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Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review

BACKGROUND: An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hos...

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Autores principales: Lourida, Ilianna, Gwernan-Jones, Ruth, Abbott, Rebecca, Rogers, Morwenna, Green, Colin, Ball, Susan, Hemsley, Anthony, Cheeseman, Debbie, Clare, Linda, Moore, Darren, Hussey, Chrissy, Coxon, George, Llewellyn, David J., Naldrett, Tina, Thompson Coon, Jo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7146899/
https://www.ncbi.nlm.nih.gov/pubmed/32272890
http://dx.doi.org/10.1186/s12877-020-01534-7
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author Lourida, Ilianna
Gwernan-Jones, Ruth
Abbott, Rebecca
Rogers, Morwenna
Green, Colin
Ball, Susan
Hemsley, Anthony
Cheeseman, Debbie
Clare, Linda
Moore, Darren
Hussey, Chrissy
Coxon, George
Llewellyn, David J.
Naldrett, Tina
Thompson Coon, Jo
author_facet Lourida, Ilianna
Gwernan-Jones, Ruth
Abbott, Rebecca
Rogers, Morwenna
Green, Colin
Ball, Susan
Hemsley, Anthony
Cheeseman, Debbie
Clare, Linda
Moore, Darren
Hussey, Chrissy
Coxon, George
Llewellyn, David J.
Naldrett, Tina
Thompson Coon, Jo
author_sort Lourida, Ilianna
collection PubMed
description BACKGROUND: An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. METHODS: Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. RESULTS: Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. CONCLUSIONS: The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment.
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spelling pubmed-71468992020-04-18 Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review Lourida, Ilianna Gwernan-Jones, Ruth Abbott, Rebecca Rogers, Morwenna Green, Colin Ball, Susan Hemsley, Anthony Cheeseman, Debbie Clare, Linda Moore, Darren Hussey, Chrissy Coxon, George Llewellyn, David J. Naldrett, Tina Thompson Coon, Jo BMC Geriatr Research Article BACKGROUND: An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. METHODS: Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. RESULTS: Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. CONCLUSIONS: The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment. BioMed Central 2020-04-10 /pmc/articles/PMC7146899/ /pubmed/32272890 http://dx.doi.org/10.1186/s12877-020-01534-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Lourida, Ilianna
Gwernan-Jones, Ruth
Abbott, Rebecca
Rogers, Morwenna
Green, Colin
Ball, Susan
Hemsley, Anthony
Cheeseman, Debbie
Clare, Linda
Moore, Darren
Hussey, Chrissy
Coxon, George
Llewellyn, David J.
Naldrett, Tina
Thompson Coon, Jo
Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review
title Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review
title_full Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review
title_fullStr Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review
title_full_unstemmed Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review
title_short Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review
title_sort activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7146899/
https://www.ncbi.nlm.nih.gov/pubmed/32272890
http://dx.doi.org/10.1186/s12877-020-01534-7
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