No Research Versus Research With Compromised Results

Robb, Susanne S.; Stegman, Charles E.; Wolanin, Mary Opal

doi:10.1097/00006199-198603000-00014

Cited by 14 publications

(12 citation statements)

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“…The second study157 enrolled 36 patients with moderate-to-severe disorientation of which 25 had a diagnosis of dementia. The study was performed in a LTC institution in the USA.…”

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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“…The second study157 enrolled 36 patients with moderate-to-severe disorientation of which 25 had a diagnosis of dementia. The study was performed in a LTC institution in the USA.…”

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

View full text Add to dashboard Cite

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“…No eect was found on the degree of confusion (Peoples, 1982), cognitive functioning, ethics and social functioning (Robb et al, 1986). Negative eects were increased attention-demanding behavior (Robb et al, 1986) and irritation (Babins et al, 1988).…”

Section: Validationmentioning

confidence: 99%

“…However, the intervention studies that examined a broader group of dementing elderly persons show that participation in a validation group may result in an improvement in ADL-functions and an increase in verbal and nonverbal expression during group meetings (Fritz, 1986;Peoples, 1982;Babins et al, 1988). No eect was found on the degree of confusion (Peoples, 1982), cognitive functioning, ethics and social functioning (Robb et al, 1986). Negative eects were increased attention-demanding behavior (Robb et al, 1986) and irritation (Babins et al, 1988).…”

Section: Validationmentioning

confidence: 99%

The effects of emotion-oriented approaches in the care for persons suffering from dementia: a review of the literature

Finnema

Dröes

Ribbe

et al. 2000

Int. J. Geriat. Psychiatry

128

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“…The only cognitive improvement which was noted following validation therapy was an increase in the recognition of feelings (Robb et al, 1986). Reminiscence therapy, however, demonstrated some increases in cognitive functioning.…”

Section: Cognitive Changesmentioning

confidence: 90%

“…a1 costs involved in implementing validation therapy include a special room, equipment, and extensive amounts of staff time for the preparation and the running of a group (Robb, Stegman, & Wolanin, 1986). a1 costs involved in implementing validation therapy include a special room, equipment, and extensive amounts of staff time for the preparation and the running of a group (Robb, Stegman, & Wolanin, 1986).…”

Section: Cost Of Training and Implementationmentioning

confidence: 99%

A Review of Reality Orientation (RO), Validation Therapy (VT), and Reminiscence Therapy (RT) with the Alzheimer's Client

Gagnon¹

1996

Physical & Occupational Therapy In Geriatrics

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This paper provides a review of the literature on three common treatment approaches used with individuals with Alzheimer's disease: reality orientation, validation therapy, and reminiscence therapy. An operational definition is provided for the three modalities, all of which will be evaluated according to their theoretical rationale, intended therapeutic population, cost of training and implementation, effects of intervention on staff, intensity of interven-, tion, and observed behavioural, cognitive, psychosocial, and functional changes as a result of intervention. It was found that reality orientation and validation therapy fail to provide adequate observable changes in clients to support the cost of implementation, and that more research has to be done into reminiscence therapy prior to its wide-spread implementation. It is suggested that occupational therapists can provide activity groups and specific skills training which will elicit the same, or better, outcomes at a diminished cost.

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No Research Versus Research With Compromised Results

Cited by 14 publications

References 0 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

The effects of emotion-oriented approaches in the care for persons suffering from dementia: a review of the literature

A Review of Reality Orientation (RO), Validation Therapy (VT), and Reminiscence Therapy (RT) with the Alzheimer's Client

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