Journal de la maladie d'Alzheimer et du parkinsonisme

Abstrait

Is There Anything Special About Intergenerational Approaches to Older People with Dementia? A Review

A-La Park

Background: The recent G8 Dementia summit declaration is evidence of the importance that governments around the world are now attaching to the importance of tackling dementia. It is timely and increasingly important to find effective ways of delaying the progression of dementia. With rising life expectancy, caring for older adults with dementia leads to escalating costs related to long-term care and informal care. Although there is a growing literature on psychosocial interventions for people with dementia, there are few studies taking an intergenerational perspective. This study aims to review the evidence on the impacts of intergenerational activities on older adults with dementia. Methods: A literature review was performed to explore the effects of intergenerational activities on older people with dementia. The search included English-language publications that reported original data from January 1986 to mid-2014. Studies were published in a peer-reviewed journal with no country restrictions. Supplementary searches were conducted and a narrative synthesis was performed. Results: Ten studies met the inclusion criteria. Overall, it was found that intergenerational approaches had positive impacts on quality of life, stress, more constructive engagement styles exhibited, reduced agitation, improved cognitive functioning, delayed recall and better social interaction. However, mixed results were shown for effects on depression, self-worth and purpose of life in older people with mild to moderate dementia. Conclusion: This review suggests that there is potential for the use of interactive programmes across generations as a cost-effective strategy for slowing down the process of cognitive decline by enhancing social capital and promoting well-being for older adults with dementia. More studies combining qualitative and quantitative analyses based on randomised controlled trials are needed for older adults with advanced stage of dementia in various country contexts.