Volunteer Programs Supporting People With Dementia/Delirium in Hospital: Systematic Review and Meta-Analysis
Abstract Background and Objectives Volunteer-delivered programs to assist people with dementia and/or delirium in-hospital can provide person-centered one-on-one support in addition to usual care. These programs could mitigate hospital resource demands; however, their effectiveness is unknown. This...
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| Veröffentlicht in: | The Gerontologist 2021-11, Vol.61 (8), p.e421-e434 |
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| container_title | The Gerontologist |
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| creator | Pritchard, Elizabeth Soh, Sze-Ee Morello, Renata Berkovic, Danielle Blair, Annaliese Anderson, Katrina Bateman, Catherine Moran, Chris Tsindos, Tess O’Donnell, Renee Ayton, Darshini |
| description | Abstract
Background and Objectives
Volunteer-delivered programs to assist people with dementia and/or delirium in-hospital can provide person-centered one-on-one support in addition to usual care. These programs could mitigate hospital resource demands; however, their effectiveness is unknown. This review evaluated literature of volunteer programs in acute hospital settings for people living with dementia and/or delirium.
Research Design and Methods
Four databases were searched. Studies that reported patient or program outcomes were included (i.e., delirium incidence, length of stay, number of falls, satisfaction). Risk of bias was completed. Meta-analysis was performed where 2 or more studies measured the same outcome. Narrative synthesis was performed on the qualitative results.
Results
Eleven studies were included in the review, with varied design, participant groups and outcomes measured. Risk of bias averaged 71%. Volunteer-delivered programs addressed delirium risk factors, for example, hydration/nutrition, mobility, use of sensory aids. Eight patients and 6 program outcomes were captured, but only 3 patient outcomes could be pooled. Meta-analyses demonstrated a reduction in delirium incidence (rate ratio = 0.65; 95% confidence interval [CI] 0.47, 0.90) but no reduction in length of stay (mean difference −1.09; 95% CI −0.58, 2.77) or number of falls (rate ratio = 0.67; 95% CI 0.19, 2.35). Narrative synthesis identified benefits to patients (e.g., less loneliness), volunteers (sense of meaning), and staff (timesaving, safety).
Discussion and Implications
Volunteer-delivered programs for inpatients with dementia and/or delirium may provide benefits for patients, volunteers, and staff. However, studies conducted with more robust designs are required to determine overall effectiveness on program outcomes. Further high-quality research appropriate for this vulnerable population is required to identify volunteer program effectiveness. |
| doi_str_mv | 10.1093/geront/gnaa058 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2407582696</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/geront/gnaa058</oup_id><sourcerecordid>2407582696</sourcerecordid><originalsourceid>FETCH-LOGICAL-c397t-f5d62e57d0165a8cc516699854765c7ffd797f0f835264c9a3c907d355d0556f3</originalsourceid><addsrcrecordid>eNqF0c9PHCEUB3DS1NSt7bVHQ9KLPYwLwwCDN-OPamJTU1s9TijzZsUwMAJjs_-9NLt66KUnQvJ537y8L0KfKDmkRLHlCmLwebnyWhPevkELKnlbcdbQt2hBCBWVIpTtovcpPZDyr2v5Du2yuhE1bcUCudvgZp8BIr6OYRX1mPDNPE0hZutX-BrC5ADf2XyPT2EEn61enoKz0c4jth5fhDTZrN0RvlmnDKPO1uAf8GThD9a-x98g6-rYa7dONn1AO4N2CT5u3z306_zs58lFdfX96-XJ8VVlmJK5GngvauCyL-tz3RrDqRBKtbyRghs5DL1UciBDy3gtGqM0M4rInnHeE87FwPbQwSZ3iuFxhpS70SYDzmkPYU5d3ZBypVooUejnf-hDmGPZtyhBWMNF0_KiDjfKxJBShKGboh11XHeUdH976DY9dNseysD-Nnb-PUL_yl8OX8CXDQjz9L-wZ8F4lAw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2603456485</pqid></control><display><type>article</type><title>Volunteer Programs Supporting People With Dementia/Delirium in Hospital: Systematic Review and Meta-Analysis</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><source>Sociological Abstracts</source><creator>Pritchard, Elizabeth ; Soh, Sze-Ee ; Morello, Renata ; Berkovic, Danielle ; Blair, Annaliese ; Anderson, Katrina ; Bateman, Catherine ; Moran, Chris ; Tsindos, Tess ; O’Donnell, Renee ; Ayton, Darshini</creator><creatorcontrib>Pritchard, Elizabeth ; Soh, Sze-Ee ; Morello, Renata ; Berkovic, Danielle ; Blair, Annaliese ; Anderson, Katrina ; Bateman, Catherine ; Moran, Chris ; Tsindos, Tess ; O’Donnell, Renee ; Ayton, Darshini</creatorcontrib><description>Abstract
Background and Objectives
Volunteer-delivered programs to assist people with dementia and/or delirium in-hospital can provide person-centered one-on-one support in addition to usual care. These programs could mitigate hospital resource demands; however, their effectiveness is unknown. This review evaluated literature of volunteer programs in acute hospital settings for people living with dementia and/or delirium.
Research Design and Methods
Four databases were searched. Studies that reported patient or program outcomes were included (i.e., delirium incidence, length of stay, number of falls, satisfaction). Risk of bias was completed. Meta-analysis was performed where 2 or more studies measured the same outcome. Narrative synthesis was performed on the qualitative results.
Results
Eleven studies were included in the review, with varied design, participant groups and outcomes measured. Risk of bias averaged 71%. Volunteer-delivered programs addressed delirium risk factors, for example, hydration/nutrition, mobility, use of sensory aids. Eight patients and 6 program outcomes were captured, but only 3 patient outcomes could be pooled. Meta-analyses demonstrated a reduction in delirium incidence (rate ratio = 0.65; 95% confidence interval [CI] 0.47, 0.90) but no reduction in length of stay (mean difference −1.09; 95% CI −0.58, 2.77) or number of falls (rate ratio = 0.67; 95% CI 0.19, 2.35). Narrative synthesis identified benefits to patients (e.g., less loneliness), volunteers (sense of meaning), and staff (timesaving, safety).
Discussion and Implications
Volunteer-delivered programs for inpatients with dementia and/or delirium may provide benefits for patients, volunteers, and staff. However, studies conducted with more robust designs are required to determine overall effectiveness on program outcomes. Further high-quality research appropriate for this vulnerable population is required to identify volunteer program effectiveness.</description><identifier>ISSN: 0016-9013</identifier><identifier>EISSN: 1758-5341</identifier><identifier>DOI: 10.1093/geront/gnaa058</identifier><identifier>PMID: 32462186</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Bias ; Clinical outcomes ; Delirium ; Dementia ; Discharge ; Effectiveness ; Hospitals ; Humans ; Inpatient care ; Inpatients ; Length of stay ; Literature reviews ; Loneliness ; Meta-analysis ; Narratives ; Nutrition ; Older people ; Patient-centered care ; Patients ; Research design ; Risk factors ; Systematic review ; Volunteers</subject><ispartof>The Gerontologist, 2021-11, Vol.61 (8), p.e421-e434</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>Copyright Oxford University Press Dec 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-f5d62e57d0165a8cc516699854765c7ffd797f0f835264c9a3c907d355d0556f3</citedby><cites>FETCH-LOGICAL-c397t-f5d62e57d0165a8cc516699854765c7ffd797f0f835264c9a3c907d355d0556f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902,33751</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32462186$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pritchard, Elizabeth</creatorcontrib><creatorcontrib>Soh, Sze-Ee</creatorcontrib><creatorcontrib>Morello, Renata</creatorcontrib><creatorcontrib>Berkovic, Danielle</creatorcontrib><creatorcontrib>Blair, Annaliese</creatorcontrib><creatorcontrib>Anderson, Katrina</creatorcontrib><creatorcontrib>Bateman, Catherine</creatorcontrib><creatorcontrib>Moran, Chris</creatorcontrib><creatorcontrib>Tsindos, Tess</creatorcontrib><creatorcontrib>O’Donnell, Renee</creatorcontrib><creatorcontrib>Ayton, Darshini</creatorcontrib><title>Volunteer Programs Supporting People With Dementia/Delirium in Hospital: Systematic Review and Meta-Analysis</title><title>The Gerontologist</title><addtitle>Gerontologist</addtitle><description>Abstract
Background and Objectives
Volunteer-delivered programs to assist people with dementia and/or delirium in-hospital can provide person-centered one-on-one support in addition to usual care. These programs could mitigate hospital resource demands; however, their effectiveness is unknown. This review evaluated literature of volunteer programs in acute hospital settings for people living with dementia and/or delirium.
Research Design and Methods
Four databases were searched. Studies that reported patient or program outcomes were included (i.e., delirium incidence, length of stay, number of falls, satisfaction). Risk of bias was completed. Meta-analysis was performed where 2 or more studies measured the same outcome. Narrative synthesis was performed on the qualitative results.
Results
Eleven studies were included in the review, with varied design, participant groups and outcomes measured. Risk of bias averaged 71%. Volunteer-delivered programs addressed delirium risk factors, for example, hydration/nutrition, mobility, use of sensory aids. Eight patients and 6 program outcomes were captured, but only 3 patient outcomes could be pooled. Meta-analyses demonstrated a reduction in delirium incidence (rate ratio = 0.65; 95% confidence interval [CI] 0.47, 0.90) but no reduction in length of stay (mean difference −1.09; 95% CI −0.58, 2.77) or number of falls (rate ratio = 0.67; 95% CI 0.19, 2.35). Narrative synthesis identified benefits to patients (e.g., less loneliness), volunteers (sense of meaning), and staff (timesaving, safety).
Discussion and Implications
Volunteer-delivered programs for inpatients with dementia and/or delirium may provide benefits for patients, volunteers, and staff. However, studies conducted with more robust designs are required to determine overall effectiveness on program outcomes. Further high-quality research appropriate for this vulnerable population is required to identify volunteer program effectiveness.</description><subject>Bias</subject><subject>Clinical outcomes</subject><subject>Delirium</subject><subject>Dementia</subject><subject>Discharge</subject><subject>Effectiveness</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Inpatient care</subject><subject>Inpatients</subject><subject>Length of stay</subject><subject>Literature reviews</subject><subject>Loneliness</subject><subject>Meta-analysis</subject><subject>Narratives</subject><subject>Nutrition</subject><subject>Older people</subject><subject>Patient-centered care</subject><subject>Patients</subject><subject>Research design</subject><subject>Risk factors</subject><subject>Systematic review</subject><subject>Volunteers</subject><issn>0016-9013</issn><issn>1758-5341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqF0c9PHCEUB3DS1NSt7bVHQ9KLPYwLwwCDN-OPamJTU1s9TijzZsUwMAJjs_-9NLt66KUnQvJ537y8L0KfKDmkRLHlCmLwebnyWhPevkELKnlbcdbQt2hBCBWVIpTtovcpPZDyr2v5Du2yuhE1bcUCudvgZp8BIr6OYRX1mPDNPE0hZutX-BrC5ADf2XyPT2EEn61enoKz0c4jth5fhDTZrN0RvlmnDKPO1uAf8GThD9a-x98g6-rYa7dONn1AO4N2CT5u3z306_zs58lFdfX96-XJ8VVlmJK5GngvauCyL-tz3RrDqRBKtbyRghs5DL1UciBDy3gtGqM0M4rInnHeE87FwPbQwSZ3iuFxhpS70SYDzmkPYU5d3ZBypVooUejnf-hDmGPZtyhBWMNF0_KiDjfKxJBShKGboh11XHeUdH976DY9dNseysD-Nnb-PUL_yl8OX8CXDQjz9L-wZ8F4lAw</recordid><startdate>20211115</startdate><enddate>20211115</enddate><creator>Pritchard, Elizabeth</creator><creator>Soh, Sze-Ee</creator><creator>Morello, Renata</creator><creator>Berkovic, Danielle</creator><creator>Blair, Annaliese</creator><creator>Anderson, Katrina</creator><creator>Bateman, Catherine</creator><creator>Moran, Chris</creator><creator>Tsindos, Tess</creator><creator>O’Donnell, Renee</creator><creator>Ayton, Darshini</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>ASE</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20211115</creationdate><title>Volunteer Programs Supporting People With Dementia/Delirium in Hospital: Systematic Review and Meta-Analysis</title><author>Pritchard, Elizabeth ; Soh, Sze-Ee ; Morello, Renata ; Berkovic, Danielle ; Blair, Annaliese ; Anderson, Katrina ; Bateman, Catherine ; Moran, Chris ; Tsindos, Tess ; O’Donnell, Renee ; Ayton, Darshini</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-f5d62e57d0165a8cc516699854765c7ffd797f0f835264c9a3c907d355d0556f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bias</topic><topic>Clinical outcomes</topic><topic>Delirium</topic><topic>Dementia</topic><topic>Discharge</topic><topic>Effectiveness</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Inpatient care</topic><topic>Inpatients</topic><topic>Length of stay</topic><topic>Literature reviews</topic><topic>Loneliness</topic><topic>Meta-analysis</topic><topic>Narratives</topic><topic>Nutrition</topic><topic>Older people</topic><topic>Patient-centered care</topic><topic>Patients</topic><topic>Research design</topic><topic>Risk factors</topic><topic>Systematic review</topic><topic>Volunteers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pritchard, Elizabeth</creatorcontrib><creatorcontrib>Soh, Sze-Ee</creatorcontrib><creatorcontrib>Morello, Renata</creatorcontrib><creatorcontrib>Berkovic, Danielle</creatorcontrib><creatorcontrib>Blair, Annaliese</creatorcontrib><creatorcontrib>Anderson, Katrina</creatorcontrib><creatorcontrib>Bateman, Catherine</creatorcontrib><creatorcontrib>Moran, Chris</creatorcontrib><creatorcontrib>Tsindos, Tess</creatorcontrib><creatorcontrib>O’Donnell, Renee</creatorcontrib><creatorcontrib>Ayton, Darshini</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>The Gerontologist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pritchard, Elizabeth</au><au>Soh, Sze-Ee</au><au>Morello, Renata</au><au>Berkovic, Danielle</au><au>Blair, Annaliese</au><au>Anderson, Katrina</au><au>Bateman, Catherine</au><au>Moran, Chris</au><au>Tsindos, Tess</au><au>O’Donnell, Renee</au><au>Ayton, Darshini</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Volunteer Programs Supporting People With Dementia/Delirium in Hospital: Systematic Review and Meta-Analysis</atitle><jtitle>The Gerontologist</jtitle><addtitle>Gerontologist</addtitle><date>2021-11-15</date><risdate>2021</risdate><volume>61</volume><issue>8</issue><spage>e421</spage><epage>e434</epage><pages>e421-e434</pages><issn>0016-9013</issn><eissn>1758-5341</eissn><abstract>Abstract
Background and Objectives
Volunteer-delivered programs to assist people with dementia and/or delirium in-hospital can provide person-centered one-on-one support in addition to usual care. These programs could mitigate hospital resource demands; however, their effectiveness is unknown. This review evaluated literature of volunteer programs in acute hospital settings for people living with dementia and/or delirium.
Research Design and Methods
Four databases were searched. Studies that reported patient or program outcomes were included (i.e., delirium incidence, length of stay, number of falls, satisfaction). Risk of bias was completed. Meta-analysis was performed where 2 or more studies measured the same outcome. Narrative synthesis was performed on the qualitative results.
Results
Eleven studies were included in the review, with varied design, participant groups and outcomes measured. Risk of bias averaged 71%. Volunteer-delivered programs addressed delirium risk factors, for example, hydration/nutrition, mobility, use of sensory aids. Eight patients and 6 program outcomes were captured, but only 3 patient outcomes could be pooled. Meta-analyses demonstrated a reduction in delirium incidence (rate ratio = 0.65; 95% confidence interval [CI] 0.47, 0.90) but no reduction in length of stay (mean difference −1.09; 95% CI −0.58, 2.77) or number of falls (rate ratio = 0.67; 95% CI 0.19, 2.35). Narrative synthesis identified benefits to patients (e.g., less loneliness), volunteers (sense of meaning), and staff (timesaving, safety).
Discussion and Implications
Volunteer-delivered programs for inpatients with dementia and/or delirium may provide benefits for patients, volunteers, and staff. However, studies conducted with more robust designs are required to determine overall effectiveness on program outcomes. Further high-quality research appropriate for this vulnerable population is required to identify volunteer program effectiveness.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>32462186</pmid><doi>10.1093/geront/gnaa058</doi><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection; Sociological Abstracts |
| subjects | Bias Clinical outcomes Delirium Dementia Discharge Effectiveness Hospitals Humans Inpatient care Inpatients Length of stay Literature reviews Loneliness Meta-analysis Narratives Nutrition Older people Patient-centered care Patients Research design Risk factors Systematic review Volunteers |
| title | Volunteer Programs Supporting People With Dementia/Delirium in Hospital: Systematic Review and Meta-Analysis |
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