title: Content validity and acceptability of the daily enhancement of meaningful activity program: intervention for mild cognitive impairment patient-spouse dyads.
abstract: Persons with mild cognitive impairment (PwMCI) are at greater risk for developing Alzheimer disease and experience various difficulties that decrease their quality of life. Very few interventions focus on helping PwMCI improve or maintain functional performance and enhance quality of life through meaningful activity engagement. The purpose of the study was to explore PwMCI and their spouses' perspectives on the content validity, usefulness, and acceptability of the Daily Enhancement of Meaningful Activity (DEMA) program, which included 6 biweekly face-to-face sessions between session assignments and a self-management tool kit of written educational handouts. Nine PwMCI-care partner dyads participated in 3 focus groups (PwMCI alone, spouses alone, and couples) to capture their perspectives on DEMA. The transcribed focus group data were analyzed through content analysis. The three groups provided support for content validity and acceptability of the program, and they suggested additional content areas important to couples experiencing MCI. They also attested to the usefulness of the tool kit and gave suggestions for its further improvement. The findings provide evidence of the content validity and acceptability of the DEMA program. A pilot study to assess feasibility and preliminary efficacy of the DEMA on health-related outcomes is the recommended next research step for this program.
authors.affiliation: Department of Adult Health Nursing, Indiana University School of Nursing, Indianapolis, IN, USA. yuelu@iupui.edu
authors.forename: Yvonne Yueh-Feng
authors.initials: YY
authors.lastname: Lu
authors.forename: Joan E
authors.initials: JE
authors.lastname: Haase
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000544:Alzheimer Disease / Q000453:epidemiology / Q000451:nursing / Q000517:prevention & control; D060825:Cognitive Dysfunction / Q000453:epidemiology / Q000451:nursing / Q000523:psychology; D022143:Family Nursing / Q000379:methods*; D005260:Female; D017144:Focus Groups; D005851:Geriatric Nursing / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology; D015397:Program Evaluation; D011788:Quality of Life; D015203:Reproducibility of Results; D012307:Risk Factors; D012648:Self Care / Q000379:methods / Q000592:standards*; D018454:Spouses / Q000523:psychology*
references.citation: West J Nurs Res. 2007 Dec;29(8):976-92
references.pmid: 17984481
references.citation: Gen Hosp Psychiatry. 1999 Jul-Aug;21(4):260-73
references.pmid: 10514950
references.citation: J Am Geriatr Soc. 2003 May;51(5):657-64
references.pmid: 12752841
references.citation: Neurology. 2005 Mar 8;64(5):834-41
references.pmid: 15753419
references.citation: J Gerontol A Biol Sci Med Sci. 2009 Apr;64(4):462-7
references.pmid: 19181715
references.citation: J Neurosci Nurs. 2008 Apr;40(2):96-102
references.pmid: 18481739
references.citation: Ann Intern Med. 2006 Jan 17;144(2):73-81
references.pmid: 16418406
references.citation: Scand J Occup Ther. 2009;16(4):216-26
references.pmid: 19148847
references.citation: Int Psychogeriatr. 2008 Feb;20(1):57-66
references.pmid: 17958927
references.citation: Am J Epidemiol. 2005 Apr 1;161(7):639-51
references.pmid: 15781953
references.citation: Arch Neurol. 2001 Dec;58(12):1985-92
references.pmid: 11735772
references.citation: J Am Geriatr Soc. 2009 Jun;57(6):978-84
references.pmid: 19467146
references.citation: Alzheimer Dis Assoc Disord. 2006 Oct-Dec;20(4):217-23
references.pmid: 17132965
references.citation: JAMA. 2003 Oct 15;290(15):2015-22
references.pmid: 14559955
references.citation: J Geriatr Psychiatry Neurol. 2007 Dec;20(4):215-26
references.pmid: 18004008
references.citation: Dement Geriatr Cogn Disord. 2006;22(5-6):486-99
references.pmid: 17050952
references.citation: Crit Care Med. 2009 Jan;37(1 Suppl):S69-74
references.pmid: 19104228
references.citation: Arch Neurol. 1999 Mar;56(3):303-8
references.pmid: 10190820
references.citation: Alzheimers Dement. 2011 May;7(3):257-62
references.pmid: 21514247
references.citation: Br J Clin Psychol. 2004 Jun;43(Pt 2):177-196
references.pmid: 15169617
references.citation: JAMA. 2006 Dec 20;296(23):2805-14
references.pmid: 17179457
references.citation: Alzheimer Dis Assoc Disord. 2000 Oct-Dec;14(4):196-201
references.pmid: 11186596
references.citation: Gerontologist. 2009 Aug;49(4):485-94
references.pmid: 19491362
references.citation: Arch Neurol. 2001 Mar;58(3):498-504
references.pmid: 11255456
references.citation: Alzheimer Dis Assoc Disord. 2005 Oct-Dec;19(4):256-60
references.pmid: 16327355
references.citation: J Neurol Neurosurg Psychiatry. 2009 Jul;80(7):730-6
references.pmid: 19332424
references.citation: Dement Geriatr Cogn Disord. 2009;28(2):95-109
references.pmid: 19684399
references.citation: Int J Geriatr Psychiatry. 2005 Jun;20(6):512-22
references.pmid: 15920711
references.citation: Alzheimers Dement. 2007 Apr;3(2):98-108
references.pmid: 18379636
references.citation: Health Serv Res. 1995 Apr;30(1 Pt 2):197-205
references.pmid: 7721592
references.citation: Alzheimer Dis Assoc Disord. 2002 Oct-Dec;16(4):279-82
references.pmid: 12468903
references.citation: Alzheimer Dis Assoc Disord. 2008 Jul-Sep;22(3):284-92
references.pmid: 18580593
references.citation: Int J Geriatr Psychiatry. 2007 Apr;22(4):356-60
references.pmid: 17117398
references.citation: Neurology. 2001 Nov 13;57(9):1655-62
references.pmid: 11706107
references.citation: Psychol Med. 2003 Aug;33(6):1029-38
references.pmid: 12946087
references.citation: Curr Alzheimer Res. 2009 Aug;6(4):392-8
references.pmid: 19689239
references.citation: J Eval Clin Pract. 2004 May;10(2):307-12
references.pmid: 15189396
references.citation: Am J Geriatr Psychiatry. 2010 Apr;18(4):281-96
references.pmid: 20220584
references.citation: Dement Geriatr Cogn Disord. 2008;25(2):115-26
references.pmid: 18087152
references.citation: Dement Geriatr Cogn Disord. 2003;16(3):145-50
references.pmid: 12826740
references.citation: Am J Geriatr Psychiatry. 2010 Nov;18(11):988-98
references.pmid: 20808092
references.citation: Alzheimers Dement. 2009 Jan;5(1):12-7
references.pmid: 19118805
references.citation: Neurology. 2006 Mar 28;66(6):821-7
references.pmid: 16467493
references.citation: J Am Geriatr Soc. 2006 Nov;54(11):1745-50
references.pmid: 17087703
references.citation: J Geriatr Psychiatry Neurol. 2009 Jun;22(2):87-94
references.pmid: 19196629
references.citation: Curr Alzheimer Res. 2009 Aug;6(4):384-91
references.pmid: 19689238
references.citation: Am J Alzheimers Dis Other Demen. 2008 Apr-May;23(2):177-83
references.pmid: 18182471
references.citation: Int J Geriatr Psychiatry. 2004 Jan;19(1):85-92
references.pmid: 14716704
references.citation: Neuropsychol Rehabil. 2008 Jan;18(1):65-88
references.pmid: 17943615
references.citation: Int J Geriatr Psychiatry. 2006 Feb;21(2):158-62
references.pmid: 16416470
references.citation: J Neurol. 2003 Aug;250(8):907-12
references.pmid: 12928907