Clinical trial NCT05341271: The Effect of Digital Reminiscence Therapy on People With Mild and Moderate Dementia
Official title: The Effect of Digital Reminiscence Therapy on People With Mild and Moderate Dementia: A Randomized Controlled Trial.
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Dementia
Keywords: dementia
digital technology
reminiscence group
neuropsychiatric symptoms
depression, life meaning
caregiver burden
Lead sponsor: National Taipei University of Nursing and Health Sciences
Sponsor class: OTHER
First posted: 2022-04-22
Enrollment: 186
Sex: ALL
Minimum age (years): 20
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: In the post-epidemic era, it is necessary to develop support programs for families with dementia in empirical care. The reminiscence therapy was adopted by patients with mild and moderate dementia those intervention have had good memory stimulation and emotional support effects in the previous studies. However, the application of digital reminiscence therapy that cross spatial and geographic constraints, but related research still has limitations on the knowledge of this topic.

To use the official Line @ account as a media platform to develop a digital reminiscence group program (DRG), and to investigate the effects of mobile-application-based DRG on the psychoneurological symptoms, depression, life meaning and burden of family caregiver in people with mild and moderate dementia (PMMD).

Detailed description: In the post-epidemic era, it is necessary to develop support programs for families with dementia in empirical care. The reminiscence therapy was adopted by patients with mild and moderate dementia those intervention have had good memory stimulation and emotional support effects in the previous studies. However, the application of digital reminiscence therapy that cross spatial and geographic constraints, but related research still has limitations on the knowledge of this topic.

To use the official Line @ account as a media platform to develop a digital reminiscence group program (DRG), and to investigate the effects of mobile-application-based DRG on the psychoneurological symptoms, depression, life meaning and burden of family caregiver in people with mild and moderate dementia (PMMD).

This will be the first digital reminiscence group constructed specifically for family's people with mild and moderate dementia in our country. The investigators expected to have a positive effect. It can be used as a reference for the development of empirical care programs for family caregivers with PMMD in the community.

Eligibility criteria: Inclusion Criteria:

* The conditions for accepting cases for families with dementia are as follows:

  1. Family caregivers must meet the following conditions:

     ①Age 20 years old or above

     ②Have experience in caring for the dementia case in the past year, and live together
     * Have a smart phone and have experience in using line APP
  2. Dementia patients must meet the following conditions:

     * Those who currently live at home and regularly go to the Rizhao Center to participate in activities ②Patients with dementia (Alzheimer's disease) diagnosed by a physician with DSM 5 or in line with NINCDS/ADRDA, their CDR score is 1\~2 points ③ Those who have a clear consciousness, can express in Chinese and Taiwanese, or communicate with others in words without hindrance ④ Those who have normal vision and hearing, and can operate digital mobile phones or tablets

Exclusion Criteria:

* The exclusion criteria for families with dementia are:

  1. The exclusion conditions for family caregivers are:

     * A history of mental illness diagnosed by a psychiatrist, such as major depression ② Those who are not of their own nationality.
  2. The exclusion conditions for patients with dementia are:

     * Confusion or delirium ② Dementia cases who will be referred to long-term care institutions or nursing homes within one month.

Primary outcomes:
measure: Mini-Mental State Examination; MMSE
timeFrame: Pre-intervention(T0)
measure: Neuropsychiatric Inventory, NPI
timeFrame: Pre-intervention(T0)
measure: Cornell Scale for Depression in Dementia; CSDD
timeFrame: Pre-intervention(T0)
measure: Purpose in Life Test:
timeFrame: Pre-intervention(T0)
measure: Mini-Mental State Examination; MMSE
timeFrame: two momths after intervention(T1)
measure: Neuropsychiatric Inventory, NPI
timeFrame: two momths after intervention(T1)
measure: Cornell Scale for Depression in Dementia; CSDD
timeFrame: two momths after intervention(T1)
measure: Purpose in Life Test:
timeFrame: two momths after intervention(T1)
measure: Mini-Mental State Examination; MMSE
timeFrame: One month after the end of the intervention (T2)
measure: Neuropsychiatric Inventory, NPI
timeFrame: One month after the end of the intervention (T2)
measure: Cornell Scale for Depression in Dementia; CSDD
timeFrame: One month after the end of the intervention (T2)
measure: Purpose in Life Test:
timeFrame: One month after the end of the intervention (T2)
Secondary outcomes:
Other outcomes:
Locations:
city: Taipei
country: Taiwan
facility: National Taipei University of Nursing and Health Sciences
state: Taipei City
Study officials:
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