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Person-Centered Care in Persons Living With Dementia: A Systematic Review and Meta-analysis

BACKGROUND AND OBJECTIVES: The concept of person-centered care has been utilized/adapted to various interventions to enhance health-related outcomes and ensure the quality of care delivered to persons living with dementia. A few systematic reviews have been conducted on the use of person-centered in...

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Autores principales: Lee, Kyung Hee, Lee, Ji Yeon, Kim, Bora
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9019632/
https://www.ncbi.nlm.nih.gov/pubmed/33326573
http://dx.doi.org/10.1093/geront/gnaa207
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author Lee, Kyung Hee
Lee, Ji Yeon
Kim, Bora
author_facet Lee, Kyung Hee
Lee, Ji Yeon
Kim, Bora
author_sort Lee, Kyung Hee
collection PubMed
description BACKGROUND AND OBJECTIVES: The concept of person-centered care has been utilized/adapted to various interventions to enhance health-related outcomes and ensure the quality of care delivered to persons living with dementia. A few systematic reviews have been conducted on the use of person-centered interventions in the context of dementia care, but to date, none have analyzed intervention effect by intervention type and target outcome. This study aimed to review person-centered interventions used in the context of dementia care and examine their effectiveness. RESEARCH DESIGN AND METHODS: A systematic review and meta-analysis were conducted. We searched through 5 databases for randomized controlled trials that utilized person-centered interventions in persons living with dementia from 1998 to 2019. Study quality was assessed using the National Institute for Health and Clinical Excellence checklist. The outcomes of interest for the meta-analysis were behavioral and psychological symptoms in dementia (BPSD) and cognitive function assessed immediately after the baseline measurement. RESULTS: In total, 36 studies were systematically reviewed. Intervention types were reminiscence, music, and cognitive therapies, and multisensory stimulation. Thirty studies were included in the meta-analysis. Results showed a moderate effect size for overall intervention, a small one for music therapy, and a moderate one for reminiscence therapy on BPSD and cognitive function. DISCUSSION AND IMPLICATIONS: Generally speaking, person-centered interventions showed immediate intervention effects on reducing BPSD and improving cognitive function, although the effect size and significance of each outcome differed by intervention type. Thus, health care providers should consider person-centered interventions as a vital element in dementia care.
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spelling pubmed-90196322022-04-20 Person-Centered Care in Persons Living With Dementia: A Systematic Review and Meta-analysis Lee, Kyung Hee Lee, Ji Yeon Kim, Bora Gerontologist Review Articles BACKGROUND AND OBJECTIVES: The concept of person-centered care has been utilized/adapted to various interventions to enhance health-related outcomes and ensure the quality of care delivered to persons living with dementia. A few systematic reviews have been conducted on the use of person-centered interventions in the context of dementia care, but to date, none have analyzed intervention effect by intervention type and target outcome. This study aimed to review person-centered interventions used in the context of dementia care and examine their effectiveness. RESEARCH DESIGN AND METHODS: A systematic review and meta-analysis were conducted. We searched through 5 databases for randomized controlled trials that utilized person-centered interventions in persons living with dementia from 1998 to 2019. Study quality was assessed using the National Institute for Health and Clinical Excellence checklist. The outcomes of interest for the meta-analysis were behavioral and psychological symptoms in dementia (BPSD) and cognitive function assessed immediately after the baseline measurement. RESULTS: In total, 36 studies were systematically reviewed. Intervention types were reminiscence, music, and cognitive therapies, and multisensory stimulation. Thirty studies were included in the meta-analysis. Results showed a moderate effect size for overall intervention, a small one for music therapy, and a moderate one for reminiscence therapy on BPSD and cognitive function. DISCUSSION AND IMPLICATIONS: Generally speaking, person-centered interventions showed immediate intervention effects on reducing BPSD and improving cognitive function, although the effect size and significance of each outcome differed by intervention type. Thus, health care providers should consider person-centered interventions as a vital element in dementia care. Oxford University Press 2020-12-16 /pmc/articles/PMC9019632/ /pubmed/33326573 http://dx.doi.org/10.1093/geront/gnaa207 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Review Articles
Lee, Kyung Hee
Lee, Ji Yeon
Kim, Bora
Person-Centered Care in Persons Living With Dementia: A Systematic Review and Meta-analysis
title Person-Centered Care in Persons Living With Dementia: A Systematic Review and Meta-analysis
title_full Person-Centered Care in Persons Living With Dementia: A Systematic Review and Meta-analysis
title_fullStr Person-Centered Care in Persons Living With Dementia: A Systematic Review and Meta-analysis
title_full_unstemmed Person-Centered Care in Persons Living With Dementia: A Systematic Review and Meta-analysis
title_short Person-Centered Care in Persons Living With Dementia: A Systematic Review and Meta-analysis
title_sort person-centered care in persons living with dementia: a systematic review and meta-analysis
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9019632/
https://www.ncbi.nlm.nih.gov/pubmed/33326573
http://dx.doi.org/10.1093/geront/gnaa207
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