Group Reminiscence Therapy for Elderly People With Cognitive Decline in Institutional Context

NCT03370796 | Unknown

• 1 other identifier: ECOG_REM
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

The project presented here respond to this emerging need by implementing a Reminiscence Therapy program dedicated to elderly people in an institutional context. This will be a multicenter, randomized controlled study in which the participants' allocation will be made without their knowledge. Before the randomization process, the screening evaluation will be done, which will allow to verify the presence of the inclusion and exclusion criteria. The target population will be people age 65 or above years who present cognitive decline. After the randomization process, participants will be allocated randomly in the experimental group where the reminiscence program (composed by a main strand and maintenance strand) or in the usual institutional care group. The evaluation of the participants will be carried out individually and will take place in four different moments.This study will be conducted in RSE in the central region of Portugal.

Conditions

Cognitive Decline; Dementia; Cognitive Impairment

Keywords

dementia; cognitive impairment; cognition; quality of life; depressive symptoms; Reminiscence Therapy

Outcome Measures

Primary Outcomes (9)

• Change from Baseline in the participant's Cognition

  Outcome Measure - Montreal Cognitive Assessment (MoCA)

  Intermediate assessment (week 7)

• Change from Baseline in the participant's Cognition

  Outcome Measure - Montreal Cognitive Assessment (MoCA)

  Post-intervention assessment (week 14)

• Change from Baseline in the participant's Cognition

  Outcome Measure - Montreal Cognitive Assessment (MoCA)

  Five-week follow-up assessment (week 19)

• Change from Baseline in the participant's Depressive Symptoms

  Outcome Measure - Geriatric Depression Scale - 10 itens version (GDS-10)

  Intermediate assessment (week 7)

• Change from Baseline in the participant's Depressive Symptoms

  Outcome Measure - Geriatric Depression Scale - 10 itens version (GDS-10)

  Post-intervention assessment (week 14)

• Change from Baseline in the participant's Depressive Symptoms

  Outcome Measure - Geriatric Depression Scale - 10 itens version (GDS-10)

  Five-week follow-up assessment (week 19)

• Change from Baseline in the participant's Quality of Life

  Outcome Measure -World Health Organization Quality of Life-Older Adults Module (WHOQOL-OLD)

  Intermediate assessment (week 7)

• Change from Baseline in the participant's Quality of Life

  Outcome Measure -World Health Organization Quality of Life-Older Adults Module (WHOQOL-OLD)

  Post-intervention assessment (week 14)

• Change from Baseline in the participant's Quality of Life

  Outcome Measure -World Health Organization Quality of Life-Older Adults Module (WHOQOL-OLD)

  Five-week follow-up assessment (week 19)

Study Arms (2)

Reminiscence Therapy

EXPERIMENTAL

The Reminiscence program will consist of a set of sessions thematically sequenced topics that address the life course of the participant. Each session will integrate a group of activities that will be developed in group and will have a didactic character, privileging subjective interests and interpersonal communication.

Other: Reminiscence Therapy Program

Control Group

NO INTERVENTION

The control group shall participate in the institutional care provided by the professionals of each RSE.

Interventions

Reminiscence Therapy Program OTHER

The Reminiscence Therapy program is composed of: (i) main strand lasting 7 weeks, with sessions twice a week (total of 14 sessions); (ii) maintenance strand, which runs for 7 weeks, once a week (total of 7 sessions). The duration for each session will be 60 minutes.

Reminiscence Therapy

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• have the capacity to informally consent participation in the study;
• have the ability to remain in a group within 60 minutes;
• have sufficient auditory capacity to participate in discussions;
• have sufficient visual capacity to see the materials that are part of the applied program;
• have criteria of cognitive decline.

You may not qualify if:

• present an unstable clinical condition;
• do not wish to participate in the study.

Sponsors & Collaborators

• Escola Superior de Enfermagem de Coimbra: lead
• The Health Sciences Research Unit: Nursing: collaborator

Study Sites (1)

Health Sciences Research Unit: Nursing

Coimbra, 3000-232, Portugal

Location

Related Publications (9)

• Kuske B, Luck T, Hanns S, Matschinger H, Angermeyer MC, Behrens J, Riedel-Heller SG. Training in dementia care: a cluster-randomized controlled trial of a training program for nursing home staff in Germany. Int Psychogeriatr. 2009 Apr;21(2):295-308. doi: 10.1017/S1041610208008387. Epub 2009 Feb 5.

  PMID: 19193252 BACKGROUND

• Directorate-General for Health. (2016). Portugal Saúde Mental em Números - 2015. Programa Nacional para a Saúde Mental. 75-86. Retrieved from http://www.apah.pt/media/publicacoes_tecnicas_sector_saude_2/Saude_Mental.pdf

  BACKGROUND

• APA (213). Diagnostic and statistical manual of mental disorders (5th ed).(American Psychiatric Association, Ed.). Arlington.

  BACKGROUND

• Cooney A, Hunter A, Murphy K, Casey D, Devane D, Smyth S, Dempsey L, Murphy E, Jordan F, O'Shea E. 'Seeing me through my memories': a grounded theory study on using reminiscence with people with dementia living in long-term care. J Clin Nurs. 2014 Dec;23(23-24):3564-74. doi: 10.1111/jocn.12645. Epub 2014 Jul 12.

  PMID: 25040857 BACKGROUND

• Gibson, F. (2004). The past in the present: Using reminisce in health and social care. Baltimore: Health Professions Press.

  BACKGROUND

• Cappeliez P, O'Rourke N. Empirical validation of a model of reminiscence and health in later life. J Gerontol B Psychol Sci Soc Sci. 2006 Jul;61(4):P237-44. doi: 10.1093/geronb/61.4.p237.

  PMID: 16855036 BACKGROUND

• Siverová, J., & Bužgová, R. (2014). Influence Reminiscence Therapy on Quality of Life Patients in the Long-Term Hospital. Central European Journal of Nursing and Midwifery, 5 (1), 21-28

  BACKGROUND

• Westerhof, G. J., Bohlmeijer, E., & Webster, J. D. (2010). Reminiscence and mental health: A review of recent progress in theory, research and interventions. Ageing and Society, 30 (04), 697-721.

  BACKGROUND

• Prince, M., Wimo, A., Guerchet, M., Ali, G., Wu, Y., & Prina, M. (2015). World Alzheimer Report 2015 The Global Impact of Dementia. Alzheimer's Disease International. Retrieved from https://www.alz.co.uk/research/WorldAlzheimerReport2015.pdf

  BACKGROUND

MeSH Terms

Conditions

Cognitive Dysfunction; Dementia; Depression

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Behavioral Symptoms; Behavior

Study Officials

• João LA Apóstolo, PhD

  Nursing School of Coimbra

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor Coordenador

Study Record Dates

• First Submitted: November 30, 2017
• First Posted: December 12, 2017
• Study Start: September 1, 2017
• Primary Completion: July 31, 2018
• Study Completion: July 31, 2018
• Last Updated: May 11, 2018

Record last verified: 2018-05

Locations

PT (1)