부산대학교 도서관

Objectives: The positive effects of reality orientation therapy and errorless learning theory on people with dementia have been well established, but such research has rarely been performed in Taiwan. In this study, we developed a reality orientation program incorporating errorless learning (ROEL) for older adults with dementia and implemented it in day-care centers. Our objectives were to evaluate the immediate and follow-up effects of the program. Method: A quasi-experimental design was employed. The treatment group (n=10) participated in ROEL, and the control group (n=10) participated in general group activities. After 14 twice-weekly group sessions, we evaluated the effects of the program. Results: Analysis of covariance was used to analyze Montreal cognitive assessment (MOCA), geriatric depression scale, quality of life in Alzheimer disease (QoL-AD), and Kihon checklist results. Significant improvements were observed in cognition (MOCA) and quality of life (QoL-AD) for the treatment group relative to the control group (p＜0.05). After 3 months, the QoL-AD follow-up results still indicated improvement relative to the controls. Conclusion: The ROEL improved the cognition and quality of life of people with dementia in day-care settings in Taiwan. A large randomized controlled trial is now required to validate these results.