Systematic review of systematic reviews of non-pharmacological interventions to treat behavioural disturbances in older patients with dementia. The SENATOR-OnTop series.

Hdl Handle:
http://hdl.handle.net/10147/622730
Title:
Systematic review of systematic reviews of non-pharmacological interventions to treat behavioural disturbances in older patients with dementia. The SENATOR-OnTop series.
Authors:
Abraha, Iosief; Rimland, Joseph M; Trotta, Fabiana Mirella; Dell'Aquila, Giuseppina; Cruz-Jentoft, Alfonso; Petrovic, Mirko; Gudmundsson, Adalsteinn; Soiza, Roy; O'Mahony, Denis; Guaita, Antonio; Cherubini, Antonio
Citation:
Systematic review of systematic reviews of non-pharmacological interventions to treat behavioural disturbances in older patients with dementia. The SENATOR-OnTop series. 2017, 7 (3):e012759 BMJ Open
Publisher:
BMJ Open
Journal:
BMJ open
Issue Date:
16-Mar-2017
URI:
http://hdl.handle.net/10147/622730
DOI:
10.1136/bmjopen-2016-012759
PubMed ID:
28302633
Additional Links:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372076/pdf/bmjopen-2016-012759.pdf
Abstract:
To provide an overview of non-pharmacological interventions for behavioural and psychological symptoms in dementia (BPSD).; Systematic overview of reviews.; PubMed, EMBASE, Cochrane Database of Systematic Reviews, CINAHL and PsycINFO (2009-March 2015).; Systematic reviews (SRs) that included at least one comparative study evaluating any non-pharmacological intervention, to treat BPSD.; Eligible studies were selected and data extracted independently by 2 reviewers.The AMSTAR checklist was used to assess the quality of the SRs.; Extracted data were synthesised using a narrative approach.; 38 SRs and 142 primary studies were identified, comprising the following categories of non-pharmacological interventions: (1) sensory stimulation interventions (12 SRs, 27 primary studies) that encompassed: acupressure, aromatherapy, massage/touch therapy, light therapy and sensory garden; (2) cognitive/emotion-oriented interventions (33 SRs; 70 primary studies) that included cognitive stimulation, music/dance therapy, dance therapy, snoezelen, transcutaneous electrical nerve stimulation, reminiscence therapy, validation therapy, simulated presence therapy; (3) behaviour management techniques (6 SRs; 32 primary studies) and (4) other therapies (5 SRs, 12 primary studies) comprising exercise therapy, animal-assisted therapy, special care unit and dining room environment-based interventions. Music therapy was effective in reducing agitation (SMD, -0.49; 95% CI -0.82 to -0.17; p=0.003), and anxiety (SMD, -0.64; 95% CI -1.05 to -0.24; p=0.002). Home-based behavioural management techniques, caregiver-based interventions or staff training in communication skills, person-centred care or dementia care mapping with supervision during implementation were found to be effective for symptomatic and severe agitation.; A large number of non-pharmacological interventions for BPSD were identified. The majority of the studies had great variation in how the same type of intervention was defined and applied, the follow-up duration, the type of outcome measured, usually with modest sample size. Overall, music therapy and behavioural management techniques were effective for reducing BPSD.
Item Type:
Article
Language:
en
Description:
To provide an overview of nonpharmacological interventions for behavioural and psychological symptoms in dementia (BPSD).
Keywords:
DEMENTIA; BEHAVIOURAL CHANGE
Local subject classification:
systematic review
MeSH:
Aged; Aged, 80 and over; Anxiety; Cognitive Therapy; Complementary Therapies; Dementia; Home Care Services; Humans; Phototherapy; Physical Therapy Modalities; Psychomotor Agitation; Review Literature as Topic
ISSN:
2044-6055

Full metadata record

DC FieldValue Language
dc.contributor.authorAbraha, Iosiefen
dc.contributor.authorRimland, Joseph Men
dc.contributor.authorTrotta, Fabiana Mirellaen
dc.contributor.authorDell'Aquila, Giuseppinaen
dc.contributor.authorCruz-Jentoft, Alfonsoen
dc.contributor.authorPetrovic, Mirkoen
dc.contributor.authorGudmundsson, Adalsteinnen
dc.contributor.authorSoiza, Royen
dc.contributor.authorO'Mahony, Denisen
dc.contributor.authorGuaita, Antonioen
dc.contributor.authorCherubini, Antonioen
dc.date.accessioned2018-01-03T17:28:59Z-
dc.date.available2018-01-03T17:28:59Z-
dc.date.issued2017-03-16-
dc.identifier.citationSystematic review of systematic reviews of non-pharmacological interventions to treat behavioural disturbances in older patients with dementia. The SENATOR-OnTop series. 2017, 7 (3):e012759 BMJ Openen
dc.identifier.issn2044-6055-
dc.identifier.pmid28302633-
dc.identifier.doi10.1136/bmjopen-2016-012759-
dc.identifier.urihttp://hdl.handle.net/10147/622730-
dc.descriptionTo provide an overview of nonpharmacological interventions for behavioural and psychological symptoms in dementia (BPSD).en
dc.description.abstractTo provide an overview of non-pharmacological interventions for behavioural and psychological symptoms in dementia (BPSD).-
dc.description.abstractSystematic overview of reviews.-
dc.description.abstractPubMed, EMBASE, Cochrane Database of Systematic Reviews, CINAHL and PsycINFO (2009-March 2015).-
dc.description.abstractSystematic reviews (SRs) that included at least one comparative study evaluating any non-pharmacological intervention, to treat BPSD.-
dc.description.abstractEligible studies were selected and data extracted independently by 2 reviewers.The AMSTAR checklist was used to assess the quality of the SRs.-
dc.description.abstractExtracted data were synthesised using a narrative approach.-
dc.description.abstract38 SRs and 142 primary studies were identified, comprising the following categories of non-pharmacological interventions: (1) sensory stimulation interventions (12 SRs, 27 primary studies) that encompassed: acupressure, aromatherapy, massage/touch therapy, light therapy and sensory garden; (2) cognitive/emotion-oriented interventions (33 SRs; 70 primary studies) that included cognitive stimulation, music/dance therapy, dance therapy, snoezelen, transcutaneous electrical nerve stimulation, reminiscence therapy, validation therapy, simulated presence therapy; (3) behaviour management techniques (6 SRs; 32 primary studies) and (4) other therapies (5 SRs, 12 primary studies) comprising exercise therapy, animal-assisted therapy, special care unit and dining room environment-based interventions. Music therapy was effective in reducing agitation (SMD, -0.49; 95% CI -0.82 to -0.17; p=0.003), and anxiety (SMD, -0.64; 95% CI -1.05 to -0.24; p=0.002). Home-based behavioural management techniques, caregiver-based interventions or staff training in communication skills, person-centred care or dementia care mapping with supervision during implementation were found to be effective for symptomatic and severe agitation.-
dc.description.abstractA large number of non-pharmacological interventions for BPSD were identified. The majority of the studies had great variation in how the same type of intervention was defined and applied, the follow-up duration, the type of outcome measured, usually with modest sample size. Overall, music therapy and behavioural management techniques were effective for reducing BPSD.-
dc.language.isoenen
dc.publisherBMJ Openen
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372076/pdf/bmjopen-2016-012759.pdfen
dc.rightsArchived with thanks to BMJ openen
dc.subjectDEMENTIAen
dc.subjectBEHAVIOURAL CHANGEen
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshAnxiety-
dc.subject.meshCognitive Therapy-
dc.subject.meshComplementary Therapies-
dc.subject.meshDementia-
dc.subject.meshHome Care Services-
dc.subject.meshHumans-
dc.subject.meshPhototherapy-
dc.subject.meshPhysical Therapy Modalities-
dc.subject.meshPsychomotor Agitation-
dc.subject.meshReview Literature as Topic-
dc.subject.othersystematic reviewen
dc.titleSystematic review of systematic reviews of non-pharmacological interventions to treat behavioural disturbances in older patients with dementia. The SENATOR-OnTop series.en
dc.typeArticleen
dc.identifier.journalBMJ openen

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