Skip to main content
Top
Published in: Trials 1/2019

Open Access 01-12-2019 | Dementia | Study protocol

Individualised sensory intervention to improve quality of life in people with dementia and their companions (SENSE-Cog trial): study protocol for a randomised controlled trial

Authors: Jemma Regan, Eric Frison, Fidéline Collin, Piers Dawes, Mark Hann, Ines Himmelsbach, Emma Hooper, David Reeves, Zoe Simkin, Chryssoula Thodi, Fan Yang, Iracema Leroi, for the SENSE-Cog Trial Development Team

Published in: Trials | Issue 1/2019

Login to get access

Abstract

Background

Hearing and vision impairments are highly prevalent in people with dementia and may have a negative impact on quality of life and other dementia-related outcomes. Intervening to optimise sensory impairment and support sensory function may be a means of improving dementia-related outcomes. The SENSE-Cog trial will test whether a home-based multi-part sensory intervention is effective in improving quality of life and other key outcomes in people with dementia and hearing or vision problems (or both) and their companions.

Methods

This is an European, multi-centre, observer-blind, pragmatic, randomised controlled trial. Three hundred fifty four people with dementia and hearing or vision impairment (or both) and their companions will be randomly assigned to receive either “care as usual” or a multi-component sensory intervention including assessment and correction of hearing or vision impairments (or both), home-based (maximum 10 visits over 18 weeks), therapist-delivered sensory support (that is, adherence to devices; improving the sensory environment (that is, lighting), communication training, and sign-posting to other support agencies). Change from baseline to intervention end (18 weeks) and post-intervention (36 weeks) will be compared between the two arms in the following outcomes: quality of life (primary endpoint), sensory and cognitive functional ability, relationships, mental well-being, health resource utilisation and cost-effectiveness.

Discussion

This is one of two articles outlining the SENSE-Cog trial. Here, we describe the protocol for the effectiveness of the SENSE-Cog intervention. A parallel and complementary process evaluation will be described elsewhere. If the SENSE-Cog trial demonstrates that the sensory intervention improves outcomes in dementia, we will make a toolkit of training materials, resources and information available to health and social care providers to implement the intervention in routine practice. This will be a significant contribution to the therapeutic management of people with dementia and sensory impairment.

Trial registration

ISRCTN (Trial ID: ISRCTN17056211) on 19 February 2018.
Appendix
Available only for authorised users
Literature
1.
go back to reference Prince M, Wimo A, Guerchet M, Ali GC, Wu YT, Prina M. World Alzheimer Report 2015. London: Alzheimer’s Disease International; 2015. Prince M, Wimo A, Guerchet M, Ali GC, Wu YT, Prina M. World Alzheimer Report 2015. London: Alzheimer’s Disease International; 2015.
2.
go back to reference Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jönsson B, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol. 2011;21:655–79.CrossRef Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jönsson B, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol. 2011;21:655–79.CrossRef
3.
go back to reference Bowen M, Edgar DF, Hancock B, Haque S, Shah R, Buchanan S, et al. The Prevalence of Visual Impairment in People with Dementia (the PrOVIDe study): a cross sectional study of 60–89 year old people with dementia and qualitative exploration of individual, carer and professional perspectives. Health Services and Delivery Research. Southampton: National Institute of Health Research. 2016: No. 4.21. Bowen M, Edgar DF, Hancock B, Haque S, Shah R, Buchanan S, et al. The Prevalence of Visual Impairment in People with Dementia (the PrOVIDe study): a cross sectional study of 60–89 year old people with dementia and qualitative exploration of individual, carer and professional perspectives. Health Services and Delivery Research. Southampton: National Institute of Health Research. 2016: No. 4.21.
4.
go back to reference Zekveld AA, George EL, Houtgast T, Kramer SE. Cognitive abilities relate to self-reported hearing disability. J Speech Lang Hear Res. 2013;56:1364–72.CrossRef Zekveld AA, George EL, Houtgast T, Kramer SE. Cognitive abilities relate to self-reported hearing disability. J Speech Lang Hear Res. 2013;56:1364–72.CrossRef
5.
go back to reference Roth TN, Hanebuth D, Probst R. Prevalence of age-related hearing loss in Europe: a review. Arch Otorhinolaryngol. 2011;268:1101–7.CrossRef Roth TN, Hanebuth D, Probst R. Prevalence of age-related hearing loss in Europe: a review. Arch Otorhinolaryngol. 2011;268:1101–7.CrossRef
7.
go back to reference NICE. Dementia, disability and frailty in later life—mid-life approaches to delay or prevent onset. London: National Institute for Health and Care Excellence; 2015. NICE. Dementia, disability and frailty in later life—mid-life approaches to delay or prevent onset. London: National Institute for Health and Care Excellence; 2015.
9.
go back to reference Deal JA, Albert SM, Arnold M, Bangdiwala SI, Chisolm T, Davis S, et al. A randomized feasibility pilot trial of hearing treatment for reducing cognitive decline: Results from the Aging and Cognitive Health Evaluation in Elders Pilot Study. Alzheimers Dement. 2017;3:410–5. Deal JA, Albert SM, Arnold M, Bangdiwala SI, Chisolm T, Davis S, et al. A randomized feasibility pilot trial of hearing treatment for reducing cognitive decline: Results from the Aging and Cognitive Health Evaluation in Elders Pilot Study. Alzheimers Dement. 2017;3:410–5.
12.
go back to reference Hartley D, Rochtchina E, Newall P, Golding M, Mitchell P. Use of hearing AIDS and assistive listening devices in an older Australian population. J Am Acad Audiol. 2010;21:642–53.CrossRef Hartley D, Rochtchina E, Newall P, Golding M, Mitchell P. Use of hearing AIDS and assistive listening devices in an older Australian population. J Am Acad Audiol. 2010;21:642–53.CrossRef
13.
14.
go back to reference Acton JH, Molik B, Court H, Margrain TH. Effect of a home Visit-Based Low Rehabilitation Intervention on Visual Function Outcomes: An Exploratory Randomized Controlled Trial. Invest Opthamol Visual Sci. 2016;57:6664–7. Acton JH, Molik B, Court H, Margrain TH. Effect of a home Visit-Based Low Rehabilitation Intervention on Visual Function Outcomes: An Exploratory Randomized Controlled Trial. Invest Opthamol Visual Sci. 2016;57:6664–7.
15.
go back to reference Kreeger JL, Raulin ML, Grace J, Preist BL. Effect of hearing enhancements on mental status ratings in geriatric psychiatric patients. Am J Psychiatry. 1995;152:629–31.CrossRef Kreeger JL, Raulin ML, Grace J, Preist BL. Effect of hearing enhancements on mental status ratings in geriatric psychiatric patients. Am J Psychiatry. 1995;152:629–31.CrossRef
17.
go back to reference Rogers SL, McIntosh RL, Lim L, Mitchell P, Cheung N, Kowalski JW, et al. Natural history of branch retinal vein occlusion: An evidence-based systematic review. Ophthalmology. 2010;117:1094–101.CrossRef Rogers SL, McIntosh RL, Lim L, Mitchell P, Cheung N, Kowalski JW, et al. Natural history of branch retinal vein occlusion: An evidence-based systematic review. Ophthalmology. 2010;117:1094–101.CrossRef
18.
go back to reference Martini A, Castiglione A, Bovo R, Vallesi A, Gabelli C. Aging, cognitive load, dementia and hearing loss. Audiol Neurootol. 2015;19(Suppl 1):2–5. Martini A, Castiglione A, Bovo R, Vallesi A, Gabelli C. Aging, cognitive load, dementia and hearing loss. Audiol Neurootol. 2015;19(Suppl 1):2–5.
20.
go back to reference Ghiringhelli R, Iorio MC. Hearing aids and recovery times: a study according to cognitive status. Braz J Otorhinolaryngol. 2013;79:177–84.CrossRef Ghiringhelli R, Iorio MC. Hearing aids and recovery times: a study according to cognitive status. Braz J Otorhinolaryngol. 2013;79:177–84.CrossRef
22.
go back to reference Clare L, Bayer A, Burns A, Corbett A, Jones R, Knapp M, et al. Goal-oriented cognitive rehabilitation in early-stage dementia: study protocol for a multi-centre single-blind randomised controlled trial (GREAT). Trials. 2013;14:1–15.CrossRef Clare L, Bayer A, Burns A, Corbett A, Jones R, Knapp M, et al. Goal-oriented cognitive rehabilitation in early-stage dementia: study protocol for a multi-centre single-blind randomised controlled trial (GREAT). Trials. 2013;14:1–15.CrossRef
28.
go back to reference McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM. Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology. 1954;34:939–44. https://doi.org/10.1212/wnl.34.7.939 PMID 6610841.CrossRef McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM. Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology. 1954;34:939–44. https://​doi.​org/​10.​1212/​wnl.​34.​7.​939 PMID 6610841.CrossRef
29.
go back to reference van Straaten ECW, Scheltens P, Knol DL. Operational Definitions for the NINDS-AIREN Criteria for Vascular Dementia: An Interobserver Study. Stroke. 2003;34:1907–12.CrossRef van Straaten ECW, Scheltens P, Knol DL. Operational Definitions for the NINDS-AIREN Criteria for Vascular Dementia: An Interobserver Study. Stroke. 2003;34:1907–12.CrossRef
30.
go back to reference Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53:695–9.CrossRef Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53:695–9.CrossRef
32.
go back to reference Broadway DC. Visual field testing for glaucoma – a practical guide. Commun Eye Health. 2012;25:66–80. Broadway DC. Visual field testing for glaucoma – a practical guide. Commun Eye Health. 2012;25:66–80.
37.
go back to reference Saunders GH, Morse-Fortier C, McDermott DJ, Vachhani JJ, Grush LD, Griest S, et al. Description, Normative Data, and Utility of the Hearing Aid Skills and Knowledge Test. J Am Acad Audiol. 2018;29:233–42.CrossRef Saunders GH, Morse-Fortier C, McDermott DJ, Vachhani JJ, Grush LD, Griest S, et al. Description, Normative Data, and Utility of the Hearing Aid Skills and Knowledge Test. J Am Acad Audiol. 2018;29:233–42.CrossRef
38.
go back to reference Clare L, Hindle JV, Jones IR, Thom JM, Nelis SM, Hounsome B, et al. The AgeWell study of behaviour change to promote health and well-being in later life: study protocol for a randomized controlled trial. Trials. 2012;13:115.CrossRef Clare L, Hindle JV, Jones IR, Thom JM, Nelis SM, Hounsome B, et al. The AgeWell study of behaviour change to promote health and well-being in later life: study protocol for a randomized controlled trial. Trials. 2012;13:115.CrossRef
40.
go back to reference Wimo A, Jonsson L, Zbrozek A. The Resource Utilization in Dementia (RUD) instrument is valid for assessing informal care time in community-living patients with dementia. J Nutr Health Aging. 2013;14:685–90.CrossRef Wimo A, Jonsson L, Zbrozek A. The Resource Utilization in Dementia (RUD) instrument is valid for assessing informal care time in community-living patients with dementia. J Nutr Health Aging. 2013;14:685–90.CrossRef
41.
go back to reference Department of Health. Mental Capacity Act. London: HMSO; 2005. Department of Health. Mental Capacity Act. London: HMSO; 2005.
42.
go back to reference Smith SC, Lamping DL, Banerjee S, Harwood R, Foley B, Smith P, et al. Measurement of health-related quality of life for people with dementia: development of a new instrument (DEMQOL) and an evaluation of current methodology. Health Technol Assess. 2005;9:1–93 iii-iv.PubMed Smith SC, Lamping DL, Banerjee S, Harwood R, Foley B, Smith P, et al. Measurement of health-related quality of life for people with dementia: development of a new instrument (DEMQOL) and an evaluation of current methodology. Health Technol Assess. 2005;9:1–93 iii-iv.PubMed
45.
go back to reference Stelmack JA, Massof RW. Using the VA LV VFQ-48 and LV VFQ-20 in low vision rehabilitation. Optom Vis Sci. 2007;84:705–9.CrossRef Stelmack JA, Massof RW. Using the VA LV VFQ-48 and LV VFQ-20 in low vision rehabilitation. Optom Vis Sci. 2007;84:705–9.CrossRef
46.
go back to reference Ventry IM, Weinstein BE. Hearing handicap inventory for the elderly. Ear Hear. 1982;3:128–34.CrossRef Ventry IM, Weinstein BE. Hearing handicap inventory for the elderly. Ear Hear. 1982;3:128–34.CrossRef
47.
go back to reference Newman CW, Weinstein BE. Judgements of perceived hearing handicap by hearing-impaired elderly men and their spouses. JARA. 1986;19:109–15. Newman CW, Weinstein BE. Judgements of perceived hearing handicap by hearing-impaired elderly men and their spouses. JARA. 1986;19:109–15.
48.
go back to reference Cummings JL. The Neuropsychiatric Inventory: Assessing psychopathology in dementia patients. Neurology. 1997;48:S10–6.CrossRef Cummings JL. The Neuropsychiatric Inventory: Assessing psychopathology in dementia patients. Neurology. 1997;48:S10–6.CrossRef
49.
go back to reference Burns D. Relationship Satisfaction Scale 1983. Ten Days to Self-Esteem. New York: Harper Collins Publishers; 1999. Burns D. Relationship Satisfaction Scale 1983. Ten Days to Self-Esteem. New York: Harper Collins Publishers; 1999.
50.
go back to reference Goldberg DP, Blackwell B. Psychiatric illness in general practice. A detailed study using a new method of case identification. Br Med J. 1970;1:439–443. Goldberg DP, Blackwell B. Psychiatric illness in general practice. A detailed study using a new method of case identification. Br Med J. 1970;1:439–443.
51.
go back to reference Brazier JE, Roberts J. The estimation of a preference-based measure of health from the SF-12. Med Care. 2004;42:851–9.CrossRef Brazier JE, Roberts J. The estimation of a preference-based measure of health from the SF-12. Med Care. 2004;42:851–9.CrossRef
52.
go back to reference Schofield HL, Murphy B, Herrman HE, Bloch S, Singh B. Family caregiving: measurement of emotional well-being and various aspects of the caregiving role. Psychol Med. 1997;27:647–57.CrossRef Schofield HL, Murphy B, Herrman HE, Bloch S, Singh B. Family caregiving: measurement of emotional well-being and various aspects of the caregiving role. Psychol Med. 1997;27:647–57.CrossRef
53.
go back to reference Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361–70.CrossRef Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361–70.CrossRef
54.
go back to reference EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990;16:199–208.CrossRef EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990;16:199–208.CrossRef
55.
go back to reference Ennov Clinical® software. developed via Ennov Clinical® software (Version 7 or most recent at time of press); 2008. Ennov Clinical® software. developed via Ennov Clinical® software (Version 7 or most recent at time of press); 2008.
56.
go back to reference Likert R. A Technique for the Measurement of Attitudes. Arch Psychol. 1932;140:1–55. Likert R. A Technique for the Measurement of Attitudes. Arch Psychol. 1932;140:1–55.
57.
go back to reference Stata v.15 statistical software, release 15, College Station, TX: StataCorp LP;2005. Stata v.15 statistical software, release 15, College Station, TX: StataCorp LP;2005.
58.
go back to reference Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15:1277–88.CrossRef Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15:1277–88.CrossRef
59.
go back to reference Glaser BG, Strauss AL. The Discovery of Grounded Theory: Strategies for Qualitative Research. Chicago: Aldine Publishing Company; 1967. Glaser BG, Strauss AL. The Discovery of Grounded Theory: Strategies for Qualitative Research. Chicago: Aldine Publishing Company; 1967.
62.
go back to reference Miah J, Dawes P, Leroi I, Starling B, Edwards S, Parsons S. Types and impact of patient and public involvement in dementia research and clinical service development in Europe: A systematic literature review. BMC Geriatr. 2018; In press. Miah J, Dawes P, Leroi I, Starling B, Edwards S, Parsons S. Types and impact of patient and public involvement in dementia research and clinical service development in Europe: A systematic literature review. BMC Geriatr. 2018; In press.
Metadata
Title
Individualised sensory intervention to improve quality of life in people with dementia and their companions (SENSE-Cog trial): study protocol for a randomised controlled trial
Authors
Jemma Regan
Eric Frison
Fidéline Collin
Piers Dawes
Mark Hann
Ines Himmelsbach
Emma Hooper
David Reeves
Zoe Simkin
Chryssoula Thodi
Fan Yang
Iracema Leroi
for the SENSE-Cog Trial Development Team
Publication date
01-12-2019
Publisher
BioMed Central
Keywords
Dementia
Dementia
Published in
Trials / Issue 1/2019
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-018-2973-0

Other articles of this Issue 1/2019

Trials 1/2019 Go to the issue