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KMID : 0603920210290020079
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Journal of Korean Academy of Occupational Therapy
2021 Volume.29 No. 2 p.79 ~ p.90
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Study on the Development of Evidence-Based Non-Pharmacological Intervention Practice Guidelines for People With Dementia
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Ham Min-Joo
Kim Su-Kyoung
Cha Tae-Hyun
Yoo Doo-Han
Kim Hee
Lee Jae-Shin
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Abstract
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Objective: The purpose of this study was to develop evidence-based practice guidelines toprovide consistent and optimum non-pharmacological interventions to people with dementiausing the community management facilities and a nursing home.
Methods: At the development stage, the data selection based on an article quality evaluationwas conducted, followed by the article classification according to the intervention type. Atthe verification stage, the content validity of the expert group and the field applicability ofthe working group were verified to determine the preliminary items of the guidelines. At thecompletion stage, the recommended guidelines were revised and complemented based on thedata derived from the literature review and the expert and staff validation process.
Results: At the development stage, articles corresponding to the Scottish IntercollegiateGuidelines Network (SIGN) grade A level were collected by applying the quality evaluationcriteria with a verified reliability. At the verification stage, both Content Validity Index forItems (I-CVI) and Content Validity Index for Scales (S-CVI) values showed a high validityof .9 points or higher in the content validity of the expert group. The results of the fieldapplicability test showed that for the recommended guidelines, the scores of theappropriateness, predicted effects, and applicability were 4.04, 3.92, and 3.85, respectively,out of 5 points in total. At the completion stage, a recommendation for the practiceguidelines for non-pharmaceutical intervention, including 4 main categories of domains and12 subcategories, was developed.
Conclusion: In this study, a structured validation process was applied to present the clinicalevidence validated through the high-level study design results. Further research shouldcontinue to conduct evidence-based research to develop clinical practice guidelines thatreflect the new clinical settings.
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KEYWORD
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Guidelines, Evidence-based practice, Non-pharmacological interventions, Dementia
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