Reality orientation for dementia: A systematic review of the evidence of effectiveness from randomized controlled trials

Author(s): Davies, S., Woods, B., Orrell, M.

Journal/Book: Gerontologist. 2000; 40: 1275 K Street NW Suite 350, Washington, DC 20005-4006, USA. Gerontological Society Amer. 206-212.

Abstract: The effectiveness of classroom reality orientation (RO) in dementia was evaluated by conducting a systematic literature review. This yielded 43 studies, of which 6 were randomized controlled trials meeting the inclusion criteria (containing 125 subjects.) Results were subjected to meta-analysis. Effects on cognition and behavior were significant in favor of treatment (cognition standardized mean difference [SMD] = -0.59; 95% confidence interval [CI] -0.95--0.22; behavior SMD = -0.64, 95% CI = -1.20--0.08). The evidence indicates that RO has benefits on both cognition and behavior for dementia sufferers. However, a continued program may be needed to sustain potential benefits. Future research should evaluate RO in well-designed multicenter trials.

Note: Article Orrell M, Univ Coll London, Dept Psychiat & Behav Sci, Wolfson Bldg, 48 Riding House St, London W1N 8AA, ENGLAND

Keyword(s): memory impairment; Alzheimers; cognition; behavior; therapy; ELDERLY SUBJECTS; THERAPY; VALIDATION; DISEASE; SCALE

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