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A Systematic Review of Nonpharmacological Interventions for Moderate to Severe Dementia: A Study Protocol for a
Riyoung Na1, You Joung Kim1, Kiwon Kim1,2
1National Institute of Dementia, Seongnam, Republic of Korea.
Insights
This systematic review evaluates nonpharmacological interventions for moderate to severe dementia patients. It aims to provide evidence for improving daily living activities and managing behavioral symptoms.
Area of Science:
- Gerontology
- Neurology
- Evidence-Based Practice
Background:
- Dementia significantly impacts daily living activities and behavioral and psychological symptoms.
- Nonpharmacological interventions are crucial for managing dementia but require robust evidence.
- Existing literature needs systematic synthesis to guide clinical practice and policy.
Purpose of the Study:
- To systematically review nonpharmacological interventions for patients with moderate to severe dementia.
- To assess the efficacy of these interventions on activities of daily living and behavioral and psychological symptoms of dementia.
- To provide evidence-based recommendations for clinicians and policymakers.
Main Methods:
- Systematic review adhering to the Cochrane Handbook for Systematic Reviews of Interventions.
- Comprehensive literature search across multiple databases including MEDLINE, EMBASE, and PsycINFO.
- Independent study assessment, data extraction, risk of bias evaluation, and meta-analysis.
Main Results:
- The review will synthesize findings on the effectiveness of various nonpharmacological interventions.
- Primary outcomes include changes in activities of daily living and behavioral and psychological symptoms of dementia.
- Meta-analysis will quantify the overall effect of interventions where appropriate.
Conclusions:
- This systematic review will offer reliable evidence on nonpharmacological interventions for dementia.
- Findings will inform the development and implementation of effective dementia care strategies.
- The study aims to enhance the quality of life for individuals with moderate to severe dementia.
Abstract:
The study is designed as a systematic review on nonpharmacological interventions for patients with moderate to severe dementia. This review will be conducted in accordance with the Cochrane Handbook for Systematic Reviews of Interventions. The following databases will be searched: Cochrane CENTRAL, MEDLINE, EMBASE, CINAHL, PsycINFO, KoreaMED, KMbase, and KISS. The primary outcome will include the effect of the interventions on activities of daily living and behavioral and psychological symptoms of dementia. The literature search will be conducted based on search strategies designed for each database. The reviewers will independently assess the identified studies and extract the data. The risk of bias will be assessed and a meta-analysis will be conducted in accordance with the methodology for meta-analysis described in the Cochrane handbook. This systematic review will provide clinicians and policy makers with reliable evidence for developing and implementing nonpharmacological interventions for moderate to severe patients with dementia.
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