Dementia programme effectiveness in long-term care.

Abstract:

OBJECTIVE:To examine the effectiveness of dementia programmes and report factors related to programme outcomes. To describe the characteristics which placed hostel residents at risk for nursing home placement and to measure changes in dependencies and impairments over 2 years. DESIGN:Longitudinal, quasi-experimental using in situ resident groups matched on resident and facility characteristics. SETTING:Australian hostels for the elderly. SUBJECTS:587 residents (programme group N = 184, comparison group N = 162, frail groups N = 241). MEASURES:Mini-Mental State Examination, Geriatric Depression Scale and staff-rated indices of functioning, including activities of daily living, problem behaviours, psychiatric symptomology and health status, were used to monitor changes in resident characteristics. Time to nursing home placement was another outcome measure. RESULTS:Residents in hostel dementia programmes remained significantly longer than those in the comparison group (2.5 months over 2 years) before exit to a nursing home. Quality of life for residents in dementia programmes was enhanced through higher levels of social contact with relatives and lower reported levels of depressive symptoms. CONCLUSIONS:Dementia programmes worked, but the reasons why were more difficult to establish. The programmes did not appear to modify the capacities of residents by slowing rates of decline. Dementia programmes provided specialist (non-personal care) staff focusing on the social and emotional needs of residents. These staff provided appropriate, targeted activities for residents with dementia, had a clearly defined role directed exclusively to these residents and felt directly responsible for them. Dementia programmes produced a system effect. They increased the capacity of hostels to care for residents with dementia for longer periods, before admission to a nursing home.

authors

Rosewarne R,Bruce A,McKenna M

doi

10.1002/(sici)1099-1166(199702)12:2<173::aid-gps59

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

173-82

issue

2

eissn

0885-6230

issn

1099-1166

pii

10.1002/(SICI)1099-1166(199702)12:2<173::AID-GPS59

journal_volume

12

pub_type

杂志文章
  • The effect of alcohol and tobacco consumption, and apolipoprotein E genotype, on the age of onset in Alzheimer's disease.

    abstract:OBJECTIVE:This study examined the association between a history of heavy alcohol use and smoking, presence of the apolipoprotein-E epsilon 4 allele (APOE epsilon4), and age of disease onset in a community dwelling sample of 685 Alzheimer's disease (AD) patients spanning three ethnic groups. DESIGN:Cross-sectional stud...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2372

    authors: Harwood DG,Kalechstein A,Barker WW,Strauman S,St George-Hyslop P,Iglesias C,Loewenstein D,Duara R

    更新日期:2010-05-01 00:00:00

  • Length of hospital stay and dementia: A systematic review of observational studies.

    abstract:OBJECTIVE:Hospitalizations of people with dementia (PWD) are often accompanied by complications or functional loss and can lead to adverse outcomes. Unsystematic findings suggest an influence of comorbidities on the extent of differences in the length of hospital stay (LOS). This systematic review aimed to identify and...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4993

    authors: Möllers T,Stocker H,Wei W,Perna L,Brenner H

    更新日期:2019-01-01 00:00:00

  • The relation between social network site usage and loneliness and mental health in community-dwelling older adults.

    abstract:BACKGROUND:Loneliness is expected to become an even bigger social problem in the upcoming decades, because of the growing number of older adults. It has been argued that the use of social network sites can aid in decreasing loneliness and improving mental health. The purpose of this study was to examine whether and how...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4241

    authors: Aarts S,Peek ST,Wouters EJ

    更新日期:2015-09-01 00:00:00

  • Psychiatric disorder and personality factors associated with suicide in older people: a descriptive and case-control study.

    abstract:OBJECTIVE:To determine the rates of psychiatric disorder and personality variables in a sample of older people who had committed suicide and to compare the rates in a subgroup of this sample with those in a control group of people who died from natural causes. DESIGN:Descriptive psychological autopsy study, including ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,多中心研究

    doi:10.1002/1099-1166(200102)16:2<155::aid-gps289>3.0.

    authors: Harwood D,Hawton K,Hope T,Jacoby R

    更新日期:2001-02-01 00:00:00

  • Depressive symptoms among cognitively normal versus cognitively impaired elderly subjects.

    abstract:OBJECTIVES:The present cross-sectional study analyzed the prevalence and severity of depressive symptoms among patients with Alzheimer's disease (DAT), vascular dementia (VAD), and among the cognitively normal elderly. Putative risk factors contributing to depression were likewise evaluated. METHODS:Seventy-six DAT pa...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.360

    authors: Li Y,Meyer JS,Thornby J

    更新日期:2001-05-01 00:00:00

  • Effect of sociodemographic and physical activity on cognitive function in older adults: A nationwide cross-sectional survey.

    abstract:OBJECTIVE:We aimed to assess the effect of socioeconomic status and physical activity on cognitive function using a large population-based survey data in China. METHODS:We took advantage of the Chinese Longitudinal Healthy Longevity Survey conducted in 2014 to examine the relationship between sociodemographic, physica...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4932

    authors: Zhang Y,Gu Y,Zhang Y,Liu X,Zhang Y,Wu W,Chen X,Wang Q,Tan X

    更新日期:2019-02-01 00:00:00

  • Effectiveness of cognitive training in Chinese older people with subjective cognitive complaints: a randomized placebo-controlled trial.

    abstract:OBJECTIVE:This study examines the short-term and long-term effects of a cognitive training (CT) program in enhancing cognitive function of older people with subjective memory complaints. METHODS:A single-blind randomized placebo-controlled trial was carried out in a sample of 223 older adults aged 65 years or above wi...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/gps.3812

    authors: Kwok TC,Bai X,Li JC,Ho FK,Lee TM

    更新日期:2013-02-01 00:00:00

  • Depressive symptom quality and neuropsychological performance in dementia.

    abstract:BACKGROUND:It is unknown to what extent depression and cognitive dysfunction are related in subjects with dementia. A limitation of earlier studies is that only general measures of depression have been studied. METHODS:In a sample of 60 subjects with dementia according to DSM-III-R criteria depressive symptoms were di...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,多中心研究

    doi:10.1002/gps.1315

    authors: Janzing JG,Naarding P,Eling PA

    更新日期:2005-05-01 00:00:00

  • What are the psychosocial consequences when fear of falling starts or ends? Evidence from an asymmetric fixed effects analysis based on longitudinal data from the general population.

    abstract:OBJECTIVES:The purpose of this study was to identify whether the onset and the end of fear of falling (FOF) are associated with psychosocial consequences (in terms of depressive symptoms, loneliness, social isolation, autonomy, and subjective well-being). METHODS/DESIGN:Longitudinal data for this study were taken from...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5325

    authors: Hajek A,König HH

    更新日期:2020-09-01 00:00:00

  • A comparative study of stress and burnout among staff caregivers in nursing homes and acute geriatric wards.

    abstract:OBJECTIVE:To compare levels of stress and burnout among staff caregivers in nursing homes and acute geriatric wards of general hospitals. METHODS:A cross-sectional survey was conducted in three nursing homes (total of 522 beds, 270 caregivers) and nine geriatric sections of general hospitals (total of 371 beds, 280 ca...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,多中心研究

    doi:10.1002/gps.800

    authors: Cocco E,Gatti M,de Mendonça Lima CA,Camus V

    更新日期:2003-01-01 00:00:00

  • Access to public mental health services among older adults with severe mental illness.

    abstract:OBJECTIVE:Limited data are available on how older adults access public mental health systems. This study examines how uninsured or publicly insured older adults with severe mental illness in San Diego County initially accessed the public mental health system, as well as their subsequent use of public mental health serv...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2123

    authors: Gilmer TP,Ojeda VD,Fuentes D,Criado V,Garcia P

    更新日期:2009-03-01 00:00:00

  • Carotid intima-media thickness in late-onset major depressive disorder.

    abstract:BACKGROUND:This study explored whether patients with late-onset major depressive disorder showed higher carotid artery intima-medium thickness (IMT) and investigated the relationship between the IMT and white matter hyperintensities on magnetic resonance imaging (MRI) among patients. METHODS:Fourteen elderly patients ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1420

    authors: Chen CS,Chen CC,Kuo YT,Chiang IC,Ko CH,Lin HF

    更新日期:2006-01-01 00:00:00

  • Lifestyle for Brain Health (LIBRA): a new model for dementia prevention.

    abstract:OBJECTIVE:Modifiable risk factors for dementia were recently identified and compiled in a systematic review. The 'Lifestyle for Brain Health' (LIBRA) score, reflecting someone's potential for dementia prevention, was studied in a large longitudinal population-based sample with respect to predicting cognitive change ove...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4700

    authors: Schiepers OJG,Köhler S,Deckers K,Irving K,O'Donnell CA,van den Akker M,Verhey FRJ,Vos SJB,de Vugt ME,van Boxtel MPJ

    更新日期:2018-01-01 00:00:00

  • Total serum homocysteine in senile dementia of Alzheimer type.

    abstract:OBJECTIVE:The main hypothesis was that subtle vitamin B12 deficiencies occur more commonly in senile dementia of Alzheimer type (SDAT) that in healthy elderly individuals, and may be revealed by elevated total serum homocysteine (tHcy). A subsidiary hypothesis was that such deficiencies would be nutritionally independe...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(199804)13:4<235::aid-gps76

    authors: McCaddon A,Davies G,Hudson P,Tandy S,Cattell H

    更新日期:1998-04-01 00:00:00

  • Neuropsychiatric symptoms in South-East Asian patients with mild cognitive impairment and dementia: prevalence, subtypes, and risk factors.

    abstract:BACKGROUND:The subtypes and risk factors of neuropsychiatric symptoms remain largely unexplored in South-East Asian populations. OBJECTIVE:We investigated the prevalence, subtypes, and risk factors, namely, demographic, medical morbidity, and cognitive impairment associated with neuropsychiatric symptoms in a South-Ea...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4693

    authors: Yatawara C,Hiu S,Tan L,Kandiah N

    更新日期:2018-01-01 00:00:00

  • The MMSE orientation for time domain is a strong predictor of subsequent cognitive decline in the elderly.

    abstract:BACKGROUND:The mini-mental state exam (MMSE) has been used to address questions such as determination of appropriate cutoff scores for differentiation of individuals with intact cognitive function from patients with dementia and rate of cognitive decline. However, little is known about the relationship of performance i...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2282

    authors: Guerrero-Berroa E,Luo X,Schmeidler J,Rapp MA,Dahlman K,Grossman HT,Haroutunian V,Beeri MS

    更新日期:2009-12-01 00:00:00

  • Disassociation of verbal learning and hippocampal volume in type 2 diabetes and major depression.

    abstract:OBJECTIVE:The purpose of this study was to examine the relationship between verbal learning and memory performance and hippocampal volume in subjects with co-morbid type 2 diabetes and major depression compared with healthy control subjects and subjects with type 2 diabetes alone. METHODS:Twenty four subjects with typ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4149

    authors: Ajilore O,Lamar M,Medina J,Watari K,Elderkin-Thompson V,Kumar A

    更新日期:2015-04-01 00:00:00

  • Old age mental health services in England: implementing the National Service Framework for Older People.

    abstract:BACKGROUND:There is much variation in the services provided for older people with mental health problems. In England, the National Service Framework for Older People (NSFOP) sought to address these inconsistencies and improve care. This study describes the situation three years after its publication. METHODS:A postal ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1662

    authors: Tucker S,Baldwin R,Hughes J,Benbow S,Barker A,Burns A,Challis D

    更新日期:2007-03-01 00:00:00

  • Mortality and mental disorders in a Spanish elderly population.

    abstract:OBJECTIVE:To analyse the relationship between mental disorders and mortality rates in the elderly community of Zaragoza, Spain. METHODS:Baseline, cross-sectional study (two-stage screening) of a representative, stratified sample (N=1080) of the elderly (65+ years) living in the community. Follow-up study (4.5 years). ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(199912)14:12<1031::aid-gps

    authors: Saz P,Launer LJ,Día JL,De-La-Cámara C,Marcos G,Lobo A

    更新日期:1999-12-01 00:00:00

  • Structural correlates of apathy in Alzheimer's disease: a multimodal MRI study.

    abstract:OBJECTIVE:Apathy is one of the most frequent symptoms of dementia, whose underlying neurobiology is not well understood. The objective was to analyze the correlations of apathy and its dimensions with gray and white matter damage in the brain of patients with advanced Alzheimer's disease (AD). METHODS:The setting of t...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4548

    authors: Agüera-Ortiz L,Hernandez-Tamames JA,Martinez-Martin P,Cruz-Orduña I,Pajares G,López-Alvarez J,Osorio RS,Sanz M,Olazarán J

    更新日期:2017-08-01 00:00:00

  • The reliability and validity of the collateral source version of the Geriatric Depression Rating Scale administered by telephone.

    abstract:OBJECTIVE:To prospectively evaluate the reliability and validity of the Collateral Source Geriatric Depression Scale (CS-GDS) administered by telephone (T-CS-GDS) in patients undergoing outpatient comprehensive geriatric assessment. SUBJECTS:Eighty-three geriatric patients evaluated in a 1-year period at the outpatien...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:

    authors: Burke WJ,Rangwani S,Roccaforte WH,Wengel SP,Conley DM

    更新日期:1997-03-01 00:00:00

  • Consolidated framework for advancing implementation science for the implementation process and adherence assessment of a non-pharmacological delirium prevention program.

    abstract:OBJECTIVE:To evaluate the contribution of applying the theoretical framework of implementation science for adherence to non-pharmacological interventions to prevent delirium. METHODS:A quasi-experimental prospective design was conducted from March 2017 to October 2018 in a teaching hospital. Participants included 149 ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5425

    authors: Garrido MA,Alvarez EA,Ponce DP,Salech F,Tobar DI,Tobar EA

    更新日期:2021-02-01 00:00:00

  • Genetic research into Alzheimer's disease: a European focus group study on ethical issues.

    abstract:BACKGROUND:Nowadays, there is an increasing interest in the heritable aspects of Alzheimer's Disease (AD). The ethical implications of this kind of research are also attracting attention. However, relatively few open-ended qualitative studies have been carried out to study these aspects. OBJECTIVE:To explore and analy...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,多中心研究,评审

    doi:10.1002/gps.1825

    authors: van der Vorm A,Rikkert MO,Vernooij-Dassen M,Dekkers W,EDCON Panel.

    更新日期:2008-01-01 00:00:00

  • The effect of age on the pharmacological management of ambulatory patients treated with depot neuroleptic medications for schizophrenia and related psychotic disorders.

    abstract:BACKGROUND:Cross-sectional studies indicate that, in comparison to younger patients, older schizophrenic patients have a higher risk for neuroleptic-induced Parkinsonism and tardive dyskinesia (TD). It has been suggested, therefore, that older patients with schizophrenia could be maintained on reduced doses of conventi...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.740

    authors: Mamo DC,Sweet RA,Chengappa KN,Reddy RR,Jeste DV

    更新日期:2002-11-01 00:00:00

  • Factors affecting timely recognition and diagnosis of dementia across Europe: from awareness to stigma.

    abstract:BACKGROUND:Timely recognition and diagnosis of dementia is the pre-condition for improving dementia care, but diagnosis often occurs late in the disease process. OBJECTIVE:To compare facilitators and obstacles to the timely recognition of dementia across eight European Union states, in order to implement established p...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,多中心研究

    doi:10.1002/gps.1302

    authors: Vernooij-Dassen MJ,Moniz-Cook ED,Woods RT,De Lepeleire J,Leuschner A,Zanetti O,de Rotrou J,Kenny G,Franco M,Peters V,Iliffe S

    更新日期:2005-04-01 00:00:00

  • Cognitive function and disability in late life: an ecological validation of the 10/66 battery of cognitive tests among community-dwelling older adults in South India.

    abstract:BACKGROUND:The 10/66 Dementia Research Group developed and validated a culture and education fair battery of cognitive tests for diagnosis of dementia in population-based studies in low-income and middle-income countries including India. AIMS:This study examined the association between individual domains of the 10/66 ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4404

    authors: Krishna M,Beulah E,Jones S,Sundarachari R,A S,Kumaran K,Karat SC,Copeland JR,Prince M,Fall C

    更新日期:2016-08-01 00:00:00

  • Psychogeriatrics in South-East Asia.

    abstract::A common phenomenon in South-East Asia is ageing of the population. This article describes the various stages of development of psychogeriatrics in Hong Kong, Singapore, Malaysia, Thailand, Indonesia and the Philippines. It is only in the last few years that more systematic development of psychogeriatric services has ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(199710)12:10<989::aid-gps6

    authors: Chiu HF,Ng LL,Nivataphand R,Yong KC,Lengkong Y,Buenaventura RD,Li SW

    更新日期:1997-10-01 00:00:00

  • Increased systemic inflammatory interleukin-1ß and interleukin-6 during agitation as predictors of Alzheimer's disease.

    abstract:OBJECTS:Identification of biomarkers for Alzheimer's disease (AD) is important for its early diagnosis and prevention and a key in advancing our understanding of its pathophysiology. The aim of this study was to determine whether systemic inflammatory interleukin-1ß (IL-1ß) and interleukin-6 (IL-6) as well as hypertens...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.3816

    authors: Honma T,Hatta K,Hitomi Y,Kambayashi Y,Hibino Y,Konoshita T,Nakamura H

    更新日期:2013-03-01 00:00:00

  • Public funding for residential and nursing home care: projection of the potential impact of proposals to change the residential allowance in services for older people.

    abstract:BACKGROUND:This paper investigates the potential effects of a policy change in the funding of UK residential care. The White Paper Modernising Social Services (Cm 4169, 1998) outlined plans to change the distribution of the Residential Allowance (RA), payable in support of residents in independent residential or nursin...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.814

    authors: Clarkson P,Hughes J,Challis D

    更新日期:2003-03-01 00:00:00

  • Predictors of institutionalization in patients with dementia in Korea.

    abstract:BACKGROUND:Many studies have sought to determine the predictors of institutionalization of patients with dementia. Such studies, performed in developed western societies, have come to various conclusions which may not be supported in an East Asian culture such as that found in Korea. OBJECTIVES:This study aimed to det...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.494

    authors: Kim JM,Shin IS,Jeong SJ,Gormley N,Yoon JS

    更新日期:2002-02-01 00:00:00