The DOI matches its Crossref record; 29 of the 32 references it cites were found in a registry or an index; 1 of the 18 sources its claims cite were checked for support.
Which unmet needs contribute to behavior problems in persons with advanced dementia?
Open accessAbstract
The Unmet Needs Model states that problem behaviors of people with dementia result from unmet needs stemming from a decreased ability to communicate those needs and to provide for oneself. The purpose of this study is to describe the unmet needs of persons with dementia exhibiting behavior problems. Eighty-nine residents from 6 Maryland nursing homes with dementia were assessed by research assistants and nursing assistants for their unmet needs using multiple assessment tools. Three unmet needs per resident were identified on average, with informants rating boredom/sensory deprivation, loneliness/need for social interaction, and need for meaningful activity as the most prevalent needs. Discomfort was associated with higher levels of verbally agitated behaviors (e.g., complaining). Based on results and independent ratings of pain, the authors estimate notable under detection of discomfort and pain by both types of informants. The study demonstrates methodologies for uncovering unmet needs among persons with dementia and highlights the importance of developing programs that address those unmet needs, especially social and activity needs of nursing home residents. The detection of pain, and possibly that of discomfort, may require a different methodology.
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Claims the paper makes
19 Own result · 14 Own interpretation · 8 No full text of the sources · 4 Own method · 2 Not checked yet · 2 No basis given · 1 Supported
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Discomfort was associated with higher levels of verbally agitated behaviors (e.g., complaining).”
- Also stated in: § 3.4 Unmet needs in relation to the type of agitation manifested · plain
“Discomfort was related to better cognitive function (MMSE, z=2.56, p=.01), greater pain (PAINE, z=2.07, p=.039), higher levels of negative affect at baseline (z=1.96, p=.05), higher levels of manifesting verbally agitated behaviors of constant requests for attention (z=1.93. p=.027, one-tailed), complaining (z=2.92, p=.004), and screaming (z=2.28, p=.02).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > Abstract
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § 3.4 Unmet needs in relation to the type of agitation manifested · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Three unmet needs per resident were identified on average, with informants rating boredom/sensory deprivation, loneliness/need for social interaction, and need for meaningful activity as the most prevalent needs.”
- Also stated in: § 4. Discussion · plain
“This is the first paper to delineate the unmet needs of agitated NH residents with dementia, revealing an average of 3 unmet needs per resident.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § 4. Discussion · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“RAs reported an average of 2.9 unmet needs per participant (range 0–7, s.d.=1.3) and NAs reported an average of 2.6 unmet needs per participant (range 0–6, s.d.=1.4).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.1 The perceptions of unmet needs contributing to behavior problems, and the level of confidence in the determination of unmet needs
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Moreover, each study participant was rated as having at least one unmet need.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.4 Unmet needs in relation to the type of agitation manifested
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The following unmet needs were found for over half of the residents: loneliness/need for social contact, boredom, need for meaningful activity, pain, and discomfort. Moreover, each study participant was rated as having at least one unmet need.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.4 Unmet needs in relation to the type of agitation manifested
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: The RA, unlike overextended nursing staff, was able to give undivided attention to a resident's response to social and activity opportunities.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“RAs reported an average of 2.9 unmet needs per participant (range 0–7, s.d.=1.3) and NAs reported an average of 2.6 unmet needs per participant (range 0–6, s.d.=1.4).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.1 The perceptions of unmet needs contributing to behavior problems, and the level of confidence in the determination of unmet needs
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Discomfort was noted as an unmet need for about one third of the sample and included many types of needs including the need to use the bathroom (most commonly) and uncomfortable seating positions (Table 1).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.1 The perceptions of unmet needs contributing to behavior problems, and the level of confidence in the determination of unmet needs
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Participants who were rated as having an unmet need which is related to boredom and sensory deprivation displayed somewhat higher levels of physical nonaggressive behaviors (mean ranks of 47.1 for those rated as having the need and 39.9 for those rated as not having it, z=1.20, p=.11, one-tailed). However, this difference did not reach statistical significance.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.4 Unmet needs in relation to the type of agitation manifested
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The most common needs were loneliness/need for social contact and boredom/sensory deprivation, noted for about two thirds of the sample by RAs and for approximately half by NAs, followed by the need for a meaningful activity, which was noted for around half the sample by both sources.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.1 The perceptions of unmet needs contributing to behavior problems, and the level of confidence in the determination of unmet needs
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Based on results and independent ratings of pain, the authors estimate notable under detection of discomfort and pain by both types of informants.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > Abstract
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Probably not a substantial claim. 14
- It may state two separate claims as one. 21
Every source the paper cites for this claim was checked and supports it.
In the paper
“Inter-rater reliabilities regarding agitated behaviors previously averaged 0.93 (Cohen-Mansfield et al., 1989) and currently averaged 96% with Intra-Class Correlation (ICC) of 0.90.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 2. Methods > 2.3 Measurements
What the sources say
- Supportedcites Cohen-Mansfield et al., 1989 source
The citation supports the historical reliability figure, not the citing study’s current 96% or ICC of 0.90. The source paper’s Methods section states that interobserver agreement for each agitated behavior averaged 0.93. (LLM, conf=0.94)
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
- Supported
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Three unmet needs per resident were identified on average, with informants rating boredom/sensory deprivation, loneliness/need for social interaction, and need for meaningful activity as the most prevalent needs.”
- Also stated in: § 3.1 The perceptions of unmet needs contributing to behavior problems, and the level of confidence in the determination of unmet needs · plain
“The most common needs were loneliness/need for social contact and boredom/sensory deprivation, noted for about two thirds of the sample by RAs and for approximately half by NAs, followed by the need for a meaningful activity, which was noted for around half the sample by both sources.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Also stated in: § 3.1 The perceptions of unmet needs contributing to behavior problems, and the level of confidence in the determination of unmet needs · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Cross tabulating ratings for both of these unmet needs shows that RAs identified only one or the other of these needs, rather than both, 39% of the time; the corresponding rate for NAs was 66% indicating that informants found these two needs to be different.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Participants who were rated by RAs as having a loneliness need had significantly higher ratings of verbal agitation (Mann-Whitney test, z=1.70, p=.045, one-tailed – used based on the hypothesis) than those not designated as having this need, but there was no difference between the groups in physical agitation.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.4 Unmet needs in relation to the type of agitation manifested
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The most common needs were loneliness/need for social contact and boredom/sensory deprivation, noted for about two thirds of the sample by RAs and for approximately half by NAs, followed by the need for a meaningful activity, which was noted for around half the sample by both sources.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.1 The perceptions of unmet needs contributing to behavior problems, and the level of confidence in the determination of unmet needs
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Residents rated as having anxiety/need for relaxation by the RA had significantly higher ratings of verbal agitation (z=2.04, p=.041), and negative affect (z=2. 60, p=.009).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.3 Unmet needs in relation to residents’ background information
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The agreement rate between RAs and NAs averaged 86% for all types of needs, and kappas averaged .25.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.2 A comparison of RAs and NAs determination of unmet needs
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Similarly, there was considerable overlap between the categories of pain and discomfort, yet the ratings were different.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“the average rating of confidence was identical for both RAs and NAs (mean=3.78).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.1 The perceptions of unmet needs contributing to behavior problems, and the level of confidence in the determination of unmet needs
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In regard to the hypotheses relating to the 4th research question pertaining to the relationship between unmet needs and type of agitation, the relationships between loneliness and verbal agitation and between pain and verbal agitation were supported by the findings.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“RA’s designation of the unmet need of pain was associated with significantly better cognitive function as tapped by the MMSE (z=2.16, p=.03), significantly higher levels of negative affect at baseline (z=2.21, p=.027), and higher scores on the PAINE (z=1.76. p=.039, one-tailed; one-tailed tests used to examine one sided hypotheses).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.3 Unmet needs in relation to residents’ background information
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“That pilot tackled problems of categorizing unmet needs in order to develop categories and suggested, for example, combining the categories of boredom and need for sensory stimulation, since differentiation between these proved difficult.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Significant relationships between discomfort and specific types of verbal agitation were found, but not with the category as a whole.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“According to the Unmet Needs Model, problem behaviors result from an imbalance in the interaction between lifelong habits and personality, current physical and mental states, and less than optimal environmental conditions (Figure 1).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 1. Introduction
What the sources say
- Not checked — no full text of the sourcecites Cohen-Mansfield and Werner, 1995 source
- Not matchedcites Cohen-Mansfield, 2000b
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
In the paper
“The Unmet Needs Model (Cohen-Mansfield and Werner, 1995; Cohen-Mansfield, 2000b) postulates that the dementia process results in a decreased ability to meet one’s needs because of an increasing difficulty in communicating these needs, and a decreased ability to provide for oneself (Hancock et al., 2006).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 1. Introduction
What the sources say
- Not checked — no full text of the sourcecites Hancock et al., 2006 source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“The Unmet Needs Model states that problem behaviors of people with dementia result from unmet needs stemming from a decreased ability to communicate those needs and to provide for oneself.”
- Also stated in: § 1. Introduction · plain
“The Unmet Needs Model (Cohen-Mansfield and Werner, 1995; Cohen-Mansfield, 2000b) postulates that the dementia process results in a decreased ability to meet one’s needs because of an increasing difficulty in communicating these needs, and a decreased ability to provide for oneself (Hancock et al., 2006).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > Abstract
What the sources say
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
- Also stated in: § 1. Introduction · plain
In the paper
“Persons with dementia often exhibit inappropriate behaviors, which increases their suffering as well as the burden of caregivers (Cohen-Mansfield, 2001).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 1. Introduction
What the sources say
- Not checked — no full text of the sourcecites Cohen-Mansfield, 2001 source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Consequently, agitated behaviors, such as pacing may act to alleviate boredom or repetitious vocalizations may be used to communicate the need.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 1. Introduction
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“This finding corroborates previous findings in persons with dementia of a need for being useful/giving meaning to life, enjoyment of activities, and social contact, which have been rated as psychological domains judged to be important to the quality of life of persons with dementia (see Schölzel-Dorenbos et al., 2010).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
What the sources say
- Not checked — no full text of the sourcecites Schölzel-Dorenbos et al., 2010 source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The determination of unmet needs is a basis for developing intervention and prevention programs to meet those needs, thereby leading to improvement in the quality of life of NH residents with dementia.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. It may state two separate claims as one.
- Rests on an assumption: Unmet needs are an internal construct that cannot be assessed by self-report.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“We believe this result stems from the different perspectives of these informants. Whereas the RAs focused on social and activity needs and their fulfillment, the NAs were more concerned with physical needs and often had more information of this type (e.g., constipation as an unmet need) to draw from when completing the TUNA.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Based on our examination of the results, this indicates high agreement when most of the residents do not exhibit the need, but much lower agreement when determining which residents actually experience a specific unmet need.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 3. Results > 3.2 A comparison of RAs and NAs determination of unmet needs
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“Activities interpreted as meaningful by residents relate to their past values, beliefs, interests and routines, and psychological needs and are experienced as enjoyable (Schölzel-Dorenbos et al., 2010).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
What the sources say
- Not checked — no full text of the sourcecites Schölzel-Dorenbos et al., 2010 source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It is likely to affect nursing assistants’ ability to provide a thorough evaluation of unmet needs via the TUNA and should therefore be taken into account in future research.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The study was approved by the Institutional Review Board of the Charles E. Smith Life Communities and participants or closest relatives signed an informed consent.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 2. Methods
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The specific nature of the identified discomfort needs make these particularly amenable to improvement efforts.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“This has been shown to pose a barrier to quality of care (Trinkoff et al., 2013; Lerner et al., 2014).”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
What the sources say
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This study can therefore be seen as a template for developing such programs.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 4. Discussion
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
- Rests on an assumption: This is the first paper to delineate the unmet needs of agitated nursing home residents with dementia.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Inter- rater agreement evaluations averaged 88% per emotional mode, with a range of 70%–99%, and an average ICC of 0.91.”
§ Which unmet needs contribute to behavior problems in persons with advanced dementia? > 2. Methods > 2.3 Measurements
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
The paper relies on this without support.
Direct observations are more objective and accurate than other forms of assessment.
“Direct observations were chosen because these are more objective and more accurate than other forms of assessment.”
The paper relies on this without support.
Unmet needs are an internal construct that cannot be assessed by self-report.
“Unmet needs represent an internal construct that cannot be assessed by self-report, yet is crucial for proper treatment.”
The paper relies on this without support.
The RA, unlike overextended nursing staff, was able to give undivided attention to a resident's response to social and activity opportunities.
“For social and activity needs, we chose to use only the RA’s evaluation since the RA, unlike the overextended nursing staff, was able to give undivided attention to a resident’s response to social/activity opportunities”
The paper relies on this without support.
This is the first paper to delineate the unmet needs of agitated nursing home residents with dementia.
“This is the first paper to delineate the unmet needs of agitated NH residents with dementia”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“DAD may be influenced by, or may facilitate, challenging behavior in the care recipient (Cohen-Mansfield et al., Citation2015; Feast et al., Citation2016).”
From How do care-related beliefs contribute to depression and anxiety in family caregivers of people with dementia? Testing a cognitive vulnerability-stress model. (2025) · cites this paper as Cohen-Mansfield et al., 2015
Experimental — accuracy not yet measuredIn the citing paper
“Since pain and discomfort may cause difficulties in communication and self-management, and contribute to BPSD, these factors should be carefully searched and treated (111, 112).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [112]
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentz = 2.16reported p = .03 · recomputed p = .031
“(z=2.16, p = .03”
- Consistentz = 2.21reported p = .027 · recomputed p = .027
“(z=2.21, p = .027”
- Consistentz = 2.04reported p = .041 · recomputed p = .041
“(z=2.04, p = .041”
- Consistentz = 1.7reported p = .045 · recomputed p = .089
“z=1.70, p = .045”
The paper states a one-tailed test
- Consistentz = 2.56reported p = .01 · recomputed p = .010
“z=2.56, p = .01”
- Consistentz = 2.07reported p = .039 · recomputed p = .038
“z=2.07, p = .039”
- Consistentz = 1.96reported p = .05 · recomputed p = .050
“(z=1.96, p = .05”
- Consistentz = 2.92reported p = .004 · recomputed p = .004
“(z=2.92, p = .004”
- Consistentz = 2.28reported p = .02 · recomputed p = .023
“(z=2.28, p = .02”
- Consistentz = 1.2reported p = .11 · recomputed p = .230
“z=1.20, p = .11”
The paper states a one-tailed test
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Self-check results appear here once an independent check has confirmed them.
Citations
Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282 · cited 7×
“…direct care of the resident judged him/her to have a life expectancy of less than 3 months due to obvious causes; (b) The resident had an accompanying diagnosis of bipolar disorder or schizophrenia; and (c) A score of 25 or higher on the Mini-Mental State Examination (MMSE; Folstein et al., 1975).”
BackgroundMethodInfluentialHirono, N., Mori, E., Ikejiri, Y., Imamura, T., Shimomura, T., Hashimoto, M., Yamashita, H., & Ikeda, M. (1997) · PubMed · Cited by 21,012
Kok, J. S., Berg, I. J., & Scherder, E. J. A. (2013) · Dementia and Geriatric Cognitive Disorders Extra · doi:10.1159/000353441 · Cited by 20,589
Older Adults' Reasons for Using Technology while Aging in Place
Peek, S. T. M., Luijkx, K. G., Rijnaard, M. D., Nieboer, M. E., van der Voort, C. S., Aarts, S., van Hoof, J., Vrijhoef, H. J., & Wouters, E. (2015) · Gerontology · doi:10.1159/000430949 · Cited by 19,852
Sensitivity and False Alarm Rate of a Fall Sensor in Long-Term Fall Detection in the Elderly
Kangas, M., Korpelainen, R., Vikman, I., Nyberg, L., & Jämsä, T. J. (2014) · Gerontology · doi:10.1159/000362720 · Cited by 19,007
Cohen-Mansfield, J. (2001) · The American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200111000-00005 · Cited by 593
Self-citationObserved Affect in Nursing Home Residents with Alzheimer's Disease
Lawton, M. P., Van Haitsma, K., & Klapper, J. (1996) · The Journals of Gerontology Series B: Psychological Sciences and Social Sciences · doi:10.1093/geronb/51b.1.p3 · Cited by 401 · cited 1×
“Affect—Evaluation of positive and negative affect was based on direct observation and assessed via Lawton’s Modified Behavior Stream (LMBS; Lawton et al., 1996).”
MethodThe needs of older people with dementia in residential care
Hancock, G. A., Woods, B., Challis, D., & Orrell, M. (2006) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1421 · Cited by 269 · cited 2×
“The Unmet Needs Model (Cohen-Mansfield and Werner, 1995; Cohen-Mansfield, 2000b) postulates that the dementia process results in a decreased ability to meet one’s needs because of an increasing difficulty in communicating these needs, and a decreased ability to provide for oneself (Hancock et al., 2006).”
BackgroundEngagement in persons with dementia: the concept and its measurement
Cohen-Mansfield, J., Dakheel-Ali, M., & Marx, M. (2009) · The American journal of geriatric psychiatry · doi:10.1097/jgp.0b013e31818f3a52 · Cited by 252 · cited 1×
“For instance, while one would expect that boredom would be rather close to the need for meaningful activities, as has been found in other studies (Cohen-Mansfield, 2001; Cohen-Mansfield et al., 2009; Kolanowski et al., 2011), data from this study suggest otherwise.”
ResultSelf-citationKolanowski, A., Litaker, M., Buettner, L., Moeller, J., & Costa, Jr. (2011) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2011.03449.x · Cited by 199 · cited 2×
“For instance, while one would expect that boredom would be rather close to the need for meaningful activities, as has been found in other studies (Cohen-Mansfield, 2001; Cohen-Mansfield et al., 2009; Kolanowski et al., 2011), data from this study suggest otherwise.”
BackgroundResult
Cited by
Sorted by citations
Items 201–281 of 281
Understanding Cancer Care for Nursing Home Residents Living With Dementia: An Ethnographic Study
Robinson, O. C., Surr, C., & Ashley, L. (2025) · Psycho-Oncology · doi:10.1002/pon.70184 · Cited by 1
Butcher, L., Vougioukalou, S. A., & Clouston, T. J. (2025) · Dementia · doi:10.1177/14713012251392304 · Cited by 2
Adams, A. M. N., Chamberlain, D. J., Maiden, M. J., Thorup, C. B., Nørgaard, M. W., Laugesen, B., Grønkjær, M., Bruce, K., Waite, C., Lamprecht, C. C., et al. (2025) · Australian Critical Care · doi:10.1016/j.aucc.2025.101466 · Cited by 1
Yokoyama, K., Shimokihara, S., Miyajima, R., Yama, K., Shimada, K., Moribayashi, M., Hirano, N., & Ikeda, N. (2025) · Clinical Gerontologist · doi:10.1080/07317115.2025.2597965 · Cited by 1
“Instead, practical training should emphasize person-centered approaches (Edvardsson et al., 2008; Kitwood, 1997), environmental modification (Kales et al., 2015), and strategies that address unmet physical and psychological needs (Cohen-Mansfield et al., 2015).”
Davis, E. R., Aggar, C., & Bissett, M. (2026) · Journal of Clinical Nursing · doi:10.1111/jocn.70404 · Cited by 1
“In hospital settings, these stressors include changes in caregivers, routines, and environments, as well as illness exacerbation (Pickering et al. 2022) and unmet biological and social needs (Cohen-Mansfield et al. 2015).”
Relieving Caregiver Burden Through Evidence-Based Treatment for Dementia-Related Psychosis
Ballard, C. G., & Aarsland, D. (2021) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.ad19038ah5c · Cited by 1
“Factors Contributing to Psychotic Symptoms in Patients With Dementia Based on Cerejeira et al,13 El Haj et al,14 Cohen-Mansfield et al,15 and Targum.16 Delusions and Hallucinations Neurochemical changes Cognitive deficits Unmet needs Sensory deficits Physical disease Pain Drugs Environmental,…”
BackgroundBowen, B. (2021) · Health · doi:10.4236/health.2021.1312103 · Cited by 1
“Needs that are unmet become setting events for future behavioral interaction [14] One way of identifying unmet needs is the Matrix of Needs [15] which provides a framework within which needs can be identified individually and understood within a developmental structure.”
BackgroundSelf, J. A. (2020) · Craft Research · doi:10.1386/crre_00021_5 · Cited by 1
Structured Care Protocols for People Living With Dementia in Nursing Homes: Reflections for Research
Scales, K., & Lepore, M. (2022) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2022.02.018 · Cited by 1
Social Innovation from the Perspective of Quality of Life of Old People and in Long-Term Care
Kejžar, A., Dimovski, V., & Colnar, S. (2022) · Springer eBooks · doi:10.1007/978-3-030-68127-2_12-1 · Cited by 1
Nordgren, L., Arvidsson, A., Vincze, M., et al. (2022) · Dementia · doi:10.1177/14713012221118214 · Cited by 1
“Meaningful activities are enjoyable activities that relate to a person’s past values, interests or beliefs as well as their psychological needs (Cohen-Mansfield et al., 2015).”
BackgroundBlondeau, R., Giguère, M., & Rousseau, J. (2022) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980822000356 · Cited by 1
The ABCD approach for managing neuropsychiatric symptoms of dementia
Siple, A. (2023) · Nursing · doi:10.1097/01.nurse.0000942784.14340.1f · Cited by 1
Pyne, A., & Greves, H. (2024) · Clinical Psychology Forum · doi:10.53841/bpscpf.2024.1.373.67 · Cited by 1
Supporting distress behaviours in people with dementia in the community
Pepper, A., & Dening, K. H. (2024) · British Journal of Community Nursing · doi:10.12968/bjcn.2024.0080 · Cited by 1
Radziewicz, R. M., & Bradas, C. M. (2018) · Springer eBooks · doi:10.1007/978-3-319-73078-3_30 · Cited by 1
Kotona asuvan muistisairaan henkilön ja hänen läheistensä teknologiaan liittyvät tarpeet ja toiveet
Riikonen, M., & Paavilainen, E. (2018) · Gerontologia · doi:10.23989/gerontologia.66832 · Cited by 5
Melander, C., Olsson, M. B., Jayousi, S., Martinelli, A., & Mucchi, L. (2019) · Lecture notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering · doi:10.1007/978-3-030-34833-5_23 · Cited by 1
Smith, M. C., & Sayer, K. (2019) · Dementia · doi:10.1177/1471301219891021 · Cited by 1
Jiménez‐Gonzalo, L., Pedroso‐Chaparro, M. D. S., Barrera‐Caballero, S., & Losada‐Baltar, A. (2020) · Revista Española de Geriatría y Gerontología · doi:10.1016/j.regg.2020.02.006 · Cited by 1
Siira, H. J., Saarnio, R., Kiljunen, O., et al. (2021) · Gerontologia · doi:10.23989/gerontologia.110927 · Cited by 1
Innovation by Design: Key Challenges Faced by Budding Designers Developing Solutions for Dementia
Siew, W., Silva, A., & Rai, B. (2023) · Smart innovation, systems and technologies · doi:10.1007/978-981-99-0428-0_44 · Cited by 1
Rippon, D. (2018) · Northumbria Research Link (Northumbria University) · Cited by 1
Neuropsychiatric symptoms in dementia
Tan, E. Y. L. (2022) · doi:10.26481/dis.20221104et · Cited by 1
Unmet Need and Support Among People with Dementia and Functional Limitations
Chen, S., & Zhang, H. (2024) · Springer eBooks · doi:10.1007/978-3-031-40858-8_53-1 · Cited by 1
Shah, R. C., Basapur, S., Hendrickson, K., Anderson, J., Plenge, J., Troutman, A., Ranjit, E., & Banker, J. (2025) · Research Square · doi:10.21203/rs.3.rs-6008628/v1 · Cited by 1
Neuropsychiatric Symptoms in Cognitive Impairment and Dementia: A Brief Introductory Overview
Verdelho, A., & Gonçalves‐Pereira, M. (2016) · Neuropsychiatric symptoms of neurological disease · doi:10.1007/978-3-319-39138-0_1
The Herczeg Institute on Aging
Brophy, D. F. (2015)
Lived Experiences of Individuals With Dementia
Gitlin, L. N., & Hodgson, N. A. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-811928-0.00002-8
PSYCHOLOGICAL NEEDS OF DEMENTIA PATIENTS IN SOCIAL CARE INSTITUTION: A QUALITATIVE STUDY
Terehova, R. (2018) · SOCIETY INTEGRATION EDUCATION Proceedings of the International Scientific Conference · doi:10.17770/sie2018vol7.3429
“Pētniece Koena-Mensfīlda ar kolēģiem (Cohen-Mansfield et al., 2015) apgalvo, ka demences pacientu uzvedības izpausmes varētu būt kā atbilde uz neapmierinātām vajadzībām, nevis slimības simptomi.”
InfluentialBreed en gericht kijken naar probleemgedrag
Geelen, R. (2018) · Nursing-Dementiereeks/Nursing dementiereeks · doi:10.1007/978-90-368-2253-4_2
Rhodus, E. K. (2019) · UKnowledge (University of Kentucky) · doi:10.13023/etd.2019.165
“…assessments or protocols to identify useful environmental, neurological, and behavioral interventions for individuals with AD and other dementias (Cohen-Mansfield et al., 2015; Kong et al., 2009; Schaaf, Miller, Seawell, & O'Keefe, 2003; Vozzella, 2007; Zeisel et al., 2003; Zuidema et al., 2010).”
BackgroundIntergenerational Learning and Dementia
Quinn, J., & Blandon, C. (2020) · Palgrave studies in adult education and lifelong learning · doi:10.1007/978-3-030-42231-8_4 · Cited by 1
COVID-19 and Persons with Dementia in Acute Care Settings: How to “Evade” Challenging Behaviors
Tan, H., How, A. X., Wang, X. X., et al. (2021) · The Journal of Frailty & Aging · doi:10.14283/jfa.2020.53
Kuroda, K., Hoang, N., Ramia, V., et al. (2020) · doi:10.33015/dominican.edu/2021.ot.04
Self-Reported Needs of People with Dementia Living at Home
Bártová, A., Holmerová, I., Dostálová, V., Blahová, H., & Šteffl, M. (2021) · Cambridge University Press eBooks · doi:10.1017/9781911623373.002
Morris, P., McCloskey, R. M., Laging, B., Witherspoon, R. L., & McGill, A. (2021) · International Journal of Advanced Nursing Education and Research · doi:10.21742/ijaner.2021.6.1.01
Clinical Psychology and Developmental Considerations Across the Lifespan
Comer, J. S., Nelson, C. L., Freitag, G. F., Silva, K., & Molinari, V. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818697-8.00202-8 · Cited by 2
Dys, S. (2021) · PDXScholar (Portland State University) · doi:10.15760/etd.7732
Pélichy, E. G. D., Ebbing, K., Queirós, A. M., et al. (2020) · Revue Médicale Suisse · doi:10.53738/revmed.2020.16.710.1945
Dosanjh, A., Moore, C., Hyman, A., & Fisk, L. (2021) · Clinical Psychology Forum · doi:10.53841/bpscpf.2021.1.341.39
Eikaas, J. R., Benth, J. Š., Rekve, K. H., Gjellesvik, K. B., Pettersen, K. F., Thielemann, M., Solem, I. K. L., & Korsnes, M. S. (2023) · Nordisk Sygeplejeforskning · doi:10.18261/nsf.13.1.5
Perancangan Sistem Closure pada Adaptive Clothing untuk Orang dengan Demensia (ODD) Tahap Moderate
Salsabila, P. R., & Ratuannisa, T. (2023) · Jurnal Sosioteknologi · doi:10.5614/sostek.itbj.2023.22.2.3
Nenaplnené potreby starších ľudí: prehľad hodnotiacich nástrojov
Kohanová, D., & Zrubcová, D. (2023) · Pomáhajúce profesie · doi:10.17846/pp.2023.6.2.5-21
You, D., Ramli, S. H., Li, Z., Yu, X., & Wu, J. (2024) · International Conference on Innovation Design and Digital Technology (ICIDDT) · doi:10.4108/eai.3-11-2023.2342231
Rethinking antipsychotic use in dementia: a literature review on efficacy, safety, and alternatives
Basubrain, O. S. (2024) · Romanian Journal of Medical Practice · doi:10.37897/rjmp.2024.1.3
Jönsson, L., Wibom, M., Londos, E., & Nägga, K. (2024) · SSRN Electronic Journal · doi:10.2139/ssrn.4804121
A Proposed Model of Therapy: Dementia Grief Therapy
Ione, A. (2024) · Springer eBooks · doi:10.1007/978-3-031-55440-7_6
Sociotherapeutic living environments in long-term care organisations
Gerritsen, D. L., Noordam, H., Nijsten, J. M. H., et al. (2024) · Routledge eBooks · doi:10.4324/9781003416241-22
Lab-on-a-chip: Fabrication and Frontiers Aiming at Biomedicines
Ahmed, T., & Tisha, Z. T. (2024) · Royal Society of Chemistry eBooks · doi:10.1039/9781837673476-00073 · Cited by 1
Rippon, D. (2024) · Springer eBooks · doi:10.1007/978-981-97-0821-5_44-1
Yun, H., Mor, V., Santostefano, C. M., & McCreedy, E. M. (2024) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2024.105289 · Cited by 1
Living with Dementia and Cognitive Disorders: Beyond Pharmacology
Cohen‐Mansfield, J. (2024) · Topics in Geriatric Care. · doi:10.1007/978-981-97-5995-8_9
Self-citationRobert, G., Niaré, D., Pennec, S., de Geyer, L., Frin, M., Hanslik, T., Blanchon, T., Morel, V., & Rossignol, L. (2025) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2025.03.006
Experiences and Support Needs of Informal Caregivers in Managing Behavioral Symptom of Dementia
Akintomide, M., Zhang, X., Iwuagwu, L., & Ramos, M. (2025) · OBM Geriatrics · doi:10.21926/obm.geriatr.2502306
4 From rationing to rights: measuring unmet care needs to transform aged care systems
Hill, T., Cortis, N., Hamilton, M., & Peisah, C. (2025) · Policy Press eBooks · doi:10.56687/9781447370109-006
Lider, C., & Chalk, F. (2025) · British Journal of Neuroscience Nursing · doi:10.12968/bjnn.2024.0042
Lee, S. Y. (2025) · Korean Journal of Human Ecology · doi:10.5934/kjhe.2025.34.5.841
Mayer, J. F., Green, M., Conn, J. L., & Orsulic‐Jeras, S. (2026) · International Journal of Language & Communication Disorders · doi:10.1111/1460-6984.70190
Alrahyani, M., Yeom, D. J., Guest, M. A., Ricketts, E. J., & Sharp, N. (2026) · Journal of Environmental Psychology · doi:10.1016/j.jenvp.2026.102949
Family ties, kinlessness, and loneliness among older Australians
Ko, P., Neves, B. B., & Freak‐Poli, R. (2026) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2026.106192
Helvik, A., Temür, B. N., Bergh, S., & Tevik, K. (2026) · Geriatric Nursing · doi:10.1016/j.gerinurse.2026.103977
Liu, Z., Bono, M., Flisar, A., Decloedt, R., Bossche, M. J. A. V. D., & Vos, M. D. (2026) · medRxiv · doi:10.64898/2026.02.27.26346707
Li, H., & Liu, H. (2026) · Humanities and Social Sciences Communications · doi:10.1057/s41599-026-06795-y
Hirt, J., Adlbrecht, L., Maurer, C., & Beer, T. (2026) · Journal of Alzheimer s Disease · doi:10.1177/13872877261424387
Leung, S.-L., & Kwok, T. C. Y. (2026) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/15333175261437655
“56 An environment of prolonged under-stimulation during the first half-year might lead to a significant increase in overall behavioural symptoms observed in month-12, 57 along with heightened care related stress among staff, surpassing baseline levels.”
Genguelou, M., Platel, H., Bourgeois, C., Gambonnet, M., & Bayard, S. (2026) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2026.1803210
Lin, P., Lee, K., Lin, T., et al. (2026) · Educational Gerontology · doi:10.1080/03601277.2026.2663335
Szczęśniak, D., Molinari-Ulate, M., Neal, D. P., Bartels, S., Diaz-Baquero, A. A., Vasques, E. D. R., Thyrian, J., Franco-Martin, M., Wolf-Ostermann, K., Rymaszewska, J., et al. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1767647
“…way with respect to their self-identified unmet needs (including memory support, social contact/company, daytime meaningful activities, safety, psychological distress, and information about their condition), where the present supply of health and social care does not fulfill the demand (19, 30–32).”
Unmet care needs among older people in residential care: a scoping review
Xie, F., Daly, L., Tang, L., Eustace‐Cook, J., & Brady, A. (2026) · BMC Geriatrics · doi:10.1186/s12877-026-07636-y
Drzazga, J., Segiet, N. M., Początek, G., Gorzkowska, A., Klimkowicz‐Mrowiec, A., Cunha, I. F., & Griffiths, A. W. (2026) · Journal of Alzheimer s Disease · doi:10.1177/13872877261459071
Yokoyama, K., Shimokihara, S., Shimada, K., et al. (2026) · Psychogeriatrics · doi:10.1111/psyg.70189
“Addressing unmet needs is imperative for promoting quality of life and reducing agitated behaviour [11, 12].”
Read, S., Brimblecombe, N., Hicks, B., Hu, B., King, D., & Wittenberg, R. (2026) · Journal of Alzheimer s Disease · doi:10.1177/13872877261459015
“13 In addition to personal psychological and inter-personal barriers, there can be also lack of access to unpaid or formal care support because of situational (such as economic and functional barriers), structural (such as lack of information, awareness and provision of services) and cultural…”
Family Visits and Symptom Burden in Nursing Home Residents With Cognitive Impairment
Tucker, G. G., Cagle, J. G., Stump, T. E., et al. (2026) · Journal of the American Geriatrics Society · doi:10.1111/jgs.70552
“Residents with cognitive impairment may struggle to communicate their concerns or changes to their health and well-being, which could have an adverse effect on their health-related quality of life [6].”
Perceived Impact of Enhanced Group Activity Kits on Recreational Activity Leaders in Dementia Care
Cohen‐Mansfield, J., & Cohen, R. (2026) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2026.106288
Self-citationShaw, C., Denver, B., & Cook, J. (2026) · FPOP Bulletin Psychology of Older People · doi:10.53841/bpsfpop.2026.1.175.103
Sun, X., Ding, Y., Meng, D., et al. (2026) · Journal of Applied Gerontology · doi:10.1177/07334648261483307
Davis, E. R., Aggar, C., & Bissett, M. (2026) · Australasian Journal on Ageing · doi:10.1111/ajag.70225
Arets, T., Perugia, G., Houben, M., & IJsselsteijn, W. A. (2026) · Frontiers in Digital Health · doi:10.3389/fdgth.2026.1944047
“Second, the findings are situated within the organizational and cultural context of residential dementia care in The Netherlands, limiting direct transferability to other care systems and contexts.”
Wittlinger, M., Jevtic, S., Teimann, S., Scherbaum, N., Wiltfang, J., & Benninghoff, J. (2026) · BJPsych Open · doi:10.1192/bjo.2026.12093
“23 This could be an explanation for the effectiveness of dementia gardens, because they provide an opportunity to subtly address these needs of PwD. Agitation is often a paradigm of emotional overload and stress and has a correspondingly negative effect on well-being.”
Social Innovation from the Perspective of Quality of Life of Old People and in Long-Term Care
Kejžar, A., Dimovski, V., & Colnar, S. (2026) · Springer eBooks · doi:10.1007/978-3-032-35691-8_12
Metadata
- Authors
- Cohen-Mansfield, J., Dakheel-Ali, M., Marx, M. S., Thein, K., & Regier, N. G.
- ORCID
- Regier, Natalie G.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2015-07
- Volume
- 228
- Issue
- 1
- Pages
- 59-64
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC4451402
- OpenAlex
- W1988292497
- Semantic Scholar
- cc1a9c2635510a9c9875de4eaa550a367b18d87a
- Cited by
- 287
- References
- 32
- Citations by year
- 2026: 27 · 2025: 26 · 2024: 31 · 2023: 28 · 2022: 33 · 2021: 36 · 2020: 36 · 2019: 14 · 2018: 23 · 2017: 14 · 2016: 16 · 2015: 3
- FWCI
- 15.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (2 R01 AG010172- 10A2)
- Minerva-Stiftung Foundation (31583295000, 80539)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- dementia, unmet needs, behavioral problems, nursing home residents, boredom, sensory deprivation, loneliness, social interaction, meaningful activities, verbal agitation, pain detection, discomfort, informant ratings
- MeSH terms
- Problem Behavior, Aged, Aged, 80 and over, Dementia, Female, Health Services Needs and Demand, Homes for the Aged, Humans, Male, Maryland, Nursing Homes, Pain, Psychomotor Agitation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
A language model drew the claims from the paper on 2026-09-28, under version 3 of the claim definition (prompt extract-v3).
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Cited sources are checked with a language model’s help (gpt-6-sol).
Statistics and arithmetic are recomputed, not judged.
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