Universität zu Köln

Folkerts, Ann-Kristin, Roheger, Mandy ORCID: 0000-0002-6015-3194, Franklin, Jeremy ORCID: 0000-0003-1536-0925, Middelstaedt, Jennifer and Kalbe, Elke (2017). Cognitive interventions in patients with dementia living in long-term care facilities: Systematic review and meta-analysis. Arch. Gerontol. Geriatr., 73. S. 204 - 222. CLARE: ELSEVIER IRELAND LTD. ISSN 1872-6976

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Abstract

Background: Previous reviews and meta-analyses demonstrated effects of cognitive interventions in dementia, but none specifically considered residents with dementia in long-term care (LTC) facilities. Objective: To analyse the efficacy of cognitive interventions in institutionalised individuals with dementia. Methods: After identifying 27 articles, a systematic review was performed. A meta-analysis was calculated for 15 studies of the randomized controlled trials regarding effects on relevant outcomes. Fixed-effects meta-analyses were conducted using standardized mean differences (SMD) of changes from baseline pooled using the inverse variance method. Results: When comparing cognitive interventions to passive control groups, the meta-analysis revealed significant moderate effects on global cognition (SMD = 0.47, 95% CI 0.27-0.67), autobiographical memory (0.67, 0.02-1.31), and behavioral and psychological symptoms in dementia (BPSD; 0.71, 0.06-1.36). Significant small effects were detected for quality of life (QoL; 0.37, 0.05-0.70). Moderate effects on activities of daily living (0.28;-0.02 to 0.58) failed to reach significance; no effects were found on depression (0.22; -0.08 to 0.51). Significant moderate effects of global cognition (0.55; 0.22-0.89) and depression (0.64; 0.21-1.07) were also found for cognitive interventions contrasting active control groups. No harmful events related to the participation in the interventions were observed. Conclusion: Cognitive interventions are safe and effective for residents with dementia in LTC. However, while it seems clear that cognitive benefits can specifially be assigned to these forms of intervention, further research is necessary to clarify whether the effects on BPSD and QoL reflect unspecific changes due to additional attention. Furthermore, future studies will have to determine which intervention type yields the largest benefits.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Folkerts, Ann-Kristin UNSPECIFIED UNSPECIFIED UNSPECIFIED Roheger, Mandy UNSPECIFIED orcid.org/0000-0002-6015-3194 UNSPECIFIED Franklin, Jeremy UNSPECIFIED orcid.org/0000-0003-1536-0925 UNSPECIFIED Middelstaedt, Jennifer UNSPECIFIED UNSPECIFIED UNSPECIFIED Kalbe, Elke UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-213285
DOI:	10.1016/j.archger.2017.07.017
Journal or Publication Title:	Arch. Gerontol. Geriatr.
Volume:	73
Page Range:	S. 204 - 222
Date:	2017
Publisher:	ELSEVIER IRELAND LTD
Place of Publication:	CLARE
ISSN:	1872-6976
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; NURSING-HOME RESIDENTS; REALITY ORIENTATION THERAPY; RANDOMIZED CONTROLLED-TRIAL; INDIVIDUAL MUSIC-THERAPY; STIMULATION THERAPY; REMINISCENCE THERAPY; ALZHEIMERS-DISEASE; OLDER-ADULTS; PSYCHOSOCIAL INTERVENTIONS Multiple languages Geriatrics & Gerontology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/21328