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Person-Centered Care in Persons Living With Dementia: A Systematic Review and Meta-analysis

 Kyung Hee Lee  ;  Ji Yeon Lee  ;  Bora Kim 
 GERONTOLOGIST, Vol.62(4) : e253-e264, 2022-04 
Journal Title
Issue Date
Cognitive Behavioral Therapy* ; Dementia* / psychology ; Dementia* / therapy ; Humans ; Patient-Centered Care ; Psychotherapy ; Self Care
Behavioral and psychological symptoms in dementia ; Cognitive function ; Reminiscence therapy
Background and objectives: The concept of person-centered care has been utilized/adapted to various interventions to enhance health-related outcomes and ensure the quality of care delivered to persons living with dementia. A few systematic reviews have been conducted on the use of person-centered interventions in the context of dementia care, but to date, none have analyzed intervention effect by intervention type and target outcome. This study aimed to review person-centered interventions used in the context of dementia care and examine their effectiveness.

Research design and methods: A systematic review and meta-analysis were conducted. We searched through 5 databases for randomized controlled trials that utilized person-centered interventions in persons living with dementia from 1998 to 2019. Study quality was assessed using the National Institute for Health and Clinical Excellence checklist. The outcomes of interest for the meta-analysis were behavioral and psychological symptoms in dementia (BPSD) and cognitive function assessed immediately after the baseline measurement.

Results: In total, 36 studies were systematically reviewed. Intervention types were reminiscence, music, and cognitive therapies, and multisensory stimulation. Thirty studies were included in the meta-analysis. Results showed a moderate effect size for overall intervention, a small one for music therapy, and a moderate one for reminiscence therapy on BPSD and cognitive function.

Discussion and implications: Generally speaking, person-centered interventions showed immediate intervention effects on reducing BPSD and improving cognitive function, although the effect size and significance of each outcome differed by intervention type. Thus, health care providers should consider person-centered interventions as a vital element in dementia care.
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3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Lee, Kyung Hee(이경희) ORCID logo https://orcid.org/0000-0003-2964-8356
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