Journal Article

DZNE-2022-00859

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Key Intervention Categories to Provide Person-Centered Dementia Care: A Systematic Review of Person-Centered Interventions.

Mohr, W. (First author)DZNE* ; Rädke, A.DZNE* ; Afi, A.DZNE* ; Edvardsson, D. ; Muehlichen, F.DZNE* ; Platen, M.DZNE* ; Roes, M.DZNE* ; Michalowsky, B.DZNE* ; Hoffmann, W. (Last author)DZNE*

2021
IOS Press Amsterdam

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Please use a persistent id in citations: doi:10.3233/JAD-210647

Abstract: 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.

Keyword(s): Dementia: nursing (MeSH) ; Humans (MeSH) ; Long-Term Care (MeSH) ; Nursing Homes (MeSH) ; Patient-Centered Care (MeSH) ; Psychosocial Intervention (MeSH) ; Quality of Life: psychology (MeSH) ; Alzheimer’s disease ; dementia ; patient preferences ; patient-centered care ; patient-focused care ; person-centered care ; person-centered dementia care ; person-centered interventions ; psychosocial intervention

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Contributing Institute(s):

1. Translational Health Care Research (AG Hoffmann)
2. Implementation Science & Person-Centered Dementia Care (AG Roes)

Research Program(s):

1. 353 - Clinical and Health Care Research (POF4-353) (POF4-353)

Appears in the scientific report 2021

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Database coverage:
; ; ; BIOSIS Previews ; Biological Abstracts ; Clarivate Analytics Master Journal List ; Current Contents - Life Sciences ; Ebsco Academic Search ; Essential Science Indicators ; IF < 5 ; JCR ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection

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