An interventional study of DRT Intervention in Dementia, sponsored by University of Nottingham. Completed at 1 site in United Kingdom. Per ClinicalTrials.gov, last updated 2018-05-02.
Sponsored by University of Nottingham · Not applicable, Interventional, and Treatment
The purpose of this study is to explore the feasibility and acceptability of a digital reminiscence therapy (DRT) intervention for people with dementia (PwD). The objectives of this study include:
Reminiscence Therapy has been shown to be beneficial for people with dementia. The aim of this research is to develop and evaluate the feasibility of a digital application to aid reminiscence for people with dementia.
This study proposes to design an application, based upon reminiscence therapy, which can act as storage for personal and communal 'positive memories' in a range of media types. This includes pictures, videos and audio.
The target for this application is people with dementia and their staff caregivers. The study aims to recruit 40-50 participants (40 PwD and 10 staff caregivers). This research will look at the requirements for developing and evaluating a mobile application to see whether it might be used to aid reminiscence for people with dementia. Additionally, this research will ensure whether this digital reminiscence therapy can be delivered and accepted as planned in the care of people with dementia in Jordanian care homes. The acceptance of this digital reminiscence therapy will be assessed by using semi-structured interviews with approximately 15 people with dementia and staff care-givers. Quantitative measures will be used before and after the intervention to explore whether certain outcomes are sensitive to change. These outcomes include memory, communication, anxiety, depression, and quality of life.
Exclusion Criteria:
Intervention: Individual digital reminiscence therapy programme.
Other: DRT Intervention
The digital reminiscence therapy intervention will run 12 sessions twice per week, for six weeks, for up to an hour at a time (this will depend on the participant's ability and willingness to participate). The sessions of reminiscence therapy will be culturally appropriate and based on the key stages in the life which most people will have experienced. These sessions are individual, face-to-face sessions.
Also known as: Digital Reminiscence Therapy Intervention
Feasibility of the digital reminiscence therapy for PwD
Assessed by recruitment rate
Time frame: 3 months
Acceptability of the digital reminiscence therapy for PwD
Assessed by qualitative interview data - analysis will determine participant enjoyment of the intervention, barriers to programme use, and reasons for non-adherence and attrition
Time frame: 3 months
Adherence to intervention
Assessed by adherence rate (number of sessions completed)
Time frame: 3 months
Study attrition
Assessed by % lost to attrition
Time frame: 3 months
Explore whether outcome measures are sensitive to change - for memory
Pre-post changes in Arabic Version of Saint-Louis-University-Mental-Status (SLUMS; Abdelrahman \& El Gaafary, 2014) it is a 30-point, 11 questions. The maximum score is 30 points. Cut-off scores based on high School Education: 21-26 = Mild Neurocognitive Impairment, 1-20 = Dementia. Less than High School Education: 20-24 = Mild Neurocognitive Impairment, 1-19 = Dementia.
Time frame: 3 months
Explore whether outcome measures are sensitive to change - for quality of life
Older People's Quality of Life Questionnaire (OPQOL-brief-13; Bowling et al., 2012) Each of the 13 items is scored from 1 to 5. The items are summed for a total OPQOL-Brief, then positive items are reverse coded, so that higher scores represented higher QoL.
Time frame: 3 months
Explore whether outcome measures are sensitive to change - for anxiety and depression
Arabic version of Hospital Anxiety and Depression Scale (Arabic HADS; Al Aseri et al., 2015) it comprises 7 questions for anxiety and 7 questions for depression. each subscale is ranged from 0 to 3. Cut-off scores for both is 8 separately; 8-10: mild, 11-14: moderate, 15-21: severe.
Time frame: 3 months
Explore whether outcome measures are sensitive to change - for communication
Holden Communication Scale for Persons with Dementia (HCS; Strøm et al., 2016). it includes 12 items. each subscale is scored from 0 to 4. The total scores range from 0-48 and the higher score the more difficulties.
Time frame: 3 months
Plan to share: No
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University of Nottingham