title: A pilot randomised controlled trial to compare changes in quality of life for participants with early diagnosis dementia who attend a 'Living Well with Dementia' group compared to waiting-list control.
abstract: OBJECTIVE
  The aim of this paper is to report a pilot study in which participants who had recently received a diagnosis of dementia were randomised to either a 10-week group intervention or a waiting-list control.
  
  
  METHODS
  Memory clinic staff with limited previous experience of group therapy were trained to lead a 10-week group therapy intervention called 'Living Well with Dementia'. Fifty-eight participants, all of whom had received a diagnosis of Alzheimer's disease, vascular or Lewy body dementia within the previous 18 months, were randomised to receive either the intervention or treatment as usual (waiting-list control). Data collection occurred at baseline, within two weeks after the intervention finished and at 10-week follow-up.
  
  
  RESULTS
  The study met its recruitment targets, with a relatively low attrition rate for the intervention arm. The acceptability of the intervention and research methods was examined qualitatively and will be reported on elsewhere. For the primary outcome, measure of quality of life in Alzheimer's disease (QoL-AD), and secondary outcome, self-esteem, there was some evidence of improvement in the intervention group compared to the control group. There was, also, evidence of a reduction in cognitive functioning in the treatment group compared to the control. Such reported differences should be treated with caution because they are obtained from a pilot and not a definitive study.
  
  
  CONCLUSIONS
  This pilot study succeeded in collecting data to inform a future definitive cost effectiveness clinical trial of Living Well with Dementia group therapy.
authors.affiliation: a Southern Health NHS Foundation Trust.
authors.forename: Ann
authors.initials: A
authors.lastname: Marshall
authors.forename: John
authors.initials: J
authors.lastname: Spreadbury
authors.forename: Richard
authors.initials: R
authors.lastname: Cheston
authors.forename: Peter
authors.initials: P
authors.lastname: Coleman
authors.forename: Claire
authors.initials: C
authors.lastname: Ballinger
authors.forename: Mark
authors.initials: M
authors.lastname: Mullee
authors.forename: Jane
authors.initials: J
authors.lastname: Pritchard
authors.forename: Cynthia
authors.initials: C
authors.lastname: Russell
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Bartlett
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D011615:Psychotherapy, Group / Q000379:methods*; D011788:Quality of Life; D012944:Social Support; D016896:Treatment Outcome; D014850:Waiting Lists
keywords: Alzheimer's disease; dementia; group psychotherapy; psychosocial support system; recovery