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A pilot randomised controlled trial to compare changes in quality of life for participants with early diagnosis dementia who attend a Living Well with Dementia group compared to waiting-list control

Marshall, Ann; Spreadbury, John; Cheston, Richard; Coleman, Peter; Ballinger, Claire; Mullee, Mark; Pritchard, Jane; Russell, Cynthia; Bartlett, Elizabeth

Authors

Ann Marshall

John Spreadbury

Peter Coleman

Claire Ballinger

Mark Mullee

Jane Pritchard

Cynthia Russell

Elizabeth Bartlett



Abstract

© 2014 Taylor and Francis. Objectives: The aim of this paper is to report a pilot study in which participants who had recently received a diagnosis of dementia were randomised to either a 10-week group intervention or a waiting-list control.Method: Memory clinic staff with limited previous experience of group therapy were trained to lead a 10-week group therapy intervention called Living Well with Dementia. Fifty-eight participants, all of whom had received a diagnosis of Alzheimer's disease, vascular or Lewy body dementia within the previous 18 months, were randomised to receive either the intervention or treatment as usual (waiting-list control). Data collection occurred at baseline, within two weeks after the intervention finished and at 10-week follow-up.Results: The study met its recruitment targets, with a relatively low attrition rate for the intervention arm. The acceptability of the intervention and research methods was examined qualitatively and will be reported on elsewhere. For the primary outcome, measure of quality of life in Alzheimer's disease (QoL-AD), and secondary outcome, self-esteem, there was some evidence of improvement in the intervention group compared to the control group. There was, also, evidence of a reduction in cognitive functioning in the treatment group compared to the control. Such reported differences should be treated with caution because they are obtained from a pilot and not a definitive study.Conclusion: This pilot study succeeded in collecting data to inform a future definitive cost effectiveness clinical trial of Living Well with Dementia group therapy.

Citation

Marshall, A., Spreadbury, J., Cheston, R., Coleman, P., Ballinger, C., Mullee, M., …Bartlett, E. (2015). A pilot randomised controlled trial to compare changes in quality of life for participants with early diagnosis dementia who attend a Living Well with Dementia group compared to waiting-list control. Aging and Mental Health, 19(6), 526-535. https://doi.org/10.1080/13607863.2014.954527

Journal Article Type Article
Publication Date Jan 1, 2015
Deposit Date Nov 26, 2014
Journal Aging and Mental Health
Print ISSN 1360-7863
Electronic ISSN 1364-6915
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 19
Issue 6
Pages 526-535
DOI https://doi.org/10.1080/13607863.2014.954527
Keywords dementia, quality of life, early diagnosis, living with dementia
Public URL https://uwe-repository.worktribe.com/output/843189
Publisher URL http://dx.doi.org/10.1080/13607863.2014.954527
Additional Information Additional Information : This is an Accepted Manuscript of an article published by Taylor & Francis in Aging & Mental Health on 8 September 2014, available online: http://wwww.tandfonline.com/10.1080/13607863.2014.954527

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