Effectiveness of creative story therapy for dementia: a systematic review and meta-analysis

Abstract Objective To conduct a meta-analysis of the effectiveness of creative story therapy versus routine nursing alone for the treatment of dementia. Methods We manually searched PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), China VIP Database (...

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Main Authors: Jinlong Ma, Qian Wang, Yanmei Lang, Shi Lv, Yuzhen Xu, Baojian Wei
Format: Article
Language:English
Published: BMC 2023-09-01
Series:European Journal of Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40001-023-01337-7
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author Jinlong Ma
Qian Wang
Yanmei Lang
Shi Lv
Yuzhen Xu
Baojian Wei
author_facet Jinlong Ma
Qian Wang
Yanmei Lang
Shi Lv
Yuzhen Xu
Baojian Wei
author_sort Jinlong Ma
collection DOAJ
description Abstract Objective To conduct a meta-analysis of the effectiveness of creative story therapy versus routine nursing alone for the treatment of dementia. Methods We manually searched PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), China VIP Database (VIP), China Biomedical Literature Database (CBM), and Wanfang Data up to May 2023. Randomized controlled trials (RCTs) of creative story therapy combined with routine nursing versus routine nursing for the treatment of dementia were included. Results A total of 597 participants were enrolled in the 9 RCTs. Among them, 296 were in the creative story therapy group, and 301 were in the routine nursing group. We found statistically significant effects of creative story therapy combined with routine nursing on cognitive function [standardized mean difference (SMD) = 0.99, 95% CI 0.57, 1.41, P < 0.00001], CSDD score [mean difference (MD) =  − 1.71, 95% CI − 3.27, − 0.14, P < 0.00001], quality of life [SMD = 0.97, 95% CI 0.04, 1.90, P = 0.04], and social communication [MD = 0.46, 95% CI 0.17, 0.74, P < 0.00001] between the creative story therapy group and routine nursing groups; no significant difference in change in basic needs communication [MD = 0.09, 95% CI − 0.58, 0.76, P < 0.00001]. Conclusion This meta-analysis shows that creative story therapy combined with routine nursing has significant effectiveness in improving cognitive function and depression in people with dementia. More high-quality RCTs are required to validate these results.
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spelling doaj.art-3df29406b72740018da29e9162ead8892023-11-26T12:41:48ZengBMCEuropean Journal of Medical Research2047-783X2023-09-0128111410.1186/s40001-023-01337-7Effectiveness of creative story therapy for dementia: a systematic review and meta-analysisJinlong Ma0Qian Wang1Yanmei Lang2Shi Lv3Yuzhen Xu4Baojian Wei5School of Nursing, Yanbian UniversityDepartment of Central Laboratory, The Affiliated Taian City Central Hospital of Qingdao UniversitySchool of Nursing, Yanbian UniversityDepartment of Rehabilitation, The Second Affiliated Hospital of Shandong First Medical UniversityDepartment of Rehabilitation, The Second Affiliated Hospital of Shandong First Medical UniversitySchool of Nursing, Shandong First Medical University & Shandong Academy of Medical SciencesAbstract Objective To conduct a meta-analysis of the effectiveness of creative story therapy versus routine nursing alone for the treatment of dementia. Methods We manually searched PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), China VIP Database (VIP), China Biomedical Literature Database (CBM), and Wanfang Data up to May 2023. Randomized controlled trials (RCTs) of creative story therapy combined with routine nursing versus routine nursing for the treatment of dementia were included. Results A total of 597 participants were enrolled in the 9 RCTs. Among them, 296 were in the creative story therapy group, and 301 were in the routine nursing group. We found statistically significant effects of creative story therapy combined with routine nursing on cognitive function [standardized mean difference (SMD) = 0.99, 95% CI 0.57, 1.41, P < 0.00001], CSDD score [mean difference (MD) =  − 1.71, 95% CI − 3.27, − 0.14, P < 0.00001], quality of life [SMD = 0.97, 95% CI 0.04, 1.90, P = 0.04], and social communication [MD = 0.46, 95% CI 0.17, 0.74, P < 0.00001] between the creative story therapy group and routine nursing groups; no significant difference in change in basic needs communication [MD = 0.09, 95% CI − 0.58, 0.76, P < 0.00001]. Conclusion This meta-analysis shows that creative story therapy combined with routine nursing has significant effectiveness in improving cognitive function and depression in people with dementia. More high-quality RCTs are required to validate these results.https://doi.org/10.1186/s40001-023-01337-7DementiaAlzheimer’s diseaseCreative storyMeta-analysisClinical trials
spellingShingle Jinlong Ma
Qian Wang
Yanmei Lang
Shi Lv
Yuzhen Xu
Baojian Wei
Effectiveness of creative story therapy for dementia: a systematic review and meta-analysis
European Journal of Medical Research
Dementia
Alzheimer’s disease
Creative story
Meta-analysis
Clinical trials
title Effectiveness of creative story therapy for dementia: a systematic review and meta-analysis
title_full Effectiveness of creative story therapy for dementia: a systematic review and meta-analysis
title_fullStr Effectiveness of creative story therapy for dementia: a systematic review and meta-analysis
title_full_unstemmed Effectiveness of creative story therapy for dementia: a systematic review and meta-analysis
title_short Effectiveness of creative story therapy for dementia: a systematic review and meta-analysis
title_sort effectiveness of creative story therapy for dementia a systematic review and meta analysis
topic Dementia
Alzheimer’s disease
Creative story
Meta-analysis
Clinical trials
url https://doi.org/10.1186/s40001-023-01337-7
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