Managing and accommodating responsive behaviours in dementia care Adult chatt room

Methods and analysis We will conduct a comprehensive search in the databases MEDLINE, EMBASE, Evidence Based Reviews—Cochrane Central Register of Controlled Trials, CINAHL and Web of Science for quantitative intervention studies that assess the effectiveness of eligible strategies.2 reviewers will independently screen titles, abstracts and retrieved full texts for eligibility.Strategies can either encourage and motivate residents to perform oral healthcare themselves or can prevent or overcome responsive behaviours from residents when care providers assist with oral healthcare.

managing and accommodating responsive behaviours in dementia care-86managing and accommodating responsive behaviours in dementia care-48

Cascaes 64 assessed the evidence from studies that applied motivational interviewing to improve oral health outcomes.

However, none of the 10 studies included focus specifically on older adults or nursing home residents and the evidence is inconclusive.

We will search the databases MEDLINE, EMBASE, Evidence Based Reviews—Cochrane Central Register of Controlled Trials, CINAHL and Web of Science.

A search strategy combining terms related to oral health with terms related to care providers and residents in residential long-term care facilities (nursing homes) was developed and pretested with an expert scientific librarian for each database (see online supplementary file 1 for details).

In addition, contents of key journals, publications of key authors and reference lists of all studies included will be searched by hand and screened by 2 reviewers.

Discrepancies at any stage of the review process will be resolved by consensus.

Systematic reviews reveal numerous studies on the effectiveness of education programmes43 44 and implementation strategies45 in changing care providers' oral healthcare practices and promoting or improving residents' oral health.

Overall, these interventions are potentially effective but study quality is generally low, and comparability of results is limited due to heterogeneous interventions and study methods.

This review aims to identify and synthesise the evidence from studies assessing the effectiveness of interventions that meet these needs.

We will conduct a systematic review of quantitative intervention studies, then generate a narrative synthesis of the available evidence on the effectiveness of strategies that nursing home care providers can apply to Our review methods and presentation of results will follow the Cochrane Handbook of Systematic Reviews of Interventions65 and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.66 The review is scheduled to be completed between December 2016 and March 2017.

We will publish findings of this review in a peer-reviewed paper and present them at an international peer-reviewed conference.


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