A protocol for a systematic review of effective home support to people with dementia and their carers: components and impacts

Clarkson, Paul; Giebel, Clarissa; Larbey, Matthew; Roe, Brenda; Challis, David; Hughes, Jane; Jolley, David; Poland, Fiona; Russell, Ian

doi:10.1111/jan.12737

Cited by 27 publications

(33 citation statements)

References 35 publications

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“…7 Since it is predicted that the incidence of dementia and AD will significantly increase in the future, this phenomenon will have an important impact on the healthcare system worldwide, in particular relative to the medical, social, and economic costs for elderly people and their families. 8 …”

Section: Introductionmentioning

confidence: 99%

The Effects of Cognitive Training for Elderly: Results from My Mind Project

Giuli

Papa

Lattanzio

et al. 2016

Rejuvenation Research

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Cognitive decline and dementia represent very important public health problems that impact the ability to maintain social function and independent living. The aim of this study was to investigate the effects of a nonpharmacological intervention consisting of comprehensive cognitive training in elderly people having one of three different cognitive statuses. In all, 321 elderly people with a diagnoses of mild–moderate Alzheimer's disease (AD), with mild cognitive impairment (MCI) and without cognitive decline were randomly assigned to two groups: experimental group (EG, who underwent intervention) and control group (CG), according to a prospective randomized intervention study. In the three groups, immediately after the end of the intervention, we observed a significant effect on some cognitive and noncognitive outcomes in the EGs. At the end of the intervention, we found an intermediate intervention effect on the Alzheimer's Disease Assessment Scale (ADAS) score of subjects with AD, as well as on functional status, as measured by using the Instrumental Activities of Daily Living scale. A significant intervention effect was also observed on enhancement of auditory verbal short-term memory and subjective memory complaints of subjects with MCI. The group of subjects without cognitive decline obtained a significant intervention effect on subjective complaints outcomes. The obtained results demonstrated that participation in the intervention could improve performance with respect to specific cognitive functions and psychological statuses. The role of healthy lifestyle programs, such as the use of comprehensive interventions, has been shown to be efficient for enhancing memory and other abilities in aged individuals with and without cognitive decline.

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Section: Introductionmentioning

confidence: 99%

The Effects of Cognitive Training for Elderly: Results from My Mind Project

Giuli

Papa

Lattanzio

et al. 2016

Rejuvenation Research

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“…Reflecting the aim of the review, the principal finding was the identification of a range of potential approaches for delivering home support to people with dementia and their carers (Clarkson et al., ). This has been achieved by first identifying the components of the intervention irrespective of setting and second by investigating their presence in studies administered to people with dementia and their carers at home, with an assessment of their effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Systematic review: Effective home support in dementia care, components and impacts – Stage 2, effectiveness of home support interventions

Clarkson¹,

Hughes²,

Roe

et al. 2017

Journal of Advanced Nursing

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“…Home care patients are not constantly monitored by clinicians (21) and are prone to misunderstand, forget, or ignore health-care advice (22). Fall-risk management must involve both patients and their caregivers (23) because patients may have diminished abilities to perform the activities of daily living such as walking and impaired cognitive abilities due to Alzheimer disease or dementia (24). …”

Section: Introductionmentioning

confidence: 99%

How Can Home Care Patients and Their Caregivers Better Manage Fall Risks by Leveraging Information Technology?

Alhuwail

Koru

Nahm

2016

Journal of Patient Experience

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Objectives:From the perspectives of home care patients and caregivers, this study aimed to (a) identify the challenges for better fall-risk management during home care episodes and (b) explore the opportunities for them to leverage health information technology (IT) solutions to improve fall-risk management during home care episodes.Methods:Twelve in-depth semistructured interviews with the patients and caregivers were conducted within a descriptive single case study design in 1 home health agency (HHA) in the mid-Atlantic region of the United States.Results:Patients and caregivers faced challenges to manage fall risks such as unmanaged expectations, deteriorating cognitive abilities, and poor care coordination between the HHA and physician practices. Opportunities to leverage health IT solutions included patient portals, telehealth, and medication reminder apps on smartphones.Conclusion:Effectively leveraging health IT could further empower patients and caregivers to reduce fall risks by acquiring the necessary information and following clinical advice and recommendations. The HHAs could improve the quality of care by adopting IT solutions that show more promise of improving the experiences of patients and caregivers in fall-risk management.

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A protocol for a systematic review of effective home support to people with dementia and their carers: components and impacts

Abstract: The review seeks to develop a theory of home support: how and why interventions may work; in what contexts; and for whom. We will identify effective home support approaches, informing policy-makers and establishing how they might be experienced by people with dementia and their carers.

Cited by 27 publications

References 35 publications

The Effects of Cognitive Training for Elderly: Results from My Mind Project

The Effects of Cognitive Training for Elderly: Results from My Mind Project

Systematic review: Effective home support in dementia care, components and impacts – Stage 2, effectiveness of home support interventions

How Can Home Care Patients and Their Caregivers Better Manage Fall Risks by Leveraging Information Technology?

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