PMID- 33326573
OWN - NLM
STAT- MEDLINE
DCOM- 20220421
LR  - 20220716
IS  - 1758-5341 (Electronic)
IS  - 0016-9013 (Print)
IS  - 0016-9013 (Linking)
VI  - 62
IP  - 4
DP  - 2022 Apr 20
TI  - Person-Centered Care in Persons Living With Dementia: A Systematic Review and 
      Meta-analysis.
PG  - e253-e264
LID - 10.1093/geront/gnaa207 [doi]
AB  - BACKGROUND AND OBJECTIVES: The concept of person-centered care has been 
      utilized/adapted to various interventions to enhance health-related outcomes and 
      ensure the quality of care delivered to persons living with dementia. A few 
      systematic reviews have been conducted on the use of person-centered 
      interventions in the context of dementia care, but to date, none have analyzed 
      intervention effect by intervention type and target outcome. This study aimed to 
      review person-centered interventions used in the context of dementia care and 
      examine their effectiveness. RESEARCH DESIGN AND METHODS: A systematic review and 
      meta-analysis were conducted. We searched through 5 databases for randomized 
      controlled trials that utilized person-centered interventions in persons living 
      with dementia from 1998 to 2019. Study quality was assessed using the National 
      Institute for Health and Clinical Excellence checklist. The outcomes of interest 
      for the meta-analysis were behavioral and psychological symptoms in dementia 
      (BPSD) and cognitive function assessed immediately after the baseline 
      measurement. RESULTS: In total, 36 studies were systematically reviewed. 
      Intervention types were reminiscence, music, and cognitive therapies, and 
      multisensory stimulation. Thirty studies were included in the meta-analysis. 
      Results showed a moderate effect size for overall intervention, a small one for 
      music therapy, and a moderate one for reminiscence therapy on BPSD and cognitive 
      function. DISCUSSION AND IMPLICATIONS: Generally speaking, person-centered 
      interventions showed immediate intervention effects on reducing BPSD and 
      improving cognitive function, although the effect size and significance of each 
      outcome differed by intervention type. Thus, health care providers should 
      consider person-centered interventions as a vital element in dementia care.
CI  - (c) The Author(s) 2020. Published by Oxford University Press on behalf of The 
      Gerontological Society of America.
FAU - Lee, Kyung Hee
AU  - Lee KH
AUID- ORCID: 0000-0003-2964-8356
AD  - Yonsei University College of Nursing, Seoul, South Korea.
AD  - Mo-Im Kim Nursing Research Institute, Seoul, South Korea.
FAU - Lee, Ji Yeon
AU  - Lee JY
AD  - Yonsei University College of Nursing, Seoul, South Korea.
FAU - Kim, Bora
AU  - Kim B
AD  - Yonsei University College of Nursing, Seoul, South Korea.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
PL  - United States
TA  - Gerontologist
JT  - The Gerontologist
JID - 0375327
SB  - IM
MH  - *Cognitive Behavioral Therapy
MH  - *Dementia/psychology/therapy
MH  - Humans
MH  - Patient-Centered Care
MH  - Psychotherapy
MH  - Self Care
PMC - PMC9019632
OTO - NOTNLM
OT  - Behavioral and psychological symptoms in dementia
OT  - Cognitive function
OT  - Reminiscence therapy
EDAT- 2020/12/17 06:00
MHDA- 2022/04/22 06:00
PMCR- 2020/12/16
CRDT- 2020/12/16 17:15
PHST- 2020/08/21 00:00 [received]
PHST- 2020/12/17 06:00 [pubmed]
PHST- 2022/04/22 06:00 [medline]
PHST- 2020/12/16 17:15 [entrez]
PHST- 2020/12/16 00:00 [pmc-release]
AID - 6039255 [pii]
AID - gnaa207 [pii]
AID - 10.1093/geront/gnaa207 [doi]
PST - ppublish
SO  - Gerontologist. 2022 Apr 20;62(4):e253-e264. doi: 10.1093/geront/gnaa207.