Self-Managed Group Rehab Beneficial for Persons With Dementia, Spouses

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Self-Managed Group Rehab Beneficial for Persons With Dementia, Spouses
Self-Managed Group Rehab Beneficial for Persons With Dementia, Spouses

HealthDay News -- Self-management group rehabilitation is beneficial for persons with dementia (PwD) and their spouses, according to a study published in the Journal of the American Geriatrics Society.

Marja-Liisa Laakkonen, MD, PhD, from Laakso Hospital in Helsinki, Finland, and colleagues conducted a randomized controlled trial in primary care and memory clinics involving 136 PwD and their 136 spouses. Couples were randomly allocated to receive usual care or 8 weekly sessions of self-management group rehabilitation.

The researchers found that the spouse physical component of the RAND-36 improved for those undergoing the intervention and worsened for controls at 3 months (P = 0.006 after adjustment for age, sex, and baseline value). No between-group differences were seen on the mental component of the RAND-36, the Spousal Sense of Competence Questionnaire, or the 15-dimensional health-related quality of life (HRQoL) of PwD instrument. PwD change in verbal fluency was −0.38 in the intervention group and −1.60 in the control group at 9 months (P = 0.011 after adjustment for age, sex, and Mini-Mental State Examination score); similar scores were seen on the Clock Drawing Test. Differences in incremental costs between the groups were −436€ and −896€ per person per year for PwD (P = 0.35) and spouses (P = 0.51), respectively.

"The intervention had beneficial effects on the HRQoL of spouses and the cognitive function of PwD without increasing total costs," the authors write.

Reference

Laakkonen ML, Kautiainen H, Hölttä E, et al. Effects of Self-Management Groups for People with Dementia and Their Spouses-Randomized Controlled Trial. J Am Geriatr Soc. 2016; doi:10.1111/jgs.14055.

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