scholarly journals Potential of telepresence robots to enhance social connectedness in older adults with dementia: an integrative review of feasibility

2017 ◽  
Vol 29 (12) ◽  
pp. 1951-1964 ◽  
Author(s):  
Wendy Moyle ◽  
Urska Arnautovska ◽  
Tamara Ownsworth ◽  
Cindy Jones
Keyword(s):  
Social Connectedness ◽  
Feasibility Studies ◽  
Dementia Care ◽  
Integrative Review ◽  
Cochrane Library ◽  
Social Connection ◽  
Assistive Robots ◽  
People With Dementia ◽  
Telepresence Robots ◽  
The Cochrane Library

ABSTRACTBackground:Socially assistive robots are increasingly used as a therapeutic tool for people with dementia, as a means to improve quality of life through social connection. This paper presents a mixed-method integrative review of telepresence robots used to improve social connection of people with dementia by enabling real-time communication with their carers.Methods:A systematic search of Medline, ProQuest, PubMed, Scopus, Web of Science, CINAHL, EMBASE, and the Cochrane library was conducted to gather available evidence on the use of telepresence robots, specifically videoconferencing, to improve social connectedness, in people with dementia. A narrative synthesis was used to analyze the included studies.Results:A review of 1,035 records, identified four eligible peer-reviewed publications, reporting findings about three different mobile telepresence robots. The study designs included qualitative and mixed-methods approaches, focusing primarily on examining the feasibility and acceptability of the telepresence robots within the context of dementia care. These studies reported both positive outcomes of using telepresence robots to connect people with dementia to others, as well as barriers, such as a lack of experience in using a robot and technological issues.Conclusion:Although limited, the current literature suggests that telepresence robots have potential utility for improving social connectedness of people with dementia and their carers. However, more systematic feasibility studies are needed to inform the development of telepresence robots followed by clinical trials to establish efficacy within dementia care.

scholarly journals Factors determining eligibility and access to subacute rehabilitation for elderly people with dementia and hip fracture

Dementia ◽  
2015 ◽  
Vol 16 (4) ◽  
pp. 413-423 ◽  
Author(s):  
Rosemary A McFarlane ◽  
Stephen T Isbel ◽  
Maggie I Jamieson
Keyword(s):  
Hip Fracture ◽  
Best Practice ◽  
Inpatient Rehabilitation ◽  
Models Of Care ◽  
Cochrane Library ◽  
Ageing Population ◽  
Barriers To Access ◽  
People With Dementia ◽  
Vulnerable Patients ◽  
The Cochrane Library

With hip fracture and dementia increasing in incidence in the global ageing population, there is a need for the development of specific procedures targeting optimal treatment outcomes for these patients. This paper looks primarily at the factors that limit access to subacute rehabilitation services as a growing body of evidence suggests that access to timely inpatient rehabilitation increases functional outcomes for patients both with dementia and without. Information was gathered by searching electronic data bases (SCOPUS, Medline, CINAHL, Health Source Nursing/Academic Addition, Psychinfo and the Cochrane Library) for relevant articles using the search terms dementia OR Alzheimer* AND hip fracture AND subacute rehabilitation OR convalescence for the period 2005–2015. Abstracts were scanned to identify articles discussing eligibility and access. A total of nine papers were identified that directly addressed this topic. Other papers discussing success or failure of rehabilitation and improved models of care were also reviewed. Barriers to access discussed in the literature include information management, management of comorbidities, attitudes, resource availability, and the quality of evidence and education. By identifying these factors we can identify strategic points of intervention across the trajectory of prevention, treatment and rehabilitation that may improve outcomes for this growing group of vulnerable patients. Emerging best practice for these patients is also discussed.

scholarly journals A systematic meta-review of self-management support for people with dementia

Dementia ◽  
2018 ◽  
Vol 19 (2) ◽  
pp. 253-269
Author(s):  
Judith G Huis in het Veld ◽  
Renate Verkaik ◽  
Berno van Meijel ◽  
Anneke L Francke
Keyword(s):  
Systematic Reviews ◽  
Well Being ◽  
Self Management ◽  
Cochrane Library ◽  
Future Research ◽  
Management Support ◽  
People With Dementia ◽  
Literature Searches ◽  
Meta Review ◽  
The Cochrane Library

Self-management support for people with dementia is important to help them and their family caregivers to cope with challenges in daily live. Insight into the effects of self-management support interventions on people with dementia is however lacking, despite existing relevant systematic reviews. We therefore conducted a meta-review of relevant systematic reviews, following the PRISMA statement. Systematic literature searches were conducted in PubMed, CINAHL, the Cochrane Library, Embase and PsycINFO. The searches were done in December 2015, and all relevant references until then were taken into consideration. No conclusions about the effects of self-management support interventions on people with dementia could be drawn. Recommendations for future research and practice include that self-management support interventions and effect measurements should be wider in scope than psychological well-being.

scholarly journals Chemotherapy-induced peripheral neuropathies: an integrative review of the literature

2015 ◽  
Vol 49 (2) ◽  
pp. 0335-0345 ◽  
Author(s):  
Talita Cassanta Costa ◽  
Miriam Lopes ◽  
Anna Cláudia Yokoyama dos Anjos ◽  
Marcia Maria Fontão Zago
Keyword(s):  
Latin American ◽  
Health Sciences ◽  
Integrative Review ◽  
Cochrane Library ◽  
Peripheral Neuropathies ◽  
Review Of The Literature ◽  
Electronic Library ◽  
The Cochrane Library ◽  
Chemotherapy Agents ◽  
Positive Results

OBJECTIVE: To identify scientific studies and to deepen the knowledge of peripheral neuropathies induced by chemotherapy antineoplastic, seeking evidence for assistance to cancer patients. METHOD: Integrative review of the literature conducted in the databases Latin American and Caribbean Health Sciences (LILACS), Scientific Electronic Library Online (SciELO), Medical Literature Analysis (PubMed/MEDLINE), the Cochrane Library and the Spanish Bibliographic Index Health Sciences (IBECS). RESULTS: The sample consisted of 15 studies published between 2005-2014 that met the inclusion criteria. Studies showed aspects related to advanced age, main symptoms of neuropathy and chemotherapy agents as important adverse effect of neuropathy. CONCLUSION: We identified a small number of studies that addressed the topic, as well as low production of evidence related to interventions with positive results. It is considered important to develop new studies proposed for the prevention and/or treatment, enabling adjustment of the patient's cancer chemotherapy and consequently better service.

scholarly journals INTERVENTIONS TO DECREASE CATHETER-ASSOCIATED BLOODSTREAM INFECTIONS IN NEWBORNS: AN INTEGRATIVE REVIEW

2017 ◽  
Vol 26 (1) ◽  
Author(s):  
Gabriela Ramos Ferreira Curan ◽  
Edilaine Giovanini Rossetto
Keyword(s):  
Bloodstream Infection ◽  
Scientific Evidence ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Integrative Review ◽  
Cochrane Library ◽  
Evidence Based ◽  
Central Catheter ◽  
Care Bundles ◽  
The Cochrane Library

ABSTRACT Objective: to perform an integrative review of strategies presented in care bundles to decrease central catheter-associated bloodstream infection among newborns. . Method a search was conducted of the Cochrane Library, IBECS, PubMed, Lilacs, Medline and Scielo catalogues, using the terms "bundle", "catheter-related infection", "infection control", "prevention", "evidence-based nursing"," evidence-based medicine" and" central venous catheter". Inclusion criteria were: papers published from 2009 to April 2014; written in Portuguese, English or Spanish; addressing both neonatal and pediatric populations or just neonatal populations; describing the use and/or assessing care bundles or protocols to control central catheter-associated infection. Results fifteen studies published between 2009 and 2013 were selected. The main information extracted from the studies was systematized as: 1) measures adopted to prevent central catheter-associated bloodstream infection according to level of scientific evidence, and 2) strategies used to implement evidence into health practice. Conclusion there was a variety of practices adopted, some of which are consistent with scientific evidence and some of which are not. Systematization conducted in this study is expected to contribute to practice, facilitating the use of the best evidence in each context, and research indicating gaps in knowledge to be explored in future studies

scholarly journals Strategies for implementing music-based interventions for people with dementia: A systematic review

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 644-644
Author(s):  
Takashi Amano ◽  
Joe Strong ◽  
Cole Hooley ◽  
Megumi Inoue
Keyword(s):  
Nursing Home ◽  
Structural Changes ◽  
Nursing Home Residents ◽  
Implementation Strategies ◽  
Cochrane Library ◽  
Qualitative Synthesis ◽  
Intervention Delivery ◽  
People With Dementia ◽  
Implementation Studies ◽  
The Cochrane Library

Abstract Previous research has found that music-based interventions are effective at improving several outcomes related to dementia for nursing home residents. Some studies have investigated the implementation of music-based interventions. However, to date, there is no synthesis available regarding strategies and outcomes of these implementation studies. This study aims to synthesize available evidence regarding implementation strategies and outcomes of music-based interventions for nursing home residents with dementia. We conducted a systematic literature search in PsychInfo, PubMed, MEDLINE, CINAHL, and The Cochrane Library. A total of 8 studies were included for the qualitative synthesis. Of the eight studies, half were studies of music therapy and the other half were on individualized music. We identified 49 implementation strategies. The most frequently reported category of strategies was planning (34.7%), followed by education (24.5%), quality management (24.5%), restructuring (12.2%), and finance (4.1%). No strategies under the category of attending to the policy context were reported. We identified 21 implementation outcomes. The most frequently reported category was adoption (33.3%), followed by fidelity (28.6%), appropriateness (19.0%), sustainability (9.5%), acceptability (4.8%), and cost (4.8%). No studies measured feasibility or penetration. Although various implementation strategies have been utilized, most of them are under the categories related to intervention methods. Less attention has been paid to strategies that aim at structural changes of intervention delivery systems. Future studies should investigate facilitators and barriers of implementing music-based interventions especially focusing on organizational and structural aspects.

scholarly journals MUSIC IN THE CARE OF CHILDREN AND ADOLESCENTS WITH CANCER: INTEGRATIVE REVIEW

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Lara Adrianne Garcia Paiano da Silva ◽  
Fátima Denise Padilha Baran ◽  
Nen Nalú Alves das Mercês
Keyword(s):  
Children And Adolescents ◽  
Well Being ◽  
Complementary Therapy ◽  
Health Care Team ◽  
Integrative Review ◽  
Cochrane Library ◽  
Pain Anxiety ◽  
Positive Effects ◽  
The Cochrane Library ◽  
Anxiety Depression

ABSTRACT Integrative review which goal was to identify the scientific production published about the use of music in the care in health of children and adolescents with cancer from 2004 to 2014. The search was conducted in SciELO, LILACS, BDENF, MEDLINE, PubMed and The Cochrane Library databases. Seven studies were selected, which showed positive effects in the use of the music such as decrease of pain, anxiety, depression and showed that the music can bring benefits to the patient and their families. Two categories were defined on the use and effects of music and the patients' perspective, parents and professionals about this practice were elaborated. It was concluded that the use of music as a complementary therapy can improve child and adolescent's physical and mental well-being in face of serious illness and its treatment, and helps to strengthen the bond between the patient and his family, as well as the health care team.

scholarly journals Decision aids to support decision-making in dementia care: a systematic review

2019 ◽  
Vol 31 (10) ◽  
pp. 1403-1419 ◽  
Author(s):  
Nathan Davies ◽  
Brooke Schiowitz ◽  
Greta Rait ◽  
Victoria Vickerstaff ◽  
Elizabeth L. Sampson
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Decision Aid ◽  
Meta Analysis ◽  
Decision Aids ◽  
Mode Of Delivery ◽  
Decisional Conflict ◽  
Dementia Care ◽  
Cochrane Library ◽  
People With Dementia

ABSTRACTObjectives:We aimed to critically evaluate decision aids developed for practitioners and caregivers when providing care for someone with dementia or for use by people with dementia themselves. Decision aids may be videos, booklets, or web-based tools that explicitly state the decision, provide information about the decision, and summarize options along with associated benefits and harms. This helps guide the decision maker through clarifying the values they place on the benefits or harms of the options.Design:We conducted a systematic review of peer-reviewed literature in electronic databases (CINAHL, The Cochrane Library, EMBASE, MEDLINE, and PsychINFO) in March 2018. Reference lists were searched for relevant papers and citations tracked. Data were synthesized with meta-analysis and narrative synthesis. Papers were included if they met the following criteria: 1) the focus of the paper was on the evaluation of a decision aid; 2) the decision aid was used in dementia care; and 3) the decision aid was aimed at professionals, people with dementia, or caregivers.Results:We identified 3618 studies, and 10 studies were included, covering three topics across six decision aids: 1) support with eating/feeding options, 2) place of care, and 3) goals of care. The mode of delivery and format of the decision aids varied and included paper-based, video-based, and audio-based decision aids. The decision aids were shown to be effective, increasing knowledge and the quality of communication. The meta-analysis demonstrated that decisions are effective in reducing decisional conflict among caregivers (standardized mean difference = −0.50, 95% confidence interval [ − 0.97, − 0.02]).Conclusion:Decision aids offer a promising approach for providing support for decision-making in dementia care. People are often faced with more than one decision, and decisions are often interrelated. The decision aids identified in this review focus on single topics. There is a need for decision aids that cover multiple topics in one aid to reflect this complexity and better support caregivers.

scholarly journals Control Beliefs among People with Dementia: A Systematic Review

2021 ◽  
pp. 1-19
Author(s):  
Ingeborg Halse ◽  
Guro Hanevold Bjørkløf ◽  
Knut Engedal ◽  
Geir Selbæk ◽  
Maria Lage Barca
Keyword(s):  
Quantitative Research ◽  
Personal Control ◽  
Well Being ◽  
Control Beliefs ◽  
Cochrane Library ◽  
Control Belief ◽  
Living Well ◽  
People With Dementia ◽  
The Cochrane Library ◽  
And Coping

<b><i>Introduction:</i></b> Dementia diseases are still incurable, and in order to assist in living well with the disease, researchers are increasing their attention to the value of control beliefs. Control beliefs are associated with coping and psychological well-being; however, knowledge on how they relate to well-being outcomes in people with dementia is limited. This review aimed to synthesize knowledge about control beliefs in this group to guide future interventions and research. <b><i>Method:</i></b> A systematic search of 6 databases (MEDLINE, CINAHL, PsychINFO, AgeLine, Embase, and the Cochrane Library) with broad search terms related to dementia, control, and coping was conducted. Studies that investigated people with a confirmed dementia diagnosis and that used a questionnaire to measure control beliefs quantitatively were included. <b><i>Results:</i></b> Eighteen studies were identified, examining self-efficacy, personal control/mastery, or locus of control. The studies varied in aim and design, with fair to good methodological quality. However, 10 studies included &#x3c;50 participants with dementia, leaving findings unreliable due to low power. Participants with dementia in the mild to moderate stages were included, with average age in the seventies. Except for one validation study, the control belief questionnaires had not been validated for people with dementia. <b><i>Conclusion:</i></b> There is a lack of knowledge about control beliefs among people with dementia, due to few and low-powered studies. Although we cannot conclude regarding control beliefs, our findings support the feasibility of quantitative research on control beliefs among people with dementia and we recommend that they be included in this type of research.

Communication skills training in dementia care: a systematic review of effectiveness, training content, and didactic methods in different care settings

2012 ◽  
Vol 25 (3) ◽  
pp. 345-358 ◽  
Author(s):  
Eva Eggenberger ◽  
Katharina Heimerl ◽  
Michael I. Bennett
Keyword(s):  
Family Caregivers ◽  
Communication Skills ◽  
Care Setting ◽  
Skills Training ◽  
Dementia Care ◽  
Cochrane Library ◽  
Communication Skills Training ◽  
People With Dementia ◽  
Training Content ◽  
Organizational Features

ABSTRACTBackground: Caring for and caring about people with dementia require specific communication skills. Healthcare professionals and family caregivers usually receive little training to enable them to meet the communicative needs of people with dementia. This review identifies existent interventions to enhance communication in dementia care in various care settings.Methods: We searched MEDLINE, AMED, EMBASE, PsychINFO, CINAHL, The Cochrane Library, Gerolit, and Web of Science for scientific articles reporting interventions in both English and German. An intervention was defined as communication skills training by means of face-to-face interaction with the aim of improving basic communicative skills. Both professional and family caregivers were included. The effectiveness of such training was analyzed. Different types of training were defined. Didactic methods, training content, and additional organizational features were qualitatively examined.Results: This review included 12 trials totaling 831 persons with dementia, 519 professional caregivers, and 162 family caregivers. Most studies were carried out in the USA, the UK, and Germany. Eight studies took place in nursing homes; four studies were located in a home-care setting. No studies could be found in an acute-care setting. We provide a list of basic communicative principles for good communication in dementia care. Didactic methods included lectures, hands-on training, group discussions, and role-play.Conclusion: This review shows that communication skills training in dementia care significantly improves the quality of life and wellbeing of people with dementia and increases positive interactions in various care settings. Communication skills training shows significant impact on professional and family caregivers’ communication skills, competencies, and knowledge. Additional organizational features improve the sustainability of communication interventions.

scholarly journals Quality indicators for community dementia care: a systematic review

2020 ◽  
Vol 30 (5) ◽  
pp. 879-885
Author(s):  
Samantha Dequanter ◽  
Ronald Buyl ◽  
Maaike Fobelets
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Methodological Quality ◽  
Dementia Care ◽  
Cochrane Library ◽  
Future Research ◽  
Life Care ◽  
Comprehensive Overview ◽  
Term Care ◽  
People With Dementia

Abstract Background There is a lack of an up-to-date body of evidence and a comprehensive overview concerning literature on quality indicator (QI) development for dementia care. Therefore, we systematically reviewed recent literature and formulated recommendations for future research. Methods PubMed, CINAHL and The Cochrane Library were searched for studies describing QI development or redefinition for dementia care (from first symptoms until admission to long-term care), published from 2008 to May 2019. Results We included a total of 7 articles, comprising of 107 QIs. The majority of publications originated from Europe. These applied to outpatient care, primary care and end-of-life care. Most QIs referred to care processes. Several care domains were determined by the authors, ranging from screening and assessment to end-of-life care. The methodological quality of the QI sets differed considerably. The QI sets with the best methodological quality were developed using expert evaluation or a Delphi technique. Conclusions It can be concluded that a reasonable amount of QIs for assessing and optimizing community dementia care exists, however, further development and methodological improvements of these QIs are necessary. Involvement of people with dementia and caregivers in the development process and a broader focus including community oriented next to medically oriented QIs are examples of potential improvement measures.

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