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Article: Systematic review of the current psychosocial interventions for people with moderate to severe dementia

TitleSystematic review of the current psychosocial interventions for people with moderate to severe dementia
Authors
Keywordscognition
moderate to severe dementia
psychosocial intervention
quality of life
systematic review
Issue Date2021
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294
Citation
International Journal of Geriatric Psychiatry, 2021, v. 36 n. 9, p. 1313-1329 How to Cite?
AbstractObjective: Dementia, a global epidemic, currently affects 50 million individuals worldwide. There are currently limited effective treatments for moderate to severe dementia, and most treatments focus on reducing symptoms rather than improving positive factors. It is unclear if improvements are not possible due to disease severity. This review examines the efficacy of the current psychosocial interventions for people with moderate to severe dementia, focusing on improving cognition and quality of life (QoL) to evaluate what treatments are working and whether improvements are possible. Methods: A systematic search was conducted using six key databases to identify psychosocial interventions for people with moderate to severe dementia, measuring cognition or QoL in randomized controlled trials (RCTs), published between 2000 and 2020. Results: The search identified 4193 studies, and 74 articles were assessed for full-text review. Fourteen RCTs were included and appraised with the Physiotherapy Evidence Database Scale. The included RCTs were moderate in quality. Conclusions: Aromatherapy and reminiscence therapy showed the strongest evidence in improving QoL. There was some evidence that aerobic exercise enhanced cognition, and a multicomponent study improved QoL. However, a quality assessment, using pre-specified criteria, indicated many methodological weaknesses. While we found improvements in cognition and QoL for moderate to severe dementia, results must be interpreted with caution. Future interventions with rigorous study designs are a pressing need and required before we can recommend specific interventions.
Persistent Identifierhttp://hdl.handle.net/10722/306305
ISSN
2023 Impact Factor: 3.6
2023 SCImago Journal Rankings: 1.187
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHui, EK-
dc.contributor.authorTischler, V-
dc.contributor.authorWong, GHY-
dc.contributor.authorLau, WY-
dc.contributor.authorSpector, A-
dc.date.accessioned2021-10-20T10:21:44Z-
dc.date.available2021-10-20T10:21:44Z-
dc.date.issued2021-
dc.identifier.citationInternational Journal of Geriatric Psychiatry, 2021, v. 36 n. 9, p. 1313-1329-
dc.identifier.issn0885-6230-
dc.identifier.urihttp://hdl.handle.net/10722/306305-
dc.description.abstractObjective: Dementia, a global epidemic, currently affects 50 million individuals worldwide. There are currently limited effective treatments for moderate to severe dementia, and most treatments focus on reducing symptoms rather than improving positive factors. It is unclear if improvements are not possible due to disease severity. This review examines the efficacy of the current psychosocial interventions for people with moderate to severe dementia, focusing on improving cognition and quality of life (QoL) to evaluate what treatments are working and whether improvements are possible. Methods: A systematic search was conducted using six key databases to identify psychosocial interventions for people with moderate to severe dementia, measuring cognition or QoL in randomized controlled trials (RCTs), published between 2000 and 2020. Results: The search identified 4193 studies, and 74 articles were assessed for full-text review. Fourteen RCTs were included and appraised with the Physiotherapy Evidence Database Scale. The included RCTs were moderate in quality. Conclusions: Aromatherapy and reminiscence therapy showed the strongest evidence in improving QoL. There was some evidence that aerobic exercise enhanced cognition, and a multicomponent study improved QoL. However, a quality assessment, using pre-specified criteria, indicated many methodological weaknesses. While we found improvements in cognition and QoL for moderate to severe dementia, results must be interpreted with caution. Future interventions with rigorous study designs are a pressing need and required before we can recommend specific interventions.-
dc.languageeng-
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294-
dc.relation.ispartofInternational Journal of Geriatric Psychiatry-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectcognition-
dc.subjectmoderate to severe dementia-
dc.subjectpsychosocial intervention-
dc.subjectquality of life-
dc.subjectsystematic review-
dc.titleSystematic review of the current psychosocial interventions for people with moderate to severe dementia-
dc.typeArticle-
dc.identifier.emailWong, GHY: ghywong@hku.hk-
dc.identifier.authorityWong, GHY=rp01850-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1002/gps.5554-
dc.identifier.pmid34350626-
dc.identifier.scopuseid_2-s2.0-85104527681-
dc.identifier.hkuros326945-
dc.identifier.volume36-
dc.identifier.issue9-
dc.identifier.spage1313-
dc.identifier.epage1329-
dc.identifier.isiWOS:000646747400001-
dc.publisher.placeUnited Kingdom-

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