The Effects of Multimodal Cognitive Intervention Focused on Instrumental Activities of Daily Living(IADL) for the elderly with High-risk of Dementia : a Pilot Study

도구적 일상생활에 초점을 둔 복합인지중재 프로그램이 치매고위험군 노인에게 미치는 영향 : 예비연구

  • 박경영 (중원대학교 작업치료학과) ;
  • 신수정 (중원대학교 작업치료학과)
  • Received : 2019.03.27
  • Accepted : 2019.05.20
  • Published : 2019.05.28


The purpose of this study is to investigate the effect of the multimodal cognitive intervention focusing on instrumental daily life on the cognitive function, depression and quality of life of the elderly with high-risk of dementia. This study was conducted on 24 elderly people with high-risk of dementia who participated in cognitive rehabilitation program from March to June, 2018 in Chungbuk A region. The intervention was applied to cognitive training and creative activities related to instrumental daily life. MMSE-DS, Subjective Memory Complaints Questionnaire, Short Geriatric Depression Scale-Korean version and Geriatric quality of life - Dementia were performed before and after the intervention. We confirmed that the subjects showed significant improvement in Subjective Memory Complaints and Quality of Life, but showed no significant changes in cognitive function and depression after the intervention program. Through this study, it was confirmed that this program which can affect the real life of the elderly can be usefully applied in the community. In the future, it will be necessary to develop a program that utilizes more diverse instrumental activities of daily living.

JKOHBZ_2019_v9n5_210_f0001.png 이미지

Fig. 1. Process of Study

JKOHBZ_2019_v9n5_210_f0002.png 이미지

Fig. 2. Process of Multimodal intervention

Table 1. Contents of multimodal intervention focused on instrumental activities of Daily living

JKOHBZ_2019_v9n5_210_t0001.png 이미지

Table 2. General characteristics of participants

JKOHBZ_2019_v9n5_210_t0002.png 이미지

Table 3. Comparison of effects of multimodal cognitive intervention program

JKOHBZ_2019_v9n5_210_t0003.png 이미지


  1. National Institute of Dementia. (2019). Annual Report 2018. Seoul : National Institute of Dementia.
  2. World Health Organization. (2012). Dementia: A public health priority. Geneva, Switzerland: World Health Organization.
  3. S. Douglas, I. James & C. Ballard. (2004). Non-pharmacological interventions in dementia. Advances in Psychiatric Treatment, 10(3), 171-177. DOI : 10.1192/apt.10.3.171
  4. H. S. Kwak & J. H. Park. (2018). A systematic review of the application nonpharmacological cognitive interventions in patients with dementia. Journal of Korean Society of Occupational Therapy, 26(4), 13-26.
  5. American Occupational Therapy Association. (2010). Occupational therapy practice guidelines for adults with Alzheimer's disease and related disorders. Bethesda : AOTA Press.
  6. Seoul National University Bundang Hospital. (2009). Standardization of Dementia Diagnostics Tool(11-1351000-000589-01). Seoul : Ministry of Health and Welfare.
  7. J. A. Yesavage et. al. (1983). Development and validation of a geriatric depression screening scale : a prelinimary report. Journal of Psychiatric Research. 17(1), 37-49.
  8. M. J. Cho et. al. (1999). Validation of geriatric depression scale, korean version(GDS) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association, 38(1), 48-63.
  9. J. C. Youn et. al. (2009). Development of the subjective memory complaints questionnaire. Dementia and Geriatric Cognitive Disorders, 27(4), 310-317.
  10. H. S. Lee, D. K. Kim, H. J. Ko, H. M. Ku, E. J. Kwon & J. H. Kim. (2003). The standardization of geriatric quality of life scale. Korean Journal of Clinical Psychology, 22(4), 859-881.
  11. R. G. Logsdon, L. E. Gibbons, S. M. McCurry & L. Teri. (1999). Quality of life in Alzheimer's disease: patient and caregiver reports. Journal of Mental Health and Aging, 5(1), 21-32.
  12. WHOQOL Group. (1993). Study protocol for the World Health Organization project to develop a quality of life assessment instrument(WHOQOL). Quality of Life Research, 2(2), 153-159.
  13. S. K. Min, K. I. Kim, S. Y. Suh & D. K. Kim. (2000). Development of korean version of World Health Organization quality of life scale(WHOQOL). Journal of Korean Neuropsychiatric Association. 39(1), 78-88.
  14. L. Clare, R. T. Woods, E. D. Moniz Cook, M. Orrell & A. Spector. (2003). Cognitive rehabilitation and cognitive training for early-stage Alzheimer's disease and vascular dementia. Cochrane Database Systemic Review, 4, CD003260.
  15. E. Frank Lopresti, A. Mihailidids & N. Kirsch. (2004). Assistive technology for cognitive rehabilitation: State of the art. Neuropsychological Rehabilitation, 14(1/2), 5-39.
  16. L. S. Thomas. (2012). Stedman's Medical Dictionary For The Health Professions And Nursing, Hagerstown, MD: LippincottWilliams&Wilkins.
  17. Y. J. Lee, J. H. Lee, Y. J. Kim, N. Y. Yang & J. H. Park. (2014). The Effect of Multimodal Intervention on Quality of Life, Depression, and Cognitive Function in Elderly People With Dementia : A Pilot Study. Journal of Korean Society of Occupational Therapy, 22(3), 85-98. DOI : 10.14519/jkspt.2014.22.3.07
  18. H. J. Kim, C. Y. Lee, H. R. Jung, G. H. Lee & D. H. Kim. (2015). The effect of the multi intervention program applying to dementia elderly. Journal of Korean Society of Community Based Occupational Therapy, 5(2), 11-21. DOI : 10.18598/kchot.2015.05.02.02.
  19. W. S. Chang & S. B. Je. (2008). A comparative study on the effect of group reminiscence therapy and group validation therapy for the elderly with dementia. Journal of Welfare for the Aged, 44, 279-302. DOI : 10.21194/kjgsw..38.200712.157
  20. K. A. Go & Y. E. Kim. (2018). A study on the effectiveness of cognitive activity integration program designed for the aged with mild dementia. Journal of Digital Convergence. 16(2), 431-440.