ORIGINAL RESEARCH article

Front. Med.

Sec. Geriatric Medicine

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1540608

This article is part of the Research TopicTransforming Dementia Caregiving Through Assistive TechnologiesView all 3 articles

The Effectiveness of Video-Based Multiple Training Modalities in Community Service Centers for Dementia: A cluster randomized controlled study

Provisionally accepted
Sun-Gen YangSun-Gen Yang1,2Wen-Fu WangWen-Fu Wang2Yu-Chun TungYu-Chun Tung3Shangchien HuangShangchien Huang4Ming-Che ChangMing-Che Chang2Ling Chun HuangLing Chun Huang5Yuan-Han YangYuan-Han Yang5Kai-Ming JhangKai-Ming Jhang2*
  • 1Chung Shan Medical University, Taichung, Taiwan
  • 2Changhua Christian Hospital, Changhua, Taiwan
  • 3Taichung Veterans General Hospital, Taichung, Taiwan
  • 4Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan
  • 5Kaohsiung Medical University, Kaohsiung, Taiwan

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To evaluate the effectiveness of a 16-week video-based multiple training modalities (MTM) program for dementia patients in Community Service Centers for Dementia (CSCDs) in Taiwan. Design: Cluster Randomized controlled trial. Setting: 16 CSCDs across four counties in Taiwan. Participants: 207 dementia patients and their caregivers, randomly cluster assigned to an intervention group or a control group. Intervention: The 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. Measurements: Outcomes measured were behavioral and psychological symptoms of dementia (BPSD) using the Neuropsychiatric Inventory Questionnaire (NPI-Q), caregiver burden using 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.The 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.

Keywords: Dementia, cognitive training, physical exercise, caregiver burden, BPSD (behavioral and psychological symptoms in dementia)

Received: 06 Dec 2024; Accepted: 22 May 2025.

Copyright: © 2025 Yang, Wang, Tung, Huang, Chang, Huang, Yang and Jhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Kai-Ming Jhang, Changhua Christian Hospital, Changhua, 50006, Taiwan

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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