American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review

Deakin University
Clinical Usefulness and Feasibility of Using Reality Orientation with Patients Who Have Dementia in Acute Care Settings

O'Connell, B., Gardner, A., et al. (2007).
International Journal of Nursing Practice, 13, 182-192.

Indicators of Review Quality:

The review addresses a clearly focused question No
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality No
Quality assessments are reproducible N/A

Description: This is a review of randomized controlled trials and controlled trials which are included in two previously published systematic reviews regarding the effect of reality orientation interventions on behavioral outcomes for individuals with dementia. Of particular interest to SLPs is the findings from one systematic review focusing on use of reality orientation to improve cognitive domains.

Question(s) Addressed:

Question not specifically stated.

Population: Participants with dementia

Intervention/Assessment: Reality orientation

Number of Studies Included: 2 systematic reviews, 11 studies.

Years Included: Not stated

Findings:

Conclusions:

  • Treatment
    • Cognitive-Communication
      • Restorative Treatments
        • Reality Orientation - The findings from one review by Spector et al. (2005) suggests that formal reality orientation:
          • "had significant benefits in improving, or at least maintaining, the cognitive abilities of patients with dementia in the domains of information/orientation and memory" (p. 184).
          • "had significant benefits in self care and maintaining independence for activities of daily living" (p. 184).

Keywords: Dementia, Cognitive Stimulation

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Added to Compendium: December 2011

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