Non-Pharmacological Interventions for the Behavioral Symptoms of Dementia and Delirium

Synopsis
What group or groups produced the guideline?
What does the guideline address? Clinical questions, conditions, interventions?
What population of patients does the guideline address?
Did the panel use existing SRs or did it conduct its own?
What clinical outcomes was the guideline designed to achieve?
What are the main recommendations?
What system was used to grade the recommendations?

Credibility
Was the panel made up of people with the necessary expertise?  Yes   No
Are the goals for developing the guideline explicit and clear?  Yes   No
*Does the guideline production process include all the widely
recognized steps?  Yes  No
*Were the SRs used of high quality?  Yes   No
Are differences in evidence for subpopulations recognized?  Yes   No
*Is the evidence supporting each
recommendation graded or stated as adequate to strong?  Yes   No
Is the guideline current? (based on
issue date and date of most recent evidence included) Yes  No
Are the recommendations credible?  Yes All   Yes Some   No

Clinical Significance
Are essential elements of any
recommended action or intervention clearly stated?  Yes   No
*Is the magnitude of benefit associated
with each recommendation clinically important?  Yes  No  Not clear
*Is the panel’s certainty or confidence
in each recommendation clear? Yes   No
Were patient concerns, values, and risks addressed?  Yes  No
Were downsides or costs of each recommendation addressed?  Yes   No
Was the guideline reviewed by
outside experts and a member of
the public or field tested?   Yes   No
Are the recommendations
clinically significant? Yes All  Yes Some  No

Applicability
Does the guideline address a problem,
weakness, or decision we are examining in our setting?  Yes  No
Did the research evidence involve
patients similar to ours, and was the
setting similar to ours? Yes   No   Some
What changes, additions, training, or
purchases would be needed to
implement and sustain a clinical
protocol based on these conclusions? Specify.

*Is what we will have to do to implement the new protocol realistically achievable by us (resources, capability, commitment)?  Yes   No
Which departments and/or providers will be affected by a change? Specify.
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*How will we know if our patients are benefiting from our new protocol? Specify.