Introduction
Reminiscence therapy has been shown to improve mental health and quality of life in dementia; however, reminiscence therapy is often delivered by therapists instead of being technology‐enabled. This study evaluated the preliminary efficacy of Memory Matters (MM), an iPad reminiscence game on mood, social interaction, quality of life, and behavioral and psychological symptoms of dementia.
Methods
This pilot study used an experimental design where participants were randomized on a 2:2:1 ratio to three arms: individual MM (one‐on‐one with an interventionist), group MM (2–3 participants per session), or waitlist control. MM was delivered for 30 minutes a session, twice a week for six weeks, followed by six‐week self‐play. Outcomes were assessed at the baseline, six weeks, and 12 weeks by data collectors blinded to group allocation. Data were analyzed using intention‐to‐treat analysis and analysis of covariance.
Results
The sample (n = 80) was 82.1 ± 7.8 years in age with 58% female, 15.3 ± 3.3 years of education. Mood did not differ, except for apathetic mood between group MM and control arm at 12 weeks (P = .051). Social interaction improved for individual MM compared with group MM (t = 2.38, P = .017) and control (t = 2.84, P = .005) at six weeks, but not 12 weeks. Other outcomes did not differ.
Discussion
MM improved social interaction and possibly mood. Future studies are needed to evaluate the efficacy of MM with a sufficient sample size.
Reminiscence interventions are potentially effective in improving
well-being of persons with memory loss (PWMLs) and may also enhance
relationships with family and professional caregivers. Using a parallel
convergent mixed-methods design, the feasibility of “Memory
Matters” (MM), a mobile device application developed to promote
reminiscence, was evaluated. Eighteen PWMLs and eight family members were
enrolled from a long-term care facility and asked to use MM for 4 weeks.
Participants were observed using MM at enrollment and 2 weeks and completed
1-month interviews. Six staff participants also completed a system review
checklist and/or focus group at 1 month. Three qualitative domains were
identified: (a) context of use, (b) barriers to
use, and (c) MM influences on outcomes.
Participants reported real-time social engagement, ease of use, and other
benefits. However, PWMLs were unlikely to overcome barriers without assistance.
Empirical data indicated that family and staff perceived MM favorably.
Participants agreed that MM could provide stimulating, reminiscence-based
activity.
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