Staff training to reduce behavioral and psychiatric symptoms of dementia in nursing home residents: A systematic review of intervention reproducibility

Reis, Ramon Castro; Dalpai, Débora; Camozzato, Analuiza

doi:10.1590/s1980-57642013dn70300010

Cited by 5 publications

(5 citation statements)

References 35 publications

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“…Their real-world feasibility is also put into question, as many interventions require specialized services, to which access is restricted and costly. These limits to reproducibility and feasibility were also observed in a systematic review conducted by Reis et al [90] which corroborates our findings. Consequently, future studies should use transparent and detailed methods, provide supplementary material to facilitate reproducibility of interventions deemed effective, and use staff that is accessible daily in NHs for feasibility and cost-effectiveness reasons.…”

Section: Discussionsupporting

confidence: 93%

Staff Training Interventions to Prevent or Reduce Behavioural and Psychological Symptoms of Dementia in Nursing Home Residents: A Mixed Methods Systematic Review

Carrier¹,

Toulouse²,

Rochefort³

2023

Dement Geriatr Cogn Disord

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Introduction: Nursing home (NH) staff mention knowledge deficits regarding the management of behavioural and psychological symptoms of dementia (BPSDs) in residents with neurocognitive disorders (NCDs). Staff training therefore appears to be necessary, however existing evidence on best training practices and their outcomes remain scattered. This systematic review aimed to: 1) identify the best clinical practices and theoretical bases of staff training interventions on BPSD management in NHs, and 2) summarize the effects of these interventions on resident and staff outcomes. Methods: A mixed methods systematic review was conducted. Two nurse researchers independently searched nine electronic databases to identify studies on the efficacy of staff training interventions aiming BPSD management in NHs, on a variety of resident and staff outcomes. The search was conducted for articles published between 1996 and 2022, using selected keywords, MeSH terms, and predefined eligibility criteria. The methodological quality of the retrieved studies was assessed using JBI checklists. Results: Overall, 39 studies in 47 articles were included. Ten categories of trainings were identified, of which three demonstrated the most promising results on both residents and staff: 1) structured protocols and models, 2) person-centred bathing, and 3) communication techniques. The methodological quality of the retrieved studies was generally weak. Issues with intervention feasibility and reproducibility were also noted. Discussion/Conclusion: Training interventions incorporating structured protocols and models, person-centered bathing and communication techniques are associated with better staff and resident outcomes. However, there is a strong need for high-quality research to strengthen existing evidence, ensure feasibility and reproducibility.

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Section: Discussionsupporting

confidence: 93%

Staff Training Interventions to Prevent or Reduce Behavioural and Psychological Symptoms of Dementia in Nursing Home Residents: A Mixed Methods Systematic Review

Carrier¹,

Toulouse²,

Rochefort³

2023

Dement Geriatr Cogn Disord

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“…Whilst mostly concerned with effectiveness of interventions [ 55 , 56 , 59 ], these reviews have addressed some elements of dissemination and implementation. Elliot [ 56 ] and Reis [ 58 ] highlight the lack of detail reported on implementation in their reviews of training interventions. Reis [ 58 ] and Spector [ 59 ] emphasise the limited accessibility and lack of reporting on training manuals which impact the ability to reproduce interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Elliot [ 56 ] and Reis [ 58 ] highlight the lack of detail reported on implementation in their reviews of training interventions. Reis [ 58 ] and Spector [ 59 ] emphasise the limited accessibility and lack of reporting on training manuals which impact the ability to reproduce interventions. Perry [ 55 ] and Eggenberger [ 57 ] concluded that education as a means to bring about change worked better when supported with another strategy – either financial or some form of feedback.…”

Section: Discussionmentioning

confidence: 99%

Dissemination and implementation research in dementia care: a systematic scoping review and evidence map

et al. 2017

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BackgroundThe need to better understand implementing evidence-informed dementia care has been recognised in multiple priority-setting partnerships. The aim of this scoping review was to give an overview of the state of the evidence on implementation and dissemination of dementia care, and create a systematic evidence map.MethodsWe sought studies that addressed dissemination and implementation strategies or described barriers and facilitators to implementation across dementia stages and care settings. Twelve databases were searched from inception to October 2015 followed by forward citation and grey literature searches. Quantitative studies with a comparative research design and qualitative studies with recognised methods of data collection were included. Titles, abstracts and full texts were screened independently by two reviewers with discrepancies resolved by a third where necessary. Data extraction was performed by one reviewer and checked by a second. Strategies were mapped according to the ERIC compilation.ResultsEighty-eight studies were included (30 quantitative, 34 qualitative and 24 mixed-methods studies). Approximately 60% of studies reported implementation strategies to improve practice: training and education of professionals (94%), promotion of stakeholder interrelationships (69%) and evaluative strategies (46%) were common; financial strategies were rare (15%). Nearly 70% of studies reported barriers or facilitators of care practices primarily within residential care settings. Organisational factors, including time constraints and increased workload, were recurrent barriers, whereas leadership and managerial support were often reported to promote implementation. Less is known about implementation activities in primary care and hospital settings, or the views and experiences of people with dementia and their family caregivers.ConclusionThis scoping review and mapping of the evidence reveals a paucity of robust evidence to inform the successful dissemination and implementation of evidence-based dementia care. Further exploration of the most appropriate methods to evaluate and report initiatives to bring about change and of the effectiveness of implementation strategies is necessary if we are to make changes in practice that improve dementia care.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-017-0528-y) contains supplementary material, which is available to authorized users.

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“…Our scoping review presents the extent and nature of current literature on efforts to translate research and change practice in dementia care and what is known about the factors that may enable or hinder this process. Our review builds on the evidence base from a number of systematic reviews that have addressed discrete areas of improving dementia care [55][56][57][58][59]. Whilst mostly concerned with effectiveness of interventions [55,56,59], these reviews have addressed some elements of dissemination and implementation.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Elliot [56] and Reis [58] highlight the lack of detail reported on implementation in their reviews of training interventions. Reis [58] and Spector [59] emphasise the limited accessibility and lack of reporting on training manuals which impact the ability to reproduce interventions. Perry [55] and Eggenberger [57] concluded that education as a means to bring about change worked better when supported with another strategyeither financial or some form of feedback.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

O3‐10‐06: Dissemination and Implementation in Dementia Care: A Mixed‐Methods Systematic Review

Lourida

Abbott

Lang

et al. 2016

Alzheimer's & Dementia

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Background: The need to better understand implementing evidence-informed dementia care has been recognised in multiple priority-setting partnerships. The aim of this scoping review was to give an overview of the state of the evidence on implementation and dissemination of dementia care, and create a systematic evidence map. Methods: We sought studies that addressed dissemination and implementation strategies or described barriers and facilitators to implementation across dementia stages and care settings. Twelve databases were searched from inception to October 2015 followed by forward citation and grey literature searches. Quantitative studies with a comparative research design and qualitative studies with recognised methods of data collection were included. Titles, abstracts and full texts were screened independently by two reviewers with discrepancies resolved by a third where necessary. Data extraction was performed by one reviewer and checked by a second. Strategies were mapped according to the ERIC compilation. Results: Eighty-eight studies were included (30 quantitative, 34 qualitative and 24 mixed-methods studies). Approximately 60% of studies reported implementation strategies to improve practice: training and education of professionals (94%), promotion of stakeholder interrelationships (69%) and evaluative strategies (46%) were common; financial strategies were rare (15%). Nearly 70% of studies reported barriers or facilitators of care practices primarily within residential care settings. Organisational factors, including time constraints and increased workload, were recurrent barriers, whereas leadership and managerial support were often reported to promote implementation. Less is known about implementation activities in primary care and hospital settings, or the views and experiences of people with dementia and their family caregivers. Conclusion: This scoping review and mapping of the evidence reveals a paucity of robust evidence to inform the successful dissemination and implementation of evidence-based dementia care. Further exploration of the most appropriate methods to evaluate and report initiatives to bring about change and of the effectiveness of implementation strategies is necessary if we are to make changes in practice that improve dementia care.

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Staff training to reduce behavioral and psychiatric symptoms of dementia in nursing home residents: A systematic review of intervention reproducibility

Cited by 5 publications

References 35 publications

Staff Training Interventions to Prevent or Reduce Behavioural and Psychological Symptoms of Dementia in Nursing Home Residents: A Mixed Methods Systematic Review

Staff Training Interventions to Prevent or Reduce Behavioural and Psychological Symptoms of Dementia in Nursing Home Residents: A Mixed Methods Systematic Review

Dissemination and implementation research in dementia care: a systematic scoping review and evidence map

O3‐10‐06: Dissemination and Implementation in Dementia Care: A Mixed‐Methods Systematic Review

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