People living with dementia and their family carers’ adherence to home-based Tai Chi practice

Barrado‐Martín, Yolanda; Heward, Michelle; Polman, Remco; Nyman, Samuel R.

doi:10.1177/1471301220957758

Cited by 9 publications

(27 citation statements)

References 43 publications

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“…Out of the 24 included studies, eight evaluations 10–17 answered ‘yes’ to all MMAT sections, indicating a high level of quality. Two evaluations 18,19 answered no to one question in part two, and 12 evaluations answered no to more than one question in part two, indicating that criteria for high quality rating were not achieved 20–33 .…”

Section: Resultsmentioning

confidence: 99%

“…The physical activity‐based interventions were delivered in participants' homes, over 6–52 weeks. One involved Tai Chi, to improve PLWD's postural balance 15 . The others provided dyads with multi‐component exercise and support activities, to enable social participation, 25,32 or reduce depressive symptoms, 30 or disability 16,26 …”

Section: Resultsmentioning

confidence: 99%

“…Adaptation of content for individual dyads, 12,22,25,33 ensuring the intervention is deliverable, 14,18,19,23,25,31 flexibility in when dyads were able to carry out the activities, 10 and easy to use 24 were key factors for change associated with implementation. Mechanisms of impact : A very commonly identified mechanism of impact in 15 out of 24 evaluations was the importance of providing support for the carer of the PLWD, whether from facilitators or peers. Interventions that had an element of support for carers, either online, 24,27 face‐to‐face, 15,30,31 attending support groups with facilitators and/or peers, 10,11,13,14 or by individual or group counselling or therapy sessions, 10,13,14,27,33 or included social interactions, 32 benefitted dyads. Another key mechanism of impact was participants' engagement with the intervention; high engagement and enjoyment by dyads facilitated change, 14–17,29–31,33 and low engagement and low enjoyment was a barrier 14,15,24 .…”

Section: Resultsmentioning

confidence: 99%

“…The interventions evaluated involved: physical activity 15,16,25,26,30 or multi-component psychoeducational approaches delivered faceto-face or using blended approaches, [10][11][12][13][14][17][18][19][21][22][23]28,32 or online. 20,24,27,29,31 The physical activity-based interventions were delivered in participants' homes, over 6-52 weeks.…”

Section: Summary Of Interventions Evaluated By Included Studies (See ...mentioning

confidence: 99%

“…The key aims of the included evaluations were to understand factors related to implementation, mechanisms of impact and context (see Figure 1). Several studies explored factors of implementation through the influence of adherence on outcomes, 15,19,26,27,32 other studies reported intervention feasibility, 20,29 fidelity and participant engagement/satisfaction, 12,28,32,33 and to understand why the trial failed. 18,25 Factors related to mechanisms of impact were studied through investigating participant responses, mediators and unexpected pathways and consequences.…”

Section: Evaluation Aims Components Evaluated and Key Findingsmentioning

confidence: 99%

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A systematic review of process evaluations for psychosocial interventions designed to improve the wellbeing and quality of life of community‐dwelling people with dementia and their carers

Wyman

Butler

Bright

et al. 2022

Int J Geriat Psychiatry

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Background: Psychosocial interventions improve the wellbeing and quality of life of People Living with Dementia (PLWD) and their family carers; but due to their complexity it can be challenging to identify mechanisms of action. We reviewed process evaluations that have sought to elucidate how these interventions work, to inform their implementation. Method:We systematically reviewed process evaluations of studies evaluating psychosocial interventions for PLWD in their own home and/or their family carers.We rated study quality using the Mixed Methods Appraisal Tool. We described, with reference to Medical Research Council (2015) process evaluation guidance, how implementation, mechanisms of impact and contextual factors were investigated; and describe commonalities in the mechanisms of action identified across studies. Results:Twenty four included studies evaluated the processes of 22 interventions.These studies collectively applied five frameworks; almost all frameworks' advised evaluations were theory-based and used mixed-methods analyses, but only 5/24 evaluation designs were informed by the intervention theory and 8/24 used mixed methods. 8/24 evaluations considered contextual factors in their design, though 20/ 24 cited contextual factors in findings. Interventions were more successful where PLWD were motivated and aware of potential benefits, and when carers could support engagement and were themselves supported by the intervention. How the intervention aligned with participants' current needs and stage of dementia were key influencing factors. Conclusion: Knowing how interventions can influence change for community-dwelling people with dementia and their family carer's will improve translation of trial findings into practice. Robust, theory-driven process evaluations can enable this.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Summary Of Interventions Evaluated By Included Studies (See ...mentioning

confidence: 99%

Section: Evaluation Aims Components Evaluated and Key Findingsmentioning

confidence: 99%

See 3 more Smart Citations

A systematic review of process evaluations for psychosocial interventions designed to improve the wellbeing and quality of life of community‐dwelling people with dementia and their carers

Wyman

Butler

Bright

et al. 2022

Int J Geriat Psychiatry

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A systematic review of digital access to post‐diagnostic health and social care services for dementia

Watson,

Hanna,

Talbot

et al. 2024

Int J Geriat Psychiatry

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ObjectivesFor many people with dementia and unpaid carers, using technology for care and support has become essential. Rapid proliferation of technology highlights the need to understand digital access to health and social care services for dementia. This mixed‐methods systematic review aims to explore digital access to health and social care services for dementia, from the perspective of people with dementia and unpaid carers.MethodsNine electronic databases were searched in May 2023 for qualitative, quantitative, or mixed‐method studies, published in English or German, focused on experiences of using technology‐delivered health and social care services for people with dementia and unpaid carers. After removal of duplicates and screening, 44 empirical papers were included.ResultsFrom the 44 studies, findings were grouped into five categories, highlighting experiences for people with dementia and unpaid carers: (1) Adapting to technology, (2) Inequalities and variations in outcomes, (3) Impact on caring, (4) Impact on health, and (5) Impact on relationships. Proliferation of technology in care access emphasised the need for quick adaptation to technology and examination of its impact. The impact of such service delivery has evidenced mixed findings. There were improvements in the health and wellbeing of people with dementia and unpaid carers, and benefits for their dyadic relationship. However, using technology for health and social care access is not always possible and is often reliant on unpaid carers for support. Lower tech‐literacy, lack of equipment or money to buy equipment and poor internet connection can impact the potential for positive outcomes.ConclusionsTechnology can bring great benefits: social inclusion, improved service access and care. However, using technology in service delivery in dementia needs careful thought. Professionals and service providers need to be cognizant of the complex nature of dementia, and the benefits and challenges of hybrid service delivery.

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Tai Chi exercise to improve balance and prevent falls among older people with dementia

Barrado‐Martín¹,

Polman

Nyman

2022

Exercise to Prevent and Manage Chronic Disease Across the Lifespan

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People living with dementia and their family carers’ adherence to home-based Tai Chi practice

Cited by 9 publications

References 43 publications

A systematic review of process evaluations for psychosocial interventions designed to improve the wellbeing and quality of life of community‐dwelling people with dementia and their carers

A systematic review of process evaluations for psychosocial interventions designed to improve the wellbeing and quality of life of community‐dwelling people with dementia and their carers

A systematic review of digital access to post‐diagnostic health and social care services for dementia

Tai Chi exercise to improve balance and prevent falls among older people with dementia

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