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

Anna Brugnolli, Federica Canzan, Luigina Mortari, Luisa Saiani, Elisa Ambrosi and Martina Debiasi
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Anna Brugnolli: Centre of Higher Education for Health Sciences, 38122 Trento, Italy
Federica Canzan: Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy
Luigina Mortari: Department of Human Sciences, University of Verona, 37134 Verona, Italy
Luisa Saiani: Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy
Elisa Ambrosi: Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy
Martina Debiasi: Centre of Higher Education for Health Sciences, 38122 Trento, Italy

IJERPH, 2020, vol. 17, issue 18, 1-27

Abstract: 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.

Keywords: nursing homes; older people; physical restraint; systematic review; meta-analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (6)

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