Author: Fung, Ka Man Jo Kamen
Title: Management of behavioural and psychological symptoms of dementia (BPSD) by complementary and alternative medicine (CAM) approaches
Advisors: Tsang, Hector (RS)
Degree: M.Phil.
Year: 2017
Subject: Hong Kong Polytechnic University -- Dissertations
Dementia -- Patients -- Treatment
Massage therapy
Department: Department of Rehabilitation Sciences
Pages: viii, 163 pages : color illustrations
Language: English
Abstract: Background: The behavioural and psychological symptoms of dementia (BPSD) remain a major health problem and cause tremendous stress among older adults and caregivers, thereby impeding the healthcare system and increasing the cost burden on the community. Literature review: Aromatherapy, therapeutic massage, and acupressure have received independent support in the literature; however, the quality of evidence is not high. Moreover, the synergistic effects of these three treatment modalities when combined are unknown. Development of an intervention protocol: A complementary and alternative medicine protocol (i.e., the a roma-massage with acupressure protocol) was developed, which combined these three treatments based on the opinions of selected experts and information provided in the literature. The feasibility and safety of this protocol were assessed in a feasibility study with a small group of older adults with dementia. The results show that the protocol is safe and easy to administer. The pilot RCT: A pilot randomized control trial (RCT) with adequate concealment in subject allocation, valid outcome assessments, a sample size based on an effect size calculation, and an intention-to-treat analysis was conducted to evaluate the immediate clinical effectiveness of this new intervention protocol in the management of BPSD and its effect six months after treatment completion. We also investigated the enhancing effect of the protocol on cognitive training, which is regarded as the active control. The results indicated positive effects in reducing the severity and distress of BPSD as assessed at the 3-month follow-up, and the positive effects remained unchanged at the 6-month follow-up. A continual improvement in the MMSE scores was noted. No adverse side effects were observed. The findings supported the safety, clinical efficacy and effectiveness of the aroma-massage with acupressure protocol as an adjunct intervention for BPSD.
Rights: All rights reserved
Access: open access

Files in This Item:
File Description SizeFormat 
991022019999003411.pdfFor All Users2.63 MBAdobe PDFView/Open

Copyright Undertaking

As a bona fide Library user, I declare that:

  1. I will abide by the rules and legal ordinances governing copyright regarding the use of the Database.
  2. I will use the Database for the purpose of my research or private study only and not for circulation or further reproduction or any other purpose.
  3. I agree to indemnify and hold the University harmless from and against any loss, damage, cost, liability or expenses arising from copyright infringement or unauthorized usage.

By downloading any item(s) listed above, you acknowledge that you have read and understood the copyright undertaking as stated above, and agree to be bound by all of its terms.

Show full item record

Please use this identifier to cite or link to this item: