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Psychosocial group intervention to enhance self-management skills of people with dementia and their caregivers: study protocol for a randomized controlled trial.

Abstract

BACKGROUND

After diagnosis of a dementing illness, patients and their spouses have many concerns related to the disease and their future. This often leads to poor psychological well-being and reduced health-related quality of life (HRQoL) of the family. Support for self-management skills has been proven to be an effective method to improve prognosis of asthma, heart failure and osteoarthritis. However, self-management interventions have not been studied in dementia. Therefore, our aim was to examine, in an objective-oriented group intervention, the efficacy of self-management support program (SMP) on the HRQoL of dementia patients and their spousal caregivers as well as on the sense of competence and psychological well-being of caregivers.

METHODS

During the years 2011 to 12, 160 dementia patients and their spouses will be recruited from memory clinics and randomized into two arms: 80 patients for group-based SMP sessions including topics selected by the participants, 80 patients will serve as controls in usual community care. Sessions may include topics on dementia, community services, active lifestyle and prevention for cognitive decline, spousal relationship, future planning and emotional well-being. The patients and spouses will have their separate group sessions (ten participants per group) once a week for eight weeks. Main outcome measures will be patients' HRQoL (15D) and spousal caregivers' HRQoL (RAND-36), and sense of competence (SCQ). Secondary measures will be caregivers' psychological well-being (GHQ-12) and coping resources, patients' depression, cognition and signs of frailty. Data concerning admissions to institutional care and the use and costs of health and social services will be collected during a two-year follow-up.

DISCUSSION

This is a 'proof-of-concept' study to explore the efficacy of group support for self-management skills among dementia families. It will also provide data on cost-effectiveness of the intervention.

TRIAL REGISTRATION

ACTRN12611001173987.

Links

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  • Authors+Show Affiliations

    ,

    Department of General Practice, University of Helsinki, PO Box 20, Helsinki 00014, Finland. marja-liisa.laakkonen@kolumbus.fi

    , , , ,

    Source

    Trials 13: 2012 Aug 07 pg 133

    MeSH

    Aged
    Caregivers
    Community Health Nursing
    Dementia
    Female
    Geriatric Nursing
    Geriatrics
    Humans
    Male
    Outcome Assessment (Health Care)
    Power (Psychology)
    Program Evaluation
    Prospective Studies
    Psychotherapy, Group
    Quality of Life
    Research Design
    Self Care
    Self-Help Groups

    Pub Type(s)

    Journal Article
    Randomized Controlled Trial
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22871107

    Citation

    Laakkonen, Marja-Liisa, et al. "Psychosocial Group Intervention to Enhance Self-management Skills of People With Dementia and Their Caregivers: Study Protocol for a Randomized Controlled Trial." Trials, vol. 13, 2012, p. 133.
    Laakkonen ML, Hölttä EH, Savikko N, et al. Psychosocial group intervention to enhance self-management skills of people with dementia and their caregivers: study protocol for a randomized controlled trial. Trials. 2012;13:133.
    Laakkonen, M. L., Hölttä, E. H., Savikko, N., Strandberg, T. E., Suominen, M., & Pitkälä, K. H. (2012). Psychosocial group intervention to enhance self-management skills of people with dementia and their caregivers: study protocol for a randomized controlled trial. Trials, 13, p. 133. doi:10.1186/1745-6215-13-133.
    Laakkonen ML, et al. Psychosocial Group Intervention to Enhance Self-management Skills of People With Dementia and Their Caregivers: Study Protocol for a Randomized Controlled Trial. Trials. 2012 Aug 7;13:133. PubMed PMID: 22871107.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Psychosocial group intervention to enhance self-management skills of people with dementia and their caregivers: study protocol for a randomized controlled trial. AU - Laakkonen,Marja-Liisa, AU - Hölttä,Eeva H, AU - Savikko,Niina, AU - Strandberg,Timo E, AU - Suominen,Merja, AU - Pitkälä,Kaisu H, Y1 - 2012/08/07/ PY - 2012/04/30/received PY - 2012/07/17/accepted PY - 2012/8/9/entrez PY - 2012/8/9/pubmed PY - 2013/4/24/medline SP - 133 EP - 133 JF - Trials JO - Trials VL - 13 N2 - BACKGROUND: After diagnosis of a dementing illness, patients and their spouses have many concerns related to the disease and their future. This often leads to poor psychological well-being and reduced health-related quality of life (HRQoL) of the family. Support for self-management skills has been proven to be an effective method to improve prognosis of asthma, heart failure and osteoarthritis. However, self-management interventions have not been studied in dementia. Therefore, our aim was to examine, in an objective-oriented group intervention, the efficacy of self-management support program (SMP) on the HRQoL of dementia patients and their spousal caregivers as well as on the sense of competence and psychological well-being of caregivers. METHODS: During the years 2011 to 12, 160 dementia patients and their spouses will be recruited from memory clinics and randomized into two arms: 80 patients for group-based SMP sessions including topics selected by the participants, 80 patients will serve as controls in usual community care. Sessions may include topics on dementia, community services, active lifestyle and prevention for cognitive decline, spousal relationship, future planning and emotional well-being. The patients and spouses will have their separate group sessions (ten participants per group) once a week for eight weeks. Main outcome measures will be patients' HRQoL (15D) and spousal caregivers' HRQoL (RAND-36), and sense of competence (SCQ). Secondary measures will be caregivers' psychological well-being (GHQ-12) and coping resources, patients' depression, cognition and signs of frailty. Data concerning admissions to institutional care and the use and costs of health and social services will be collected during a two-year follow-up. DISCUSSION: This is a 'proof-of-concept' study to explore the efficacy of group support for self-management skills among dementia families. It will also provide data on cost-effectiveness of the intervention. TRIAL REGISTRATION: ACTRN12611001173987. SN - 1745-6215 UR - https://www.unboundmedicine.com/medline/citation/22871107/Psychosocial_group_intervention_to_enhance_self_management_skills_of_people_with_dementia_and_their_caregivers:_study_protocol_for_a_randomized_controlled_trial_ L2 - https://trialsjournal.biomedcentral.com/articles/10.1186/1745-6215-13-133 DB - PRIME DP - Unbound Medicine ER -