Effects of Reality Orientation Therapy on patients in the community

University of Bergamo, Bérgamo, Lombardy, Italy
Archives of Gerontology and Geriatrics (Impact Factor: 1.85). 11/1993; 17(3):211-8. DOI: 10.1016/0167-4943(93)90052-J
Source: PubMed


Twenty-three institutionalized subjects, confused and disoriented as to time, space and persons, were divided into two groups: the study group and the control group. The study group then participated in a 3-month period of formal Realithy Orientation Therapy (ROT). At the end of the 3 months of therapy significant differences emerged in the scores of MMSE, OSGP and GDS obtained by the two groups. Moreover, significant positive differences were observed only in the study group, comparing the tests' results before and after therapy. Even the comparison of the results obtained at the end of the sessions and 3 months after the interruption of the therapy revealed a difference in the trends that emerged for the two groups.

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    • "Some individual approaches have been found to be ineffective in improving mood. Several researchers (Baldelli et al., 1993; LaBarge, Rosenman, Leavitt, & Cristiani, 1988; Zanetti et al., 1995, 1997) have investigated the effects of Reality Orientation (re-educating individuals with AD to remember orienting information, such as the date) on mildly impaired individuals with depressive symptomatology . There was little evidence that Reality Orientation was effective in improving mood. "
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    ABSTRACT: Few studies have tested strategies to address the mental health needs of individuals with Alzheimer's disease (AD). To test a newly developed, empirically based modified counseling approach, 30 nursing home residents with AD were randomly assigned to a modified counseling (Therapeutic Conversation) treatment group or usual care control group. Mini-Mental State Examination mean scores were 10.60 (SD = 6.99) for the treatment group and 12.26 (SD = 7.43) for the control group. Individual treatment was provided three times per week for 16 weeks. On the posttest, treatment group participants evidenced significantly less negative mood than the control group on the Montgomery-Asberg Depression Rating Scale and the Sadness and Apathy subscales of the Alzheimer's Disease and Related Disorders Mood Scale. The differences approached significance on the Dementia Mood Assessment Scale. Results suggest that a therapeutic counseling approach can be effective in treating the dysphoria commonly found in individuals with AD.
    Research in Gerontological Nursing 10/2009; 2(4):267-75. DOI:10.3928/19404921-20090428-02 · 0.64 Impact Factor
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    • "There were no significant differences among the RO group, validation therapy group and the control group in pre-and post-test scores for mental health, ADL and depression. Bladelli et al. 1993 "
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    ABSTRACT: Reality Orientation (RO) was developed as a strategy to assist people with dementia to improve their orientation and everyday function. Although its efficacy has been extensively studied in long-term care facilities, its effectiveness has rarely been examined in acute care settings. The aim of this review was to examine the studies cited in systematic reviews of RO to determine the potential clinical usefulness and the feasibility of using RO in acute care settings. Based on this information, the authors make recommendations for future research in this area. The feasibility of implementing RO in acute care poses challenges because of the short time a patient is in hospital and their ability to participate given their acute medical condition. Although the efficacy and feasibility of using RO in acute care settings have not been sufficiently examined, its potential to improve care should not be ignored. A comprehensive and rigorous study is necessary to investigate the usefulness of RO in the acute care setting and to help establish clinical guidelines for dementia care in the context of acute care nursing.
    International Journal of Nursing Practice 07/2007; 13(3):182-92. · 0.60 Impact Factor
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    • "The control groups received usual care. The fourth study on the effects of Reality Orientation was conducted by Baldelli et al. (1993) among institutionalized people with Alzheimer's Disease in Italy. The experimental group received formal Classroom Reality Orientation Therapy. "
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    ABSTRACT: This systematic review seeks to establish the extent of scientific evidence for the effectiveness of 13 psychosocial methods for reducing depressed, aggressive or apathetic behaviors in people with dementia. The guidelines of the Cochrane Collaboration were followed. Using a predefined protocol, ten electronic databases were searched, studies selected, relevant data extracted and the methodological quality of the studies assessed. With a Best Evidence Synthesis the results of the included studies were synthesized and conclusions about the level of evidence for the effectiveness of each psychosocial method were drawn. There is some evidence that Multi Sensory Stimulation/Snoezelen in a Multi Sensory Room reduces apathy in people in the latter phases of dementia. Furthermore, there is scientific evidence, although limited, that Behavior Therapy-Pleasant Events and Behavior Therapy-Problem Solving reduce depression in people with probable Alzheimer's disease who are living at home with their primary caregiver. There is also limited evidence that Psychomotor Therapy Groups reduce aggression in a specific group of nursing home residents diagnosed with probable Alzheimer's disease. For the other ten psychosocial methods there are no or insufficient indications that they reduce depressive, aggressive or apathetic behaviors in people with dementia. Although the evidence for the effectiveness of some psychosocial methods is stronger than for others, overall the evidence remains quite modest and further research needs to be carried out.
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