Impact of an intervention to support hearing and vision in dementia

the SENSE-Cog Field Trial

Iracema Leroi*, Zoe Simkin, Emma Hooper, Lucas Wolski, Harvey Abrams, Christopher J. Armitage, Elizabeth Camacho, Anna Pavlina Charalambous, Fideline Collin, Fofi Constantinidou, Piers Dawes, Rachel Elliott, Sue Falkingham, Eric Frison, Mark Hann, Catherine Helmer, Ines Himmelsbach, Hannah Hussain, Sarah Marié, Susana Montecelo & 2 others Chryssoula Thodi, Wai Kent Yeung

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: Hearing, vision, and cognitive impairment commonly co-occur in older adults. Improving sensory function may positively impact outcomes in people with dementia (PwD). We developed a “sensory intervention” (SI) to support hearing and vision in PwD. Here, we report the findings of an international open-label field trial, and nested case series, to explore the impact of the SI on dementia-related outcomes. Methods: This was a home-based trial conducted in France, England, and Cyprus. Participants were people with mild-to-moderate dementia and hearing and/or vision impairment (n = 19) and their study partners (unpaid carers; n = 19). The “basic” SI included a hearing and vision assessment and provision of glasses and/or hearing aids. A subsample received the “extended” SI with additional weekly visits from a sensory support therapist (SST). Exploratory analyses of dementia-related, health utility and resource utilisation outcomes were performed. Results: Quality of life (QoL) and sensory functional ability improved. Change in QoL exceeded the threshold for a minimum clinically important difference. There was a modest improvement (in absolute terms) post intervention in behavioural disturbance, self-efficacy, and relationship satisfaction. Study partner time assisting instrumental activities of daily living (iADL) and supervision decreased by about 22 and 38 hours per month, respectively, although time for personal ADL support increased. Qualitative data supported effectiveness of the intervention: PwD were more socially engaged, less isolated, less dependent on study partners, and had improved functional ability and communication. Conclusions: These findings support the need for a definitive randomised controlled trial (RCT) to evaluate the effectiveness of the intervention.

Original languageEnglish
Pages (from-to)348-357
Number of pages10
JournalInternational Journal of Geriatric Psychiatry
Volume35
Issue number4
Early online date11 Nov 2019
DOIs
Publication statusPublished - Apr 2020
Externally publishedYes

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Bibliographical note

Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • complex intervention
  • dementia
  • hearing impairment
  • quality of life
  • resource utilisation
  • vision impairment

Cite this

Leroi, I., Simkin, Z., Hooper, E., Wolski, L., Abrams, H., Armitage, C. J., ... Yeung, W. K. (2020). Impact of an intervention to support hearing and vision in dementia: the SENSE-Cog Field Trial. International Journal of Geriatric Psychiatry, 35(4), 348-357. https://doi.org/10.1002/gps.5231