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Related Experiment Videos

Simulated presence therapy for dementia.

Iosief Abraha1, Joseph M Rimland1, Isabel Lozano-Montoya2

  • 1Geriatrics, National Institute of Health and Science on Aging (INRCA), Via Santa Margherita, 5, Ancona, Italy, 60124.

The Cochrane Database of Systematic Reviews
|April 19, 2017
PubMed
Summary
This summary is machine-generated.

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Simulated presence therapy (SPT) uses recordings of family members to help people with dementia. However, current evidence is very low quality, making it impossible to determine SPT's effectiveness for behavioral symptoms or quality of life.

Area of Science:

  • Gerontology
  • Neuroscience
  • Psychiatry

Background:

  • Dementia is a neuropsychiatric syndrome with progressive cognitive decline.
  • Behavioral and psychological symptoms of dementia (BPSD) are common in individuals with dementia.
  • Simulated presence therapy (SPT), using family recordings, is a potential non-pharmacological intervention for BPSD.

Purpose of the Study:

  • To evaluate the effects of simulated presence therapy (SPT) on behavioral and psychological symptoms of dementia (BPSD).
  • To assess the impact of SPT on the quality of life for individuals with dementia.

Main Methods:

  • Searched multiple databases including ALOIS, CENTRAL, MEDLINE, Embase, PsycINFO, CINAHL, LILACS, ClinicalTrials.gov, and WHO Portal.
  • Included randomized and quasi-randomized controlled trials evaluating SPT efficacy in people with any form of dementia.

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  • Two authors independently selected studies, assessed risk of bias, and extracted data; meta-analysis was not conducted due to heterogeneity.

    • Main Results:

    • Three trials with 144 elderly nursing home residents with dementia were included.
    • SPT was administered via audio or video recordings from family members, with varied content and frequency.
    • The overall quality of evidence was very low, with high risk of bias, leading to uncertainty about SPT's effects on behavior and no data on quality of life.

    Conclusions:

    • Due to very low quality evidence and high risk of bias, no conclusions can be drawn on the efficacy of SPT for BPSD or quality of life.
    • High-quality studies are required to investigate the true effect of simulated presence therapy in dementia care.