Richtlijn Omgaan met gedragsproblemen bij patiënten met dementie

Bijlage 2E Disruptive behaviour (Ontremd gedrag)
Intervention Source (review) Included Type dementia N Setting Outcome measure Outcome Level of
studies
evidence*
Snoezelen Livingston, 2005 2 See ¹ 152 Not specified Not specified 1. Reduction in
socially disruptive
behaviour
2. No sig. reduction
in disruptive
behaviours
2xB
Music therapy Livingston, 2005 1 See ¹ 2 Not specified Not specified Reduced disruptive
behaviour
D
Behaviour therapy Livingston, 2005 2 See ¹ 175 Not specified Not specified 1. No reduction in
disruptive behaviour
2. Reduced
disruptive
behaviours at 6
months
Caregiver
intervention
Environmental
intervention
combined with staff
education
Livingston, 2005 1
See ¹ 47 Not specified Not specified No effect on
disruptive behaviour
Livingston, 2005 1 See ¹ 63 Not specified Not specified Reduction in
disruptive behaviour
(vetgedrukt / bold = aanbeveling)
B
B
B
B
Quality of
evidence
Level 2
Level 4
Level 2
Level 3
Level 3
Overall effect
Inconsistent effect
Possibly positive
effect
Inconsistent effect
Possibly no effect
Possibly positive
effect
¹ Dementia, Alzheimer’s disease, vascular dementia, multi-infarct, cerebrovascular, fronto-temporal, frontal, Picks, semantic, senile dementia, pre-senile dementia, Huntington’s disease,
dementia in Parkinson’s disease, dementia with Lewy bodies, Lewy body dementia, Creutzfeld-Jakob disease, prion disease, neuroacanthatosis, alcohol-related dementia, Korsakoff’s disease,
progressive aphasia, neurodegenerative disorders, dementia with multiple sclerosis, AIDS dementia complex, bovine spongiform encephalopathy, cortical dementia, subcortical dementia,
cognitive impairment, progressive supranuclear palsy, coticobasal degeneration
*Levels of evidence were rated according to Kwaliteitsinstituut voor de Gezondheidszorg CBO and ranged from A (higher quality) to D (lower quality).
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