Hi, your search found this article for you on Trip:

Review: reality orientation improves cognitive functioning and behaviour in dementia

Evidence-Based Mental Health, 1999

Review: reality orientation improves cognitive functioning and behaviour in dementia -- Rands 2 (1): 17 -- Evidence-Based Mental Health
Reality orientation for dementia: a review of the evidence of effectiveness (Cochrane Review, latest version 23 April 1998).
Question In elderly people with dementia, does reality orientation therapy improve behaviour and cognitive functioning?
Studies were identified by searching Medline (1966–97), PsycLIT (1974–97), EMBASE/Excerpta Medica, the Cochrane Database of Systematic Reviews, OMNI, BIDS, Dissertation Abstracts International (1861–1997), and SIGLE using the terms reality orientation, dementia, controlled study, and trial; searching relevant internet sites (Healthweb, Medweb, Mental Health Infosource, American Psychiatric Association, Internet Mental Health, and NHS Confederation); handsearching 6 journals and the Alzheimer's Disease Society library; reviewing bibliographies of identified articles; and contacting experts.
Studies were selected if they were randomised controlled trials evaluating the effectiveness of reality orientation in elderly people (mean age >55 y) with a diagnosis of dementia according to DSM-IV or ICD-10 criteria.
A measure of cognitive functioning and/or behavioural disturbance and a completion rate of 60% were also needed.
Data were extracted on study design features, patient character-istics, and change in cognitive functioning or behaviour.
8 studies met the selection criteria, and 6 were used for the meta-analysis involving 125 patients (67 in the experimental groups and 58 in the control groups).
Cognitive tests were used in all 6 studies and the pooled results favoured reality orientation (table).
3 of the 6 studies used behavioural outcome measures with a total of 48 patients (28 in the experimental groups and 20 in the control groups).
All 3 showed statistically non-significant results but for each study the trend favoured treatment.