{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:00:29Z","timestamp":1789988429667,"version":"4.0.1"},"reference-count":18,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Virginia Center on Aging Alzheimer\u2019s and Related Diseases Research Award Fund"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics"],"abstract":"<jats:p>Background: Slowing the progression of dementia and maintaining mental and social health and well-being are important aspects of health and healthcare for people living with dementia (PLwD). Relationships with family caregivers and unique caregiver insights are also important aspects of the health and well-being of PLwD. Methods: A group-based gaming system was developed to promote health and well-being for PLwD through movement, cognitive exercises, and social interaction. Included were family caregivers of clients living with mild- or moderate-stage impairment in an adult day center selected for the gaming intervention. Prior to implementing the intervention, three separate focus groups were conducted with 21 caregivers of PLwD, divided into each of the three focus groups based on their availability, to explore what it is like to care for someone living with dementia, their loved ones\u2019 mood, and their questions or concerns regarding the gaming intervention. Responses were thematically analyzed. Results: In total, 21 caregivers participated in the focus groups. Six themes were identified: mutuality and strategies for coping with varying emotions; new challenges and successes with connecting and relating; multidimensional challenges with adjusting to decline, help-seeking, and providing care; community, social support, and resilience; technology and community resources as tools to ease caregiving burdens, and interest in digital gaming for PLwD. Conclusions: Our results suggest that group-based digital gaming interventions may be useful to both caregivers and PLwD, by offering meaningful opportunities for social engagement.<\/jats:p>","DOI":"10.3390\/geriatrics11050129","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T15:54:19Z","timestamp":1789055659000},"page":"129","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Shared Experiences with Caregiving for Loved Ones Living with Dementia in an Adult Day Health and Resource Center: A Thematic Analysis"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3481-7778","authenticated-orcid":false,"given":"Michelle D.","family":"Hand","sequence":"first","affiliation":[{"name":"College of Public Health, George Mason University, Fairfax, VA 22030, 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Alzheimer\u2019s Dement., 21, e70235."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"15333175251391571","DOI":"10.1177\/15333175251391571","article-title":"Beyond the Primary Caregiver: A Scoping Review of Family-Centered Dementia Caregiving Programs","volume":"40","author":"Jackson","year":"2025","journal-title":"Am. J. Alzheimers Dis. Other Dement."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"985391","DOI":"10.3389\/fpubh.2022.985391","article-title":"The positive aspects of caregiving in dementia: A scoping review and bibliometric analysis","volume":"10","author":"Wang","year":"2022","journal-title":"Front. Public Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1177\/1471301211421064","article-title":"Supporting the friendships of people with dementia","volume":"11","author":"Ward","year":"2012","journal-title":"Dementia"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.arr.2015.04.006","article-title":"Social relationships and risk of dementia: A systematic review and meta-analysis of longitudinal cohort studies","volume":"22","author":"Kuiper","year":"2015","journal-title":"Ageing Res. Rev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e35202","DOI":"10.2196\/35202","article-title":"The Effectiveness of Serious Games in Improving Memory Among Older Adults with Cognitive Impairment: Systematic Review and Meta-analysis","volume":"10","author":"Alhuwail","year":"2022","journal-title":"JMIR Serious Games"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1016\/j.jamda.2020.08.031","article-title":"Physical Activity and Exercise in Mild Cognitive Impairment and Dementia: An Umbrella Review of Intervention and Observational Studies","volume":"21","author":"Demurtas","year":"2020","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"h369","DOI":"10.1136\/bmj.h369","article-title":"Assessment and management of behavioral and psychological symptoms of dementia","volume":"350","author":"Kales","year":"2015","journal-title":"BMJ"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1377\/hlthaff.2024.00978","article-title":"The Number Of Family Caregivers Helping Older US Adults Increased From 18 Million To 24 Million, 2011\u20132022","volume":"44","author":"Wolff","year":"2025","journal-title":"Health Aff."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e70087","DOI":"10.1002\/trc2.70087","article-title":"Supporting dementia caregivers: The role of \u201clived experience\u201d and public health collaboration","volume":"11","author":"Kline","year":"2025","journal-title":"Alzheimer\u2019s Dement. Transl. Res. Clin. Interv."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1590\/1980-57642020dn14-020003","article-title":"Cognitive stimulation program in mild cognitive impairment A randomized controlled trial","volume":"14","author":"Plo","year":"2020","journal-title":"Dement. Neuropsychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1177\/1555412015600580","article-title":"Does digital gaming enable healthy aging for community-dwelling people with dementia?","volume":"11","author":"Cutler","year":"2016","journal-title":"Games Cult."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1080\/17483107.2024.2405894","article-title":"Outcome measurement of cognitive impairment and dementia in serious digital games: A scoping review","volume":"20","author":"Longley","year":"2025","journal-title":"Disabil. Rehabil. Assist. Technol."},{"key":"ref_14","unstructured":"Obie (2026, June 01). About Obie. Available online: https:\/\/eyeclick.com\/projectors\/obie-interactive-projector."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1080\/07317115.2021.1980170","article-title":"An Evaluation of the Effects of Active Game Play on Cognition, Quality of Life and Depression for Older People with Dementia","volume":"45","author":"Zheng","year":"2022","journal-title":"Clin. Gerontol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_17","unstructured":"Grand Challenges for Social Work (2026, June 01). Harness Technology for Social Good. Available online: https:\/\/grandchallengesforsocialwork.org\/harness-technology-for-social-good\/."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1007\/s41669-023-00440-z","article-title":"Cost-Effectiveness of Non-pharmacological Interventions for Mild Cognitive Impairment and Dementia: A Systematic Review of Economic Evaluations and a Review of Reviews","volume":"7","author":"Eaglestone","year":"2023","journal-title":"Pharmacoecon Open"}],"container-title":["Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3417\/11\/5\/129\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T10:11:51Z","timestamp":1789985511000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3417\/11\/5\/129"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,10]]},"references-count":18,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,10]]}},"alternative-id":["geriatrics11050129"],"URL":"https:\/\/doi.org\/10.3390\/geriatrics11050129","relation":{},"ISSN":["2308-3417"],"issn-type":[{"value":"2308-3417","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,10]]}}}