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Cited by 293

The DOI matches its Crossref record; 99 of the 99 references it cites were found in a registry or an index.

Evidence-Based Nonpharmacological Practices to Address Behavioral and Psychological Symptoms of Dementia

Open access
Scales, Kezia, Zimmerman, Sheryl, Miller, Stephanie J·2018·The Gerontologist

Abstract

Background and Objectives: To draw from systematic and other literature reviews to identify, describe, and critique nonpharmacological practices to address behavioral and psychological symptoms of dementia (BPSDs) and provide evidence-based recommendations for dementia care especially useful for potential adopters. Research Design and Methods: A search of systematic and other literature reviews published from January 2010 through January 2017. Nonpharmacological practices were summarized to describe the overall conceptual basis related to effectiveness, the practice itself, and the size and main conclusions of the evidence base. Each practice was also critically reviewed to determine acceptability, harmful effects, elements of effectiveness, and level of investment required, based on time needed for training/implementation, specialized care provider requirements, and equipment/capital requirements. Results: Nonpharmacological practices to address BPSDs include sensory practices (aromatherapy, massage, multi-sensory stimulation, bright light therapy), psychosocial practices (validation therapy, reminiscence therapy, music therapy, pet therapy, meaningful activities), and structured care protocols (bathing, mouth care). Most practices are acceptable, have no harmful effects, and require minimal to moderate investment. Discussion and Implications: Nonpharmacological practices are person-centered, and their selection can be informed by considering the cause and meaning of the individual's behavioral and psychological symptoms. Family caregivers and paid care providers can implement evidence-based practices in home or residential care settings, although some practices require the development of more specific protocols if they are to become widely used in an efficacious manner.

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Crossref · 10.1093/geront/gnx167

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Metadata

Authors
Scales, K., Zimmerman, S., & Miller, S. J.
Venue
The Gerontologist
Published
2018-01-18
Volume
58
Issue
suppl_1
Pages
S88-S102
ISSN
  • 0016-9013 (ISSN-L)
  • 1758-5341
OpenAlex
W2793539834
Cited by
293
References
99
FWCI
18.53
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Evidence-Based Nonpharmacological Practices to Address Behavioral and Psychological Symptoms of Dementia. https://app.cochat.ai/papers/10.1093/geront/gnx167
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Scales, K., Zimmerman, S., & Miller, S. J. (2018). Evidence-Based Nonpharmacological Practices to Address Behavioral and Psychological Symptoms of Dementia. The Gerontologist. https://doi.org/10.1093/geront/gnx167

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