Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review
Abstract Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of car...
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| Format: | Article |
| Language: | English |
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BMC
2020-04-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-020-01534-7 |
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doaj-436b5597e5a9414eb4fb1a2d02a18a2a |
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Article |
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DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Ilianna Lourida Ruth Gwernan-Jones Rebecca Abbott Morwenna Rogers Colin Green Susan Ball Anthony Hemsley Debbie Cheeseman Linda Clare Darren Moore Chrissy Hussey George Coxon David J. Llewellyn Tina Naldrett Jo Thompson Coon |
| spellingShingle |
Ilianna Lourida Ruth Gwernan-Jones Rebecca Abbott Morwenna Rogers Colin Green Susan Ball Anthony Hemsley Debbie Cheeseman Linda Clare Darren Moore Chrissy Hussey George Coxon David J. Llewellyn Tina Naldrett Jo Thompson Coon Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review BMC Geriatrics Dementia Hospital Acute care Experience Non-pharmacological interventions Systematic review |
| author_facet |
Ilianna Lourida Ruth Gwernan-Jones Rebecca Abbott Morwenna Rogers Colin Green Susan Ball Anthony Hemsley Debbie Cheeseman Linda Clare Darren Moore Chrissy Hussey George Coxon David J. Llewellyn Tina Naldrett Jo Thompson Coon |
| author_sort |
Ilianna Lourida |
| title |
Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review |
| title_short |
Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review |
| title_full |
Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review |
| title_fullStr |
Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review |
| title_full_unstemmed |
Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review |
| title_sort |
activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review |
| publisher |
BMC |
| series |
BMC Geriatrics |
| issn |
1471-2318 |
| publishDate |
2020-04-01 |
| description |
Abstract Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment. |
| topic |
Dementia Hospital Acute care Experience Non-pharmacological interventions Systematic review |
| url |
http://link.springer.com/article/10.1186/s12877-020-01534-7 |
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doaj-436b5597e5a9414eb4fb1a2d02a18a2a2020-11-25T03:44:38ZengBMCBMC Geriatrics1471-23182020-04-0120111410.1186/s12877-020-01534-7Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic reviewIlianna Lourida0Ruth Gwernan-Jones1Rebecca Abbott2Morwenna Rogers3Colin Green4Susan Ball5Anthony Hemsley6Debbie Cheeseman7Linda Clare8Darren Moore9Chrissy Hussey10George Coxon11David J. Llewellyn12Tina Naldrett13Jo Thompson Coon14NIHR Applied Research Collaboration (ARC), Evidence Synthesis Team, PenARC, University of Exeter Medical School, St Luke’s Campus, University of ExeterNIHR Applied Research Collaboration (ARC), Evidence Synthesis Team, PenARC, University of Exeter Medical School, St Luke’s Campus, University of ExeterNIHR Applied Research Collaboration (ARC), Evidence Synthesis Team, PenARC, University of Exeter Medical School, St Luke’s Campus, University of ExeterNIHR Applied Research Collaboration (ARC), Evidence Synthesis Team, PenARC, University of Exeter Medical School, St Luke’s Campus, University of ExeterHealth Economics Group, University of Exeter Medical School, St Luke’s Campus, University of ExeterHealth Statistics Group, PenARC, University of Exeter Medical School, College of Medicine and Health, St Luke’s Campus, University of ExeterRoyal Devon and Exeter NHS Foundation TrustRoyal Devon and Exeter NHS Foundation TrustCentre for Research in Aging and Cognitive Health, University of Exeter Medical School, St Luke’s Campus, University of ExeterGraduate School of Education, College of Social Sciences and International Studies, St Luke’s Campus, University of ExeterHospiscareDevon Care KitemarkMental Health Research Group, University of Exeter Medical School, St Luke’s Campus, University of ExeterHospiscareNIHR Applied Research Collaboration (ARC), Evidence Synthesis Team, PenARC, University of Exeter Medical School, St Luke’s Campus, University of ExeterAbstract Background An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment.http://link.springer.com/article/10.1186/s12877-020-01534-7DementiaHospitalAcute careExperienceNon-pharmacological interventionsSystematic review |