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Centre for Policy on Ageing | |
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Effectiveness and acceptability of non-pharmacological interventions to reduce wandering in dementia
— a systematic review | | Author(s) | L Robinson, D Hutchings, H O Dickinson |
| Journal title | International Journal of Geriatric Psychiatry, vol 22, no 1, January 2007 |
| Pages | pp 9-22 |
| Source | http://www.interscience.wiley.com |
| Keywords | Wandering ; Dementia ; Psychiatric treatment ; Social ethics ; Literature reviews. |
| Annotation | Estimates of wandering in people with dementia range from 15% to 60%. Although psychosocial interventions rather than pharmacological methods are recommended, evidence for their effectiveness is limited and there are ethical concerns associated with some non-pharmacological approaches. These issues are examined in this systematic review, which sought papers relevant to effectiveness, acceptability and ethical issues. 11 studies were found on clinical acceptability, including 8 randomised controlled trials of a variety of interventions. There was no robust evidence to recommend any intervention, although there was some weak evidence for exercise. No studies to determine cost-effectiveness met inclusion criteria. None of the acceptability papers reported directly on the views of people with dementia. Exercise and music therapy were the most acceptable interventions and raised no ethical concerns. Tracking and tagging devices were acceptable to carers but generated much ethical debate. Physical restraints were considered unacceptable. Wandering represents a diverse range of behaviours, which occur for different reasons. This individuality and diversity should be mirrored in the management approach: what might be effective for one person in one situation is not effective for all. (RH). |
| Accession Number | CPA-070131214 A |
| Classmark | EPC: EA: LP: TQ: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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