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Reminiscence groups for people with dementia and their family carers: pragmatic eight-centre randomised trial of joint reminiscence and maintenance versus usual treatment: a protocol


Woods, Robert T, Bruce, Errollyn, Edwards, Rhiannon T., Hounsome, Barry, Keady, John, Moniz-Cook, Esme D., Orrell, Martin, Russell, Ian T.


Trials, Volume: 10, Pages.: 64-64

Year of Publication



Background: The growing number of people with dementia, and the increasing cost of care, provides a major incentive to develop and test methods of supporting them in the community for longer. Most attention has been given to pharmacological interventions, but there is increasing recognition that psychosocial interventions may be equally effective, even preferable where medication has negative side-effects. Reminiscence groups, run by professionals and volunteers, which use photographs, recordings and other objects to trigger personal memories are probably the most popular therapeutic approach to working with people with dementia, but there is little evidence for their effectiveness and cost-effectiveness. The recent inclusion of family carers in groups with people with dementia, notably in our own pilot studies, has generated informal evidence that this joint approach improves relationships between people with dementia and their carers, and benefits both.; Design and Methods: This multi-centre, pragmatic randomised controlled trial (RCT) to assess the effectiveness and cost-effectiveness of joint reminiscence groups for people with dementia and their family care-givers has two parallel arms–an intervention group and a control group who receive care as usual. The intervention consists of joint reminiscence groups held weekly for twelve consecutive weeks, followed by monthly maintenance sessions for a further seven months.The primary outcome measures are the quality of life of people with dementia, as assessed by QoL-AD, and their care-givers’ mental health as assessed by the GHQ-28. Secondary outcomes include: the autobiographical memories of people with dementia; the quality of the relationship between them and their care-givers; and the levels of depression and anxiety felt by them and their care-giver. Using a 5% significance level, comparison of 200 pairs attending joint reminiscence groups with 200 pairs receiving usual treatment will yield 80% power to detect a standardised difference of 0.38 in the QoL-AD rated by the person with dementia and 0.28 in the GHQ-28 or carer-rated QoL-AD. The trial will include a cost-effectiveness analysis from a public sector perspective.; Discussion: Our Cochrane review (2005) on reminiscence therapy for people with dementia did not identify any rigorous trials or economic analyses in this field.; Trial Registration: ISRCTN42430123.;

Bibtex Citation

@article{Woods_2009, doi = {10.1186/1745-6215-10-64}, url = {}, year = 2009, month = {jul}, publisher = {Springer Nature}, volume = {10}, number = {1}, author = {Robert T Woods and Errollyn Bruce and Rhiannon T Edwards and Barry Hounsome and John Keady and Esme D Moniz-Cook and Martin Orrell and Ian T Russell}, title = {Reminiscence groups for people with dementia and their family carers: pragmatic eight-centre randomised trial of joint reminiscence and maintenance versus usual treatment: a protocol}, journal = {Trials} }


caregivers, clinical protocols, dementia, humans, research design, sample size, therapy

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Economic evaluation, Non randomised controlled trial

Type of Outcomes

Carers’ Mental Health, Quality of Life of Person With Dementia, Service use or cost reductions (incl. hospital use reduction, care home admission delay)



Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Reminiscence and Anxiety Therapies