The potential of time-assistive products to improve daily time management in persons with dementia: a randomised controlled trial

  • 1Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
  • 2Department of Rehabilitation Medicine, Danderyd University Hospital, Stockholm, Sweden.
  • 3Center for Clinical Research Dalarna, Uppsala University, Uppsala, Sweden.
  • 4Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
  • 5School of Health and Welfare, Dalarna University, Falun, Sweden.
  • 6Aging Research Center, Karolinska Institutet and Stockholm University, Solna, Sweden.

Abstract

PURPOSE

The aim of this study was to investigate the effect of time-assistive products in supporting persons with mild to moderate dementia to achieve their time-related activity goals given their time processing ability.

MATERIALS AND METHODS

A multicentre single-blinded randomised controlled intervention study. A total of 73 persons with mild to moderate dementia aged ≥60 years were recruited through memory clinics across Sweden, of which 57 completed the three-month follow-up (intervention group n = 26, waiting list control group n = 31). The intervention group received individually prescribed time-assistive products. The primary outcome measure was the Canadian Occupational Performance Measure (COPM). Comparative analyses were done of the differences in COPM ratings at baseline and after three months within and between groups. KaTid-Senior was used to measure time processing ability.

RESULTS

After three months, COPM ratings, adjusted for time processing ability, had significantly improved in the intervention group regarding satisfaction with performance (p = .028, ηp2 = 0.09) but not for performance (p = .053, ηp2 = 0.07). The change from the ratings at baseline to the ratings at 3 months was clinically significant in the intervention group as their improvement exceeded 2 points on a 10-point scale both for performance (mean 2.8, CI 1.8-3.7) and satisfaction with performance (mean 3.4, CI 2.3-4.6).

CONCLUSION

Prescription of time-assistive products can support persons with mild to moderate dementia in their daily time management in relation to individual time-related goals. However, given the weak evidence base, further research is needed on the effectiveness of time-based assistive products for persons with dementia.

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