Hausarztbasierte Demenzversorgung: Effektivität früher psychosozialer Beratung der Angehörigen

Geschke, Katharina; Scheurich, Armin; Schermuly, Ingrid; Laux, Nina; Böttcher, Anna; Fellgiebel, Andreas

doi:10.1055/s-0032-1305320

Cited by 18 publications

(3 citation statements)

References 28 publications

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“…Cooperation between general practitioners and other care provider entities should be further strengthened in order to create care advantages [31,32]. If patients and their relatives are put in contact with regional advice and care networks [33] early enough, then, for example, the risk of relatives acting as caregivers [34] and suffering from burnout can be reduced.…”

Section: Resultsmentioning

confidence: 99%

Dementia diagnostics in general practitioner care

Wangler

Jansky

2019

Wien Med Wochenschr

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General practitioner (GP) treatment of dementia is often criticized as being ineffective and not implemented consistently enough. The causes and specific standpoints of GPs have not previously been thoroughly investigated. This paper focuses on the reasons and the criticisms levelled at GPs with regard to diagnosing dementia, and identifies approaches to enable optimization. The analysis is based on 41 semi-structured interviews with GPs in Hesse, Germany, in 2018. During the course of a content analysis, the interviewees' attitudes and behavioral patterns towards dementia diagnostics were to be analyzed. The results of the study show various challenges and problems of primary care in this field. The majority of the sample showed skepticism and reluctance with regard to the diagnosis of dementia. Six key problem areas were extracted from the interviews, which can be seen as root causes for the distance kept by GPs: 1) early delegation of patients due to role understanding, 2) attitude of pessimism towards dementia, 3) differential diagnosis perceived as an obstacle, 4) insufficient remuneration, 5) fear of patient stigmatization, and 6) lack of application. Some GPs demonstrated personal initiative with the Data and materials Research data are available upon request.

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Section: Resultsmentioning

confidence: 99%

Dementia diagnostics in general practitioner care

Wangler

Jansky

2019

Wien Med Wochenschr

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“…Counselling Counselling interventions do only slightly better. Among the four interventions available in this review [73,76,78,79], only one intervention [76] showed significant improvements in terms of depression.…”

Section: Depressionmentioning

confidence: 95%

“…Counselling In six studies, counselling approaches are applied to improve the QoL of informal caregivers. Five support interventions result in non-significant results [75][76][77][78][79]. Only one study reports a significant increase in the intervention group versus control group [72].…”

Section: Quality Of Lifementioning

confidence: 98%

Psychosocial interventions to support the mental health of informal caregivers of persons living with dementia – a systematic literature review

et al. 2021

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Background Informal caregivers of persons living with dementia have an increased risk of adverse mental health effects. It is therefore important to systematically summarize published literature in order to find out which mental health interventions generate effective support for informal caregivers of persons living with dementia. The objective of this study is to conduct a systematic review of intervention content, effectiveness and subgroup differentiation of mental health interventions for informal caregivers of persons with dementia living at home. Method We searched four electronic databases (PubMed, PsychINFO, Scopus and CINAHL) and included only methodically high-quality randomized controlled trials (RCTs), published in English or German language between 2009 and 2018. The intervention programmes focused on mental health of family caregivers. A narrative synthesis of the included studies is given. Results Forty-eight publications relating to 46 intervention programmes met the inclusion criteria. Burden, depression and quality of life (QoL) are the predominant parameters that were investigated. Twenty-five of forty-six interventions (54.3%) show positive effects on at least one of the outcomes examined. Most often, positive effects are reported for the outcome subjective burden (46.2%). Only six studies explicitly target on a certain subgroup of informal dementia caregivers (13%), whereas all other interventions (87%) target the group as a whole without differentiation. Conclusion The most beneficial results were found for cognitive behavioural approaches, especially concerning the reduction of depressive symptoms. Besides this, leisure and physical activity interventions show some good results in reducing subjective caregiver burden. In order to improve effectiveness, research and practice may focus on developing more targeted interventions for special dementia informal caregiver subgroups.

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