Original Title: Mécanismes et interventions permettant d’éviter l’errance intrusive de résidents présentant des troubles neurocognitifs dans les centres d’hébergement collectifs

Authors' objectives: To report on the state of knowledge concerning effective and safe devices or interventions (physical, mechanical, environmental, or electronic) to counter intrusive wandering in private places, including other residents' rooms, or in restricted areas, and to paint an exploratory portrait of their use in group homes.

Authors' results and conclusions: Nine studies and three grey literature documents were selected, including one thesis, one report and one rapid response. Questionnaires and semi-structured interviews were conducted with professionals from 26 long-term care facilities. The results relating to the dimensions of intervention effectiveness and safety, as well as the organizational dimension were triangulated to highlight the main findings. › The heterogeneous nature of the results of this ETMISSS did not allow us to assess a level of scientific evidence for the devices and intervention identified. Consequently, findings presented here are based on the methodological quality of the studies, the credibility of the grey literature documents and data drawn from the experience of the people interviewed. › Effectiveness of devices identified: Several devices and interventions have been identified in the literature and in the data collected. However, few studies have evaluated their effectiveness to control intrusive wandering in long-term care facilities. › Safety of listed devices and interventions: No publications in the literature provide evidence on the safety aspect of the devices or interventions identified. A device or intervention always involves some risk, and should be use carefully, as stated by the participants who stopped using certain devices deemed unsafe. › Organizational aspects of wandering control: Some studies and data collected from participants have identified the staff/resident ratio and staff training as important organizational aspects related to wandering control. The selected studies recommend revising caregiver staff ratios to supervise, intervene more quickly, and better direct and supervise residents with more complex needs.

Authors' methods: A literature review using a systematic approach was performed in the CINHAL (EBSCO), Medline (OVID) and PsycINFO (OVID) databases and various web sites including google and google scholar to identify relevant literature published between January 2010 and December 2022. An update of the scientific literature was carried out on February 8, 2024. Studies were selected based on the PICOTS criteria, and the methodological quality of the included studies was evaluated. Experiential data were collected via questionnaires and semi-structured interviews concerning devices, or interventions used in Quebec long-term care facilities. Triangulation was used to compare scientific and experiential data

Project Status: Completed

URL for project: https://www.ciusss-capitalenationale.gouv.qc.ca/sites/d8/files/docs/MissionUniversitaire/ETMISSS/SOMMAIRE-EXECUTIF-ERRANCE-CENTRES-HEBERGEMENT-ANGLAIS.pdf

Year Published: 2024

URL for published report: https://www.ciusss-capitalenationale.gouv.qc.ca/sites/d8/files/docs/MissionUniversitaire/ETMISSS/Rapport-ETMI-abregee-Errance%20_VF_04-04-2024.pdf

English language abstract: There is no English language summary available

Publication Type: Full HTA

Country: Canada

Province: Quebec

Organisation Name: Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale

Contact Address: 525, boulevard Wilfrid-Hamel, bureau A-122

Contact Name: Sylvie St-Jacques

Contact Email: uetmisss.deau.ciussscn@ssss.gouv.qc.ca