The effectiveness of video-based multiple training modalities in community service centers for dementia: a cluster randomized controlled study
ObjectivesThis study aimed to evaluate the effectiveness of a 16-week video-based multiple training modality (MTM) program for dementia patients in Community Service Centers for Dementia (CSCDs) in Taiwan.DesignCluster Randomized controlled trial.SettingA total of 16 CSCDs across four counties in Ta...
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1540608/full |
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| author | Sun-Gen Yang Wen-Fu Wang Yu-Chun Tung Shang-Chien Huang Ming-Che Chang Ling-Chun Huang Ling-Chun Huang Ling-Chun Huang Ling-Chun Huang Yuan-Han Yang Yuan-Han Yang Yuan-Han Yang Yuan-Han Yang Kai-Ming Jhang |
| author_facet | Sun-Gen Yang Wen-Fu Wang Yu-Chun Tung Shang-Chien Huang Ming-Che Chang Ling-Chun Huang Ling-Chun Huang Ling-Chun Huang Ling-Chun Huang Yuan-Han Yang Yuan-Han Yang Yuan-Han Yang Yuan-Han Yang Kai-Ming Jhang |
| author_sort | Sun-Gen Yang |
| collection | DOAJ |
| description | ObjectivesThis study aimed to evaluate the effectiveness of a 16-week video-based multiple training modality (MTM) program for dementia patients in Community Service Centers for Dementia (CSCDs) in Taiwan.DesignCluster Randomized controlled trial.SettingA total of 16 CSCDs across four counties in Taiwan.ParticipantsA total of 207 dementia patients and their caregivers, randomly clustered and assigned to an intervention group or a control group.InterventionThe intervention group received a 16-week video-based MTM program including dynamic physical exercises and creative activities. The control group continued with regular activities at the CSCDs.MeasurementsOutcomes measured were behavioral and psychological symptoms of dementia (BPSD) using the Neuropsychiatric Inventory Questionnaire (NPI-Q), caregiver burden using the Zarit’s Burden Interview (ZBI), and caregiver depression using the Center for Epidemiologic Studies Depression Scale (CES-D). These were assessed at baseline and post-intervention.ResultsThe intervention group showed a significant reduction in appetite/eating distress compared to the control group (change in NPI scores: −0.2 vs. 0, p = 0.026). While there was a trend toward reduced caregiver burden, the results were not statistically significant (change in ZBI scores: −3.1 vs. –1.2, p = 0.306). No significant changes were observed in overall BPSD severity or caregiver depression.ConclusionThe video-based MTM program showed potential in improving specific neuropsychological symptoms, especially appetite/eating distress, in dementia patients. The program’s ease of implementation suggests it could be expanded across CSCDs in Taiwan, with a recommendation for refinement to better support caregivers. |
| format | Article |
| id | doaj-art-db5a8b889f64485bafa29dfb74285b5f |
| institution | OA Journals |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-db5a8b889f64485bafa29dfb74285b5f2025-08-20T02:22:45ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-06-011210.3389/fmed.2025.15406081540608The effectiveness of video-based multiple training modalities in community service centers for dementia: a cluster randomized controlled studySun-Gen Yang0Wen-Fu Wang1Yu-Chun Tung2Shang-Chien Huang3Ming-Che Chang4Ling-Chun Huang5Ling-Chun Huang6Ling-Chun Huang7Ling-Chun Huang8Yuan-Han Yang9Yuan-Han Yang10Yuan-Han Yang11Yuan-Han Yang12Kai-Ming Jhang13Department of Medical Education, Changhua Christian Hospital, Changhua, TaiwanDepartment of Neurology, Changhua Christian Hospital, Changhua, TaiwanDepartment of Pharmacy, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Psychiatry, Tungs’ Taichung MetroHarbor Hospital, Taichung, TaiwanDepartment of Nuclear Medicine, Changhua Christian Hospital, Changhua, TaiwanDepartment of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanNeuroscience Research Center, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Neurology, Kaohsiung Medical University Gangshan Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanSchool of Post-Baccalaureate Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanNeuroscience Research Center, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Neurology, Kaohsiung Medical University Gangshan Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanSchool of Post-Baccalaureate Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Neurology, Changhua Christian Hospital, Changhua, TaiwanObjectivesThis study aimed to evaluate the effectiveness of a 16-week video-based multiple training modality (MTM) program for dementia patients in Community Service Centers for Dementia (CSCDs) in Taiwan.DesignCluster Randomized controlled trial.SettingA total of 16 CSCDs across four counties in Taiwan.ParticipantsA total of 207 dementia patients and their caregivers, randomly clustered and assigned to an intervention group or a control group.InterventionThe intervention group received a 16-week video-based MTM program including dynamic physical exercises and creative activities. The control group continued with regular activities at the CSCDs.MeasurementsOutcomes measured were behavioral and psychological symptoms of dementia (BPSD) using the Neuropsychiatric Inventory Questionnaire (NPI-Q), caregiver burden using the Zarit’s Burden Interview (ZBI), and caregiver depression using the Center for Epidemiologic Studies Depression Scale (CES-D). These were assessed at baseline and post-intervention.ResultsThe intervention group showed a significant reduction in appetite/eating distress compared to the control group (change in NPI scores: −0.2 vs. 0, p = 0.026). While there was a trend toward reduced caregiver burden, the results were not statistically significant (change in ZBI scores: −3.1 vs. –1.2, p = 0.306). No significant changes were observed in overall BPSD severity or caregiver depression.ConclusionThe video-based MTM program showed potential in improving specific neuropsychological symptoms, especially appetite/eating distress, in dementia patients. The program’s ease of implementation suggests it could be expanded across CSCDs in Taiwan, with a recommendation for refinement to better support caregivers.https://www.frontiersin.org/articles/10.3389/fmed.2025.1540608/fulldementiacognitive trainingphysical exercisecaregiver burdenBPSD (behavioral and psychological symptoms in dementia) |
| spellingShingle | Sun-Gen Yang Wen-Fu Wang Yu-Chun Tung Shang-Chien Huang Ming-Che Chang Ling-Chun Huang Ling-Chun Huang Ling-Chun Huang Ling-Chun Huang Yuan-Han Yang Yuan-Han Yang Yuan-Han Yang Yuan-Han Yang Kai-Ming Jhang The effectiveness of video-based multiple training modalities in community service centers for dementia: a cluster randomized controlled study Frontiers in Medicine dementia cognitive training physical exercise caregiver burden BPSD (behavioral and psychological symptoms in dementia) |
| title | The effectiveness of video-based multiple training modalities in community service centers for dementia: a cluster randomized controlled study |
| title_full | The effectiveness of video-based multiple training modalities in community service centers for dementia: a cluster randomized controlled study |
| title_fullStr | The effectiveness of video-based multiple training modalities in community service centers for dementia: a cluster randomized controlled study |
| title_full_unstemmed | The effectiveness of video-based multiple training modalities in community service centers for dementia: a cluster randomized controlled study |
| title_short | The effectiveness of video-based multiple training modalities in community service centers for dementia: a cluster randomized controlled study |
| title_sort | effectiveness of video based multiple training modalities in community service centers for dementia a cluster randomized controlled study |
| topic | dementia cognitive training physical exercise caregiver burden BPSD (behavioral and psychological symptoms in dementia) |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1540608/full |
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