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Burnand, A, Rookes, T, Mahmood, F, Davies, N, Walters, K, Orleans‐Foli, S, Sajid, M, Vickerstaff, V and Frost, R (2024) Non‐Pharmacological Interventions in the Management of Dementia‐Related Psychosis: A Systematic Review and Meta‐Analysis. International Journal of Geriatric Psychiatry, 39. ISSN 0885-6230
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Non‐Pharmacological Interventions in the Management of Dementia‐Related Psychosis A Systematic Review and Meta‐Analysis.pdf - Published Version Available under License Creative Commons Attribution. Download (1MB) | Preview |
Abstract
Objective As populations age globally, there is an increasing prevalence of dementia, with an estimated 153 million living with dementia by 2050. Up to 70% of people with dementia experience dementia-related psychosis (D-RP). Antipsychotic medications are associated with many adverse effects in older people. This review aims to evaluate the evidence of non-pharmacological interventions in managing D-RP. Method The search of Medline, EMBASE, Web of Science, CINAHL, PsycINFO, and Cochrane included randomised controlled trials that evaluated non-pharmacological interventions. Data extraction and assessment of quality were assessed independently by two researchers. Heterogenous interventions were pooled using meta-analysis. Results A total of 18 articles (n = 2040 participants) were included and categorised into: sensory-, activity-, cognitive- and multi-component-orientated. Meta-analyses showed no significant impact in reducing hallucinations or delusions but person-centred care, cognitive rehabilitation, music therapy, and robot pets showed promise in single studies. Conclusions and Implications Future interventions should be developed and evaluated with a specific focus on D-RP as this was not the aim for many of the included articles.
| Item Type: | Article |
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| Uncontrolled Keywords: | 1103 Clinical Sciences; 1701 Psychology; 1702 Cognitive Sciences; Geriatrics |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Public Health Institute |
| Publisher: | Wiley |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 13 Aug 2024 11:33 |
| Last Modified: | 13 Aug 2024 11:45 |
| DOI or ID number: | 10.1002/gps.6129 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/23940 |
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