top of page

Randomized controlled trial of a six-week spiritual reminiscence intervention on hope, life satisfaction, and spiritual well-being in elderly with mild and moderate dementia

Contact Information

Keywords

Malcolm Koo, m.koo@utoronto.ca,

complementary medicine; dementia; elderly; reminiscence therapy; spiritual

Abstract

Objective: Reminiscence therapy has been reported to improve the well-being in patients with dementia. However, few studies have examined the effects of spiritual reminiscence, which emphasizes on reconnecting and enhancing the meaning of one's own experience, on patients with dementia. Therefore, this study aimed to investigate the effects of spiritual reminiscence on hope, life satisfaction, and spiritual well-being in elderly Taiwanese with mild or moderate dementia. Methods: A randomized controlled trial was conducted on 103 patients with mild or moderate dementia recruited from a medical center in central Taiwan. The patients were randomly assigned to either a 6-week spiritual reminiscence group (n = 53) or control group (n = 50). The Herth Hope Index, the Life Satisfaction Scale, the Spirituality Index of Well-Being were administered before and after the 6-week period. Results: The interaction terms between group and time for the three outcome measures were found to be significant (P < 0.001), indicating that the changes over time in them were different between the intervention and control groups. Conclusions: Findings of this randomized controlled trial showed that hope, life satisfaction, and spiritual well-being of elderly patients with mild or moderate dementia could significantly be improved with a 6-week spiritual reminiscence intervention.

Citation

Wu, L. F., & Koo, M. (2016). Randomized controlled trial of a six-week spiritual reminiscence intervention on hope, life satisfaction, and spiritual well-being in elderly with mild and moderate dementia. International journal of geriatric psychiatry, 31(2), 120–127. https://doi.org/10.1002/gps.4300

DOI

10.1002/gps.4300

Model

Human

Conent Area

Li-Fen Wu

EWB-Related Construct

(1) goal pursuit; (2) life satisfaction; (3) positive affect; (4) quality of life; (5) sense of meaning

Study Design

Species or Study Population

(5) RCT

Sex (%Female)

68.90%

Age (Mean, SD)

73.6, 7.4

Younger Controls?

No

Longitudinal Data?

Yes

Sample Size

103

Interventions

six-week spiritual reminiscence intervention

Ethnicity (%white)

0% (Taiwan)

Inclusion Criteria

(1) 65 years of age or more
(2) clinical diagnosis of mild or moderate dementia
(3) were able to communicate in Mandarin or Taiwanese
(4) had no discernible cognitive impairment,
(5) were willing to participate in a weekly spiritual reminiscence for 6 weeks if being allocated to the intervention group or willing to participate in two interviews 6 weeks apart if being allocated to the control group

Exclusion Criteria

N/A

EWB Measures

(1) Life satisfaction: Life satisfaction Scale
(2) The Spirituality Index of Well-Being

Non-EWB Behavioral
Measures

(1) Herth Hope Index

Physiological Measures

N/A

Brain IMaging Modality

Brain IMaging Paradigm

N/A

Brain Region/Circuit

N/A

Biological Measures

N/A

Other Neural Measures

Data Availability?

No

Data Avalability Details

N/A

Diagnostic Measures

bottom of page