| |
Centre for Policy on Ageing | |
 | |
|
The effects of group living homes on older people with dementia
— a comparison with traditional nursing home care | | Author(s) | Selma te Boekhorst, Marja F I A Depla, Jacomine de Lange |
| Journal title | International Journal of Geriatric Psychiatry, vol 24, no 9, September 2009 |
| Pages | pp 970-978 |
| Source | http://www.interscience.wiley.com/journal/gps |
| Keywords | Dementia ; Group homes ; Nursing homes ; Comparison ; Netherlands. |
| Annotation | The aim of this Dutch study was to investigate the effects of group living homes on quality of life and functioning of people with dementia. The study had a quasi-experimental design with a baseline measurement on admission and an effect measurement six months later. Participants were 67 residents in 19 group living homes and 97 residents in seven traditional nursing homes. DQOL and QUALIDEM measured quality of life, functional status was examined with Mini-Mental State Examination (MMSE), Interview for deterioration of Daily Living in Dementia (IDDD), Revised Memory and Behavior Checklist (RMBPC), the Neuropsychiatric Inventory - Questionnaire (NPI-Q) and Revised Index of Social Engagement (RISE) from the Resident Assessment Instrument (RAI). Use of psychotropic drugs and physical restraints was also assessed. Linear and logistic regression analyses analysed the data. After adjustment for differences in baseline characteristics, residents of group living homes needed less help with activities of daily living (ADL) and were more socially engaged. There were no differences in behavioural problems or cognitive status. Also after adjusting, two of the 12 quality of life sub-scales differed between the groups. Residents of group living homes had more sense of aesthetics and had more to do. While there were no differences in prescription of psychotropic drugs, residents of group living homes had less physical restraints. Group living homes had some beneficial effects on its residents, but traditional nursing homes also performed well. Possible study limitations included the baseline differences between the study groups and the use of different informants on T0 and T1. Future nursing home care may very well be a combination of the best group living care and traditional nursing home care have to offer. (KJ/RH). |
| Accession Number | CPA-100109207 A |
| Classmark | EA: KLN: LHB: 48: 76H |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|