TY - JOUR
T1 - Feasibility of an intervention to support hearing and vision in dementia
T2 - the SENSE-Cog Field Trial
AU - Hooper, Emma
AU - Simkin, Zoe
AU - Abrams, Harvey
AU - Camacho, Elizabeth
AU - Charalambous, Anna Pavlina
AU - Collin, Fideline
AU - Constantinidou, Fofi
AU - Dawes, Piers
AU - Elliott, Rachel
AU - Falkingham, Sue
AU - Frison, Eric
AU - Hann, Mark
AU - Helmer, Catherine
AU - Himmelsbach, Ines
AU - Hussain, Hannah
AU - Marié, Sarah
AU - Montecelo, Susana
AU - Reeves, David
AU - Regan, Jemma
AU - Thodi, Chryssoula
AU - Wolski, Lucas
AU - Leroi, Iracema
PY - 2019/7
Y1 - 2019/7
N2 - Objectives: People with dementia (PwD) frequently experience hearing and vision impairment that is underrecognized and undertreated, resulting in reduced quality of life. Managing these impairments may be an important strategy to improve outcomes in PwD. Our objective was to field-trial a multifaceted sensory intervention (SI) to enhance hearing and vision in PwD. Design: An international single-arm open-label feasibility, acceptability, and tolerability study. Setting: Home-based setting in the United Kingdom, France, and Cyprus. Participants: Adults aged 60 years and older with mild-to-moderate dementia and uncorrected or suboptimally corrected hearing and/or vision impairment, and their study partners (n = 19 dyads). Intervention: A sensory intervention (SI), comprising assessment of hearing and vision, fitting of corrective devices (glasses, hearing aids), and home-based support from a sensory support therapist for device adherence and maintenance, communication training, referral to support services, environmental sensory modification, and optimization of social inclusion. Measurements: Ratings of study procedure feasibility, and intervention acceptability/tolerability, ascertained through questionnaires, participant diaries, therapist logbooks, and semistructured interviews. Results: We successfully delivered all intervention components, and these were received and enacted as intended in all those who completed the intervention. No serious adverse events were reported. Acceptability (ie, understanding, motivation, sense of achievement) and tolerability (ie, effort, fatigue) ratings of the intervention were within a priori target ranges. We met recruitment and retention (93.8%) targets in two of the three sites. Participants completed more than 95% of diary entries, representing minimal missing data. Delays in the logistics circuit for the assessment and delivery of hearing aids and glasses were identified, requiring modification. The need for minor modifications to some outcome measures and the inclusion criteria were identified. Conclusion: This is the first study combining home-based hearing and vision remediation in PwD. The positive feasibility, acceptability, and tolerability findings suggest that a full-scale efficacy trial, with certain modifications, is achievable.
AB - Objectives: People with dementia (PwD) frequently experience hearing and vision impairment that is underrecognized and undertreated, resulting in reduced quality of life. Managing these impairments may be an important strategy to improve outcomes in PwD. Our objective was to field-trial a multifaceted sensory intervention (SI) to enhance hearing and vision in PwD. Design: An international single-arm open-label feasibility, acceptability, and tolerability study. Setting: Home-based setting in the United Kingdom, France, and Cyprus. Participants: Adults aged 60 years and older with mild-to-moderate dementia and uncorrected or suboptimally corrected hearing and/or vision impairment, and their study partners (n = 19 dyads). Intervention: A sensory intervention (SI), comprising assessment of hearing and vision, fitting of corrective devices (glasses, hearing aids), and home-based support from a sensory support therapist for device adherence and maintenance, communication training, referral to support services, environmental sensory modification, and optimization of social inclusion. Measurements: Ratings of study procedure feasibility, and intervention acceptability/tolerability, ascertained through questionnaires, participant diaries, therapist logbooks, and semistructured interviews. Results: We successfully delivered all intervention components, and these were received and enacted as intended in all those who completed the intervention. No serious adverse events were reported. Acceptability (ie, understanding, motivation, sense of achievement) and tolerability (ie, effort, fatigue) ratings of the intervention were within a priori target ranges. We met recruitment and retention (93.8%) targets in two of the three sites. Participants completed more than 95% of diary entries, representing minimal missing data. Delays in the logistics circuit for the assessment and delivery of hearing aids and glasses were identified, requiring modification. The need for minor modifications to some outcome measures and the inclusion criteria were identified. Conclusion: This is the first study combining home-based hearing and vision remediation in PwD. The positive feasibility, acceptability, and tolerability findings suggest that a full-scale efficacy trial, with certain modifications, is achievable.
KW - dementia
KW - hearing and vision impairments
KW - feasibility
KW - acceptability
KW - tolerability
UR - http://www.scopus.com/inward/record.url?scp=85065163730&partnerID=8YFLogxK
U2 - 10.1111/jgs.15936
DO - 10.1111/jgs.15936
M3 - Article
C2 - 31034588
AN - SCOPUS:85065163730
SN - 0002-8614
VL - 67
SP - 1472
EP - 1477
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 7
ER -