Non-Pharmacological interventions for the anxiety in patients with dementia. A cross-over randomised controlled trial

Dimitriou, Tatiana-Danai; Verykouki, Eleni; Papatriantafyllou, John; Konsta, Anastasia; Kazis, Dimitrios; Tsolaki, Magda

doi:10.1016/j.bbr.2020.112617

Cited by 25 publications

(31 citation statements)

References 32 publications

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“…Non-pharmacological therapy comprises a variety of interventions for BPSD management, such as aromatherapy [29], music therapy [30], massage [31], doll therapy [32], petassisted interventions [33], bright light treatment [34], Snoezelen rooms [35], and cognitive-behavior therapy [36], as well as interventions with caregivers such as caregiver's education [37]. Moreover, over the last few years, a combination of non-pharmacological interventions (among the aforementioned) are utilized and seems to become more popular since it has a good effectiveness in BPSD management [38,39]. However, besides the fact that there are many studies on the non-pharmacological interventions for BPSD in dementia patients, it is difficult to draw conclusions regarding their real effectiveness on patient's behaviors, due to methodological problems and small sample sizes.…”

Section: Introductionmentioning

confidence: 99%

Rationale, Design, and Methodology of a Prospective Cohort Study for Coping with Behavioral and Psychological Symptoms of Dementia: The RECage Project1

Poptsi

Tsolaki

Bergh

et al. 2021

JAD

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Background: Behavioral and psychological symptoms of dementia (BPSD) are quite challenging problems during the dementia course. Special Care Units for people with dementia (PwD) and BPSD (SCU-B) are residential medical structures, where BPSD patients are temporarily admitted, in case of unmanageable behavioral disturbances at home. Objective: RECage (REspectful Caring for AGitated Elderly) aspires to assess the short and long-term effectiveness of SCU-Bs toward alleviating BPSD and improving the quality of life (QoL) of PwD and their caregivers. Methods: RECage is a three-year, prospective study enrolling 500 PwDs. Particularly, 250 community-dwelling PwDs presenting with severe BPSD will be recruited by five clinical centers across Europe, endowed with a SCU-B, for a short period of time; a second similar group of 250 PwD will be followed by six other no-SCU-B centers solely via outpatient visits. RECage’s endpoints include short and long-term SCU-B clinical efficacy, QoL of patients and caregivers, cost-effectiveness of the SCU-B, psychotropic drug consumption, caregivers’ attitude toward dementia, and time to nursing home placement. Results: PwDs admitted in SCU-Bs are expected to have diminished rates of BPSD and better QoL and their caregivers are also expected to have better QoL and improved attitude towards dementia, compared to those followed in no-SCU-Bs. Also, the cost of care and the psychotropic drug consumption are expected to be lower. Finally, PwDs followed in no-SCU-Bs are expected to have earlier admission to nursing homes. Conclusion: The cohort study results will refine the SCU-B model, issuing recommendations for implementation of SCU-Bs in the countries where they are scarce or non-existent.

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Section: Introductionmentioning

confidence: 99%

Rationale, Design, and Methodology of a Prospective Cohort Study for Coping with Behavioral and Psychological Symptoms of Dementia: The RECage Project1

Poptsi

Tsolaki

Bergh

et al. 2021

JAD

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“…Regarding what constitutes an “environment-based intervention,” multisensory rooms and nature interventions are common, but some authors also include Montessori-based programs (Padilla, 2011). We did not include Montessori-based programming because they are often categorized as “behavior management techniques” and grouped with interventions such as low noise and caregiver education (T.-D. Dimitriou et al, 2018; T. D. Dimitriou & Tsolaki, 2017). Since every conceivable psychosocial intervention involves at least one of the senses, and therefore stimulates at least one sense, we tried to be restrictive and guided by the concept of whether the intervention was intended to deliberately stimulate a sense, or whether there was a different proposed mechanism of action.…”

Section: Discussionmentioning

confidence: 99%

A scoping review: Sensory interventions for older adults living with dementia

et al. 2022

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This scoping review focused on the existing scholarly literature exploring sensory interventions and immersive environments developed for, and used by, older adults living with dementia. The purpose of the scoping review is 1) to understand the various sensory interventions that have been developed, used, and have provided data to show how such interventions are expected to impact the lives of individuals living with dementia; and 2) to understand how the field is moving forward. We chose to map the literature to understand the types of interventions, the types of outcomes measured, and the contexts of their implementation. Our search was constrained to references from 1990 to 1 June 2019 in the following databases: Academic Search Complete, CINAHL Complete, MEDLINE, PsycINFO databases, and Summon Search discovery layer. We screened 2305 articles based on their titles and abstracts, and 465 were sent to full text review, of which 170 were included in our full text extraction. Once the data were extracted, we created emic categories, which emerged from the data, for data that were amenable to categorization (e.g., study setting, intervention type, and outcome type). We developed ten different categories of interventions: art, aromatics, light, multi-component interventions, multisensory rooms, multisensory, music, nature, touch, and taste. Sensory interventions are a standard psychosocial approach to managing the personal expressions commonly experienced by people living with dementia. Our findings can help providers, caregivers, and researchers better design interventions for those living with dementia, to help them selectively choose interventions for particular outcomes and settings. Two areas emerging in the field are nature interventions (replacing traditional “multisensory rooms” with natural environments that are inherently multisensory and engaging) and multi-component interventions (where cognitive training programs are enhanced by adding sensory components).

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“…Non-pharmacological interventions, for example, music therapy ( 10 , 11 ), exercise therapy ( 12 , 13 ) and aromatherapy ( 14 , 15 ) can delay or improve patients' cognitive functioning. However, the effectiveness of these non-pharmacological interventions in managing patients' psychiatric behavioral problems is inconsistent ( 16 , 17 ). However, most patients are passively involved in activities which mentioned above.…”

Section: Introductionmentioning

confidence: 99%

Research Trends and Hotspots on Montessori Intervention in Patients With Dementia From 2000 to 2021: A Bibliometric Analysis

Zhou

Sun

et al. 2021

Front. Psychiatry

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Background: Patients with dementia experience a variety of neuropsychiatric symptoms and behavioral disturbances. The Montessori method is a type of non-pharmacological intervention to care for people with dementia. However, there are few bibliometric studies on the application of Montessori methods. We aimed to analyze the hotspots and trends of research on the application of Montessori methods to the care of dementia patients.Methods: Microsoft Office Excel, Co-Occurrence 9.9, and CiteSpace were used to analyze the articles on Montessori intervention in patients with dementia from 2000 to 2021 in China National Knowledge Infrastructure, Wanfang, China Science and Technology Journal Database, Web of Science core collection database, PubMed, and Scopus.Results: A total of 23 Chinese language publications and 113 English language publications were included. The number of English language publications was on the rise, while the number of Chinese language publications was low. There are many issuing institutions which published articles in this field, mostly concentrated in universities. English language publication sources were more than Chinese language publication sources. The hot research topic in Chinese language publications and English language publications was the care of agitated behavior of dementia patients based on the Montessori method. The psychological problems of dementia patients are likely to become a hot issue of concern for scholars in Chinese. There will be a lot of research focusing on dementia patients and their family caregivers in this field.Conclusion: The bibliometric and visualization analysis helps us understand the current research status and hotspots of Montessori intervention in dementia patients in Chinese language publications and English language publications.

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Non-Pharmacological interventions for the anxiety in patients with dementia. A cross-over randomised controlled trial

Cited by 25 publications

References 32 publications

Rationale, Design, and Methodology of a Prospective Cohort Study for Coping with Behavioral and Psychological Symptoms of Dementia: The RECage Project1

Rationale, Design, and Methodology of a Prospective Cohort Study for Coping with Behavioral and Psychological Symptoms of Dementia: The RECage Project1

A scoping review: Sensory interventions for older adults living with dementia

Research Trends and Hotspots on Montessori Intervention in Patients With Dementia From 2000 to 2021: A Bibliometric Analysis

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