Publications by authors named "A Kudlicka"
Cognitive rehabilitation for people with mild to moderate dementia.
Cochrane Database Syst Rev
June 2023
Article Synopsis
- Cognitive rehabilitation (CR) is a personalized approach designed to help people with mild-to-moderate dementia maintain their independence and manage daily activities.
- The study aimed to assess the impact of CR on the everyday functioning of individuals with dementia, as well as any effects on their care partners, while also exploring factors that influence the success of CR.
- The analysis included six randomized controlled trials with 1,702 participants, primarily consisting of elderly individuals with Alzheimer's, and found a low risk of bias in the studies, indicating reliable results.
Article Synopsis
- The study aimed to implement the GREAT Cognitive Rehabilitation intervention for people with mild-to-moderate dementia in community services, based on previous successful trials.
- Key strategies included training staff, establishing leadership, and collaborative planning across 14 organizations, with support and adjustments made for 11 of them during a 12-month period.
- Despite challenges from COVID-19, the intervention showed positive outcomes in goal attainment and was well-received by participants, though organizational barriers were noted that could hinder long-term sustainability.
Objectives: Healthcare is often delivered through complex interventions. Understanding how to implement these successfully is important for optimising services. This article demonstrates how the complexity theory concept of 'self-organisation' can inform implementation, drawing on a process evaluation within a randomised controlled trial of the GREAT (oal-oriented cognitive ehabilitation in arly-stage lzheimer's and related dementias: a multi-centre single-blind randomised controlled rial) intervention which compared a cognitive rehabilitation intervention for people with dementia with usual treatment.
View Article and Find Full Text PDFCognitive rehabilitation for people living with early-stage dementia improves functional ability in areas targeted in the therapy, but little is known about how participants experience this intervention. This qualitative paper investigates participants' views about a cognitive rehabilitation intervention in a randomized controlled trial (the GREAT trial) and aims to help explain and interpret the findings and to inform further intervention development. Using in-depth thematic analysis, 43 semi-structured interviews (35 individual and 8 dyadic) were conducted with 25 people living with dementia and 26 family carers from three sites.
View Article and Find Full Text PDFBackground: Cognitive rehabilitation (CR) is an individualised, person-centred intervention for people with mild to moderate dementia that addresses the impact of cognitive impairment on everyday functioning.
Objectives: To determine whether or not CR is a clinically effective and cost-effective intervention for people with mild to moderate Alzheimer's disease or vascular or mixed dementia, and their carers.
Design: This multicentre randomised controlled trial compared CR with treatment as usual (TAU).