An International Study of Social Engagement Among Nursing Home Residents
Abstract
METHOD: data using the Resident Assessment Instrument (RAI) from nursing home populations in five countries (Denmark, Iceland, Italy, Japan, USA) were assembled from 396277 residents. The distribution of a new quality of life measure, 'social engagement', embedded in the RAI and found to be reliable and valid in the USA, was examined and compared in the international samples. RESULTS: in all five countries' nursing home populations engagement was highest among residents with adequate functioning in activities of daily living (ADL) and cognition, but the level of social engagement differed considerably by country among residents with poor ADL functioning, who had adequate cognition. The lowest scores were in Italy and Japan. The amount of time residents spend in activities stratified by ADL and cognition reveal the same pattern cross-culturally--cognitively impaired residents are least actively involved. CONCLUSIONS: the Minimum Data Set measure of social engagement is stable across types of residents and across nations and can serve as a marker of nursing home quality.
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Individuals with the most severe cognitive impairments are offered the least therapeutic options in long-term-care settings.
“Unfortunately, this is not routinely occurring as numerous studies have indicated that individuals with the most severe cognitive impairments are offered the least therapeutic options in long-term-care settings. 8-10”
From Activity calendars for older adults with dementia: What you see is not what you get (2003) · cites this paper as [10]
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Activity calendars for older adults with dementia: What you see is not what you get
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- Authors
- Schroll, M., Jonsson, P. V., Berg, K., & Sherwood, S.
- Affiliations
- Copenhagen Municipal Hospital (DK)
- Brown University (US)
- Hebrew SeniorLife (US)
- Corresponding author
- Schroll, M.
- Venue
- Age and Ageing
- Publisher
- Oxford University Press (OUP)
- Published
- 1997-01-01
- Volume
- 26
- Issue
- suppl 2
- Pages
- 55-59
- ISSN
- 0002-0729 (ISSN-L)
- 1468-2834
- OpenAlex
- W2108222302
- Cited by
- 95
- References
- 5
- Citations by year
- 2025: 2 · 2024: 3 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 4 · 2015: 5 · 2014: 3 · 2013: 4 · 2012: 2
- FWCI
- 7.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Age and Ageing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- social engagement, nursing home residents, Resident Assessment Instrument, Minimum Data Set, activities of daily living, cognitive impairment, cross-cultural comparison, quality of life, nursing home quality
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Cognition, Europe, Female, Humans, Japan, Male, Nursing Homes, Patient Admission, Quality of Life, Social Behavior, United States, Reproducibility of Results, Geriatric Assessment, Health Care Surveys
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