RESEARCH

A Systematic Review and Meta-Analysis of Nonpharmacological Interventions for Moderate to Severe Dementia

There are several non-drug treatments available to those with moderate to severe dementia, such as exercise, light therapy and music therapy. These techniques help people with dementia daily tasks and lessening depression.

Program Types: Therapeutic

Population Groups: Dementia/Traumatic & Acquired Brain Injuries

Setting or Context: Assisted Living/Long-Term Care Homes

Health and Wellness Outcomes: Improved Mental Health, Enhanced Emotional Well-being, Improved Cognitive Function, Sensory Stimulation, Increased Social Engagement & Skills

Allied Profession Intersections: Recreational Therapy, Occupational Therapy, Nursing

Type of Activity: Sensory Stimulation

Evidence Type: Meta-Analyses/Systematic Reviews

Measurement and Evaluation: Standardized Assessment Tools

Research Source: Academic Journals

Access: Free

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Summary

This research looked at whether non-drug treatments could help people with moderate to severe dementia. After examining multiple studies, the review found that these treatments, like exercise, light therapy, and music therapy, can improve daily living activities such as eating and dressing. Additionally, these non-drug approaches can help reduce feelings of depression in individuals with dementia. However, the review didn’t find strong evidence that these treatments improved overall behavior, reduced agitation or anxiety, or boosted cognitive function.

It’s important to note that while some of these non-drug treatments showed promise, the certainty of the evidence was only moderate to low. This means more research is needed to confirm these benefits and understand which treatments work best for specific symptoms. Despite these limitations, the review suggests that non-drug approaches can be a valuable part of caring for people with moderate to severe dementia, particularly for improving daily living and reducing depression.

Link

Na, R., Yang, J. H., Yeom, Y., Kim, Y. J., Byun, S., Kim, K., & Kim, K. W. (2019). A Systematic Review and Meta-Analysis of Nonpharmacological Interventions for Moderate to Severe Dementia. Psychiatry investigation, 16(5), 325–335.

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