Snoezelen, structured reminiscence therapy and 10-minutes activation in long term care residents with dementia (WISDE): study protocol of a cluster randomized controlled trial

Berg, Almuth; Sadowski, Katharina; Beyrodt, Melanie; Hanns, Stephanie; Zimmermann, Markus; Langer, Gero; Becker, Christiane; Lautenschläger, Christine; Behrens, Johann

doi:10.1186/1471-2318-10-5

Cited by 18 publications

(15 citation statements)

References 21 publications

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“…None of these articles gave more explicit information about the pre-study diagnostic procedure or about whether an existing diagnosis was confirmed by the attending physician. In 14 articles, neither the definition of dementia and/or its diagnostic criteria were reported; in addition, no information was provided about the diagnostic procedure that had been undertaken prior to the study [ 42 – 45 , 47 , 82 – 90 ].…”

Section: Resultsmentioning

confidence: 99%

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People with dementia in nursing home research: a methodological review of the definition and identification of the study population

et al. 2016

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BackgroundThere are various definitions and diagnostic criteria for dementia, leading to discrepancies in case ascertainment in both clinical practice and research. We reviewed the different definitions, approaches and measurements used to operationalize dementia in health care studies in German nursing homes with the aim of discussing the implications of different approaches.MethodsWe conducted a systematic search of the MEDLINE and CINAHL databases to identify pre-2016 studies conducted in German nursing homes that focused on residents with dementia or cognitive impairment. In- or exclusion of studies were consented by all authors; data extraction was independently carried out by 2 authors (RP, SJ). The studies’ sampling methods were compared with respect to their inclusion criteria, assessment tools and methods used to identify the study population.ResultsWe summarized case ascertainment methods from 64 studies. Study participants were identified based on a diagnosis that was evaluated during the study, or a recorded medical dementia diagnosis, or a recorded medical diagnosis either with additional cognitive screenings or using screening tests exclusively. The descriptions of the diagnostics that were applied to assess a diagnosis of dementia were not fully transparent in most of the studies with respect to either a clear reference definition of dementia or applied diagnostic criteria. If reported, various neuropsychological tests were used, mostly without a clear rationale for their selection.ConclusionPragmatic considerations often determine the sampling strategy; they also may explain the variances we detected in the different studies. Variations in sampling methods impede the comparability of study results. There is a need to consent case ascertainment strategies in dementia studies in health service research in nursing homes. These strategies should consider resource constraints and ethical issues that are related to the vulnerable population of nursing home residents. Additionally, reporting about dementia studies in nursing homes need to be improved. If a diagnosis cannot be evaluated based on either ICD or DSM criteria, the study population may not be reported as having dementia. If a diagnosis is evaluated based on ICD or DSM criteria within the study, there is a need for more transparency of the diagnostic process.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-016-0249-7) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

“…In 17 articles, it was reported that in addition to the recorded diagnosis or performed screenings, exclusion criteria were also used in the study [ 48 – 51 , 53 , 76 – 80 , 82 , 85 – 90 ]. These comprised other neurological or psychiatric diseases that could cause CI.…”

Section: Resultsmentioning

confidence: 99%

People with dementia in nursing home research: a methodological review of the definition and identification of the study population

et al. 2016

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“…This process allows synthesizing the contributions and challenges arising from its multiple phases. With regard to Phase I (preliminary development), in order to identify the strengths and limitations of existing programs, a body of emerging evidence based on primary studies and systematic literature reviews (Berg et al, 2010;Stinson, 2009) were analyzed, with and without meta-analysis. This analysis confirmed the therapeutic potential of RT for the promotion of mental health among older people.…”

Section: Methodsmentioning

confidence: 99%

“…For example, Gonçalves (2006) focused on older people with depressive symptoms, and Lopes, Afonso, and Ribeiro (2013) used individual interventions based on spontaneous memories. However, since none of these studies used standardized RT programs, research in this area calls for the development of a well--structured and replicable program (Berg et al, 2010;Stinson, 2009). In view of the above, the guidelines and recommendations of the Medical Research Council (Craig et al, 2008) for the development of complex interventions were followed to develop and validate an RT program to be applied to older people with cognitive impairment in institutional settings.…”

Section: Introductionmentioning

confidence: 99%

Reminiscence therapy: development of a program for institutionalized older people with cognitive impairment

Gil¹,

Santos-Costa²,

Bobrowicz-Campos³

et al. 2017

Rev. Enf. Ref.

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Background: The lack of structured intervention programs aimed at older people with cognitive impairment in Portugal has been identified as one of the main obstacles to the effectiveness of reminiscence therapy (RT) programs in institutional settings. Thus, well-defined and replicable RT programs should be developed and validated to fill in the gap. Objectives: To develop and validate an RT program. Methodology: The Medical Research Council framework for the development of complex interventions was followed. The program was developed in four distinct phases, including preliminary phase, modeling, field testing, and consensus conference. Results:The validation process resulted in a program consisting of a core component and a follow-up component, in a total of 21 sessions for group intervention. Conclusion: The RT program, which was designed and validated during this study, demonstrated characteristics adjusted to the context and the construct was meaningful to the target population. The effectiveness of the RT program will be tested in a future pilot study.

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“…O local de seleção da amostra do estudo geralmente era em casas de repouso, intervindo com pessoas que estavam em diferentes estágios da demência, podendo ter ou não um grupo controle ou outra abordagem não farmacológica (ANDERSON et al, 2011;BAILLY;POINTEREAU, 2011;BAUER et al, 2012BAUER et al, , 2015BERG et al, 2010;COLLIER et al, 2010;CRUZ et al, 2013;KLAGES et al 2011;MARQUES et al, 2013;MASEDA et al, 2014b;SANCHEZ et al, 2013). Esses estudos também diferiram quanto ao desenho metodológico (tamanho amostral, protocolos de avaliação utilizados e estruturação das sessões -duração, frequência e tempo de permanência na sala) e efeitos a longo prazo não eram conclusivos, sendo recomendados estudos futuros (MACHADO et al, 2016).…”

Section: Variáveis Interferentesunclassified

Estimulação multissensorial no tratamento de idosos com demência

Machado¹

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Introduction: Dementia is caused by the brain cells progressive dysfunction and death; the affected subjects may develop functional capacity losses, cognitive impairment and neuropsychiatric symptoms. This may hinder therapeutic approaches with non-pharmacological resources. Primary senses multisensory stimulation shows promise as a complementary treatment for the behavioral and psychological symptoms of dementia. Objective: To investigate the effects of multisensory stimulation (MSE) on the elderly with moderate to severe dementia in related to behavioral changes, mood and interaction with the sensory and institutional environment, when compared to a control group not submitted to MSE interventions. Materials and Method: This study is an interventional, controlled, non-randomized, parallel, open-label, quasi-experimental, quantitative and qualitative nature and exploratory clinical trial. Sample: 20 elderly, in average 83 years old; 17 women and 3 men; schooling average was 3 years; diagnosed with moderate or severe dementia and have been institutionalized for about 4 years in a nursing home in the city of Ribeirão Preto.

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Snoezelen, structured reminiscence therapy and 10-minutes activation in long term care residents with dementia (WISDE): study protocol of a cluster randomized controlled trial

Cited by 18 publications

References 21 publications

People with dementia in nursing home research: a methodological review of the definition and identification of the study population

People with dementia in nursing home research: a methodological review of the definition and identification of the study population

Reminiscence therapy: development of a program for institutionalized older people with cognitive impairment

Estimulação multissensorial no tratamento de idosos com demência

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