Dyadic interventions for community-dwelling people with dementia and their family caregivers: a systematic review

Leven, Netta Van’t; Prick, Anna-Eva; Groenewoud, Johanna G.; Roelofs, Pepijn D D M; Lange, J. de; Pot, Anne Margriet

doi:10.1017/s1041610213000860

Cited by 157 publications

(180 citation statements)

References 65 publications

(46 reference statements)

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“…A review of dyadic caregiver interventions for people living with dementia in the community; six (806 participants) of the eight studies (1,015 participants) did not demonstrate a statistically significant improvement in BPSD ( Van't Leven et al, 2013). A review of reminiscence therapy was included as the highest quality review of recreational interventions identified (Woods et al, 2005).…”

Section: Effects Of Interventions For Bpsdmentioning

confidence: 99%

An overview of systematic reviews of pharmacological and non-pharmacological interventions for the treatment of behavioral and psychological symptoms of dementia

Dyer

Harrison

Laver

et al. 2017

Int. Psychogeriatr.

259

198

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Section: Effects Of Interventions For Bpsdmentioning

confidence: 99%

An overview of systematic reviews of pharmacological and non-pharmacological interventions for the treatment of behavioral and psychological symptoms of dementia

Dyer

Harrison

Laver

et al. 2017

Int. Psychogeriatr.

259

198

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“…Van't Leven et al (2013) found that studies only found significant benefit when a specific aspect of functioning was focused upon, and Regan's (2013) review of 15 studies found that modified cognitive behavioural therapy had some efficacy in improving mood. Finally an RCT of couple reminiscence (Woods, Aguirre, Spector & Orrell, 2012) failed to show benefit for those with dementia or their carers, though it was suggested from a compliance analysis that there were benefits for people with dementia alongside raised anxiety for carers.…”

Section: Interventions For People With Dementia Living In the Communitymentioning

confidence: 99%

Psychosocial interventions for people with dementia: An overview and commentary on recent developments

Oyebode

Parveen

2016

Dementia

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YesAn influential review in 2010 concluded that non-pharmacological multi-component interventions\ud have positive effects on cognitive functioning, activities of daily living, behaviour and mood of\ud people with dementia. Our aim here is to provide an up-to-date overview of research into\ud psychosocial interventions and their impact on psychosocial outcomes. We focused on\ud randomised controlled trials, controlled studies and reviews published between October 2008\ud and August 2015, since the earlier review. The search of PsychInfo, Medline and the Cochrane\ud database of systematic reviews yielded 61 relevant articles, organised into four themes echoing\ud key phases of the care pathway: Living at home with dementia (five reviews, eight studies), carer\ud interventions (three reviews, four studies), interventions in residential care (16 reviews, 12\ud studies) and end-of-life care (three reviews, two studies), along with an additional group\ud spanning community and institutional settings (six reviews, two studies). Community findings\ud suggested that appointment of dementia specialists and attention to case management can\ud produce positive outcomes; physical therapies, cognitive training and modified cognitive\ud behaviour therapy also had a range of benefits. There was more limited evidence of positive\ud benefits for people with dementia through interventions with family carers. Thirty-two articles\ud focused on the management of ‘behavioural symptoms’ through a range of interventions all of\ud which had some evidence of benefit. Also a range of multi-component and specific interventions\ud had benefits for cognitive, emotional and behavioural well-being of people with dementia in\ud residential settings, as well as for quality of life. Overall, interventions tended to be short term\ud with impact only measured in the short term. We recommend further research on interventions\ud to promote living well in the community post-diagnosis and to address end-of-life care.\ud Development of psychosocial interventions would benefit from moving beyond the focus on\ud control of behaviours to focus on wider aspects of life for people with dementia

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“…Most people with dementia live at home and are cared for by informal caregivers, mostly spouses and children, who play a crucial role in the supervision and therapy because of the progressive mental decline of the disease. Knowing that on the one hand there is a high cost of the disease for the society due to frequent hospitalization and permanent institutionalization in nursing homes and, on the other hand, people with dementia prefer to remain in their trusted environment as long as possible, it can be stated that informal caregivers are probably cost saving for society, but also essential in the care process [1][2][3][4][5][6][7][8][9]. Especially given the emerging focus on person-centered care, caregivers are indispensable to maximize well-being of people with dementia since they are best placed to identify their unique needs and desires [10].…”

Section: Introductionmentioning

confidence: 99%

“…Although caregiving for a loved one can be very satisfying, it also demands a lot from informal caregivers over long periods [5,11]. Most research in the past decade has shown that informal caregivers have more health problems, visit healthcare professionals more frequently, suffer from isolation, and have an increased risk of depression, distress, and other illness [1,2,6,[11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Supporting Informal Caregivers of People with Dementia: A Systematic Review of Randomized and Non-Randomized Controlled Trials

Vandepitte

Noortgate

Putman

et al. 2016

JAD

103

118

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Abstract.Background: Dementia is known as a major public health problem affecting both patients and caregivers, and placing a high financial strain upon society. In community-dwelling patients, it is important to support informal caregivers in order to help them sustain their demanding role. Previous reviews about effectiveness of such supporting strategies often included a small number of studies, focused only on particular supportive types, particular outcomes, or solely on caregivers. Objective: A general systematic review was conducted investigating effectiveness of different supportive strategies on at least the well-being of the caregiver or the care-recipient. Methods: A systematic literature search was conducted in Web of Science and PubMed. An adapted version of the Downs and Black (1998) checklist was used to assess methodological quality. A new classification was developed to group different types of caregiver support. Results: Fifty-three papers met the inclusion criteria. Although 87% of the interventions were to some extent effective, methods and findings were rather inconsistent. Psychoeducational interventions generally lead to positive outcomes for caregivers, and delay permanent institutionalization of care-recipients. Cognitive behavioral therapy decreases dysfunctional thoughts among caregivers. Occupational therapy decreases behavioral problems among patients and improves self-efficacy of caregivers. In general, those interventions tailored on individual level generate better outcomes. Comparative research on respite care was very rare. Conclusions: Despite methodological inconsistency, supporting caregivers appears to be an effective strategy often improving well-being of caregiver or care-recipient and resulting in additional benefits for society. However, there is a need for more research on the (cost)-effectiveness of respite care.

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Dyadic interventions for community-dwelling people with dementia and their family caregivers: a systematic review

Abstract: Background:In this review, we study the effects of dyadic psychosocial interventions focused on communitydwelling people with dementia and their family caregivers, and the relationship of the effects with intervention components of programs.

Cited by 157 publications

References 65 publications

An overview of systematic reviews of pharmacological and non-pharmacological interventions for the treatment of behavioral and psychological symptoms of dementia

An overview of systematic reviews of pharmacological and non-pharmacological interventions for the treatment of behavioral and psychological symptoms of dementia

Psychosocial interventions for people with dementia: An overview and commentary on recent developments

Effectiveness of Supporting Informal Caregivers of People with Dementia: A Systematic Review of Randomized and Non-Randomized Controlled Trials

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