TY  - JOUR
AU  - Mohr, Wiebke
AU  - Rädke, Anika
AU  - Afi, Adel
AU  - Edvardsson, David
AU  - Muehlichen, Franka
AU  - Platen, Moritz
AU  - Roes, Martina
AU  - Michalowsky, Bernhard
AU  - Hoffmann, Wolfgang
TI  - Key Intervention Categories to Provide Person-Centered Dementia Care: A Systematic Review of Person-Centered Interventions.
JO  - Journal of Alzheimer's disease
VL  - 84
IS  - 1
SN  - 1387-2877
CY  - Amsterdam
PB  - IOS Press
M1  - DZNE-2022-00859
SP  - 343 - 366
PY  - 2021
AB  - Person-centered care (PCC) is an important concept in many countries' national guidelines and dementia plans. Key intervention categories, i.e., a taxonomy of person-centered (PC)-interventions, to provide person-centered dementia care, are difficult to identify from literature.This systematic review aimed to identify and categorize published PC-interventions into key intervention categories to guide the provision of person-centered dementia care.Conduct of this systematic review followed Cochrane guidelines. A search of the dimensions 'Dementia', 'Person-Centered Care', and 'Intervention' combined was performed in PubMed, EMBASE, and Web of Science. Study selection was based on 2-stage screening against eligibility criteria, limited to controlled study designs. Information about interventions and outcomes was extracted into an 'Effects Table'. The identified PC-interventions were categorized in intervention categories to provide person-centered dementia care.Searches identified 1,806 records. 19 studies were included. These covered a range of psychosocial interventions, oftentimes multi-component interventions, which followed heterogeneous approaches. Studies were conducted in long-term care/hospital settings. Nine key intervention categories were identified: social contact, physical activities, cognitive training, sensory enhancement, daily living assistance, life history oriented emotional support, training and support for professional caregivers, environmental adjustments, and care organization.Our findings provide a current overview of published PC-interventions in dementia, which followed heterogeneous approaches under the PCC-concept. The heterogeneity made it challenging to identify a well-defined concept of PCC and common key intervention categories. An effectiveness-evaluation of 'PC' - including 'relationship-centered'-interventions may be valuable, to assess whether an explicit focus on relationships around PCC-interventions yields an added benefit.CRD42021225084.
KW  - Dementia: nursing
KW  - Humans
KW  - Long-Term Care
KW  - Nursing Homes
KW  - Patient-Centered Care
KW  - Psychosocial Intervention
KW  - Quality of Life: psychology
KW  - Alzheimer’s disease (Other)
KW  - dementia (Other)
KW  - patient preferences (Other)
KW  - patient-centered care (Other)
KW  - patient-focused care (Other)
KW  - person-centered care (Other)
KW  - person-centered dementia care (Other)
KW  - person-centered interventions (Other)
KW  - psychosocial intervention (Other)
LB  - PUB:(DE-HGF)16
C6  - pmid:34542075
C2  - pmc:PMC8609709
DO  - DOI:10.3233/JAD-210647
UR  - https://pub.dzne.de/record/164203
ER  -