Characteristics of complex non-pharmacological interventions for cognitive stimulation in people with mild to moderate dementia in nursing homes: A systematic review

Le résumé fourni par la source

METHODS: A literature search in February 2021, updated in July 2023, using MEDLINE, CENTRAL, PsycINFO, ALOIS, and CINAHL identified 49 studies involving 2,795 participants. We included randomized controlled trials (RCTs) and quasi-RCTs. Intervention components included reminiscence therapy, activities of daily living, physical exercises, cognitive exercises, music and art therapy, reality orientation, and multisensory stimulation. RESULTS: Variations were observed in procedures, materials, delivery modes, and durations, with a low overall risk of bias. Notably, no studies reported barriers to delivery, and only one included patient input. CONCLUSIONS: The findings suggest the need for improved intervention design and methodologies, including digital adaptations and individualization of group-based components. Future research should employ established frameworks to describe interventions and prioritize patient and public involvement throughout the research process.

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