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Aims and objectives: To evaluate nurse‐led nonpharmacological interventions for improving cognition in people with dementia. Background: Starting in 2006, donepezil was administered worldwide to improve cognition; however, its side effects limited its therapeutic value for long‐term use, prompting a need for nonpharmacological interventions to improve cognition. Nurse‐led nonpharmacological interventions are especially important because they are effective in terms of resources and costs, reduce patient latency and improve patient safety and satisfaction. Methods: A systematic review was identified by searching 10 electronic databases. The search period was between 1 January 2007, and 30 September 2021. Languages were limited to English and Korean. The inclusion criteria were studies of nurse‐led interventions that evaluated cognition using validated instruments. The exclusion criteria were qualitative research, scale development studies, abstracts and grey literature. Quality appraisal of research was conducted using the Risk of Bias in Nonrandomized Studies of Interventions for quasi‐experimental studies and the Risk of Bias 2.0 for randomised controlled studies. This study was conducted in accordance with PRISMA reporting guideline (Appendix S1). The search protocol was registered in the PROSPERO (CRD 42021229358). Results: A total of 24 studies were included in the systematic review, and 15 studies were included in the meta‐analysis. Meta‐analysis included 8 RCT and 7 quasi‐experimental studies. The studies (11 quasi‐experimental studies and 9 randomised controlled studies) demonstrated low to moderate quality of evidence for improving the cognition of people with dementia. The meta‐analysis showed that nurse‐led single nonpharmacological interventions more effectively improved cognition than complex interventions in people with dementia. Conclusion: Nurse‐led nonpharmacological interventions were effective for improving cognition in people with dementia. Relevance to clinical practice: Nurses are qualified professionals with expertise in providing nonpharmacological interventions to improve cognition in people with dementia. Nurse‐led nonpharmacological interventions for this purpose should be developed in future research. [ABSTRACT FROM AUTHOR]

Purpose: To systematically identify the multidimensional factors affecting homebound older adults. Design: Systematic review. Methods: We searched PubMed, MEDLINE, Cochrane Library, CINAHL, EMBASE, and PsycINFO from inception to November 15, 2020. This systematic review followed the Preferred Reporting Items for Systematic Review and Meta‐analysis guidelines. The Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross‐Sectional Studies was used for quality assessment. Findings: Nineteen studies met the review criteria; the studies were either cross‐sectional or longitudinal. Most studies have focused on personal factors affecting homebound older adults. The individual construct consisted of demographic, biological, psychological, functional, and health‐related factors. The structural construct included architectural, environmental, community, and social factors. Based on the different definitions of homebound used in the studies, the prevalence of homebound status ranged from 3.5% to 39.8%. Conclusions: The prevalence of homebound status among older adults varied depending on how homebound was defined. Homebound status is the interaction between the individual and structural constructs. Variations in cultural, political, and economic conditions could influence homebound status across countries over time. Comprehensive assessment and interventions for homebound older adults based on multidisciplinary approaches are recommended for nurses. Clinical relevance: This research will impact the development of nursing strategies to screen homebound older adults and provide targeted preventive interventions so that older adults with many risk factors do not become homebound. [ABSTRACT FROM AUTHOR]

There is an increasing need for highly accessible health management platforms for comprehensive symptoms of Parkinson disease. Mobile apps encompassing nonmotor symptoms have been rarely developed since these symptoms are often subjective and difficult to reflect what individuals actually experience. The study developed an app for comprehensive symptom management and evaluated its usability and feasibility. A single-group repeated measurement experimental design was used. Twenty-two participants used the app for 6 weeks. Monitoring of nonmotor symptoms, games to address motor symptoms, and medication management were incorporated in the app. Quantitative outcomes were self-assessed through an online questionnaire, and one-on-one telephone interviews were conducted to understand the user's point of view. The successful experience of self-monitoring had improved participants' self-efficacy ( Z = -3.634, P < .001) and medication adherence ( Z = -3.371, P = .001). Facilitators included a simple-to-use interface, entertaining content, and medication helps. Barriers included simple forgetfulness and digital literacy, including unfamiliarity with mobile phone manipulation itself. The study suggested insight into the app use related to acceptability of mobile technology. The preliminary effects on self-efficacy and medication adherence will guide future nursing interventions using mobile health. Our approach will contribute to improving the continuum of care for Parkinson disease by promoting self-monitoring of symptoms., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)