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14/05/2011

The Tailored Activity Program to Reduce Behavioral Symptoms in Ind

Purpose: The Tailored Activity Program (TAP) is a home-based occupational therapy intervention shown to reduce behavioral symptoms and caregiver burden in a randomized trial. This article describes TAP, its assessments, acceptability, and replication poten-
tial.        
Design and Methods:TAP involves 8 sessions for a period of 4 months. Interventionists identify preserved capabilities, previous roles, habits, and interests of individuals with dementia; develop activities customized to individual pro?  les; and train
families in activity use. Interventionists documentedtime spent and ease conducting assessments, and observed receptivity of TAP. For each implemented prescribed activity, caregivers reported the amount of time their relative spent in activity and perceived
bene?ts.        
Results:The TAP assessment, a combi-nation of neuropsychological tests, standardized
performance-based observations, and clinical interviewing, yielded information on capabilities from which to identify and tailor activities. Assessments were easy to administer, taking an average of two 1-hr sessions. Of 170 prescribed activities, 81.5% were used, for an average of 4 times for 23 min by families between treatment sessions for a period of
months. Caregivers reported high con?  dence in using activities, being less upset with behavioral symptoms (86%), and enhanced skills (93%) and personal control
(95%). Interventionists  observed enhanced engagement (100%) and pleasure (98%) in individuals with dementia during sessions.       
 Implications:   TAP offers families knowledge of their relative's capabilities
and easy-to-use activities. The program was well received by caregivers. Prescribed activities appeared to be pleasurable and engaging to individuals with dementia. TAP merits further evaluation to establish ef?  cacy with larger more diverse populations and consideration as a nonpharmacological approach to manage behavioral symptoms.     

Fonte: The Gerontologist
Autor: Laura N. Gitlin et al
gerontologist.oxfordjournals.org/content/49/3/428.short