Cochrane · systematic review · CD008634

Psychosocial interventions for reducing antipsychotic medication in care home residents

Lühnen, J, Richter, T, Calo, S, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 60%Moderate 1 · 20%High 1 · 20%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings table ‐ Psychosocial interventions intended primarily to reduce antipsychotic use compared to usual care or optimised usual care for care home residents

Population: care home residents
5 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants receiving a regular prescription of antipsychotic medication
Summary of findings table ‐ Psychosocial interventions intended primarily to reduce antipsychotic use vs usual care or optimised usual care
no estimate extracted5 studies · 5 participantsLow
Downgraded: imprecision, inconsistency
Adverse events
Summary of findings table ‐ Psychosocial interventions intended primarily to reduce antipsychotic use vs usual care or optimised usual care
no estimate extracted3 studies · 3 participantsHigh
Behavioural and psychological symptoms of dementia (BPSD)
Summary of findings table ‐ Psychosocial interventions intended primarily to reduce antipsychotic use vs usual care or optimised usual care
no estimate extracted5 studies · 7982 participantsLow
Downgraded: imprecision, inconsistency
Quality of life
Summary of findings table ‐ Psychosocial interventions intended primarily to reduce antipsychotic use vs usual care or optimised usual care
no estimate extracted2 studies · 2 participantsModerate
Downgraded: imprecision
Prescribing of regular psychotropic medication
Summary of findings table ‐ Psychosocial interventions intended primarily to reduce antipsychotic use vs usual care or optimised usual care
no estimate extracted2 studies · 2 participantsLow
Downgraded: risk of bias, imprecision