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Support and information needs following a diagnosis of dementia with Lewy bodies

Published online by Cambridge University Press:  02 September 2015

Alison Killen*
Affiliation:
Institute of Neuroscience, Newcastle University, Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL, UK
Darren Flynn
Affiliation:
Institute of Health and Society (Decision Making and Organisation of Care group), Newcastle University, Newcastle Upon Tyne, NE4 5PL, UK
Aoife De Brún
Affiliation:
Institute of Health and Society (Decision Making and Organisation of Care group), Newcastle University, Newcastle Upon Tyne, NE4 5PL, UK
Nicola O’Brien
Affiliation:
Institute of Health and Society, Newcastle University, Newcastle Upon Tyne, NE4 5PL, UK
John O’Brien
Affiliation:
Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge CB2 0QC, UK
Alan J. Thomas
Affiliation:
Institute of Neuroscience, Newcastle University, Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL, UK
Ian McKeith
Affiliation:
Institute of Neuroscience, Newcastle University, Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL, UK
John-Paul Taylor
Affiliation:
Institute of Neuroscience, Newcastle University, Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL, UK
*
Correspondence should be addressed to: Mrs Alison Killen, Institute of Neuroscience, Newcastle University, Campus for Ageing and Vitality, NE4 5PL, UK. Phone: +44 (0)191 2081340. Email: alison.killen@newcastle.ac.uk.

Abstract

Background:

There is a lack of knowledge regarding the information and support needs of people with dementia with Lewy bodies (DLB) and their families around the time of diagnosis.

Methods:

A volunteer sample of patients with DLB and their family members completed a web survey hosted by the UK based Lewy Body Society in May 2014. This focused on past experiences of information and support received and what information and support needs would have been beneficial at the time of diagnosis.

Results:

One hundred and twenty five adults responded to the survey. The majority were first degree relatives or spouses of people with DLB (n = 107, 86%). Approximately 50% (n = 61) reported they had not received any tangible support at diagnosis. Thirteen categories of information needs were identified.

Conclusions:

People with DLB and their family members are currently inadequately supported at diagnosis. There is a need to address information needs related to symptomology, medication and prognosis, including provision of emotional and instrumental social support. Seeking the views of recipients of information and support is important in ensuring relevance and appropriateness prior to the development of interventions to improve the knowledge and coping skills of people with DLB and caregivers.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2015 

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References

Ask, H., Langballe, E. M., Holmes, J., Selbaek, G., Saltvedt, I. and Tambs, K. (2014). Mental health and wellbeing in spouses of persons with dementia: the Nord-Trøndelag health study. BMC Public Health, 14, 413.CrossRefGoogle ScholarPubMed
Barnes, J., Connelly, V., Boubert, L. and Maravic, K. (2013). Behavioural coping patterns in Parkinson's patients with visual hallucinations. Journal of Neuropsychology, 7, 326334.CrossRefGoogle ScholarPubMed
Boström, F., Jönsson, L., Minthon, L. and Londos, E. (2007). Patients with dementia with Lewy bodies have more impaired quality of life than patients with Alzheimer disease. Alzheimer Disease and Associated Disorders, 21, 150154.CrossRefGoogle ScholarPubMed
Department of Health (2009). Living well with Dementia: A National Dementia Strategy. Available at: https://www.gov.uk/government/publications/living-well-with-dementia-a-national-dementia-strategy; last accessed 07 July 2015.Google Scholar
Lee, D. R., McKeith, I., Mosimann, U., Ghosh-Nodyal, A. and Thomas, A. J. (2013). Examining carer stress in dementia: the role of subtype diagnosis and neuropsychiatric symptoms. International Journal of Geriatric Psychiatry, 28, 135141.CrossRefGoogle ScholarPubMed
Leggett, A., Zarit, S., Taylor, A. and Galvin, J. (2011). Stress and burden among caregivers of patients with Lewy body dementia. The Gerontologist, 51, 7685.CrossRefGoogle ScholarPubMed
Lewis, M., Hobday, J. and Hepburn, K. (2010). Internet–based program for dementia caregivers. American Journal of Alzheimer's Disease and Other Dementias, 25, 674679.CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence (2013). Quality Standard for Supporting People to Live well with Dementia (QS30). Available at: https://www.nice.org.uk/guidance/qs30; last accessed 07 July 2015.Google Scholar
Newbronner, L., Chamberlain, R., Borthwick, R., Baxter, M. and Glendinning, C. (2013). A Road Less Rocky: Supporting Carers of People with Dementia. London: Carers Trust.Google Scholar
Nicholson, K. A. (2010). Dementia with Lewy bodies: The Caring Experience. PhD Thesis, The University of Melbourne.Google Scholar
Vann Jones, S. A. and O’Brien, J. T. (2013). The prevalence and incidence of dementia with Lewy bodies: a systematic review of population and clinical studies. Psychological Medicine, 44, 673683.CrossRefGoogle ScholarPubMed
Yamane, Y., Sakai, K. and Maeda, K. (2011). Dementia with Lewy bodies is associated with higher scores on the geriatric depression scale than is Alzheimer's disease. Psychogeriatrics, 11, 157165.CrossRefGoogle ScholarPubMed
Zweig, Y. R. and Galvin, J. E. (2014). Lewy body dementia: the impact on patients and caregivers. Alzheimers Research and Therapy, 6, 21.CrossRefGoogle ScholarPubMed