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    Psychosocial interventions for community dwelling people following diagnosis of mild to moderate dementia. Findings of a systematic scoping review

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    Mountain_et_al_AJGP.pdf (741.8Kb)
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    Publication date
    2019-06
    Author
    Keogh, F.
    Mountain, Gail
    Joddrell, P.
    Lord, Kathryn
    Keyword
    Psychosocial interventions
    Mild to moderate dementia
    Post-diagnostic support
    Rights
    © 2018 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved. Reproduced in accordance with the publisher's self-archiving policy. This manuscript version is made available under the CC-BY-NC-ND 4.0 license.
    Peer-Reviewed
    Yes
    
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    Abstract
    National policies and evidence reviews recommend psychosocial interventions (PIs) as an essential support, particularly in the period following dementia diagnosis. However, the availability and uptake of these interventions is comparatively low. One of the reasons for this is that clinicians lack information about what might be provided and the potential benefits of different interventions. This paper identifies and describes psychosocial interventions for community dwelling people following diagnosis of mild to moderate dementia and presents the available evidence to inform practice decisions. A systematic scoping review was employed to map the evidence relating to PIs for this group. This identified 63 relevant studies, testing 69 interventions, which could be grouped into six categories; 20 cognition-oriented interventions; 11 behaviour-oriented; 11 stimulation-oriented; 13 emotion-oriented, 5 social-oriented and 9 multi-modal. There were three targets for outcome measurement of these PIs; the person with dementia, the family carer and the person-carer dyad. Over 154 outcome measures were identified in the studies with outcomes measured across 11 main domains. The lack of a classification framework for PIs means it is difficult to create a meaningful synthesis of the breadth of relevant evidence to guide clinical practice. Possible dimensions of a classification framework are proposed to begin to address this gap.
    URI
    http://hdl.handle.net/10454/16795
    Version
    Accepted manuscript
    Citation
    Keogh F, Mountain G, Joddrell P et al (2019) Psychosocial interventions for community dwelling people following diagnosis of mild to moderate dementia. Findings of a systematic scoping review. The American Journal of Geriatric Psychiatry. 27(6): 641-651.
    Link to publisher’s version
    https://doi.org/10.1016/j.jagp.2018.12.027
    Type
    Article
    Collections
    Health Studies Publications

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