Open Access

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


Cite

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

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

Pt = publication type

]
496.068
#20Randomly [tiab

Tiab = title and abstract

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

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

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

Pt = publication type

] OR randomly [tiab

Tiab = title and abstract

] OR non-randomized controlled trials [tiab

Tiab = title and abstract

] OR controlled clinical trial [tiab

Tiab = title and abstract

] OR cluster-randomized trial [tiab

Tiab = title and abstract

]
723.273
#33#31 AND #32195
Search Datebetween 1 January 2000 and 15 July 2015
eISSN:
2296-990X
Languages:
English, German
Publication timeframe:
Volume Open
Journal Subjects:
Medicine, Clinical Medicine, other