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© 1985 Oxford University Press

research-article

USE OF ENVIRONMENTAL MANIPULATION AND CLASSROOM AND MODIFIED INFORMAL REALITY ORIENTATION WITH INSTITUTIONALIZED, CONFUSED ELDERLY PATIENTS

WAYNE REEVE, Senior Programme Co-ordinator and DAVID IVISON, Senior Lecturer

Rozelle Hospital NSW 2039, Australia
Department of Psychology, The University of Sydney NSW 2006, Australia

The effectiveness of ‘classroom’ reality orientation (CRO) for confused elderly subjects was evaluated. Experimental groups 1 and 2 (each consisting of five subjects) received CRO for 1 month with only group 1 continuing with maintenance CRO for a further 2 months. Both experimental groups and the control group (10 subjects) received modified informal reality orientation (IRO) and environmental manipulation (EM) for all 3 months. All subjects were assessed prior to the start of the study and after 4 and 12 weeks of treatment on cognitive and behavioural measures.

Both experimental groups showed significant improvement on both cognitive and behavioural measures after 1 month compared with the controls. This improvement was maintained at 12 weeks for both experimental groups but there was a statistically significant difference only between group 1 and its matched controls.

accepted in revised form August 22, 1984.


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