The Comprehensive Resilience-building psychosocial Intervention (CREST) for people with dementia in the community: a feasibility and acceptability study
Abstract Background A dementia diagnosis can lead to a decline in cognitive, social, and physical health, but people with dementia can live meaningful lives and participate actively in society with psychosocial support. This single-arm, non-randomised feasibility study explored the feasibility and a...
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BMC
2024-11-01
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| Series: | Pilot and Feasibility Studies |
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| Online Access: | https://doi.org/10.1186/s40814-024-01568-3 |
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| author | Dympna Casey Priscilla Doyle Niamh Gallagher Grace O’Sullivan Siobhán Smyth Declan Devane Kathy Murphy Charlotte Clarke Bob Woods Rose-Marie Dröes Gill Windle Andrew W. Murphy Tony Foley Fergus Timmons Paddy Gillespie Anna Hobbins John Newell Jaynal Abedin Christine Domegan Kate Irving Barbara Whelan |
| author_facet | Dympna Casey Priscilla Doyle Niamh Gallagher Grace O’Sullivan Siobhán Smyth Declan Devane Kathy Murphy Charlotte Clarke Bob Woods Rose-Marie Dröes Gill Windle Andrew W. Murphy Tony Foley Fergus Timmons Paddy Gillespie Anna Hobbins John Newell Jaynal Abedin Christine Domegan Kate Irving Barbara Whelan |
| author_sort | Dympna Casey |
| collection | DOAJ |
| description | Abstract Background A dementia diagnosis can lead to a decline in cognitive, social, and physical health, but people with dementia can live meaningful lives and participate actively in society with psychosocial support. This single-arm, non-randomised feasibility study explored the feasibility and acceptability of a Comprehensive REsilience-building psychoSocial intervenTion (CREST) for people with dementia, their caregivers, General Practitioners (GPs), and the public. Methods Nine people with dementia and their primary caregivers living in the community (n = 9 dyads) completed the CREST intervention which had three components (cognitive stimulation therapy [CST], physical exercise, and dementia education). Quantitative secondary outcomes were assessed at baseline and following the 15-week intervention; qualitative interviews were conducted during and post-intervention. All study components were assessed against pre-defined criteria, to determine the feasibility of conducting a future definitive trial. Results Recruitment of people with dementia and their caregiver was a significant challenge and led to considerable delays to the onset and conduct of the intervention. Only 13% of eligible GP practices agreed to assist in recruitment and achieved a 6% enrolment rate; a community-based recruitment strategy proved more effective, yielding a 29% enrolment rate. However, once recruited, participants maintained high attendance and adherence to the content of each component with average adherence rates of 98% for CST, exercise sessions and caregiver education. Adherence to secondary exercise measures was lower, with home exercise diary completion at 37% and Fitbit wear adherence at 80% during the day and 67% at night. The people with dementia felt their concentration and fitness had improved over the 15-week intervention and particularly enjoyed the social aspects (e.g. group classes, exercising with partners from the community). Caregivers felt they had better knowledge and understanding following their education component and reported that the social aspects (interacting and sharing experiences with each other) were important. Overall, participants reported that the three components of the intervention were feasible and acceptable. In addition, the quantitative measures and health economic tools employed were feasible. However, the secondary elements of the exercise component (recording home exercise diaries and Fitbit use) were not considered feasible. Overall, pre-defined criteria for progression to a definitive intervention were fulfilled in terms of acceptability, retention and fidelity but not recruitment. Conclusion While overall, the CREST intervention was feasible and acceptable to participants, significant difficulties with recruitment of people with dementia and their caregiver through GP practices impacted the viability of delivering the intervention. Recruitment through community-based groups proved a more feasible option and further work is needed to overcome barriers to recruiting this cohort before a larger-scale trial can be conducted. Trial registration ISRCTN25294519. |
| format | Article |
| id | doaj-art-ffa71c29d0464b52a550883f33abf5af |
| institution | Kabale University |
| issn | 2055-5784 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj-art-ffa71c29d0464b52a550883f33abf5af2024-11-10T12:08:31ZengBMCPilot and Feasibility Studies2055-57842024-11-0110112810.1186/s40814-024-01568-3The Comprehensive Resilience-building psychosocial Intervention (CREST) for people with dementia in the community: a feasibility and acceptability studyDympna Casey0Priscilla Doyle1Niamh Gallagher2Grace O’Sullivan3Siobhán Smyth4Declan Devane5Kathy Murphy6Charlotte Clarke7Bob Woods8Rose-Marie Dröes9Gill Windle10Andrew W. Murphy11Tony Foley12Fergus Timmons13Paddy Gillespie14Anna Hobbins15John Newell16Jaynal Abedin17Christine Domegan18Kate Irving19Barbara Whelan20School of Nursing & Midwifery, University of GalwaySchool of Nursing & Midwifery, University of GalwaySchool of Nursing & Midwifery, University of GalwaySchool of Nursing & Midwifery, University of GalwaySchool of Nursing & Midwifery, University of GalwaySchool of Nursing & Midwifery, University of GalwaySchool of Nursing & Midwifery, University of GalwaySocial Sciences and Health, Durham UniversityDementia Services Development Centre, Bangor UniversityAmsterdam UMC, location Vrije Universiteit Amsterdam, Amsterdam Public Health Research InstituteSchool of Health Sciences, Bangor UniversityHealth Research Board Primary Care Clinical Trials Network Ireland, University of GalwayDepartment of General Practice, University College CorkThe Alzheimer Society of IrelandCentre for Research in Medical Devices (CÚRAM, SFI 13/RC/2073_P2) and Health Economics and Policy Analysis Centre, University of GalwayCentre for Research in Medical Devices (CÚRAM, SFI 13/RC/2073_P2) and Health Economics and Policy Analysis Centre, University of GalwaySchool of Mathematical and Statistical Sciences, University of GalwaySchool of Mathematical and Statistical Sciences, University of GalwayJ.E. Cairnes School of Business & Economics, University of GalwaySchool of Nursing, Psychotherapy and Community Health, Dublin City UniversitySchool of Nursing & Midwifery, University of GalwayAbstract Background A dementia diagnosis can lead to a decline in cognitive, social, and physical health, but people with dementia can live meaningful lives and participate actively in society with psychosocial support. This single-arm, non-randomised feasibility study explored the feasibility and acceptability of a Comprehensive REsilience-building psychoSocial intervenTion (CREST) for people with dementia, their caregivers, General Practitioners (GPs), and the public. Methods Nine people with dementia and their primary caregivers living in the community (n = 9 dyads) completed the CREST intervention which had three components (cognitive stimulation therapy [CST], physical exercise, and dementia education). Quantitative secondary outcomes were assessed at baseline and following the 15-week intervention; qualitative interviews were conducted during and post-intervention. All study components were assessed against pre-defined criteria, to determine the feasibility of conducting a future definitive trial. Results Recruitment of people with dementia and their caregiver was a significant challenge and led to considerable delays to the onset and conduct of the intervention. Only 13% of eligible GP practices agreed to assist in recruitment and achieved a 6% enrolment rate; a community-based recruitment strategy proved more effective, yielding a 29% enrolment rate. However, once recruited, participants maintained high attendance and adherence to the content of each component with average adherence rates of 98% for CST, exercise sessions and caregiver education. Adherence to secondary exercise measures was lower, with home exercise diary completion at 37% and Fitbit wear adherence at 80% during the day and 67% at night. The people with dementia felt their concentration and fitness had improved over the 15-week intervention and particularly enjoyed the social aspects (e.g. group classes, exercising with partners from the community). Caregivers felt they had better knowledge and understanding following their education component and reported that the social aspects (interacting and sharing experiences with each other) were important. Overall, participants reported that the three components of the intervention were feasible and acceptable. In addition, the quantitative measures and health economic tools employed were feasible. However, the secondary elements of the exercise component (recording home exercise diaries and Fitbit use) were not considered feasible. Overall, pre-defined criteria for progression to a definitive intervention were fulfilled in terms of acceptability, retention and fidelity but not recruitment. Conclusion While overall, the CREST intervention was feasible and acceptable to participants, significant difficulties with recruitment of people with dementia and their caregiver through GP practices impacted the viability of delivering the intervention. Recruitment through community-based groups proved a more feasible option and further work is needed to overcome barriers to recruiting this cohort before a larger-scale trial can be conducted. Trial registration ISRCTN25294519.https://doi.org/10.1186/s40814-024-01568-3DementiaPsychosocial interventionCSTExerciseEducation |
| spellingShingle | Dympna Casey Priscilla Doyle Niamh Gallagher Grace O’Sullivan Siobhán Smyth Declan Devane Kathy Murphy Charlotte Clarke Bob Woods Rose-Marie Dröes Gill Windle Andrew W. Murphy Tony Foley Fergus Timmons Paddy Gillespie Anna Hobbins John Newell Jaynal Abedin Christine Domegan Kate Irving Barbara Whelan The Comprehensive Resilience-building psychosocial Intervention (CREST) for people with dementia in the community: a feasibility and acceptability study Pilot and Feasibility Studies Dementia Psychosocial intervention CST Exercise Education |
| title | The Comprehensive Resilience-building psychosocial Intervention (CREST) for people with dementia in the community: a feasibility and acceptability study |
| title_full | The Comprehensive Resilience-building psychosocial Intervention (CREST) for people with dementia in the community: a feasibility and acceptability study |
| title_fullStr | The Comprehensive Resilience-building psychosocial Intervention (CREST) for people with dementia in the community: a feasibility and acceptability study |
| title_full_unstemmed | The Comprehensive Resilience-building psychosocial Intervention (CREST) for people with dementia in the community: a feasibility and acceptability study |
| title_short | The Comprehensive Resilience-building psychosocial Intervention (CREST) for people with dementia in the community: a feasibility and acceptability study |
| title_sort | comprehensive resilience building psychosocial intervention crest for people with dementia in the community a feasibility and acceptability study |
| topic | Dementia Psychosocial intervention CST Exercise Education |
| url | https://doi.org/10.1186/s40814-024-01568-3 |
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