Findings

What do systematic reviews say?

25 questions · 25 findings · 6 reviews · Dementia and Cognitive Improvement · Headline outcomes only

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No studies found 0 · 0%GRADE not reported 5 · 20%Very low 4 · 16%Low 8 · 32%Moderate 5 · 20%High 3 · 12%

Case management vs usual care

Institutionalised (number of participants admitted to residential or nursing homes) at 10 ‐ 12 months · people with dementia

Case management showed no clear difference in institutionalised (number of participants admitted to residential or… compared with usual care (low certainty).

1 finding from 1 review

Case management approaches to home support for people with dementia 2015 · Cochrane Headline outcomes only
OR 0.95 [0.83, 1.08]
9 studies · 5990 participants
Low

Complex information, support and training interventions vs information only

Institutional care ‐ nursing home placement · Informal caregivers of people with dementia

It is very uncertain whether complex information, support and training interventions changes institutional care ‐ nursing home placement compared with information provision only (very low certainty).

1 finding from 1 review

Remotely delivered information, training and support for informal caregivers of people with dementia 2021 · Cochrane Headline outcomes only
RR 2.67 [0.12, 60.93]
1 study · 32 participants
Very low

Complex information, support and training interventions vs inactive control (usual care care, attention control, waitlist)

Institutional care ‐ nursing home placement · Informal caregivers of people with dementia

It is very uncertain whether complex information, support and training interventions changes institutional care ‐ nursing home placement compared with usual treatment, waiting list or attention control informations (very low certainty).

1 finding from 1 review

Remotely delivered information, training and support for informal caregivers of people with dementia 2021 · Cochrane Headline outcomes only
RR 0.59 [0.11, 3.11]
1 study · 34 participants
Very low

Reminiscence therapy vs no treatment

Care home: quality of life (self‐reported) at end of treatment · people with dementia

1 finding from 1 review

Reminiscence therapy for dementia 2018 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 193 participants
Moderate

Reminiscence therapy vs no treatment

Cognitive function · people with dementia

1 finding from 1 review

Reminiscence therapy for dementia 2018 · Cochrane Headline outcomes only
no estimate extracted
6 studies · 230 participants
Moderate

Reminiscence therapy vs no treatment

Care home: communication at end of treatment · people with dementia

1 finding from 1 review

Reminiscence therapy for dementia 2018 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 184 participants
Very low

Pharmacological agents vs placebo

Cognitive performance on psychometric tests · Participants with chronic cognitive impairment in traumatic brain injury

1 finding from 1 review

Pharmacotherapy for chronic cognitive impairment in traumatic brain injury 2015 · Cochrane Headline outcomes only
no estimate extracted
4 studies · 274 participants
Very low

Summary of findings table ‐ Psychosocial interventions intended primarily to reduce antipsychotic use vs (Optimised) usual care

Number of participants receiving a regular prescription of antipsychotic medication · Residents of nursing homes and other long-term care facilities

1 finding from 1 review

Psychosocial interventions for reducing antipsychotic medication in care home residents 2023 · Cochrane Headline outcomes only
no estimate extracted
5 studies · 5 participants
Low

Summary of findings table ‐ Psychosocial interventions intended primarily to reduce antipsychotic use vs (Optimised) usual care

Adverse events · Residents of nursing homes and other long-term care facilities

1 finding from 1 review

Psychosocial interventions for reducing antipsychotic medication in care home residents 2023 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 3 participants
High

Summary of findings table ‐ Psychosocial interventions intended primarily to reduce antipsychotic use vs (Optimised) usual care

Behavioural and psychological symptoms of dementia (BPSD) · Residents of nursing homes and other long-term care facilities

1 finding from 1 review

Psychosocial interventions for reducing antipsychotic medication in care home residents 2023 · Cochrane Headline outcomes only
no estimate extracted
5 studies · 7982 participants
Low

Summary of findings table ‐ Psychosocial interventions intended primarily to reduce antipsychotic use vs (Optimised) usual care

Quality of life · Residents of nursing homes and other long-term care facilities

1 finding from 1 review

Psychosocial interventions for reducing antipsychotic medication in care home residents 2023 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 2 participants
Moderate

Summary of findings table ‐ Psychosocial interventions intended primarily to reduce antipsychotic use vs (Optimised) usual care

Prescribing of regular psychotropic medication · Residents of nursing homes and other long-term care facilities

1 finding from 1 review

Psychosocial interventions for reducing antipsychotic medication in care home residents 2023 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 2 participants
Low

Intervention not reported

Pain intensity (self‐rated) · people with dementia and mild to moderate pain

1 finding from 1 review

Algorithm‐based pain management for people with dementia in nursing homes 2022 · Cochrane Headline outcomes only
no estimate extracted
1 study · 246 participants
Low

Intervention not reported

Pain intensity (proxy‐rated) · people with dementia and mild to moderate pain

1 finding from 1 review

Algorithm‐based pain management for people with dementia in nursing homes 2022 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 510 participants
Low

Intervention not reported

Challenging behaviour · people with dementia and mild to moderate pain

1 finding from 1 review

Algorithm‐based pain management for people with dementia in nursing homes 2022 · Cochrane Headline outcomes only
no estimate extracted
0 studies · 0 participants
GRADE not reported

Intervention not reported

Number of people with adverse events · people with dementia and mild to moderate pain

1 finding from 1 review

Algorithm‐based pain management for people with dementia in nursing homes 2022 · Cochrane Headline outcomes only
no estimate extracted
0 studies · 0 participants
GRADE not reported

Intervention not reported

Number of people with serious adverse events · people with dementia and mild to moderate pain

1 finding from 1 review

Algorithm‐based pain management for people with dementia in nursing homes 2022 · Cochrane Headline outcomes only
no estimate extracted
0 studies · 0 participants
GRADE not reported

Intervention not reported

Quality of life · people with dementia and mild to moderate pain

1 finding from 1 review

Algorithm‐based pain management for people with dementia in nursing homes 2022 · Cochrane Headline outcomes only
no estimate extracted
0 studies · 0 participants
GRADE not reported

Intervention not reported

Performance of activities of daily living · people with dementia and mild to moderate pain

1 finding from 1 review

Algorithm‐based pain management for people with dementia in nursing homes 2022 · Cochrane Headline outcomes only
no estimate extracted
0 studies · 0 participants
GRADE not reported

Case management vs usual care

Time to institutionalisation at 12 months · people with dementia

1 finding from 1 review

Case management approaches to home support for people with dementia 2015 · Cochrane Headline outcomes only
no estimate extracted
1 study · 125 participants
Low