A Review of Self-Management Interventions for People With Dementia and Mild Cognitive Impairment. (November 2016)

• Record Type: Journal Article
• Authors: Quinn, Catherine; Toms, Gill; Anderson, Daniel; Clare, Linda
• Is Part Of: Journal of applied gerontology. Volume 35:Number 11(2016)
• Page Start: 1154
• Page End: 1188
• Publication Date: 2016-11
• Subjects: Alzheimer's disease -- group intervention -- psychosocial intervention -- self-efficacy -- self-care; Gerontology -- Periodicals; 362.6
• DOI: 10.1177/0733464814566852
• Languages: English
• ISSNs: 0733-4648

Abstract

Self-management offers a way of helping people with dementia or mild cognitive impairment (MCI) to play an active role in managing their condition. Barlow, Wright, Sheasby, Turner, and Hainsworth have defined self-management as the "individual's ability to manage the symptoms, treatment, physical and psychosocial consequences and life style changes inherent in living with a chronic condition." Although commonly used in other chronic health conditions, there has been relatively little exploration of the role of self-management in dementia or MCI. This review aimed to identify group-based psychosocial interventions for people with dementia or MCI that incorporate significant elements of self-management. Fifteen interventions were included in the review: 12 for people with dementia and 3 for participants with MCI. In both the dementia and MCI interventions, the most commonly included self-management components were information, communication, and social support, and skills training. The review findings indicate that components of self-management have been incorporated into group-based interventions for people with dementia and MCI. Further studies are needed to address the methodological limitations of the included studies and to determine the effectiveness of self-management interventions with these populations.