9
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Developing an ontology for representing the domain knowledge specific to non‐pharmacological treatment for agitation in dementia

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction

          A large volume of clinical care data has been generated for managing agitation in dementia. However, the valuable information in these data has not been used effectively to generate insights for improving the quality of care. Application of artificial intelligence technologies offers us enormous opportunities to reuse these data. For health data science to achieve this, this study focuses on using ontology to coding clinical knowledge for non‐pharmacological treatment of agitation in a machine‐readable format.

          Methods

          The resultant ontology—Dementia‐Related Agitation Non‐Pharmacological Treatment Ontology (DRANPTO)—was developed using a method adopted from the NeOn methodology.

          Results

          DRANPTO consisted of 569 concepts and 48 object properties. It meets the standards for biomedical ontology.

          Discussion

          DRANPTO is the first comprehensive semantic representation of non‐pharmacological management for agitation in dementia in the long‐term care setting. As a knowledge base, it will play a vital role to facilitate the development of intelligent systems for managing agitation in dementia.

          Related collections

          Most cited references56

          • Record: found
          • Abstract: not found
          • Article: not found

          Pellet: A practical OWL-DL reasoner

            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Best practice in the management of behavioural and psychological symptoms of dementia

            Behavioural and psychological symptoms of dementia (BPSD) occur in most patients with dementia. They cause great suffering in patients and caregivers, sometimes more so than the cognitive and functional decline inherent to dementia. The clinical features of BPSD include a wide variety of affective, psychotic and behavioural symptoms and signs. The causes and risk factors for BPSD are multiple and include biological, psychological and environmental variables. Frequently, their combination, rather than any specific factor, explains the occurrence of BPSD in an individual patient. Thus, a sound etiopathogenetic investigation including the patient and the family or care team is essential. The aim is to develop an individualized treatment plan using a therapeutic decision tree modified by the individual and environmental risk profile. Still, treatment may be difficult and challenging. Clinical empiricism often steps in where evidence from controlled studies is lacking. Psychosocial treatment approaches are pivotal for successful treatment of BPSD. Often a combination of different non-pharmacological approaches precedes drug treatment (most of which is off-label). Regular assessments of the treatment plan and any prescriptions must be carried out to detect signs of relapse and to stop any medicines that may have become inappropriate. Even with optimal management, BPSD will not disappear completely in some cases and will remain challenging for all involved parties. This article is a narrative review based closely on the interprofessional Swiss recommendations for the treatment of BPSD. To establish the recommendations, a thorough research of the literature has been carried out. Evidence-based data were provided through searches of Medline, Embase, ISI and Cochrane-Database research. Evidence categories of the World Federation of Biological Societies were used. Additionally, the clinical experience of Swiss medical experts was considered.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Effects on Symptoms of Agitation and Depression in Persons With Dementia Participating in Robot-Assisted Activity: A Cluster-Randomized Controlled Trial.

              To examine effects on symptoms of agitation and depression in nursing home residents with moderate to severe dementia participating in a robot-assisted group activity with the robot seal Paro.
                Bookmark

                Author and article information

                Contributors
                ping@uow.edu.au
                Journal
                Alzheimers Dement (N Y)
                Alzheimers Dement (N Y)
                10.1002/(ISSN)2352-8737
                TRC2
                Alzheimer's & Dementia : Translational Research & Clinical Interventions
                John Wiley and Sons Inc. (Hoboken )
                2352-8737
                01 September 2020
                2020
                : 6
                : 1 ( doiID: 10.1002/trc2.v6.1 )
                : e12061
                Affiliations
                [ 1 ] Centre for Digital Transformation School of Computing and Information Technology University of Wollongong Wollongong New South Wales Australia
                [ 2 ] Illawarra Health and Medical Research Institute Wollongong New South Wales Australia
                [ 3 ] School of Nursing University of Wollongong Wollongong New South Wales Australia
                [ 4 ] School of Biomedical Informatics University of Texas Health Science Center Houston Texas USA
                [ 5 ] PR China Southern Centre for Evidence Based Nursing and Midwifery Practice School of Nursing Southern Medical University Guangzhou City PR China
                [ 6 ] Systems and Reporting Residential Care Catholic Healthcare Ltd Macquarie Park New South Wales Australia
                [ 7 ] School of Medicine University of Wollongong Wollongong New South Wales Australia
                Author notes
                [*] [* ] Correspondence

                Ping Yu, Northfield Ave, School of Computing and Information Technology, University of Wollongong, Wollongong, NSW 2522, Australia.

                Email: ping@ 123456uow.edu.au

                Article
                TRC212061
                10.1002/trc2.12061
                7507392
                20a7acf9-bc56-4600-845f-8d6c324c51e3
                © 2020 The Authors. Alzheimer's & Dementia: Translational Research & Clinical Interventions published by Wiley Periodicals LLC on behalf of Alzheimer's Association

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 24 February 2020
                : 19 June 2020
                : 09 July 2020
                Page count
                Figures: 10, Tables: 3, Pages: 17, Words: 10044
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.1 mode:remove_FC converted:22.09.2020

                agitation,artificial intelligence,dementia,knowledge base,knowledge representation,long‐term care,non‐pharmacological treatment,ontology,semantic web

                Comments

                Comment on this article