Abstract:
BACKGROUND:Non-pharmacological interventions for Behavioral and Psychological Symptoms of Dementia (BPSD) have been developed; however, a systematic review on the effectiveness of this type of intervention from a perspective of ergonomics is lacking. According to ergonomics, the capabilities of Persons with Dementia (PwD) should be considered in the interventions for the outcomes to be reliable. We aimed to systematically review the non-pharmacological interventions for BPSD in nursing home residents with an additional assessment criterion based on ergonomics, specifically, capability consideration. METHODS:The electronic databases MEDLINE, EMBASE, and PsycINFO were searched for non-pharmacological interventions treating BPSD in nursing homes. The interventions were categorized according to the capabilities of PwD required to participate. Study quality was assessed by National Health and Medical Research Council (NHMRC) evidence hierarchy and the capability consideration. RESULTS:Sixty-four clinical trials met the inclusion criteria; 41 trials reported a significant reduction in at least one BPSD symptom; 20 trials reported no significant reduction in BPSD symptoms; three trials reported adverse effects after the intervention. Interventions were categorized into sensory-, cognition-, and movement-oriented. Capabilities of PwD were not considered in 28 trials, especially for sensory capabilities. CONCLUSIONS:The majority of the clinical trials reported a significant reduction in BPSD. The quality of evidence for nonpharmacological interventions in these trials is low due to the lack of capability consideration, data inhomogeneity, and inadequate study design and reporting. Future studies should focus on improving the quality of evidence by including capability consideration and examining if a relationship between capability consideration and effectiveness of non-pharmacological interventions exists.
journal_name
Int Psychogeriatrjournal_title
International psychogeriatricsauthors
Wang G,Albayrak A,van der Cammen TJMdoi
10.1017/S1041610218001679subject
Has Abstractpub_date
2019-08-01 00:00:00pages
1137-1149issue
8eissn
1041-6102issn
1741-203Xpii
S1041610218001679journal_volume
31pub_type
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journal_title:International psychogeriatrics
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,评审
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journal_title:International psychogeriatrics
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journal_title:International psychogeriatrics
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journal_title:International psychogeriatrics
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journal_title:International psychogeriatrics
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更新日期:2007-12-01 00:00:00
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更新日期:2004-12-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1989-10-01 00:00:00
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pub_type: 临床试验,杂志文章
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