Causes of nursing home placement for older people with dementia: a systematic review and meta-analysis
Open accessAbstract
Background: Up to half of people with dementia in high income countries live in nursing homes and more than two-thirds of care home residents have dementia. Fewer than half of these residents report good quality of life and most older people are anxious about the prospect of moving into a nursing home. Robust evidence is needed as to the causes of admission to nursing homes, particularly where these risk factors are modifiable. Methods: We conducted a systematic literature search to identify controlled comparison studies in which the primary outcome was admission to nursing home of older adults with dementia. Identified studies were assessed for validity and 26 (17 cohort and 9 case-control) were included. Qualitative and quantitative analyses were conducted, including meta-analysis of 15 studies. Results: Poorer cognition and behavioral and psychological symptoms of dementia (BPSD) were consistently associated with an increased risk of nursing home admission and most of our meta-analyses demonstrated impairments in activities of daily living as a significant risk. The effects of community support services were unclear, with both high and low levels of service use leading to nursing home placement. There was an association between caregiver burden and risk of institutionalization, but findings with regard to caregiver depression varied, as did physical health associations, with some studies showing an increased risk of nursing home placement following hip fracture, reduced mobility, and multiple comorbidities. Conclusion: We recommend focusing on cognitive enhancement strategies, assessment and management of BPSD, and carer education and support to delay nursing home placement.
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Direct care workers providing in-home care enable individuals to continue living at home and help prevent or delay nursing home placement.
“Direct care workers providing in‐home care enable individuals to continue living at home and help prevent or delay nursing home placement.”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [768]
The ‘Other carer risk factors’ section reports that medium levels of personal care were associated with a lower risk of nursing home placement among people with dementia. But the Discussion describes mixed findings for support services, and the review does not establish that direct care workers generally prevent or delay placement across the broader population claimed. (LLM, conf=0.86)
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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 · see citing works
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
Lawton, M. P., & Brody, E. M. (1969) · The Gerontologist · doi:10.1093/geront/9.3_part_1.179 · Cited by 18,540 · see citing works
(2014) · Medical Entomology and Zoology · Cited by 17,633 · see citing works
The Neuropsychiatric Inventory: Comprehensive assessment of psychopathology in dementia
Cummings, J. L., Mega, M., Gray, K., Rosenberg-Thompson, S., Carusi, D. A., & Gornbein, J. (1994) · Neurology · doi:10.1212/wnl.44.12.2308 · Cited by 7,568 · see citing works
Blessed, G., Tomlinson, B. E., & Roth, M. (1968) · British Journal of Psychiatry · doi:10.1192/bjp.114.512.797 · Cited by 4,117 · see citing works
Katz, S. (1963) · JAMA · doi:10.1001/jama.1963.03060120024016 · Cited by 2,421 · see citing works
Roth, M., Tym, E., Mountjoy, C. Q., Huppert, F. A., Hendrie, H., Verma, S., & Goddard, R. (1986) · British Journal of Psychiatry · doi:10.1192/bjp.149.6.698 · Cited by 2,090 · see citing works
Assessment and management of behavioral and psychological symptoms of dementia
Kales, H. C., Gitlin, L. N., & Lyketsos, C. G. (2015) · BMJ · doi:10.1136/bmj.h369 · Cited by 1,247 · cited 2× · see citing works
“A pragmatic approach to the assessment and management of these symptoms should encompass the bio-psycho-social sphere (Kales et al ., 2015), and the drive to reduce inappropriate prescribing of antipsychotic medications (Banerjee, 2009), coupled with an increasing appreciation of the overall…”
Patient and Caregiver Characteristics and Nursing Home Placement in Patients With Dementia
Yaffe, K. (2002) · JAMA · doi:10.1001/jama.287.16.2090 · Cited by 903 · see citing works
Psychiatric symptoms and nursing home placement of patients with Alzheimer's disease
(1990) · American Journal of Psychiatry · doi:10.1176/ajp.147.8.1049 · Cited by 744 · see citing works
A Two-factor Model of Caregiving Appraisal and Psychological Well-Being
Lawton, M. P., Moss, M. S., Kleban, M. H., Glicksman, A., & Rovine, M. J. (1991) · Journal of Gerontology · doi:10.1093/geronj/46.4.p181 · Cited by 662 · see citing works
The prevalence of elder abuse and neglect: a systematic review
Cooper, C., Selwood, A., & Livingston, G. (2008) · Age and Ageing · doi:10.1093/ageing/afm194 · Cited by 650 · see citing works
Comprehensive Clinical Assessment in Community Setting: Applicability of the MDS‐HC
Morris, J. N., Fries, B. E., Steel, K., Ikegami, N., Bernabei, R., Carpenter, G., Gilgen, R., Hirdes, J. P., & Topinková, E. (1997) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1997.tb02975.x · Cited by 566 · see citing works
Management of agitation and aggression associated with Alzheimer disease
Ballard, C. G., Gauthier, S., Cummings, J. L., Brodaty, H., Grossberg, G. T., Robert, P., & Lyketsos, C. G. (2009) · Nature Reviews Neurology · doi:10.1038/nrneurol.2009.39 · Cited by 404 · see citing works
Gaugler, J. E., Kane, R. L., Kane, R. L., & Newcomer, R. (2005) · The Gerontologist · doi:10.1093/geront/45.2.177 · Cited by 290 · see citing works
Buhr, G., Kuchibhatla, M., & Clipp, E. (2006) · The gerontologist · doi:10.1093/geront/46.1.52 · Cited by 280 · see citing works
Lopez, O. L., Becker, J. T., Wahed, A. S., Saxton, J., Sweet, R. A., Wolk, D. A., Klunk, W., & DeKosky, S. T. (2009) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.2008.158964 · Cited by 266 · see citing works
Gaugler, J. E., Kane, R. L., Kane, R. L., Clay, T., & Newcomer, R. J. (2003) · The Gerontologist · doi:10.1093/geront/43.2.219 · Cited by 253 · see citing works
Case management approaches to home support for people with dementia
Reilly, S., Miranda‐Castillo, C., Malouf, R. S., Hoe, J., Toot, S., Challis, D., & Orrell, M. W. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008345.pub2 · Cited by 250 · see citing works
Self-citationAfram, B., Stephan, A., Verbeek, H., Bleijlevens, M. H. C., Suhonen, R., Sutcliffe, C., Raamat, K., Cabrera, E., Soto, M. E., Hallberg, I. R., et al. (2014) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2013.09.012 · Cited by 230 · see citing works
World Alzheimer Report 2013: Journey of Caring: An analysis of long-term care for dementia
Guerchet, M., Prince, M. J., & Prina, M. A. (2013) · Cited by 210 · see citing works
Gaugler, J. E., Edwards, A. B., Femia, E. E., Zarit, S. H., Stephens, M.-A. P., Townsend, A., & Greene, R. (2000) · The Journals of Gerontology Series B · doi:10.1093/geronb/55.4.p247 · Cited by 205 · see citing works
Activities of daily living and quality of life across different stages of dementia: a UK study
Giebel, C. M., Sutcliffe, C., & Challis, D. (2014) · Aging & Mental Health · doi:10.1080/13607863.2014.915920 · Cited by 202 · see citing works
Self-citationde Vugt, M. E., Stevens, F. C. J., Aalten, P., Lousberg, R. L., Jaspers, N., & Verhey, F. R. J. (2005) · International Psychogeriatrics · doi:10.1017/s1041610205002292 · Cited by 202 · see citing works
Psychogeriatric Dependency Rating Scales (PGDRS) A Method of Assessment for Use by Nurses
Wilkinson, I. M., & Graham-White, J. (1980) · The British Journal of Psychiatry · doi:10.1192/bjp.137.6.558 · Cited by 186 · see citing works
Moving in: adjustment of people living with dementia going into a nursing home and their families
Sury, L., Burns, K., & Brodaty, H. (2013) · International Psychogeriatrics · doi:10.1017/s1041610213000057 · Cited by 181 · see citing works
Behavioural and psychological symptoms of dementia: a seven‐tiered model of service delivery
Brodaty, H., Draper, B., & Low, L. (2003) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2003.tb05169.x · Cited by 172 · see citing works
Risk Factors for Nursing Home Placement in a Population‐Based Dementia Cohort
Smith, G. E., Kokmen, E., & O'Brien, P. C. (2000) · Journal of The American Geriatrics Society · doi:10.1111/j.1532-5415.2000.tb04998.x · Cited by 171 · see citing works
Disruptive Behavior as a Predictor in Alzheimer Disease
Scarmeas, N., Brandt, J., Blacker, D., Albert, M., Hadjigeorgiou, G. M., Dubois, B., Devanand, D. P., Honig, L. S., & Stern, Y. (2007) · Archives of Neurology · doi:10.1001/archneur.64.12.1755 · Cited by 171 · see citing works
Risk Factors for Nursing Home Placement in Older Adults With and Without Dementia
Andel, R., Hyer, K., & Slack, A. (2007) · Journal of Aging and Health · doi:10.1177/0898264307299359 · Cited by 160 · see citing works
Patterns and Predictors of Institutionalization in Community‐Based Dementia Patients
Severson, M. A., Smith, G. E., Tangalos, E. G., Petersen, R. C., Kokmen, E., Ivnik, R. J., Atkinson, E. J., & Kurland, L. T. (1994) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1994.tb04949.x · Cited by 153 · see citing works
Causes of Hospital Admission for People With Dementia: A Systematic Review and Meta-Analysis
Toot, S., Devine, M., Akporobaro, A., & Orrell, M. W. (2013) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2013.01.011 · Cited by 143 · see citing works
Self-citationPredictors of nursing home placement in patients with alzheimer's disease
Haupt, M., & Kurz, A. (1993) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.930080906 · Cited by 140 · see citing works
Factors Affecting Decisions to Institutionalize Demented Elderly
Lieberman, M. A., & Kramer, J. H. (1991) · The Gerontologist · doi:10.1093/geront/31.3.371 · Cited by 129 · cited 14× · see citing works
“Lieberman and Kramer (1991) found no significant difference in “medical problems” and “neurological signs” between people with dementia placed in a nursing home and those who were not.”
InfluentialProspective analysis of risk factors for nursing home placement of dementia patients
Smith, G. E., O’Brien, P. C., Ivnik, R. J., Kokmen, E., & Tangalos, E. G. (2001) · Neurology · doi:10.1212/wnl.57.8.1467 · Cited by 127 · see citing works
Gilley, D. W., Bienias, J. L., WILSON, R. S., Bennett, D. A., Beck, T. L., & Evans, D. A. (2004) · Psychological Medicine · doi:10.1017/s0033291703001831 · Cited by 125 · see citing works
Recent advances in psychogeriatrics
Arie, T. (1985) · Churchill Livingstone eBooks · Cited by 120 · see citing works
Predictors of institutionalization of cognitively‐impaired elderly cared for by their relatives
Spruytte, N., Audenhove, C. V., & Lammertyn, F. (2001) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.484 · Cited by 109 · see citing works
Consequences of Aggressive Behavior in Patients With Dementia
Kunik, M. E., Snow, A. L., Davila, J. A., McNeese, T. D., Steele, A. B., Balasubramanyam, V., Doody, R. S., Schulz, P. E., Kalavar, J. S., Walder, A. M., et al. (2010) · Journal of Neuropsychiatry · doi:10.1176/appi.neuropsych.22.1.40 · Cited by 80 · see citing works
Institutional Placement of Persons With Dementia
Coehlo, D., Hooker, K., & Bowman, S. R. (2007) · Journal of Family Nursing · doi:10.1177/1074840707300947 · Cited by 80 · see citing works
Anxiety Symptoms as Predictors of Nursing Home Placement in Patients with Alzheimer's Disease
Gibbons, L. E., Teri, L. L., Logsdon, R. G., McCurry, S. M., Kukull, W. A., Bowen, J. D., McCormick, W. C., & Larson, E. B. (2002) · Journal of Clinical Geropsychology · doi:10.1023/a:1019635525375 · Cited by 78 · see citing works
Institutionalization of demented elderly: the role of caregiver characteristics
Pot, A. M., Deeg, D. J. H., & Knipscheer, C. P. M. (2001) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.331 · Cited by 76 · see citing works
Risk of Institutionalization Among Community Long-Term Care Clients With Dementia
Scott, W. K., Edwards, K., Davis, D., Cornman, C. B., & Macera, C. A. (1997) · The Gerontologist · doi:10.1093/geront/37.1.46 · Cited by 75 · see citing works
The record of independent living
Weıntraub, S. (1986) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331758600100210 · Cited by 69 · see citing works
Verbeek, H., Meyer, G., Challis, D., Zabalegui, A., Soto, M. E., Saks, K., Leino‐Kilpi, H., Karlsson, S., & Hamers, J. P. H. (2015) · Journal of Advanced Nursing · doi:10.1111/jan.12663 · Cited by 59 · see citing works
Self-citationConsequences of Aggressive Behavior in Patients With Dementia
Kunik, M. E., Snow, A. L., Davila, J. A., et al. (2010) · Journal of Neuropsychiatry · doi:10.1176/jnp.2010.22.1.40 · Cited by 58 · see citing works
Luppa, M., Riedel-Heller, S. G., Stein, J., Leicht, H., König, H., van den Bussche, H., Maier, W., Scherer, M., Bickel, H., Mösch, E., et al. (2012) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000339729 · Cited by 56 · see citing works
Caregiver Psychological Adjustment and Institutionalization of Persons With Alzheimer’s Disease
Gilley, D. W., McCann, J. J., Bienias, J. L., & Evans, D. A. (2005) · Journal of Aging and Health · doi:10.1177/0898264304274252 · Cited by 37 · see citing works
Recent advances in psychogeriatrics 2
Livingston, G. (1993) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(93)90162-9 · Cited by 31 · see citing works
Harboun, M., Dorenlot, P., Cohen, N. H., Steinhagen‐Thiessen, E., & Ankri, J. (2008) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.2058 · Cited by 20 · see citing works
Smoking in cars carrying children will be illegal in England from October
Wise, J. (2015) · BMJ · doi:10.1136/bmj.h836 · Cited by 13 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- Banerjee, S. (2009). The Use of Antipsychotic Medication for People with Dementia: Time for Action. London: Department of Health. · DOI · Paper page
- Guerchet, M., Prina, M. and Prince, M. (2013). Policy Brief for Heads of Government: The Global Impact of Dementia 2013-2050 (pp. 1-8). London: Alzheimer's Disease International.
- Whitlatch, C. J., Feinberg, L. F. and Stevens, E. J. (1999). Predictors of institutionalization for persons with Alzheimer's disease and the impact on family caregivers. Journal of Mental Health & Aging, 5, 275-288.
- Young, R. F., Kosloski, K. and Montgomery, R. J. (1998). Psychosocial factors in institutionalization of Alzheimer's patients. Journal of Clinical Geropsychology, 4, 241-251.
Cited by
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2023 Alzheimer's disease facts and figures
(2023) · Alzheimer's & Dementia · doi:10.1002/alz.13016 · Cited by 3,212 · see citing works
2024 Alzheimer's disease facts and figures
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2025 Alzheimer's disease facts and figures
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Best practice in the management of behavioural and psychological symptoms of dementia
Tible, O., Riese, F., Savaskan, E., & von Gunten, A. (2017) · Therapeutic Advances in Neurological Disorders · doi:10.1177/1756285617712979 · Cited by 302 · see citing works
Potential Benefits of Physical Activity in MCI and Dementia
Nuzum, H., Stickel, A. M., Corona, M., Zeller, M., Melrose, R. J., & Wilkins, S. S. (2020) · Behavioural Neurology · doi:10.1155/2020/7807856 · Cited by 260 · see citing works
Restoring trust: COVID-19 and the future of long-term care in Canada
Estabrooks, C. A., Straus, S. E., Flood, C. M., Keefe, J., Armstrong, P., Donner, G. J., Boscart, V., Ducharme, F., Silvius, J. L., & Wolfson, M. C. (2020) · FACETS · doi:10.1139/facets-2020-0056 · Cited by 218 · see citing works
“More than two-thirds of older adults with dementia will require nursing home care (Toot et al. 2017; U.S. Department of Health and Human Services 2017).”
BackgroundFrontotemporal lobar degeneration
Grossman, M., Seeley, W. W., Boxer, A. L., Hillis, A. E., Knopman, D. S., Ljubenov, P. A., Miller, B., Piguet, O., Rademakers, R., Whitwell, J. L., et al. (2023) · Nature Reviews Disease Primers · doi:10.1038/s41572-023-00447-0 · Cited by 178 · see citing works
Determinants of behavioral and psychological symptoms of dementia: A scoping review of the evidence
Kolanowski, A., Boltz, M., Galik, E., Gitlin, L. N., Kales, H. C., Resnick, B., Van Haitsma, K. S., Knehans, A., Sutterlin, J. E., Sefcik, J. S., et al. (2017) · Nursing Outlook · doi:10.1016/j.outlook.2017.06.006 · Cited by 165 · see citing works
Schwertner, E., Pereira, J. B., Xu, H., Sečník, J., Winblad, B. G., Eriksdotter, M., Nägga, K., & Religa, D. (2022) · Journal of Alzheimer s Disease · doi:10.3233/jad-215198 · Cited by 162 · see citing works
Hazzan, A. A., Dauenhauer, J. A., Follansbee, P., Hazzan, J. O., Allen, K., & Omobepade, I. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-02787-0 · Cited by 133 · see citing works
Han, Q. Y. C., Rodrigues, N. G., Klainin-Yobas, P., Haugan, G., & Wu, X. V. (2022) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2021.09.008 · Cited by 126 · see citing works
Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia
Mühlbauer, V., Möhler, R., Dichter, M. N., Zuidema, S. U., Köpke, S., & Luijendijk, H. J. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013304.pub2 · Cited by 117 · see citing works
Person-Centered Assessment and Care Planning
Molony, S. L., Kolanowski, A. M., Haitsma, K. S. V., & Rooney, K. E. (2017) · The Gerontologist · doi:10.1093/geront/gnx173 · Cited by 95 · see citing works
Dufournet, M., Dauphinot, V., Moutet, C., Verdurand, M., Delphin‐Combe, F., Krolak‐Salmon, P., Krolak‐Salmon, P., Dauphinot, V., Delphin-Combe, F., Makaroff, Z., et al. (2019) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2019.03.027 · Cited by 86 · see citing works
Moyle, W., Murfield, J., & Lion, K. (2021) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2021.104513 · Cited by 75 · see citing works
Guideline Recommendations on Behavioral and Psychological Symptoms of Dementia: A Systematic Review
Watt, J. A., Porter, J., Tavilsup, P., Chowdhury, M., Hatch, S., Ismail, Z., Kumar, S., Kirkham, J. G., Goodarzi, Z., & Seitz, D. P. (2024) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2024.03.007 · Cited by 73 · see citing works
Polacsek, M., Goh, A., Malta, S., Hallam, B., Gahan, L., Cooper, C., Low, L., Livingston, G., Panayiotou, A., Loi, S., et al. (2020) · Health & Social Care in the Community · doi:10.1111/hsc.12880 · Cited by 68 · see citing works
Supporting Family Caregivers With Technology for Dementia Home Care: A Randomized Controlled Trial
Williams, K. N., Perkhounkova, Y., Shaw, C. A., Hein, M., Vidoni, E. D., & Coleman, C. (2019) · Innovation in Aging · doi:10.1093/geroni/igz037 · Cited by 68 · see citing works
Bränsvik, V., Granvik, E., Minthon, L., Nordström, P., & Nägga, K. (2020) · Aging & Mental Health · doi:10.1080/13607863.2020.1727848 · Cited by 66 · see citing works
Caregiver Needs Assessment in Primary Care: Views of Clinicians, Staff, Patients, and Caregivers
Riffin, C. A., Wolff, J. L., Estill, M., Prabhu, S., & Pillemer, K. A. (2020) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16401 · Cited by 65 · see citing works
Davison, T. E., Camões-Costa, V., & Clark, A. (2019) · Journal of Clinical Nursing · doi:10.1111/jocn.14978 · Cited by 64 · see citing works
Harrison, S. L., Sluggett, J. K., Lang, C. E., Whitehead, C., Crotty, M., Corlis, M. E., Wesselingh, S. L., & Inacio, M. C. S. (2020) · The Medical Journal of Australia · doi:10.5694/mja2.50501 · Cited by 64 · see citing works
Caregiver perspectives about using antipsychotics and other medications for symptoms of dementia
Kerns, J. W., Winter, J. D., Winter, K. M., Kerns, C. C., & Etz, R. S. (2018) · The Gerontologist · doi:10.1093/geront/gnx042 · Cited by 62 · see citing works
Chen, P., Guarino, P., Dysken, M. W., Pallaki, M., Asthana, S., Llorente, M. D., Love, S. B., Vertrees, J. E., Schellenberg, G. D., & Sano, M. C. (2018) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/0891988718783897 · Cited by 62 · see citing works
Liew, T. M., Tai, B. C., Yap, P., & Koh, G. C.-H. (2019) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2018.11.016 · Cited by 61 · see citing works
Marcinkowska, M., Śniecikowska, J., Fajkis-Zajączkowska, N., Paśko, P., Franczyk, W., & Kołaczkowski, M. (2020) · CNS Drugs · doi:10.1007/s40263-020-00707-7 · Cited by 61 · see citing works
Harrison, J. K., Walesby, K. E., Hamilton, L., Armstrong, C., Starr, J. M., Reynish, E. L., MacLullich, A. M. J., Quinn, T., & Shenkin, S. D. (2017) · Age and Ageing · doi:10.1093/ageing/afx047 · Cited by 59 · see citing works
Cho, E., Shin, J., Seok, J. W., Lee, H., Lee, K. H., Jang, J., Heo, S., & Kang, B. (2022) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2022.104392 · Cited by 56 · see citing works
Jennings, A., Foley, T., Walsh, K. A., Coffey, A., Browne, J. P., & Bradley, C. (2018) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4918 · Cited by 56 · see citing works
Hoben, M., Chamberlain, S. A., Gruneir, A., Knopp‐Sihota, J., Sutherland, J. M., Poss, J. W., Doupe, M. B., Bergstrom, V. N. Z., Norton, P., Schalm, C., et al. (2019) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2019.01.144 · Cited by 57 · see citing works
The Italian guideline on diagnosis and treatment of dementia and mild cognitive impairment
Fabrizi, E., Ancidoni, A., Locuratolo, N., Piscopo, P., Gatta, F. D., Salemme, S., Pani, S. M., Marconi, D., Vignatelli, L., Sagliocca, L., et al. (2024) · Age and Ageing · doi:10.1093/ageing/afae250 · Cited by 53 · see citing works
Tsuji, T., Yamamoto, K., Yamasaki, K., Hayashi, F., Momoki, C., Yasui, Y., Ohfuji, S., Fukushima, W., & Habu, D. (2019) · BMC Geriatrics · doi:10.1186/s12877-019-1206-z · Cited by 47 · see citing works
Aspell, N., OʼSullivan, M., O’Shea, E., Irving, K., Duffy, C., Gorman, R., & Warters, A. (2019) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5101 · Cited by 45 · see citing works
Kuluski, K., & Guilcher, S. J. T. (2019) · A Nudge Too Far? A Nudge at All? On Paying People to Be Healthy · doi:10.12927/hcpap.2019.26030 · Cited by 45 · see citing works
Ruggiero, C., Baroni, M., Xenos, D., Parretti, L., Macchione, I. G., Bubba, V., Laudisio, A., Pedone, C., Ferracci, M., Magierski, R., et al. (2023) · Ageing Research Reviews · doi:10.1016/j.arr.2023.102130 · Cited by 46 · see citing works
Appel, L., Appel, E., Kisonas, E., Lewis-Fung, S. E., Pardini, S., Rosenberg, J., Appel, J., & Smith, C. (2023) · Journal of Medical Internet Research · doi:10.2196/51758 · Cited by 42 · see citing works
Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia
Mühlbauer, V., Luijendijk, H. J., Dichter, M., Mohler, R. A., Zuidema, S. U., & Köpke, S. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013304 · Cited by 42 · see citing works
2026 Alzheimer's disease facts and figures
(2026) · Alzheimer s & Dementia · doi:10.1002/alz.71345 · Cited by 61 · see citing works
Pacifico, J., Reijnierse, E., Lim, W., & Maier, A. (2021) · Gerontology · doi:10.1159/000517461 · Cited by 41 · see citing works
Tasseron-Dries, P. E. M., Smaling, H. J. A., Doncker, S. M. M. M., Achterberg, W. P., & van der Steen, J. T. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2021.103968 · Cited by 38 · see citing works
Cho, E., Kim, S., Heo, S.-J., Shin, J., Hwang, S., Kwon, E., Lee, S., Kim, S., & Kang, B. (2023) · Scientific Reports · doi:10.1038/s41598-023-35194-5 · Cited by 32 · see citing works
Cravello, L., Martini, E., Viti, N., Campanello, C., Assogna, F., & Perotta, D. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.590104 · Cited by 36 · see citing works
Makimoto, K., Kang, Y., Kobayashi, S., Liao, X., Panuthai, S., Sung, H., Suzuki, M., Terada, S., & Yamakawa, M. (2018) · Psychogeriatrics · doi:10.1111/psyg.12380 · Cited by 37 · see citing works
Helvik, A., Barca, M. L., Bergh, S., Benth, J. Š., Kirkevold, Ø., & Borza, T. (2019) · BMC Geriatrics · doi:10.1186/s12877-019-1226-8 · Cited by 36 · see citing works
Dehpour, T., & Koffman, J. (2022) · Aging & Mental Health · doi:10.1080/13607863.2022.2032599 · Cited by 38 · see citing works
Friendsourcing Peer Support for Alzheimer’s Caregivers Using Facebook Social Media
Wilkerson, D., Brady, E. L., Yi, E.-H. G., & Bateman, D. R. (2018) · Journal of Technology in Human Services · doi:10.1080/15228835.2018.1449709 · Cited by 35 · see citing works
Johnson, A. L., Nystrom, N. C., Piper, M. E., Cook, J. W., Norton, D., Zuelsdorff, M. L., Wyman, M. F., Benton, S. F., Lambrou, N. H., O’Hara, J., et al. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-201332 · Cited by 34 · see citing works
Sutin, A. R., Brown, J., Luchetti, M., Aschwanden, D., Stéphan, Y., & Terracciano, A. (2022) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbac154 · Cited by 35 · see citing works
The trajectory of family caregiving for older adults with dementia: difficulties and challenges
Tu, J., Li, H., Ye, B., & Liao, J. (2022) · Age and Ageing · doi:10.1093/ageing/afac254 · Cited by 34 · see citing works
Nursing home admissions for persons with dementia: Role of home‐ and community‐based services
Wang, S., Yan, D., Temkin‐Greener, H., & Cai, S. (2021) · Health Services Research · doi:10.1111/1475-6773.13715 · Cited by 33 · see citing works
Guu, T., Aarsland, D., & Ffytche, D. H. (2022) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5712 · Cited by 33 · see citing works
Prevalence and type of unmet needs experienced by carers of people living with dementia
Mansfield, E., Cameron, E. C., Boyes, A. W., Carey, M. L., Nair, B., Hall, A. E., & Sanson-Fisher, R. W. (2023) · Aging & Mental Health · doi:10.1080/13607863.2022.2053833 · Cited by 32 · see citing works
Liew, T. M., Tai, B. C., Yap, P., & Koh, G. C. (2019) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5014 · Cited by 32 · see citing works
Soares, W. B., Silvestre, I. T., Lima, A. M. D. O., & de Almondes, K. M. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.577629 · Cited by 32 · see citing works
Lee, D. A., Tirlea, L., & Haines, T. P. (2020) · Health & Social Care in the Community · doi:10.1111/hsc.12984 · Cited by 29 · see citing works
Estimates of the prevalence, incidence and severity of dementia in Ireland
Pierse, T., Shea, E. O., & Carney, P. (2018) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2018.31 · Cited by 29 · see citing works
West, E., Nair, P., Barrado‐Martín, Y., Walters, K. R., Kupeli, N., Sampson, E. L., & Davies, N. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-050066 · Cited by 31 · see citing works
Welberry, H., Jorm, L. R., Schaffer, A. L., Barbieri, S., Hsu, B., Harris, M., Hall, J. J., & Brodaty, H. (2021) · The Medical Journal of Australia · doi:10.5694/mja2.51153 · Cited by 30 · see citing works
Tuinman, A., Greef, M. H. G. D., Finnema, E., & Roodbol, P. F. (2021) · Journal of Advanced Nursing · doi:10.1111/jan.14840 · Cited by 29 · see citing works
Hermush, V., Ore, L., Stern, N., Mizrahi, N., Fried, M., Krivoshey, M., Staghon, E., Lederman, V. E., & Schleider, L. B. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.951889 · Cited by 33 · see citing works
Giebel, C. M., & Sutcliffe, C. (2017) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4728 · Cited by 28 · see citing works
Return on Investment and Value Research in Neuropsychology: A Call to Arms†
Glen, T., Hostetter, G., Roebuck‐Spencer, T., Garmoe, W. S., Scott, J. G., Hilsabeck, R. C., Arnett, P. A., & Espe‐Pfeifer, P. (2020) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/acaa010 · Cited by 28 · see citing works
Köhler, K., Dreyer, J., Hochgraeber, I., von Kutzleben, M., Pinkert, C., Roes, M., & Holle, B. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-042515 · Cited by 22 · see citing works
Binary Sensors-Based Privacy-Preserved Activity Recognition of Elderly Living Alone Using an RNN
Tan, T.-H., Badarch, L., Zeng, W.-X., Gochoo, M., Alnajjar, F. S. K., & Hsieh, J.-W. (2021) · Sensors · doi:10.3390/s21165371 · Cited by 28 · see citing works
Network analysis of neuropsychiatric symptoms in Alzheimer’s disease
Goodwin, G. J., Moeller, S., Nguyen, A., Cummings, J. L., & John, S. E. (2023) · Alzheimer s Research & Therapy · doi:10.1186/s13195-023-01279-6 · Cited by 29 · see citing works
Lee, T. W., Yim, E. S., Choi, H., & Chung, J. (2018) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4992 · Cited by 27 · see citing works
Sutin, A. R., Stéphan, Y., Luchetti, M., & Terracciano, A. (2017) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4782 · Cited by 27 · see citing works
Tango-therapy vs physical exercise in older people with dementia; a randomized controlled trial
Bracco, L., Pinto‐Carral, A., Hillaert, L., & Mourey, F. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-04342-x · Cited by 26 · see citing works
Birkenhäger‐Gillesse, E. G., Kollen, B. J., Zuidema, S. U., & Achterberg, W. P. (2018) · BMC Geriatrics · doi:10.1186/s12877-018-0948-3 · Cited by 25 · see citing works
Benraad, C. E. M., Disselhorst, L. G. M., Laurenssen, N. C. W., Hilderink, P. H., Melis, R. J. F., Spijker, J., & Rikkert, M. G. M. O. (2018) · Aging & Mental Health · doi:10.1080/13607863.2018.1515888 · Cited by 26 · see citing works
Effects of caregiver dementia training in caregiver‐patient dyads: A randomized controlled study
Birkenhäger‐Gillesse, E. G., Achterberg, W. P., Janus, S. I. M., Kollen, B. J., & Zuidema, S. U. (2020) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5378 · Cited by 26 · see citing works
Behavioral and psychological symptoms in institutional residents with dementia in Taiwan
Hsieh, S., Huang, L., Hsieh, T.-J., Lin, C., Hsu, C., & Yang, Y. (2021) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/ggi.14220 · Cited by 26 · see citing works
Hwang, Y., & Kim, J. (2023) · Geriatric Nursing · doi:10.1016/j.gerinurse.2023.10.015 · Cited by 24 · see citing works
Chekani, F., Pike, J., Jones, E., Husbands, J., & Khandker, R. K. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-201483 · Cited by 24 · see citing works
Factors Influencing Older Persons’ Transitions to Facility-Based Care Settings: A Scoping Review
Tate, K., Bailey, S., Deschenes, S., Grabusic, C. C., & Cummings, G. G. (2022) · The Gerontologist · doi:10.1093/geront/gnac091 · Cited by 24 · see citing works
Liew, T. M., Yap, P. L. K., Luo, N., Hia, S. B., Koh, G. C., & Tai, B. C. (2018) · BMC Geriatrics · doi:10.1186/s12877-018-0804-5 · Cited by 23 · see citing works
Cunningham, N. A., Cowie, J., Watchman, K., & Methven, K. (2019) · Dementia · doi:10.1177/1471301219859781 · Cited by 23 · see citing works
Mjørud, M., Selbæk, G., Bjertness, E., Edwin, T. H., Engedal, K., Knapskog, A., & Strand, B. H. (2020) · PLoS ONE · doi:10.1371/journal.pone.0243513 · Cited by 22 · see citing works
Technology-Assisted Home Care for People With Dementia and Their Relatives: Scoping Review
Palmdorf, S., Stark, A. L., Nadolny, S., Eliaß, G., Karlheim, C., Kreisel, S. H., Gruschka, T., Trompetter, E., & Dockweiler, C. (2021) · JMIR Aging · doi:10.2196/25307 · Cited by 23 · see citing works
Rokstad, A. M. M., Engedal, K., Kirkevold, Ø., Benth, J. Š., & Selbæk, G. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3686-5 · Cited by 22 · see citing works
Kort, H. S. M., Steunenberg, B., & van Hoof, J. (2019) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000497802 · Cited by 22 · see citing works
Wittwer, J. E., Winbolt, M., & Morris, M. E. (2020) · Frontiers in Medicine · doi:10.3389/fmed.2019.00335 · Cited by 22 · see citing works
Cho, E., Lee, J. Y., Yang, M., Jang, J., Cho, J., & Kim, M. J. (2024) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2024.104866 · Cited by 21 · see citing works
Liew, T. M., & Yap, P. L. K. (2018) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2018.11.005 · Cited by 22 · see citing works
Giebel, C. M., Hollinghurst, J., Akbari, A., Schnier, C., Wilkinson, T., North, L., Gabbay, M., & Rodgers, S. (2020) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5446 · Cited by 21 · see citing works
Factors influencing decisions to admit family members with dementia to long‐term care facilities
Nunez, F. E. (2021) · Nursing Forum · doi:10.1111/nuf.12555 · Cited by 21 · see citing works
Pickering, C. E. Z., Yefimova, M., Wang, D., Maxwell, C. D., & Jablonski, R. A. (2022) · Journal of Advanced Nursing · doi:10.1111/jan.15173 · Cited by 21 · see citing works
Odell‐Miller, H., Blauth, L., Bloska, J., Bukowska, A. A., Clark, I. N., Crabtree, S., Engen, R. B., Knardal, S. E., Kvamme, T. S., McMahon, K., et al. (2022) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe12120127 · Cited by 20 · see citing works
Monfared, A. A. T., Fu, S., Hummel, N., Qi, L., Chandak, A. N., Zhang, R. J., & Zhang, Q. (2023) · Neurology and Therapy · doi:10.1007/s40120-023-00498-1 · Cited by 20 · see citing works
Cullum, S. J., Varghese, C., Coomarasamy, C., Whittington, R., Hadfield, L., Rajay, A., Yeom, B. W., Liu, B., Christie, M., Appleton, K., et al. (2020) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5266 · Cited by 20 · see citing works
Cummings, J. L., Hahn‐Pedersen, J. H., Eichinger, C. S., Freeman, C. S., Clark, A., Tarazona, L. R. S., & Lanctôt, K. L. (2023) · Frontiers in Neurology · doi:10.3389/fneur.2023.1208802 · Cited by 19 · see citing works
Young, J. A., Lind, C., & Orange, J. B. (2019) · Dementia · doi:10.1177/1471301219862439 · Cited by 19 · see citing works
Hajek, A., Luppa, M., Brettschneider, C., van der Leeden, C., van den Bussche, H., Oey, A., Wiese, B., Weyerer, S. B., Werle, J., Fuchs, Â., et al. (2021) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5548 · Cited by 19 · see citing works
Prins, A. J., Scherder, E., van Straten, A., Zwaagstra, Y., & Milders, M. V. (2020) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000509433 · Cited by 18 · see citing works
Burton, J. K., Ciminata, G., Lynch, E. M., Shenkin, S. D., Geue, C., & Quinn, T. J. (2022) · Age and Ageing · doi:10.1093/ageing/afac304 · Cited by 18 · see citing works
Ferreira, A. R., Simões, M. R., Moreira, E., Guedes, J. M., & Fernandes, L. P. N. S. (2019) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2019.103919 · Cited by 18 · see citing works
Hatch, S., Seitz, D. P., Bruneau, M., Ewa, V., Feldman, S., Goldberg, Y., Goodarzi, Z., Herrmann, N., Colborne, D. H., Henri‐Bhargava, A., et al. (2025) · Canadian Geriatrics Journal · doi:10.5770/cgj.28.820 · Cited by 18 · see citing works
Terum, T. M., Testad, I., Rongve, A., Aarsland, D., Svendsboe, E. J., & Andersen, J. R. (2020) · International Psychogeriatrics · doi:10.1017/s1041610220000472 · Cited by 17 · see citing works
Stiefler, S., Seibert, K., Domhoff, D., Görres, S., Wolf‐Ostermann, K., & Peschke, D. (2020) · Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen · doi:10.1016/j.zefq.2020.05.001 · Cited by 17 · see citing works
Yan, D., Wang, S., Temkin‐Greener, H., & Cai, S. (2021) · Journal of Applied Gerontology · doi:10.1177/07334648211048187 · Cited by 17 · see citing works
- Authors
- Toot, S., Swinson, T., Devine, M., Challis, D., & Orrell, M.
- Affiliations
- North East London NHS Foundation Trust (GB)
- University of Manchester (GB)
- University of Nottingham (GB)
- Corresponding author
- Toot, Sandeep
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 2016-11-03
- Volume
- 29
- Issue
- 2
- Pages
- 195-208
- ISSN
- 1041-6102 (ISSN-L)
- 1741-203X
- OpenAlex
- W2547296973
- Cited by
- 421
- References
- 50
- Citations by year
- 2026: 36 · 2025: 49 · 2024: 48 · 2023: 39 · 2022: 78 · 2021: 60 · 2020: 46 · 2019: 33 · 2018: 21 · 2017: 10
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- International Psychogeriatrics (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, other-oa)
- Nottingham ePrints (University of Nottingham) (submittedVersion)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- Repository@Nottingham (University of Nottingham) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- nursing home admission, dementia, institutionalization, older adults, behavioral and psychological symptoms of dementia, cognitive impairment, activities of daily living, community support services, caregiver burden, caregiver depression, hip fracture, mobility (physical function), comorbidities, risk factors
- MeSH terms
- Activities of Daily Living, Aged, Dementia, Homes for the Aged, Humans, Institutionalization, Nursing Homes, Quality of Life, Risk Factors, Caregivers
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