Cargando…
Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia
OBJECTIVES: This review aims to understand what elements of psychosocial interventions are associated with improved outcomes for people with dementia to inform implementation in care homes. DESIGN: A systematic review of qualitative and quantitative intervention studies was undertaken. ELIGIBILITY C...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5306506/ https://www.ncbi.nlm.nih.gov/pubmed/28183810 http://dx.doi.org/10.1136/bmjopen-2016-014177 |
_version_ | 1782507203625746432 |
---|---|
author | Rapaport, Penny Livingston, Gill Murray, Joanna Mulla, Aasiya Cooper, Claudia |
author_facet | Rapaport, Penny Livingston, Gill Murray, Joanna Mulla, Aasiya Cooper, Claudia |
author_sort | Rapaport, Penny |
collection | PubMed |
description | OBJECTIVES: This review aims to understand what elements of psychosocial interventions are associated with improved outcomes for people with dementia to inform implementation in care homes. DESIGN: A systematic review of qualitative and quantitative intervention studies was undertaken. ELIGIBILITY CRITERIA FOR INCLUDED STUDIES: We included primary research studies evaluating psychosocial interventions that trained care home staff to deliver a specific intervention or that sought to change how staff delivered care to residents with dementia and reported staff and resident qualitative or quantitative outcomes. METHODS: We searched MEDLINE, PsychINFO and EMBASE electronic databases and hand-searched references up to May 2016. Quality of included papers was rated independently by 2 authors, using operationalised checklists derived from standard criteria. We discussed discrepancies and reached consensus. We conducted a narrative synthesis of quantitative and a thematic synthesis of qualitative findings to find what was effective immediately and in sustaining change. RESULTS: We identified 49 papers fulfilling predetermined criteria. We found a lack of higher quality quantitative evidence that effects could be sustained after psychosocial interventions finished with no evidence that interventions continued to work after 6 months. Qualitative findings suggest that staff valued interventions focusing on getting to know, understand and connect with residents with dementia. Successful elements of interventions included interactive training, post-training support, aiming to train most staff, retaining written materials afterwards and building interventions into routine care. CONCLUSIONS: Psychosocial interventions can improve outcomes for staff and residents with dementia in care homes; however, many trial results are limited. Synthesis of qualitative findings highlight core components of interventions that staff value and feel improve care. These findings provide useful evidence to inform the development of sustainable, effective psychosocial interventions in care homes. TRIAL REGISTRATION NUMBER: CRD42015017621. |
format | Online Article Text |
id | pubmed-5306506 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-53065062017-03-02 Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia Rapaport, Penny Livingston, Gill Murray, Joanna Mulla, Aasiya Cooper, Claudia BMJ Open Geriatric Medicine OBJECTIVES: This review aims to understand what elements of psychosocial interventions are associated with improved outcomes for people with dementia to inform implementation in care homes. DESIGN: A systematic review of qualitative and quantitative intervention studies was undertaken. ELIGIBILITY CRITERIA FOR INCLUDED STUDIES: We included primary research studies evaluating psychosocial interventions that trained care home staff to deliver a specific intervention or that sought to change how staff delivered care to residents with dementia and reported staff and resident qualitative or quantitative outcomes. METHODS: We searched MEDLINE, PsychINFO and EMBASE electronic databases and hand-searched references up to May 2016. Quality of included papers was rated independently by 2 authors, using operationalised checklists derived from standard criteria. We discussed discrepancies and reached consensus. We conducted a narrative synthesis of quantitative and a thematic synthesis of qualitative findings to find what was effective immediately and in sustaining change. RESULTS: We identified 49 papers fulfilling predetermined criteria. We found a lack of higher quality quantitative evidence that effects could be sustained after psychosocial interventions finished with no evidence that interventions continued to work after 6 months. Qualitative findings suggest that staff valued interventions focusing on getting to know, understand and connect with residents with dementia. Successful elements of interventions included interactive training, post-training support, aiming to train most staff, retaining written materials afterwards and building interventions into routine care. CONCLUSIONS: Psychosocial interventions can improve outcomes for staff and residents with dementia in care homes; however, many trial results are limited. Synthesis of qualitative findings highlight core components of interventions that staff value and feel improve care. These findings provide useful evidence to inform the development of sustainable, effective psychosocial interventions in care homes. TRIAL REGISTRATION NUMBER: CRD42015017621. BMJ Publishing Group 2017-02-09 /pmc/articles/PMC5306506/ /pubmed/28183810 http://dx.doi.org/10.1136/bmjopen-2016-014177 Text en © 2017 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Geriatric Medicine Rapaport, Penny Livingston, Gill Murray, Joanna Mulla, Aasiya Cooper, Claudia Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia |
title | Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia |
title_full | Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia |
title_fullStr | Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia |
title_full_unstemmed | Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia |
title_short | Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia |
title_sort | systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia |
topic | Geriatric Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5306506/ https://www.ncbi.nlm.nih.gov/pubmed/28183810 http://dx.doi.org/10.1136/bmjopen-2016-014177 |
work_keys_str_mv | AT rapaportpenny systematicreviewoftheeffectivecomponentsofpsychosocialinterventionsdeliveredbycarehomestafftopeoplewithdementia AT livingstongill systematicreviewoftheeffectivecomponentsofpsychosocialinterventionsdeliveredbycarehomestafftopeoplewithdementia AT murrayjoanna systematicreviewoftheeffectivecomponentsofpsychosocialinterventionsdeliveredbycarehomestafftopeoplewithdementia AT mullaaasiya systematicreviewoftheeffectivecomponentsofpsychosocialinterventionsdeliveredbycarehomestafftopeoplewithdementia AT cooperclaudia systematicreviewoftheeffectivecomponentsofpsychosocialinterventionsdeliveredbycarehomestafftopeoplewithdementia |