Evaluation of the implementation of the Meeting Centres Support Program in Italy, Poland, and the UK; exploration of the effects on people with dementia

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Brooker, Dawn
Evans, Simon
Evans, Shirley
Bray, Jennifer
Saibene, Francesca Lea
Scorolli, Claudia
Szczesniak, Dorota
d'Arma, Alessia
Urbanska, Katarzyna M
Atkinson, Teresa
Farina, Elisabetta
Rymaszewska, Joanna
Chattat, Rabih
Henderson, Catherine
Rehill, Amritpal
Hendriks, Iris
Meiland, Franka
Droes, Rose-Marie
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2018
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Abstract

Objectives: MEETINGDEM investigated whether the Dutch Meeting Centres Support Programme (MCSP) could be implemented in Italy, Poland, and the UK with comparable benefits. This paper reports on the impact on people living with dementia attending pilot Meeting Centres in the 3 countries. Methods: Nine pilot Meeting Centres (MCs) participated (Italy—5, Poland—2, UK—2). Effectiveness of MCSP was compared with Usual Care (UC) on outcomes measuring behavioural and psychological symptoms (NPI), depression (CSDD), and quality of life (DQoL, QOL‐AD), analysed by ANCOVAs in a 6‐month pre‐test/post‐test controlled trial. Results: Pre/post data were collected for 85 people with dementia and 93 carers (MCSP) and 74 people with dementia /carer dyads' receiving UC. MCSP showed significant positive effects for DQoL [Self‐esteem (F = 4.8, P = 0.03); Positive Affect (F = 14.93, P < 0.00); Feelings of Belonging (F = 7.77, P = 0.01)] with medium and large effect sizes. Higher attendance levels correlated with greater neuropsychiatric symptom reduction (rho = 0.24, P = 0.03) and a greater increase in feelings of support (rho = 0.36, P = 0.001). Conclusions: MCSPs showed significant wellbeing and health benefits compared with UC, building on the evidence of effectiveness from the Netherlands. In addition to the previously reported successful implementation of MCSP in Italy, Poland, and the UK, these findings suggest that further international dissemination of MCSP is recommended.

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International Journal of Geriatric Psychiatry

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33

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7

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© 2018 John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: Evaluation of the implementation of the Meeting Centres Support Program in Italy, Poland, and the UK; exploration of the effects on people with dementia, International Journal of Geriatric Psychiatry, Volume 33, Issue 7, July 2018, pages 883-892, which has been published in final form at 10.1002/gps.4865. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)

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Clinical sciences

Health services and systems

Public health

Psychology

Cognitive and computational psychology

Clinical and health psychology

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Life Sciences & Biomedicine

Geriatrics & Gerontology

Gerontology

Psychiatry

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Brooker, D; Evans, S; Evans, S; Bray, J; Saibene, FL; Scorolli, C; Szczesniak, D; d'Arma, A; Urbanska, KM; Atkinson, T; Farina, E; Rymaszewska, J; Chattat, R; Henderson, C; Rehill, A; Hendriks, I; Meiland, F; Droes, R-M, Evaluation of the implementation of the Meeting Centres Support Program in Italy, Poland, and the UK; exploration of the effects on people with dementia, International Journal of Geriatric Psychiatry, 2018, 33 (7), pp. 883-892

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