Authors: Arkin SM
Title: Alzheimer rehabilitation by students: Interventions and outcomes
Source: Neuropsychological Rehabilitation 2001 11(3-4): 273-317
Year: 2001
Research Design: Non Randomised Controlled Trial
Rating Score: 03/10
This rating is confirmed
Eligibility specified - Y
Random allocation - N
Concealed allocation - N
Baseline comparability - N
Blind subjects - N
Blind therapists - N
Blind assessors - N
Adequate follow-up - Y
Intention-to-treat analysis - N
Between-group comparisons - Y
Point estimates and variability - Y

This article advocates proactive Alzheimer treatment, describes rehab interventions implemented by students, and reports positive first year outcomes for 11 mild to moderate Alzheimer's disease (AD) patients who experienced these interventions in a longitudinal Alzheimer rehabilitation research programme. Students supervised physical fitness training and volunteer work sessions for all Ss and administered specific memory and language stimulation exercises to 7 of them (experimental group). Outcomes were measured by standardised and project-related tests before and after two semesters (about 28 weeks) of participation. It was hypothesised that (1) the experimental group would outperform the control group at post-testing on standardised and project-specific cognitive and language measures; that both the experimental and control group would (2) maintain or improve the quality of their spontaneous discourse, (3) improve on measures of mood, and (4) improve on measures of physical fitness. Hypothesis 1 was only partially supported. The experimental group improved significantly from pre- to post- test on two measures, substanitally on one measure, and showed no change on eleven measures. The control group declined significantly on three measures and showed no change on eleven measures. Hypotheses 2, 3, and 4 were supported. The major conclusion was that: multi-modal interventions by students can temporarily maintain or improve cognitive, language, social, and physical functioning of Alzheimer's patients.

Access: Paywall