What are best practices for involving family caregivers in interventions aimed at responsive behaviour stemming from unmet needs of people with dementia in nursing homes: a scoping review

Objectives This study aimed to determine best practices for involving family caregivers in interventions aimed at preventing and reducing responsive behaviour stemming from unmet needs, including pain.Design Scoping review, reported according to the Preferred Reporting Items for Systematic Reviews,...

Full description

Bibliographic Details
Main Authors: Miharu Nakanishi, Jenny T van der Steen, Wilco P Achterberg, Hanneke J A Smaling, Petra E M Tasseron-Dries
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e071804.full
_version_ 1797210144313966592
author Miharu Nakanishi
Jenny T van der Steen
Wilco P Achterberg
Hanneke J A Smaling
Petra E M Tasseron-Dries
author_facet Miharu Nakanishi
Jenny T van der Steen
Wilco P Achterberg
Hanneke J A Smaling
Petra E M Tasseron-Dries
author_sort Miharu Nakanishi
collection DOAJ
description Objectives This study aimed to determine best practices for involving family caregivers in interventions aimed at preventing and reducing responsive behaviour stemming from unmet needs, including pain.Design Scoping review, reported according to the Preferred Reporting Items for Systematic Reviews, Meta-Analyses extension for Scoping Reviews reporting guideline.Data sources PubMed, Embase, Emcare, Web of Science, COCHRANE Library, PsycINFO, Academic Search Premier and Cinahl searched up to 23 July 2023.Eligibility criteria Studies reporting on family involvement in interventions for nursing home residents with dementia were included.Data extraction and synthesis Two researchers independently extracted the data, followed by a content analysis.Results Of the 1486 records screened, 20 studies were included. Family caregivers were involved in interventions aimed at planning care, life review (eg, documentation of life experiences of their relative), and selecting activities for their relative. Family caregivers preferred an active role in developing optimal care for their relative. Drivers of success and barriers to family involvement centred around three themes: (1) communication between all involved; (2) prerequisites (organisational and other conditions) and (3) personal circumstances (family’s coping and skills).Conclusion Best practices for involving family caregivers in interventions aimed at addressing responsive behaviour in residents with dementia concerned those interventions in which family caregivers were given an important role in managing responsive behaviour. This means that, in order to achieve an active role of family caregivers in the whole care process, their needs must be taken into account.Trial registration number The protocol of the review was regisered at OSF; https://osf.io/twcfq
first_indexed 2024-03-08T18:08:14Z
format Article
id doaj.art-0d9f23ee33614e10aa33c87ac95d228c
institution Directory Open Access Journal
issn 2044-6055
language English
last_indexed 2024-04-24T10:05:55Z
publishDate 2023-12-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj.art-0d9f23ee33614e10aa33c87ac95d228c2024-04-12T18:25:07ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-071804What are best practices for involving family caregivers in interventions aimed at responsive behaviour stemming from unmet needs of people with dementia in nursing homes: a scoping reviewMiharu Nakanishi0Jenny T van der Steen1Wilco P Achterberg2Hanneke J A Smaling3Petra E M Tasseron-Dries4Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The NetherlandsObjectives This study aimed to determine best practices for involving family caregivers in interventions aimed at preventing and reducing responsive behaviour stemming from unmet needs, including pain.Design Scoping review, reported according to the Preferred Reporting Items for Systematic Reviews, Meta-Analyses extension for Scoping Reviews reporting guideline.Data sources PubMed, Embase, Emcare, Web of Science, COCHRANE Library, PsycINFO, Academic Search Premier and Cinahl searched up to 23 July 2023.Eligibility criteria Studies reporting on family involvement in interventions for nursing home residents with dementia were included.Data extraction and synthesis Two researchers independently extracted the data, followed by a content analysis.Results Of the 1486 records screened, 20 studies were included. Family caregivers were involved in interventions aimed at planning care, life review (eg, documentation of life experiences of their relative), and selecting activities for their relative. Family caregivers preferred an active role in developing optimal care for their relative. Drivers of success and barriers to family involvement centred around three themes: (1) communication between all involved; (2) prerequisites (organisational and other conditions) and (3) personal circumstances (family’s coping and skills).Conclusion Best practices for involving family caregivers in interventions aimed at addressing responsive behaviour in residents with dementia concerned those interventions in which family caregivers were given an important role in managing responsive behaviour. This means that, in order to achieve an active role of family caregivers in the whole care process, their needs must be taken into account.Trial registration number The protocol of the review was regisered at OSF; https://osf.io/twcfqhttps://bmjopen.bmj.com/content/13/12/e071804.full
spellingShingle Miharu Nakanishi
Jenny T van der Steen
Wilco P Achterberg
Hanneke J A Smaling
Petra E M Tasseron-Dries
What are best practices for involving family caregivers in interventions aimed at responsive behaviour stemming from unmet needs of people with dementia in nursing homes: a scoping review
BMJ Open
title What are best practices for involving family caregivers in interventions aimed at responsive behaviour stemming from unmet needs of people with dementia in nursing homes: a scoping review
title_full What are best practices for involving family caregivers in interventions aimed at responsive behaviour stemming from unmet needs of people with dementia in nursing homes: a scoping review
title_fullStr What are best practices for involving family caregivers in interventions aimed at responsive behaviour stemming from unmet needs of people with dementia in nursing homes: a scoping review
title_full_unstemmed What are best practices for involving family caregivers in interventions aimed at responsive behaviour stemming from unmet needs of people with dementia in nursing homes: a scoping review
title_short What are best practices for involving family caregivers in interventions aimed at responsive behaviour stemming from unmet needs of people with dementia in nursing homes: a scoping review
title_sort what are best practices for involving family caregivers in interventions aimed at responsive behaviour stemming from unmet needs of people with dementia in nursing homes a scoping review
url https://bmjopen.bmj.com/content/13/12/e071804.full
work_keys_str_mv AT miharunakanishi whatarebestpracticesforinvolvingfamilycaregiversininterventionsaimedatresponsivebehaviourstemmingfromunmetneedsofpeoplewithdementiainnursinghomesascopingreview
AT jennytvandersteen whatarebestpracticesforinvolvingfamilycaregiversininterventionsaimedatresponsivebehaviourstemmingfromunmetneedsofpeoplewithdementiainnursinghomesascopingreview
AT wilcopachterberg whatarebestpracticesforinvolvingfamilycaregiversininterventionsaimedatresponsivebehaviourstemmingfromunmetneedsofpeoplewithdementiainnursinghomesascopingreview
AT hannekejasmaling whatarebestpracticesforinvolvingfamilycaregiversininterventionsaimedatresponsivebehaviourstemmingfromunmetneedsofpeoplewithdementiainnursinghomesascopingreview
AT petraemtasserondries whatarebestpracticesforinvolvingfamilycaregiversininterventionsaimedatresponsivebehaviourstemmingfromunmetneedsofpeoplewithdementiainnursinghomesascopingreview