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The British Journal of Psychiatry 138: 10-14 (1981)
© 1981 The Royal College of Psychiatrists

Reality orientation and dementia: a controlled trial of two approaches

IG Hanley, RJ McGuire and WD Boyd

Classroom Reality Orientation was investigated with a sample of dements drawn from a psychogeriatric hospital and an old people's home. Treatment effects were examined on a range of cognitive and behavioural measures, and compared with the effects of a specific behaviourally directed orientation training in the ward. Class RO improved cognitive functioning but not behaviour, irrespective of degree of dementia. Highly significant behavioural change was demonstrated for ward behaviour orientation training and this technique is not only cheaper but has potential in managing dements.


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