2022 Volume 26 Issue 1 Pages 32-47
Purpose: This study evaluated the effectiveness of home care management among older adults with dementia through a systematic review and meta-analysis.
Methods: An extensive literature search of English and Japanese databases was conducted in February, April, and June of 2019. The inclusion criteria for the literature review were as follows: i) the study was a randomized controlled trial; ii) the participants were older adults aged 65 years or more with dementia at home; and iii) the study examined the topic of effective care management, including assessment, care planning, and care coordination.
Results: Five studies were identified and included in the review. The findings indicated that there were no statistically significant differences in all outcomes between care management and usual care groups among the five studies at 9 or 12 months. However, in one study at 18 months, significant differences were found between the two groups in the improvement of quality of life and continuity of home-based care.
Conclusions: The results suggest that effective care management for older adults with dementia at home could improve their quality of life and the continuity of home-based care in the long term, but the evidence is limited.
