Personally tailored activities for improving psychosocial outcomes for people with dementia in community settings

Mohler, R. Albert; Renom, Anna; Renom, Helena; Meyer, Gabriele

doi:10.1002/14651858.cd010515.pub2

Cited by 9 publications

(13 citation statements)

References 95 publications

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“…First, we found that tailored activities slightly reduced BPSD, consistent with previous meta-analyses targeting facilities, communities and PWD living in their own home. [10][11][12] Second, we found that tailored activities had a small effect on improving QoL, compared with previous reviews that found inconclusive evidence regarding QoL: no effect in facilities, and a slight improvement in both communitybased and home-based settings. [10][11][12] Third, our findings showed that tailored activities had small effects on depression, and large effects on engagement, contradicting previous reviews reporting little or no effect on these outcomes.…”

Section: Discussionmentioning

confidence: 50%

“…[10][11][12] Second, we found that tailored activities had a small effect on improving QoL, compared with previous reviews that found inconclusive evidence regarding QoL: no effect in facilities, and a slight improvement in both communitybased and home-based settings. [10][11][12] Third, our findings showed that tailored activities had small effects on depression, and large effects on engagement, contradicting previous reviews reporting little or no effect on these outcomes. 11 12 Unlike previous review studies, we further developed the rating scheme of tailoring level based on three essential components: assessment for tailoring, individualisation in intervention design and person-centred care in implementation.…”

Section: Discussionmentioning

confidence: 50%

“…5 6 To our knowledge, six systematic reviews and metaanalyses (summarised in online supplemental table 1) have synthesised the effects of tailored activities on reducing BPSD and enhancing QoL among PWD, based on tailored strategies, activity types, personal characteristics, and frequency and duration of delivery. [7][8][9][10][11][12] The first of these, incorporating studies published between 2000 and 2011, focused on the effectiveness of various tailored strategies to foster activity engagement and reduce BPSD in PWD. 7 Changes to tools and materials used in activities were most common but yielded mixed outcomes of BSPD reduction; modifications to space and social demands were rarely tested but yielded consistently positive outcomes.…”

Section: Open Accessmentioning

confidence: 99%

“…9 Recently, Möhler and colleagues conducted three meta-analyses regarding the effects of tailored activities among PWD living in care facilities, communities and home settings, respectively, and found that, compared with usual care, tailored activities slightly reduced BPSD. [10][11][12] However, no differences in other desired outcomes between intervention and control groups among different specific types of activity or duration of delivery were evident. Although different activity components (eg, activity types, PWD characteristics, frequency and duration of delivery) were discussed, [7][8][9][10][11][12] no review further investigated the degree of personalisation among the tailored activities and synthesised its associations with the desired outcomes.…”

Section: Open Accessmentioning

confidence: 99%

“…[10][11][12] However, no differences in other desired outcomes between intervention and control groups among different specific types of activity or duration of delivery were evident. Although different activity components (eg, activity types, PWD characteristics, frequency and duration of delivery) were discussed, [7][8][9][10][11][12] no review further investigated the degree of personalisation among the tailored activities and synthesised its associations with the desired outcomes.…”

Section: Open Accessmentioning

confidence: 99%

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Degree of personalisation in tailored activities and its effect on behavioural and psychological symptoms and quality of life among people with dementia: a systematic review and meta-analysis

et al. 2021

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ObjectivesTo understand and assess the degree of personalisation of tailored activities for people with dementia (PWD); and to estimate the magnitude of the effects of levels of personalisation on reducing behavioural and psychological symptoms of dementia (BPSD), improving quality of life (QoL) and level of engagement.DesignSystematic review with meta-analysis.Data sourcesProQuest, PubMed, Ovid, Cochrane Library, Web of Science and CINAHL were searched from the start of indexing to May 2020.Eligibility criteriaWe included randomised controlled trials and quasi-experimental studies assessing the effects of tailored activities for people aged 60 years or older with dementia or cognitive impairment on the outcomes of BPSD, QoL, depression and level of engagement with control groups.Data extraction and synthesisTwo researchers screened studies, extracted data and assessed risks of bias. A rating scheme to assess the degree of personalisation of tailored activities was developed to classify tailored activities into high/medium/low groups. Effect sizes were expressed using standardised mean differences at 95% Confidence Interval (CI). Subgroup analyses were conducted to assess whether the degree of personalisation of tailored activities affected outcomes of interest.ResultsThirty-five studies covering 2390 participants from 16 countries/regions were identified. Studies with a high-level of personalisation interventions (n=8) had a significant and moderate effect on reducing BPSD (standardised mean differences, SMD=−0.52, p<0.05), followed by medium (n=6; SMD=−0.38, p=0.071) and low-level personalisation interventions (n=6; SMD=−0.15, p=0.076). Tailored activities with a high-level of personalisation had a moderate effect size on improving QoL (n=5; SMD=0.52, p<0.05), followed by a medium level (n=3; SMD=0.41, p<0.05) of personalisation.ConclusionsTo develop high-level tailored activities to reduce BPSD and improve QoL among PWD, we recommend applying comprehensive assessments to identify and address two or more PWD characteristics in designed tailored activities and allow modification of interventions to respond to changing PWD needs/circumstances.PROSPERO registration numberCRD42020168556.

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Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 50%

Section: Open Accessmentioning

confidence: 99%

Section: Open Accessmentioning

confidence: 99%

Section: Open Accessmentioning

confidence: 99%

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Degree of personalisation in tailored activities and its effect on behavioural and psychological symptoms and quality of life among people with dementia: a systematic review and meta-analysis

et al. 2021

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Effects of multisensory environment/stimulation therapy on adults with cognitive impairment and/or special needs: A systematic review and meta‐analysis

Helbling,

Grandjean,

Srinivasan

2023

Special Care in Dentistry

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AimThis review aimed to evaluate the effects of multisensory environments/stimulation (MSE/MSS) therapy, on the behavior and psychological symptoms in adults with cognitive impairment and/or special needs.MethodsOnline database searches were performed to identify studies reporting on the effects of MSS/MSE therapy in adults (>18 years). Data were extracted for the following investigated outcomes including anxiety, depression, mood, behavioral attributes, biomedical parameters, cognition, motor skills, quality of life (QoL), pain, and end of life quality. Two reciprocally blinded investigators extracted the data. Inter‐investigator reliability (𝝹) was calculated. A meta‐analysis and a qualitative analysis were performed on the information extracted.ResultsThirty‐six studies were included for data extraction and analysis. Meta‐analysis of the included studies revealed a significant improvement with the MSE/MSS therapy, for agitation (p = .018), anxiety (p = .023), cognition (p < .001), and depression (p < .001). MSS/MSE therapy demonstrated a tendency for the improvement of the QoL in adults (p = .05).ConclusionMSE/MSS therapies are beneficial in cognitively impaired adults and improve their anxiety, depression, cognitive and other behavioral attributes such as agitative behaviors. Promoting these therapies in geriatric care may help to improve/reduce the challenging/care‐resistant behaviors in adults and facilitate effective provision of the necessary care.

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The Perceived Impact of the Namaste Care Family Program on Nursing Home Residents with Dementia, Staff, and Family Caregivers: A Qualitative Study

et al. 2022

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Objective(s): To examine the perspectives of staff, and family caregivers (i.e., family, friends, and volunteers) on the impact of the Namaste Care Family program on all involved. The Namaste Care Family program is a structured program for people with advanced dementia based on a palliative care approach in which family caregivers provide daily sessions together with staff with the aim to increase residents’ quality of life. Methods: In this descriptive qualitative study, we interviewed 12 family caregivers, and 31 staff members from 10 nursing homes. Data was analyzed thematically. Results: A perceived impact of the program was identified for the residents, staff, and family caregivers. For residents, this included well-being, more engagement, enhanced interactions, changes in energy level, and weight gain. The impact on family caregivers included a more positive view of people with dementia, changes in family visits, mixed feelings during sessions, and mixed changes in relations with all involved. For staff, this included diverse work experiences, shift to more person-centered care (more time and attention for residents, and more awareness), and developing relationships with residents and colleagues. Conclusions: The Namaste Care Family program was valued for its observed benefits and shift towards a person-centered care culture.

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Personally tailored activities for improving psychosocial outcomes for people with dementia in community settings

Cited by 9 publications

References 95 publications

Degree of personalisation in tailored activities and its effect on behavioural and psychological symptoms and quality of life among people with dementia: a systematic review and meta-analysis

Degree of personalisation in tailored activities and its effect on behavioural and psychological symptoms and quality of life among people with dementia: a systematic review and meta-analysis

Effects of multisensory environment/stimulation therapy on adults with cognitive impairment and/or special needs: A systematic review and meta‐analysis

The Perceived Impact of the Namaste Care Family Program on Nursing Home Residents with Dementia, Staff, and Family Caregivers: A Qualitative Study

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