Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2018

Open Access 01-12-2018 | Research

Quality of life in small-scaled homelike nursing homes: an 8-month controlled trial

Authors: Jeroen S. Kok, Marjan M. A. Nielen, Erik J. A. Scherder

Published in: Health and Quality of Life Outcomes | Issue 1/2018

Login to get access

Abstract

Background

Quality of life is a clinical highly relevant outcome for residents with dementia. The question arises whether small scaled homelike facilities are associated with better quality of life than regular larger scale nursing homes do.

Methods

A sample of 145 residents living in a large scale care facility were followed over 8 months. Half of the sample (N = 77) subsequently moved to a small scaled facility. Quality of life aspects were measured with the QUALIDEM and GIP before and after relocation.

Results

We found a significant Group x Time interaction on measures of anxiety meaning that residents who moved to small scale units became less anxious than residents who stayed on the regular care large-scale units. No significant differences were found on other aspects of quality of life.

Conclusions

This study demonstrates that residents who move from a large scale facility to a small scale environment can improve an aspect of quality of life by showing a reduction in anxiety.

Trial registration

Current Controlled Trials ISRCTN11151241. registration date: 21–06-2017. Retrospectively registered.
Literature
13.
go back to reference Mjorud M, Kirkevold M, Rosvik J, Selbaek G, Engedal K. Variables associated to quality of life among nursing home patients with dementia. Aging & Mental Health. 2014;18(8):1013–21.CrossRef Mjorud M, Kirkevold M, Rosvik J, Selbaek G, Engedal K. Variables associated to quality of life among nursing home patients with dementia. Aging & Mental Health. 2014;18(8):1013–21.CrossRef
21.
go back to reference Pot AM, de Lange J. Monitor woonvormen Dementie; een studie naar verpleeghuiszorg voor mensen met dementie. Trimbos Instituut Netherlands Institute of Mental Health and Addiction. 2010. ISBN 978-90-5253-6729. Pot AM, de Lange J. Monitor woonvormen Dementie; een studie naar verpleeghuiszorg voor mensen met dementie. Trimbos Instituut Netherlands Institute of Mental Health and Addiction. 2010. ISBN 978-90-5253-6729.
26.
go back to reference Folstein M, Folstein S, McHugh P. Mini-Mental State: A practical method for grading the cognitive state of patients for de clinician. J Psychiatr Res. 1975;12:189–98.CrossRefPubMed Folstein M, Folstein S, McHugh P. Mini-Mental State: A practical method for grading the cognitive state of patients for de clinician. J Psychiatr Res. 1975;12:189–98.CrossRefPubMed
27.
go back to reference Kok R, Heeren T, Hemert van A. De Geriatric Depression Scale. Tijdschrift voor psychiatrie. 1993;35(6):416–21. Kok R, Heeren T, Hemert van A. De Geriatric Depression Scale. Tijdschrift voor psychiatrie. 1993;35(6):416–21.
28.
go back to reference Yesavage J, Brink T, Rose T, Lum O, Huang V, Adey M, Leirer V. Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research. 1982;17(1):37–49.CrossRefPubMed Yesavage J, Brink T, Rose T, Lum O, Huang V, Adey M, Leirer V. Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research. 1982;17(1):37–49.CrossRefPubMed
30.
go back to reference Ettema TP, Dröes RM, de Lange J, Mellenbergh GJ, Ribbe MW. QUALIDEM: development and evaluation of a dementia specific quality of life instrument--validation. Int J Geriatr Psychiatry. 2007;22(5):424–30.CrossRefPubMed Ettema TP, Dröes RM, de Lange J, Mellenbergh GJ, Ribbe MW. QUALIDEM: development and evaluation of a dementia specific quality of life instrument--validation. Int J Geriatr Psychiatry. 2007;22(5):424–30.CrossRefPubMed
31.
go back to reference Ettema TP, Dröes RM, de Lange J, Mellenbergh GJ, Ribbe MW. QUALIDEM: development and evaluation of a dementia specific quality of life instrument. Scalability, reliability and internal structure. Int J Geriatr Psychiatry. 2007;22(6):549–56.CrossRefPubMed Ettema TP, Dröes RM, de Lange J, Mellenbergh GJ, Ribbe MW. QUALIDEM: development and evaluation of a dementia specific quality of life instrument. Scalability, reliability and internal structure. Int J Geriatr Psychiatry. 2007;22(6):549–56.CrossRefPubMed
33.
go back to reference Verstraten P, van Eekelen C, Handleiding voor de Gedragsobservatieschaal voor intramurale psychogeriatrie. Van Loghum Slaterus, 1987. Verstraten P, van Eekelen C, Handleiding voor de Gedragsobservatieschaal voor intramurale psychogeriatrie. Van Loghum Slaterus, 1987.
34.
go back to reference Robey R. Reporting point and interval estimates of effect-size for planned contrasts: fixed within effect analyses of variance. J Fluency Disord. 2004;29(4):307–41.CrossRefPubMed Robey R. Reporting point and interval estimates of effect-size for planned contrasts: fixed within effect analyses of variance. J Fluency Disord. 2004;29(4):307–41.CrossRefPubMed
37.
go back to reference Verhage F. Intelligence and Age: Research on Dutch people aged twelve to seventy seven years old. Assen: van Gorcum; 1964. Verhage F. Intelligence and Age: Research on Dutch people aged twelve to seventy seven years old. Assen: van Gorcum; 1964.
46.
go back to reference Kane RA, Lum TY, Cutler LJ, Degenholtz HB, Yu TC. Resident outcomes in small-house nursing homes: a longitudinal evaluation of the initial green house program. J Am Geriatr Soc. 2007;55(6):832–9.CrossRefPubMed Kane RA, Lum TY, Cutler LJ, Degenholtz HB, Yu TC. Resident outcomes in small-house nursing homes: a longitudinal evaluation of the initial green house program. J Am Geriatr Soc. 2007;55(6):832–9.CrossRefPubMed
50.
go back to reference Hongisto K, Hallikainen I, Selander T, Törmälehto S, Väätäinen S, Martikainen J, Välimäki T, Hartikainen S, Suhonen J, Koivisto AM. Quality of Life in relation to neuropsychiatric symptoms in Alzheimer's disease: 5-year prospective ALSOVA cohort study. Int J Geriatr Psychiatry. 2017; https://doi.org/10.1002/gps.4666. Hongisto K, Hallikainen I, Selander T, Törmälehto S, Väätäinen S, Martikainen J, Välimäki T, Hartikainen S, Suhonen J, Koivisto AM. Quality of Life in relation to neuropsychiatric symptoms in Alzheimer's disease: 5-year prospective ALSOVA cohort study. Int J Geriatr Psychiatry. 2017; https://​doi.​org/​10.​1002/​gps.​4666.​
51.
go back to reference Pusswald G, Moser D, Pflüger M, Gleiss A, Auff E, Stögmann E, Dal-Bianco P, Lehrner J. The impact of depressive symptoms on health-related quality of life in patients with subjective cognitive decline, mild cognitive impairment, and Alzheimer's disease. Int Psychogeriatr. 2016;28(12):2045–54.CrossRefPubMed Pusswald G, Moser D, Pflüger M, Gleiss A, Auff E, Stögmann E, Dal-Bianco P, Lehrner J. The impact of depressive symptoms on health-related quality of life in patients with subjective cognitive decline, mild cognitive impairment, and Alzheimer's disease. Int Psychogeriatr. 2016;28(12):2045–54.CrossRefPubMed
52.
go back to reference Oudman E, Veurink B. Quality of life in nursing home residents with advanced dementia: a 2-year follow-up. Psychogeriatrics. 2014;14(4):235–40. Oudman E, Veurink B. Quality of life in nursing home residents with advanced dementia: a 2-year follow-up. Psychogeriatrics. 2014;14(4):235–40.
53.
go back to reference Klapwijk MS, Caljouw MA, Pieper MJ, van der Steen JT, Achterberg WP. Characteristics Associated with Quality of Life in Long-Term Care Residents with Dementia: A Cross-Sectional Study. Dement Geriatr Cogn Disord. 2016;42(3-4):186–97.CrossRefPubMedPubMedCentral Klapwijk MS, Caljouw MA, Pieper MJ, van der Steen JT, Achterberg WP. Characteristics Associated with Quality of Life in Long-Term Care Residents with Dementia: A Cross-Sectional Study. Dement Geriatr Cogn Disord. 2016;42(3-4):186–97.CrossRefPubMedPubMedCentral
56.
go back to reference Reisberg B. Global measures: utility in defining and measuring treatment response in dementia. Int Psychogeriatr. 2007;19(3):421–56.CrossRefPubMed Reisberg B. Global measures: utility in defining and measuring treatment response in dementia. Int Psychogeriatr. 2007;19(3):421–56.CrossRefPubMed
Metadata
Title
Quality of life in small-scaled homelike nursing homes: an 8-month controlled trial
Authors
Jeroen S. Kok
Marjan M. A. Nielen
Erik J. A. Scherder
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2018
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-018-0853-7

Other articles of this Issue 1/2018

Health and Quality of Life Outcomes 1/2018 Go to the issue