The impact of early psychosocial intervention on self‐efficacy of care recipient/carer dyads living with early‐stage dementia—A mixed‐methods study

Stockwell‐Smith, Gillian; Moyle, Wendy; Kellett, Ursula Marie

doi:10.1111/jan.13710

Cited by 23 publications

(37 citation statements)

References 44 publications

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“…Another explanation might be that the present study modified the intervention somewhat, by including more typical male activities in the pleasant event schedule, such as soccer, fishing, driving a car. However, in contrast to the present study, other studies did not find significant changes in depressive symptoms among people with MCI and dementia (Banningh et al, 2011;Clare et al, 2019;Stockwell-Smith et al, 2018;Wang, 2007;Woods et al, 2012). Potential explanations might be differences in the psychosocial interventions employed, the outcome measurements, and/or the baseline characteristics of participants.…”

Section: Discussioncontrasting

confidence: 99%

Managing depressive symptoms in people with mild cognitive impairment and mild dementia with a multicomponent psychotherapy intervention: a randomized controlled trial

Tonga

Benth

Arnevik

et al. 2020

Int. Psychogeriatr.

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Objective: To evaluate the feasibility and effectiveness of the CORDIAL program, a psychosocial intervention consisting of cognitive behavioral therapy (CBT), cognitive rehabilitation, and reminiscence to manage depressive symptoms for people with mild cognitive impairment (MCI) or dementia. Design: We conducted a randomized controlled trial, based on a two-group (intervention and control), pre-/post-intervention design. Setting: Participants were recruited from five different old age psychiatry and memory clinics at outpatients’ hospitals. Participants: Hundred and ninety-eight people with MCI or early-stage dementia were included. Intervention: The intervention group (n = 100) received 11 individual weekly sessions of the CORDIAL program. This intervention includes elements from CBT, cognitive rehabilitation, and reminiscence therapy. The control group (n = 98) received treatment-as-usual. Measurements: We assessed Montgomery–Åsberg Depression Rating Scale (MADRS) (main outcome), Neuropsychiatric Inventory Questionnaire, and Quality of Life in Alzheimer’s disease (secondary outcomes) over the course of 4 months and at a 10-month follow-up visit. Results: A linear mixed model demonstrated that the depressive symptoms assessed by MADRS were significantly more reduced in the intervention groups as compared to the control group (p < 0.001). The effect persisted for 6 months after the intervention. No significant differences between groups were found in neuropsychiatric symptoms or quality of life. Conclusion: Our multicomponent intervention, which comprised 11 individual sessions of CBT, cognitive rehabilitation, and reminiscence therapy, reduced depressive symptoms in people with MCI and dementia.

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Section: Discussioncontrasting

confidence: 99%

Managing depressive symptoms in people with mild cognitive impairment and mild dementia with a multicomponent psychotherapy intervention: a randomized controlled trial

Tonga

Benth

Arnevik

et al. 2020

Int. Psychogeriatr.

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“…Analysis of a psychoeducational intervention (the Early Diagnosis Dyadic Intervention) for care recipient/caregiver dyads who received early psychosocial intervention revealed no statistically significant changes in self-efficacy. 66 This finding is consistent with the results of other psychosocial interventions for early-stage dementiaincluding a 12-week health promotion course 67 and a group intervention of cognitive rehabilitation, 68 both of which yielded no improvement in self-efficacy. On the other hand, in a study of people with early-stage dementia, self-efficacy was increased (Cohen d ¼ 0.35) at 3 months in an intervention group who participated in psychoeducational groups, compared to in a group who received treatment as usual.…”

Section: Discussionsupporting

confidence: 81%

Effect of Self-Efficacy on Quality of Life in People With Mild Cognitive Impairment and Mild Dementia: The Mediating Roles of Depression and Anxiety

Tonga

Eilertsen

Solem

et al. 2020

Am J Alzheimers Dis Other Demen

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Objectives: To examine the mediating effects of depression and anxiety in the relationship between self-efficacy and quality of life among people with mild cognitive impairment (MCI) or mild dementia. Method: A total of 196 patients diagnosed with MCI or dementia due to Alzheimer disease completed structured measures of self-efficacy, quality of life, and depressive and anxiety symptoms. We examined direct and mediated effects by fitting structural equation models to data. Results: Our analyses supported that the effects of self-efficacy on quality of life may be partially mediated by depression and anxiety. Both anxiety and depression had significant mediating effects, with depression showing a stronger effect. Conclusion: These results suggest that increased self-efficacy may have a positive effect on quality of life in people with MCI or dementia—partly by reducing depression and anxiety. These findings may have important practical implications for tailoring therapeutic interventions.

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“…Positive reinforcement for caregiver performance has also been emphasized in the research literature. It has been reported that positive reinforcement improves caregiver confidence and promotes coping to relieve caregiving stress (Stockwell-Smith, Moyle, & Kellett, 2018). Given the current evidence on caregiver support, future interventions targeting specific needs of individual caregivers are essential.…”

Section: Discussionmentioning

confidence: 99%

Typology of Technology-Supported Dementia Care Interventions From an In-Home Telehealth Trial

et al. 2019

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Identifying the needs of dementia caregivers is critical for supporting dementia home care. This study identified a typology of expert interventions delivered to dementia caregivers during an innovative telehealth trial that used in-home video recordings to directly observe care challenges. Qualitative content analysis was used to analyze narrative notes describing interventions that were developed based on video data submitted by 33 caregiver–care recipient dyads. Two major themes emerged: education and skills for dementia care and caregiver support. Ten subthemes included education and skills related to: behavioral and psychological symptoms of dementia, disease expectations, safety, activities of daily living, medical care optimization, and medication utilization and caregiver support related to: respite, positive reinforcement, social and financial support, and self-care. Families providing in-home dementia care experience a wide range of care challenges. By using video data, dementia care experts were able to witness and evaluate challenging care situations and provide individualized feedback.

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The impact of early psychosocial intervention on self‐efficacy of care recipient/carer dyads living with early‐stage dementia—A mixed‐methods study

Cited by 23 publications

References 44 publications

Managing depressive symptoms in people with mild cognitive impairment and mild dementia with a multicomponent psychotherapy intervention: a randomized controlled trial

Managing depressive symptoms in people with mild cognitive impairment and mild dementia with a multicomponent psychotherapy intervention: a randomized controlled trial

Effect of Self-Efficacy on Quality of Life in People With Mild Cognitive Impairment and Mild Dementia: The Mediating Roles of Depression and Anxiety

Typology of Technology-Supported Dementia Care Interventions From an In-Home Telehealth Trial

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