OTSystematic ReviewJournal of advanced nursing2026

General Dementia Training for the Social Care Workforce: A Systematic Review.

Clarissa Giebel, Thais Caprioli, Marie Poole and 8 others

PMID 41118070

WHAT IT FOUND

Dementia training for social care staff often improved staff knowledge, confidence and attitudes.

Evidence that it changed care or improved quality of life for people with dementia was mixed, with too few controlled studies to be sure.

Key findings

01Most included studies reported improved dementia knowledge among social care staff after training.

02Evidence about effects on people with dementia and their families was mixed, with no consistent improvement in quality of life.

03Only six of the 27 included papers had a control group, so observed changes cannot be confidently attributed to the training.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The review included only studies published in English or German from 2010 to 2024, so it may miss relevant work. Most evidence came from high-income countries, especially the US and UK, so it may not apply where social care is limited. Only six of 27 papers had a control group, so changes cannot be confidently attributed to training. Interventions varied in content, delivery and duration, and many had multiple components, so the contribution of any single element cannot be separated. Few studies reported adherence to the intervention or whether it was delivered as intended. Outcome measures varied widely, and the review could not compare them quantitatively. The review studied social care staff, so it cannot be treated as direct evidence that patient care improved.

Declared interests

The authors declared no conflicts of interest. The review was funded by the National Institute for Health and Care Research ARC NWC Equadem Network Plus and the Economic and Social Research Council.

The easy way to misread this

Do not conclude that dementia training for social care staff has been shown to improve quality of life for people with dementia. The review reports mixed service-user outcomes, few controlled studies, and too few studies measured patient outcomes.

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