Evidence map›Paper›PMID 30136743›Full record

Trial reportInternational journal of geriatric psychiatry2019

Comparison of the efficacy of gesture-verbal treatment and doll therapy for managing neuropsychiatric symptoms in older patients with dementia.

Angela Balzotti, Marianna Filograsso, Claudia Altamura, Beth Fairfield, Antonello Bellomo, Fabio Daddato, Rosa Anna Vacca, Mario Altamura

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of geriatric psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Angela BalzottiDepartment of Clinical and Experimental Medicine, Psychiatry Unit, University of Foggia, Foggia, Italy.
Marianna FilograssoResidenza Sociosanitaria Assistenziale per Anziani "Aurelia e Silvestro Storelli", Bisceglie, Italy.
Claudia AltamuraDepartment of Clinical and Experimental Medicine, Psychiatry Unit, University of Foggia, Foggia, Italy.
Beth FairfieldDepartment of Psychological, Health and Territorial Sciences, University of Chieti, Chieti, Italy.
Antonello BellomoDepartment of Clinical and Experimental Medicine, Psychiatry Unit, University of Foggia, Foggia, Italy.
Fabio DaddatoResidenza Sociosanitaria Assistenziale per Anziani "Aurelia e Silvestro Storelli", Bisceglie, Italy.
Rosa Anna VaccaInstitute of Biomembranes Bioenergetics and Molecular Biotechnologies, Italian National Research Council (CNR), Bari, Italy.ORCID 0000-0003-2438-6449
Mario AltamuraDepartment of Clinical and Experimental Medicine, Psychiatry Unit, University of Foggia, Foggia, Italy.ORCID 0000-0002-5684-5403
University of Foggia · ITInstitute of Biomembranes, Bioenergetics and Molecular Biotechnologies · ITUniversity of Chieti-Pescara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of neuropsychiatric symptoms (NPS) diminishes the quality of life and increases the care burden in patients with dementia. Despite the clinical importance of dementia-associated NPS, no protocols for treating NPS are already well established. Attention has turned to the effectiveness of nonpharmacological treatments for NPS since their potential safe alternative to pharmacotherapy.

objectiveThis study is aimed to compare the effects in older individuals with dementia living in a residential care, of two intervention programs, the gesture-verbal treatment (GVT), a treatment implemented by us on a previous method for word retrieval in individuals with aphasia, and the better-known doll therapy (DT). The GVT would act on both receptive and expressive language skills, the DT on attachment and emotional connections.

methodsWe evaluated NPS by the neuropsychiatric inventory in a total of 30 patients divided into 3 groups, the GVT, the DT, and control groups, using a pre-post design. The treatment groups completed 12-week nonpharmacological interventions in addition to standard rehabilitative therapies, while the control group participated only in standard rehabilitative therapies.

resultsThe DT group showed significant improvements in agitation, irritability, apathy, depression, and delusions relative to controls. The GVT group showed significant improvements in apathy and depression with respect to controls. The DT intervention ameliorated symptoms of agitation compared to the GVT intervention whereas the GVT intervention improved apathy compared to the DT intervention.

conclusionImproved understanding of the potential therapeutic benefits of different treatments for neuropsychiatric symptoms is crucial for establishing nonpharmacological interventions in dementia.

Indexed as

GesturesPlay and PlaythingsVerbal BehaviorAgedAged, 80 and overAnalysis of VarianceApathyBehavior TherapyDementiaFemaleHumansMaleMental DisordersPrevalencePsychomotor AgitationQuality of Lifeagitationapathydementiadoll therapygesture-verbal treatmentneuropsychiatric symptoms

Identifiers

PMID30136743
PMCPMC6766963
OpenAlexW2889887078

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.