What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?

Detalhes bibliográficos
Autor(a) principal: Vilela,Vitória Carvalho
Data de Publicação: 2017
Outros Autores: Pacheco,Rafael Leite, Latorraca,Carolina Oliveira Cruz, Pachito,Daniela Vianna, Riera,Rachel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300309
Resumo: ABSTRACT BACKGROUND: Dementia is a highly prevalent condition worldwide. Its chronic and progressive presentation has an impact on physical and psychosocial characteristics and on public healthcare. Our aim was to summarize evidence from Cochrane reviews on non-pharmacological treatments for cognitive disorders and dementia. DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo. METHODS: Cochrane reviews on non-pharmacological interventions for cognitive dysfunctions and/or type of dementia were included. For this, independent assessments were made by two authors. RESULTS: Twenty-four reviews were included. These showed that carbohydrate intake and validation therapy may be beneficial for cognitive disorders. For dementia, there is a potential benefit from physical activity programs, cognitive training, psychological treatments, aromatherapy, light therapy, cognitive rehabilitation, cognitive stimulation, hyperbaric oxygen therapy in association with donepezil, functional analysis, reminiscence therapy, transcutaneous electrical stimulation, structured decision-making on feeding options, case management approaches, interventions by non-specialist healthcare workers and specialized care units. No benefits were found in relation to enteral tube feeding, acupuncture, Snoezelen stimulation, respite care, palliative care team and interventions to prevent wandering behavior. CONCLUSION: Many non-pharmacological interventions for patients with cognitive impairment and dementia have been studied and potential benefits have been shown. However, the strength of evidence derived from these studies was considered low overall, due to the methodological limitations of the primary studies.
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spelling What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?DementiaAlzheimer diseaseReviewEvidence-based practiceEvidence-based medicineABSTRACT BACKGROUND: Dementia is a highly prevalent condition worldwide. Its chronic and progressive presentation has an impact on physical and psychosocial characteristics and on public healthcare. Our aim was to summarize evidence from Cochrane reviews on non-pharmacological treatments for cognitive disorders and dementia. DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo. METHODS: Cochrane reviews on non-pharmacological interventions for cognitive dysfunctions and/or type of dementia were included. For this, independent assessments were made by two authors. RESULTS: Twenty-four reviews were included. These showed that carbohydrate intake and validation therapy may be beneficial for cognitive disorders. For dementia, there is a potential benefit from physical activity programs, cognitive training, psychological treatments, aromatherapy, light therapy, cognitive rehabilitation, cognitive stimulation, hyperbaric oxygen therapy in association with donepezil, functional analysis, reminiscence therapy, transcutaneous electrical stimulation, structured decision-making on feeding options, case management approaches, interventions by non-specialist healthcare workers and specialized care units. No benefits were found in relation to enteral tube feeding, acupuncture, Snoezelen stimulation, respite care, palliative care team and interventions to prevent wandering behavior. CONCLUSION: Many non-pharmacological interventions for patients with cognitive impairment and dementia have been studied and potential benefits have been shown. However, the strength of evidence derived from these studies was considered low overall, due to the methodological limitations of the primary studies.Associação Paulista de Medicina - APM2017-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300309Sao Paulo Medical Journal v.135 n.3 2017reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2017.0092060617info:eu-repo/semantics/openAccessVilela,Vitória CarvalhoPacheco,Rafael LeiteLatorraca,Carolina Oliveira CruzPachito,Daniela ViannaRiera,Racheleng2017-07-20T00:00:00Zoai:scielo:S1516-31802017000300309Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2017-07-20T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?
title What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?
spellingShingle What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?
Vilela,Vitória Carvalho
Dementia
Alzheimer disease
Review
Evidence-based practice
Evidence-based medicine
title_short What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?
title_full What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?
title_fullStr What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?
title_full_unstemmed What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?
title_sort What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?
author Vilela,Vitória Carvalho
author_facet Vilela,Vitória Carvalho
Pacheco,Rafael Leite
Latorraca,Carolina Oliveira Cruz
Pachito,Daniela Vianna
Riera,Rachel
author_role author
author2 Pacheco,Rafael Leite
Latorraca,Carolina Oliveira Cruz
Pachito,Daniela Vianna
Riera,Rachel
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Vilela,Vitória Carvalho
Pacheco,Rafael Leite
Latorraca,Carolina Oliveira Cruz
Pachito,Daniela Vianna
Riera,Rachel
dc.subject.por.fl_str_mv Dementia
Alzheimer disease
Review
Evidence-based practice
Evidence-based medicine
topic Dementia
Alzheimer disease
Review
Evidence-based practice
Evidence-based medicine
description ABSTRACT BACKGROUND: Dementia is a highly prevalent condition worldwide. Its chronic and progressive presentation has an impact on physical and psychosocial characteristics and on public healthcare. Our aim was to summarize evidence from Cochrane reviews on non-pharmacological treatments for cognitive disorders and dementia. DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo. METHODS: Cochrane reviews on non-pharmacological interventions for cognitive dysfunctions and/or type of dementia were included. For this, independent assessments were made by two authors. RESULTS: Twenty-four reviews were included. These showed that carbohydrate intake and validation therapy may be beneficial for cognitive disorders. For dementia, there is a potential benefit from physical activity programs, cognitive training, psychological treatments, aromatherapy, light therapy, cognitive rehabilitation, cognitive stimulation, hyperbaric oxygen therapy in association with donepezil, functional analysis, reminiscence therapy, transcutaneous electrical stimulation, structured decision-making on feeding options, case management approaches, interventions by non-specialist healthcare workers and specialized care units. No benefits were found in relation to enteral tube feeding, acupuncture, Snoezelen stimulation, respite care, palliative care team and interventions to prevent wandering behavior. CONCLUSION: Many non-pharmacological interventions for patients with cognitive impairment and dementia have been studied and potential benefits have been shown. However, the strength of evidence derived from these studies was considered low overall, due to the methodological limitations of the primary studies.
publishDate 2017
dc.date.none.fl_str_mv 2017-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300309
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300309
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1516-3180.2017.0092060617
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.135 n.3 2017
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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