Interventions to enhance access to and utilization of formal community care services for home dwelling persons with dementia and their informal carers. A scoping review

Janne Røsvik, Mona Michelet, Knut Engedal, Anja Bieber, Anja Broda, Manuel Gonçalves-Pereira, Louise Hopper, Kate Irving, Hannah Jelley, Liselot Kerpershoek, Gabriele Meyer, Maria J Marques, Elisa Portolani, Britt-Marie Sjölund, Anders Sköldunger, Astrid Stephan, Frans Verhey, Marjolein de Vugt, Bob Woods, Claire Wolfs & 2 others Orazio Zanetti, Geir Selbaek

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: Home dwelling people with dementia and their informal carers often do not receive the formal care services they need. This study examined and mapped the research regarding interventions to improve access and use of formal community care services.

METHOD: This is a scoping review with searches in PubMed, CINAHL, PsychINFO, Medline, Cochrane Database of Systematic Reviews, Social Science Citation index and searches of grey literature in international and national databases. Studies were categorized according to the measure used to enhance access or use.

RESULTS: From international databases, 2833 studies were retrieved, 11 were included. Five studies were included from other sources. In total, 16 studies published between 1989 and 2018 were examined; seven randomized controlled trials, six pretest-posttest studies and three non-randomized controlled studies. Sample sizes varied from 29 to 2682 participants, follow-up from four weeks to four years. Five types of interventions were identified: Case management, monetary support, referral enhancing, awareness & information focused and inpatient focused. Only two studies had access or use of community services as the primary outcome. Fourteen studies, representing all five types of interventions, had positive effects on one or more relevant outcomes. Two interventions had no effect on relevant outcomes.

CONCLUSION: The included studies varied widely regarding design, type of intervention and outcomes. Based on this, the evidence base for interventions to enhance access to and use of formal community services is judged to be limited. The most studied type of intervention was case management. More research is recommended in this field.

Original languageEnglish
Pages (from-to)1-12
Number of pages12
JournalAging & Mental Health
DOIs
Publication statusPublished - 21 Jan 2019

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Social Welfare
Home Care Services
Caregivers
Dementia
Case Management
Databases
Literature
Social Sciences
Research
PubMed
Sample Size
Inpatients
Referral and Consultation
Randomized Controlled Trials

Cite this

Røsvik, Janne ; Michelet, Mona ; Engedal, Knut ; Bieber, Anja ; Broda, Anja ; Gonçalves-Pereira, Manuel ; Hopper, Louise ; Irving, Kate ; Jelley, Hannah ; Kerpershoek, Liselot ; Meyer, Gabriele ; Marques, Maria J ; Portolani, Elisa ; Sjölund, Britt-Marie ; Sköldunger, Anders ; Stephan, Astrid ; Verhey, Frans ; de Vugt, Marjolein ; Woods, Bob ; Wolfs, Claire ; Zanetti, Orazio ; Selbaek, Geir. / Interventions to enhance access to and utilization of formal community care services for home dwelling persons with dementia and their informal carers. A scoping review. In: Aging & Mental Health. 2019 ; pp. 1-12.
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abstract = "OBJECTIVES: Home dwelling people with dementia and their informal carers often do not receive the formal care services they need. This study examined and mapped the research regarding interventions to improve access and use of formal community care services.METHOD: This is a scoping review with searches in PubMed, CINAHL, PsychINFO, Medline, Cochrane Database of Systematic Reviews, Social Science Citation index and searches of grey literature in international and national databases. Studies were categorized according to the measure used to enhance access or use.RESULTS: From international databases, 2833 studies were retrieved, 11 were included. Five studies were included from other sources. In total, 16 studies published between 1989 and 2018 were examined; seven randomized controlled trials, six pretest-posttest studies and three non-randomized controlled studies. Sample sizes varied from 29 to 2682 participants, follow-up from four weeks to four years. Five types of interventions were identified: Case management, monetary support, referral enhancing, awareness & information focused and inpatient focused. Only two studies had access or use of community services as the primary outcome. Fourteen studies, representing all five types of interventions, had positive effects on one or more relevant outcomes. Two interventions had no effect on relevant outcomes.CONCLUSION: The included studies varied widely regarding design, type of intervention and outcomes. Based on this, the evidence base for interventions to enhance access to and use of formal community services is judged to be limited. The most studied type of intervention was case management. More research is recommended in this field.",
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Røsvik, J, Michelet, M, Engedal, K, Bieber, A, Broda, A, Gonçalves-Pereira, M, Hopper, L, Irving, K, Jelley, H, Kerpershoek, L, Meyer, G, Marques, MJ, Portolani, E, Sjölund, B-M, Sköldunger, A, Stephan, A, Verhey, F, de Vugt, M, Woods, B, Wolfs, C, Zanetti, O & Selbaek, G 2019, 'Interventions to enhance access to and utilization of formal community care services for home dwelling persons with dementia and their informal carers. A scoping review', Aging & Mental Health, pp. 1-12. https://doi.org/10.1080/13607863.2018.1523876

Interventions to enhance access to and utilization of formal community care services for home dwelling persons with dementia and their informal carers. A scoping review. / Røsvik, Janne; Michelet, Mona; Engedal, Knut; Bieber, Anja; Broda, Anja; Gonçalves-Pereira, Manuel; Hopper, Louise; Irving, Kate; Jelley, Hannah; Kerpershoek, Liselot; Meyer, Gabriele; Marques, Maria J; Portolani, Elisa; Sjölund, Britt-Marie; Sköldunger, Anders; Stephan, Astrid; Verhey, Frans; de Vugt, Marjolein; Woods, Bob; Wolfs, Claire; Zanetti, Orazio; Selbaek, Geir.

In: Aging & Mental Health, 21.01.2019, p. 1-12.

Research output: Contribution to journalArticle

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T1 - Interventions to enhance access to and utilization of formal community care services for home dwelling persons with dementia and their informal carers. A scoping review

AU - Røsvik, Janne

AU - Michelet, Mona

AU - Engedal, Knut

AU - Bieber, Anja

AU - Broda, Anja

AU - Gonçalves-Pereira, Manuel

AU - Hopper, Louise

AU - Irving, Kate

AU - Jelley, Hannah

AU - Kerpershoek, Liselot

AU - Meyer, Gabriele

AU - Marques, Maria J

AU - Portolani, Elisa

AU - Sjölund, Britt-Marie

AU - Sköldunger, Anders

AU - Stephan, Astrid

AU - Verhey, Frans

AU - de Vugt, Marjolein

AU - Woods, Bob

AU - Wolfs, Claire

AU - Zanetti, Orazio

AU - Selbaek, Geir

PY - 2019/1/21

Y1 - 2019/1/21

N2 - OBJECTIVES: Home dwelling people with dementia and their informal carers often do not receive the formal care services they need. This study examined and mapped the research regarding interventions to improve access and use of formal community care services.METHOD: This is a scoping review with searches in PubMed, CINAHL, PsychINFO, Medline, Cochrane Database of Systematic Reviews, Social Science Citation index and searches of grey literature in international and national databases. Studies were categorized according to the measure used to enhance access or use.RESULTS: From international databases, 2833 studies were retrieved, 11 were included. Five studies were included from other sources. In total, 16 studies published between 1989 and 2018 were examined; seven randomized controlled trials, six pretest-posttest studies and three non-randomized controlled studies. Sample sizes varied from 29 to 2682 participants, follow-up from four weeks to four years. Five types of interventions were identified: Case management, monetary support, referral enhancing, awareness & information focused and inpatient focused. Only two studies had access or use of community services as the primary outcome. Fourteen studies, representing all five types of interventions, had positive effects on one or more relevant outcomes. Two interventions had no effect on relevant outcomes.CONCLUSION: The included studies varied widely regarding design, type of intervention and outcomes. Based on this, the evidence base for interventions to enhance access to and use of formal community services is judged to be limited. The most studied type of intervention was case management. More research is recommended in this field.

AB - OBJECTIVES: Home dwelling people with dementia and their informal carers often do not receive the formal care services they need. This study examined and mapped the research regarding interventions to improve access and use of formal community care services.METHOD: This is a scoping review with searches in PubMed, CINAHL, PsychINFO, Medline, Cochrane Database of Systematic Reviews, Social Science Citation index and searches of grey literature in international and national databases. Studies were categorized according to the measure used to enhance access or use.RESULTS: From international databases, 2833 studies were retrieved, 11 were included. Five studies were included from other sources. In total, 16 studies published between 1989 and 2018 were examined; seven randomized controlled trials, six pretest-posttest studies and three non-randomized controlled studies. Sample sizes varied from 29 to 2682 participants, follow-up from four weeks to four years. Five types of interventions were identified: Case management, monetary support, referral enhancing, awareness & information focused and inpatient focused. Only two studies had access or use of community services as the primary outcome. Fourteen studies, representing all five types of interventions, had positive effects on one or more relevant outcomes. Two interventions had no effect on relevant outcomes.CONCLUSION: The included studies varied widely regarding design, type of intervention and outcomes. Based on this, the evidence base for interventions to enhance access to and use of formal community services is judged to be limited. The most studied type of intervention was case management. More research is recommended in this field.

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SN - 1360-7863

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