Skill-building through Task-Oriented Motor Practice (STOMP) intervention for activities of daily living: study protocol for a randomized, single blinded clinical trial

Clinical Trials in Degenerative Diseases
Carrie A CiroLinda A Hershey

Abstract

Progressive disability in activities of daily living (ADL) is inevitable for people with Alzheimer's disease and related dementias (ADRD). Attempts to slow or prevent ADL disability have been unsuccessful despite making progress in behavioral training methods. Missing from this research is an emphasis on how we maximize a patient's engagement during training and the rigorous examination of implementation protocols (dosing and training methods) which may advantage learning in people with ADRD. Our team addressed this gap with the development of the STOMP (Skill-building through Task-Oriented Motor Practice) intervention which creates methods for obtaining ADL goals that support "personhood" and tests high-intensity protocols that appear to advantage learning and sustained learning over time. Through this study, we aim to evaluate differential outcomes by dose levels as well as assess the moderating effects of attention to task during training. Randomized-controlled trial with 32 participants with dementia assigned to either the original, intensive STOMP protocol (3 hours/day, 5 days/week for 2 weeks) or a less-intensive STOMP protocol (1 hour/day, 2 days/week for 2 weeks) delivered by an occupational therapy assistant in the hom...Continue Reading

References

Apr 1, 1990·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·M LawN Pollock
Mar 30, 2006·The Journal of Head Trauma Rehabilitation·Rema Lillie, Catherine A Mateer
Jun 9, 2007·Journal of Neural Transmission·F E Shaw
Aug 24, 2013·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Carrie A CiroDavid Garrison
Dec 24, 2013·BMC Nursing·Kari Lislerud Smebye, Marit Kirkevold
May 23, 2014·The Nursing Clinics of North America·Carrie A Ciro
May 20, 2015·Alzheimer's & Dementia : the Journal of the Alzheimer's Association·UNKNOWN Alzheimer’s Association

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