The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies
This review assesses the effectiveness of interventions to reduce physical restraint (PR) use in older people living in nursing homes or residential care facilities. A systematic search of studies published in four electronic databases (MEDLINE, CINHAL, PsycINFO, Cochrane Central Register of Control...
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doaj-be0375b9d18e467f9ca6fe56dec421f22020-11-25T03:41:47ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-09-01176738673810.3390/ijerph17186738The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental StudiesAnna Brugnolli0Federica Canzan1Luigina Mortari2Luisa Saiani3Elisa Ambrosi4Martina Debiasi5Centre of Higher Education for Health Sciences, 38122 Trento, ItalyDepartment of Diagnostics and Public Health, University of Verona, 37134 Verona, ItalyDepartment of Human Sciences, University of Verona, 37134 Verona, ItalyDepartment of Diagnostics and Public Health, University of Verona, 37134 Verona, ItalyDepartment of Diagnostics and Public Health, University of Verona, 37134 Verona, ItalyCentre of Higher Education for Health Sciences, 38122 Trento, ItalyThis review assesses the effectiveness of interventions to reduce physical restraint (PR) use in older people living in nursing homes or residential care facilities. A systematic search of studies published in four electronic databases (MEDLINE, CINHAL, PsycINFO, Cochrane Central Register of Controlled Trials). The review included individual and cluster randomized controlled trials that compared educational training and multicomponent programs to avoid PR use. Risk bias of randomized controlled trials (RCTs) was assessed according to the Cochrane Handbook for Systematic Reviews of Interventions. This review includes 16 studies in a qualitative synthesis that met the inclusion criteria, nine of them offered a multicomponent program and seven offered only educational training. The results of the 12 studies included in the meta-analysis showed a significant trend in favor of intervention over time and intensity of PR use tends to decrease. The review indicates that educational programs and other supplementary interventions should be effective, but the heterogeneous operative definition of physical restraints can make difficult data generalization.https://www.mdpi.com/1660-4601/17/18/6738nursing homesolder peoplephysical restraintsystematic reviewmeta-analysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Anna Brugnolli Federica Canzan Luigina Mortari Luisa Saiani Elisa Ambrosi Martina Debiasi |
spellingShingle |
Anna Brugnolli Federica Canzan Luigina Mortari Luisa Saiani Elisa Ambrosi Martina Debiasi The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies International Journal of Environmental Research and Public Health nursing homes older people physical restraint systematic review meta-analysis |
author_facet |
Anna Brugnolli Federica Canzan Luigina Mortari Luisa Saiani Elisa Ambrosi Martina Debiasi |
author_sort |
Anna Brugnolli |
title |
The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies |
title_short |
The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies |
title_full |
The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies |
title_fullStr |
The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies |
title_full_unstemmed |
The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies |
title_sort |
effectiveness of educational training or multicomponent programs to prevent the use of physical restraints in nursing home settings: a systematic review and meta-analysis of experimental studies |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2020-09-01 |
description |
This review assesses the effectiveness of interventions to reduce physical restraint (PR) use in older people living in nursing homes or residential care facilities. A systematic search of studies published in four electronic databases (MEDLINE, CINHAL, PsycINFO, Cochrane Central Register of Controlled Trials). The review included individual and cluster randomized controlled trials that compared educational training and multicomponent programs to avoid PR use. Risk bias of randomized controlled trials (RCTs) was assessed according to the Cochrane Handbook for Systematic Reviews of Interventions. This review includes 16 studies in a qualitative synthesis that met the inclusion criteria, nine of them offered a multicomponent program and seven offered only educational training. The results of the 12 studies included in the meta-analysis showed a significant trend in favor of intervention over time and intensity of PR use tends to decrease. The review indicates that educational programs and other supplementary interventions should be effective, but the heterogeneous operative definition of physical restraints can make difficult data generalization. |
topic |
nursing homes older people physical restraint systematic review meta-analysis |
url |
https://www.mdpi.com/1660-4601/17/18/6738 |
work_keys_str_mv |
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