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The efficacy of a volunteer-administered cognitive stimulation program in long-term care homes

Published online by Cambridge University Press:  25 January 2016

Lorraine van Zon ,
John R. Kirby  and
Nicole Anderson
Lorraine van Zon*
Affiliation:
Faculty of Education, Queen's University, Duncan McArthur Hall, Kingston, Ontario K7M 5R7, Canada
John R. Kirby
Affiliation:
Faculty of Education, Queen's University, Duncan McArthur Hall, Kingston, Ontario K7M 5R7, Canada
Nicole Anderson
Affiliation:
Rotman Research Institute, University of Toronto & Baycrest, Baycrest Hospital 3560 Bathurst Street Toronto, Ontario M6A 2E1, Canada
*
Correspondence should be addressed to: Lorraine van Zon, Program Coordinator, Faculty of Education, Queen's University, Duncan McArthur Hall, Kingston, Ontario K7M 5R7, Canada. Phone: 416-993-4800. Email: [email protected].
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Abstract

Background:

Cognitive impairment (CI) that arises in some older adults limits independence and decreases quality of life. Cognitive stimulation programs delivered by professional therapists have been shown to help maintain cognitive abilities, but the costs of such programming are prohibitive. The present study explored the feasibility and efficacy of using long-term care homes' volunteers to administer a cognitive stimulation program to residents.

Methods:

Thirty-six resident participants and 16 volunteers were alternately assigned to one of two parallel groups: a control group (CG) or stimulation group (SG). For eight weeks, three times each week, CG participants met for standard “friendly visits” (casual conversation between a resident and volunteer) and SG participants met to work through a variety of exercises to stimulate residents’ reasoning, attention, and memory abilities. Resident participants were pre- and post-tested using the Weschler Abbreviated Scale of Intelligence–Second Edition, Test of Memory, and Learning-Senior Edition, a modified Letter Sorting test (LS), Clock Drawing Test (CDT), and the Action Word Verbal Fluency Test.

Results:

Two-way analyses of covariance (ANCOVA) controlling for dementia diagnosis indicated statistically greater improvements in the stimulation participants than in the control participants in Immediate Verbal Memory, p = 0.011; Non-Verbal Memory, p = 0.012; Learning, p = 0.016; and Verbal Fluency, p = 0.024.

Conclusions:

The feasibility and efficiency of a volunteer-administered cognitive stimulation program was demonstrated. Longitudinal studies with larger sample sizes are recommended in order to continue investigating the breadth and depth volunteer roles in the maintenance of the cognitive abilities of older adults.

Keywords

cognitive stimulationcognitive impairmentlong-term care homesvolunteers
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 6 , June 2016 , pp. 995 - 1004
Copyright
Copyright © International Psychogeriatric Association 2016 

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References

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th edn. Washington, DC: Author.Google Scholar
Anderson, N. D. et al. (2014). The protective benefits of volunteering against functional decline and dementia: a critical review and recommendations for future research. Psychological Bulletin, 140, 1411–1431. doi: 10.1037/a0037610.CrossRefGoogle Scholar
Arkin, S. M. (1996). Volunteers in partnership: an Alzheimer's rehabilitation program delivered by students. American Journal of Alzheimer Disease and Other Dementias, 11, 12–22. doi: 10.1177/153331759601100103.CrossRefGoogle Scholar
Cahill, S., Diaz-Ponce, A., Coen, R. and Walsh, C. (2010). The underdetection of cognitive impairment in nursing homes in the dublin area. The need for on-going cognitive assessment. Age & Ageing, 39, 128–131. doi: 10.1093/ageing/afp198.CrossRefGoogle ScholarPubMed
Canadian Institute for Health Information (2011). Health Care in Canada, 2011: A Focus on Seniors and Aging. Ottawa: Author.Google Scholar
De Oliveira, T. C. G. et al. (2014). Beneficial effects of multisensory and cognitive stimulation on age-related cognitive decline in long-term-care institutions. Clinical Interventions in Aging, 9, 309–321. doi: 10.2147/CIA.554383.Google ScholarPubMed
Dias de Macedo, L. D. E. et al. (2015). Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up. Clinical Interventions in Aging, 10, 1351–1360. doi: 10.2147/CIA.580997.Google Scholar
Eggins, W., Gustafsson, L. and Cooke, D. (2010). Inter-rater reliability of the clock drawing task in the occupational therapy adult perceptual screening test. British Journal of Occupational Therapy, 73, 77–83. doi: 10.4276/030802210X12658062793889.CrossRefGoogle Scholar
Fogler, J. and Stern, L. (1988). Improving your Memory: How to Remember What You're Starting to Forget. Baltimore, MD: The Johns Hopkins University Press.Google Scholar
Foster, R. (2004). Daily Paragraph Editing. Monterey, CA: Evan-Moor Educational Publishers.Google Scholar
Gross, A. L. et al. (2012). Parallel but not equivalent: challenges and solutions for repeated assessment of cognition over time. Journal of Clinical and Experimental Neuropsychology, 34, 758–772. doi: 10.1080/13803395.2012.681628.CrossRefGoogle Scholar
Hart, R. P. and Bean, M. K. (2010). Executive function, intellectual decline and daily living skills. Aging, Neuropsychology, and Cognition, 18, 64–85. doi: 10.1080/13825585.2010.510637.CrossRefGoogle ScholarPubMed
Holmberg, S. K. (1997). Evaluation of a clinical intervention for wanderers on a geriatric nursing unit. A volunteer-assisted intervention for wandering: the evening walker's group. Psychiatric Nursing, 11, 21–28. doi: 10.1016/S0883-9417(97)80046-5.CrossRefGoogle Scholar
Inouye, S. K. et al. (1999). A multicomponent intervention to prevent delirium in hospitalized older patients. New England Journal of Medicine, 340, 669–676. doi: 10.1056/NEJM199903043400901.CrossRefGoogle ScholarPubMed
Kaiser, K., Romero-Davis, K., Schott, D. and Yacono, C. (2008). Cards: Attention. East Moline, IL: Linguisystems, Inc.Google Scholar
Leopold, N. A. and Borson, A. J. (1997). The alphabetical ‘WORLD’: a new version of an old test. Neurology, 49, 1521–1524.CrossRefGoogle ScholarPubMed
Luttenberger, K., Donath, C., Uter, W. and Graessel, E. (2012). Effects of multimodal nondrug therapy on dementia symptoms and need for care in nursing home residents with degenerative dementia: a randomized-controlled study with 6-month follow-up. Journal of the American Geriatric Society, 60, 830–840. doi: 10.1111/j.152-5415.2012.03938.x.CrossRefGoogle Scholar
Manos, P. J. and Wu, R. (1994). The ten point clock test: a quick screen and grading method for cognitive impairment in medical and surgical patients. International Journal of Psychiatry in Medicine, 24, 229–244.CrossRefGoogle ScholarPubMed
Mendez, M. F., Ala, T. and Underwood, K. L. (1992). Development of scoring criteria for the clock drawing task in Alzheimer's disease. Journal of the American Geriatrics Society, 40, 1095–1099. doi: 10.1111/j.1532-5415.1992.tb01796.x.CrossRefGoogle ScholarPubMed
PAPP International (2012). Large Print Word Hunt. Montreal, Quebec: PAPP International Inc.Google Scholar
Reynolds, C. R. and Voress, J. K. (2012). Test of Memory and Learning – Senior Edition Examiner's Manual. Austin, TX: PRO-ED Inc.Google Scholar
Rouleau, I., Salmon, D. P., Butters, N., Kennedy, C. and McGuire, K. (1992). Quantitative and qualitative analyses of clock drawings in Alzheimer's and Huntington's disease. Brain Cognition, 18, 70–87. doi: 10.1016/0278-2626(92)90112-Y.CrossRefGoogle ScholarPubMed
Shulman, K. I., Gold, D. P., Cohen, C. A. and Zucchero, C. A. (1993). Clock drawing and dementia in the community: a longitudinal study. International Journal of Geriatric Psychiatry, 8, 487–496.CrossRefGoogle Scholar
Singh-Manoux, A. et al. (2012). Timing of onset of cognitive decline: results from whitehall II prospective cohort study. British Medical Journal, 344, d7622. doi: 10.1136/bmj.d7622.CrossRefGoogle ScholarPubMed
Tomlin, K. J. (2007a). Just for Adults: Deductions. East Moline, IL: Linguisystems, Inc.Google Scholar
Tomlin, K. J. (2007b). Workbook of Activities for Language and Cognition: Verbal and Visual Reasoning. East Moline, IL: Linguisystems, Inc.Google Scholar
Wechsler, D. (2011). Wechsler Abbreviated Scale of Intelligence – Second Edition Manual. Bloomington, MN: Pearson.Google Scholar
Woods, S. P., Aguirre, E., Spector, A. E. and Orrell, M. (2012). Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database of Systematic Reviews, 2 (Art. No.: CD005562). doi: 10.1002/14651858.CD005562.pub.2.Google Scholar
Woods, S. P. et al. (2005). Action (verb) fluency: test-retest reliability, normative standards, and construct validity. Journal of the International Neuropsychological Society, 11, 408–415, doi: 10.1017/S1355617705050460.CrossRefGoogle ScholarPubMed
Yacono, C., Schott, D., Romero-Davis, K., Kaiser, K. and Galajda, P. (2008). Cards: Memory. East Moline, IL: Linguisystems, Inc.Google Scholar