title: A Review of Self-Management Interventions for People With Dementia and Mild Cognitive Impairment.
abstract: Self-management offers a way of helping people with dementia or mild cognitive impairment (MCI) to play an active role in managing their condition. Barlow, Wright, Sheasby, Turner, and Hainsworth have defined self-management as the "individual's ability to manage the symptoms, treatment, physical and psychosocial consequences and life style changes inherent in living with a chronic condition." Although commonly used in other chronic health conditions, there has been relatively little exploration of the role of self-management in dementia or MCI. This review aimed to identify group-based psychosocial interventions for people with dementia or MCI that incorporate significant elements of self-management. Fifteen interventions were included in the review: 12 for people with dementia and 3 for participants with MCI. In both the dementia and MCI interventions, the most commonly included self-management components were information, communication, and social support, and skills training. The review findings indicate that components of self-management have been incorporated into group-based interventions for people with dementia and MCI. Further studies are needed to address the methodological limitations of the included studies and to determine the effectiveness of self-management interventions with these populations.
authors.affiliation: Bangor University, UK catherine.quinn@bangor.ac.uk.
authors.forename: Catherine
authors.initials: C
authors.lastname: Quinn
authors.affiliation: Bangor University, UK.
authors.forename: Gill
authors.initials: G
authors.lastname: Toms
authors.affiliation: The Retreat, York, UK.
authors.forename: Daniel
authors.initials: D
authors.lastname: Anderson
authors.affiliation: Bangor University, UK.
authors.forename: Linda
authors.initials: L
authors.lastname: Clare
mesh_terms: D000368:Aged; D060825:Cognitive Dysfunction / Q000628:therapy*; D003704:Dementia / Q000628:therapy*; D006801:Humans; D000073278:Self-Management / Q000379:methods
keywords: Alzheimer’s disease; group intervention; psychosocial intervention; self-care; self-efficacy