title: The peaceful mind program: a pilot test of a cognitive-behavioral therapy-based intervention for anxious patients with dementia.
abstract: OBJECTIVE
  To assess feasibility and to conduct a preliminary evaluation of outcomes following Peaceful Mind, a cognitive-behavioral therapy-based intervention for anxiety in dementia, relative to usual care.
  
  
  METHODS
  Pilot randomized controlled trial including assessments at baseline and 3 and 6 months.
  
  
  METHODS
  Houston, TX.
  
  
  METHODS
  Thirty-two outpatients diagnosed with mild (47%) or moderate (53%) dementia receiving care through outpatient clinics at the Veterans Affairs medical center, Baylor College of Medicine, Harris County Hospital District, and community day centers for dementia, and their collaterals, who spent at least 8 hours a week with them.
  
  
  METHODS
  Peaceful Mind included up to 12 weekly in-home sessions (mean: 8.7, SD: 2.27) during the initial 3 months and up to eight brief telephone sessions (mean: 5.4, SD: 3.17) during months 3-6, involving self-monitoring for anxiety, deep breathing, and optional skills (coping self-statements, behavioral activation, and sleep management). Patients learned skills, and collaterals served as coaches. In usual care, patients received diagnostic feedback, and providers were informed of inclusion status.
  
  
  METHODS
  Neuropsychiatric Inventory-Anxiety subscale, Rating Anxiety in Dementia scale, Penn State Worry Questionnaire-Abbreviated, Geriatric Anxiety Inventory, Geriatric Depression Scale, Quality of Life in Alzheimer disease, Patient Health Questionnaire, and Client Satisfaction Questionnaire.
  
  
  RESULTS
  Feasibility was demonstrated with regard to recruitment, attrition, and treatment characteristics. At 3 months, clinicians rated patients receiving Peaceful Mind as less anxious, and patients rated themselves as having higher quality of life; collaterals reported less distress related to loved ones' anxiety. Although significant positive effects were not noted in other outcomes or at 6-month follow-up, the pilot nature of the trial prohibits conclusions about efficacy.
  
  
  CONCLUSIONS
  Results support that Peaceful Mind is ready for future comparative clinical trials.
authors.affiliation: VA HSR&D Houston Center of Excellence, Houston, TX 77030, USA. mstanley@bcm.edu
authors.forename: Melinda A
authors.initials: MA
authors.lastname: Stanley
authors.forename: Jessica
authors.initials: J
authors.lastname: Calleo
authors.forename: Amber L
authors.initials: AL
authors.lastname: Bush
authors.forename: Nancy
authors.initials: N
authors.lastname: Wilson
authors.forename: A Lynn
authors.initials: AL
authors.lastname: Snow
authors.forename: Cynthia
authors.initials: C
authors.lastname: Kraus-Schuman
authors.forename: Amber L
authors.initials: AL
authors.lastname: Paukert
authors.forename: Nancy J
authors.initials: NJ
authors.lastname: Petersen
authors.forename: Gretchen A
authors.initials: GA
authors.lastname: Brenes
authors.forename: Paul E
authors.initials: PE
authors.lastname: Schulz
authors.forename: Susan P
authors.initials: SP
authors.lastname: Williams
authors.forename: Mark E
authors.initials: ME
authors.lastname: Kunik
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000523:psychology / Q000628:therapy*; D017028:Caregivers; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003704:Dementia / Q000523:psychology*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010865:Pilot Projects; D016896:Treatment Outcome