Evaluating the Clinical Impact of National Dementia Behaviour Support Programs on Neuropsychiatric Outcomes in Australia

Macfarlane, Stephen; Atee, Mustafa; Morris, Thomas; Whiting, Daniel; Healy, Madeleine L; Alford, Marie; Cunningham, Colm

doi:10.3389/fpsyt.2021.652254

Cited by 22 publications

(44 citation statements)

References 37 publications

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“…Depression can cause a variety of psychological and physical problems and raise the risk of caregiver suicide[ 2 ]. It compromises caregivers’ physical health[ 3 ], reduces caregivers’ quality of life[ 4 ], and has been shown to cause caregivers to place patients with dementia in an institutional care facility more rapidly[ 5 , 6 ]. Depression in caregivers can also influence dementia patients’ cognitive status and has been associated with more rapid cognitive decline in the dementia patients studied[ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Depression among caregivers of patients with dementia: Associative factors and management approaches

Huang¹

2022

WJP

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As elderly people increasingly come to represent a higher proportion of the world’s population, various forms of dementia are becoming a significant chronic disease burden. The World Health Organization emphasizes dementia care as a public health priority and calls for more support for family caregivers who commonly play a significant, central role in dementia care. Taking care of someone with dementia is a long-term responsibility that can be stressful and may lead to depression among family caregivers. Depression and related behavioral and cognitive changes among caregivers could in turn affect the status and prognosis of the dementia patient. This review article explores depression in dementia caregivers and summarizes proposed mechanisms, associated factors, management and research findings, and proposes future research directions.

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Section: Introductionmentioning

confidence: 99%

Depression among caregivers of patients with dementia: Associative factors and management approaches

Huang¹

2022

WJP

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“…The recommended therapeutic approach for BPSD is a comprehensive assessment of possible causes of BPSD (e.g., Jackman & Beatty 2015 ) followed by the multimodal person-centered nonpharmacological intervention (e.g., Macfarlane et al 2021 ), with pharmacological therapies then systematically trialed only if needed. Effective management of BPSD requires audiologists to work with carers and a coordinated multi-disciplinary healthcare team.…”

Section: Introductionmentioning

confidence: 99%

Hearing Assessment and Rehabilitation for People Living With Dementia

et al. 2021

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Hearing impairment commonly co-occurs with dementia. Audiologists, therefore, need to be prepared to address the specific needs of people living with dementia (PwD). PwD have needs in terms of dementia-friendly clinical settings, assessments, and rehabilitation strategies tailored to support individual requirements that depend on social context, personality, background, and health-related factors, as well as audiometric HL and experience with hearing assistance. Audiologists typically receive limited specialist training in assisting PwD and professional guidance for audiologists is scarce.The aim of this review was to outline best practice recommendations for the assessment and rehabilitation of hearing impairment for PwD with reference to the current evidence base. These recommendations, written by audiology, psychology, speech-language, and dementia nursing professionals, also highlight areas of research need. The review is aimed at hearing care professionals and includes practical recommendations for adapting audiological procedures and processes for the needs of PwD.

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“…Our findings suggest that an effective support service system should be established to give family caregivers access to resources, information, and knowledge to improve their ability to cope with BPSD. The support service system, such as Dementia Support programs proposed in Australia ( 51 ), might enable people with dementia to stay at home longer.…”

Section: Discussionmentioning

confidence: 99%

Comparing Behavioral and Psychological Symptoms of Dementia and Caregiver Distress Caused Between Older Adults With Dementia Living in the Community and in Nursing Homes

Rui

Rao

et al. 2022

Front. Psychiatry

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ObjectivesTo investigate differences in behavioral and psychological symptoms of dementia (BPSD) and caregiver distress caused between older adults with dementia living in the community and in nursing homes.DesignA comparative cross-sectional study.Setting and ParticipantsParticipants were recruited from outpatient clinics of a tertiary psychiatric hospital and dementia units of a nursing home in Guangzhou, China.MethodsNeuropsychiatric Inventory was used to assess symptoms and caregiver distress. Dementia severity was determined using the Clinical Dementia Rating.ResultsThis study included 157 community and 112 nursing home residents with dementia. Clinically significant symptoms (item score ≥ 4) were found in 88.5% of the former and 75% of the latter. Caregivers of 79.6% of the former and 26.8% of the latter reported that at least one of these caused them moderate-to-severe distress (distress score ≥ 3). Among the community patients, anxiety was the most frequent “very severe” symptom, while sleep disorders and agitation caused the most frequent “very severe” caregiver distress. After controlling for dementia severity and medication use, family caregiving remained an independent risk predictor for clinically significant symptoms and moderate-to-severe caregiver distress. The prediction of caregiver distress based on symptom scores varied across caregiver types and individual symptoms (R2 0.36–0.82). Group differences in clinically significant symptoms and moderate-to-severe caregiver distress showed at the stage of moderate-to-severe dementia.Conclusions and ImplicationsTailored management strategies to relieve family caregivers’ BPSD-induced distress are needed, especially at the stage of moderate-to-severe dementia. An effective service system should be established for supporting family caregivers to cope with BPSD.

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Evaluating the Clinical Impact of National Dementia Behaviour Support Programs on Neuropsychiatric Outcomes in Australia

Cited by 22 publications

References 37 publications

Depression among caregivers of patients with dementia: Associative factors and management approaches

Depression among caregivers of patients with dementia: Associative factors and management approaches

Hearing Assessment and Rehabilitation for People Living With Dementia

Comparing Behavioral and Psychological Symptoms of Dementia and Caregiver Distress Caused Between Older Adults With Dementia Living in the Community and in Nursing Homes

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