Activity involvement and quality of life of people at different stages of dementia in long term care facilities

Smit, Dieneke, de Lange, Jacomine, Willemse, Bernadette, Twisk, Jos and Pot, Anne M. (2015) Activity involvement and quality of life of people at different stages of dementia in long term care facilities. Aging and Mental Health, 20 1: 100-109. doi:10.1080/13607863.2015.1049116

Author Smit, Dieneke
de Lange, Jacomine
Willemse, Bernadette
Twisk, Jos
Pot, Anne M.
Title Activity involvement and quality of life of people at different stages of dementia in long term care facilities
Journal name Aging and Mental Health   Check publisher's open access policy
ISSN 1364-6915
Publication date 2015-06-02
Sub-type Article (original research)
DOI 10.1080/13607863.2015.1049116
Volume 20
Issue 1
Start page 100
End page 109
Total pages 10
Place of publication Abingdon, Oxon, United Kingdom
Publisher Routledge
Language eng
Formatted abstract
Objectives:   Involvement in activities is assumed to positively influence the quality of life of people with dementia, yet activity provision in long-term care remains limited. This study aims to provide more insight into the value of activity involvement for domains of the quality of life of long-term dementia care residents, taking resident characteristics and cognitive status into account.

Method:   Data were derived from 144 long-term care facilities participating in the second measurement (2010/2011) of the living arrangements for dementia study. Amongst 1144 residents, the relationship between time involved in activities (activity pursuit patterns; RAI-MDS) and quality of life (Qualidem) was studied using multilevel linear regression analyses. Analyses were adjusted for residents’ age, gender, neuropsychiatric symptoms, ADL dependency and cognition. To check for effect modification of cognition, interactions terms of the variables activity involvement and cognitive status were added to the analyses.

Results:   Despite resident's cognitive status, their activity involvement was significantly related to better scores on care relationship, positive affect, restless tense behaviour, social relations, and having something to do. A negative relationship existed between the activity involvement and positive self-image. The explained variance in the quality of life between residents caused by the activity involvement was small.

Conclusion:   Activity involvement seems to be a small yet important contributor to higher well-being in long-term care resident at all stages of dementia. Adjusting activities to individual preferences and capabilities might enlarge this relationship. Further research is needed to confirm this hypothesis, using measurement instruments less sensitive to recall bias and differentiating between the active and passive activity involvement.
Keyword Alzheimer's disease
Nursing homes
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 2 June 2015.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Psychology Publications
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Citation counts: TR Web of Science Citation Count  Cited 6 times in Thomson Reuters Web of Science Article | Citations
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