![]() Owing to negligible difference in quality-adjusted life-year gains (derived from European Quality of Life-5 Dimensions) between the conditions the planned full economic analysis was curtailed. Use of health- and social-care services was modest, with no significant difference in service use between conditions. Compliance analyses suggested some benefits for people with dementia who attended more reminiscence sessions however, carers attending more groups showed increased caregiving stress. Carers of people with dementia allocated to the reminiscence intervention reported a significant increase in anxiety on a subscale of the GHQ-28 at the 10-month end point (mean difference 1.25, SE 0.5 F = 8.28 p = 0.04). The intention-to-treat analysis identified no differences in outcome between the intervention and control conditions on primary or secondary outcomes. Secondary outcome measures included autobiographical memory and activities of daily living for the person with dementia, carer stress for the carer and mood, relationship quality and service use and costs for both parties. The primary outcome measures were self-reported quality of life for the person with dementia and psychological distress for the carer. Up to 12 dyads were invited to attend each group. The sessions followed a treatment manual, and were led by two trained facilitators in each centre, supported by a number of volunteers. The intervention consisted of joint reminiscence groups held weekly for 12 consecutive weeks, followed by monthly maintenance sessions for a further 7 months. A total of 350 dyads completed the study. PARTICIPANTSĪ total of 488 individuals (mean age 77.5 years) with mild to moderate dementia (meeting Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition criteria), who were initially living in the community, and who had a relative or other caregiver maintaining regular contact, who could act as an informant and was willing and able to participate in the intervention, were recruited to the study. Assessments were usually carried out in the person's home, and treatment groups were held in a variety of community settings. Most participants were recruited through NHS Memory Clinics and Community Mental Health Teams for older people. Assessments, blind to treatment allocation, were carried out at baseline, 3 months and 10 months (primary end point). ![]() A restricted dynamic method of randomisation was used with an overall allocation ratio of 1 : 1, restricted to ensure intervention groups of a viable size. ![]() ![]() DESIGNĪ multicentre, pragmatic randomised controlled trial with two parallel arms - an intervention group and a usual-care control group - was carried out. The aim of the REMiniscence groups for people with dementia and their family CAREgivers (REMCARE) study was to assess the effectiveness and cost-effectiveness of joint reminiscence groups for people with dementia and their family caregivers as compared with usual care. The full text of this issue is available as a PDF document from the Toolkit section on this page. RT Woods 1, *, E Bruce 2, RT Edwards 3, R Elvish 4, Z Hoare 5, B Hounsome 3, J Keady 4, ED Moniz-Cook 6, V Orgeta 7, M Orrell 7, J Rees 8, IT Russell 9ġ Dementia Services Development Centre Wales, Institute of Medical and Social Care Research, Bangor University, Bangor, UKĢ Bradford Dementia Group, University of Bradford, Bradford, UKģ Centre for Health Economics and Medicines Evaluation, Institute of Medical and Social Care Research, Bangor University, Bangor, UKĤ School of Nursing, Midwifery and Social Work, University of Manchester/Greater Manchester West Mental Health NHS Foundation Trust, Manchester, UKĥ North Wales Organisation for Randomised Trials in Health (and Social Care), Institute of Medical & Social Care Research, Bangor University, Bangor, UKĦ Centre for Mental Health and Aging, Humber Mental Health Teaching NHS Trust, Coltman Street Day Hospital, Kingston-upon-Hull, UKħ Department of Mental Health Sciences, University College London, London, UKĨ Aneurin Bevan Health Board, Ystrad Mynach Hospital, Ystrad Mynach Hengoed, UKĩ North Wales Organisation for Randomised Trials in Health (and Social Care), Institute of Medical & Social Care Research, Bangor University, Bangor, UK and West Wales Organisation for Rigorous Trials in Health and Social Care, Swansea University College of Medicine, Swansea, UK ![]()
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