PMID- 34845067
OWN - NLM
STAT- MEDLINE
DCOM- 20211206
LR  - 20211214
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 11
IP  - 11
DP  - 2021 Nov 29
TI  - Degree of personalisation in tailored activities and its effect on behavioural 
      and psychological symptoms and quality of life among people with dementia: a 
      systematic review and meta-analysis.
PG  - e048917
LID - 10.1136/bmjopen-2021-048917 [doi]
LID - e048917
AB  - OBJECTIVES: To understand and assess the degree of personalisation of tailored 
      activities for people with dementia (PWD); and to estimate the magnitude of the 
      effects of levels of personalisation on reducing behavioural and psychological 
      symptoms of dementia (BPSD), improving quality of life (QoL) and level of 
      engagement. DESIGN: Systematic review with meta-analysis. DATA SOURCES: ProQuest, 
      PubMed, Ovid, Cochrane Library, Web of Science and CINAHL were searched from the 
      start of indexing to May 2020. ELIGIBILITY CRITERIA: We included randomised 
      controlled trials and quasi-experimental studies assessing the effects of 
      tailored activities for people aged 60 years or older with dementia or cognitive 
      impairment on the outcomes of BPSD, QoL, depression and level of engagement with 
      control groups. DATA EXTRACTION AND SYNTHESIS: Two researchers screened studies, 
      extracted data and assessed risks of bias. A rating scheme to assess the degree 
      of personalisation of tailored activities was developed to classify tailored 
      activities into high/medium/low groups. Effect sizes were expressed using 
      standardised mean differences at 95% Confidence Interval (CI). Subgroup analyses 
      were conducted to assess whether the degree of personalisation of tailored 
      activities affected outcomes of interest. RESULTS: Thirty-five studies covering 
      2390 participants from 16 countries/regions were identified. Studies with a 
      high-level of personalisation interventions (n=8) had a significant and moderate 
      effect on reducing BPSD (standardised mean differences, SMD=-0.52, p<0.05), 
      followed by medium (n=6; SMD=-0.38, p=0.071) and low-level personalisation 
      interventions (n=6; SMD=-0.15, p=0.076). Tailored activities with a high-level of 
      personalisation had a moderate effect size on improving QoL (n=5; SMD=0.52, 
      p<0.05), followed by a medium level (n=3; SMD=0.41, p<0.05) of personalisation. 
      CONCLUSIONS: To develop high-level tailored activities to reduce BPSD and improve 
      QoL among PWD, we recommend applying comprehensive assessments to identify and 
      address two or more PWD characteristics in designed tailored activities and allow 
      modification of interventions to respond to changing PWD needs/circumstances. 
      PROSPERO REGISTRATION NUMBER: CRD42020168556.
CI  - (c) Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No 
      commercial re-use. See rights and permissions. Published by BMJ.
FAU - Lu, Shiyu
AU  - Lu S
AUID- ORCID: 0000-0002-9355-4883
AD  - Department of Social and Behavioural Sciences, City University of Hong Kong, Hong 
      Kong, Hong Kong, Hong Kong.
FAU - Zhang, Anna Y
AU  - Zhang AY
AD  - Department of Social Work and Social Administration, University of Hong Kong, 
      Hong Kong, Hong Kong.
FAU - Liu, Tianyin
AU  - Liu T
AD  - Department of Social Work and Social Administration, University of Hong Kong, 
      Hong Kong, Hong Kong.
FAU - Choy, Jacky C P
AU  - Choy JCP
AD  - Department of Social Work and Social Administration, University of Hong Kong, 
      Hong Kong, Hong Kong.
FAU - Ma, Maggie S L
AU  - Ma MSL
AD  - Department of Social Work and Social Administration, University of Hong Kong, 
      Hong Kong, Hong Kong.
FAU - Wong, Gloria
AU  - Wong G
AUID- ORCID: 0000-0002-1331-942X
AD  - Department of Social Work and Social Administration, Sau Po Centre on Ageing, 
      University of Hong Kong, Hong Kong, Hong Kong.
FAU - Lum, Terry
AU  - Lum T
AUID- ORCID: 0000-0003-1196-5345
AD  - Department of Social Work and Social Administration, University of Hong Kong, 
      Hong Kong, Hong Kong tlum@hku.hk.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
DEP - 20211129
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - *Cognitive Dysfunction
MH  - *Dementia
MH  - Humans
MH  - Quality of Life
PMC - PMC8634002
OTO - NOTNLM
OT  - dementia
OT  - mental health
OT  - old age psychiatry
COIS- Competing interests: None declared.
EDAT- 2021/12/01 06:00
MHDA- 2021/12/15 06:00
PMCR- 2021/11/29
CRDT- 2021/11/30 06:09
PHST- 2021/11/30 06:09 [entrez]
PHST- 2021/12/01 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2021/11/29 00:00 [pmc-release]
AID - bmjopen-2021-048917 [pii]
AID - 10.1136/bmjopen-2021-048917 [doi]
PST - epublish
SO  - BMJ Open. 2021 Nov 29;11(11):e048917. doi: 10.1136/bmjopen-2021-048917.