Physical Therapist and Physical Therapist Student Knowledge, Confidence, Attitudes, and Beliefs About Providing Care for People With Dementia: A Mixed-Methods Systematic Review.
Stephen M Quick, David A Snowdon, Katherine Lawler and 3 others
PMID 35157773WHAT IT FOUND
Physical therapists and students feel dementia care is complex and lack confidence, especially in communication and behavior management.
Most believe dementia patients deserve rehab but doubt their potential to improve. They report insufficient training and unsupportive systems as major barriers to effective care.
Key findings
01Participants believe working with people with dementia is complex and challenging, citing difficulties in communication, risk management, and behavioral symptoms.
02There is a widespread belief that opportunities for dementia education are lacking, with participants reporting inadequate training at both undergraduate and postgraduate levels.
03Physical therapists and students reported a lack of knowledge in specific areas, including behavioral management, pain management, and communication strategies.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The review found few studies on physical therapist students, and those that existed were survey-based rather than interview-based, limiting depth. Findings may be more generalizable to qualified physical therapists than students. Some included studies used non-validated or outdated questionnaires. The review could not separate findings by clinical setting or therapist experience level due to the low number of studies. Non-English publications and gray literature were excluded.
The easy way to misread this
Do not interpret the reported lack of confidence and knowledge as evidence that physical therapists are inherently unsuited for dementia care. The review highlights a training gap and systemic barriers, not a permanent deficit in capability. Additionally, the belief that dementia patients have 'limited rehabilitation potential' is a reported attitude, not a clinical fact; the introduction notes that exercise can improve function and ADLs.