD)
• 2 x 20 minute one-to-one sessions
The use of multi-media
Verbal measures Non-verbal measuresPerson with dementia Initiation Music
Choosing with prompt Pointing to draw attention
Caregiver Prompting Laughter
Conversational maintenance
activities
Direction of eye gaze
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ResultsCIRCA sessions
• Persons with dementia were offered more of a choice by the
caregiver and subsequently made more choices
• Greater level of engagement with the stimuli
TRAD sessions
• Caregivers spent more time engaged in conservational
maintenance activities
• Lower levels of initiation
• Lower levels of engagement from both with the stimuli
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The advantages of using YouTube
• Internet sharing website which has unlimited
electronic storage
• Wide-range of subject matter and can be
accessed by anyone at anytime
• Flexible(Play, Pause, Switch)
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Eligibility Criteria
Inclusion Criteria: Exclusion Criteria:
Patients with dementia(DSM IV) Patients with acute/major physical illness
MMSE between 13-22 Patients with depression(GDS>4)
Capacity to communicate as determined
by Functional Linguistic Communication
Inventory(FLCI)
Learning disability
Available for 6 weeks
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Methods
• 12 sessions- biweekly for 6 weeks
• Last for 45 to 60 minutes
•
Content based on the Social InterestQuestionnaire (SIQ) completed by family
members
•
Discussion about the video clip• Facilitated by SALT or OT
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Result-Quantitative Analysis
Gender AgePre-
MMSEPost-MMSE
Pre-FLCI
Post-FLCI
Numbersessionsattended
1 M 65 22 21 47 76 12
2 M 83 20 18 77 77 12
3 F 84 20 24 71 – 8
4 M 56 19 17 56 63 12
5 M 76 13 17 68 70 12
6 M 72 13 18 46 55 5
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Result-Qualitative Analysis
• Semi-structure interview with participants
• Thematic analysis
•
Two independent observers review andconcur the data to achieve inter-rater
reliability
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Perceived Patient Outcomes
• Improved wellbeing and mood
– “I like the music, that’s the reason I go over, I don’t know the words, it’s a lovely sound”
• Improved communication and interaction
– “Good to talk to others”
• Improved quality of life as an inpatient – “It is a terrific thing! Fantastic! You would be tapping
your foot”
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Limitations
• Small sample size
• No control group
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Conclusion
• Flexible and interactive way to administer RT
• Large controlled study with blinded assessors
•
Cost effectiveness of this type of RT comparedto others.
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References
• Astell A, Ellis M, Bernardi L, Alm N, Dye R, Gowans G, Campbell J. Using a
touch screen computer to support relationships between people withdementia and caregivers. Interacting with Computers. 2010 :22; 267 –275
• National Institute for Health and Clinical Excellence 2011. Dementia
Supporting people with dementia and their carers in health and social care.CG42.London: National Institute for Health and Clinical Excellence
• O'Rourke J, Tobin F, O'Callaghan S, Sowman R, Collins D. ‘YouTube’: a useful
tool for reminiscence therapy in dementia? Age and Ageing. 2011;40(6):742-4.
• Woods B, Spector AE, Jones CA, Orrell M, Davies SP. Reminiscence therapy fordementia. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.:CD001120. DOI: 10.1002/14651858.CD001120.pub2.