The efficacy of psychosocial approaches to behaviour disorders in dementia: a systematic literature review.
OBJECTIVE: This paper provides a systematic review of research findings published between 1989 and 1998 concerning non-pharmacological strategies to alleviate behavioural disturbances in elderly persons with dementia. METHOD: Data collection strategies included computer literature searches, manual s...
| Publicado en: | Australian & New Zealand Journal of Psychiatry Vol. 33; no. 6; pp. 789 - 800 |
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| Autores principales: | , , |
| Formato: | systematic review Journal Article |
| Publicado: |
Sage Publications Inc.
Dec1999
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107012817&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107012817 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00048674 7ZU jtl: Australian & New Zealand Journal of Psychiatry issn: 00048674 maglogo: Y pubinfo: dt: Dec1999 vid: 33 iid: 6 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 107012817 107012817 2001031043 10.1046/j.1440-1614.1999.00652.x NLM10619204 107012817 ppf: 789 ppct: 11 formats: fmt: @attributes: type: P tig: atl: The efficacy of psychosocial approaches to behaviour disorders in dementia: a systematic literature review. aug: au: Opie J Rosewarne R O'Connor DW affil: Mental Health Research Group, Kingston Centre, Warrigal Road, Cheltenham, Victoria 3192, Australia; Janet.Opie@med.monash.edu.au sug: subj: Dementia Therapy Disruptive Behavior Behavior Therapy Research Health Facility Environment Phototherapy Staff Development ab: OBJECTIVE: This paper provides a systematic review of research findings published between 1989 and 1998 concerning non-pharmacological strategies to alleviate behavioural disturbances in elderly persons with dementia. METHOD: Data collection strategies included computer literature searches, manual searches of selected journals and checks of references listed in previous reviews. To warrant inclusion, studies were required to include some measure of behaviour before and after the introduction of an intervention. Papers were appraised in the following domains: design, sampling technique, setting, behaviours studied, measurement tools, data collection methods, type of interventions and feasibility. An overall validity rating was assigned to each article using predetermined rules. RESULTS: Forty-three studies met criteria for inclusion including five randomised controlled trials. Validity ratings were as follows: one strong, 15 moderate, and 27 weak. Areas of scientific weakness included small numbers of subjects, inadequate descriptions of study participants, imprecise data collection methods, high attrition rates and insufficient statistical analysis. Despite this, there is evidence to support the efficacy of activity programs, music, behaviour therapy, light therapy, carer education and changes to the physical environment. The evidence in favour of multidisciplinary teams, massage and aromatherapy is inconclusive. CONCLUSIONS: It was easier to interpret the results of rigorously designed studies that focused on a single behaviour or single intervention tailored to the needs of individuals and carers. Future studies should seek to replicate the findings outlined here, improving methodologies where necessary and including outcome measures that encompass the interests of people with dementia, family caregivers and health professionals. pubtype: Academic Journal doctype: systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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