Thursday, December 20, 2007


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To trigger personal memories for people with dementia
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New research commissioned by the National Institute for Health Research's Health Technology Assessment (NIHR HTA) programme is investigating the clinical and cost-effectiveness of 'reminiscence groups' for helping people with dementia and their carers. The groups, run by professionals and volunteers, use photographs, recordings and other objects to trigger personal memories for people with dementia, and it is thought that this may help to maintain their autobiographical memory and improve their relationships with their carers, but there is little evidence about their effectiveness.

In a £1.2 million trial, led by Professor Bob Woods of Bangor University, researchers aim to investigate the effectiveness and added value of reminiscence group therapy compared with the usual care that people with dementia are offered. People with dementia will be invited to take part in the study, together with their carers, at eight centres across England and Wales. Those taking part will either attend reminiscence groups, meeting weekly for 12 weeks and then continuing reminiscence work monthly for a further seven months, or they will receive 'usual care' in day care centres.

After 10 months the researchers intend to ask the people with dementia about their quality of life and their carers about their stress. Pilot studies carried out by the research team have developed a measure of the quality of the relationship between patient and carer, and of the 'autobiographical memory' of the person with dementia (this is the specific aspect of memory that should respond to reminiscence work), and these will be assessed by the research team together with the cost-effectiveness of the therapy.

"The growing number of people with dementia, and the increasing cost of caring for them, provides a major incentive to develop and test methods of supporting them in the community for longer," says Professor Woods. "Drug treatment has received most attention, but there is increasing evidence that psychological and social interventions may be equally effective, even preferable where medication has negative side-effects. We hope that the results of our study will provide the NHS with important evidence to help inform the care of people with dementia."

Professor Clive Ballard, Alzheimer's Society director of research, says, "This is the first time such a large study has been carried out into reminiscence therapy for people with dementia and their carers. Positive evidence has been emerging in this area and it is vital research is pursued into non-drug therapies. This trial will be essential in providing solid evidence for establishing the true value of reminiscence therapy and how it should best be used to support people with dementia and their carers." http://www.worldhealth.net

Cranberry not just for Christmas
Cranberry is no longer just for Christmas as growth in consumer demand has helped the little red berry find its way into some 900 brand new products this year - a staggering rise from the 2006 position of 54 launches - according to Mintel.
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