Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation The Health Technology Assessment Unit, University of Calgary. Best practices in the management of behavioural and psychological symptoms of dementia in residents of long-term care facilities in Alberta. Calgary: HTA Unit, University of Calgary 2014 Authors' conclusions BPSD is a heterogeneous set of complex symptoms that may require a multifaceted approach to their successful management. This evidence synthesis generally supports the recommendations within the BC guidelines. Non-pharmacological interventions are likely a viable first-line of treatment for managing BPSD with 21/40 RCTs reporting improved outcomes, and no studies reporting worsening behavior or adverse events. The evidence to support alternative pharmacological treatments such as antidepressants, cholinesterase inhibitors, mood stabilizers, anti-epileptics, benzodiazepines, and sedatives is limited. There are a small number of studies of low to moderate quality. However, these studies generally support that alternative pharmacological treatments have a similar impact on BPSD outcomes and similar short-term safety profiles. Evidence assessing modifications to the built environment to manage BPSD show small improvements or no difference in the frequency and/or severity of BPSD. The cost-effectiveness of the above mentioned alternatives to antipsychotics has not been formally assessed. Indexing Status Subject indexing assigned by CRD MeSH Dementia; Humans; Long-Term Care; Residential Facilities Language Published English Country of organisation Canada English summary An English language summary is available. Address for correspondence 3rd Floor, TRW Building, University of Calgary, 3280 Hospital Dr NW, Calgary, Alberta, Canada, T2N 4Z6 Email: fclement@ucalgary.ca AccessionNumber 32015000511 Date abstract record published 01/05/2015 |