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Interventions to support people with dementia and their informal caregivers during the transition from home care to nursing home care – a protocol for a systematic review / Interventionen zur Unterstützung von Menschen mit Demenz und ihren Angehörigen während des Übergangs von der häuslichen Pflege ins Pflegeheim – ein Studienprotokoll für eine systematische Übersichtsarbeit Cover

Interventions to support people with dementia and their informal caregivers during the transition from home care to nursing home care – a protocol for a systematic review / Interventionen zur Unterstützung von Menschen mit Demenz und ihren Angehörigen während des Übergangs von der häuslichen Pflege ins Pflegeheim – ein Studienprotokoll für eine systematische Übersichtsarbeit

Open Access
|Aug 2016

Figures & Tables

j_ijhp-2016-0020_tab_333_w2aab3b8c33b1b7b1ab1b4b8b2Ab2

People with dementiaInformal caregiver(s)
  • Quality of life

  • Mental well-being

  • Physical well-being

  • Participation in daily activities

  • Mood

  • Performance in activities and instrumental activities of daily living (ADL/IADL)

  • Depression

  • Mortality

  • Changing behaviour (e.g. agitation, aggression)

  • Quality of life

  • Mental well-being

  • Physical well-being

  • Social participation of informal caregiver(s)

  • Burden/stress of care

  • Informal caregiver(s) knowledge

  • Informal caregiver(s) satisfaction with support or care

  • Coping

  • Sense of competence

  • Depression

Summary Statement

What is already known about this topic
  • The transition from home care to nursing home care is a decisive moment in the life of persons with dementia and their informal caregivers.

  • Informal caregivers suffer from stress, burden, anxiety and often feel not prepared for the transition period with little information and support.

  • Most people with dementia show behavioral and neuropsychiatric symptoms during the transition period associated with a lower quality of life, lower general well-being, anxiety and/or depression.

Why this systematic review is needed?
  • Although a number of systematic reviews on non-pharmacological interventions either for people with dementia or informal caregivers have been published, none have specifically focused supportive techniques and interventions for people with dementia and their informal caregivers during the transition period from home care to nursing home care.

  • It remains unknown so far whether interventions delivered by nurses, occupational therapists, social workers, physiotherapists or other healthcare professionals are effective.

Implications for practice and/or policy
  • An overview of the existing knowledge on treatment programs will be generated aimed to inform healthcare professionals, policy makers and decision makers how to improve healthcare provision for people with dementia or their informal caregivers.

Appendix

Search Strategy Medline (via Pubmed)
SearchQueriesResults
#1Caregivers [Mesh
a

Mesh = medical subject headings

]
22.920
#2Family Nursing [Mesh]1.118
#3Caregiver* [tw]46.698
#4Social Support [Mesh]53.546
#5Decision Support Systems, Clinical [Mesh]5.175
#6Counseling [Mesh]34.148
#7Patient education [tw]82.524
#8Treatment program* [tw]15.186
#9Exercise program* [tw])8.570
#10Exercise training [tw]69.001
#11Social Adjustment [Mesh]21.379
#12Adaptation, Psychological [Mesh]104.155
#13Coping [tw]127.099
#14Dementia [Mesh]123.448
#15Nursing Homes [Mesh]32.704
#16Long-Term Care [Mesh]22.143
#17Home Nursing [Mesh]8.746
#18Home Care Services [Mesh]40.564
#19Randomized controlled trial [pt
b

Pt = publication type

]
496.068
#20Randomly [tiab
c

Tiab = title and abstract

]
235.769
#21non-randomized controlled trials1.002
#22controlled clinical trial102.573
#23cluster-randomized trial1.936
#24Search (((“Caregivers”[Mesh
a

Mesh = medical subject headings

]) OR “Family Nursing”[Mesh])) OR caregiver*
47.714
#25Search (((“Social Support”[Mesh]) OR “Decision Support Systems, Clinical”[Mesh]) OR “Counseling”[Mesh]) OR patient education [tw]167.418
#26Search ((treatment program* [tw
d

tw = textword

]) OR exercise program* [tw]) OR exercise training [tw]
88.542
#27Search (((“Social Adjustment”[Mesh]) OR “Adaptation, Psychological”[Mesh])) OR coping [tw]143.824
#28#24 OR #25 OR #26 OR #27411.518
#29Search (((“Nursing Homes”[Mesh]) OR “Long-Term Care”[Mesh]) OR “Home Nursing”[Mesh]) OR “Home Care Services”[Mesh]88.751
#30#14 AND #295.271
#31#28 AND #301.758
#32Search (randomized controlled trial [pt
b

Pt = publication type

] OR randomly [tiab
c

Tiab = title and abstract

] OR non-randomized controlled trials [tiab
c

Tiab = title and abstract

] OR controlled clinical trial [tiab
c

Tiab = title and abstract

] OR cluster-randomized trial [tiab
c

Tiab = title and abstract

]
723.273
#33#31 AND #32195
Search Datebetween 1 January 2000 and 15 July 2015
Language: English, German
Page range: 122 - 135
Submitted on: Feb 18, 2016
Accepted on: Jun 2, 2016
Published on: Aug 15, 2016
Published by: ZHAW Zurich University of Applied Sciences
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2016 Christian Müller, Janine Puls, Sindy Lautenschläger, Astrid Stephan, Gabriele Meyer, published by ZHAW Zurich University of Applied Sciences
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.