Expanded review criteria: the case of no pharmacological interventions in dementia

Cohen-Mansfield, Jiska and Buckwalter, Kathleen and Beattie, Elizabeth and Rose, Karen and Neville, Christine and Kolanowski, Ann (2014) Expanded review criteria: the case of no pharmacological interventions in dementia. Journal of Alzheimer’s Disease , 41. pp. 15-28. ISSN 1387-2877


Abstract

This paper challenges the assumptions underlying many reviews and offers alternative criteria for examining evidence for nonpharmacological interventions.We evaluated 27 reviews examining interventions for persons with dementia as they relate to the issues of selection based on randomized controlled trial (RCT) design. Reviews were described by type of intervention, level of cognitive function, and criteria for inclusion. Of the 27 reviews, 46% required RCTs for inclusion and most had stringent
inclusion criteria. This resulted in poor utilization of the literature and low ecological validity. Eliminating most of the available data poses a critical problem to clinical and research development. Studies meeting strict methodological criteria may not generalize to the greater population or may exclude sub-populations and interventions. Limitations of double-blind RCTs and potential design solutions are set forth based on appropriate populations, problems, interventions, and settings characteristics.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Health, Nursing and Midwifery (1 July 2013 - 31 Dec 2014)
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Health, Nursing and Midwifery (1 July 2013 - 31 Dec 2014)
Date Deposited: 11 Aug 2019 23:38
Last Modified: 11 Aug 2019 23:53
Uncontrolled Keywords: dementia, interventions, older persons, randomized controlled trials, research designs, review
Fields of Research (2008): 11 Medical and Health Sciences > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified
Identification Number or DOI: 10.3233/JAD-132357
URI: http://eprints.usq.edu.au/id/eprint/35535

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