Nonpharmacological Interventions for Anxiety and Dementia in Nursing Homes: A Systematic Review The Gerontologist

Brown Wilson, Christine and Arendt, Lars and Nguyen, Mynhi and Scott, Theresa L. and Neville, Christine C. and Pachana, Nancy A. (2019) Nonpharmacological Interventions for Anxiety and Dementia in Nursing Homes: A Systematic Review The Gerontologist. Gerontologist, 59 (6). e731-e742. ISSN 0016-9013

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Abstract

Anxiety is a major mental disorder in later life that impacts on activities of daily living and quality of life for adults living with dementia in nursing homes. The aim of this article was to systematically review nonpharmacological interventions for older adults living in nursing homes who experience comorbid anxiety and dementia.
Method: A systematic literature search was conducted across key databases (Cinahl, ASSIA, Cochrane reviews and trials, psycARTICLES, psycINFO, and PubMed) to identify studies measuring anxiety as an outcome for an intervention for older adults living with dementia in nursing homes, up to December 31, 2017.
Results: The search yielded a total of 1,925 articles with 45 articles accessed for full article review. A total of 13 articles were included in this review following quality appraisal based on Cochrane methodology with six different anxiety measures used. The studies included were moderate to high-quality randomized control trials although heterogeneity precluded a combined meta-analysis.
Clinical implications: The most common interventions used to address anxiety in this population were music therapy and activity-based interventions although there was limited evidence for the efficacy of either intervention. Little is known about effective nonpharmacological treatment for anxiety for people living with dementia in nursing homes. Further research using consistent measurement tools and time points is required to identify effective interventions to improve the quality of life for people living with both dementia and anxiety in nursing homes.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery (1 Jan 2015 -)
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery (1 Jan 2015 -)
Date Deposited: 30 Jan 2020 01:59
Last Modified: 30 Jan 2020 03:14
Uncontrolled Keywords: carers; caregivers; dementia; information seeking; respite; service use; system reform
Fields of Research (2008): 11 Medical and Health Sciences > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111702 Aged Health Care
11 Medical and Health Sciences > 1110 Nursing > 111001 Aged Care Nursing
Identification Number or DOI: 10.1093/geront/gnz020
URI: http://eprints.usq.edu.au/id/eprint/37669

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