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WITHDRAWN: Reality orientation for dementia.

A Spector1, M Orrell, S Davies

  • 1University College London, Department of Clinical Health Psychology, 1-19 Torrington Place, London, UK, WC1E 6BT. aimeespector103@yahoo.co.uk

The Cochrane Database of Systematic Reviews
|July 20, 2007
PubMed
Summary
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Reality Orientation (RO) shows benefits for dementia patients, improving cognition and behavior. Continued RO programs may be necessary to sustain these positive effects in elderly individuals.

Area of Science:

  • Gerontology
  • Psychiatry
  • Dementia Care

Background:

  • Reality Orientation (RO) was developed to improve the quality of life for confused elderly individuals.
  • The technique involves presenting orientation information to enhance understanding of surroundings, potentially improving self-esteem.
  • Criticisms include mechanical application and potential negative impacts on mood and self-esteem from constant relearning.

Purpose of the Study:

  • To evaluate 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 for RO in dementia.
  • Inclusion criteria focused on study design quality, risk of bias, and measures of cognitive/behavioral change.

Related Experiment Videos

  • Data extraction was performed independently by two reviewers, with authors contacted for missing information.
  • Main Results:

    • Analysis included 6 RCTs with 125 participants (67 experimental, 58 control).
    • Significant improvements were observed in both cognitive and behavioral outcomes favoring the RO treatment group.

    Conclusions:

    • Evidence suggests Reality Orientation (RO) offers benefits for dementia sufferers' cognition and behavior.
    • Further research is needed to identify specific effective components of RO.
    • Sustained benefits may require ongoing RO programs.