Pilot Testing an Educational Intervention to Improve Communication With Patients With Dementia

Weitzel, Tina; Robinson, S.; Mercer, Sandra; Berry, Tammy A.; Barnes, Mary R.; Plunkett, Dee; Vollmer, Charlene; Foster, Teresa; Friedrich, Lisa A.; Allen, Laurie; Holmes, Jennifer; Kirkbride, Geri

doi:10.1097/nnd.0b013e31822e0738

Cited by 15 publications

(26 citation statements)

References 10 publications

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“…Ten studies reported small sample sizes (Alnes, Kirkevold, & Skovdahl, 2011;Beer, Hutchinson, & Skala-Cordes, 2012;Cristancho-Lacroix et al, 2015;Cruz, Marques, Barbosa, Figueiredo, & Sousa, 2011;Gentry, 2011;Haberstroh et al, 2011;Liddle et al, 2012;Prick et al, 2015;Raglio et al, 2016;van der Ploeg et al, 2013). Eight studies used unstandardised measures (Alnes et al, 2011;Bray et al, 2015;Broughton et al, 2011;Galvin et al, 2010;Judge, Yarry, Orsulic-Jeras, & Piercy, 2010;Robinson, Bamford, Briel, Spencer, & Whitty, 2010;Velzke, 2014;Weitzel et al, 2011); therefore it is not clear if these are reliable and valid and it is difficult to compare outcomes between studies.…”

Section: Quantitative Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Communication training interventions for family and professional carers of people living with dementia: a systematic review of effectiveness, acceptability and conceptual basis

Morris

Horne

Mcevoy³

et al. 2017

Aging & Mental Health

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Section: Quantitative Studiesmentioning

confidence: 99%

“…Four out of the five that reported communication outcomes found post-training improvements in communication and interaction (Alnes et al, 2011;Galvin et al, 2010;Robinson et al, 2010;Weitzel et al, 2011). One small study found a nonsignificant trend towards improved communication (Cruz et al, 2011).…”

Section: Residential Care and Hospital Settingsmentioning

confidence: 99%

Communication training interventions for family and professional carers of people living with dementia: a systematic review of effectiveness, acceptability and conceptual basis

Morris

Horne

Mcevoy³

et al. 2017

Aging & Mental Health

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“…In relation to agitation and aggressive behavior, and before opting for any intervention, it is important to carefully analyze the causes for the disruptive behavior: such causes may include pain, medical illness, fatigue, depression, loneliness, understimulation, or overstimulation; and social and environmental stressors (Iwata et al, 1993; Salzman et al, 2008). Strategies reported to be useful to reduce agitation include sensory interventions, particularly music therapy (Choi et al, 2009), aromatherapy (Ballard et al, 2009), and environmental modification (Weitzel et al, 2011). Regarding depression, recent studies support the effectiveness of home-based exercise programs for people with dementia and their caregivers to reduce depressive symptoms (Prick et al, 2011).…”

Section: Management Of Bpsdmentioning

confidence: 99%

Behavioral and Psychological Symptoms of Dementia

Cerejeira¹,

Lagarto²,

2012

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Behavioral and psychological symptoms of dementia (BPSD), also known as neuropsychiatric symptoms, represent a heterogeneous group of non-cognitive symptoms and behaviors occurring in subjects with dementia. BPSD constitute a major component of the dementia syndrome irrespective of its subtype. They are as clinically relevant as cognitive symptoms as they strongly correlate with the degree of functional and cognitive impairment. BPSD include agitation, aberrant motor behavior, anxiety, elation, irritability, depression, apathy, disinhibition, delusions, hallucinations, and sleep or appetite changes. It is estimated that BPSD affect up to 90% of all dementia subjects over the course of their illness, and is independently associated with poor outcomes, including distress among patients and caregivers, long-term hospitalization, misuse of medication, and increased health care costs. Although these symptoms can be present individually it is more common that various psychopathological features co-occur simultaneously in the same patient. Thus, categorization of BPSD in clusters taking into account their natural course, prognosis, and treatment response may be useful in the clinical practice. The pathogenesis of BPSD has not been clearly delineated but it is probably the result of a complex interplay of psychological, social, and biological factors. Recent studies have emphasized the role of neurochemical, neuropathological, and genetic factors underlying the clinical manifestations of BPSD. A high degree of clinical expertise is crucial to appropriately recognize and manage the neuropsychiatric symptoms in a patient with dementia. Combination of non-pharmacological and careful use of pharmacological interventions is the recommended therapeutic for managing BPSD. Given the modest efficacy of current strategies, there is an urgent need to identify novel pharmacological targets and develop new non-pharmacological approaches to improve the adverse outcomes associated with BPSD.

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“…Communication Training, Communication training and Older Adult Unit placement, and Communication Technique training: Four before‐and‐after studies evaluated interventions aimed at improving communication . They reported a statistically significant improvement in communication skills and techniques, confidence when communicating (CODE), knowledge of dementia communication (KIDE), and identifying person‐centred responses following the interventions.…”

Section: Resultsmentioning

confidence: 99%

The effectiveness of interventions to improve the care and management of people with dementia in general hospitals: A systematic review

Feast

White

Candy

et al. 2020

Int J Geriat Psychiatry

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Background People with dementia are at greater risk of being admitted to hospital where care may not be tailored to their needs. Interventions improving care and management are vital. Aim Assess the effectiveness of interventions designed to improve the care and management of people with dementia in hospital. Method Six medical and trial registry, and grey literature databases were searched (1999‐1998/2018). Search terms included “Dementia,” “Hospital,” and “Intervention” and limited to experimental designs. Interventions designed to improve the care and management of people with dementia in the general hospital setting were examined. Outcomes included behavioural and psychological symptoms of dementia (BPSD), psychosocial, clinical, staff knowledge, and length of hospital stay. The CASP tools, Cochrane risk of bias tool, and GRADE system assessed methodological quality and certainty of evidence. Results 9003 unique citations were identified; 24 studies were included. Studies were limited in study design and their conduct was at a risk of bias. There is very low‐quality evidence that multisensory behaviour therapy reduces BPSD. There is low‐quality evidence that a multidisciplinary programme reduces postoperative complications and that robot‐assisted therapy, music therapy, multimodal‐comprehensive care, person‐centred care, and family‐centred function‐focused care interventions improved staff knowledge, competence, efficacy, and communication. No studies reported reduced length of stay. Conclusions Whilst we found that these interventions improved the care and management of people with dementia in hospital, it was low‐ to very low‐quality evidence. New clinical recommendations cannot be made based on current evidence, and robust trial designs are necessary to inform evidence‐based care.

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Pilot Testing an Educational Intervention to Improve Communication With Patients With Dementia

Cited by 15 publications

References 10 publications

Communication training interventions for family and professional carers of people living with dementia: a systematic review of effectiveness, acceptability and conceptual basis

Communication training interventions for family and professional carers of people living with dementia: a systematic review of effectiveness, acceptability and conceptual basis

Behavioral and Psychological Symptoms of Dementia

The effectiveness of interventions to improve the care and management of people with dementia in general hospitals: A systematic review

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