ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2014
Correlates of quality of life for individuals with dementia living at home: the role of home environment, caregiver, and patient-related characteristics.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06264362 (Developing a Nonpharmacological Pain Intervention for Community-dwelling Older Adults With Dementia), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Developing a Nonpharmacological Pain Intervention for Community-dwelling Older Adults With Dementia
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic review of prevalence of pain among people with dementia living in the community.BMC neurology · 2026Pooled it
- Accessible Home Environments for People with Functional Limitations: A Systematic Review.International journal of environmental research and public health · 2016Pooled it
- Cost-Consequence Analysis of a Dementia Specialist Training Program for Home Care Workers: Results From a Stepped-Wedge Cluster-Randomised Controlled Trial.Australasian journal on ageing · 2026Trial
- Sex differences in health-related quality of life among individuals at high risk of dementia.European geriatric medicine · 2025Trial
- Trial
- E pluribus unum: Harmonization of physical functioning across intervention studies of middle-aged and older adults.PloS one · 2017Trial
- TaIlored ManagEment of Sleep (TIMES) for people with dementia and mild cognitive impairment in primary care in England: protocol for a feasibility cluster-randomised controlled trial.Pilot and feasibility studies · 2026Article
- Housing characteristics of older adults with cognitive impairment.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Cultural Factors Predict Positive Caregiving Appraisal Among Racially and Ethnically Diverse Dementia Family Caregivers.Journal of gerontological social work · 2025Article
- Clinical Aspects of Mental Imagery in Alzheimer's Disease-Related Dementia: A Review of Cognitive, Motor, and Emotional Interventions.Brain sciences · 2025Review
- Designing aesthetically authentic, restorative, and socially interactive environments for retirement homes: impacts on senior consumers' relocation intention.Frontiers in psychology · 2025Article
- Effects of Mental Imagery on Quality of Life, Cognitive, and Emotional Status in Older Adults with Early-Stage Alzheimer's Disease Dementia: A Randomized Controlled Trial.Brain sciences · 2024Article
- Determinants of quality of life among people with dementia: evidence from a South Asian population.BMC geriatrics · 2022Article
- Relationship between parental history of dementia, motor-cognitive and executive function performance in African American women.Journal of the neurological sciences · 2022Article
- Pre-statistical harmonization of behavrioal instruments across eight surveys and trials.BMC medical research methodology · 2021Article
- Non-benzodiazepine hypnotic use for sleep disturbance in people aged over 55 years living with dementia: a series of cohort studies.Health technology assessment (Winchester, England) · 2021Article
- Adverse effects of Z-drugs for sleep disturbance in people living with dementia: a population-based cohort study.BMC medicine · 2020Article
- Article
- Physical Attributes of Housing and Elderly Health: A New Dynamic Perspective.International journal of environmental research and public health · 2019Article
- Unmet needs in community-living persons with dementia are common, often non-medical and related to patient and caregiver characteristics.International psychogeriatrics · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesTo examine prevalence of modifiable risk factors and their contribution to patient quality of life (QoL) as rated by dementia patients and family caregivers.
designCross-sectional.
settingHome environment.
participants88 patients and their caregivers. MEASUREMENTS: Modifiable characteristics of home environments, patients, and caregivers were observed or obtained through interview. Demographics and ratings of patients' QoL were obtained from patients and caregivers.
resultsPatients had mean Mini-mental Status Examination (MMSE) score = 17.7 ± 4.6, (range: 10-28) on an average 7.7 ± 2.4 neuropsychiatric behaviors, 6.0 ± 3.1 health conditions and moderate functional challenges; 70.7% (N = 58) had fall risk; 60.5% (N = 52) had sleep problems at least once weekly; and 42.5% (N = 37) had pain. An average of 8.1 ± 5.2 home hazards and 5.4 ± 4.1 adaptations were observed; 51.7% had unmet device/navigation needs. Patients' and caregivers' QoL ratings were unrelated to MMSE; and patients' self-rated QoL was higher than rated by caregivers. Number of health conditions and unmet device/navigation needs were inversely associated with patient self-rated QoL, and number of health conditions, frequency of behaviors, and level of negative communications were inversely associated with caregiver's assessment of patient QoL. Positive endorsement of caregiving was positively associated with caregiver's appraisal of patient QoL. Other factors were unrelated.
conclusionsMost patients lived at home with high fall risk, unmanaged behavioral symptoms, pain, sleep disturbances, environmental challenges, and multiple hazards. Except for health, factors associated with lower QoL differed for patients and caregivers. Results suggest need to improve QoL by addressing modifiable risk factors and tailoring interventions to patient and caregiver perspectives.
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