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; Chryssoula Thodi; Wai Kent Yeung

doi:10.1002/gps.5231

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 MonteceloChryssoula Thodi, Wai Kent Yeung

Research output: Contribution to journal › Article › peer-review

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 language	English
Journal	International journal of geriatric psychiatry
Early online date	11 Nov 2019
DOIs	https://doi.org/10.1002/gps.5231
Publication status	Published - 2019

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10.1002/gps.5231

Manchester Centre for Audiology and Deafness (ManCAD)
Munro, K. (PI), Millman, R. (PI), Lamb, W. (Support team), Dawes, P. (PI), Plack, C. (PI), Stone, M. (PI), Kluk-De Kort, K. (PI), Moore, D. (PI), Morton, C. (PI), Prendergast, G. (PI), Couth, S. (PI), Schlittenlacher, J. (PI), Chilton, H. (PI), Visram, A. (Researcher), Dillon, H. (PI), Guest, H. (Researcher), Heinrich, A. (PI), Jackson, I. (Researcher), Littlejohn, J. (Researcher), Jones, L. (PI), Lough, M. (Researcher), Morgan, R. (Researcher), Perugia, E. (Researcher), Roughley, A. (Researcher), Whiston, H. (Researcher), Wright, C. (Support team), Saunders, G. (PI), Kelly, C. (PI), Cross, H. (Researcher), Loughran, M. (Researcher), Hoseinabadi, R. (PI) & Vercammen, C. (PI)
Project: Research

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Leroi, I., Simkin, Z., Hooper, E., Wolski, L., Abrams, H., Armitage, C. J., Camacho, E., Charalambous, A. P., Collin, F., Constantinidou, F., Dawes, P., Elliott, R., Falkingham, S., Frison, E., Hann, M., Helmer, C., Himmelsbach, I., Hussain, H., Marié, S., ... Yeung, W. K. (2019). Impact of an intervention to support hearing and vision in dementia: The SENSE-Cog Field Trial. International journal of geriatric psychiatry. https://doi.org/10.1002/gps.5231

@article{e74587a88fed4fbf88695e645807a64e,

title = "Impact of an intervention to support hearing and vision in dementia: The SENSE-Cog Field Trial",

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.",

author = "Iracema Leroi and Zoe Simkin and Emma Hooper and Lucas Wolski and Harvey Abrams and Armitage, {Christopher J} and Elizabeth Camacho and Charalambous, {Anna Pavlina} and Fideline Collin and Fofi Constantinidou and Piers Dawes and Rachel Elliott and Sue Falkingham and Eric Frison and Mark Hann and Catherine Helmer and Ines Himmelsbach and Hannah Hussain and Sarah Mari{\'e} and Susana Montecelo and Chryssoula Thodi and Yeung, {Wai Kent}",

note = "{\textcopyright} 2019 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd.",

year = "2019",

doi = "10.1002/gps.5231",

language = "English",

journal = "International journal of geriatric psychiatry",

issn = "0885-6230",

publisher = "John Wiley & Sons Ltd",

}

Leroi, I, Simkin, Z, Hooper, E, Wolski, L, Abrams, H, Armitage, CJ , Camacho, E, Charalambous, AP, Collin, F, Constantinidou, F, Dawes, P , Elliott, R, Falkingham, S, Frison, E, Hann, M, Helmer, C, Himmelsbach, I, Hussain, H, Marié, S, Montecelo, S, Thodi, C & Yeung, WK 2019, 'Impact of an intervention to support hearing and vision in dementia: The SENSE-Cog Field Trial', International journal of geriatric psychiatry. https://doi.org/10.1002/gps.5231

TY - JOUR

T1 - Impact of an intervention to support hearing and vision in dementia

T2 - The SENSE-Cog Field Trial

AU - Leroi, Iracema

AU - Simkin, Zoe

AU - Hooper, Emma

AU - Wolski, Lucas

AU - Abrams, Harvey

AU - Armitage, Christopher J

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 - Thodi, Chryssoula

AU - Yeung, Wai Kent

PY - 2019

Y1 - 2019

N2 - 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.

AB - 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.

U2 - 10.1002/gps.5231

DO - 10.1002/gps.5231

M3 - Article

C2 - 31713262

SN - 0885-6230

JO - International journal of geriatric psychiatry

JF - International journal of geriatric psychiatry

ER -

Impact of an intervention to support hearing and vision in dementia: The SENSE-Cog Field Trial

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