Satisfaction With a Family-Focused Intervention for Mild Cognitive Impairment Dyads

被引:13
|
作者
Lu, Yvonne Yueh-Feng [1 ]
Ellis, Jennifer [2 ]
Yang, Ziyi [3 ]
Weaver, Michael T. [4 ]
Bakas, Tamilyn [5 ,6 ]
Austrom, Mary Guerriero [7 ,8 ,9 ]
Haase, Joan E. [10 ]
机构
[1] Indiana Univ, Sch Nursing, Dept Sci Nursing Care, 1111 Middle Dr,NU W407, Indianapolis, IN 46202 USA
[2] Indiana Univ, Sch Hlth & Rehabil, Indianapolis, IN 46204 USA
[3] Indiana Univ Sch Med, Dept Biostat, Indianapolis, IN 46202 USA
[4] Univ Florida, Coll Nursing, Res & Scholarship, Gainesville, FL 32611 USA
[5] Indiana Univ, Sch Nursing, Indianapolis, IN 46204 USA
[6] Univ Cincinnati, Coll Nursing, Cincinnati, OH USA
[7] Indiana Univ Sch Med, Dept Psychiat, Alzheimers Dis Educ, Indianapolis, IN 46202 USA
[8] Indiana Univ Sch Med, Divers Affairs, Indianapolis, IN 46202 USA
[9] IADC, Outreach Recruitment & Educ Core, Indianapolis, IN USA
[10] Indiana Univ, Sch Nursing, Dept Sci Nursing Care, Pediat Oncol Nursing, Indianapolis, IN 46204 USA
关键词
Cognitive impairment; satisfaction; tailored intervention; dyad; meaningful activities; family caregivers; LATE-LIFE DEPRESSION; MEANINGFUL ACTIVITY; ALZHEIMERS-DISEASE; CONTENT VALIDITY; CAREGIVER; DEMENTIA; AWARENESS; SPOUSE;
D O I
10.1111/jnu.12214
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
PurposeThis article describes satisfaction that persons with mild cognitive impairment (PwMCI) and their caregivers had with the Daily Enhancement of Meaningful Activity (DEMA) intervention. MethodsThis randomized controlled pilot study compared satisfaction (usefulness, ease of use, and acceptability) with DEMA (n = 17 dyads) to an information support (IS) control group (n = 19 dyads). Six biweekly sessions (two in person and four by telephone) were delivered by trained nurses. Data analysis included descriptive statistics, independent-sample t tests, and content analysis. FindingsPwMCI receiving DEMA rated their satisfaction significantly higher (p = .033) than did the control group; there was no difference in satisfaction between caregivers across groups. Qualitative interview data supported the usefulness, ease of use, and acceptability of DEMA for both PwMCI and caregivers. ConclusionsResults documented PwMCI's satisfaction with DEMA as implemented by nurses to support PwMCI-caregiver dyads' engagement in meaningful activity. DEMA may need revision to increase satisfaction for caregivers. Clinical RelevanceThe DEMA intervention was evaluated as useful, easy to use, and acceptable to PwMCI and their caregivers based on positive mean ratings. The study findings provide preliminary support of DEMA as a means to improve quality of life by helping to support patient and caregiver engagement in meaningful activities and problem solving.
引用
收藏
页码:334 / 344
页数:11
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