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Psychosocial group intervention to enhance self-management skills of people with dementia and their caregivers: study protocol for a randomized controlled trial


Laakkonen, Marja-Liisa, Hölttä, Eeva H., Savikko, Niina, Strandberg, Timo E., Suominen, Merja, Pitkälä, Kaisu H.


Trials, Volume: 13, Pages.: 133-133

Year of Publication



Background: After diagnosis of a dementing illness, patients and their spouses have many concerns related to the disease and their future. This often leads to poor psychological well-being and reduced health-related quality of life (HRQoL) of the family. Support for self-management skills has been proven to be an effective method to improve prognosis of asthma, heart failure and osteoarthritis. However, self-management interventions have not been studied in dementia. Therefore, our aim was to examine, in an objective-oriented group intervention, the efficacy of self-management support program (SMP) on the HRQoL of dementia patients and their spousal caregivers as well as on the sense of competence and psychological well-being of caregivers.; Methods: During the years 2011 to 12, 160 dementia patients and their spouses will be recruited from memory clinics and randomized into two arms: 80 patients for group-based SMP sessions including topics selected by the participants, 80 patients will serve as controls in usual community care. Sessions may include topics on dementia, community services, active lifestyle and prevention for cognitive decline, spousal relationship, future planning and emotional well-being. The patients and spouses will have their separate group sessions (ten participants per group) once a week for eight weeks. Main outcome measures will be patients’ HRQoL (15D) and spousal caregivers’ HRQoL (RAND-36), and sense of competence (SCQ). Secondary measures will be caregivers’ psychological well-being (GHQ-12) and coping resources, patients’ depression, cognition and signs of frailty. Data concerning admissions to institutional care and the use and costs of health and social services will be collected during a two-year follow-up.; Discussion: This is a ‘proof-of-concept’ study to explore the efficacy of group support for self-management skills among dementia families. It will also provide data on cost-effectiveness of the intervention.; Trial Registration: ACTRN12611001173987.;

Bibtex Citation

@article{Laakkonen_2012, doi = {10.1186/1745-6215-13-133}, url = {}, year = 2012, month = {aug}, publisher = {Springer Nature}, volume = {13}, number = {1}, author = {Marja-Liisa Laakkonen and Eeva H Hölttä and Niina Savikko and Timo E Strandberg and Merja Suominen and Kaisu H Pitkälä}, title = {Psychosocial group intervention to enhance self-management skills of people with dementia and their caregivers: study protocol for a randomized controlled trial}, journal = {Trials} }


aged, caregivers, community health nursing, dementia, female, geriatric nursing, geriatrics, humans, male, methods, nursing, organization administration, outcome assessment (health care), power psychology, program evaluation, programme, prospective studies, psychology, psychotherapy group, quality of life, rehabilitation, research design, self care, support

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Cost and service use study, Randomised Controlled Trial

Type of Outcomes

Depression and Anxiety, Quality of Life of Carer, Quality of Life of Person With Dementia, Service use or cost reductions (incl. hospital use reduction, care home admission delay)

Type of Interventions

Intervention for Carers, Non-pharmacological Treatment

Non-Pharmaceutical Interventions


Carer Focussed Interventions

Training programmes / workshops including behavioural training