Abstract：
OBJECTIVE: This review examined the evidence for interventions to prevent the abuse of people living with dementia in the community.
METHODS: The articles were retrieved from 2000 to 2023 from six databases, including MEDLINE via PubMed, CINAHL Plus via EBSCO, EMBASE, ProQuest Medical Library, Web of Science, and Scopus. The research articles that focused on finding the effectiveness of interventions for preventing abuse of people living with dementia in community settings were included in this review. The review included randomized controlled trials and pre-test post-test trials only. The quality appraisal of the eligible studies was done using ROB 2 and ROBINS II. The findings were tabulated and narratively synthesised.
RESULTS: Out of 1831 articles, only three were included in this review. Only two RCTs were included in this efficacy review. Both the studies showed that the interventions were not effective in reducing abuse. The studies utilised family caregiver interventions like psychological interventions and online supportive education. The review identified psychological interventions with some evidence. Another study was a quasi-experimental study that used dialectical behaviour therapy as an intervention to reduce abuse occurrence. The study showed low evidence and focused only on reporting of elder abuse as an outcome.
CONCLUSIONS: This review found very few studies and was not able to draw a conclusion on the effectiveness of interventions for abuse in people living with dementia. Given the paucity of research, there is a clear need to identify how to overcome the challenges faced in elder abuse research and further refine the development of approaches to reduce elder abuse among people living with dementia in community settings.
METHODS: The articles were retrieved from 2000 to 2023 from six databases, including MEDLINE via PubMed, CINAHL Plus via EBSCO, EMBASE, ProQuest Medical Library, Web of Science, and Scopus. The research articles that focused on finding the effectiveness of interventions for preventing abuse of people living with dementia in community settings were included in this review. The review included randomized controlled trials and pre-test post-test trials only. The quality appraisal of the eligible studies was done using ROB 2 and ROBINS II. The findings were tabulated and narratively synthesised.
RESULTS: Out of 1831 articles, only three were included in this review. Only two RCTs were included in this efficacy review. Both the studies showed that the interventions were not effective in reducing abuse. The studies utilised family caregiver interventions like psychological interventions and online supportive education. The review identified psychological interventions with some evidence. Another study was a quasi-experimental study that used dialectical behaviour therapy as an intervention to reduce abuse occurrence. The study showed low evidence and focused only on reporting of elder abuse as an outcome.
CONCLUSIONS: This review found very few studies and was not able to draw a conclusion on the effectiveness of interventions for abuse in people living with dementia. Given the paucity of research, there is a clear need to identify how to overcome the challenges faced in elder abuse research and further refine the development of approaches to reduce elder abuse among people living with dementia in community settings.
摘要：
目的：本综述研究了在社区中预防滥用痴呆症患者的干预措施的证据。
方法：这些文章是从2000年到2023年从六个数据库中检索的，包括通过PubMed的MEDLINE，CINAHLPlus通过EBSCO，EMBASE,ProQuest医学图书馆,WebofScience,还有Scopus.这篇综述包括了一些研究文章，这些文章专注于发现干预措施在社区环境中预防痴呆症患者滥用的有效性。该综述仅包括随机对照试验和测试前测试后试验。使用ROB2和ROBINSII对合格研究进行质量评估。将研究结果制成表格并进行叙述综合。
结果：在1831篇文章中，这次审查只包括了三个。本疗效评价仅包括两个RCT。两项研究都表明，干预措施在减少滥用方面并不有效。这些研究利用了家庭护理人员的干预措施，如心理干预和在线支持教育。该综述通过一些证据确定了心理干预措施。另一项研究是一项准实验研究，该研究使用辩证行为疗法作为干预措施，以减少滥用的发生。该研究显示证据不足，仅侧重于报告虐待老年人的结果。
结论：这篇综述发现的研究很少，也无法得出关于干预措施对痴呆症患者滥用的有效性的结论。鉴于研究的匮乏,显然需要确定如何克服虐待老年人研究中面临的挑战,并进一步完善减少社区痴呆症患者中虐待老年人的方法.
方法：这些文章是从2000年到2023年从六个数据库中检索的，包括通过PubMed的MEDLINE，CINAHLPlus通过EBSCO，EMBASE,ProQuest医学图书馆,WebofScience,还有Scopus.这篇综述包括了一些研究文章，这些文章专注于发现干预措施在社区环境中预防痴呆症患者滥用的有效性。该综述仅包括随机对照试验和测试前测试后试验。使用ROB2和ROBINSII对合格研究进行质量评估。将研究结果制成表格并进行叙述综合。
结果：在1831篇文章中，这次审查只包括了三个。本疗效评价仅包括两个RCT。两项研究都表明，干预措施在减少滥用方面并不有效。这些研究利用了家庭护理人员的干预措施，如心理干预和在线支持教育。该综述通过一些证据确定了心理干预措施。另一项研究是一项准实验研究，该研究使用辩证行为疗法作为干预措施，以减少滥用的发生。该研究显示证据不足，仅侧重于报告虐待老年人的结果。
结论：这篇综述发现的研究很少，也无法得出关于干预措施对痴呆症患者滥用的有效性的结论。鉴于研究的匮乏,显然需要确定如何克服虐待老年人研究中面临的挑战,并进一步完善减少社区痴呆症患者中虐待老年人的方法.
