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    Interventions for self-management of medicines for community dwelling people with dementia, mild cognitive impairment and family carers: a systematic review

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    Publication date
    2022
    Author
    Powell, Catherine
    Tomlinson, Justine
    Quinn, Catherine
    Fylan, Beth
    Keyword
    Dementia
    Mild cognitive impairment
    Medicine
    Community dwelling
    Systematic review
    older people
    Family carers
    Medicines self-management
    Rights
    © The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com. This is an Open Access ar ticle distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
    Peer-Reviewed
    Yes
    Open Access status
    openAccess
    
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    Abstract
    Background People with dementia or mild cognitive impairment (MCI) and their family carers face challenges in managing medicines. How medicines self-management could be supported for this population is unclear. This review identifies interventions to improve medicines self-management for people with dementia, MCI and their family carers, and which core components of medicines self-management they address. Methods A database search was conducted for studies with all research designs and ongoing citation searches from inception to December 2021. Selection criteria included community dwelling people with dementia and MCI and their family carers, and interventions with a minimum of one medicine self-management component. Exclusion criteria were wrong population, not focusing on medicines management, incorrect medicines self-management components, not in English and wrong study design. Results are presented and analysed through narrative synthesis. The review is registered [PROSPERO (CRD42020213302)]. Quality assessment was carried out independently applying the QATSDD quality assessment tool. Results Thirteen interventions were identified. Interventions primarily addressed adherence. A limited number focused on a wider range of medicine self-management components. Complex psychosocial interventions with frequent visits considered the person’s knowledge and understanding, supply management, monitoring effects and side-effects and communicating with healthcare professionals; and addressed more resilience capabilities. However, these interventions were delivered to family carers alone. None of the interventions described patient and public involvement. Conclusion Interventions, and measures to assess self-management, need to be developed which address all components of medicines self-management, to better meet the needs for people with dementia and MCI and their family carers.
    URI
    http://hdl.handle.net/10454/18873
    Version
    Published version
    Citation
    Powell C, Tomlinson J, Quinn C and Fylan B (2022) Interventions for self-management of medicines for community dwelling people with dementia, mild cognitive impairment and family carers: a systematic review. Age and Ageing. 51(5): 1-7.
    Link to publisher’s version
    https://academic.oup.com/ageing
    Type
    Article
    Collections
    Health Studies Publications

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