Feasibility and effect sizes of the revised daily engagement of meaningful activities intervention for individuals with mild cognitive impairment and their caregivers

Yvonne Lu, Tamilyn Bakas, Ziyi Yang, Michael T. Weaver, Mary Austrom, Joan Haase

Research output: Contribution to journalArticle

7 Citations (Scopus)

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. Copyright.

Original languageEnglish (US)
Pages (from-to)45-58
Number of pages14
JournalJournal of Gerontological Nursing
Volume42
Issue number3
StatePublished - 2016

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Caregivers
Aptitude
Depression
Randomized Controlled Trials
Nurses
Communication
Control Groups
Cognitive Dysfunction
Health

ASJC Scopus subject areas

  • Gerontology

Cite this

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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. Copyright.",
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AU - Lu, Yvonne

AU - Bakas, Tamilyn

AU - Yang, Ziyi

AU - Weaver, Michael T.

AU - Austrom, Mary

AU - Haase, Joan

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