Nonpharmacological management of behavioral and psychological symptoms of dementia: what works, in what circumstances, and why?

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dc.contributor.authorCaspar, Sienna
dc.contributor.authorDavis, Erin D.
dc.contributor.authorDouziech, Aimee
dc.contributor.authorScott, David R.
dc.date.accessioned2018-06-26T22:13:35Z
dc.date.available2018-06-26T22:13:35Z
dc.date.issued2018
dc.descriptionSherpa Romeo yellow journal. Open access article. Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0) appliesen_US
dc.description.abstractObjective: Behavioral and psychological symptoms of dementia (BPSD) refer to the often distressing, noncognitive symptoms of dementia. BPSD appear in up to 90% of persons with dementia and can cause serious complications. Reducing the use of antipsychotic medications to treat BPSD is an international priority. This review addresses the following questions: What nonpharmacological interventions work to manage BPSD? And, in what circumstances do they work and why? Method: A realist review was conducted to identify and explain the interactions among context, mechanism, and outcome. We searched electronic databases for empirical studies that reported a formal evaluation of nonpharmacological interventions to decrease BPSD. Results: Seventy-four articles met the inclusion criteria. Three mechanisms emerged as necessary for sustained effective outcomes: the caring environment, care skill development and maintenance, and individualization of care. We offer hypotheses about how different contexts account for the success, failure, or partial success of these mechanisms within the interventions. Discussion: Nonpharmacological interventions for BPSD should include consideration of both the physical and the social environment, ongoing education/training and support for care providers, and individualized approaches that promote self-determination and continued opportunities for meaning and purpose for persons with dementia.en_US
dc.identifier.citationCaspar, S., Davis, E.D., Douziech, A., & Scott, D. R. (2018). Nonpharmacological management of behavioral and psychological symptoms of dementia: What works, in what circumstances, and why? Innovation in Aging, 1(3), 1-10. doi:10.1093/geroni/igy001en_US
dc.identifier.urihttps://hdl.handle.net/10133/5137
dc.language.isoen_USen_US
dc.publisherOxford University Pressen_US
dc.subjectAlzheimer diseaseen_US
dc.subjectAntipsychoticsen_US
dc.subjectBehavior managementen_US
dc.subjectNonpharmacological interventionsen_US
dc.subjectBehavioral and psychological symptoms of dementiaen_US
dc.subjectBPSDen_US
dc.subject.lcshDementia--Psychological aspects
dc.subject.lcshDementia--Treatment
dc.subject.lcshDementia--Patients--Care
dc.subject.lcshDementia
dc.titleNonpharmacological management of behavioral and psychological symptoms of dementia: what works, in what circumstances, and why?en_US
dc.typeArticleen_US
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