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There has been noticeable research emphasis on the effects of museum-based programs as valuable community support for people with dementia and their primary caregivers. This umbrella review outlines the effects of museum-based community programs on health-related aspects of people with dementia and their primary caregivers and aims to synthesise existing evidence of museum-based programs and give directions for practice and implementation research. An umbrella review was undertaken following the guideline of the Joanna Briggs Institute (JBI). Therefore 6 databases (CINAHL Complete, PubMed, Medline Complete, SocINDEX, Psych & Behav Sci and the Cochrane Database for Systematic Reviews) were searched for systematic reviews and meta-analyses in April/May 2023 and as a follow-up in October 2023. The results were critically appraised by three reviewers. A total of five systematic reviews and one meta-analysis were identified. Due to the heterogeneity of the primary studies no consistent statistically robust proof of effects of museum-based community programs currently exists. Qualitative studies support the effects towards improvement of quality of life, mood and other noncognitive parameters. While the heterogeneity of study designs prevents a critical evaluation of the effects and therefore a reliable comprehensible analysis, the results from different studies, including randomized controlled trials, support museum-based programs as a valuable resource for participation in day to day care and social prescribing. For future research adapted and extended methodological considerations and approaches, such as mixed methods designs are recommended.

This pilot study at the University Hospital of Innsbruck aimed to interview employees in order to optimise the treatment of patients with dementia. Available data concerning prevalence of dementia in this hospital were analysed and show a slight increase in numbers. Nurses at one inpatient department and one outpatient clinic completed a standardized questionnaire developed by the German Institute for Applied Nursing Research (dip, 2012). Dementia is a highly relevant topic for the participating nursing staff. Results show potential for improvement in pain management, assurance of continuity of services, and communication skills. Nursing staff responded questions about emotional burden, based in their work with this group of patients. The emotional burden was rated as being higher in the inpatient department. Participants from both departments expressed their wish for better involvement of dementia clients’ relatives in the clinical work. Finally, the nursing staff’s needs for educational support was surveyed. Additionally, six members of the patient transport service participated in a focus group interview. Specific types of burden related to handling patients with dementia, as well as wishes and requirements for improvement related to the patient transport for persons with dementia were expressed. The survey shows both, the current state and further potential for improvement of the treatment of patients with dementia at the University Hospital of Innsbruck. Based on the results of this survey a continuing education programme meeting staff needs was developed as one of the measures resulting in the project aiming to improve the treatment of patients with dementia.

Zusammenfassung Hintergrund In den vergangenen Jahren wurde die Wirkung museumsbasierter Angebote für Menschen mit Demenz und ihre primären Betreuungspersonen als gemeindenahe Unterstützungsmöglichkeiten zunehmend beforscht. Fragestellung und Ziel Der Umbrella Review führt aktuelle Ergebnisse zur Wirkung museumsbezogener Angebote auf Menschen mit Demenz und ihre primären Betreuungspersonen zusammen und Ieitet Implikationen für die Praxis und die Versorgungsforschung ab. Methode und Material Nach den Leitlinien des Joanna Briggs Institute (JBI) wurde ein Umbrella Review auf Basis systematischer Reviews und Metaanalysen erstellt. Die Ergebnisse der systematischen Literaturrecherche in CINAHL Complete, PubMed, Medline Complete, SocINDEX, Psych & Behav Sci sowie die Cochrane Database for Systematic Reviews (April/Mai 2023; Follow-up: Oktober 2023) wurden durch 3 Reviewerinnen kritisch bewertet. Ergebnisse Es wurden 5 systematische Reviews und eine Metaanalyse identifiziert. Aufgrund der Heterogenität der primären Studien gibt es derzeit keine konsistenten, statistisch robusten Nachweise zur Wirksamkeit museumsbasierter Angebote. Statistische Tendenzen und qualitative Studien deuten auf eine positive Wirkung auf die Lebensqualität und Stimmung und diverse andere nichtkognitive Parameter hin. Diskussion und Fazit Die Heterogenität der bestehenden Forschungsarbeiten und -designs lässt keine statistisch belastbare Aussage zur Wirkung gemeindenaher, museumsbasierter Angebote zu. Die auf eine positive Wirkung hindeutenden Ergebnisse, die auch in diversen randomisierten kontrollierten Einzelstudien berichtet werden, sprechen für Museen als Ressource für Partizipation und für ihre Berücksichtigung im Rahmen des Social Prescribing. Für die weitere Forschung werden angepasste und erweiterte methodische Überlegungen und Ansätze wie Mixed-Methods-Designs empfohlen.