International Journal of Clinical Case Reports, 2025, Vol.15, No.1, 12-23 http://medscipublisher.com/index.php/ijccr 19 performance (Huang et al., 2023). This suggests that while integrated care can support cognitive function to some extent, additional targeted cognitive therapies may be necessary to achieve more substantial improvements. 8.4 Reduction in family burden Integrated care interventions also play a crucial role in reducing the burden on family caregivers. Multicomponent interventions, including cognitive-behavioral therapy and complementary alternative medicine, have been shown to significantly improve the health-related quality of life for caregivers (Lee et al., 2019). Additionally, case management interventions have demonstrated potential in reducing caregiver burden by optimizing care service delivery and providing structured support (Saragih et al., 2021). A meta-analysis found that community-based coordinating interventions significantly reduced caregiver burden, highlighting the importance of comprehensive care approaches in alleviating family stress (Backhouse et al., 2017). These findings emphasize the dual benefits of integrated care interventions in supporting both dementia patients and their caregivers. 9 Future Directions for Care Intervention Development 9.1 Technology-based care innovations The integration of technology, particularly Virtual Reality (VR), into dementia care has shown promising results in enhancing the quality of life for patients. VR interventions have been developed to address the psychological needs of dementia patients, providing immersive and interactive experiences that can alleviate Behavioral and Psychological Symptoms of Dementia (BPSD) (Kim et al., 2021). Studies have demonstrated that VR can reduce responsive behaviors such as depression and agitation in nursing home residents with dementia, suggesting its potential as a non-pharmacological intervention (Sultana et al., 2021). Additionally, VR has been found to improve mood, apathy, and social interaction among People Living With Dementia (PLWD) and Mild Cognitive Impairment (MCI). Future research should focus on the sustained use of VR technology to assess its long-term effects on psychological outcomes, including quality of life, apathy, and depressive symptoms (D'Cunha et al., 2019). Moreover, the development of VR interventions should consider the experiences and perceptions of key stakeholders to ensure the design is user-friendly and meets the needs of older adults living with dementia (Flynn et al., 2022). 9.2 Expansion of community and home-based care Expanding care interventions to community and home-based settings is crucial for providing comprehensive support to dementia patients and their families. Case Management (CM) interventions in Primary Health Care (PHC) have been shown to be effective in managing dementia care, but their implementation faces challenges such as low CM intensity and large caseloads. To enhance the adoption of CM in PHC, strategies should focus on proactive approaches and clear delineation of case managers' responsibilities (Khanassov et al., 2014). Additionally, nurse-led interventions in dementia care have identified barriers and facilitators at various levels, including policy, organization, and staff (Karrer et al., 2020). Addressing these factors can improve the implementation of evidence-based interventions in community settings. Future directions should include developing flexible and patient-centered interventions that can be easily adapted to the home environment, thereby strengthening the support system for dementia patients and their caregivers. 9.3 Collaboration within multidisciplinary care teams AAn integrated care model that fosters collaboration within multidisciplinary care teams is crucial for providing holistic care to dementia patients (Wang and Huang, 2024). The successful implementation of nurse-led dementia care interventions requires a patient-centered culture and consistent team attitudes (Karrer et al., 2020). Multidisciplinary collaboration can enhance the quality of care by combining the expertise of doctors, nurses, psychologists, and dietitians to address the diverse needs of dementia patients. For instance, the Systemic Lisbon Battery captures users' cognitive challenges and behavioral responses in realistic scenarios, as illustrated in Figure 2. Research indicates that this contextualized assessment approach better reflects individuals' real-life performance compared to traditional pen-and-paper tests, aiding in the diagnosis and monitoring of cognitive impairments. Moreover, VR interventions have demonstrated potential in cognitive stimulation and improving motor functions in older adults with dementia, emphasizing the necessity of collaboration among healthcare
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