PhD student, School of Physical and Occupational Therapy, 574405McGill University, Montreal, QC, Canada; Research Coordinator, Bridgepoint Collaboratory for Research and Innovation, Toronto, QC, Canada.
PhD Scholar, Department of Occupational Therapy, 76799Manipal College of Health Professions, Manipal Academy of Higher Education, India.
Dementia (London). 2023 Feb;22(2):405-438. doi: 10.1177/14713012221144485. Epub 2022 Dec 10.
Families of persons living with dementia provide varying levels and forms of support to their loved ones and experience changes in familial dynamics, roles, and responsibilities over time. Family-centered care can enable their successful adaptation and participation in meaningful occupations. This scoping review aimed to explore available familycentered interventions for persons living with dementia, with a focus on occupational therapy. Three databases were searched and 31 eligible studies were found. Thirteen family-centered interventions were identified that were mostly multicomponent in nature, of which three involved occupational therapy. These interventions were investigated using a range of study designs and addressed outcomes related to the person with dementia, primary caregiver, and extended social network. With respect to study context, most interventions were developed in the United States and other Western countries with a limited number located in other contexts. The review findings underline the need for developing more family-centered interventions within occupational therapy, particularly for different contexts and cultures, and for translating available interventions to practice.
患有痴呆症的人的家庭成员为他们的亲人提供不同程度和形式的支持,并随着时间的推移经历家庭动态、角色和责任的变化。以家庭为中心的护理可以使他们成功地适应和参与有意义的职业活动。本范围综述旨在探讨针对患有痴呆症的人的以家庭为中心的干预措施,重点是职业治疗。搜索了三个数据库,发现了 31 项符合条件的研究。确定了 13 项以家庭为中心的干预措施,这些干预措施大多是多成分的,其中 3 项涉及职业治疗。这些干预措施使用了一系列研究设计进行了调查,并针对与痴呆症患者、主要照顾者和扩展社交网络相关的结果进行了调查。就研究背景而言,大多数干预措施是在美国和其他西方国家开发的,其他背景下的干预措施数量有限。审查结果强调了在职业治疗中开发更多以家庭为中心的干预措施的必要性,特别是针对不同的背景和文化,并将现有干预措施转化为实践。