Doll therapy for improving behavior, psychology and cognition among older nursing home residents with dementia: A systematic review and meta-analysis
•Dementia is associated with the appearance of behavioral and psychological symptoms and varying degrees of deterioration in cognitive function among older nursing home residents.•The DT process is advocated as a cost-efficient, sustainable and safe approach to ameliorate behavioral and psychologica...
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| Veröffentlicht in: | Geriatric nursing (New York) 2024-01, Vol.55, p.119-129 |
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| creator | Peng, Yu Liu, Yang Guo, Zhongxian Zhang, Yuhan Sha, Liyan Wang, Xiaorun He, Yang |
| description | •Dementia is associated with the appearance of behavioral and psychological symptoms and varying degrees of deterioration in cognitive function among older nursing home residents.•The DT process is advocated as a cost-efficient, sustainable and safe approach to ameliorate behavioral and psychological disturbances among older nursing home residents with dementia.•Administering empathy dolls and coordinating with caregivers may be the most appropriate and effective approach.
To explore the effectiveness of doll therapy (DT) on behavior, psychology and cognition among older nursing home residents with dementia.
A systematic review and meta-analysis was conducted. Subgroup analyses were performed to determine whether the intervention characteristics influenced effect sizes.
Ten studies met the inclusion criteria and were selected for qualitative and quantitative synthesis. The overall methodological quality was relatively high. DT significantly improved all behaviors [SMD=-0.42, P=0.01], including agitation [SMD=-0.94, P |
| doi_str_mv | 10.1016/j.gerinurse.2023.10.025 |
| format | Article |
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To explore the effectiveness of doll therapy (DT) on behavior, psychology and cognition among older nursing home residents with dementia.
A systematic review and meta-analysis was conducted. Subgroup analyses were performed to determine whether the intervention characteristics influenced effect sizes.
Ten studies met the inclusion criteria and were selected for qualitative and quantitative synthesis. The overall methodological quality was relatively high. DT significantly improved all behaviors [SMD=-0.42, P=0.01], including agitation [SMD=-0.94, P<0.001], apathy, irritability and wandering, and psychological states (i.e., pleasure, anxiety and depression). However, there was no significant difference in the improvement of cognition. Subgroup analyses revealed that the DT process employing empathy dolls and coordinating with caregivers was more beneficial for improving all behaviors (P=0.01; P=0.02).
DT significantly reduced behavioral and psychological disturbances among older nursing home residents with dementia. Specifically, administering empathy dolls and coordinating with caregivers may be the most appropriate and effective option.</description><identifier>ISSN: 0197-4572</identifier><identifier>ISSN: 1528-3984</identifier><identifier>EISSN: 1528-3984</identifier><identifier>DOI: 10.1016/j.gerinurse.2023.10.025</identifier><identifier>PMID: 37980780</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Behavior ; Cognition ; Dementia ; Dementia - nursing ; Dementia - psychology ; Doll therapy ; Humans ; Nursing home ; Nursing Homes ; Older adults ; Play Therapy - methods ; Psychology</subject><ispartof>Geriatric nursing (New York), 2024-01, Vol.55, p.119-129</ispartof><rights>2023 The Author(s)</rights><rights>Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c366t-e99c34ed703e3f00bbddda097531d925fb67923c95607b1faf1f3ec6f4d0e4e33</cites><orcidid>0000-0001-6134-7348</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.gerinurse.2023.10.025$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37980780$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peng, Yu</creatorcontrib><creatorcontrib>Liu, Yang</creatorcontrib><creatorcontrib>Guo, Zhongxian</creatorcontrib><creatorcontrib>Zhang, Yuhan</creatorcontrib><creatorcontrib>Sha, Liyan</creatorcontrib><creatorcontrib>Wang, Xiaorun</creatorcontrib><creatorcontrib>He, Yang</creatorcontrib><title>Doll therapy for improving behavior, psychology and cognition among older nursing home residents with dementia: A systematic review and meta-analysis</title><title>Geriatric nursing (New York)</title><addtitle>Geriatr Nurs</addtitle><description>•Dementia is associated with the appearance of behavioral and psychological symptoms and varying degrees of deterioration in cognitive function among older nursing home residents.•The DT process is advocated as a cost-efficient, sustainable and safe approach to ameliorate behavioral and psychological disturbances among older nursing home residents with dementia.•Administering empathy dolls and coordinating with caregivers may be the most appropriate and effective approach.
To explore the effectiveness of doll therapy (DT) on behavior, psychology and cognition among older nursing home residents with dementia.
A systematic review and meta-analysis was conducted. Subgroup analyses were performed to determine whether the intervention characteristics influenced effect sizes.
Ten studies met the inclusion criteria and were selected for qualitative and quantitative synthesis. The overall methodological quality was relatively high. DT significantly improved all behaviors [SMD=-0.42, P=0.01], including agitation [SMD=-0.94, P<0.001], apathy, irritability and wandering, and psychological states (i.e., pleasure, anxiety and depression). However, there was no significant difference in the improvement of cognition. Subgroup analyses revealed that the DT process employing empathy dolls and coordinating with caregivers was more beneficial for improving all behaviors (P=0.01; P=0.02).
DT significantly reduced behavioral and psychological disturbances among older nursing home residents with dementia. Specifically, administering empathy dolls and coordinating with caregivers may be the most appropriate and effective option.</description><subject>Aged</subject><subject>Behavior</subject><subject>Cognition</subject><subject>Dementia</subject><subject>Dementia - nursing</subject><subject>Dementia - psychology</subject><subject>Doll therapy</subject><subject>Humans</subject><subject>Nursing home</subject><subject>Nursing Homes</subject><subject>Older adults</subject><subject>Play Therapy - methods</subject><subject>Psychology</subject><issn>0197-4572</issn><issn>1528-3984</issn><issn>1528-3984</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcuOFCEUhonROD2jr6AsXVgtl7rhrjM6ajKJG10TCg5ddIqiBbon9SC-r5Q9ztYVAb7_HA4fQm8p2VJC2w-H7R6im08xwZYRxsvplrDmGdrQhvUVF339HG0IFV1VNx27QtcpHQghgvf8JbrinehJ15MN-v0pTBPOI0R1XLANETt_jOHs5j0eYFRnF-J7fEyLHsMU9gtWs8E67GeXXZix8qGAYTIQ8fqaNTYGDzhCcgbmnPCDyyM24MvGqY94h9OSMniVnS7U2cHD35oesqrUrKYlufQKvbBqSvD6cb1BP-8-_7j9Wt1___Ltdndfad62uQIhNK_BdIQDt4QMgzFGEdE1nBrBGju0nWBci6Yl3UCtstRy0K2tDYEaOL9B7y51y8i_TpCy9C5pmCY1QzglyXrBCKU1awvaXVAdQ0oRrDxG51VcJCVydSIP8smJXJ2sF8VJSb55bHIaPJin3D8JBdhdACijlg-JMmkHswbjIugsTXD_bfIH65emZA</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Peng, Yu</creator><creator>Liu, Yang</creator><creator>Guo, Zhongxian</creator><creator>Zhang, Yuhan</creator><creator>Sha, Liyan</creator><creator>Wang, Xiaorun</creator><creator>He, Yang</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><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>7X8</scope><orcidid>https://orcid.org/0000-0001-6134-7348</orcidid></search><sort><creationdate>202401</creationdate><title>Doll therapy for improving behavior, psychology and cognition among older nursing home residents with dementia: A systematic review and meta-analysis</title><author>Peng, Yu ; Liu, Yang ; Guo, Zhongxian ; Zhang, Yuhan ; Sha, Liyan ; Wang, Xiaorun ; He, Yang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-e99c34ed703e3f00bbddda097531d925fb67923c95607b1faf1f3ec6f4d0e4e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Behavior</topic><topic>Cognition</topic><topic>Dementia</topic><topic>Dementia - nursing</topic><topic>Dementia - psychology</topic><topic>Doll therapy</topic><topic>Humans</topic><topic>Nursing home</topic><topic>Nursing Homes</topic><topic>Older adults</topic><topic>Play Therapy - methods</topic><topic>Psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peng, Yu</creatorcontrib><creatorcontrib>Liu, Yang</creatorcontrib><creatorcontrib>Guo, Zhongxian</creatorcontrib><creatorcontrib>Zhang, Yuhan</creatorcontrib><creatorcontrib>Sha, Liyan</creatorcontrib><creatorcontrib>Wang, Xiaorun</creatorcontrib><creatorcontrib>He, Yang</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatric nursing (New York)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peng, Yu</au><au>Liu, Yang</au><au>Guo, Zhongxian</au><au>Zhang, Yuhan</au><au>Sha, Liyan</au><au>Wang, Xiaorun</au><au>He, Yang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Doll therapy for improving behavior, psychology and cognition among older nursing home residents with dementia: A systematic review and meta-analysis</atitle><jtitle>Geriatric nursing (New York)</jtitle><addtitle>Geriatr Nurs</addtitle><date>2024-01</date><risdate>2024</risdate><volume>55</volume><spage>119</spage><epage>129</epage><pages>119-129</pages><issn>0197-4572</issn><issn>1528-3984</issn><eissn>1528-3984</eissn><abstract>•Dementia is associated with the appearance of behavioral and psychological symptoms and varying degrees of deterioration in cognitive function among older nursing home residents.•The DT process is advocated as a cost-efficient, sustainable and safe approach to ameliorate behavioral and psychological disturbances among older nursing home residents with dementia.•Administering empathy dolls and coordinating with caregivers may be the most appropriate and effective approach.
To explore the effectiveness of doll therapy (DT) on behavior, psychology and cognition among older nursing home residents with dementia.
A systematic review and meta-analysis was conducted. Subgroup analyses were performed to determine whether the intervention characteristics influenced effect sizes.
Ten studies met the inclusion criteria and were selected for qualitative and quantitative synthesis. The overall methodological quality was relatively high. DT significantly improved all behaviors [SMD=-0.42, P=0.01], including agitation [SMD=-0.94, P<0.001], apathy, irritability and wandering, and psychological states (i.e., pleasure, anxiety and depression). However, there was no significant difference in the improvement of cognition. Subgroup analyses revealed that the DT process employing empathy dolls and coordinating with caregivers was more beneficial for improving all behaviors (P=0.01; P=0.02).
DT significantly reduced behavioral and psychological disturbances among older nursing home residents with dementia. Specifically, administering empathy dolls and coordinating with caregivers may be the most appropriate and effective option.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37980780</pmid><doi>10.1016/j.gerinurse.2023.10.025</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-6134-7348</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged Behavior Cognition Dementia Dementia - nursing Dementia - psychology Doll therapy Humans Nursing home Nursing Homes Older adults Play Therapy - methods Psychology |
| title | Doll therapy for improving behavior, psychology and cognition among older nursing home residents with dementia: A systematic review and meta-analysis |
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