Youtube for Dementia

7/29/2019 Youtube for Dementia

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Multi-media as a useful aid

for reminiscence therapy indementia



Aims

• Discuss the role of reminiscence therapy

(RT) in dementia care

• Address the novel approach of using

multi-media as an aid for RT



The act or process of recalling past experiences and

events

Types of RT

• Individualised or group participation• Use personal or general prompts/stimuli

• With or without the inclusion of familial caregivers



•

11 participants• MMSE scores ranging from 23-9

• Compared a computerised multi-media touch

screen tool (CIRCA) with traditional reminiscence

therapy (TRAD)

• 2 x 20 minute one-to-one sessions

The use of multi-media

Verbal measures Non-verbal measuresPerson with dementia Initiation Music

Choosing with prompt Pointing to draw attention

Caregiver Prompting Laughter

Conversational maintenance

activities

Direction of eye gaze



ResultsCIRCA sessions

• Persons with dementia were offered more of a choice by the

caregiver and subsequently made more choices

• Greater level of engagement with the stimuli

TRAD sessions

• Caregivers spent more time engaged in conservational

maintenance activities

• Lower levels of initiation

• Lower levels of engagement from both with the stimuli



The advantages of using YouTube

• Internet sharing website which has unlimited

electronic storage

• Wide-range of subject matter and can be

accessed by anyone at anytime

• Flexible(Play, Pause, Switch)



Eligibility Criteria

Inclusion Criteria: Exclusion Criteria:

Patients with dementia(DSM IV) Patients with acute/major physical illness

MMSE between 13-22 Patients with depression(GDS>4)

Capacity to communicate as determined

by Functional Linguistic Communication

Inventory(FLCI)

Learning disability

Available for 6 weeks



Methods

• 12 sessions- biweekly for 6 weeks

• Last for 45 to 60 minutes

•

Content based on the Social InterestQuestionnaire (SIQ) completed by family

members

•

Discussion about the video clip• Facilitated by SALT or OT





Result-Quantitative Analysis

Gender AgePre-

MMSEPost-MMSE

Pre-FLCI

Post-FLCI

Numbersessionsattended

1 M 65 22 21 47 76 12

2 M 83 20 18 77 77 12

3 F 84 20 24 71 – 8

4 M 56 19 17 56 63 12

5 M 76 13 17 68 70 12

6 M 72 13 18 46 55 5



Result-Qualitative Analysis

• Semi-structure interview with participants

• Thematic analysis

•

Two independent observers review andconcur the data to achieve inter-rater

reliability



Perceived Patient Outcomes

• Improved wellbeing and mood

– “I like the music, that’s the reason I go over, I don’t know the words, it’s a lovely sound”

• Improved communication and interaction

– “Good to talk to others”

• Improved quality of life as an inpatient – “It is a terrific thing! Fantastic! You would be tapping

your foot”



Limitations

• Small sample size

• No control group



Conclusion

• Flexible and interactive way to administer RT

• Large controlled study with blinded assessors

•

Cost effectiveness of this type of RT comparedto others.



References

• Astell A, Ellis M, Bernardi L, Alm N, Dye R, Gowans G, Campbell J. Using a

touch screen computer to support relationships between people withdementia and caregivers. Interacting with Computers. 2010 :22; 267 –275

• National Institute for Health and Clinical Excellence 2011. Dementia

Supporting people with dementia and their carers in health and social care.CG42.London: National Institute for Health and Clinical Excellence

• O'Rourke J, Tobin F, O'Callaghan S, Sowman R, Collins D. ‘YouTube’: a useful

tool for reminiscence therapy in dementia? Age and Ageing. 2011;40(6):742-4.

• Woods B, Spector AE, Jones CA, Orrell M, Davies SP. Reminiscence therapy fordementia. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.:CD001120. DOI: 10.1002/14651858.CD001120.pub2.

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Youtube for Dementia