Evaluation of MESSAGE communication strategy combined with group reminiscence therapy on elders with mild cognitive impairment in long‐term care facilities

Objective This study aims to evaluate combined effects of MESSAGE communication strategy and group reminiscence therapy (GRT) on elders with mild cognitive impairment (MCI) in long‐term care facilities in Changchun, China. Methods This study is a nonrandomized controlled trial. Subjects included 60...

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Bibliographic Details
Published in:International journal of geriatric psychiatry 2018-04, Vol.33 (4), p.613-622
Main Authors: Zhang, Huan‐huan, Liu, Peng‐cheng, Ying, Jie, Shi, Ying, Wang, Shou‐qi, Zhang, Mei‐ling, Sun, Jiao
Format: Article
Language:English
Subjects:
Cognitive ability
Communication
elders
Geriatric psychiatry
Geriatrics
group reminiscence therapy
long‐term care facilities
Memory
Mental health
MESSAGE communication strategy
mild cognitive impairment
Older people
Quality of life
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Summary:Objective This study aims to evaluate combined effects of MESSAGE communication strategy and group reminiscence therapy (GRT) on elders with mild cognitive impairment (MCI) in long‐term care facilities in Changchun, China. Methods This study is a nonrandomized controlled trial. Subjects included 60 elders with MCI. Participants were divided into intervention (MESSAGE communication strategy combined with GRT) and control groups (without any intervention). Primary outcomes comprised cognitive function and quality of life of elderly people, as measured by the Beijing version of the Montreal Cognitive Assessment and the Chinese (mainland) version of Short‐Form 36 Health Survey assessment. Results We observed significant changes in cognitive function with mean difference of 1.962 after 12 weeks (P = .000; 95% confidence interval [CI] = 1.341, 2.582), delayed memory dimension of 1.115 (P = .003; 95% CI = 0.417, 1.813). The intervention group exhibited the following improvements: general health of 14.731 (P = .000; 95% CI = 8.511, 20.951), mental health of 21.038 (P = .000; 95% CI = 17.301, 24.776), role‐emotional of 26.925 (P = .003; 95% CI = 10.317, 45.533), and vitality of 14.231 (P = .000; 95% CI = 10.084, 18.377). Conclusions Using a sample of Chinese elderly people with MCI and residing in long‐term care facilities, we concluded that application of MESSAGE communication strategy combined with GRT resulted in improved cognitive function and quality of life.
ISSN:0885-6230
1099-1166
DOI:10.1002/gps.4822