CCCDTD5: Individual and community-based psychosocial and other non-pharmacological interventions to support persons living with dementia and their caregivers

Isabelle Vedel; Debra Sheets; Carrie McAiney; Linda Clare; Henry Brodaty; James Mann; Nicole Anderson; Teresa Liu-Ambrose; Laura Rojas-Rozo; Lynn Loftus; Serge Gauthier; Saskia Sivananthan

doi:10.1002/trc2.12086

CCCDTD5: Individual and community-based psychosocial and other non-pharmacological interventions to support persons living with dementia and their caregivers

Alzheimers Dement (N Y). 2020 Nov 11;6(1):e12086. doi: 10.1002/trc2.12086. eCollection 2020.

Authors

Affiliations

¹ McGill University Montreal Quebec Canada.
² School of Nursing University of Victoria Victoria British Columbia Canada.
³ University of Waterloo and Schlegel-UW Research Institute for Aging Waterloo Ontario Canada.
⁴ College of Medicine and Health University of Exeter Exeter UK.
⁵ University of New South Wales Sydney Australia.
⁶ Alzheimer Advocate Vancouver British Columbia Canada.
⁷ Rotman Research Institute, Baycrest, and University of Toronto Toronto Ontario Canada.
⁸ Djavad Mowafaghian Centre for Brain Health Center for Hip Health and Mobility University of British Columbia Vancouver British Columbia Canada.
⁹ ady Davis Institute Jewish General Hospital Montreal Quebec Canada.
¹⁰ Alzheimer Advocate P.E.I. Vancouver British Columbia Canada.
¹¹ McGill Centre for Studies in Aging Montréal Quebec Canada.
¹² Alzheimer Society of Canada Toronto Ontario Canada.

Abstract

Introduction: Current pharmacological therapies for dementia have limited efficacy. Thus it is important to provide recommendations on individual and community-based psychosocial and non-pharmacological interventions for persons living with dementia (PLWDs) and their caregivers.

Methods: Phase 1: A systematic review for developing recommendations on psychosocial and non-pharmacological interventions at the individual and community level for PLWDs and their caregivers. Phase 2: Rating of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) guidelines. Phase 3: Delphi process (>50 dementia experts) for approving recommendations by the 5^th Canadian Consensus Conference on the Diagnosis and Treatment of Dementia (CCCDTD5).

Results: The CCCDTD5 approved the following recommendations: Exercise (1B) and group cognitive stimulation for PLWDs (2B), psychosocial and psychoeducational interventions for caregivers (2C), development of dementia friendly organization and communities (2C), and case management for PLWDs (2B).

Discussion: The CCCDTD5 provides for the first time, evidence-based recommendations on psychosocial and non-pharmacological interventions for PLWDs and their caregivers that can inform evidence-based policies for PLWDs in Canada.

Keywords: dementia; non‐pharmacological interventions; psychosocial interventions.