Predictors of activity involvement in dementia care homes: a cross-sectional study
Abstract Background Despite 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 provisio...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2017-08-01
|
| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-017-0564-7 |
| _version_ | 1819056953526059008 |
|---|---|
| author | Dieneke Smit Jacomine de Lange Bernadette Willemse Anne Margriet Pot |
| author_facet | Dieneke Smit Jacomine de Lange Bernadette Willemse Anne Margriet Pot |
| author_sort | Dieneke Smit |
| collection | DOAJ |
| description | Abstract Background Despite 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. Methods Data 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. Results The 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. Conclusions To 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. |
| first_indexed | 2024-12-21T13:31:36Z |
| format | Article |
| id | doaj.art-00ec1611327343199bd6b634f7b24d7c |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-21T13:31:36Z |
| publishDate | 2017-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-00ec1611327343199bd6b634f7b24d7c2022-12-21T19:02:16ZengBMCBMC Geriatrics1471-23182017-08-0117111910.1186/s12877-017-0564-7Predictors of activity involvement in dementia care homes: a cross-sectional studyDieneke Smit0Jacomine de Lange1Bernadette Willemse2Anne Margriet Pot3Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioral and Movement Sciences, Vrije Universiteit AmsterdamResearch Centre Innovations in Care, Rotterdam University of Applied SciencesDepartment of Clinical, Neuro and Developmental Psychology, Faculty of Behavioral and Movement Sciences, Vrije Universiteit AmsterdamDepartment of Clinical, Neuro and Developmental Psychology, Faculty of Behavioral and Movement Sciences, Vrije Universiteit AmsterdamAbstract Background Despite 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. Methods Data 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. Results The 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. Conclusions To 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.http://link.springer.com/article/10.1186/s12877-017-0564-7Cross-sectional studyDementia care homesPredictorsActivity involvement |
| spellingShingle | Dieneke Smit Jacomine de Lange Bernadette Willemse Anne Margriet Pot Predictors of activity involvement in dementia care homes: a cross-sectional study BMC Geriatrics Cross-sectional study Dementia care homes Predictors Activity involvement |
| title | Predictors of activity involvement in dementia care homes: a cross-sectional study |
| title_full | Predictors of activity involvement in dementia care homes: a cross-sectional study |
| title_fullStr | Predictors of activity involvement in dementia care homes: a cross-sectional study |
| title_full_unstemmed | Predictors of activity involvement in dementia care homes: a cross-sectional study |
| title_short | Predictors of activity involvement in dementia care homes: a cross-sectional study |
| title_sort | predictors of activity involvement in dementia care homes a cross sectional study |
| topic | Cross-sectional study Dementia care homes Predictors Activity involvement |
| url | http://link.springer.com/article/10.1186/s12877-017-0564-7 |
| work_keys_str_mv | AT dienekesmit predictorsofactivityinvolvementindementiacarehomesacrosssectionalstudy AT jacominedelange predictorsofactivityinvolvementindementiacarehomesacrosssectionalstudy AT bernadettewillemse predictorsofactivityinvolvementindementiacarehomesacrosssectionalstudy AT annemargrietpot predictorsofactivityinvolvementindementiacarehomesacrosssectionalstudy |