ArticleFrontiers in psychology2025
The validity of the Meaning in Life in Persons with Dementia Questionnaire (MIND).
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Meaning in life is considered an underestimated asset for people's well-being, particularly among individuals with dementia residing in nursing homes. However, knowledge on meaning in life in this target group is scarce, among other reasons because an instrument specifically developed and adapted to assess meaning in life in this population has been missing. Although existential experiences are known to affect well-being in older adults, few tools exist to assess meaning in life in individuals with dementia. This study aims to validate the newly developed Meaning in Life in Persons with Dementia Questionnaire (MIND) for use in nursing home residents. Methods: We included 116 participants with dementia from 34 nursing homes in Eastern Norway. Descriptive statistics, reliability tests, confirmative factor analysis, and multiple regression for evaluation of validity. Results: Both meaningfulness (α 0.86) and crisis of meaning (α 0.92) had acceptable internal consistency. As expected, the two constructs were also highly significant and negatively correlated (-0.59). Confirmatory factor analysis showed that all goodness of fit-values were clearly on the right side of the limits for a two-factor solution (CFI 0.999). When testing for construct validity, in multivariate linear regression analysis meaningfulness was significantly associated with higher QoL-AD scores (Standardized Conclusion: Despite sample limitations, our findings suggest that the MIND questionnaire is a psychometrically sound instrument for assessing meaning in life among nursing home residents with dementia. Its integration into clinical practice may support more individualized, person-centered care. Future research should explore its utility in diverse cultural and care settings, as well as its longitudinal sensitivity to change.
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