Nakagawa Keita, Imura Takeshi, Mitsutake Tsubasa, Tanabe Junpei, Tanaka Ryo
Department of Rehabilitation, Faculty of Health Sciences, Hiroshima Cosmopolitan University, Hiroshima, Japan
Department of Rehabilitation, Faculty of Health Sciences, Hiroshima Cosmopolitan University, Hiroshima, Japan.
BMJ Open. 2025 Apr 10;15(4):e090878. doi: 10.1136/bmjopen-2024-090878.
The need for rehabilitation interventions for persons living with dementia is increasing. Improvements in the activities of daily living (ADLs) are often required in this process. On the other hand, reduced learning ability among these people complicates decision-making regarding interventions, so research is needed to support this. Structured skills training is commonly used to teach ADLs to persons living with dementia, and studies have reported it to be useful. However, a synthesis of the evidence on this topic is lacking. Therefore, this scoping review aims to systematically integrate the results of randomised controlled trials (RCTs) on skills training for persons living with dementia, identify gaps in existing knowledge and suggest future research and practice.
This scoping review was planned based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. We comprehensively searched target articles using five electronic databases (PubMed, Cochrane Central Register of Controlled Trials, Scopus, Physiotherapy Evidence Database and Cumulative Index to Nursing and Allied Health Literature) on 20 March 2024 and are currently screening their titles and abstracts. Eligible studies are RCTs published in English peer-reviewed journals that evaluated the results of skills training for ADLs in participants diagnosed with dementia. We are excluding studies that included mild cognitive impairment, used an intervention that is non-specific to ADLs and lacks teaching strategies, applied group settings, or addressed only smooth movement or stability. The search process and extracted data will be presented using structured figures and tables. By integrating and interpreting the findings, we will identify the gaps in the existing knowledge.
Ethical approval is not required for this study because the data will be collected from existing research articles. This scoping review will be disseminated through conference presentations and peer-reviewed journals.
UMIN000054539.
对痴呆症患者进行康复干预的需求日益增加。在此过程中，通常需要改善日常生活活动（ADL）能力。另一方面，这些人的学习能力下降使干预措施的决策变得复杂，因此需要开展研究来提供支持。结构化技能培训常用于向痴呆症患者教授ADL，研究报告称其很有用。然而，缺乏关于这一主题的证据综合。因此，本范围综述旨在系统整合关于痴呆症患者技能培训的随机对照试验（RCT）结果，识别现有知识的差距，并提出未来的研究和实践建议。
本范围综述是根据系统评价和Meta分析扩展的范围综述首选报告项目（PRISMA-ScR）指南进行规划的。我们于2024年3月20日使用五个电子数据库（PubMed、Cochrane对照试验中央注册库、Scopus、物理治疗证据数据库和护理及相关健康文献累积索引）全面检索了目标文章，目前正在筛选其标题和摘要。符合条件的研究是发表在英文同行评审期刊上的RCT，这些研究评估了被诊断为痴呆症的参与者进行ADL技能培训的结果。我们将排除包括轻度认知障碍、使用非特定于ADL且缺乏教学策略的干预措施、应用群体设置或仅涉及平稳运动或稳定性的研究。搜索过程和提取的数据将使用结构化图表呈现。通过整合和解释研究结果，我们将识别现有知识中的差距。
本研究无需伦理批准，因为数据将从现有研究文章中收集。本范围综述将通过会议报告和同行评审期刊进行传播。
UMIN000054539。
