Toward a theory‐based specification of non‐pharmacological treatments in aging and dementia: Focused reviews and methodological recommendations
Résumé
Introduction: Non-pharmacological treatments (NPTs) have the potential to improve meaningful outcomes for older people at risk of, or living with dementia, but research often lacks methodological rigor and continues to produce mixed results.
Methods: In the current position paper, experts in NPT research have specified treatment targets, aims, and ingredients using an umbrella framework, the Rehabilitation Treatment Specification System.
Results: Experts provided a snapshot and an authoritative summary of the evidence for different NPTs based on the best synthesis efforts, identified main gaps in knowledge and relevant barriers, and provided directions for future research. Experts in trial methodology provide best practice principles and recommendations for those working in this area, underscoring the importance of prespecified protocols.
Discussion: We conclude that the evidence strongly supports various NPTs in relation to their primary targets, and discuss opportunities and challenges associated with a unifying theoretical framework to guide future efforts in this area.
Mots clés
cognitive rehabilitation
cognitive stimulation therapy
cognitive training
cognitive-behavioral therapy for insomnia
communication treatments
framework
meditation
mild cognitive impairment
multisensory treatments
music-based treatments
neuromodulation
neuropsychiatric
non-pharmacological
nutritional interventions
occupational therapy
physical exercise training
reminiscence therapy
subjective cognitive decline.
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2021_Sietske AM Sikkes_Toward a theory-based specification of non-pharmacological treatments....pdf (416.91 Ko)
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