Page 190 - Hospital Authority Convention 2017

Parallel Sessions
HOSPITAL AUTHORITY CONVENTION 2017

PS8.4 Technology Advancement and Innovation 10:45 Room 423 & Room 424

“The newHABIT Programme” – a New and Effective Multi-disciplinary Programme for Psychogeriatric Day
Patient with Mild Cognitive Impairment
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Kwok ICY , Wong L , Wu AYK , Lui SF , Kong SWC , Lo SY , Leung PKM , Wong FPY , Chan WWW , Fung EML , Ng GMC ,
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Tang CKH , Wong OP 6
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1 Department of Clinical Psychology, Department of Psychiatry, Psychogeriatric Day Hospital, Physiotherapy Department,
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4 Dietetics Department, Occupational Therapy Department, Medical Social Service, Pamela Youde Nethersole Eastern
Hospital, Hong Kong
Introduction
Mild cognitive impairment (MCI) is a transitional state between normal cognitive decline in old age and dementia. “The
newHABIT Programme” is a 12-week of 1.5 hour weekly structured multi-disciplinary programme tailored to older adults with
MCI or early stage of dementia, and their respective caregivers. Five intervention groups conducted by psychogeriatric team,
including psychiatrist, clinical psychologist, psychiatric nurse, physiotherapist, dietitian, occupational therapist, and medical
social worker, were held in Psychogeriatric Day Hospital (PGDH) between 2014 and 2016.
Objective
To examine the effectiveness of “the newHABIT Programme” on changing memory-related behaviours, emotions and
perceptions amongst psychogeriatric day-patients with MCI.
Methodology
43 elderly patients with MCI or early stage of dementia and 20 caregivers were recruited in five intervention programmes.
Patients were required to complete the Patient Health Questionnaire (PHQ-9), Multifactorial Metamemory Questionnaire
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(MMQ; Contentment Subscale, Ability Subscale and Strategy Subscale) at three time spots (during intake, the 5 and the
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12 sessions), while caregivers were asked to complete the Chinese Version of the Modified Caregivers Strain Index during
session 10.
Results
Data of 43 patients were analysed. 72.1% of patients were female. 53.5% of them aged 70 or above and 72% of them with
education level of secondary school or above. Satisfaction with memory abilities significantly increased from 40.8% to 57.5%
(p<0.001) while frequency of adopting memory strategies improved from 38.8% to 52.2% (p<0.001) between intake and the
12 session. Everyday memory functioning significantly improved from 54.8% to 61.4% (p=0.004), which implies patients
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made less memory mistakes. Depression score was significantly reduced from 8.1 to 4.6 after the 12 sessions (p<0.001).
Low caregiver strain was indicated amongst caregivers during group sessions. All patients and caregivers were satisfied with
the programme.
Conclusions
“The newHABIT programme” demonstrated treatment efficacy in enhancing memory-related behavioural, emotional and
Wednesday, 17 May
perceptual changes among psychogeriatric day-patients.

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