{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:14:20Z","timestamp":1792026860052,"version":"4.4.0"},"reference-count":52,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T00:00:00Z","timestamp":1607990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007602","name":"Programme Grants for Applied Research","doi-asserted-by":"publisher","award":["DTC\u2010RP\u2010PG\u20100311\u201012003"],"award-info":[{"award-number":["DTC\u2010RP\u2010PG\u20100311\u201012003"]}],"id":[{"id":"10.13039\/501100007602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study investigated goals identified by people with dementia and their carers to promote the self\u2010management of symptoms and abilities; measured achievement using goal attainment scaling (GAS); and explored the reflections of Dementia Support Practitioners (DSPs) facilitating it.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and design<\/jats:title><jats:p>Within this pragmatic randomised trial, DSPs gave memory aids, training and support to people with mild to moderate dementia and their carers at home. Data were collected across seven NHS Trusts in England and Wales (2016\u20132018) and abstracted from intervention records and semi\u2010structured interviews with DSPs delivering the intervention, supplemented by a subset of the trial dataset. Measures were created to permit quantification and descriptive analysis and interview data thematically analysed. A GAS measure for this intervention in this client group was derived.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Engagement was high across the 117 participants and 293 goals were identified. These reflected individual circumstances and needs and enabled classification and assessment of their attainment. Seventeen goal types were identified across six domains: self\u2010care, household tasks, daily occupation, orientation, communication, and well\u2010being and safety. On average participants achieved nominally significant improvement regarding the specified goals of 1.4 with standard deviation of 0.6. Five interviews suggested that DSPs' experiences of goal setting were also positive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>GAS is useful for assessing psychosocial interventions for people with early\u2010stage dementia. It has a utility in identifying goals, promoting self\u2010management and providing a personalised outcome measure. There is a strong case for exploring whether these clear benefits translate to other interventions in other populations in other places.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.5479","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T22:29:50Z","timestamp":1607034590000},"page":"784-793","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Dementia Early Stage Cognitive Aids New Trial (DESCANT) intervention: A goal attainment scaling approach to promote self\u2010management"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6587-6618","authenticated-orcid":false,"given":"Helen","family":"Chester","sequence":"first","affiliation":[{"name":"School of Medicine, Institute of Mental Health, The University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Beresford","sequence":"additional","affiliation":[{"name":"Faculty of Biology, Medicine and Health, School of Health Sciences, The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Clarkson","sequence":"additional","affiliation":[{"name":"Faculty of Biology, Medicine and Health, School of Health Sciences, The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Entwistle","sequence":"additional","affiliation":[{"name":"Department of Psychology Fylde College, Lancaster University  Lancaster UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Gillan","sequence":"additional","affiliation":[{"name":"Faculty of Biology, Medicine and Health, Formerly of School of Health Sciences, The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6158-1211","authenticated-orcid":false,"given":"Jane","family":"Hughes","sequence":"additional","affiliation":[{"name":"School of Medicine, Institute of Mental Health, The University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Orrell","sequence":"additional","affiliation":[{"name":"School of Medicine, Institute of Mental Health, The University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Pitts","sequence":"additional","affiliation":[{"name":"Division of Health Research, Faculty of Health and Medicine, Lancaster University  Lancaster UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Russell","sequence":"additional","affiliation":[{"name":"Swansea Trials Unit, Medical School, Swansea University  Swansea Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"Symonds","sequence":"additional","affiliation":[{"name":"School of Medicine, Institute of Mental Health, The University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6464-2286","authenticated-orcid":false,"given":"David","family":"Challis","sequence":"additional","affiliation":[{"name":"School of Medicine, Institute of Mental Health, The University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Members of the HoSt\u2010D (Home Support in Dementia) Programme Management Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,15]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Alzheimer's Disease International.World Alzheimer report the global impact of dementia. 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