Predictors of activity involvement in dementia care homes: a cross-sectional study

BMC Geriatrics

Research Article

Dieneke Smit¹  Bernadette Willemse¹  Anne Margriet Pot²  Jacomine de Lange³ 

[1] Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioral and Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands;Program on Aging, Netherlands Institute of Mental Health and Addiction, PO box 725, 3500 AS, Utrecht, the Netherlands;Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioral and Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands;Program on Aging, Netherlands Institute of Mental Health and Addiction, PO box 725, 3500 AS, Utrecht, the Netherlands;School of Psychology, University of Queensland, Brisbane, Australia;Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rochussenstraat 198, 3015 EK, Rotterdam, the Netherlands;

关键词: Cross-sectional study;    Dementia care homes;    Predictors;    Activity involvement;   

DOI  :  10.1186/s12877-017-0564-7

 received in 2016-12-30, accepted in 2017-07-24,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundDespite the finding that involvement in activities is one of the most important needs of residents with dementia living in care homes, care facilities struggle to fulfill this need. Over the years, various factors are suggested which may contribute to or disable activity provision in dementia care homes. These include limited financial resources, task oriented staff and disease-related characteristics of residents. This study aims to further clarify which of these factors predict higher activity involvement.MethodsData were derived from the second measurement (2011) of the Living Arrangements for people with Dementia study. One thousand two hundred eighteen people residing in 139 dementia care homes were involved. Forty predictors of higher involvement were studied. Multilevel backward regression analyses were performed.ResultsThe most important predictors of higher involvement were: absence of agitation, less ADL dependency, and a higher cognitive status of the residents, higher staff educational level, lower experienced job demands by care staff and a smaller number of residents living in the dementia care wards of a facility. More social supervisor support as perceived by staff was found to predict less activity involvement.ConclusionsTo increase the activity involvement of care home residents with dementia it seems vital to: 1) reduce staff’s experienced job demands; 2) elevate their overall educational level; 3) train staff to provide suitable activities, taking account of the behavior and preserved capabilities of residents; and 4) foster transition towards small-scale care. In order to achieve these aims, care organizations might need to evaluate the use of their financial means.

【 授权许可】

CC BY   
© The Author(s). 2017