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Content Validity and Acceptability of the Daily Enhancement of Meaningful Activity Program: Intervention for Mild Cognitive Impairment Patient–Spouse Dyads

Lu, Yvonne Yueh-Feng; Haase, Joan E.

Journal of Neuroscience Nursing: December 2011 - Volume 43 - Issue 6 - p 317–328
doi: 10.1097/JNN.0b013e318234e9dd

ABSTRACT Persons with mild cognitive impairment (PwMCI) are at greater risk for developing Alzheimer disease and experience various difficulties that decrease their quality of life. Very few interventions focus on helping PwMCI improve or maintain functional performance and enhance quality of life through meaningful activity engagement. The purpose of the study was to explore PwMCI and their spouses’ perspectives on the content validity, usefulness, and acceptability of the Daily Enhancement of Meaningful Activity (DEMA) program, which included 6 biweekly face-to-face sessions between session assignments and a self-management tool kit of written educational handouts. Nine PwMCI–care partner dyads participated in 3 focus groups (PwMCI alone, spouses alone, and couples) to capture their perspectives on DEMA. The transcribed focus group data were analyzed through content analysis. The three groups provided support for content validity and acceptability of the program, and they suggested additional content areas important to couples experiencing MCI. They also attested to the usefulness of the tool kit and gave suggestions for its further improvement. The findings provide evidence of the content validity and acceptability of the DEMA program. A pilot study to assess feasibility and preliminary efficacy of the DEMA on health-related outcomes is the recommended next research step for this program.

Questions or comments about this article may be directed to Yvonne Yueh-Feng Lu, PhD RN, at She is an assistant professor at the Department of Adult Health Nursing, Indiana University School of Nursing, Indianapolis, IN.

Joan E. Haase, PhD RN FAAN, is Holmquist Professor at the Department of Pediatric Oncology Nursing, Indiana University School of Nursing, Indianapolis, IN.

The authors declare no conflict of interest.

© 2011 American Association of Neuroscience Nurses