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Reality orientation for dementia.

A Spector1, M Orrell, S Davies

  • 1Psychiatry and Behavioural Sciences, University College London, 3rd floor, Wolfson Building, 48 Riding House Street, London, UK, W1N 8AA. a.spector@ucl.ac.uk

The Cochrane Database of Systematic Reviews
|May 5, 2000
PubMed
Summary
This summary is machine-generated.

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Reality Orientation (RO) shows benefits for dementia patients, improving cognition and behavior. Continued programs may be necessary to maintain these positive effects in elderly individuals.

Area of Science:

  • Gerontology
  • Psychiatry
  • Cognitive Science

Background:

  • Reality Orientation (RO) is a technique to improve the quality of life for confused elderly individuals.
  • RO aims to enhance understanding of surroundings through orientation information, potentially improving self-esteem.
  • Concerns exist regarding RO's mechanical application and potential negative impacts on mood and self-esteem.

Purpose of the Study:

  • To assess the effectiveness of Reality Orientation (RO) as a classroom-based therapy for elderly individuals with dementia.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) and controlled trials with bias control.
  • Searched computerized databases and relevant websites, including approaching specialists for undocumented material.
  • Included studies with systematic assessment of design quality, risk of bias, and measures of cognitive/behavioral change.

Related Experiment Videos

Main Results:

  • Analysis included 6 RCTs with 125 subjects (67 experimental, 58 control).
  • Cognitive and behavioral outcomes showed a significant positive effect in favor of the RO treatment group.

Conclusions:

  • Evidence suggests Reality Orientation (RO) benefits both cognition and behavior in dementia sufferers.
  • Further research is needed to identify specific effective features of RO.
  • Sustained benefits may require continued RO programs, as effects post-treatment are unclear.