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Dementia Care Mapping in long-term care settings: a systematic review of the evidence

  • Ana Barbosa (a1), Kathryn Lord (a1), Alan Blighe (a1) and Gail Mountain (a1)

This systematic review identifies and reports the extent and nature of evidence to support the use of Dementia Care Mapping as an intervention in care settings.


The review was limited to studies that used Dementia Care Mapping as an intervention and included outcomes involving either care workers and/or people living with dementia. Searches were conducted in PubMed, Web of Knowledge, CINAHL, PsychINFO, EBSCO, and Scopus and manually from identified articles reference lists. Studies published up to January 2017 were included. Initial screening of identified papers was based on abstracts read by one author; full-text papers were further evaluated by a second author. The quality of the identified papers was assessed independently by two authors using the Cochrane Risk of Bias Tool. A narrative synthesis of quantitative findings was conducted.


We identified six papers fulfilling predefined criteria. Studies consist of recent, large scale, good quality trials that had some positive impacts upon care workers’ stress and burnout and benefit people with dementia in terms of agitated behaviors, neuropsychiatric symptoms, falls, and quality of life.


Available research provides preliminary evidence that Dementia Care Mapping may benefit care workers and people living with dementia in care settings. Future research should build on the successful studies to date and use other outcomes to better understand the benefits of this intervention.

Corresponding author
Correspondence should be addressed to: Ana Barbosa, PhD, Dementia Care Consultant and Trainer, School of Dementia Studies, Faculty of Health Studies, University of Bradford, Richmond Road, BD7-1DP, Bradford, UK. Phone: +01274236668. Email:
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Beavis, D., Simpson, S. and Graham, I. (2002). A literature review of dementia care mapping: methodological considerations and efficacy. Journal of Psychiatric and Mental Health Nursing, 9, 725736. doi:10.1046/j.1365-2850.2002.00508.x.
Brooker, D. (1995). Looking at them, looking at me. A review of observational studies into the quality of institutional care for elderly people with dementia. Journal of Mental Health, 4, 145156. doi:
Brooker, D. (2003). Future challenges for dementia care mapping. In A. Innes and A. (eds.), Dementia Care Mapping: Applications Across Cultures (pp. 147154). Baltimore, MD, US: Health Professions Press.
Brooker, D. (2005). Dementia care mapping: a review of the research literature. Gerontologist, 45, 1118. doi:
Brooker, D., Foster, N., Banner, A., Payne, M. and Jackson, L. (1998). The efficacy of dementia care mapping as an audit tool: report of a 3-year British NHS evaluation. Aging & Mental Health, 2, 6070. doi:10.1080/13607869856957.
Chenoweth, L. et al. (2009). Caring for Aged Dementia Care Resident Study (CADRES) of person-centred care, dementia-care mapping, and usual care in dementia: a cluster-randomised trial. Lancet Neurology, 8, 317325. doi: 10.1016/s1474-4422(09)70045-6.
Cooke, H. and Chaudhury, H. (2013). An examination of the psychometric properties and efficacy of dementia care mapping. Dementia: The International Journal of Social Research and Practice, 12, 790805. doi: 10.1177/1471301212446111.
Department of Health. (2013). Delivering High Quality, Effective, Compassionate Care: Developing the Right People with the Right Skills and the Right Values: A Mandate from the Government to Health Education England: April 2013 to March 2015. London: Department of Health.
Dichter, M. N. et al. (2015). Dementia care mapping: effects on residents' quality of life and challenging behavior in German nursing homes. A quasi-experimental trial. International Psychogeriatrics, 27, 18751892. doi:10.1017/s1041610215000927.
Fujisawa, R. and Colombo, F. (2009). The Long-term Care Workforce: overview and Strategies to Adapt Supply to a Growing Demand. OECD Health Working Papers, No. 44, Paris: OECD Publishing.
Higgins, J. and Green, S. (2011). Cochrane Handbook for Systematic Reviews of Interventions - Version 5.1.0: The Cochrane Collaboration.; last accessed 19 January 2017.
Jeon, Y. H. et al. (2012). Staff outcomes from the Caring for Aged Dementia Care REsident Study (CADRES): a cluster randomised trial. International Journal of Nursing Studies, 49, 508518. doi:10.1016/j.ijnurstu.2011.10.020.
Kelly, F. (2010). Recognising and supporting self in dementia: a new way to facilitate a person-centred approach to dementia care. Ageing and Society, 30, 103124. doi:
Kitwood, T. and Bredin, K. (1992). Towards a theory of dementia care: personhood and well-being. Ageing and Society, 12, 269287.
Knapp, M. et al. (2007). Dementia UK: Report to the Alzheimer's Society. London: Alzheimer's Society.
Low, L.-F. et al.. (2015). A systematic review of interventions to change staff care practices in order to improve resident outcomes in nursing homes. PLoS One, 10. doi:
Mansah, M., Coulon, L. and Brown, P. (2008). A mapper's reflection on dementia care mapping with older residents living in a nursing home. International Journal of Older People Nursing, 3, 113–20. doi:10.1111/j.1748-3743.2007.00108.x.
Martin, G. W. and Younger, D. (2001). Person-centred care for people with dementia: a quality audit approach. Journal of Psychiatric Mental Health Nurings, 8, 443–8. doi: 10.1046/j.1351-0126.2001.00427.x.
National Audit Office. (2007). Improving Services and Support for People with Dementia. London: The Stationary Office.
Rokstad, A. M. et al.. (2013). The effect of person-centred dementia care to prevent agitation and other neuropsychiatric symptoms and enhance quality of life in nursing home patients: a 10-Month randomized controlled trial. Dementia and Geriatric Cognitive Disorders, 36, 340353. doi:10.1159/000354366.
Rycroft-Malone, J. et al.. (2014). Improving skills and care standards in the support workforce for older people: a realist review. BMJ Open, 4. doi:10.1136/bmjopen-2014-005356.
Surr, C. et al. (2015). Monitoring and improvement using dementia care mapping. Journal of Dementia Care, 23, 1617.
The Health Foundation. (2014). Helping Measure Person-centred Care: A Review of Evidence About Commonly used Approaches and Tools used to Help Measure Person-centred Care. London: The Health Foundation.
van de Ven, G. et al.. (2013). Effects of dementia-care mapping on residents and staff of care homes: a pragmatic cluster-randomised controlled trial. PLoS One, 8. doi:10.1371/journal.pone.0067325.
Van De Ven, G. et al.. (2014). The economics of dementia-care mapping in nursing homes: A cluster-randomised controlled trial. PLoS One, 9. doi:10.1371/journal.pone.0086662.
World Health Organization. (2012). Dementia: a Public Health Priority. Geneva: World Health Organization.
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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
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