Efficacy of Activities of Daily Living Skill Training Using Motessori-Based Activties in Elderly with Early Stage Dementia

Abstract

Abstract
Objective: To compare ADL scores of elderly with early stage dementia who had attended Activities of Daily Living (ADL) skill training using Montessori-based activities with those who
had not.
Method: A quasi experimental study was conducted with Solomon Four Groups design experiment. The subjects consisted of 32 elderly living in Bang-Lamung senior home aged from 63-94 who met the inclusion criteria. They were diviecl into 2 qroups with 16 participants in each group then subgroup of 8 participants were selected to receive intervention and the controls were not. The screening instruments include mini mental status exam (MMSE-T2002) and
Thai Geriatric Depression Scale (TGDS). Activities of Daily Living (ADL) scores of each subject were measured against Chula ADL index. The post test score was measured at the end of the
4th week, then the intervention was decreased and the follow-ups were measured at the end of the 8th and the 12th week. The data obtained was analyzed for descriptive statistics and the
average ADL scores were compared by means of t-test and ANOVA.
Results: The results showed that the average ADL pre-test scores of both groups were indifferent. The experimental groups average ADL scores of the post-test increased by 0.62 and the first follow up increased by 0.25 which are statistically significant at the level of p<0.05.
Conclusion: Activities of Daily Living training using Montessori-based activities is effective in increasing ADL scores. It is recommended to be used as the activities for elderly with early stage dementia.