ArticleClinical interventions in aging2014
Solitary living in Alzheimer's disease over 3 years: association between cognitive and functional impairment and community-based services.
Article in Clinical interventions in aging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Innovative socio-sanitary rehabilitation models in central nervous system disorders: a systematic review.Frontiers in public health · 2026Pooled it
- Non-Pharmacological Interventions for People With Dementia Who Live Alone: A Systematic Review.International journal of geriatric psychiatry · 2025Pooled it
- Psychological characteristics and functional abilities in older adults with subjective cognitive complaints: A potential new target for early intervention.International psychogeriatrics · 2026Trial
- Living alone with dementia is a neglected source of inequality: findings from a scoping review of research evidence.Systematic reviews · 2025Article
- Characteristics, Needs, and Perspectives of Individuals Living Alone With Dementia: An Integrative Review.Health science reports · 2025Article
- Associations between personality and psychological characteristics and cognitive outcomes among older adults.Psychology and aging · 2024Article
- Hospital admissions and emergency department visits for people with dementia.QJM : monthly journal of the Association of Physicians · 2024Article
- Predictors of Variation in the Cognitive Function Trajectories among Older Adults Living Alone: A Growth Mixture Modeling Approach.Healthcare (Basel, Switzerland) · 2023Article
- Perceptions of the Role of Living Alone in Providing Services to Patients With Cognitive Impairment.JAMA network open · 2023Article
- The Living Alone with Cognitive Impairment Project's Policy Advisory Group on Long-Term Services and Supports: Setting a Research Equity Agenda.International journal of environmental research and public health · 2022Article
- Chronic wounds in persons living with dementia: An integrative review.International journal of older people nursing · 2022Review
- Can leisure and entertainment lifestyle promote health among older people living alone in China?-A simultaneous equation approach.Frontiers in public health · 2022Article
- Use of Services by People Living Alone With Cognitive Impairment: A Systematic Review.Innovation in aging · 2021Review
- Article
- The Precarity of Older Adults Living Alone With Cognitive Impairment.The Gerontologist · 2019Article
- Influences on the access to and use of formal community care by people with dementia and their informal caregivers: a scoping review.BMC health services research · 2019Article
- Determinants Of Antipsychotic Drugs Prescription Among Community-Living Older Adults With Dementia: A Population-Based Study Using Health Information Systems In The Lazio Region, Italy.Clinical interventions in aging · 2019Article
- Sex and gender differences in polypharmacy in persons with dementia: A scoping review.SAGE open medicine · 2019Article
- Advancing Research on Care Needs and Supportive Approaches for Persons With Dementia: Recommendations and Rationale.Journal of the American Medical Directors Association · 2018Article
- The Effects and Meanings of Receiving a Diagnosis of Mild Cognitive Impairment or Alzheimer's Disease When One Lives Alone.Journal of Alzheimer's disease : JAD · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMany individuals with Alzheimer's disease (AD) live alone, and this figure is expected to increase. This study aimed to describe the cognitive and functional abilities of solitary-living AD patients, and the potential predictors of their usage of community-based services.
methodsThis 3-year, prospective, multicenter study included 1,021 participants with mild-to-moderate AD (Mini-Mental State Examination score, 10-26) treated with a cholinesterase inhibitor in a routine clinical setting. At baseline and every 6 months, patients were assessed using cognitive, instrumental, and basic activities of daily living (ADL) scales, and service utilization was recorded. Logistic regression models were used to predict the usage of community-based services.
resultsAt the start of cholinesterase inhibitor therapy (time of AD diagnosis), 355 individuals (35%) were living alone. They were mainly female, older, had more impaired basic ADL capacity, and had a larger number of concomitant medications when compared with those living with family. Regarding the solitary-living patients, lower instrumental ADL (IADL) ability and more medications were independent predictors of usage of home-help services, whereas more impaired IADL at baseline and faster IADL deterioration were predictors of nursing home admission. For those living with family, older age, lower basic ADL, and a greater number of medications predicted home-help services, whereas a larger amount of home help predicted nursing home placement. In addition, female sex was a risk factor for both the utilization of home-help services and nursing home placement. Cognitive ability was not significantly associated with the usage of community-based services.
conclusionA large number of AD patients, predominantly females, live alone with severe cognitive and functional impairment. The amount of home-help services used did not reflect cognitive severity, suggesting that home help did not meet the needs related to cognitive deterioration. Increased knowledge of how community-based services can better accommodate the care needs of solitary-living individuals with AD is essential.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.