Phase 1Literature Review Intervention Research on Caring for People With Dementia in Assisted Living and Nursing HomesTilly, Jane DrPH; Reed, Peter PhDAuthor Information Jane Tilly, DrPH, is Director for Quality Care Advocacy for the National Office of the Alzheimer's Association, Washington, DC. She is responsible for policy analysis and advocacy related to long-term care and quality issues. Part of her work involves serving as co-director of the Association's Campaign for Quality Residential Care. Before joining the Association in 2003, Jane was a Senior Research Associate at The Urban Institute in Washington, District of Columbia. Prior to that, she managed long-term care policy research for the AARP Public Policy Institute. Peter Reed, PhD, is Senior Director of Programs for the National Office of the Alzheimer's Association, Chicago, Illinois. In this role he leads the development and delivery of Association care and support programming for people affected by Alzheimer's disease and dementia, including people with dementia, families, and professionals. He received his training in the School of Public Health at the University of North Carolina, where he is a Fellow of the Institute on Aging Carolina Program on Healthcare and Aging Research. Address correspondence to: Jane Tilly, DrPH, Quality Care Advocacy, Alzheimer's Association, 1319 F St, NW Suite 500, Washington, DC 20004 ([email protected]). Alzheimer's Care Today: January 2008 - Volume 9 - Issue 1 - p 24-32 doi: 10.1097/01.ALCAT.0000309012.39716.78 Buy Metrics Abstract Assuring high-quality care for residents with dementia in assisted living and nursing homes should be informed by the research on interventions that could improve care. The authors screened 325 peer-reviewed articles published from 1994–2003, identifying 72 studies or reviews that met the inclusion criteria for this review. Key findings indicate that staff who know their residents and appropriate approaches to care can help minimize distress and behavioral symptoms. This requires trained staff who receive supervision designed to improve their interactions with residents. Also, pleasant environments, which provide opportunities for residents to improve their functioning, can lead to more independence in daily activities. Possible environmental interventions involve modifications to make the institution as homelike as possible with access to secure wandering places. Overall, the reviewed studies not only offer insights into effective intervention, particularly in addressing behavioral symptoms of dementia, but also illuminate several gaps in understanding effective care approaches, warranting further research. © 2008 Lippincott Williams & Wilkins, Inc.