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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

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Centre of Higher Education for Health Sciences, 38122 Trento, Italy
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Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy
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Department of Human Sciences, University of Verona, 37134 Verona, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(18), 6738; https://doi.org/10.3390/ijerph17186738
Received: 21 July 2020 / Revised: 2 September 2020 / Accepted: 14 September 2020 / Published: 16 September 2020
(This article belongs to the Special Issue The Use of Physical Restraints in Clinical Practice)
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. View Full-Text
Keywords: nursing homes; older people; physical restraint; systematic review; meta-analysis nursing homes; older people; physical restraint; systematic review; meta-analysis
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Brugnolli, A.; Canzan, F.; Mortari, L.; Saiani, L.; Ambrosi, E.; Debiasi, M. 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. Int. J. Environ. Res. Public Health 2020, 17, 6738.

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