FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2130684477> ?p ?o ?g. }

• W2130684477 abstract "People with dementia who are being cared for in long-term care settings are often not engaged in meaningful activities. Offering them activities which are tailored to their individual interests and preferences might improve their quality of life and reduce challenging behaviour.∙ To assess the effects of personally tailored activities on psychosocial outcomes for people with dementia living in long-term care facilities.∙ To describe the components of the interventions.∙ To describe conditions which enhance the effectiveness of personally tailored activities in this setting.We searched ALOIS, the Cochrane Dementia and Cognitive Improvement Group's Specialized Register, on 16 June 2017 using the terms: personally tailored OR individualized OR individualised OR individual OR person-centred OR meaningful OR personhood OR involvement OR engagement OR engaging OR identity. We also performed additional searches in MEDLINE (Ovid SP), Embase (Ovid SP), PsycINFO (Ovid SP), CINAHL (EBSCOhost), Web of Science (ISI Web of Science), ClinicalTrials.gov, and the World Health Organization (WHO) ICTRP, to ensure that the search for the review was as up to date and as comprehensive as possible.We included randomised controlled trials and controlled clinical trials offering personally tailored activities. All interventions included an assessment of the participants' present or past preferences for, or interests in, particular activities as a basis for an individual activity plan. Control groups received either usual care or an active control intervention.Two authors independently checked the articles for inclusion, extracted data and assessed the methodological quality of included studies. For all studies, we assessed the risk of selection bias, performance bias, attrition bias and detection bias. In case of missing information, we contacted the study authors.We included eight studies with 957 participants. The mean age of participants in the studies ranged from 78 to 88 years and in seven studies the mean MMSE score was 12 or lower. Seven studies were randomised controlled trials (three individually randomised, parallel group studies, one individually randomised cross-over study and three cluster-randomised trials) and one study was a non-randomised clinical trial. Five studies included a control group receiving usual care, two studies an active control intervention (activities which were not personally tailored) and one study included both an active control and usual care. Personally tailored activities were mainly delivered directly to the participants; in one study the nursing staff were trained to deliver the activities. The selection of activities was based on different theoretical models but the activities did not vary substantially.We found low-quality evidence indicating that personally tailored activities may slightly improve challenging behaviour (standardised mean difference (SMD) -0.21, 95% confidence interval (CI) -0.49 to 0.08; I² = 50%; 6 studies; 439 participants). We also found low-quality evidence from one study that was not included in the meta-analysis, indicating that personally tailored activities may make little or no difference to general restlessness, aggression, uncooperative behaviour, very negative and negative verbal behaviour (180 participants). There was very little evidence related to our other primary outcome of quality of life, which was assessed in only one study. From this study, we found that quality of life rated by proxies was slightly worse in the group receiving personally tailored activities (moderate-quality evidence, mean difference (MD) -1.93, 95% CI -3.63 to -0.23; 139 participants). Self-rated quality of life was only available for a small number of participants, and there was little or no difference between personally tailored activities and usual care on this outcome (low-quality evidence, MD 0.26, 95% CI -3.04 to 3.56; 42 participants). We found low-quality evidence that personally tailored activities may make little or no difference to negative affect (SMD -0.02, 95% CI -0.19 to 0.14; I² = 0%; 6 studies; 589 participants). We found very low quality evidence and are therefore very uncertain whether personally tailored activities have any effect on positive affect (SMD 0.88, 95% CI 0.43 to 1.32; I² = 80%; 6 studies; 498 participants); or mood (SMD -0.02, 95% CI -0.27 to 0.23; I² = 0%; 3 studies; 247 participants). We were not able to undertake a meta-analysis for engagement and the sleep-related outcomes. We found very low quality evidence and are therefore very uncertain whether personally tailored activities improve engagement or sleep-related outcomes (176 and 139 participants, respectively). Two studies that investigated the duration of the effects of personally tailored activities indicated that the intervention effects persisted only during the delivery of the activities. Two studies reported information about adverse effects and no adverse effects were observed.Offering personally tailored activities to people with dementia in long-term care may slightly improve challenging behaviour. Evidence from one study suggested that it was probably associated with a slight reduction in the quality of life rated by proxies, but may have little or no effect on self-rated quality of life. We acknowledge concerns about the validity of proxy ratings of quality of life in severe dementia. Personally tailored activities may have little or no effect on negative affect and we are uncertain whether they improve positive affect or mood. There was no evidence that interventions were more likely to be effective if based on one specific theoretical model rather than another. Our findings leave us unable to make recommendations about specific activities or the frequency and duration of delivery. Further research should focus on methods for selecting appropriate and meaningful activities for people in different stages of dementia." @default.
• W2130684477 created "2016-06-24" @default.
• W2130684477 creator A5040152364 @default.
• W2130684477 creator A5058094729 @default.
• W2130684477 creator A5072875152 @default.
• W2130684477 creator A5080924112 @default.
• W2130684477 date "2018-02-13" @default.
• W2130684477 modified "2023-10-17" @default.
• W2130684477 title "Personally tailored activities for improving psychosocial outcomes for people with dementia in long-term care" @default.
• W2130684477 cites W1507382929 @default.
• W2130684477 cites W1507402890 @default.
• W2130684477 cites W1549226766 @default.
• W2130684477 cites W1767488126 @default.
• W2130684477 cites W1768683478 @default.
• W2130684477 cites W1836741648 @default.
• W2130684477 cites W1847168837 @default.
• W2130684477 cites W1965232347 @default.
• W2130684477 cites W1966964433 @default.
• W2130684477 cites W1970227284 @default.
• W2130684477 cites W1970758137 @default.
• W2130684477 cites W1976381454 @default.
• W2130684477 cites W1978118094 @default.
• W2130684477 cites W1987201360 @default.
• W2130684477 cites W1989272521 @default.
• W2130684477 cites W1991517279 @default.
• W2130684477 cites W1994644842 @default.
• W2130684477 cites W1997308350 @default.
• W2130684477 cites W1997544448 @default.
• W2130684477 cites W1999612611 @default.
• W2130684477 cites W2001395655 @default.
• W2130684477 cites W2005517509 @default.
• W2130684477 cites W2007445014 @default.
• W2130684477 cites W2008854521 @default.
• W2130684477 cites W2011235825 @default.
• W2130684477 cites W2011785020 @default.
• W2130684477 cites W2015077250 @default.
• W2130684477 cites W2016677689 @default.
• W2130684477 cites W2019412319 @default.
• W2130684477 cites W2022214308 @default.
• W2130684477 cites W2028063110 @default.
• W2130684477 cites W2031102940 @default.
• W2130684477 cites W2033927268 @default.
• W2130684477 cites W2038759435 @default.
• W2130684477 cites W2040325460 @default.
• W2130684477 cites W2041513477 @default.
• W2130684477 cites W2050078927 @default.
• W2130684477 cites W2050285774 @default.
• W2130684477 cites W2052062173 @default.
• W2130684477 cites W2053288586 @default.
• W2130684477 cites W2056966978 @default.
• W2130684477 cites W2058161128 @default.
• W2130684477 cites W2060787282 @default.
• W2130684477 cites W2062885788 @default.
• W2130684477 cites W2063901347 @default.
• W2130684477 cites W2065807277 @default.
• W2130684477 cites W2068068955 @default.
• W2130684477 cites W2072445936 @default.
• W2130684477 cites W2076367890 @default.
• W2130684477 cites W2077113245 @default.
• W2130684477 cites W2078807667 @default.
• W2130684477 cites W2079295562 @default.
• W2130684477 cites W2084544735 @default.
• W2130684477 cites W2085001923 @default.
• W2130684477 cites W2089703039 @default.
• W2130684477 cites W2091036116 @default.
• W2130684477 cites W2091212502 @default.
• W2130684477 cites W2099909796 @default.
• W2130684477 cites W2102330235 @default.
• W2130684477 cites W2104675861 @default.
• W2130684477 cites W2107745448 @default.
• W2130684477 cites W2109566249 @default.
• W2130684477 cites W2115387236 @default.
• W2130684477 cites W2116650798 @default.
• W2130684477 cites W2118788275 @default.
• W2130684477 cites W2122517769 @default.
• W2130684477 cites W2124668601 @default.
• W2130684477 cites W2128219126 @default.
• W2130684477 cites W2128746261 @default.
• W2130684477 cites W2128920447 @default.
• W2130684477 cites W2132642576 @default.
• W2130684477 cites W2134150368 @default.
• W2130684477 cites W2134767980 @default.
• W2130684477 cites W2141076818 @default.
• W2130684477 cites W2141646487 @default.
• W2130684477 cites W2144269887 @default.
• W2130684477 cites W2145257154 @default.
• W2130684477 cites W2145555293 @default.
• W2130684477 cites W2148080316 @default.
• W2130684477 cites W2148889266 @default.
• W2130684477 cites W2149450071 @default.
• W2130684477 cites W2151247235 @default.
• W2130684477 cites W2153489135 @default.
• W2130684477 cites W2154068380 @default.
• W2130684477 cites W2154868573 @default.
• W2130684477 cites W2161442591 @default.
• W2130684477 cites W2162339035 @default.
• W2130684477 cites W2162544110 @default.
• W2130684477 cites W2164730252 @default.
• W2130684477 cites W2166164980 @default.
• W2130684477 cites W2167311298 @default.

• next