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Effectiveness of Nonpharmacological Interventions for the Management of Neuropsychiatric Symptoms in Patients With Dementia

TLDR
The cumulative research to date on the impact of nonpharmacologic interventions for NPS among patients with dementia indicates that interventions that address behavioral issues and unmet needs and that include caregivers or bright light therapy may be efficacious.
Abstract
Recent reports documenting limited evi-dence supporting the use of pharmacological interven-tions for neuropsychiatric symptoms (NPS) and in-creased risk of death, the black box warnings against theuseofatypicalantipsychoticdrugsinolderadults,andOm-nibus Budget Reconciliation Act regulations suggest theneedtoevaluatetheusefulnessofnonpharmacologicalin-terventions in the management of NPS of dementia.

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Citations
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Defeating Alzheimer's disease and other dementias: a priority for European science and society

TL;DR: This poster aims to demonstrate the efforts towards in-situ applicability of EMMARM, which aims to provide real-time information about the physical and cognitive properties of Alzheimer's disease and other dementias.
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Dissemination and publication of research findings: an updated review of related biases.

TL;DR: There was convincing evidence that outcome reporting bias exists and has an impact on the pooled summary in systematic reviews, and empirical evidence suggests that published studies tended to report a greater treatment effect than those from the grey literature.
Journal ArticleDOI

Meta-Analysis of Nonpharmacological Interventions for Neuropsychiatric Symptoms of Dementia

TL;DR: Nonpharmacological interventions delivered by family caregivers have the potential to reduce the frequency and severity of behavioral and psychological symptoms of dementia, with effect sizes at least equaling those of pharmacotherapy, as well as to reduce caregivers' adverse reactions.
Journal ArticleDOI

ACNP White Paper: Update on Use of Antipsychotic Drugs in Elderly Persons with Dementia

TL;DR: There is insufficient evidence to suggest that psychotropics other than antipsychotics represent an overall effective and safe, let alone better, treatment choice for psychosis or agitation in dementia; currently no such treatment has been approved by the FDA for these symptoms.
Journal ArticleDOI

Neuropsychiatric symptoms in Alzheimer's disease: Past progress and anticipation of the future

TL;DR: An overview of neuropsychiatric symptoms in Alzheimer's disease is presented, followed by syndrome‐specific synthetic reviews and recommendations prepared by NPS‐PIA workgroups on depression, apathy, sleep, agitation, and psychosis.
References
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Single Case Experimental Designs: Strategies for Studying Behavior Change

TL;DR: In this paper, a plain-language guide to the lean production system delivers a comprehensive insider's view of lean manufacturing, focusing on three basic questions of quality improvement: What do you want to accomplish, what do we want to achieve, and how to apply the four basic management elements of planning, organizing, directing/coaching, and controlling.
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Defining Empirically Supported Therapies

TL;DR: It is suggested that, in evaluating the benefits of a given treatment, the greatest weight should be given to efficacy trials but that these trials should be followed by research on effectiveness in clinical settings and with various populations and by cost-effectiveness research.
Journal ArticleDOI

Risk of death with atypical antipsychotic drug treatment for dementia: meta-analysis of randomized placebo-controlled trials.

TL;DR: Atypical antipsychotic drugs may be associated with a small increased risk for death compared with placebo, and this risk should be considered within the context of medical need for the drugs, efficacy evidence, medical comorbidity, and the efficacy and safety of alternatives.
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