| dc.description.abstract | Acceptance and Commitment Therapy for People with Cognitive Impairment Due to Acquired Brain Injury and Neurodegenerative Conditions
Background: Acceptance and Commitment Therapy (ACT) supports individuals' psychosocial wellbeing and has shown effectiveness in reducing distress in various health conditions, including neurological disorders.
Objectives: This systematic literature review evaluates the feasibility and efficacy of ACT in alleviating psychological distress and improving functional ability in individuals with cognitive impairment due to acquired brain injury and neurodegenerative conditions.
Method: Databases (MEDLINE, PsycINFO, CINAHL, ClinicalTrials.gov, Embase, and LILACS) were searched to identify studies using ACT with adults living with cognitive impairment due to acquired brain injury or neurodegenerative conditions.
Results: Six studies, including case studies and small-group comparisons, met inclusion criteria. Participants (1-21 per study) primarily had traumatic brain injury and varying cognitive difficulties. The studies reported good adherence to treatment protocols and acceptability of the interventions, with some preliminary evidence for ACT’s efficacy. However, the overall quality of evidence was low due to methodological limitations.
Personal Values in Dementia: A Qualitative Exploration
Background: While person-centred care is a core principle in dementia care, individuals with dementia often receive generic or untimely support. Reflecting on personal values is an important aspect of “third wave” cognitive behavioural therapies and could facilitate identifying overarching care priorities and support needs in dementia.
Objectives: This study aimed to explore how individuals with mild-to-moderate dementia understand ‘personal values’, engage in discussions about their values, and perceive the relevance of personal values in managing life with dementia.
Method: Using a qualitative, exploratory approach, individual semi-structured interviews were conducted with 11 people with mild-to-moderate dementia. Interviews were transcribed verbatim and analysed using reflexive thematic analysis.
Findings: Three overarching themes were identified: defining personal values, complexity of personal values, and personal values in the context of dementia. Participants found defining personal values challenging but could articulate views with support, reflecting on changes and preserved aspects of their identities and values. They often reaffirmed determination to carry on and conveyed their appreciation of relationships and importance of gratitude.
Conclusions: Although more research is needed, considering personal values appear to foster positive, collaborative conversations and may empower individuals with dementia to articulate their important support needs. The study underscores that practitioners need to be proactive when exploring personal values and care priorities. | en_GB |
