General practitioners’ knowledge, attitudes and experiences of managing behavioural and psychological symptoms of dementia: protocol of a mixed methods systematic review and meta-ethnography

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dc.contributor.authorJennings, Aisling A.
dc.contributor.authorFoley, Tony
dc.contributor.authorWalsh, Kieran A.
dc.contributor.authorCoffey, Alice
dc.contributor.authorBrowne, John P.
dc.contributor.authorBradley, Colin P.
dc.contributor.funderAtlantic Philanthropies
dc.contributor.funderHealth Service Executive
dc.contributor.funderIrish College of General Practitioners
dc.date.accessioned2018-05-31T11:56:29Z
dc.date.available2018-05-31T11:56:29Z
dc.description.abstractBackground: In the context of rising dementia prevalence, the workload of general practitioners (GPs) in dementia care is set to increase. However, there are many aspects of dementia care that GPs find challenging. Behavioural and psychological symptoms of dementia (BPSD) affect the majority of people with dementia and is an aspect of dementia care that GPs find particularly difficult to manage. The aim of this mixed methods systematic review is to undertake a synthesis of qualitative and quantitative studies on GPs’ knowledge, attitudes and experiences of managing BPSD. Methods: Seven electronic bibliographic databases will be searched from inception to present. All qualitative or quantitative studies that explore the knowledge, attitude or experiences of GPs towards the management of BPSD in community and/or residential settings will be eligible for inclusion. A meta-ethnography will be conducted to synthesise included studies. Primary outcome measures will include GPs’ experiences of managing BPSD, GPs’ knowledge of BPSD and their attitude to different approaches to the management of BPSD, in particular their attitude to non-pharmacological approaches. All included papers will be independently assessed for methodological validity by two reviewers using the following tools: the Joanna Briggs Institute checklist for qualitative research, the Effective Public Health Practice Project (EPHPP) tool for intervention studies and the National Institute of Health (NIH) quality assessment tool for observational and analytical cross-sectional studies. As there is no agreed quality assessment tool for descriptive cross-sectional studies, an original tool will be developed. Two independent reviewers will apply the Confidence in the Evidence from Reviews of Qualitative Research (CERQual) tool to the review findings. The results will be reported in line with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement. Discussion: This study will be the first systematic review that synthesises the existing literature of GPs’ knowledge, attitudes and experiences of managing BPSD in community and residential care. This review will improve our understanding of GPs’ perspectives on the management of BPSD, and the results will be used to inform the development of an intervention to improve the management of BPSD in general practice.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid62
dc.identifier.citationJennings, A. A., Foley, T., Walsh, K. A., Coffey, A., Browne, J. P. and Bradley, C. P. (2018) 'General practitioners’ knowledge, attitudes and experiences of managing behavioural and psychological symptoms of dementia: protocol of a mixed methods systematic review and meta-ethnography', Systematic Reviews, 7, 62 (9pp). doi: 10.1186/s13643-018-0732-7en
dc.identifier.doi10.1186/s13643-018-0732-7
dc.identifier.endpage9
dc.identifier.issn2046-4053
dc.identifier.issued2018
dc.identifier.journaltitleSystematic Reviewsen
dc.identifier.startpage1
dc.identifier.urihttps://hdl.handle.net/10468/6226
dc.identifier.volume7
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urihttps://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-018-0732-7
dc.rights© 2018, the Author(s). Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectDementiaen
dc.subjectGeneral practitionersen
dc.subjectBehavioural and psychological symptoms of dementiaen
dc.subjectNeuropsychiatric symptomsen
dc.subjectKnowledge and attitudesen
dc.subjectQualitative researchen
dc.subjectMixed methodsen
dc.subjectSystematic reviewen
dc.subjectProtocolen
dc.subjectMeta-ethnographyen
dc.titleGeneral practitioners’ knowledge, attitudes and experiences of managing behavioural and psychological symptoms of dementia: protocol of a mixed methods systematic review and meta-ethnographyen
dc.typeArticle (peer-reviewed)en
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