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Quantitative systematic review of the effects of non-pharmacological interventions on reducing apathy in persons with dementia.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Nov2016, Vol. 72 Issue 11, p2612-2628, 17p
- Publication Year :
- 2016
-
Abstract
- Aim To review the quantitative evidence concerning the effects of non-pharmacological interventions on reducing apathy in persons with dementia. Background Apathy, a prevalent behavioural symptom among persons with Alzheimer Disease, is defined as a disorder of motivation with deficits in behavioural, emotional and cognitive domains and is associated with serious social and physical obstacles. Non-pharmacological interventions show promise as symptom control modalities among persons with dementia. Design Quantitative systematic review. Data sources CINAHL, PubMed, PSYCHinfo and Cochrane Trials databases were searched for published English language research inclusive through December 2014, with no early year limiters set. Review methods Comprehensive searches yielded 16 international randomized controlled trials or quasi-experimental studies based on inclusion criteria and a rigorous quality appraisal process. Results A narrative summary analysis revealed that non-pharmacological interventions for apathy varied substantially and lacked specificity, conceptual clarity and were methodologically heterogeneous. Select interventions demonstrated effectiveness, but lacked systematic long-term follow-up. Limitations include publication bias and lack of a meta-analytic approach due to the methodological heterogeneity of included studies. Conclusion Study results demonstrate promise for the use of non-pharmacological interventions, particularly music-based interventions, in reducing apathy levels in individuals with dementia. Intervening to reduce apathy may have a positive clinical impact and healthcare providers should be encouraged to incorporate positive sources of interest and intellectual stimulation into care. However, future research is needed to examine the aetiologic mechanism and predictors of apathy, to improve evidence-based interventions and specificity and to optimize dosage and timing of non-pharmacological interventions across the disease trajectory. [ABSTRACT FROM AUTHOR]
- Subjects :
- ELDER care
ALZHEIMER'S disease
APATHY
ART therapy
CINAHL database
COGNITIVE therapy
DEMENTIA
INFORMATION storage & retrieval systems
MEDICAL databases
PSYCHOLOGY information storage & retrieval systems
LONG-term health care
MATHEMATICAL models
RESEARCH methodology
EVALUATION of medical care
MEDLINE
MUSIC therapy
NURSING care facilities
OCCUPATIONAL therapy
ONLINE information services
PSYCHIATRIC hospitals
PSYCHOLOGICAL tests
RECREATIONAL therapy
REMINISCENCE therapy
RESEARCH funding
SENSORY stimulation
SYSTEMATIC reviews
THEORY
QUANTITATIVE research
RANDOMIZED controlled trials
SEVERITY of illness index
TREATMENT duration
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 72
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 118584369
- Full Text :
- https://doi.org/10.1111/jan.13026