a German Center for Neurodegenerative Diseases (DZNE) , Witten , Germany.
b School of Nursing Science , Witten/ Herdecke University , Witten , Germany.
Aging Ment Health. 2017 Dec;21(12):1229-1247. doi: 10.1080/13607863.2016.1247429. Epub 2016 Nov 3.
Individualized formulation-led interventions offer a promising approach for analyzing and managing challenging behaviors in people with dementia. Little is known about which individualized formulation-led interventions exist and what effects these interventions have on people with dementia and their caregivers. Therefore, the review aims to describe and examine existing interventions and to review their evidence.
An integrative review of individualized formulation-led interventions for managing challenging behavior in people with dementia was conducted. PUBMED, PsycINFO [EBSCO] and CINAHL [EBSCO] databases were searched between February and April 2014 using key terms related to dementia, challenging behavior and individualized formulation- led interventions. The literature search was limited to German and English publications published from 1995. No limitations were placed on the type of paper, type of study design and stage of disease or setting. 37 relevant papers that met the inclusion criteria were included in this review.
The literature review provided 14 different individualized formulation-led interventions. The effects on people with dementia were diverse, as only half of the studies showed a significant reduction in behaviors compared with the control group. Family caregivers felt less upset about the challenging behavior and more confident in their ability to manage the behavior.
There is a clear need for further research on individualized formulation-led interventions. The results of this review have the potential for developing interventions and for designing methodological robust evaluation studies that take into account the effectiveness of individualized formulation-led interventions on patient and caregiver outcomes.
个体化配方引导干预为分析和管理痴呆患者的挑战性行为提供了一种有前途的方法。对于存在哪些个体化配方引导干预措施以及这些干预措施对痴呆患者及其护理人员有何影响，知之甚少。因此，本综述旨在描述和检查现有的干预措施，并回顾其证据。
对个体化配方引导干预管理痴呆患者挑战性行为进行了综合回顾。2014 年 2 月至 4 月期间，使用与痴呆、挑战性行为和个体化配方引导干预相关的关键词，在 PUBMED、PsycINFO[EBSCO]和 CINAHL[EBSCO]数据库中进行了检索。文献检索仅限于 1995 年以来发表的德文和英文出版物。对论文类型、研究设计类型、疾病阶段或研究环境没有任何限制。共有 37 篇符合纳入标准的相关论文被纳入本综述。
文献综述提供了 14 种不同的个体化配方引导干预措施。对痴呆患者的影响是多种多样的，因为只有一半的研究显示行为与对照组相比有显著减少。家庭护理人员对挑战性行为感到不那么沮丧，对自己管理行为的能力更有信心。
非常需要进一步研究个体化配方引导干预措施。本综述的结果有可能开发出干预措施，并设计出方法学上稳健的评估研究，考虑到个体化配方引导干预对患者和护理人员结果的有效性。
