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    Feasibility and acceptability evaluation of the Promoting Independence in Dementia (PRIDE) intervention for living well with dementia

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    Author
    Yates, Lauren A.
    Orrell, Martin
    Keyword
    Research design
    Community mental health service
    Cognition
    Dementia
    Date
    2020
    
    Metadata
    Show full item record
    DOI
    10.1017/S1041610220001386
    Publisher's URL
    https://www.cambridge.org/core/journals/international-psychogeriatrics/article/feasibility-and-acceptability-evaluation-of-the-promoting-independence-in-dementia-pride-intervention-for-living-well-with-dementia/367FD8B99BAB2ABC324B1AA95EFE242E
    Abstract
    OBJECTIVESPost-diagnostic psychosocial interventions could play an important role in supporting people with mild dementia remain independent. The Promoting Independence in Dementia (PRIDE) intervention was developed to address this.METHODThe mixed methods non-randomized, pre-post feasibility study occurred across England. Facilitators were recruited from the voluntary sector and memory services. Participants and their supporters took part in the three-session intervention. Outcome measures were collected at baseline and follow-up. To evaluate acceptability, focus groups and interviews were conducted with a subsample of participants and facilitators.RESULTSContextual challenges to delivery including national research governance changes, affected recruitment of study sites. Thirty-four dyads consented, with 14 facilitators providing the intervention. Dyads took part in at least two sessions (79%), and 73% in all three. Outcome measures were completed by 79% without difficulty, with minimal missing data. No significant changes were found on pre and post assessments. Post hoc analysis found moderate effect size improvements for self-management (SMAS instrument) in people with dementia (d = 0.41) and quality of life (EQ5D measure) in carers (d = 0.40). Qualitative data indicated that dyads found PRIDE acceptable, as did intervention facilitators.CONCLUSIONSThe three-session intervention was well accepted by participant-dyads and intervention facilitators. A randomized controlled trial of PRIDE would need to carefully consider recruitment potential across geographically varied settings and site stratification according to knowledge of contextual factors, such as the diversity of post-diagnostic services across the country. Letting sites themselves be responsible for identifying suitable intervention facilitators was successful. The self-report measures showed potential to be included in the main trial.
    Citation
    Csipke, E., Moniz-Cook, E., Leung, P., Yates, L. A., Birt, L., Walton, H., Hogervorst, E., Mountain, G., Charlesworth, G. & Orrell, M. (2020). Feasibility and acceptability evaluation of the Promoting Independence in Dementia (PRIDE) intervention for living well with dementia. International Psychogeriatrics, 33(6), pp. 601-614.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/8058
    Collections
    Dementia

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