Cochrane · systematic review · CD012034
De‐escalation techniques for managing non‐psychosis induced aggression in adults
Spencer, S, Johnson, P, Smith, IC · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
Developmental, Psychosocial and Learning ProblemsAMSTAR 2: not assessed
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
7
current version
GRADE rated
4
No studies
3
Included studies
NR
No studies 3 · 42.9%Ungraded 0 · 0%Very low 4 · 57.1%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
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
De‐escalation versus standard care for managing aggression
Population: patients with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Frequency of aggression‐related serious untoward incidents De‐escalation vs standard care | no estimate extracted | NR | No studies |
Frequency of aggression‐related injuries to staff De‐escalation vs standard care | no estimate extracted | NR | No studies |
Quality of life De‐escalation vs standard care | no estimate extracted | NR | No studies |
Agitated behaviour (validated scale) Measured by: Cohen‐Mansfield Agitation Inventory ‐ Global (29 individual items rated on 7‐point scale, ranging from 1 (never occurs) to 7 (occurs several times an hour), and summed to give a total score ranging... De‐escalation vs standard care | no estimate extracted | 1 study · 306 participants | Very low |
Physically aggressive behaviour (validated scale) Measured by: Cohen‐Mansfield Agitation Inventory ‐ Physically Aggressive Behaviour Scale (9 items rated on 7‐point scale, ranging from 1 (never occurs) to 7 (occurs several times an hour); lower sc... De‐escalation vs standard care | no estimate extracted | 1 study · 306 participants | Very low |
Verbally aggressive behaviour (validated scale) Measured by: Cohen‐Mansfield Agitation Inventory ‐ Verbally Aggressive Behaviour Scale (3 items rated on 7‐point scale, ranging from 1 (never occurs) to 7 (occurs several times an hour); lower score ... De‐escalation vs standard care | no estimate extracted | 1 study · 306 participants | Very low |
Agitated behaviour (observational measure) Measured by: Observation Scale (25 items scored after 3 minutes of observation by clinical raters; lower score = less severe behaviours) De‐escalation vs standard care | no estimate extracted | 1 study · 306 participants | Very low |