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This interventional study aims to evaluate the efficacy of a dyadic personalized home-based activity program in managing behavioral and psychological symptoms of dementia (BPSD) among home-dwelling people living with mild-to-moderate dementia post-discharge. The main question it aims to answer is:
Does the dyadic personalized home-based activity program significantly reduce BPSD in individuals post-discharge with mild-to-moderate dementia?
Researchers will compare individuals living with mild to moderate dementia who are receiving routine care to see if the dyadic personalized home-based activity program is effective for BPSD.
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dyadic personalized home-based activity program intervention | Experimental |
|
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| Routine care | Other | Participants will receive routine care consisting of standard hospitalization treatment, basic caregiver education on behavioral and psychological symptoms of dementia (BPSD), routine discharge instructions (including general home activity recommendations without personalized intervention assessment, planning or implementation), and routine post-discharge follow-up for 12 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dyadic personalized home-based activity program intervention | Behavioral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Behavioral and Psychological Symptoms of Dementia | Assessment using the Neuropsychiatric Inventory (NPI) yields scores ranging from 0 to 144, with higher scores indicating more severe neuropsychiatric symptoms | Baseline and post-intervention (at the end of week 12) |
| Caregiver Distress of Behavioral and Psychological Symptoms of Dementia | Assessment using the caregiver distress section of the Neuropsychiatric Inventory (NPI) yields scores ranging from 0 to 60, with higher scores indicating greater caregiver distress levels | Baseline and post-intervention (at the end of week 12) |
| Measure | Description | Time Frame |
|---|---|---|
| Cognitive Function of Dementia Patients | Assessment using the cognitive subscale of the Alzheimer's Disease Assessment Scale (ADAS-cog) yields scores ranging from 0 to 70, with higher scores indicating more severe cognitive impairment | Baseline and post-intervention (at the end of week 12) |
| Activities of Daily Living of Dementia Patients |
| Measure | Description | Time Frame |
|---|---|---|
| Number of caregivers with varying levels of satisfaction towards the intervention | Post-intervention (at the end of week 12) | |
| Number of dementia patients with varying levels of satisfaction towards the intervention | Post-intervention (at the end of week 12) |
Inclusion Criteria Patients
Family Caregivers
Exclusion Criteria Patients
Family Caregivers
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaozhen Fu | Contact | 15160301901 | 15160301901@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Union Hospital Affiliated to Fujian Medical University | Recruiting | Fujian | Fuzhou | China |
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| ID | Term |
|---|---|
| D003704 | Dementia |
| D001519 | Behavior |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D019965 | Neurocognitive Disorders |
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|
| Routine care | Other | Participants will receive routine care consisting of standard hospitalization treatment, basic caregiver education on behavioral and psychological symptoms of dementia (BPSD), routine discharge instructions (including general home activity recommendations without personalized intervention assessment, planning or implementation), and routine post-discharge follow-up for 12 weeks. |
|
Assessment using the Activity of Daily Living (ADL) scale yields scores ranging from 20 to 80, with higher scores indicating more severe impairment in daily living activities. |
| Baseline and post-intervention (at the end of week 12) |
| Apathy of Dementia Patients | Assessment using the Apathy Evaluation Scale-Informant version (AES-I) yields scores ranging from 18 to 72, with higher scores indicating more severe apathy symptoms | Baseline and post-intervention (at the end of week 12) |
| Agitation of Dementia Patients | Assessment using the Cohen-Mansfield Agitation Inventory (CMAI) yields scores ranging from 29 to 203, with higher scores indicating more severe agitated behaviors | Baseline and post-intervention (at the end of week 12) |
| Quality of Life in Dementia | Assessment using the Quality of Life-Alzheimer's Disease (QOL-AD) scale yields total scores ranging from 13 to 52, with higher scores indicating better quality of life | Baseline and post-intervention (at the end of week 12) |
| Caregiver Readiness for Hospital Discharge | Assessment using the Caregiver Preparedness Scale (CPS) yields total scores ranging from 0 to 32, with higher scores indicating better discharge readiness. | Baseline（on the day of patient discharge） |
| Caregiver Burden | Assessment using the Caregiver Burden Inventory (CBI) yields scores ranging from 0 to 88, with a total score of <21 indicates no or mild burden, 21-39 suggests moderate burden, and ≥40 reflects severe burden. | Baseline and post-intervention (at the end of week 12) |
| Self Efficacy of Caregivers | Assessment using the General Self-Efficacy Scale (GSES) yields scores ranging from 10 to 40, with higher scores indicating greater self-efficacy | Baseline and post-intervention (at the end of week 12) |
| Perceived Social Support of Caregivers | Assessment using the Perceived Social Support Scale (PSSS) yields scores ranging from 12 to 84, with higher scores indicating greater perceived social support | Baseline and post-intervention (at the end of week 12) |
| Depression of Dementia Patients | Assessment using the 24-item Hamilton Depression Scale (HAMD-24) yields total scores ranging from 0 to 78, with higher scores indicating more severe depressive symptoms. Specifically, scores <8 suggest no depression, 8-20 indicate possible depression, 21-35 confirm clinically significant depression, and >35 reflect severe depression | Baseline and post-intervention (at the end of week 12) |
| Depression of Caregivers | Assessment using the 24-item Hamilton Depression Scale (HAMD-24) yields total scores ranging from 0 to 78, with higher scores indicating more severe depressive symptoms. Specifically, scores <8 suggest no depression, 8-20 indicate possible depression, 21-35 confirm clinically significant depression, and >35 reflect severe depression | Baseline and post-intervention (at the end of week 12) |
| Anxiety of Dementia Patients | Assessment using the Hamilton Anxiety Scale (HAMA) yields total scores ranging from 0 to 56, with ≥29 indicating probable severe anxiety, ≥21 reflecting definite significant anxiety, ≥14 confirming anxiety presence, >7 suggesting possible anxiety, and <7 demonstrating no anxiety symptoms. | Baseline and post-intervention (at the end of week 12) |
| Anxiety of Caregivers | Assessment using the Hamilton Anxiety Scale (HAMA) yields total scores ranging from 0 to 56, with ≥29 indicating probable severe anxiety, ≥21 reflecting definite significant anxiety, ≥14 confirming anxiety presence, >7 suggesting possible anxiety, and <7 demonstrating no anxiety symptoms. | Baseline and post-intervention (at the end of week 12) |
| Family Quality of Life in Dementia | Assessment using the Family Quality of Life in Dementia Scale (FQOL-D) yields total scores ranging from 13 to 52, with higher scores indicating better family quality of life | Baseline and post-intervention (at the end of week 12) |
| Family Adaptability and Cohesion in Dementia | Assessment was conducted using the Chinese Version of the Family Adaptability and Cohesion Scale, Second Edition (FACES II-CV), which comprises two subscales: Cohesion and Adaptability (15 items each, with subscale scores ranging from 15 to 75; higher scores indicate stronger family cohesion or adaptability | Baseline and post-intervention (at the end of week 12) |
| Number of Participants with Intervention-Related Adverse Events | Post-intervention (at the end of week 12) |
| Number of completed activity intervention sessions for dementia patients | Post-intervention (at the end of week 12) |
| D001523 | Mental Disorders |