Nonpharmacological intervention for agitation in dementia: A systematic review and meta-analysis

Kong, Eun-Hi; Evans, Lois K.; Guevara, James P.

doi:10.1080/13607860902774394

Cited by 113 publications

(93 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The resulting BPSD can place a great amount of dependence and burden on caregivers or staff members who must address these issues either through the use of behavioral approaches or pharmacological assistance. Depending on a case-by-case basis, psychiatry and psychology must engage in a collaborative decision-making process to arrive at an intervention that is considered to be in the best interest of the demented patient (Kong, Evans, & Guevara, 2009). The use of non-pharmacological interventions has demonstrated a small to moderate effect with a short or unknown duration of action, but adjusting these interventions to individual patient preferences and needs may offer improved effects (Kolanowski, Litaker, Buettner, Moeller, & Costa, 2011;O'Connor, Ames, Gardner, & King, 2009).…”

Section: The Role Of Psychologymentioning

confidence: 99%

The Interprofessional Management of Dementia-Related Behavioral and Psychological Disturbances

Farinde¹

2014

Health and Interprofessional Practice

View full text Add to dashboard Cite

Section: The Role Of Psychologymentioning

confidence: 99%

The Interprofessional Management of Dementia-Related Behavioral and Psychological Disturbances

Farinde¹

2014

Health and Interprofessional Practice

View full text Add to dashboard Cite

“…Sensory interventions, such as snoezelen , and exposure to 15-min audiotapes of preferred music were found to effectively reduce agitation, disturbing and withdrawn behavior in persons with dementia [9,11,13]. However, these studies were not targeted at improving the quality of life of persons with advanced or end-stage dementia totally depending on care.…”

Section: Introductionmentioning

confidence: 99%

“…Previous intervention studies were aimed at decreasing behavioral problems in persons with mild or moderate stages of dementia [9,10,11,12,13]. Sensory interventions, such as snoezelen , and exposure to 15-min audiotapes of preferred music were found to effectively reduce agitation, disturbing and withdrawn behavior in persons with dementia [9,11,13].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Individualized Interaction on the Quality of Life of Elderly Dependent on Care as a Result of Dementia: A Study with a Pre-Post Design

Vocht

Hoogeboom

Niekerk³

et al. 2015

Dement Geriatr Cogn Disord

View full text Add to dashboard Cite

Background: The aim was to assess the impact of a one-to-one 30-min individualized interaction per day on the behavior and quality of life of care-dependent residents with dementia. Methods: In apre-/post-test study, 15 care-dependent residents with dementia (mean age 88.8 years, 86.7% women) were included. Resident behavior was measured using video observation and quality of life using Qualidem. Health care professionals (n = 13) and direct relatives (n = 4) were interviewed about the effect of the intervention. The effect of the intervention was analyzed using the Friedman analysis of variance. Results: The video observation showed that maintaining eye contact, touching, responding to speaking, tracking observable stimuli and asking questions about the activity significantly increased during the intervention. These findings were supported by interviews with nurses who described experiences of making human-to-human contact with the residents. No significant overall changes were found in quality of life. These findings were partially supported by interviews with health care professionals and relatives as some perceived effects beyond the 30-min intervention. Conclusions: Interaction offered on a one-to-one basis tailored to individual preferences significantly improved positive interactive behavior of care-dependent residents with dementia during the intervention. Surveys revealed no significant overall effect of the intervention. The interviews indicated there might be effects beyond the intervention for some residents.

show abstract

“…2 The use of non-pharmacological interventions as a supportive mechanism for reducing behavioral challenges and agitation in individuals is popular. 2,4,5,6 A range of strategies for supporting residents with a diagnosis of dementia are commonly used in practice and identified in the literature as interventions, which are potentially effective in managing challenging behavior. These include music and aromatherapy, pet therapy, massage, multisensory stimulation and exercise.…”

Section: Introductionmentioning

confidence: 99%

“…These include music and aromatherapy, pet therapy, massage, multisensory stimulation and exercise. 2,3 This project chose to introduce into the facility non-pharmacological music and multisensory stimulation interventions as a means to promote evidence best practice in the care of patients with dementia.…”

Section: Introductionmentioning

confidence: 99%

Assessment and non-pharmacological management among adults with a dementia diagnosis in a residential care setting: a best practice implementation project

Hynes

Beirne

Taylor

et al. 2014

JBI Database of Systematic Reviews and Implementation Reports

View full text Add to dashboard Cite

Executive summary BackgroundThis evidence implementation project reports on a project conducted in the 17 bed special care unit of Symes Thorpe Residential Facility in Queensland, that focused on improving assessment and management of elderly residents diagnosed with dementia. The motivation for the project, and its value, should be understood in the context of a lack of a validated tool or standardized documentation being used to assess behaviors of residents diagnosed with dementia, as well as little targeted education being provided to staff on behaviour management strategies. ObjectivesTo promote evidence based assessment and non-pharmacological management of challenging behavior in elderly adults living with dementia in a residential setting in ResultsThe follow up audits demonstrated 100% compliance in use of the Cohen Mansfield AgitationInventory, and 100% staff attendance at education sessions. The audit also showed significant increase and improvement in quality of related resident care documentation, for example documenting outcomes of use of non-pharmacological therapy such as music, exercise, pets etc. ConclusionsThe findings show that a comprehensive education program can make an effective contribution to the understanding of challenging behaviors in dementia residents, and the associated documentation required to monitor them effectively.

show abstract

Nonpharmacological intervention for agitation in dementia: A systematic review and meta-analysis

Cited by 113 publications

References 28 publications

The Interprofessional Management of Dementia-Related Behavioral and Psychological Disturbances

The Interprofessional Management of Dementia-Related Behavioral and Psychological Disturbances

The Impact of Individualized Interaction on the Quality of Life of Elderly Dependent on Care as a Result of Dementia: A Study with a Pre-Post Design

Assessment and non-pharmacological management among adults with a dementia diagnosis in a residential care setting: a best practice implementation project

Contact Info

Product

Resources

About