Feasibility and Effect Sizes of the Revised Daily Engagement of Meaningful Activities Intervention for Persons with Mild Cognitive Impairment and Their Caregivers

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2016-03
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English
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Abstract

A nurse-led intervention, Daily Engagement of Meaningful Activities (DEMA), was evaluated for feasibility and effect sizes in a two-group randomized pilot study with 36 patient–caregiver dyads (17 DEMA and 19 attention control). Effect sizes were estimated on 10 outcomes: dyad functional ability awareness congruence; patients' meaningful activity performance and satisfaction, confidence, depressive symptoms, communication satisfaction, physical function, and life satisfaction; and caregivers' depressive symptoms and life changes. High feasibility of DEMA was supported by the following indicators: consent (97.7%), session completion (91.7%), and Time 3 measure completion (97.2%). Compared to the attention control group, the DEMA group had higher dyad congruence in functional ability awareness and life satisfaction 3 months post-intervention and improved physical function at 2 weeks post-intervention. Although DEMA showed high feasibility and benefits on some health-related outcomes, further testing of DEMA in a larger randomized controlled clinical trial is needed.

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Lu, Y. Y.-F., Bakas, T., Yang, Z., Weaver, M. T., Austrom, M. G., & Haase, J. E. (2016). Feasibility and Effect Sizes of the Revised Daily Engagement of Meaningful Activities Intervention for Individuals With Mild Cognitive Impairment and Their Caregivers. Journal of Gerontological Nursing, 42(3), 45–58. http://doi.org/10.3928/00989134-20160212-08
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Journal of Gerontological Nursing
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