title: Feasibility and Effect Sizes of the Revised Daily Engagement of Meaningful Activities Intervention for Individuals With Mild Cognitive Impairment and Their Caregivers.
abstract: A nurse-led intervention, Daily Engagement of Meaningful Activities (DEMA), was evaluated for feasibility and effect sizes in a two-group randomized pilot study with 36 patient-caregiver dyads (17 DEMA and 19 attention control). Effect sizes were estimated on 10 outcomes: dyad functional ability awareness congruence; patients' meaningful activity performance and satisfaction, confidence, depressive symptoms, communication satisfaction, physical function, and life satisfaction; and caregivers' depressive symptoms and life changes. High feasibility of DEMA was supported by the following indicators: consent (97.7%), session completion (91.7%), and Time 3 measure completion (97.2%). Compared to the attention control group, the DEMA group had higher dyad congruence in functional ability awareness and life satisfaction 3 months post-intervention and improved physical function at 2 weeks post-intervention. Although DEMA showed high feasibility and benefits on some health-related outcomes, further testing of DEMA in a larger randomized controlled clinical trial is needed.
authors.forename: Yvonne Yueh-Feng
authors.initials: YY
authors.lastname: Lu
authors.forename: Tamilyn
authors.initials: T
authors.lastname: Bakas
authors.forename: Ziyi
authors.initials: Z
authors.lastname: Yang
authors.forename: Michael T
authors.initials: MT
authors.lastname: Weaver
authors.forename: Mary Guerriero
authors.initials: MG
authors.lastname: Austrom
authors.forename: Joan E
authors.initials: JE
authors.lastname: Haase
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D060825:Cognitive Dysfunction / Q000451:nursing* / Q000523:psychology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D010865:Pilot Projects; D057184:Practice Patterns, Nurses'; D011788:Quality of Life