Individualized Cognitive-Based Intervention to Support Aging in Place for the Elderly With Dementia: Case Study Based on ICF Framework

Abstract

In this study, based on the ICF framework, the effect of cognitive-based interventions on the support of the elderly with dementia was evaluated. Individualized cognitive-based interventions were provided to three elderlies with relapsed dementia, for a total of 20 sessions twice a week at a local senior center and at home. Individualized cognitive-based interventions include general cognitive stimulation activities conducted in groups or individually, cognitive training using workbooks or computerized tools to maintain and enhance specific cognitive functions, tasks of subjects' cognitive rehabilitation, and life story book- making activities to modify the environment and train daily life activities by analyzing the needs and priorities of the people. Task performance and satisfaction with goal activities related to daily life and basic daily life performance improved in all three patients. There were positive changes in instrumental daily living activities, cognitive function, subjective memory complaints, depression, severity of BPSD, and general health in two out of three patients. To support aging in elderly with dementia, interventions targeting environmental factors that affect participation in daily activities and improve cognitive function should be implemented.