Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review
Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hosp...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Lourida, Ilianna [verfasserIn] Gwernan-Jones, Ruth [verfasserIn] Abbott, Rebecca [verfasserIn] Rogers, Morwenna [verfasserIn] Green, Colin [verfasserIn] Ball, Susan [verfasserIn] Hemsley, Anthony [verfasserIn] Cheeseman, Debbie [verfasserIn] Clare, Linda [verfasserIn] Moore, Darren [verfasserIn] Hussey, Chrissy [verfasserIn] Coxon, George [verfasserIn] Llewellyn, David J. [verfasserIn] Naldrett, Tina [verfasserIn] Thompson Coon, Jo [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Übergeordnetes Werk: |
Enthalten in: BMC geriatrics - London : BioMed Central, 2001, 20(2020), 1 vom: 10. Apr. |
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| Übergeordnetes Werk: |
volume:20 ; year:2020 ; number:1 ; day:10 ; month:04 |
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| DOI / URN: |
10.1186/s12877-020-01534-7 |
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| Katalog-ID: |
SPR039365565 |
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| 520 | |a Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment. | ||
| 650 | 4 | |a Dementia |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Hospital |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Acute care |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Experience |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Non-pharmacological interventions |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Systematic review |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Gwernan-Jones, Ruth |e verfasserin |4 aut | |
| 700 | 1 | |a Abbott, Rebecca |e verfasserin |4 aut | |
| 700 | 1 | |a Rogers, Morwenna |e verfasserin |4 aut | |
| 700 | 1 | |a Green, Colin |e verfasserin |4 aut | |
| 700 | 1 | |a Ball, Susan |e verfasserin |4 aut | |
| 700 | 1 | |a Hemsley, Anthony |e verfasserin |4 aut | |
| 700 | 1 | |a Cheeseman, Debbie |e verfasserin |4 aut | |
| 700 | 1 | |a Clare, Linda |e verfasserin |4 aut | |
| 700 | 1 | |a Moore, Darren |e verfasserin |4 aut | |
| 700 | 1 | |a Hussey, Chrissy |e verfasserin |4 aut | |
| 700 | 1 | |a Coxon, George |e verfasserin |4 aut | |
| 700 | 1 | |a Llewellyn, David J. |e verfasserin |4 aut | |
| 700 | 1 | |a Naldrett, Tina |e verfasserin |4 aut | |
| 700 | 1 | |a Thompson Coon, Jo |e verfasserin |4 aut | |
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10.1186/s12877-020-01534-7 doi (DE-627)SPR039365565 (SPR)s12877-020-01534-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Lourida, Ilianna verfasserin aut Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment. Dementia (dpeaa)DE-He213 Hospital (dpeaa)DE-He213 Acute care (dpeaa)DE-He213 Experience (dpeaa)DE-He213 Non-pharmacological interventions (dpeaa)DE-He213 Systematic review (dpeaa)DE-He213 Gwernan-Jones, Ruth verfasserin aut Abbott, Rebecca verfasserin aut Rogers, Morwenna verfasserin aut Green, Colin verfasserin aut Ball, Susan verfasserin aut Hemsley, Anthony verfasserin aut Cheeseman, Debbie verfasserin aut Clare, Linda verfasserin aut Moore, Darren verfasserin aut Hussey, Chrissy verfasserin aut Coxon, George verfasserin aut Llewellyn, David J. verfasserin aut Naldrett, Tina verfasserin aut Thompson Coon, Jo verfasserin aut Enthalten in BMC geriatrics London : BioMed Central, 2001 20(2020), 1 vom: 10. Apr. (DE-627)335488994 (DE-600)2059865-8 1471-2318 nnns volume:20 year:2020 number:1 day:10 month:04 https://dx.doi.org/10.1186/s12877-020-01534-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 20 2020 1 10 04 |
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10.1186/s12877-020-01534-7 doi (DE-627)SPR039365565 (SPR)s12877-020-01534-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Lourida, Ilianna verfasserin aut Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment. Dementia (dpeaa)DE-He213 Hospital (dpeaa)DE-He213 Acute care (dpeaa)DE-He213 Experience (dpeaa)DE-He213 Non-pharmacological interventions (dpeaa)DE-He213 Systematic review (dpeaa)DE-He213 Gwernan-Jones, Ruth verfasserin aut Abbott, Rebecca verfasserin aut Rogers, Morwenna verfasserin aut Green, Colin verfasserin aut Ball, Susan verfasserin aut Hemsley, Anthony verfasserin aut Cheeseman, Debbie verfasserin aut Clare, Linda verfasserin aut Moore, Darren verfasserin aut Hussey, Chrissy verfasserin aut Coxon, George verfasserin aut Llewellyn, David J. verfasserin aut Naldrett, Tina verfasserin aut Thompson Coon, Jo verfasserin aut Enthalten in BMC geriatrics London : BioMed Central, 2001 20(2020), 1 vom: 10. Apr. (DE-627)335488994 (DE-600)2059865-8 1471-2318 nnns volume:20 year:2020 number:1 day:10 month:04 https://dx.doi.org/10.1186/s12877-020-01534-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 20 2020 1 10 04 |
| allfields_unstemmed |
10.1186/s12877-020-01534-7 doi (DE-627)SPR039365565 (SPR)s12877-020-01534-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Lourida, Ilianna verfasserin aut Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment. Dementia (dpeaa)DE-He213 Hospital (dpeaa)DE-He213 Acute care (dpeaa)DE-He213 Experience (dpeaa)DE-He213 Non-pharmacological interventions (dpeaa)DE-He213 Systematic review (dpeaa)DE-He213 Gwernan-Jones, Ruth verfasserin aut Abbott, Rebecca verfasserin aut Rogers, Morwenna verfasserin aut Green, Colin verfasserin aut Ball, Susan verfasserin aut Hemsley, Anthony verfasserin aut Cheeseman, Debbie verfasserin aut Clare, Linda verfasserin aut Moore, Darren verfasserin aut Hussey, Chrissy verfasserin aut Coxon, George verfasserin aut Llewellyn, David J. verfasserin aut Naldrett, Tina verfasserin aut Thompson Coon, Jo verfasserin aut Enthalten in BMC geriatrics London : BioMed Central, 2001 20(2020), 1 vom: 10. Apr. (DE-627)335488994 (DE-600)2059865-8 1471-2318 nnns volume:20 year:2020 number:1 day:10 month:04 https://dx.doi.org/10.1186/s12877-020-01534-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 20 2020 1 10 04 |
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10.1186/s12877-020-01534-7 doi (DE-627)SPR039365565 (SPR)s12877-020-01534-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Lourida, Ilianna verfasserin aut Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment. Dementia (dpeaa)DE-He213 Hospital (dpeaa)DE-He213 Acute care (dpeaa)DE-He213 Experience (dpeaa)DE-He213 Non-pharmacological interventions (dpeaa)DE-He213 Systematic review (dpeaa)DE-He213 Gwernan-Jones, Ruth verfasserin aut Abbott, Rebecca verfasserin aut Rogers, Morwenna verfasserin aut Green, Colin verfasserin aut Ball, Susan verfasserin aut Hemsley, Anthony verfasserin aut Cheeseman, Debbie verfasserin aut Clare, Linda verfasserin aut Moore, Darren verfasserin aut Hussey, Chrissy verfasserin aut Coxon, George verfasserin aut Llewellyn, David J. verfasserin aut Naldrett, Tina verfasserin aut Thompson Coon, Jo verfasserin aut Enthalten in BMC geriatrics London : BioMed Central, 2001 20(2020), 1 vom: 10. Apr. (DE-627)335488994 (DE-600)2059865-8 1471-2318 nnns volume:20 year:2020 number:1 day:10 month:04 https://dx.doi.org/10.1186/s12877-020-01534-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 20 2020 1 10 04 |
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10.1186/s12877-020-01534-7 doi (DE-627)SPR039365565 (SPR)s12877-020-01534-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Lourida, Ilianna verfasserin aut Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment. Dementia (dpeaa)DE-He213 Hospital (dpeaa)DE-He213 Acute care (dpeaa)DE-He213 Experience (dpeaa)DE-He213 Non-pharmacological interventions (dpeaa)DE-He213 Systematic review (dpeaa)DE-He213 Gwernan-Jones, Ruth verfasserin aut Abbott, Rebecca verfasserin aut Rogers, Morwenna verfasserin aut Green, Colin verfasserin aut Ball, Susan verfasserin aut Hemsley, Anthony verfasserin aut Cheeseman, Debbie verfasserin aut Clare, Linda verfasserin aut Moore, Darren verfasserin aut Hussey, Chrissy verfasserin aut Coxon, George verfasserin aut Llewellyn, David J. verfasserin aut Naldrett, Tina verfasserin aut Thompson Coon, Jo verfasserin aut Enthalten in BMC geriatrics London : BioMed Central, 2001 20(2020), 1 vom: 10. Apr. (DE-627)335488994 (DE-600)2059865-8 1471-2318 nnns volume:20 year:2020 number:1 day:10 month:04 https://dx.doi.org/10.1186/s12877-020-01534-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 20 2020 1 10 04 |
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Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. 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activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review |
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Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review |
| abstract |
Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment. |
| abstractGer |
Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment. |
| abstract_unstemmed |
Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment. |
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Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review |
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Gwernan-Jones, Ruth Abbott, Rebecca Rogers, Morwenna Green, Colin Ball, Susan Hemsley, Anthony Cheeseman, Debbie Clare, Linda Moore, Darren Hussey, Chrissy Coxon, George Llewellyn, David J. Naldrett, Tina Thompson Coon, Jo |
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Gwernan-Jones, Ruth Abbott, Rebecca Rogers, Morwenna Green, Colin Ball, Susan Hemsley, Anthony Cheeseman, Debbie Clare, Linda Moore, Darren Hussey, Chrissy Coxon, George Llewellyn, David J. Naldrett, Tina Thompson Coon, Jo |
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