Summary of the Systematic Review

Article Citation

Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Montessori-Based Interventions

Mahendra, N., Hopper, T., et al. (2006).
Journal of Medical Speech-Language Pathology, 14(1), xv-xxv.
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Sponsoring Body

Academy of Neurologic Communication Disorders and Sciences; American Speech-Language-Hearing Association; Department of Veterans Affairs

Article Quality Ratings

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Indicators of Review Quality

  • Yes The review states a clearly focused question/aim.
  • Yes Criteria for inclusion of studies are provided.
  • Yes Search strategy described in sufficient detail for replication.
  • Yes Included studies are assessed for study quality.
  • Yes Quality assessments are reproducible.
  • No Characteristics of the included studies are provided.

Quality Rating Notes

Inclusion Criteria: The inclusion criteria are not fully described (authors only presented information about excluded studies).

Article Details

Description

This is a review of experimental studies that investigated the use of Montessori-based interventions for individuals with Alzheimer's disease. This review is part of a series of reports from the Academy of Neurologic Communication Disorders and Science specific to the assessment and management of individuals with dementia.

Questions/Aims Addressed

  1. Who are the participants who received Montessori-based interventions? 
  2. What comprised the Montessori-based interventions? 
  3. What are the outcomes of Montessori-based interventions?
  4. What are key methodological concerns in implementing Montessori-based interventions? 
  5. Are there clinically applicable trends across studies in which Montessori methods were implemented?

Population

Individuals with dementia of the Alzheimer's type

Intervention/Assessment

Montessori-based interventions which focus on providing treatment in real life environments, progressing from simple to complex tasks broken down and completed in components with emphasis on auditory visual and tactile discrimination

Number of Studies Included

5

Years Included

1966-2002

Evidence Ratings for This Document

Classes of evidence are defined as follows: 
  • Class I: Evidence from one or more well-designed randomized controlled trial studies.
  • Class II: Evidence from one or more well designed observational studies (e.g. case-control studies, cohort studies).
  • Class III: Evidence from case series, case studies or expert opinion.

Conclusions from This Systematic Review

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Treatment

Findings from five studies support the use of Montessori-based interventions for individuals with Alzheimer's-related dementia. Montessori-based treatments may enhance cognitive-communication skills (e.g., engagement and participation in target activities, ability to participate in groups). However, little to no change in global cognitive function may be found. Further research is needed from well-designed studies to strengthen the research base (Class II and III Evidence).

Keywords: Diagnosis, Alzheimer’s Disease, Cognitive-Communication, Montessori-Based Treatments

Notes on This Article

Associated Article

Evidence-Based Practice Recommendations for Dementia: Educating Caregivers on Alzheimer's Disease and Training Communication Strategies
Read ASHA's Article Summary | Go to Article

Evidence-Based Practice Recommendations: Caregiver-Administered Active Cognitive Stimulation for Individuals with Alzheimer's Disease
Read ASHA's Article Summary | Go to Article

Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Spaced-Retrieval Training
Read ASHA's Article Summary | Go to Article

Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Simulated Presence Therapy
Read ASHA's Article Summary | Go to Article

Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Computer-Assisted Cognitive Interventions (CACIs)
Read ASHA's Article Summary | Go to Article

Evidence-Based Practice Recommendations for Working with Individuals with Dementia: Group Reminiscence Therapy
Read ASHA's Article Summary | Go to Article

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