ABSTRACT

Objective: The purpose of this study was to develop evidence-based practice guidelines to provide consistent and optimum non-pharmacological interventions to people with dementia using the community management facilities and a nursing home. Methods: At the development stage, the data selection based on an article quality evaluation was conducted, followed by the article classification according to the intervention type. At the verification stage, the content validity of the expert group and the field applicability of the working group were verified to determine the preliminary items of the guidelines. At the completion stage, the recommended guidelines were revised and complemented based on the data derived from the literature review and the expert and staff validation process. Results: At the development stage, articles corresponding to the Scottish Intercollegiate Guidelines Network (SIGN) grade A level were collected by applying the quality evaluation criteria with a verified reliability. At the verification stage, both Content Validity Index for Items (I-CVI) and Content Validity Index for Scales (S-CVI) values showed a high validity of .9 points or higher in the content validity of the expert group. The results of the field applicability test showed that for the recommended guidelines, the scores of the appropriateness, predicted effects, and applicability were 4.04, 3.92, and 3.85, respectively, out of 5 points in total. At the completion stage, a recommendation for the practice guidelines for non-pharmaceutical intervention, including 4 main categories of domains and 12 subcategories, was developed. Conclusion: In this study, a structured validation process was applied to present the clinical evidence validated through the high-level study design results. Further research should continue to conduct evidence-based research to develop clinical practice guidelines that reflect the new clinical settings.