Cargando…

Interventions for self-management of medicines for community-dwelling people with dementia and mild cognitive impairment and their family carers: a systematic review

BACKGROUND: people with dementia or mild cognitive impairment (MCI) and their family carers face challenges in managing medicines. How medicine self-management could be supported for this population is unclear. This review identifies interventions to improve medicine self-management for people with...

Descripción completa

Detalles Bibliográficos
Autores principales: Powell, Catherine, Tomlinson, Justine, Quinn, Catherine, Fylan, Beth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9154223/
https://www.ncbi.nlm.nih.gov/pubmed/35639800
http://dx.doi.org/10.1093/ageing/afac089
_version_ 1784717998701936640
author Powell, Catherine
Tomlinson, Justine
Quinn, Catherine
Fylan, Beth
author_facet Powell, Catherine
Tomlinson, Justine
Quinn, Catherine
Fylan, Beth
author_sort Powell, Catherine
collection PubMed
description BACKGROUND: people with dementia or mild cognitive impairment (MCI) and their family carers face challenges in managing medicines. How medicine self-management could be supported for this population is unclear. This review identifies interventions to improve medicine self-management for people with dementia and MCI and their family carers, and the core components of medicine self-management that they address. METHODS: a database search was conducted for studies with all research designs and ongoing citation search from inception to December 2021. The selection criteria included community-dwelling people with dementia and MCI and their family carers, and interventions with a minimum of one medicine self-management component. The exclusion criteria were wrong population, not focusing on medicine management, incorrect medicine self-management components, not in English and wrong study design. The results are presented and analysed through narrative synthesis. The review is registered [PROSPERO (CRD42020213302)]. Quality assessment was carried out independently applying the QATSDD quality assessment tool. RESULTS: 13 interventions were identified. Interventions primarily addressed adherence. A limited number focused on a wider range of medicine self-management components. Complex psychosocial interventions with frequent visits considered the person’s knowledge and understanding, supply management, monitoring effects and side effects and communicating with healthcare professionals, and addressed more resilience capabilities. However, these interventions were delivered to family carers alone. None of the interventions described patient and public involvement. CONCLUSION: interventions, and measures to assess self-management, need to be developed which can address all components of medicine self-management to better meet the needs of people with dementia and MCI and their family carers.
format Online
Article
Text
id pubmed-9154223
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-91542232022-06-04 Interventions for self-management of medicines for community-dwelling people with dementia and mild cognitive impairment and their family carers: a systematic review Powell, Catherine Tomlinson, Justine Quinn, Catherine Fylan, Beth Age Ageing Systematic Review BACKGROUND: people with dementia or mild cognitive impairment (MCI) and their family carers face challenges in managing medicines. How medicine self-management could be supported for this population is unclear. This review identifies interventions to improve medicine self-management for people with dementia and MCI and their family carers, and the core components of medicine self-management that they address. METHODS: a database search was conducted for studies with all research designs and ongoing citation search from inception to December 2021. The selection criteria included community-dwelling people with dementia and MCI and their family carers, and interventions with a minimum of one medicine self-management component. The exclusion criteria were wrong population, not focusing on medicine management, incorrect medicine self-management components, not in English and wrong study design. The results are presented and analysed through narrative synthesis. The review is registered [PROSPERO (CRD42020213302)]. Quality assessment was carried out independently applying the QATSDD quality assessment tool. RESULTS: 13 interventions were identified. Interventions primarily addressed adherence. A limited number focused on a wider range of medicine self-management components. Complex psychosocial interventions with frequent visits considered the person’s knowledge and understanding, supply management, monitoring effects and side effects and communicating with healthcare professionals, and addressed more resilience capabilities. However, these interventions were delivered to family carers alone. None of the interventions described patient and public involvement. CONCLUSION: interventions, and measures to assess self-management, need to be developed which can address all components of medicine self-management to better meet the needs of people with dementia and MCI and their family carers. Oxford University Press 2022-05-25 /pmc/articles/PMC9154223/ /pubmed/35639800 http://dx.doi.org/10.1093/ageing/afac089 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com. 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 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 Systematic Review
Powell, Catherine
Tomlinson, Justine
Quinn, Catherine
Fylan, Beth
Interventions for self-management of medicines for community-dwelling people with dementia and mild cognitive impairment and their family carers: a systematic review
title Interventions for self-management of medicines for community-dwelling people with dementia and mild cognitive impairment and their family carers: a systematic review
title_full Interventions for self-management of medicines for community-dwelling people with dementia and mild cognitive impairment and their family carers: a systematic review
title_fullStr Interventions for self-management of medicines for community-dwelling people with dementia and mild cognitive impairment and their family carers: a systematic review
title_full_unstemmed Interventions for self-management of medicines for community-dwelling people with dementia and mild cognitive impairment and their family carers: a systematic review
title_short Interventions for self-management of medicines for community-dwelling people with dementia and mild cognitive impairment and their family carers: a systematic review
title_sort interventions for self-management of medicines for community-dwelling people with dementia and mild cognitive impairment and their family carers: a systematic review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9154223/
https://www.ncbi.nlm.nih.gov/pubmed/35639800
http://dx.doi.org/10.1093/ageing/afac089
work_keys_str_mv AT powellcatherine interventionsforselfmanagementofmedicinesforcommunitydwellingpeoplewithdementiaandmildcognitiveimpairmentandtheirfamilycarersasystematicreview
AT tomlinsonjustine interventionsforselfmanagementofmedicinesforcommunitydwellingpeoplewithdementiaandmildcognitiveimpairmentandtheirfamilycarersasystematicreview
AT quinncatherine interventionsforselfmanagementofmedicinesforcommunitydwellingpeoplewithdementiaandmildcognitiveimpairmentandtheirfamilycarersasystematicreview
AT fylanbeth interventionsforselfmanagementofmedicinesforcommunitydwellingpeoplewithdementiaandmildcognitiveimpairmentandtheirfamilycarersasystematicreview