Aim <p>Given the limited treatment options for dementia, social prescribing could aid in improving well-being and quality of life. This randomized controlled trial (RCT) examines the impact of a museum-based intervention on people with dementia and caregivers.</p> Subject and methods <p>We assigned 58 dyads of a person with dementia and their caregiver to guided (intervention) or unguided museum visits (control). Psychosocial outcomes were measured pre-intervention (T0) and 2 weeks post-intervention (T1), with caregiver burden additionally reassessed after 6 months (T2).</p> Results <p>Depressive symptoms assessed with the Geriatric Depression Scale decreased in people with dementia across groups (<i>p</i> = .004). Caregivers’ health-related quality of life, measured with the EuroQol 5-Dimension 5-Level (EQ-5D-5L) visual analogue scale, improved in the intervention group (<i>p</i> = .005). Caregiver burden measured with the Zarit Burden Interview remained stable by T1 but worsened by T2 in both groups (<i>p</i> &lt; .001). Participants across groups showed situational physical improvements and improved well-being (all <i>p</i> &lt; .001).</p> Conclusion <p>Although our results did not reveal a relevant alleviation of caregiver burden, museum visits were associated with psychosocial benefits extending beyond the situational context for people with dementia as well as caregivers and may thus represent a valuable addition to dementia care.</p>

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Exploring museums as non-medical treatment for dementia: results of a randomized controlled trial

  • Annika Rettich,
  • Michael Wächter,
  • Leo König,
  • Jenny Petermann,
  • Martina Bothur,
  • Karen Voigt

摘要

Aim

Given the limited treatment options for dementia, social prescribing could aid in improving well-being and quality of life. This randomized controlled trial (RCT) examines the impact of a museum-based intervention on people with dementia and caregivers.

Subject and methods

We assigned 58 dyads of a person with dementia and their caregiver to guided (intervention) or unguided museum visits (control). Psychosocial outcomes were measured pre-intervention (T0) and 2 weeks post-intervention (T1), with caregiver burden additionally reassessed after 6 months (T2).

Results

Depressive symptoms assessed with the Geriatric Depression Scale decreased in people with dementia across groups (p = .004). Caregivers’ health-related quality of life, measured with the EuroQol 5-Dimension 5-Level (EQ-5D-5L) visual analogue scale, improved in the intervention group (p = .005). Caregiver burden measured with the Zarit Burden Interview remained stable by T1 but worsened by T2 in both groups (p < .001). Participants across groups showed situational physical improvements and improved well-being (all p < .001).

Conclusion

Although our results did not reveal a relevant alleviation of caregiver burden, museum visits were associated with psychosocial benefits extending beyond the situational context for people with dementia as well as caregivers and may thus represent a valuable addition to dementia care.