Psychosocial interventions for people with a milder dementing illness: a systematic review
Identifieur interne : 000247 ( Istex/Corpus ); précédent : 000246; suivant : 000248Psychosocial interventions for people with a milder dementing illness: a systematic review
Auteurs : Jane Bates ; Jonathan Boote ; Catherine BeverleySource :
- Journal of Advanced Nursing [ 0309-2402 ] ; 2004-03.
English descriptors
- KwdEn :
Abstract
Introduction. Over the last three decades, interest has grown in the use of psychosocial interventions for people with dementia. Empirical studies and systematic reviews have been undertaken on a range of such interventions to examine their effectiveness. However, little account has been taken of the appropriateness of psychosocial interventions for people in different stages of the illness. This raises important questions about the degree to which the research evidence can be generalized for people in the milder and the more severe stages of dementia. This systematic review was undertaken therefore to investigate the effectiveness of psychosocial interventions for people with a milder dementing illness.
Methods. A comprehensive search was undertaken using all the major health care databases, as well as various grey literature sources. For studies to be included in the review, they must have investigated the effect of one or more psychosocial intervention on people with a milder dementing illness, employing a controlled trial design, and measuring outcomes such as cognitive ability, communication, functional performance and well‐being. Identified studies were critically appraised, and where suitable for inclusion, data were extracted.
Results. Four studies met the final inclusion criteria for the review, and covered three psychosocial interventions: reality orientation, procedural memory stimulation and counselling. No evidence was found for the effectiveness of counselling and procedural memory stimulation on the outcome measures used. However, some evidence was found that reality orientation is effective in improving cognitive ability, with a demonstrable long‐term gain using follow‐up data.
Conclusions. The review provides some evidence for the use of reality orientation for people in the milder stages of dementia. However, due to the small sample sizes in all the included studies, more research is needed into the effectiveness of psychosocial interventions for this client group. Implications for nursing practice are discussed, and recommendations for future research are set out.
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DOI: 10.1046/j.1365-2648.2003.02959.x
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Over the last three decades, interest has grown in the use of psychosocial interventions for people with dementia. Empirical studies and systematic reviews have been undertaken on a range of such interventions to examine their effectiveness. However, little account has been taken of the appropriateness of psychosocial interventions for people in different stages of the illness. This raises important questions about the degree to which the research evidence can be generalized for people in the milder and the more severe stages of dementia. This systematic review was undertaken therefore to investigate the effectiveness of psychosocial interventions for people with a milder dementing illness.</div><div type="abstract">Methods. A comprehensive search was undertaken using all the major health care databases, as well as various grey literature sources. For studies to be included in the review, they must have investigated the effect of one or more psychosocial intervention on people with a milder dementing illness, employing a controlled trial design, and measuring outcomes such as cognitive ability, communication, functional performance and well‐being. Identified studies were critically appraised, and where suitable for inclusion, data were extracted.</div><div type="abstract">Results. Four studies met the final inclusion criteria for the review, and covered three psychosocial interventions: reality orientation, procedural memory stimulation and counselling. No evidence was found for the effectiveness of counselling and procedural memory stimulation on the outcome measures used. However, some evidence was found that reality orientation is effective in improving cognitive ability, with a demonstrable long‐term gain using follow‐up data.</div><div type="abstract">Conclusions. The review provides some evidence for the use of reality orientation for people in the milder stages of dementia. However, due to the small sample sizes in all the included studies, more research is needed into the effectiveness of psychosocial interventions for this client group. Implications for nursing practice are discussed, and recommendations for future research are set out.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Jane Bates BA RMN</name><affiliations><json:string>Day Hospital Manager, Vale Day Hospital, Abingdon Mental Health Centre, Abingdon, Oxfordshire, UK</json:string></affiliations></json:item><json:item><name>Jonathan Boote MA MSc PhD</name><affiliations><json:string>Research Officer, Clinical Effectiveness Directorate, Sheffield Care Trust; and Honorary Research Fellow, School of Health and Related Research, University of Sheffield, Sheffield, UK</json:string></affiliations></json:item><json:item><name>Catherine Beverley BSc MSc MCLIP</name><affiliations><json:string>Systematic Reviews Information Officer, School of Health and Related Research, University of Sheffield, Sheffield, UK</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>nursing</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dementia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>psychosocial interventions</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>reality orientation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>counselling</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>procedural memory stimulation</value></json:item></subject><articleId><json:string>JAN2959</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><qualityIndicators><score>6.748</score><pdfVersion>1.4</pdfVersion><pdfPageSize>595 x 782 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>714</abstractCharCount><pdfWordCount>8105</pdfWordCount><pdfCharCount>53865</pdfCharCount><pdfPageCount>15</pdfPageCount><abstractWordCount>104</abstractWordCount></qualityIndicators><title>Psychosocial interventions for people with a milder dementing illness: a systematic review</title><genre><json:string>article</json:string></genre><host><volume>45</volume><publisherId><json:string>JAN</json:string></publisherId><pages><total>15</total><last>658</last><first>644</first></pages><issn><json:string>0309-2402</json:string></issn><issue>6</issue><genre><json:string>journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1365-2648</json:string></eissn><title>Journal of Advanced Nursing</title><doi><json:string>10.1111/(ISSN)1365-2648</json:string></doi></host><categories><wos><json:string>social science</json:string><json:string>nursing</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>public health & health services</json:string><json:string>nursing</json:string></scienceMetrix></categories><publicationDate>2004</publicationDate><copyrightDate>2004</copyrightDate><doi><json:string>10.1046/j.1365-2648.2003.02959.x</json:string></doi><id>EEC8CEAE48ABDB756883E35C38E39A3DB7BAAF76</id><score>0.123701096</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/EEC8CEAE48ABDB756883E35C38E39A3DB7BAAF76/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/EEC8CEAE48ABDB756883E35C38E39A3DB7BAAF76/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/EEC8CEAE48ABDB756883E35C38E39A3DB7BAAF76/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Psychosocial interventions for people with a milder dementing illness: a systematic review</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Science Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><p>WILEY</p></availability><date>2004</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Psychosocial interventions for people with a milder dementing illness: a systematic review</title><author xml:id="author-1"><persName><forename type="first">Jane</forename><surname>Bates</surname></persName><roleName type="degree">BA RMN</roleName><affiliation>Day Hospital Manager, Vale Day Hospital, Abingdon Mental Health Centre, Abingdon, Oxfordshire, UK</affiliation></author><author xml:id="author-2"><persName><forename type="first">Jonathan</forename><surname>Boote</surname></persName><roleName type="degree">MA MSc PhD</roleName><affiliation>Research Officer, Clinical Effectiveness Directorate, Sheffield Care Trust; and Honorary Research Fellow, School of Health and Related Research, University of Sheffield, Sheffield, UK</affiliation></author><author xml:id="author-3"><persName><forename type="first">Catherine</forename><surname>Beverley</surname></persName><roleName type="degree">BSc MSc MCLIP</roleName><affiliation>Systematic Reviews Information Officer, School of Health and Related Research, University of Sheffield, Sheffield, UK</affiliation></author></analytic><monogr><title level="j">Journal of Advanced Nursing</title><idno type="pISSN">0309-2402</idno><idno type="eISSN">1365-2648</idno><idno type="DOI">10.1111/(ISSN)1365-2648</idno><imprint><publisher>Blackwell Science Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2004-03"></date><biblScope unit="volume">45</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="644">644</biblScope><biblScope unit="page" to="658">658</biblScope></imprint></monogr><idno type="istex">EEC8CEAE48ABDB756883E35C38E39A3DB7BAAF76</idno><idno type="DOI">10.1046/j.1365-2648.2003.02959.x</idno><idno type="ArticleID">JAN2959</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2004</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Introduction. Over the last three decades, interest has grown in the use of psychosocial interventions for people with dementia. Empirical studies and systematic reviews have been undertaken on a range of such interventions to examine their effectiveness. However, little account has been taken of the appropriateness of psychosocial interventions for people in different stages of the illness. This raises important questions about the degree to which the research evidence can be generalized for people in the milder and the more severe stages of dementia. This systematic review was undertaken therefore to investigate the effectiveness of psychosocial interventions for people with a milder dementing illness.</p></abstract><abstract><p>Methods. A comprehensive search was undertaken using all the major health care databases, as well as various grey literature sources. For studies to be included in the review, they must have investigated the effect of one or more psychosocial intervention on people with a milder dementing illness, employing a controlled trial design, and measuring outcomes such as cognitive ability, communication, functional performance and well‐being. Identified studies were critically appraised, and where suitable for inclusion, data were extracted.</p></abstract><abstract><p>Results. Four studies met the final inclusion criteria for the review, and covered three psychosocial interventions: reality orientation, procedural memory stimulation and counselling. No evidence was found for the effectiveness of counselling and procedural memory stimulation on the outcome measures used. However, some evidence was found that reality orientation is effective in improving cognitive ability, with a demonstrable long‐term gain using follow‐up data.</p></abstract><abstract><p>Conclusions. The review provides some evidence for the use of reality orientation for people in the milder stages of dementia. However, due to the small sample sizes in all the included studies, more research is needed into the effectiveness of psychosocial interventions for this client group. Implications for nursing practice are discussed, and recommendations for future research are set out.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>nursing</term></item><item><term>dementia</term></item><item><term>psychosocial interventions</term></item><item><term>reality orientation</term></item><item><term>counselling</term></item><item><term>procedural memory stimulation</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2004-03">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/EEC8CEAE48ABDB756883E35C38E39A3DB7BAAF76/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Science Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2648</doi><issn type="print">0309-2402</issn><issn type="electronic">1365-2648</issn><idGroup><id type="product" value="JAN"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF ADVANCED NURSING">Journal of Advanced Nursing</title></titleGroup></publicationMeta><publicationMeta level="part" position="03006"><doi origin="wiley">10.1111/jan.2004.45.issue-6</doi><numberingGroup><numbering type="journalVolume" number="45">45</numbering><numbering type="journalIssue" number="6">6</numbering></numberingGroup><coverDate startDate="2004-03">March 2004</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0064400" status="forIssue"><doi origin="wiley">10.1046/j.1365-2648.2003.02959.x</doi><idGroup><id type="unit" value="JAN2959"></id></idGroup><countGroup><count type="pageTotal" number="15"></count></countGroup><titleGroup><title type="tocHeading1">Integrative literature reviews and meta‐analyses</title></titleGroup><eventGroup><event type="firstOnline" date="2004-03-10"></event><event type="publishedOnlineFinalForm" date="2004-03-10"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.5 mode:FullText source:FullText result:FullText" date="2010-04-07"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-28"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="644">644</numbering><numbering type="pageLast" number="658">658</numbering></numberingGroup><correspondenceTo><i>Jonathan Boote,
School of Health and Related Research,
University of Sheffield,
Sheffield,
South Yorkshire S1 4DA,
UK.
E‐mail: </i><email>j.d.boote@sheffield.ac.uk</email></correspondenceTo><objectNameGroup><objectName elementName="appendix">Appendices</objectName></objectNameGroup><linkGroup><link type="toTypesetVersion" href="file:JAN.JAN2959.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Submitted for publication 24 April 2003 Accepted for publication 30 October 2003</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="6"></count></countGroup><titleGroup><title type="main">Psychosocial interventions for people with a milder dementing illness: a systematic review</title><title type="shortAuthors"><i>J. Bates</i> et al.</title><title type="short"><i>Psychosocial interventions for people with milder dementing illness</i></title></titleGroup><creators><creator creatorRole="author" xml:id="cr1"><personName><givenNames>Jane</givenNames><familyName>Bates</familyName><degrees>BA RMN</degrees></personName></creator><creator creatorRole="author" xml:id="cr2"><personName><givenNames>Jonathan</givenNames><familyName>Boote</familyName><degrees>MA MSc PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr3"><personName><givenNames>Catherine</givenNames><familyName>Beverley</familyName><degrees>BSc MSc MCLIP</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="aff-1-1" countryCode="GB"><unparsedAffiliation>Day Hospital Manager, Vale Day Hospital, Abingdon Mental Health Centre, Abingdon, Oxfordshire, UK</unparsedAffiliation></affiliation><affiliation xml:id="aff-1-2" countryCode="GB"><unparsedAffiliation>Research Officer, Clinical Effectiveness Directorate, Sheffield Care Trust; and Honorary Research Fellow, School of Health and Related Research, University of Sheffield, Sheffield, UK</unparsedAffiliation></affiliation><affiliation xml:id="aff-1-3" countryCode="GB"><unparsedAffiliation>Systematic Reviews Information Officer, School of Health and Related Research, University of Sheffield, Sheffield, UK</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">nursing</keyword><keyword xml:id="k2">dementia</keyword><keyword xml:id="k3">psychosocial interventions</keyword><keyword xml:id="k4">reality orientation</keyword><keyword xml:id="k5">counselling</keyword><keyword xml:id="k6">procedural memory stimulation</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><!-- bates j., boote j. & beverley c. (2004)  Journal of Advanced Nursing45(6), 644–658
Psychosocial interventions for people with a milder dementing illness: a systematic review<p><b>Introduction. </b> Over the last three decades, interest has grown in the use of psychosocial interventions for people with dementia. Empirical studies and systematic reviews have been undertaken on a range of such interventions to examine their effectiveness. However, little account has been taken of the appropriateness of psychosocial interventions for people in different stages of the illness. This raises important questions about the degree to which the research evidence can be generalized for people in the milder and the more severe stages of dementia. This systematic review was undertaken therefore to investigate the effectiveness of psychosocial interventions for people with a milder dementing illness.</p><p><b>Methods. </b> A comprehensive search was undertaken using all the major health care databases, as well as various grey literature sources. For studies to be included in the review, they must have investigated the effect of one or more psychosocial intervention on people with a milder dementing illness, employing a controlled trial design, and measuring outcomes such as cognitive ability, communication, functional performance and well‐being. Identified studies were critically appraised, and where suitable for inclusion, data were extracted.</p><p><b>Results. </b> Four studies met the final inclusion criteria for the review, and covered three psychosocial interventions: reality orientation, procedural memory stimulation and counselling. No evidence was found for the effectiveness of counselling and procedural memory stimulation on the outcome measures used. However, some evidence was found that reality orientation is effective in improving cognitive ability, with a demonstrable long‐term gain using follow‐up data.</p><p><b>Conclusions. </b> The review provides some evidence for the use of reality orientation for people in the milder stages of dementia. However, due to the small sample sizes in all the included studies, more research is needed into the effectiveness of psychosocial interventions for this client group. Implications for nursing practice are discussed, and recommendations for future research are set out.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Psychosocial interventions for people with a milder dementing illness: a systematic review</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Psychosocial interventions for people with milder dementing illness</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Psychosocial interventions for people with a milder dementing illness: a systematic review</title></titleInfo><name type="personal"><namePart type="given">Jane</namePart><namePart type="family">Bates</namePart><namePart type="termsOfAddress">BA RMN</namePart><affiliation>Day Hospital Manager, Vale Day Hospital, Abingdon Mental Health Centre, Abingdon, Oxfordshire, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jonathan</namePart><namePart type="family">Boote</namePart><namePart type="termsOfAddress">MA MSc PhD</namePart><affiliation>Research Officer, Clinical Effectiveness Directorate, Sheffield Care Trust; and Honorary Research Fellow, School of Health and Related Research, University of Sheffield, Sheffield, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Catherine</namePart><namePart type="family">Beverley</namePart><namePart type="termsOfAddress">BSc MSc MCLIP</namePart><affiliation>Systematic Reviews Information Officer, School of Health and Related Research, University of Sheffield, Sheffield, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Science Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2004-03</dateIssued><edition>Submitted for publication 24 April 2003 Accepted for publication 30 October 2003</edition><copyrightDate encoding="w3cdtf">2004</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">6</extent></physicalDescription><abstract>Introduction. Over the last three decades, interest has grown in the use of psychosocial interventions for people with dementia. Empirical studies and systematic reviews have been undertaken on a range of such interventions to examine their effectiveness. However, little account has been taken of the appropriateness of psychosocial interventions for people in different stages of the illness. This raises important questions about the degree to which the research evidence can be generalized for people in the milder and the more severe stages of dementia. This systematic review was undertaken therefore to investigate the effectiveness of psychosocial interventions for people with a milder dementing illness.</abstract><abstract>Methods. A comprehensive search was undertaken using all the major health care databases, as well as various grey literature sources. For studies to be included in the review, they must have investigated the effect of one or more psychosocial intervention on people with a milder dementing illness, employing a controlled trial design, and measuring outcomes such as cognitive ability, communication, functional performance and well‐being. Identified studies were critically appraised, and where suitable for inclusion, data were extracted.</abstract><abstract>Results. Four studies met the final inclusion criteria for the review, and covered three psychosocial interventions: reality orientation, procedural memory stimulation and counselling. No evidence was found for the effectiveness of counselling and procedural memory stimulation on the outcome measures used. However, some evidence was found that reality orientation is effective in improving cognitive ability, with a demonstrable long‐term gain using follow‐up data.</abstract><abstract>Conclusions. The review provides some evidence for the use of reality orientation for people in the milder stages of dementia. However, due to the small sample sizes in all the included studies, more research is needed into the effectiveness of psychosocial interventions for this client group. Implications for nursing practice are discussed, and recommendations for future research are set out.</abstract><subject lang="en"><genre>keywords</genre><topic>nursing</topic><topic>dementia</topic><topic>psychosocial interventions</topic><topic>reality orientation</topic><topic>counselling</topic><topic>procedural memory stimulation</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Advanced Nursing</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0309-2402</identifier><identifier type="eISSN">1365-2648</identifier><identifier type="DOI">10.1111/(ISSN)1365-2648</identifier><identifier type="PublisherID">JAN</identifier><part><date>2004</date><detail type="volume"><caption>vol.</caption><number>45</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>644</start><end>658</end><total>15</total></extent></part></relatedItem><identifier type="istex">EEC8CEAE48ABDB756883E35C38E39A3DB7BAAF76</identifier><identifier type="DOI">10.1046/j.1365-2648.2003.02959.x</identifier><identifier type="ArticleID">JAN2959</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Science Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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