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

Dieneke Smit, Jacomine De Lange, Bernadette Willemse, Jos Twisk, Anne Margriet Pot

Research output: Contribution to JournalArticleAcademicpeer-review

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.

Original languageEnglish
Pages (from-to)100-109
Number of pages10
JournalAging and Mental Health
Volume20
Issue number1
DOIs
Publication statusPublished - 1 Jan 2016

Fingerprint

Long-Term Care
Dementia
Quality of Life
Cognition
Activities of Daily Living
Linear Models
Regression Analysis
Research

Keywords

  • Alzheimer's disease
  • nursing homes
  • occupation
  • well-being

Cite this

Smit, Dieneke ; De Lange, Jacomine ; Willemse, Bernadette ; Twisk, Jos ; Pot, Anne Margriet. / Activity involvement and quality of life of people at different stages of dementia in long term care facilities. In: Aging and Mental Health. 2016 ; Vol. 20, No. 1. pp. 100-109.
@article{2869197b8471472aaa2fcbe636863339,
title = "Activity involvement and quality of life of people at different stages of dementia in long term care facilities",
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.",
keywords = "Alzheimer's disease, nursing homes, occupation, well-being",
author = "Dieneke Smit and {De Lange}, Jacomine and Bernadette Willemse and Jos Twisk and Pot, {Anne Margriet}",
year = "2016",
month = "1",
day = "1",
doi = "10.1080/13607863.2015.1049116",
language = "English",
volume = "20",
pages = "100--109",
journal = "Aging and Mental Health",
issn = "1360-7863",
publisher = "Taylor and Francis Ltd.",
number = "1",

}

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; Pot, Anne Margriet.

In: Aging and Mental Health, Vol. 20, No. 1, 01.01.2016, p. 100-109.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Activity involvement and quality of life of people at different stages of dementia in long term care facilities

AU - Smit, Dieneke

AU - De Lange, Jacomine

AU - Willemse, Bernadette

AU - Twisk, Jos

AU - Pot, Anne Margriet

PY - 2016/1/1

Y1 - 2016/1/1

N2 - 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.

AB - 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.

KW - Alzheimer's disease

KW - nursing homes

KW - occupation

KW - well-being

UR - http://www.scopus.com/inward/record.url?scp=84946493570&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84946493570&partnerID=8YFLogxK

U2 - 10.1080/13607863.2015.1049116

DO - 10.1080/13607863.2015.1049116

M3 - Article

VL - 20

SP - 100

EP - 109

JO - Aging and Mental Health

JF - Aging and Mental Health

SN - 1360-7863

IS - 1

ER -