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The Integration of Psychosocial Care into National Dementia Strategies across Europe: Evidence from the Skills in DEmentia Care (SiDECar) Project

. 2021 Mar 25 ; 18 (7) : . [epub] 20210325

Language English Country Switzerland Media electronic

Document type Journal Article, Research Support, Non-U.S. Gov't

There is evidence supporting the use of psychosocial interventions in dementia care. Due to the role of policy in clinical practice, the present study investigates whether and how the issue of psychosocial care and interventions has been addressed in the national dementia plans and strategies across Europe. A total of 26 national documents were found. They were analyzed by content analysis to identify the main pillars associated with the topic of psychosocial care and interventions. Specifically, three categories emerged: (1) Treatment, (2) Education, and (3) Research. The first one was further divided into three subcategories: (1) Person-centred conceptual framework, (2) Psychosocial interventions, and (3) Health and social services networks. Overall, the topic of psychosocial care and interventions has been addressed in all the country policies. However, the amount of information provided differs across the documents, with only the category of 'Treatment' covering all of them. Furthermore, on the basis of the existing policies, how the provision of psychosocial care and interventions would be enabled, and how it would be assessed are not fully apparent yet. Findings highlight the importance of policies based on a comprehensive and well-integrated system of care, where the issue of psychosocial care and interventions is fully embedded.

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WHO|Global Action Plan on the Public Health Response to Dementia 2017–2025. [(accessed on 19 February 2021)]; Available online: http://www.who.int/mental_health/neurology/dementia/action_plan_2017_2025/en/

Alzheimer’s Disease International . From Plan to Impact II: The Urgent Need for Action. ADI; London, UK: 2019.

World Health Organization–Regional Office for Europe Dementia. [(accessed on 19 February 2021)]; Available online: https://www.euro.who.int/en/health-topics/noncommunicable-diseases/mental-health/areas-of-work/dementia.

Dickinson C., Dow J., Gibson G., Hayes L., Robalino S., Robinson L. Psychosocial Intervention for Carers of People with Dementia: What Components Are Most Effective and When? A Systematic Review of Systematic Reviews. Int. Psychogeriatr. 2017;29:31–43. doi: 10.1017/S1041610216001447. PubMed DOI

McDermott O., Charlesworth G., Hogervorst E., Stoner C., Moniz-Cook E., Spector A., Csipke E., Orrell M. Psychosocial Interventions for People with Dementia: A Synthesis of Systematic Reviews. Aging Ment. Health. 2019;23:393–403. doi: 10.1080/13607863.2017.1423031. PubMed DOI

Olazarán J., Reisberg B., Clare L., Cruz I., Peña-Casanova J., Ser T.D., Woods B., Beck C., Auer S., Lai C., et al. Nonpharmacological Therapies in Alzheimer’s Disease: A Systematic Review of Efficacy. DEM. 2010;30:161–178. doi: 10.1159/000316119. PubMed DOI

Orrell M. The New Generation of Psychosocial Interventions for Dementia Care. Br. J. Psychiatry. 2012;201:342–343. doi: 10.1192/bjp.bp.111.107771. PubMed DOI

Vasse E., Vernooij-Dassen M., Cantegreil I., Franco M., Dorenlot P., Woods B., Moniz-Cook E. Guidelines for Psychosocial Interventions in Dementia Care: A European Survey and Comparison. Int. J. Geriatr. Psychiatry. 2012;27:40–48. doi: 10.1002/gps.2687. PubMed DOI

Moniz-Cook E., Manthorpe J. Early Psychosocial Interventions in Dementia: Evidence-Based Practice. Jessica Kingsley Publishers; London, UK: 2009.

Moniz-Cook E., Vernooij-Dassen M., Woods B., Orrell M. Psychosocial Interventions in Dementia Care Research: The INTERDEM Manifesto. Aging Ment. Health. 2011;15:283–290. doi: 10.1080/13607863.2010.543665. PubMed DOI

Livingston G., Kelly L., Lewis-Holmes E., Baio G., Morris S., Patel N., Omar R.Z., Katona C., Cooper C. Non-Pharmacological Interventions for Agitation in Dementia: Systematic Review of Randomised Controlled Trials. Br. J. Psychiatry. 2014;205:436–442. doi: 10.1192/bjp.bp.113.141119. PubMed DOI

O’Connor D.W., Ames D., Gardner B., King M. Psychosocial Treatments of Behavior Symptoms in Dementia: A Systematic Review of Reports Meeting Quality Standards. Int. Psychogeriatr. 2009;21:225–240. doi: 10.1017/S1041610208007588. PubMed DOI

O’Connor D.W., Ames D., Gardner B., King M. Psychosocial Treatments of Psychological Symptoms in Dementia: A Systematic Review of Reports Meeting Quality Standards. Int. Psychogeriatr. 2009;21:241–251. doi: 10.1017/S1041610208008223. PubMed DOI

Hersch E.C., Falzgraf S. Management of the Behavioral and Psychological Symptoms of Dementia. Clin. Interv. Aging. 2007;2:611–621. doi: 10.2147/CIA.S1698. PubMed DOI PMC

Ballard C.G., O’Brien J.T., Reichelt K., Perry E.K. Aromatherapy as a Safe and Effective Treatment for the Management of Agitation in Severe Dementia: The Results of a Double-Blind, Placebo-Controlled Trial with Melissa. J. Clin. Psychiatry. 2002;63:553–558. doi: 10.4088/JCP.v63n0703. PubMed DOI

Lawlor B.A. Behavioral and Psychological Symptoms in Dementia: The Role of Atypical Antipsychotics. J. Clin. Psychiatry. 2004;65(Suppl. S11):5–10. PubMed

Sloane P.D., Hoeffer B., Mitchell C.M., McKenzie D.A., Barrick A.L., Rader J., Stewart B.J., Talerico K.A., Rasin J.H., Zink R.C., et al. Effect of Person-Centered Showering and the Towel Bath on Bathing-Associated Aggression, Agitation, and Discomfort in Nursing Home Residents with Dementia: A Randomized, Controlled Trial. J. Am. Geriatr. Soc. 2004;52:1795–1804. doi: 10.1111/j.1532-5415.2004.52501.x. PubMed DOI

Boots L.M.M., De Vugt M.E., Van Knippenberg R.J.M., Kempen G.I.J.M., Verhey F.R.J. A Systematic Review of Internet-Based Supportive Interventions for Caregivers of Patients with Dementia: Review-Internet Programs for Dementia Caregivers. Int. J. Geriatr. Psychiatry. 2014;29:331–344. doi: 10.1002/gps.4016. PubMed DOI

Brodaty H., Green A., Koschera A. Meta-Analysis of Psychosocial Interventions for Caregivers of People with Dementia. J. Am. Geriatr. Soc. 2003;51:657–664. doi: 10.1034/j.1600-0579.2003.00210.x. PubMed DOI

Marim C.M., Silva V., Taminato M., Barbosa D.A. Effectiveness of Educational Programs on Reducing the Burden of Caregivers of Elderly Individuals with Dementia: A Systematic Review. Rev. Lat Am. Enferm. 2013;21:267–275. doi: 10.1590/S0104-11692013000700033. PubMed DOI

Pusey H., Richards D. A Systematic Review of the Effectiveness of Psychosocial Interventions for Carers of People with Dementia. Aging Ment. Health. 2001;5:107–119. doi: 10.1080/13607860120038302. PubMed DOI

Qiu D., Hu M., Yu Y., Tang B., Xiao S. Acceptability of Psychosocial Interventions for Dementia Caregivers: A Systematic Review. BMC Psychiatry. 2019;19:23. doi: 10.1186/s12888-018-1976-4. PubMed DOI PMC

Selwood A., Johnston K., Katona C., Lyketsos C., Livingston G. Systematic Review of the Effect of Psychological Interventions on Family Caregivers of People with Dementia. J. Affect. Disord. 2007;101:75–89. doi: 10.1016/j.jad.2006.10.025. PubMed DOI

Gauthier S., Albert M., Fox N., Goedert M., Kivipelto M., Mestre-Ferrandiz J., Middleton L.T. Why Has Therapy Development for Dementia Failed in the Last Two Decades? Alzheimer’s Dement. 2016;12:60–64. doi: 10.1016/j.jalz.2015.12.003. PubMed DOI

Wright T., O’Connor S. Reviewing Challenges and Gaps in European and Global Dementia Policy. J. Public Ment. Health. 2018;17:157–167. doi: 10.1108/JPMH-02-2018-0012. PubMed DOI PMC

SiDECar Project|Sidecar. [(accessed on 20 February 2021)]; Available online: https://sidecar-project.eu/

Ottoboni G., Chirico I., Povolna P., Dostalova V., Holmerova I., Janssen N., Chattat R. Psychosocial care in dementia in European Higher Education: Evidence from the SiDECar (“Skills in DEmentia Care”) project. Nurse Education Today. Under review. PubMed

Alzheimer Europe National Dementia Strategies: A Snapshot of the Status of National Dementia Strategies around Europe. [(accessed on 19 February 2021)]; Available online: https://www.alzheimer-europe.org/Policy/National-Dementia-Strategies.

Alzheimer Disease International Dementia Plans. [(accessed on 19 February 2021)]; Available online: https://www.alzint.org/what-we-do/policy/dementia-plans/

Leavy P. The Oxford Handbook of Qualitative Research. Oxford University Press; Oxford, UK: 2014.

Krippendorff K. Content Analysis: An. Introduction to Its Methodology. SAGE Publications; Thousand Oaks, CA, USA: 2018.

Vaismoradi M., Turunen H., Bondas T. Content Analysis and Thematic Analysis: Implications for Conducting a Qualitative Descriptive Study. Nurs. Health Sci. 2013;15:398–405. doi: 10.1111/nhs.12048. PubMed DOI

Alzheimer Europe Who We Are—Our Members. [(accessed on 19 February 2021)]; Available online: https://www.alzheimer-europe.org/Alzheimer-Europe/Who-we-are/Our-members.

Giannakopoulos G., Anagnostopoulos D.C. Psychiatric Reform in Greece: An Overview. BJPsych Bull. 2016;40:326–328. doi: 10.1192/pb.bp.116.053652. PubMed DOI PMC

Kitwood T.M. Dementia Reconsidered: The Person Comes First. Open University Press; London, UK: 1997.

Brooker D. Person-Centred Dementia Care: Making Services Better. Jessica Kingsley Publishers; London, UK: 2007. PubMed

Wolfs C.A.G., Kessels A., Dirksen C.D., Severens J.L., Verhey F.R.J. Integrated Multidisciplinary Diagnostic Approach for Dementia Care: Randomised Controlled Trial. Br. J. Psychiatry. 2008;192:300–305. doi: 10.1192/bjp.bp.107.035204. PubMed DOI

Nieuwboer M., Richters A., Marck M.V. Der Collaborative Primary Care for Community Dwelling Individuals with Dementia: The DementiaNet Approach. Int. J. Integr. Care. 2017;17:A22. doi: 10.5334/ijic.3323. DOI

Wolf-Ostermann K., Meyer S., Schmidt A., Schritz A., Holle B., Wübbeler M., Schäfer-Walkmann S., Gräske J. Users of Regional Dementia Care Networks in Germany: First Results of the Evaluation Study DemNet-D. Z. Gerontol. Geriatr. 2016;50:21–27. doi: 10.1007/s00391-015-1006-9. PubMed DOI

Oyebode J.R., Parveen S. Psychosocial Interventions for People with Dementia: An Overview and Commentary on Recent Developments. Dementia. 2019;18:8–35. doi: 10.1177/1471301216656096. PubMed DOI

Kaltenthaler E., Sutcliffe P., Parry G., Beverley C., Rees A., Ferriter M. The Acceptability to Patients of Computerized Cognitive Behaviour Therapy for Depression: A Systematic Review. Psychol. Med. 2008;38:1521–1530. doi: 10.1017/S0033291707002607. PubMed DOI

Kay-Lambkin F., Baker A., Lewin T., Carr V. Acceptability of a Clinician-Assisted Computerized Psychological Intervention for Comorbid Mental Health and Substance Use Problems: Treatment Adherence Data from a Randomized Controlled Trial. J. Med. Internet Res. 2011;13 doi: 10.2196/jmir.1522. PubMed DOI PMC

Bowen D.J., Kreuter M., Spring B., Cofta-Woerpel L., Linnan L., Weiner D., Bakken S., Kaplan C.P., Squiers L., Fabrizio C., et al. How We Design Feasibility Studies. Am. J. Prev. Med. 2009;36:452–457. doi: 10.1016/j.amepre.2009.02.002. PubMed DOI PMC

Nakanishi M., Ziylan C., Bakker T., Granvik E., Nägga K., Nishida A. Facilitators and Barriers Associated with the Implementation of a Swedish Psychosocial Dementia Care Programme in Japan: A Secondary Analysis of Qualitative and Quantitative Data. Scand. J. Caring Sci. 2020 doi: 10.1111/scs.12854. PubMed DOI

Griffiths A.W., Kelley R., Garrod L., Perfect D., Robinson O., Shoesmith E., McDermid J., Burnley N., Surr C.A. Barriers and Facilitators to Implementing Dementia Care Mapping in Care Homes: Results from the DCM™ EPIC Trial Process Evaluation. BMC Geriatr. 2019;19:37. doi: 10.1186/s12877-019-1045-y. PubMed DOI PMC

Kloos N., Drossaert C.H.C., Trompetter H.R., Bohlmeijer E.T., Westerhof G.J. Exploring Facilitators and Barriers to Using a Person Centered Care Intervention in a Nursing Home Setting. Geriatr. Nurs. 2020;41:730–739. doi: 10.1016/j.gerinurse.2020.04.018. PubMed DOI

Lawrence V., Fossey J., Ballard C., Moniz-Cook E., Murray J. Improving Quality of Life for People with Dementia in Care Homes: Making Psychosocial Interventions Work. Br. J. Psychiatry. 2012;201:344–351. doi: 10.1192/bjp.bp.111.101402. PubMed DOI

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