Life review and life story books for people with mild to moderate dementia

A randomised controlled trial

Ponnusamy Subramaniam, Bob Woods, Chris Whitaker

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Objectives: To evaluate the effect of different pathways for developing a life story book (LSB) for people with dementia. Method: Preliminary randomised control trial; 23 people with dementia in care homes (mean age 86) randomly assigned to receive either 12 individual life review sessions and co-creating a LSB or a personal LSB created by their relatives as a 'gift' Results: No difference in quality of life (quality of life-Alzheimer's disease (QOL-AD)) was observed between the two groups, six weeks after having received the LSB (F(1,20) = 0.08, p = 0.77). At this point, QOL-AD had improved for both groups, but there was a significant between-group difference at an intermediate assessment immediately after the life review sessions had been completed, before the LSBs were received (F(1, 20) = 5.11, p = 0.035), in favour of life review. A similar pattern was observed on autobiographical memory (extended autobiographical memory interview), with the life review group improving significantly more than the gift group during the life review sessions, but no difference was observed once all participants had had their LSB for six weeks. After the LSBs were produced - by either pathway - quality of relationship as rated by relatives improved significantly (F(2, 39) = 19.37, p < 0.001) and staff knowledge regarding the resident and attitudes to dementia improved. Conclusion: The creation of LSBs - either through a life review process or by relatives without involving the person with dementia - has benefits for people with dementia, relatives and staff in care homes. However, undertaking a life review requires training and supervision.

Original languageEnglish
Pages (from-to)363-375
Number of pages13
JournalAging and Mental Health
Volume18
Issue number3
DOIs
Publication statusPublished - 3 Apr 2014

Fingerprint

Dementia
Randomized Controlled Trials
Quality of Life
Gift Giving
Episodic Memory
Home Care Services
Alzheimer Disease
Interviews

Keywords

  • Care home
  • Older adult
  • Reminiscence
  • Staff and relatives

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Phychiatric Mental Health
  • Psychiatry and Mental health
  • Medicine(all)

Cite this

Life review and life story books for people with mild to moderate dementia : A randomised controlled trial. / Subramaniam, Ponnusamy; Woods, Bob; Whitaker, Chris.

In: Aging and Mental Health, Vol. 18, No. 3, 03.04.2014, p. 363-375.

Research output: Contribution to journalArticle

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