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

Dieneke Smit*, Jacomine De Lange, Bernadette Willemse, Anne Margriet Pot

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review


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.

Original languageEnglish
Article number175
JournalBMC Geriatrics
Issue number1
Publication statusPublished - 4 Aug 2017


This study was based on the second wave of the Living Arrangements for people with Dementia (LAD-) study, which was funded by grants from the Dutch Ministry of Health, Welfare and Sport, and the Dutch Alzheimer Association (grant number 1059345/317150).

FundersFunder number
Dutch Alzheimer Association
Ministerie van Volksgezondheid, Welzijn en Sport


    • Activity involvement
    • Cross-sectional study
    • Dementia care homes
    • Predictors


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