The effects of group living homes on older people with dementia: a comparison with traditional nursing home care
Open accessAbstract
Objectives: The aim of this study was to investigate the effects of group living homes on quality of life and functioning of people with dementia. Methods: 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 MMSE, IDDD, RMBPC, NPI‐Q and RISE from RAI. Use of psychotropic drugs and physical restraints was also assessed. Linear and logistic regression analyses analyzed the data. Results: After adjustment for differences in baseline characteristics, residents of group living homes needed less help with ADL and were more socially engaged. There were no differences in behavioral problems or cognitive status. Also after adjusting, two of the 12 quality of life subscales 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. Conclusions: Group living homes had some beneficial effects on its residents, but traditional nursing homes performed well as 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. Copyright © 2009 John Wiley & Sons, Ltd.
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No significant differences in aspects of quality of life could be observed between small-scale, homelike SCUs and SCUs over time.
“Concerning quality of life, no significant differences in aspects of quality of life could be observed between small-scale, homelike SCUs and SCUs over time [10,12,13].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [13]
The Quality of life section reports significant between-group differences on two quality-of-life subscales at the six-month measurement: sense of aesthetics and Having Something to Do. Although most other subscales did not differ, the paper contradicts the unqualified claim that no significant differences in quality-of-life aspects were observed. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredGlobal behavior and mood, e.g. depression, did not change significantly over time in 3 n-SCU/SCU studies and 4 small-scale, homelike SCU/SCU studies.
“‘Global behavior’ and mood, e.g. depression, did not change significantly over time in 3 n-SCU/SCU studies [20,35,46] and 4 small-scale, homelike SCU/SCU studies [10,12,13,15].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [13]
The Functional status section reports that behavioral-problem scores, including the depression measure, appeared to improve in both groups, but that the improvement was not significantly greater in either group. It does not report whether behavior or depression changed significantly over time within the group-living homes; its significance finding concerns the comparison between groups. (LLM, conf=0.83)
Experimental — accuracy not yet measuredNo differences over time in global cognitive functioning were shown in 4 n-SCU/SCU and 2 small-scale, homelike SCU/SCU studies.
“With respect to global cognitive functioning, no differences over time were shown in 4 n-SCU/SCU [9,25,35,46] and 2 small-scale, homelike SCU/SCU studies [13,15].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [13]
A smaller decline in ADL was shown in favor of the SCU group compared to the n-SCU group, the small-scale, homelike SCU group compared to the n-SCU patients, and the small-scale, homelike SCU group compared to the SCU patients.
“A smaller decline has been shown in favor of the SCU group compared to the n-SCU group [9], the small-scale, homelike SCU group compared to the n-SCU patients [15] and the small-scale, homelike SCU group compared to the SCU patients [13].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [13]
Expressive language skills show a greater decline over time in the SCU group compared to n-SCUs.
“This does not apply to expressive language skills, which show a greater decline over time in the SCU group [13,42], indicating differences in the allocation of patients.”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [13]
The Measures and Functional status sections compare group living homes with traditional nursing homes using cognitive, daily-living, behavioral, and social-engagement measures. Neither those passages nor searches for expressive language and SCU terminology address a greater decline in expressive language skills in SCUs versus n-SCUs. (LLM, conf=0.75)
Experimental — accuracy not yet measured
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- Authors
- te Boekhorst, S., Depla, M. F. I. A., de Lange, J., Pot, A. M., & Eefsting, J. A.
- Affiliations
- Vrije Universiteit Amsterdam (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- ORCID
- Pot, Anne Margriet
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2009-05-18
- Volume
- 24
- Issue
- 9
- Pages
- 970-978
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- OpenAlex
- W2171820264
- Cited by
- 104
- References
- 31
- Citations by year
- 2025: 2 · 2024: 8 · 2023: 7 · 2022: 5 · 2021: 1 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 8 · 2016: 15 · 2015: 3 · 2014: 8 · 2013: 9 · 2012: 12
- FWCI
- 15.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- VU Research Portal (publishedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- dementia, nursing homes, quality of life, functional status, activities of daily living, social engagement, psychotropic drugs, physical restraint, behavioral problems, older adults
- MeSH terms
- Aged, Aged, 80 and over, Dementia, Female, Homes for the Aged, Humans, Male, Nursing Homes, Quality of Health Care, Quality of Life, Research Design, Restraint, Physical, Geriatric Assessment, Group Homes, Outcome Assessment, Health Care
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