Results for 'psychosocial intervention'
Results 1 - 6 of 6
MEYER Claudia, O'KEEFE Fleur
Objective: Aged care services increasingly respond to the needs of people with dementia. Non-pharmacological approaches are preferable to reduce responsive behaviours, improve/maintain functional capacity and reduce emotional disorders. This rapid review of systematic reviews aimed to consolidate the evidence for non-pharmacological interventions and determine outcome effectiveness. Methods: Systematic review literature was comprehensively searched for non-pharmacological interventions for dementia in residential care. Quality ratings used adapted GRADE methodology, and ease of implementation assessed. Results: Of 629 abstracts screened, 81 full-text articles were retrieved, 38 articles included. The strongest evidence for reducing responsive behaviours was music, sensory stimulation, simulated presence and validation therapies. Exercise and light therapy improved/maintained activities of daily living, while cognitive stimulation and reminiscence improved cognition. Strongest evidence for reducing emotional disorders was music, psychological interventions and reminiscence. Conclusion: Much evidence of varying quality exists, with resource-constrained residential care providers now able to make evidence-based decisions about non-pharmacological interventions.
FANCOURT Daisy, TYMOSZUK Urszula
Background: There is a recognised need for the identification of factors that might be protective against the development of depression in older adults. Over the past decade, there has been growing research demonstrating the effects of cultural engagement (which combines a number of protective factors including social interaction, cognitive stimulation and gentle physical activity) on the treatment of depression, but as yet not on its prevention. Aims: To explore whether cultural engagement in older adults is associated with a reduced risk of developing depression over the following decade. Method: Working with data from 2148 adults in the English Longitudinal Study of Ageing who were free from depression at baseline, the study used logistic regression models to explore associations between frequency of cultural engagement (including going to museums, theatre and cinema) and the risk of developing depression over the following 10 years using a combined index of the Centre for Epidemiological Studies Depression Scale (CES-D) and physician-diagnosed depression. Results: There was a dose–response relationship between frequency of cultural engagement and the risk of developing depression independent of sociodemographic, health-related and social confounders. This equated to a 32% lower risk of developing depression for people who attended every few months (odds ratio (OR) = 0.68, 95% CI 0.47–0.99, P = 0.046) and a 48% lower risk for people who attended once a month or more (OR = 0.52, 95% CI 0.34–0.80, P = 0.003). Results were robust to sensitivity analyses exploring reverse causality, subclinical depressive symptoms and alternative CES-D thresholds. Conclusions: Cultural engagement appears to be an independent risk-reducing factor for the development of depression in older age.
CANTARELLA A., et al
Objectives: Among the psychosocial interventions intended to reduce the behavioural and psychological symptoms of dementia (BPSD), doll therapy (DT) is increasingly used in clinical practice. Few studies on DT have been based on empirical data obtained with an adequate procedure; however, none have assessed its efficacy using an active control group, and the scales used to assess changes in BPSD are usually unreliable. The aim of the present study was to measure the impact of DT on people with severe dementia with a reliable, commonly used scale for assessing their BPSD, and the related distress in formal caregivers. Effects of DT on the former's everyday abilities (i.e., eating behaviour) were also examined. Method: Twenty‐nine nursing home residents aged from 76 to 96 years old, with severe dementia (Alzheimer's or vascular dementia), took part in the experiment. They were randomly assigned to an experimental group that used dolls or an active control group that used hand warmers with sensory characteristics equivalent to the dolls. Benefits of DT on BPSD and related formal caregiver distress were examined with the Neuropsychiatric Inventory. The effects of DT on eating behaviour were examined with the Eating Behavior Scale. Results: Only the DT group showed a reduction in BPSD scores and related caregiver distress. DT did not benefit eating behaviour, however. Conclusions: This study suggests that DT is a promising approach for reducing BPSD in people with dementia, supporting evidence emerging from previous anecdotal studies.
The growing prevalence of dementia, combined with an absence of effective pharmacological treatments, highlights the potential of psychosocial interventions to alleviate the effects of dementia and enhance quality of life. With reference to a manifesto from the researcher network Interdem, this paper shows how arts activities correspond to its definition of psycho-social care. It presents key dimensions that help to define different arts activities in this context, and illustrates the arts with reference to three major approaches that can be viewed online; visual art, music and dance. It goes on to discuss the features of each of these arts activities, and to present relevant evidence from systematic reviews on the arts in dementia in general. Developing the analysis into a template for differentiating arts interventions in dementia, the paper goes on to discuss implications for future research and for the uptake of the arts by people with dementia as a means to self-care.
LANGFORD Katharine, BAECK Peter, HAMPSON Martha
Examines the constitutive elements of the ‘more than medicine’ approach, looking at social prescribing, signposting through link workers, health trainers and navigators, and community-based services. ‘More than medicine’ creates a set of tools for clinicians to use with patients to address the behavioural and social aspects of long term conditions. It connects the clinical consultation with interventions such as peer support groups, debt counselling, walking groups, befriending, one-to-one coaching and community cooking classes that help people to manage their long-term conditions and improve their health and wellbeing. These activities, places and people help service users and patients to live healthier lives, make friends and learn new skills. The report provides a description of each element of ‘more than medicine’ - social prescribing, signposting and community services - and illustrates the discussion with case studies and summaries of the evidence.
This guidance describes the use of non-medical interventions, sometimes called ‘social prescribing’ or ‘community referral’, to improve mental health and wellbeing. Social prescribing supports improved access both to psychological treatments and to interventions addressing the wider determinants of mental health. It can contribute to greater awareness of the relative contribution to mental wellbeing of individual psychological skills and attributes (e.g. autonomy, positive affect and self-efficacy) and the circumstances of people’s lives: housing, employment, income and status. The guide: examines the benefits of social prescribing; outlines the policy context and evidence base for social prescribing; gives guidance on commissioning social prescribing; provides information on interventions and how to deliver social prescribing; and describes the findings of a social prescribing development project commissioned by Care Services Improvement Partnership (CSIP) North West. Overall, the guidance aims to support localities in developing, implementing and evaluating social prescribing schemes, with a special focus on mental health and wellbeing. The report recommends that social prescribing is made available as part of prevention and early intervention within primary care, and also to support recovery from severe mental distress.
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