Strategies to engage people with dementia and their informal caregivers in dyadic intervention: A scoping review

Cheung, Daphne Sze Ki; Tang, Shiu Keung; Ho, Ken Hok Man; Jones, Cindy; Tse, Mun Yee Mimi; Kwan, Rick Yiu Cho; Chan, Kit Ying; Chiang, Chung Lim Vico

doi:10.1016/j.gerinurse.2021.02.002

Cited by 28 publications

(19 citation statements)

References 65 publications

(37 reference statements)

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“…These barriers were addressed by the careful mapping of ERIC implementation strategies following a discussion with the stakeholders as well as a literature review. 34 For example, individual regular meetings were organized with each collaborating partner before, during, and after implementing the intervention to communicate the goals and answer queries; only organizations that agreed on the importance of music interventions for promoting the wellness of PWD and their caregivers were invited to be collaborating partners, and so on. In addition, we integrated technology to facilitate the implementation, such as forming a WhatsApp (instant chat) group for solving the problems of participants, staff members, or volunteers; using an E-manual; and using Google Form to collect feedback from volunteers.…”

Section: Methodsmentioning

confidence: 99%

A Home-Based Dyadic Music-with-Movement Intervention for People with Dementia and Caregivers: A Hybrid Type 2 Cluster-Randomized Effectiveness-Implementation Design

Cheung¹,

Ho²,

Chan³

et al. 2022

CIA

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Background Integrating evidence-based music-with-movement into routine practices for people with dementia requires effective implementation strategies. The objectives of this study were to evaluate the clinical efficacy of the intervention and to examine the effectiveness of the implementation strategies in promoting home-based adoption. Methods This was a cluster randomized controlled trial adopting a clinical effectiveness-implementation hybrid design. The 12-week music-with-movement intervention aims to promote the well-being of people with dementia and their caregivers. Clinical outcomes were assessed to evaluate the efficacy of the intervention. These included the symptoms of anxiety and depression of people with dementia; caregivers’ perception of their stress and the positive aspects of caregiving; and the quality of the dyadic relationship. Caregivers, staff, and volunteers were interviewed and objective figures on reach and adoption were collected to reflect the outcomes of the implementation. Results Compared to the waitlist control, there was a significant reduction in the anxiety and the symptoms of depression of those in the intervention group. There was also a significant reduction in the perceived stress level of the caregivers. Six focus group interviews were conducted. The intervention and the appropriateness of the implementation strategies were perceived positively by the dyad participants, the staff of the centres, and volunteers. Of the collaborating centres, 57% continued to use the intervention and, after six months, served six times more people than were recruited in this study. Over half of the participating families continued to use the intervention for at least six more months. Conclusion Music-with-movement interventions showed promise for improving the well-being of people with dementia and their caregivers. Effective strategies facilitated the implementation process, such as integrating communication technology to provide instant support and involving volunteers in engaging the collaborating centres and families. This study sheds light on perceptions of the intervention, and on its scalability for a broader population. Trial Registration NCT03575026, Registered 2 July 2018.

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Section: Methodsmentioning

confidence: 99%

A Home-Based Dyadic Music-with-Movement Intervention for People with Dementia and Caregivers: A Hybrid Type 2 Cluster-Randomized Effectiveness-Implementation Design

Cheung¹,

Ho²,

Chan³

et al. 2022

CIA

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“…When injecting contrast agent, maintain the speed of 5 ml per second. In the process of examination, once the patient has abnormal phenomena, it is necessary to stop the examination immediately and give corresponding symptom intervention [ 18 ] Postexamination Care . After the scanning is completed, separate the puncture needle and high-pressure syringe, and keep the needle for observation for 30 minutes.…”

Section: Experimental Analysismentioning

confidence: 99%

Section: Experimental Analysismentioning

confidence: 99%

Effect of Nursing Intervention on Coronary CT Angiography in Elderly Patients

Yin

Wei

2022

Scanning

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To investigate the clinical benefits of coronary CT angiography in older adults. The results of this trial were 110 patients who underwent CT angiography (selected from 20 March 2016 to 20 March 2017). Use computer group mode. The control group received health care, including 50 patients, and the control group received usual care, including 60 patients. Then, the best and best image quality, time-consuming analysis, and satisfaction were compared between the two groups. The experimental results showed that the best and best image quality (83.00%), examination time ( 5.72 ± 1.81 ) minutes, and patient satisfaction (100.00%) of the experimental group were better than those of the control group ( P < 0.05 ). Targeted healthcare for patients undergoing coronary CT angiography can improve the patient’s ability to receive a diagnosis with a consistent attitude, reduce work hours, reduce adverse factors, and improve patient satisfaction with care.

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“…Fifteen of the included 31 studies in this review were led or assisted by nurses, and nine of them were completed by multidisciplinary teams. It is reported that rapport and a higher sense of trust between the interventionist and the caregiver are key factors that facilitate the intervention, which helps to produce better results and a higher level of adherence [ 59 ]. Primary health professionals in the community are in an ideal position to provide multi-component interventions and coordinate services for informal caregivers due to the close contact, familiarity, and trust between them and caregivers [ 60 , 61 ].…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Multi-Component Interventions on the Positive and Negative Aspects of Well-Being among Informal Caregivers of People with Dementia: A Systematic Review and Meta-Analysis

Wang

Zhong

et al. 2022

IJERPH

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The present review aims to examine whether multi-component interventions for informal caregivers of people with dementia are effective on positive and negative aspects of caregiver well-being. Eleven databases were searched from inception to 8 March 2021. Only randomized controlled trials reporting the effectiveness of multi-component intervention on positive and negative aspects of caregiver well-being were eligible. Endnote X7 (Thomson ResearchSoft, Stanford, CA, USA) was used for study selection and version 5.1.0 of Cochrane Collaboration’s tool (Cochrane, London, UK) was applied for quality assessment. Review Manager (Revman) Version 5.3 (Cochrane, London, UK) was used for the meta-analysis, and if statistical synthesis was inappropriate, only narrative analysis was performed. A total of 31 RCTs with 3939 participants were included. Meta-analyses showed small to moderate effects on subjective well-being, depression, and burden of caregivers, and a moderate to high effect on caregiver anxiety. Due to insufficient data and vast heterogeneity, meta-analysis was not performed for other outcomes, such as resilience, competence, and empathy. This review suggests that individualized multi-component interventions for caregivers may be one of the ways to promote their well-being. Further research is needed to explore the impact of rigorously designed and personalized multi-component interventions on informal caregivers, especially on more positive indicators, as well as its long-term effects and sustainability.

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Strategies to engage people with dementia and their informal caregivers in dyadic intervention: A scoping review

Cited by 28 publications

References 65 publications

A Home-Based Dyadic Music-with-Movement Intervention for People with Dementia and Caregivers: A Hybrid Type 2 Cluster-Randomized Effectiveness-Implementation Design

A Home-Based Dyadic Music-with-Movement Intervention for People with Dementia and Caregivers: A Hybrid Type 2 Cluster-Randomized Effectiveness-Implementation Design

Effect of Nursing Intervention on Coronary CT Angiography in Elderly Patients

The Effectiveness of Multi-Component Interventions on the Positive and Negative Aspects of Well-Being among Informal Caregivers of People with Dementia: A Systematic Review and Meta-Analysis

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