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Exploring Factors Associated With Successful Nonpharmacological Interventions for People With Dementia

BACKGROUND AND PURPOSE: We investigated existing nonpharmacological programs for people with dementia (PWD) to explore critical factors related to the effectiveness of these types of programs. METHODS: We conducted a qualitative systematic literature review to identify nonpharmacological interventio...

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Autores principales: Park, HyounKyoung Grace, Perumean-Chaney, Suzanne E., Bartolucci, Alfred A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Dementia Association 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811205/
https://www.ncbi.nlm.nih.gov/pubmed/35154336
http://dx.doi.org/10.12779/dnd.2022.21.1.1
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author Park, HyounKyoung Grace
Perumean-Chaney, Suzanne E.
Bartolucci, Alfred A.
author_facet Park, HyounKyoung Grace
Perumean-Chaney, Suzanne E.
Bartolucci, Alfred A.
author_sort Park, HyounKyoung Grace
collection PubMed
description BACKGROUND AND PURPOSE: We investigated existing nonpharmacological programs for people with dementia (PWD) to explore critical factors related to the effectiveness of these types of programs. METHODS: We conducted a qualitative systematic literature review to identify nonpharmacological intervention programs developed for PWD and reviewed 36 randomized controlled trials. Among several outcomes reported in each study, we focused on the most common outcomes including quality of life (QoL), neuropsychiatric symptoms, depression, agitation, and cognition for further review. RESULTS: Several factors were identified that might affect the outcomes of nonpharmacological interventions for PWD including study design, characteristics of the intervention, maintaining research participants, heterogeneity issues, and implementation fidelity. About half of studies in this review reported positive program effects on their targeted outcomes such as Well-being and Health for PWD on improving quality of life, neuropsychiatric symptoms and agitation; cognitive stimulation therapy on QoL, neuropsychiatric symptoms and cognition; and a stepwise multicomponent intervention on neuropsychiatric symptoms, depression and agitation. CONCLUSIONS: We found some programs even with a rigorous study design did not produce expected outcomes while other programs with poor designs reported positive outcomes, which necessitates further investigation on the validity of the assessments. Factors such as individual tailored and customized interventions, promoting social interactions, ease of administration and compatibility of interventions, and developing program theory need to be considered when developing nonpharmacological intervention programs.
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spelling pubmed-88112052022-02-10 Exploring Factors Associated With Successful Nonpharmacological Interventions for People With Dementia Park, HyounKyoung Grace Perumean-Chaney, Suzanne E. Bartolucci, Alfred A. Dement Neurocogn Disord Original Article BACKGROUND AND PURPOSE: We investigated existing nonpharmacological programs for people with dementia (PWD) to explore critical factors related to the effectiveness of these types of programs. METHODS: We conducted a qualitative systematic literature review to identify nonpharmacological intervention programs developed for PWD and reviewed 36 randomized controlled trials. Among several outcomes reported in each study, we focused on the most common outcomes including quality of life (QoL), neuropsychiatric symptoms, depression, agitation, and cognition for further review. RESULTS: Several factors were identified that might affect the outcomes of nonpharmacological interventions for PWD including study design, characteristics of the intervention, maintaining research participants, heterogeneity issues, and implementation fidelity. About half of studies in this review reported positive program effects on their targeted outcomes such as Well-being and Health for PWD on improving quality of life, neuropsychiatric symptoms and agitation; cognitive stimulation therapy on QoL, neuropsychiatric symptoms and cognition; and a stepwise multicomponent intervention on neuropsychiatric symptoms, depression and agitation. CONCLUSIONS: We found some programs even with a rigorous study design did not produce expected outcomes while other programs with poor designs reported positive outcomes, which necessitates further investigation on the validity of the assessments. Factors such as individual tailored and customized interventions, promoting social interactions, ease of administration and compatibility of interventions, and developing program theory need to be considered when developing nonpharmacological intervention programs. Korean Dementia Association 2022-01 2021-12-29 /pmc/articles/PMC8811205/ /pubmed/35154336 http://dx.doi.org/10.12779/dnd.2022.21.1.1 Text en © 2022 Korean Dementia Association https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Park, HyounKyoung Grace
Perumean-Chaney, Suzanne E.
Bartolucci, Alfred A.
Exploring Factors Associated With Successful Nonpharmacological Interventions for People With Dementia
title Exploring Factors Associated With Successful Nonpharmacological Interventions for People With Dementia
title_full Exploring Factors Associated With Successful Nonpharmacological Interventions for People With Dementia
title_fullStr Exploring Factors Associated With Successful Nonpharmacological Interventions for People With Dementia
title_full_unstemmed Exploring Factors Associated With Successful Nonpharmacological Interventions for People With Dementia
title_short Exploring Factors Associated With Successful Nonpharmacological Interventions for People With Dementia
title_sort exploring factors associated with successful nonpharmacological interventions for people with dementia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811205/
https://www.ncbi.nlm.nih.gov/pubmed/35154336
http://dx.doi.org/10.12779/dnd.2022.21.1.1
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