Tuijt, R;
Leung, P;
Profyri, E;
Orgeta, V;
(2020)
Development and preliminary validation of the Meaningful and Enjoyable Activities Scale (MEAS) in mild dementia.
International Journal of Geriatric Psychiatry
, 35
(8)
pp. 944-952.
10.1002/gps.5316.
Preview |
Text
Orgeta_gps.5316.pdf - Published Version Download (1MB) | Preview |
Abstract
Background: Engaging in meaningful activity is an important contributor to well‐being in late life. This study aimed to develop a new measure of meaningful and enjoyable activities in people living with mild dementia. Methods The study consisted of four phases: (a) a review of measures of meaningful activity in older people; (b) interviews with people with dementia and their carers (n = 32), (c) expert opinion; and (d) feasibility testing in a pilot randomised controlled trial (n = 63). Results: The development process resulted in a 20‐item questionnaire. The Meaningful and Enjoyable Activities Scale (MEAS) evidenced appropriate levels of internal consistency (α = .79). Higher scores correlated with higher functional independence (r = −.605, P < .001), patient (r = .330, P = .010) and carer‐rated patient quality of life (r = .505, P < .001). Multiple regression analyses showed that functional independence made a significant independent contribution in predicting higher levels of meaningful activity (F[7,45] = 6.75, P < .001, R2 = .512; β = −.444, P = .001). Confirmatory factor analysis indicated that a revised three‐factor 9‐item model provided good fit for the data (X2 = 22.74, P = .54, GFI = 0.93, RMSE = 0.00), with leisure‐time physical activity, social engagement and mentally stimulating activities as the key dimensions. Conclusion: Our study provides support for the construct of meaningful activity in people with mild dementia. Although we find preliminary evidence that the MEAS has adequate psychometric properties, future large scale studies are required to test its validity further and responsiveness to change.
| Type: | Article |
|---|---|
| Title: | Development and preliminary validation of the Meaningful and Enjoyable Activities Scale (MEAS) in mild dementia |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1002/gps.5316 |
| Publisher version: | https://doi.org/10.1002/gps.5316 |
| Language: | English |
| Additional information: | This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10096327 |
Archive Staff Only
 |
View Item |
