Transitions in care of people with dementia: a systematic review of the literature

Full publication

• Transitions in care of people with dementia (621KB PDF)
• Also available at http://www.dementia.unsw.edu.au/...

Publication table of contents

• Preliminary material
  • Title and verso pages
  • Contents
  • Abbreviations
  • Summary
    • Search strategies and results
    • Findings
      • Predictors of care transition
      • Description of care pathways
      • Intervention to modify care pathways
      • Care pathways of special population groups
    • Recommendations
  • Acknowledgements
  • Introduction
• Body section
  1. Background
     • Care transitions and care pathways
     • Australian service context
       • Australia’s health and aged care system
       • Services for people with dementia
       • Movements through the health and aged care system
     • Dementia and care pathways
       • Dementia and its implications for service use and care pathways
       • Service use by people with dementia in Australia
  2. Review Approach
     • Inclusion and exclusion criteria
     • Search methods
     • Selection process
       • Search terms that identified selected studies
       • Country of origin
     • Study quality
  3. Review of evidence
     • Predictors of care transitions
       • General studies of predictors of institutionalisation
       • Focused studies of predictors of institutionalisation
         • Dementia progression as a predictor of institutionalisation
         • Behavioural Symptoms of Dementia as predictors of institutionalisation
         • Caregiver and family characteristics as predictors of institutionalisation
         • Service use & interventions as predictors of institutionalisation
       • Predictors of care transition discussion
     • Descriptions of care pathways and transitions
       • Diagnosis
       • Movements between care types
       • End-of-life care and place of death
       • Description of care pathways and transitions discussion
     • Interventions to modify care transitions
       • Caregiver counselling and support
       • Caregiver training
       • Multidisciplinary intervention
       • Early intervention: family counselling and memory clinic
       • Respite care
       • Intervention to modify care transitions discussion
     • Special population groups
       • People with younger-onset dementia
       • People from culturally and linguistically diverse backgrounds
       • Aboriginal and Torres Strait Islander people
       • People living in rural and remote areas
       • Intellectual Disability and Dementia
       • Special population groups discussion
  4. Key gaps in the evidence
  5. Recommendations
     • For practice
     • For further research
• End matter
  • Appendixes
    • Appendix 1
      • Levels of evidence
        • National Health & Medical Research Council designations of levels of evidence – Intervention, and prediction and prognosis studies (NHMRC 2000)
        • Frameworks for assessing quality
          • The Joanna Briggs Institute Critical Appraisal of a Systematic Review (JBI 2000)
          • Dorothy Forbes’ External, Internal, and Statistical Conclusion Validity Rating Tool (Forbes 1998)
          • Checklist for appraising the quality of studies of interventions (NHMRC 2000)
          • Altman’s Framework for assessing internal validity of articles dealing with prognosis (Altman, 2001)
          • Angus Forbes’ Appraisal Schedule (Forbes & Griffiths, 2002)
    • Appendix 2
      • Predictors of care transitions
        • General studies of predictors of institutionalisation
        • Focused studies of predictors of institutionalisation
          • Dementia progression as a predictor of institutionalisation
          • Behavioural Symptoms of Dementia as predictors of institutionalisation
          • Service use and interventions as predictors of institutionalisation
      • Descriptions of care pathways and transitions
        • Diagnosis
        • Movements between care types
        • End-of-life care and place of death
      • Interventions to modify care transitions
        • Caregiver Counselling & Support
        • Caregiver Training
        • Multidisciplinary intervention
        • Early intervention: family counselling and Memory Clinic
        • Respite care
      • Special population groups
        • People with younger-onset dementia
  • References