Article

OBJECTIVE: This systematic review evaluated the effectiveness of
environment-based interventions that address behavior, perception, and falls in
the home and other settings for people with Alzheimer's disease (AD) and related
major neurocognitive disorders (NCDs). METHOD: Database searches were limited to
outcomes studies published in English in peer-reviewed journals between January
2006 and April 2014.
RESULTS: A total of 1,854 articles were initially
identified, of which 42 met inclusion criteria. CONCLUSION: Strong evidence
indicates that person-centered approaches can improve behavior. Moderate evidence
supports noise regulation, environmental design, unobtrusive visual barriers, and
environmental relocation strategies to reduce problematic behaviors. Evidence is
insufficient for the effectiveness of mealtime ambient music, bright light,
proprioceptive input, wander gardens, optical strategies, and sensory devices in
improving behavior or reducing wandering and falls. Although evidence supports
many environment-based interventions used by occupational therapy practitioners
to address behavior, perception, and falls in people with AD and related major
NCDs, more studies are needed.

Langue : ANGLAIS