Payne, J; (2017) Mindfulness Based Cognitive Therapy for People with Mild Dementia and Depression: A Feasibility Pilot Randomised Controlled Trial examining changes in Quality of Life and Cognition. Doctoral thesis (D.Clin.Psy), UCL (University College London).

Abstract

AIMS: This pilot RCT aimed to establish whether an adapted Mindfulness Based Cognitive Therapy (MBCT) intervention for people with mild dementia and depression was feasible and whether it led to improvements in their quality of life and cognition. METHOD: An adapted MBCT intervention for people with mild dementia and depression was evaluated through a single-blind, multisite, pilot RCT. Participants were recruited via memory clinics and randomly assigned to one of two treatment conditions: an eight-week adapted MBCT intervention or a treatment as usual (TAU) control group. A range of clinical outcome measures were administered at baseline and within two weeks post-intervention. This study is part of a joint research project conducted with Deirdre Noone. The feasibility of the intervention and the statistical analysis of measures of quality of life and cognition are reported here. RESULTS: The intervention was feasible in terms of high attendance to the intervention and low levels of attrition. It was not judged to be feasible to recruit enough participants within the recruitment time-frame. No significant improvements in the measures of quality of life and cognition were found for participants in the adapted MBCT intervention compared to TAU control. CONCLUSIONS: Although the adapted MBCT intervention was feasible, there is currently a lack of robust research evidence to recommend this intervention for people with mild dementia and depression.

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