Tailored Activity Program (TAP-BR): proposition of an outpatient care version and evaluation of its impacts on dementia - A pilot study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Cadernos Brasileiros de Terapia Ocupacional |
Texto Completo: | https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3214 |
Resumo: | Introduction: The Tailored Activity Program (TAP-BR) is an occupational therapy intervention program that presents promising results in reducing the behavioral and psychological symptoms of dementia (BPSD). Objectives: To propose adaptations to the TAP-BR to create an outpatient care version of this program and assess its impact and applicability. Methods: The TAP-BR was adapted for use and application in an outpatient care setting, and the applicability of this version was assessed according to the perception of occupational therapy interns and family caregivers. The Neuropsychiatric Inventory (NPI) and the Depression, Anxiety and Stress Scale (DASS 21) were used as outcome measures to evaluate the impact of the adapted version. Results: The following changes in the application process of the TAP-BR were proposed for its outpatient format: adaptation of terms in the Intervention Manual and in the Documentation Folder; adequacy of the environmental assessment to be carried out based on an interview with the caregiver; reduction in session duration from 90 to 60 min. From the point of view of the interns and family caregivers, the program can be easily applied. The outcome measures showed that there was improvement in caregiver distress in relation to the BPSD of the older persons with dementia (Cohen’s d=0.49) and in their emotional state (Cohen’s d=0.59), especially regarding the variable depression (Cohen’s d=0.81). Conclusion: The outpatient version of TAP-BR can be easily applied, has a positive impact on reducing the BPSD in older people, and improves the emotional state of caregivers, with emphasis on the variable depression. |
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Tailored Activity Program (TAP-BR): proposition of an outpatient care version and evaluation of its impacts on dementia - A pilot studyPrograma Personalizado de Atividades (TAP-BR): proposição de uma versão ambulatorial e avaliação dos seus impactos na demência - Estudo pilotoIntroduction: The Tailored Activity Program (TAP-BR) is an occupational therapy intervention program that presents promising results in reducing the behavioral and psychological symptoms of dementia (BPSD). Objectives: To propose adaptations to the TAP-BR to create an outpatient care version of this program and assess its impact and applicability. Methods: The TAP-BR was adapted for use and application in an outpatient care setting, and the applicability of this version was assessed according to the perception of occupational therapy interns and family caregivers. The Neuropsychiatric Inventory (NPI) and the Depression, Anxiety and Stress Scale (DASS 21) were used as outcome measures to evaluate the impact of the adapted version. Results: The following changes in the application process of the TAP-BR were proposed for its outpatient format: adaptation of terms in the Intervention Manual and in the Documentation Folder; adequacy of the environmental assessment to be carried out based on an interview with the caregiver; reduction in session duration from 90 to 60 min. From the point of view of the interns and family caregivers, the program can be easily applied. The outcome measures showed that there was improvement in caregiver distress in relation to the BPSD of the older persons with dementia (Cohen’s d=0.49) and in their emotional state (Cohen’s d=0.59), especially regarding the variable depression (Cohen’s d=0.81). Conclusion: The outpatient version of TAP-BR can be easily applied, has a positive impact on reducing the BPSD in older people, and improves the emotional state of caregivers, with emphasis on the variable depression.Introdução: O Programa Personalizado de Atividades (TAP-BR) é um programa de intervenção em terapia ocupacional que apresenta resultados promissores na redução dos sintomas comportamentais e psicológicos da demência (SCPD). Objetivos: Propor adaptações no TAP-BR para a criação de uma versão ambulatorial desse programa e avaliar o impacto e a sua aplicabilidade. Métodos: O TAP-BR foi adaptado para uso e aplicação em ambulatório e foi feita a avaliação da aplicabilidade dessa versão a partir da percepção dos estagiários do último ano do curso de graduação em terapia ocupacional e dos cuidadores familiares. O Inventário Neuropsiquiátrico (INP) e a Escala de Depressão, Ansiedade e Estresse (DASS 21) foram utilizados para avaliar o impacto da versão adaptada. Resultados: Foram propostas as seguintes alterações no processo de aplicação do TAP-BR em ambulatório: adequações de termos no Manual de Intervenção e na Pasta de Documentação; adequação da avaliação ambiental a ser realizada a partir de entrevista com o cuidador; redução na duração das sessões, de 90 para 60 minutos. Na visão dos estagiários e cuidadores familiares, o programa se apresentou de fácil aplicação. As medidas apontaram que houve melhora no desgaste dos cuidadores em relação aos SCPD dos idosos (Cohen d=0,49) e em seu estado emocional (Cohen d=0,59), principalmente para a variável depressão (Cohen d=0,81). Conclusão: A versão ambulatorial do TAP-BR é um programa de fácil aplicação, com impacto positivo na redução dos SCPD nos idosos e melhora no estado emocional dos cuidadores, com ênfase na variável depressão.Brazilian Journal of Occupational TherapyCuadernos Brasilenos de Terapia OcupacionalCadernos Brasileiros de Terapia Ocupacional2022-07-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3214Brazilian Journal of Occupational Therapy; Vol. 30 (2022); e3214Cuadernos Brasilenos de Terapia Ocupacional; Vol. 30 (2022); e3214Cadernos Brasileiros de Terapia Ocupacional; v. 30 (2022); e32142526-8910reponame:Cadernos Brasileiros de Terapia Ocupacionalinstname:Universidade Federal de São Carlos (UFSCAR-DTO)instacron:UFSCARporenghttps://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3214/3662https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3214/3663Copyright (c) 2022 Cadernos Brasileiros de Terapia Ocupacionalhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFrancisco, Isabela da CostaPereira, Gabrielle ChristineNovelli, Marcia Maria Pires Camargo2022-10-05T12:00:20Zoai:ojs.www.cadernosdeterapiaocupacional.ufscar.br:article/3214Revistahttp://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/indexPUBhttps://old.scielo.br/oai/scielo-oai.phpcadto@ufscar.br||cadto@ufscar.br2526-89102526-8910opendoar:2022-10-05T12:00:20Cadernos Brasileiros de Terapia Ocupacional - Universidade Federal de São Carlos (UFSCAR-DTO)false |
dc.title.none.fl_str_mv |
Tailored Activity Program (TAP-BR): proposition of an outpatient care version and evaluation of its impacts on dementia - A pilot study Programa Personalizado de Atividades (TAP-BR): proposição de uma versão ambulatorial e avaliação dos seus impactos na demência - Estudo piloto |
title |
Tailored Activity Program (TAP-BR): proposition of an outpatient care version and evaluation of its impacts on dementia - A pilot study |
spellingShingle |
Tailored Activity Program (TAP-BR): proposition of an outpatient care version and evaluation of its impacts on dementia - A pilot study Francisco, Isabela da Costa |
title_short |
Tailored Activity Program (TAP-BR): proposition of an outpatient care version and evaluation of its impacts on dementia - A pilot study |
title_full |
Tailored Activity Program (TAP-BR): proposition of an outpatient care version and evaluation of its impacts on dementia - A pilot study |
title_fullStr |
Tailored Activity Program (TAP-BR): proposition of an outpatient care version and evaluation of its impacts on dementia - A pilot study |
title_full_unstemmed |
Tailored Activity Program (TAP-BR): proposition of an outpatient care version and evaluation of its impacts on dementia - A pilot study |
title_sort |
Tailored Activity Program (TAP-BR): proposition of an outpatient care version and evaluation of its impacts on dementia - A pilot study |
author |
Francisco, Isabela da Costa |
author_facet |
Francisco, Isabela da Costa Pereira, Gabrielle Christine Novelli, Marcia Maria Pires Camargo |
author_role |
author |
author2 |
Pereira, Gabrielle Christine Novelli, Marcia Maria Pires Camargo |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Francisco, Isabela da Costa Pereira, Gabrielle Christine Novelli, Marcia Maria Pires Camargo |
description |
Introduction: The Tailored Activity Program (TAP-BR) is an occupational therapy intervention program that presents promising results in reducing the behavioral and psychological symptoms of dementia (BPSD). Objectives: To propose adaptations to the TAP-BR to create an outpatient care version of this program and assess its impact and applicability. Methods: The TAP-BR was adapted for use and application in an outpatient care setting, and the applicability of this version was assessed according to the perception of occupational therapy interns and family caregivers. The Neuropsychiatric Inventory (NPI) and the Depression, Anxiety and Stress Scale (DASS 21) were used as outcome measures to evaluate the impact of the adapted version. Results: The following changes in the application process of the TAP-BR were proposed for its outpatient format: adaptation of terms in the Intervention Manual and in the Documentation Folder; adequacy of the environmental assessment to be carried out based on an interview with the caregiver; reduction in session duration from 90 to 60 min. From the point of view of the interns and family caregivers, the program can be easily applied. The outcome measures showed that there was improvement in caregiver distress in relation to the BPSD of the older persons with dementia (Cohen’s d=0.49) and in their emotional state (Cohen’s d=0.59), especially regarding the variable depression (Cohen’s d=0.81). Conclusion: The outpatient version of TAP-BR can be easily applied, has a positive impact on reducing the BPSD in older people, and improves the emotional state of caregivers, with emphasis on the variable depression. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-07-11 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3214 |
url |
https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3214 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3214/3662 https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3214/3663 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Cadernos Brasileiros de Terapia Ocupacional https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Cadernos Brasileiros de Terapia Ocupacional https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Brazilian Journal of Occupational Therapy Cuadernos Brasilenos de Terapia Ocupacional Cadernos Brasileiros de Terapia Ocupacional |
publisher.none.fl_str_mv |
Brazilian Journal of Occupational Therapy Cuadernos Brasilenos de Terapia Ocupacional Cadernos Brasileiros de Terapia Ocupacional |
dc.source.none.fl_str_mv |
Brazilian Journal of Occupational Therapy; Vol. 30 (2022); e3214 Cuadernos Brasilenos de Terapia Ocupacional; Vol. 30 (2022); e3214 Cadernos Brasileiros de Terapia Ocupacional; v. 30 (2022); e3214 2526-8910 reponame:Cadernos Brasileiros de Terapia Ocupacional instname:Universidade Federal de São Carlos (UFSCAR-DTO) instacron:UFSCAR |
instname_str |
Universidade Federal de São Carlos (UFSCAR-DTO) |
instacron_str |
UFSCAR |
institution |
UFSCAR |
reponame_str |
Cadernos Brasileiros de Terapia Ocupacional |
collection |
Cadernos Brasileiros de Terapia Ocupacional |
repository.name.fl_str_mv |
Cadernos Brasileiros de Terapia Ocupacional - Universidade Federal de São Carlos (UFSCAR-DTO) |
repository.mail.fl_str_mv |
cadto@ufscar.br||cadto@ufscar.br |
_version_ |
1797688313122914304 |