{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T22:45:55Z","timestamp":1779317155149,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T00:00:00Z","timestamp":1602806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>With the limited advancements in medical treatment, there is a growing need for supporting people with early\u2010stage dementia adjust to their diagnosis and improve their quality of life. This study aimed to investigate the effects of a 12\u2010week health promotion course for people with early\u2010stage dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Quasi\u2010experimental, single group, pretest\u2010posttest design. A total of 108 persons with dementia participated in this study, and for each participant, a carer was interviewed. The 12\u2010week health promotion intervention consisted of 2\u2010hr sessions at weekly intervals. Outcome measures were cognition, measured by Mini\u2010Mental State Examination, personal, and instrumental activities of daily living (P\u2010ADL and I\u2010ADL), measured by Lawton and Brody's Physical Self\u2010Maintenance Scale and Instrumental Activities of Daily Living Scale, self\u2010rated health, measured by the European Quality of life Visual Analogue Scale, depressive symptoms, measured by the Cornell Scale for Depression in Dementia, and neuropsychiatric symptoms, measured by The Neuropsychiatric Inventory. Assessments were conducted at baseline and at follow\u2010up 1\u20132\u00a0months postintervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The results demonstrate a small but statistically significant improvement in depressive symptoms (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.015) and in self\u2010rated health\n                      <jats:italic>(p<\/jats:italic>\n                      \u00a0=\u00a0.031). The results also demonstrated a small statistically significant decline in the participants\u2019 I\u2010ADL (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.007). The participants\u2019 cognitive function, P\u2010ADL, and neuropsychiatric symptoms were stable during the 4\u2010month follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates promising results with regard to the benefit of attending a 12\u2010week health promotion intervention in promoting health and well\u2010being in people with early\u2010stage dementia. With the majority of participants with early\u2010stage dementia living at home without any healthcare services in a vulnerable stage of the condition, this study makes an important contribution to highlighting the need for, and benefit of, educational approaches for this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.1888","type":"journal-article","created":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T10:51:46Z","timestamp":1602845506000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Health promotion intervention for people with early\u2010stage dementia: A quasi\u2010experimental study"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0534-6575","authenticated-orcid":false,"given":"Ingelin","family":"Testad","sequence":"first","affiliation":[{"name":"Centre for Age\u2010related Medicine \u2010 SESAM Stavanger University Hospital Stavanger Norway"},{"name":"College of Medicine and Health University of Exeter Exeter UK"},{"name":"Department of Old Age Psychiatry Institute of Psychiatry, Psychology, &amp; Neuroscience King\u2019s College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0252-1099","authenticated-orcid":false,"given":"Martine","family":"Kajander","sequence":"additional","affiliation":[{"name":"Centre for Age\u2010related Medicine \u2010 SESAM Stavanger University Hospital Stavanger Norway"},{"name":"Department of Clinical Medicine University of Bergen Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8762-3109","authenticated-orcid":false,"given":"Martha T.","family":"Gjestsen","sequence":"additional","affiliation":[{"name":"Centre for Age\u2010related Medicine \u2010 SESAM Stavanger University Hospital Stavanger Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8160-3211","authenticated-orcid":false,"given":"Ingvild","family":"Dalen","sequence":"additional","affiliation":[{"name":"Department of Research Section of Biostatistics Stavanger University Hospital Stavanger Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0006-3223(88)90038-8"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13195-014-0053-6"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(96)00822-6"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20090301-02"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20090301-03"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4164"},{"issue":"3","key":"e_1_2_10_8_1","first-page":"155","article-title":"A nursing model for chronic illness management based upon the Trajectory Framework","volume":"5","author":"Corbin J. 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