A home-based individual cognitive stimulation program for older adults with cognitive impairment : a randomized controlled trial
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10437/12416 |
Resumo: | Objective: This study aims to assess the feasibility and meaningfulness of a home-based individual cognitive stimulation (iCS) program delivered by caregivers to persons with cognitive impairment (PwCIs). It also aims to assess whether the older adults receiving this program improved their cognitive, neuropsychiatric, and depressive symptoms and quality of life and whether their caregivers improved their mental and physical health. Methods: A randomized controlled trial (RCT) was conducted with PwCI-caregiver dyads recruited from the community. Participants were allocated to two groups: intervention (n = 28) and control (n = 24). The intervention group received the European Portuguese version of the Individual Cognitive Stimulation Program—Making a Difference 3 (MD3-P). The control group received usual care. The iCS therapy program was implemented three times a week for 12 weeks. Caregivers were supported by the researchers to deliver the sessions at home. Participants were assessed at baseline and at the end of the intervention (week 13). Feasibility and meaningfulness were assessed through the attrition rate, adherence, and degree of satisfaction with the sessions. Four interviews were conducted (after week 13) to understand participants’ experiences. Results: The attrition rate was 23.1%. The dyads reported that they did not have high expectations about the iCS program before starting the study. Nevertheless, as the program evolved, caregivers noted that their family members had improved some areas of functioning. Intention-to-treat analysis based on group differences revealed a significant improvement in PwCIs’ cognition, specifically in their orientation and ability to follow commands. The intervention had no impact on other variables such as caregivers’ physical and mental health. Conclusion: The iCS program implemented by caregivers showed promising results in improving PwCIs’ cognition. The participants who completed the intervention attributed a positive meaning to the MD3-P, confirming it as a valid non-pharmacological therapeutic approach to reducing frailty in PwCIs in community settings. |
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A home-based individual cognitive stimulation program for older adults with cognitive impairment : a randomized controlled trialPSICOLOGIAIDOSOSDEMÊNCIANEUROCOGNIÇÃOESTIMULAÇÃO COGNITIVAPSYCHOLOGYELDERLYDEMENTIACOGNITIVE STIMULATIONNEUROCOGNITIONObjective: This study aims to assess the feasibility and meaningfulness of a home-based individual cognitive stimulation (iCS) program delivered by caregivers to persons with cognitive impairment (PwCIs). It also aims to assess whether the older adults receiving this program improved their cognitive, neuropsychiatric, and depressive symptoms and quality of life and whether their caregivers improved their mental and physical health. Methods: A randomized controlled trial (RCT) was conducted with PwCI-caregiver dyads recruited from the community. Participants were allocated to two groups: intervention (n = 28) and control (n = 24). The intervention group received the European Portuguese version of the Individual Cognitive Stimulation Program—Making a Difference 3 (MD3-P). The control group received usual care. The iCS therapy program was implemented three times a week for 12 weeks. Caregivers were supported by the researchers to deliver the sessions at home. Participants were assessed at baseline and at the end of the intervention (week 13). Feasibility and meaningfulness were assessed through the attrition rate, adherence, and degree of satisfaction with the sessions. Four interviews were conducted (after week 13) to understand participants’ experiences. Results: The attrition rate was 23.1%. The dyads reported that they did not have high expectations about the iCS program before starting the study. Nevertheless, as the program evolved, caregivers noted that their family members had improved some areas of functioning. Intention-to-treat analysis based on group differences revealed a significant improvement in PwCIs’ cognition, specifically in their orientation and ability to follow commands. The intervention had no impact on other variables such as caregivers’ physical and mental health. Conclusion: The iCS program implemented by caregivers showed promising results in improving PwCIs’ cognition. The participants who completed the intervention attributed a positive meaning to the MD3-P, confirming it as a valid non-pharmacological therapeutic approach to reducing frailty in PwCIs in community settings.2022-01-19T16:16:31Z2021-01-01T00:00:00Z2021info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10437/12416eng10.3389/fpsyg.2021.741955Silva, Rosa Carla Gomes daCampos, Elżbieta MaŁgorzata BobrowiczCosta, Paulo SantosCruz, Ana Rita Pereira daApóstolo, João Luís Alvesinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-09T14:07:46Zoai:recil.ensinolusofona.pt:10437/12416Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:15:06.811407Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
A home-based individual cognitive stimulation program for older adults with cognitive impairment : a randomized controlled trial |
title |
A home-based individual cognitive stimulation program for older adults with cognitive impairment : a randomized controlled trial |
spellingShingle |
A home-based individual cognitive stimulation program for older adults with cognitive impairment : a randomized controlled trial Silva, Rosa Carla Gomes da PSICOLOGIA IDOSOS DEMÊNCIA NEUROCOGNIÇÃO ESTIMULAÇÃO COGNITIVA PSYCHOLOGY ELDERLY DEMENTIA COGNITIVE STIMULATION NEUROCOGNITION |
title_short |
A home-based individual cognitive stimulation program for older adults with cognitive impairment : a randomized controlled trial |
title_full |
A home-based individual cognitive stimulation program for older adults with cognitive impairment : a randomized controlled trial |
title_fullStr |
A home-based individual cognitive stimulation program for older adults with cognitive impairment : a randomized controlled trial |
title_full_unstemmed |
A home-based individual cognitive stimulation program for older adults with cognitive impairment : a randomized controlled trial |
title_sort |
A home-based individual cognitive stimulation program for older adults with cognitive impairment : a randomized controlled trial |
author |
Silva, Rosa Carla Gomes da |
author_facet |
Silva, Rosa Carla Gomes da Campos, Elżbieta MaŁgorzata Bobrowicz Costa, Paulo Santos Cruz, Ana Rita Pereira da Apóstolo, João Luís Alves |
author_role |
author |
author2 |
Campos, Elżbieta MaŁgorzata Bobrowicz Costa, Paulo Santos Cruz, Ana Rita Pereira da Apóstolo, João Luís Alves |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Silva, Rosa Carla Gomes da Campos, Elżbieta MaŁgorzata Bobrowicz Costa, Paulo Santos Cruz, Ana Rita Pereira da Apóstolo, João Luís Alves |
dc.subject.por.fl_str_mv |
PSICOLOGIA IDOSOS DEMÊNCIA NEUROCOGNIÇÃO ESTIMULAÇÃO COGNITIVA PSYCHOLOGY ELDERLY DEMENTIA COGNITIVE STIMULATION NEUROCOGNITION |
topic |
PSICOLOGIA IDOSOS DEMÊNCIA NEUROCOGNIÇÃO ESTIMULAÇÃO COGNITIVA PSYCHOLOGY ELDERLY DEMENTIA COGNITIVE STIMULATION NEUROCOGNITION |
description |
Objective: This study aims to assess the feasibility and meaningfulness of a home-based individual cognitive stimulation (iCS) program delivered by caregivers to persons with cognitive impairment (PwCIs). It also aims to assess whether the older adults receiving this program improved their cognitive, neuropsychiatric, and depressive symptoms and quality of life and whether their caregivers improved their mental and physical health. Methods: A randomized controlled trial (RCT) was conducted with PwCI-caregiver dyads recruited from the community. Participants were allocated to two groups: intervention (n = 28) and control (n = 24). The intervention group received the European Portuguese version of the Individual Cognitive Stimulation Program—Making a Difference 3 (MD3-P). The control group received usual care. The iCS therapy program was implemented three times a week for 12 weeks. Caregivers were supported by the researchers to deliver the sessions at home. Participants were assessed at baseline and at the end of the intervention (week 13). Feasibility and meaningfulness were assessed through the attrition rate, adherence, and degree of satisfaction with the sessions. Four interviews were conducted (after week 13) to understand participants’ experiences. Results: The attrition rate was 23.1%. The dyads reported that they did not have high expectations about the iCS program before starting the study. Nevertheless, as the program evolved, caregivers noted that their family members had improved some areas of functioning. Intention-to-treat analysis based on group differences revealed a significant improvement in PwCIs’ cognition, specifically in their orientation and ability to follow commands. The intervention had no impact on other variables such as caregivers’ physical and mental health. Conclusion: The iCS program implemented by caregivers showed promising results in improving PwCIs’ cognition. The participants who completed the intervention attributed a positive meaning to the MD3-P, confirming it as a valid non-pharmacological therapeutic approach to reducing frailty in PwCIs in community settings. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01T00:00:00Z 2021 2022-01-19T16:16:31Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10437/12416 |
url |
http://hdl.handle.net/10437/12416 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.3389/fpsyg.2021.741955 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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