Effects of a Cooking Program Based on Brain-activating Rehabilitation for Elderly Residents with Dementia in a <i>Roken</i> Facility: A Randomized Controlled Trial

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Author(s)

    • Murai Tatsuhiko
    • Gunma University Graduate School of Health Sciences, Maebashi, Gunma, Japan

Abstract

<p><b>Objective:</b> Rehabilitation for dementia is important in <i>Roken</i> Geriatric Health Service Facilities in Japan. This study evaluated the effects of a cooking program as rehabilitation for elderly residents with dementia. <b>Methods:</b> We carried out a 12-week cooking program based on the five principles of brain-activating rehabilitation (BAR): fostering a pleasant atmosphere, interactive communication, establishing social roles, giving and receiving praise, and errorless learning. The program was carried out in small groups and consisted of 90-min classes once a week. Participants were 36 elderly residents with dementia (mean 85.4 ± 6.5 years) who were randomly divided into intervention (n = 18) and control (n = 18) groups. The control group participated in recreation and both groups received individual conventional rehabilitation twice a week for 30 min. The effects of intervention were evaluated using nine outcome measures. <b>Results:</b> A total of 29 participants were included in the analysis (two-way analysis of variance). The attendance rate was 86.6% in the intervention group (n = 13). The Yamaguchi <i>Kanji</i> Symbol Substitution Test (executive function) showed significant interaction (F(1, 27) = 4.305, P = 0.048) between the two groups: the control group (n = 16) showed significant deterioration (pre 4.9 ± 5.6 to post 3.0 ± 4.9; P = 0.032). The dementia behavior disturbance scale also showed significant interaction (F(1, 29) = 13.298, P = 0.001): the intervention group (n = 16) showed significant improvement (pre 21.6 ± 12.2 to post 11.4 ± 11.5; P < 0.001). No significant differences were observed in the other outcome measures. <b>Conclusions:</b> Our findings suggest that a cooking program based on BAR can reduce the behavioral and psychological symptoms of dementia and maintain executive function.</p>

Journal

  • Progress in Rehabilitation Medicine

    Progress in Rehabilitation Medicine 2(0), n/a, 2017

    The Japanese Association of Rehabilitation Medicine

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