PMID- 30334500
OWN - NLM
STAT- MEDLINE
DCOM- 20200403
LR  - 20200403
IS  - 1741-203X (Electronic)
IS  - 1041-6102 (Linking)
VI  - 31
IP  - 8
DP  - 2019 Aug
TI  - A systematic review of non-pharmacological interventions for BPSD in nursing home 
      residents with dementia: from a perspective of ergonomics.
PG  - 1137-1149
LID - 10.1017/S1041610218001679 [doi]
AB  - BACKGROUND: Non-pharmacological interventions for Behavioral and Psychological 
      Symptoms of Dementia (BPSD) have been developed; however, a systematic review on 
      the effectiveness of this type of intervention from a perspective of ergonomics 
      is lacking. According to ergonomics, the capabilities of Persons with Dementia 
      (PwD) should be considered in the interventions for the outcomes to be reliable. 
      We aimed to systematically review the non-pharmacological interventions for BPSD 
      in nursing home residents with an additional assessment criterion based on 
      ergonomics, specifically, capability consideration. METHODS: The electronic 
      databases MEDLINE, EMBASE, and PsycINFO were searched for non-pharmacological 
      interventions treating BPSD in nursing homes. The interventions were categorized 
      according to the capabilities of PwD required to participate. Study quality was 
      assessed by National Health and Medical Research Council (NHMRC) evidence 
      hierarchy and the capability consideration. RESULTS: Sixty-four clinical trials 
      met the inclusion criteria; 41 trials reported a significant reduction in at 
      least one BPSD symptom; 20 trials reported no significant reduction in BPSD 
      symptoms; three trials reported adverse effects after the intervention. 
      Interventions were categorized into sensory-, cognition-, and movement-oriented. 
      Capabilities of PwD were not considered in 28 trials, especially for sensory 
      capabilities. CONCLUSIONS: The majority of the clinical trials reported a 
      significant reduction in BPSD. The quality of evidence for nonpharmacological 
      interventions in these trials is low due to the lack of capability consideration, 
      data inhomogeneity, and inadequate study design and reporting. Future studies 
      should focus on improving the quality of evidence by including capability 
      consideration and examining if a relationship between capability consideration 
      and effectiveness of non-pharmacological interventions exists.
FAU - Wang, Gubing
AU  - Wang G
AUID- ORCID: 0000-0003-4847-534X
AD  - Faculty of Industrial Design Engineering, Delft University of Technology, Delft, 
      the Netherlands.
FAU - Albayrak, Armagan
AU  - Albayrak A
AD  - Faculty of Industrial Design Engineering, Delft University of Technology, Delft, 
      the Netherlands.
FAU - van der Cammen, Tischa J M
AU  - van der Cammen TJM
AD  - Faculty of Industrial Design Engineering, Delft University of Technology, Delft, 
      the Netherlands.
AD  - Section of Geriatric Medicine, Department of Internal Medicine, Erasmus MC, 
      University Medical Center Rotterdam, Rotterdam, the Netherlands.
AD  - Academic Department of Geriatric Medicine, Brighton and Sussex Medical School, 
      Brighton, UK.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
PL  - England
TA  - Int Psychogeriatr
JT  - International psychogeriatrics
JID - 9007918
SB  - IM
MH  - Aged
MH  - Cognitive Behavioral Therapy/*methods
MH  - Dementia/psychology/*therapy
MH  - *Ergonomics
MH  - *Homes for the Aged
MH  - Humans
MH  - *Nursing Homes
MH  - Psychomotor Agitation/etiology/therapy
MH  - Qualitative Research
OTO - NOTNLM
OT  - aging
OT  - behavioral and psychological symptoms of dementia
OT  - behavioral therapy
OT  - dementia
OT  - nursing homes
EDAT- 2018/10/20 06:00
MHDA- 2020/04/04 06:00
CRDT- 2018/10/19 06:00
PHST- 2018/10/20 06:00 [pubmed]
PHST- 2020/04/04 06:00 [medline]
PHST- 2018/10/19 06:00 [entrez]
AID - S1041610218001679 [pii]
AID - 10.1017/S1041610218001679 [doi]
PST - ppublish
SO  - Int Psychogeriatr. 2019 Aug;31(8):1137-1149. doi: 10.1017/S1041610218001679.