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Video calls ‘can help in fight against dementia’



The rise of Zoom meetings and other forms of online communication during the pandemic may have played a role in helping older people in the fight against dementia, new research has revealed. 

Through regularly staying in touch with family and friends online, a person can help maintain their long-term memory – adding a further benefit to the rise in virtual ways of communication, a new study has discovered. 

Researchers found that older people who frequently use online communication such as email and video call, alongside traditional social interactions in person or over the phone, showed less of a decline in episodic memory – the ability to recollect meaningful events and the impairment of which is a hallmark sign of major forms of dementia.

The study, by the University of West London’s Geller Institute of Ageing and Memory with the University of Manchester, looked at regular communication habits of 11,418 men and women aged between 50 and 90 years old.

Participants were asked how often they interacted with friends and family online, over the phone, and in person, before completing memory tests where they were asked to recall a list of ten words at various intervals.

Researchers recorded immediate and delayed recall to generate memory scores from 0 to 20. They then divided respondents by those with or without hearing loss to assess the impact on both groups.

Studying the impact over 15 years, it was found that people using only traditional communications experienced steeper memory decline than participants who enriched their social activity online.

Also, the more diverse the communication methods overall, the greater the benefit to cognitive function over time – particularly among those with hearing loss, where even greater impact was observed.

“This shows for the first time the impact of diverse, frequent and meaningful interactions on long-term memory, and specifically, how supplementing more traditional methods with online social activity may achieve that among older adults,” says Snorri Rafnsson, associate professor of ageing and dementia care at UWL, who led the study.

“There are combined factors here, as learning to use and engage with online social technology can offer direct cognitive simulation to keep memory function active. In addition, communicating through diverse channels can facilitate social support exchanges and interactions, which in turn benefit our brains.

“We can also see a positive impact among older people with hearing loss, who by making use of online tools such as email, may be better able to focus solely on the quality of an interaction to achieve those same cognitive benefits.

“With more and more older adults now using online communication so frequently, especially during the past year of global lockdowns, it poses the question as to what extent technology can help sustain relationships and overcome social isolation, and how that can also help maintain brain health.” 


Talk therapy ‘can improve quality of life in dementia’

Psychological interventions could help alleviate depression, rather than the use of medication, a new study finds



Talk therapy may alleviate depression and improve quality of life for people with dementia, a new study has shown. 

Feelings of anxiety and depression are common in people living with dementia and mild cognitive impairment – who are twice as likely as their peers to experience such conditions – but the best way to treat these symptoms is currently unknown, as commonly-prescribed medicines may not be effective for people with dementia and may cause side effects.

The findings of the new and updated Cochrane Review paper are important because it is the first review showing that psychological interventions, or talking therapies, are effective and worthwhile in the context of ineffective drugs for depression in dementia. 

The review also shows they may provide additional benefit in terms of improving patient quality of life and everyday function, also helping to alleviate loneliness.

The researchers are calling for clinical guidelines for dementia to be revised to recommend psychological therapies and specifically Cognitive Behavioural Therapy (CBT).

Lead author Dr Vasiliki Orgeta, associate professor at UCL Psychiatry, said: “We currently have no standard treatments for depression for people with dementia, as antidepressants do not work for them. 

Dementia Carers Count

“Yet, despite the lack of supporting evidence, they are still prescribed for many people living with dementia, which is an important problem given that more and more evidence is accumulating suggesting that not only they do not improve symptoms, but they may increase risk of mortality.

“Previous evidence into the clinical effectiveness of psychological treatments has been limited. Reporting on the most up to date evidence, we found that these treatments, and specifically those focusing around supporting people with dementia to use strategies to reduce distress and improve wellbeing, are effective in reducing symptoms of depression.”

People with dementia are twice as likely as other people their age to be diagnosed with a major depressive disorder. Studies have estimated that 16 per cent of people with dementia experience depression, but this may be as high as 40 per cent, so there is a great need for effective treatments. 

Depression and anxiety can also increase the severity of the neurological impairment itself, thus reducing independence and increasing the risk of entering long-term care.

Dr Orgeta added: “Our findings break the stigma that psychological treatments are not worthwhile for people living with cognitive impairment and dementia, and show that we need to invest in more research in this area and work towards increasing access to psychological services for people with dementia across the globe. 

“We want people who experience cognitive impairment and dementia to have the same access to mental health treatments as everyone else.”

The paper, published by the Cochrane Library as part of their database of systematic reviews, incorporated evidence from 29 trials of psychological treatments for people with dementia or mild cognitive impairment, including close to 2,600 study participants in total.

The psychological interventions varied somewhat, including CBT and supportive and counselling interventions, but were generally aimed at supporting wellbeing, reducing distress, and improving coping.

The review shows that psychological treatments for people with dementia may improve not only depressive symptoms but several other outcomes, such as quality of life and the ability to carry out everyday activities. 

Although more research is needed, the study found that these treatments may also improve depression remission. 

The authors say the potential of improving many outcomes with one psychological intervention may be highly cost-effective and could be key to improving quality of life and wellbeing for people with dementia.

Co-author Dr Phuong Leung said: “There is now good enough quality evidence to support the use of psychological treatments for people with dementia, rather than prescribing medications, and without the risk of drug side effects. 

“What we need now is more clinicians opting for talk therapies for their patients and commitment to funding further high-quality research in this area.”

Dr Orgeta added: “Pharmacological treatments in dementia have been prioritised in trials for many years, as a result they benefit from more investment, so it will be important to invest more in studying psychological treatments. 

“There is a need for novel treatments, specifically developed alongside people with dementia, their families, and those contributing to their care.”

The review was conducted by researchers from UCL, University of Nottingham, Universidad de Jaén, and Salford Royal NHS Foundation Trust, and was supported by the National Institute for Health Research.

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Dementia care enhanced through VR training

The new ELARA system offers insight into the world of someone with dementia and how best to support them



Healthcare professionals are being supported in enhancing delivery of dementia care through a new virtual reality (VR) approach.

Following its recent multi-million investment round, VR training platform MOONHUB has launched ELARA, expanding its established presence in tech into health and social care.

The training curriculum highlights how dementia can affect a person’s behaviour and guides caregivers on how to identify triggers or reasons for distress, as well as offering techniques for enhancing communication to support patient needs. 

Post-training, participants are given an overview of their performances via a personal dashboard, enabling organisations to make informed, data-driven decisions on caregivers’ potential and better streamline solutions.

The launch of ELARA builds further on the growing role of VR in health and social care training, with it being increasingly adopted within care.

“Dementia affects everyone differently and can be a very distressing experience,” said Claire Surr, Professor of Dementia Studies and director of the Centre for Dementia Research, Leeds Beckett University, who co-curated ELARA’s new training programme. 

Dementia Carers Count

“Staff must have an understanding of how people with dementia might see the world, and the impacts of what other people say and do, as well as the physical environment on the person’s wellbeing and behaviour. 

“The VR training I have helped curate places staff in realistic care scenarios to help them develop the skills and knowledge to prevent or reduce distress. 

“Research indicates experiential dementia training can help increase their empathy and understanding, potentially improving the quality of care staff deliver. 

“We hope VR will offer an exciting avenue for providing experiential learning opportunities.”

The content of MOONHUB’s ELARA dementia training aligns with learning outcomes from the Dementia Training Standards Framework, is approved and accredited by CPD standards, and is recognised by Care England.

Martin Green, chief executive of Care England, said: “The launch of MOONHUB’s virtual reality training is a very creative way to deliver training for care professionals. 

“This new system has the potential to revolutionise the training experience and offers an interactive and comprehensive approach to training and development.”

Dami Hastrup, founder and CEO of MOONHUB, added: “The pandemic has shone a spotlight on health and social care, highlighting its strength and resilience during the most troubling of times. 

“We immediately recognised the importance of social care and the need for investment and development in the future. When we first started building the programme, we wanted to ensure we had the right resources and expertise to offer a state-of-the-art experience to those training in the healthcare sector. 

“We believe dementia education and training for the health and social care professionals is vital and we’re incredibly excited to be the first to offer an immersive and accessible solution to up-skill learners with the appropriate person-centred care through the power of VR.”



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Recognising the silent carers

Carer and award-winning writer Beth Britton shares her thoughts on reaching out to dementia carers who don’t realise they are carers



Back in 2013 at the G8 Dementia Summit, I made a two-minute film to talk about me, my dad and our years with dementia – a poster was created that quoted me saying: “You become a carer, but you don’t realise you’ve become a carer.”

For me that statement really sums up how dementia crept up on us as a family, and how, bit by bit, dad needed more and more help and support.

I’d like to think that dad’s story would be an unusual one now – going ten years without a diagnosis in these days of increased awareness is, I hope, not the norm – but my recent personal and professional experiences suggest that there are still significant delays in people seeking help, with partners and other family members becoming carers in all but name in the meantime.

Carer identification has been a hot topic in the many years I’ve worked as a campaigner, consultant, writer and blogger. I’ve sat in meetings with everyone from government officials to academics discussing how we might identify carers better, coming to my own conclusion that just like me – when I viewed myself as a daughter looking after her dad – so most ‘silent carers’ only see their relationship to their loved one, not how every month they are taking on a little bit more to maintain what might be called the status quo.

Dementia carers are particularly adept at this since most people who are living with dementia develop symptoms gradually, unlike caring for someone who has a sudden acute health episode in their life like a heart attack or stroke.

How we reach out to silent dementia carers is a key concern of mine, not because I believe we need to boost dementia diagnosis rates with false targets, but out of a human concern for people who in all likelihood would benefit from some low-level advice in the earlier stages of their loved one’s dementia but are a long way from accessing it.

Dementia Carers Count

If you’re reading this blog, you probably aren’t in that bracket. Silent carers generally don’t frequent social media or search online for information. I didn’t. Why would you?

As I said earlier, you only see the relationship you have with your loved one rather than how that relationship is subtly changing. It often takes someone from the ‘outside’ to notice, as I’ve done on many occasions with people I’ve known well or only just met.

While all the standard advice about encouraging people to see their GP is important, I feel passionately that information about changes you can make today – regardless of a diagnosis – is just as important. Making modifications to the environment to help your loved one navigate around their home, or putting up a simple list of instructions for how they can make a cup of tea, helps right now.

With few treatments and no current cure for any type of dementia, alongside the residual stigma that I believe means people are more comfortable going to their GP with a query about potential cancer than a problem with their brain, the messages about how we enable a person to live as well as possible and to minimise carer breakdown are vital.

Supporting independence, choice and control from the earliest point of dementia symptoms makes life easier for everyone, and means that if/when a diagnosis comes the family haven’t already hit a crisis point, unlike us with my dad.

For me, communicating messages about how low-level changes and support at home and in everyday life can help is something we can all do. Keeping connected with family, friends and neighbours, noticing those subtle problems and making small suggestions helps to disseminate ideas about how to cope better pre or post-diagnosis to individuals who are unlikely to ever be googling how to do it.

I signpost to resources, initiatives, toolkits and practical advice constantly, whether I’m writing an article, speaking at a conference, or because I’ve got chatting to a couple in a café that I’ve never met before.

I’ve even been known to give books on dementia – like Wendy Mitchell’s ‘Somebody I used to know’ – as a present to provide information that I know couldn’t be easily discussed. Anything that helps a silent carer to find ways to make life even the tiniest bit easier is important.

As a well-known supermarket is always telling us, ‘Every little helps’.

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