Effectiveness of simulated presence therapy for individuals with dementia: A systematic review and meta-analysis

Zetteler, Jessica

doi:10.1080/13607860802380631

Cited by 43 publications

(18 citation statements)

References 37 publications

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“…After searching the databases MEDLINE, CINAHL, PsycINFO, EMBASE, Dissertations International and the Cochrane Database of Systematic Review, from 1974 to May 2008, the review identified only two studies that were included in the Zetteler review above 30. Online supplementary etable 11 describes SPT, outcomes and results of the primary studies included in the reviews.…”

Section: Resultsmentioning

confidence: 99%

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

et al. 2017

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ObjectiveTo provide an overview of non-pharmacological interventions for behavioural and psychological symptoms in dementia (BPSD).DesignSystematic overview of reviews.Data sourcesPubMed, EMBASE, Cochrane Database of Systematic Reviews, CINAHL and PsycINFO (2009–March 2015).Eligibility criteriaSystematic reviews (SRs) that included at least one comparative study evaluating any non-pharmacological intervention, to treat BPSD.Data extractionEligible studies were selected and data extracted independently by 2 reviewers.The AMSTAR checklist was used to assess the quality of the SRs.Data analysisExtracted data were synthesised using a narrative approach.Results38 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.ConclusionsA 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.

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Section: Resultsmentioning

confidence: 99%

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

et al. 2017

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“…Individually tailored non-pharmacological approaches for management of behavioral disruptions, including sundowning, considered to be the first-line therapy, and should be attempted before pharmacologic interventions 133,134. The following management options has been suggested as possible interventions for behavioral abnormalities in dementia, which theoretically might be effective for sundowning as well: light therapy,73-82,135 music therapy,136 aromatherapy,137 caregiver education,138 multisensory stimulation,139 and simulated presence therapy 140. Other recommendations include reduction of noisy background, minimizing unnecessary noise (e.g., noise from visitors, loud speakers, banging of dishes, loud staff conversation), offering simple instructions for meals and bathing, adherence to a stable daily routine 2,62,63,141.…”

Section: Resultsmentioning

confidence: 99%

“…Nevertheless, it might be hypothesized, that several interventions that have been used to treat sundowning syndrome, may have been considered in prevention of this clinical phenomena. These interventions are as follows: environmental interventions/ behavioral modifications as a first line treatment,133,134 including light therapy,73-82,135 music therapy,136 aromatherapy,137 caregiver education,138 multisensory stimulation,139 and simulated presence therapy,140 following sleep hygiene routine, adherence to a structured daily schedule, and physical exercise 141. There is no clear evidence that prophylactic use of melatonin, AChEIs, or NMDA receptor antagonist is effective in prevention of sundown syndrome development in dementia.…”

Section: Resultsmentioning

confidence: 99%

Sundown Syndrome in Persons with Dementia: An Update

Khachiyants

Trinkle

Son

et al. 2011

Psychiatry Investig

157

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"Sundowning" in demented individuals, as distinct clinical phenomena, is still open to debate in terms of clear definition, etiology, operationalized parameters, validity of clinical construct, and interventions. In general, sundown syndrome is characterized by the emergence or increment of neuropsychiatric symptoms such as agitation, confusion, anxiety, and aggressiveness in late afternoon, in the evening, or at night. Sundowning is highly prevalent among individuals with dementia. It is thought to be associated with impaired circadian rhythmicity, environmental and social factors, and impaired cognition. Neurophysiologically, it appears to be mediated by degeneration of the suprachiasmatic nucleus of the hypothalamus and decreased production of melatonin. A variety of treatment options have been found to be helpful to ameliorate the neuropsychiatric symptoms associated with this phenomenon: bright light therapy, melatonin, acetylcholinesterase inhibitors, N-methyl-d-aspartate receptor antagonists, antipsychotics, and behavioral modifications. To decrease the morbidity from this specific condition, improve patient's well being, lessen caregiver burden, and delay institutionalization, further attention needs to be given to development of clinically operational definition of sundown syndrome and investigations on etiology, risk factors, and effective treatment options.

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“…However, while there is evidence for the impact of SPT on levels of agitation SPT with people with moderate to severe levels of dementia who are verbally and physically agitated (Bayles et al, 2006), many studies are of mixed quality and the case for SPT is not conclusive (Zetteler, 2008). Moreover, practical difficulties in recording and playing a message from a carer have restricted the use of SPT.…”

Section: Personal Message Cards: An Evaluation Of An Alternative Methmentioning

confidence: 99%

Personal message cards: An evaluation of an alternative method of delivering simulated presence therapy

2016

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Simulated presence therapy is a technique which utilises a familiar recorded voice to calm and reassure people with dementia who are agitated or anxious. Although simulated presence therapy has shown potential benefits in small-scale studies, practical limitations in making and playing the recordings have restricted its use. An alternative method of delivering a message from an attachment figure is through a personal message card. This was one of seven products used within the Bath Memory Technology Library which was made available free of charge to people affected by dementia and their carers. This paper provides an evaluation of the personal message cards. Although feedback was received on only 10 of the 24 cards that were distributed, for nine people there was evidence that the cards met the goals that had been set either fully or in part, and that people affected by even quite severe levels of dementia could benefit from them.

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Effectiveness of simulated presence therapy for individuals with dementia: A systematic review and meta-analysis

Cited by 43 publications

References 37 publications

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

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

Sundown Syndrome in Persons with Dementia: An Update

Personal message cards: An evaluation of an alternative method of delivering simulated presence therapy

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