ArticleBMC geriatrics2015
A 36-month follow-up of decline in activities of daily living in individuals receiving domiciliary care.
Article in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 32 citations in OpenAlex.
- The doll therapy as a first line treatment for behavioral and psychologic symptoms of dementia in nursing homes residents: a randomized, controlled study.BMC geriatrics · 2021Trial
- Implementing a novel strategy for interprofessional medication review using collegial mentoring and systematic clinical evaluation in nursing homes (COSMOS).BMC geriatrics · 2019Trial
- Joint developmental trajectories and temporal precedence of physical function decline and cognitive deterioration: A longitudinal population-based study.Frontiers in psychology · 2022Article
- Effects of physical-cognitive training on physical and psychological functions among older adults with type 2 diabetes and balance impairment: a randomized controlled trial.Journal of exercise rehabilitation · 2021Article
- Discrepancies Between Community-Dwelling Individuals with Dementia and Their Proxies in Completing the Cornell Scale for Depression in Dementia: A Secondary Data Analysis.Clinical interventions in aging · 2021Article
- Older Adults' Engagement in Technology-Mediated Self-Monitoring of Diet: A Mixed-Method Study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2021Article
- The role of physical and cognitive function in performance of activities of daily living in patients with mild-to-moderate Alzheimer's disease - a cross-sectional study.BMC geriatrics · 2020Article
- Course of activities of daily living in nursing home residents with dementia from admission to 36-month follow-up.BMC geriatrics · 2020Article
- Impact of training and structured medication review on medication appropriateness and patient-related outcomes in nursing homes: results from the interventional study InTherAKT.BMC geriatrics · 2019Article
- The course of depressive symptoms with decline in cognitive function - a longitudinal study of older adults receiving in-home care at baseline.BMC geriatrics · 2019Article
- Predicting admission to long-term care and mortality among community-based, dependent older people in Ireland.International journal of geriatric psychiatry · 2019Article
- Do Nursing Home Residents With Dementia Receive Pain Interventions?American journal of Alzheimer's disease and other dementias · 2019Article
- Correlates of Mild Cognitive Impairment of Community-Dwelling Older Adults in Wuhan, China.International journal of environmental research and public health · 2018Article
- The Impact of Antipsychotic Drugs on Long-term Care, Nursing Home Admission, and Death in Dementia Patients.The journals of gerontology. Series A, Biological sciences and medical sciences · 2018Article
- Article
- Joint Association of Obesity and Hypertension with Disability in the Elderly-- A Community-Based Study of Residents in Shanghai, China.The journal of nutrition, health & aging · 2017Article
- Greater Independence in Activities of Daily Living is Associated with Higher Health-Related Quality of Life Scores in Nursing Home Residents with Dementia.Healthcare (Basel, Switzerland) · 2015Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere have been few studies of how personal and instrumental activities of daily living (P-ADL and I-ADL) develop over time in older people receiving domiciliary care. This study aimed at assessing variables associated with the development of P-ADL and I-ADL functioning over a 36-month follow-up period, with a particular focus on cognitive functioning.
methodIn all, 1001 older people (≥70 years) receiving domiciliary care were included in a longitudinal study with three assessments of P-ADL and I-ADL functioning during 36 months. P-ADL and I-ADL were assessed using the Lawton and Brody's Physical Self-Maintenance Scale and Instrumental Activities of Daily Living Scale, respectively. Mini Mental State Examination (MMSE), diagnosis of dementia and MCI, neuropsychiatric symptoms and use of psychotropic medication were also evaluated during the three assessments. Baseline demographic and general medical health information and information of being a nursing home resident at follow-up were recorded. Linear mixed models were estimated.
resultsThere was a significant decline in P-ADL and I-ADL functioning throughout the follow-up. A lower MMSE sum-score, diagnosed MCI and dementia, a higher level of neuropsychiatric symptoms and the use of antipsychotics and antidepressants recorded at each assessment were associated with a decline in both P-ADL and I-ADL functioning. Furthermore, a decline in P-ADL and I-ADL functioning at follow-ups was associated with being male, a higher baseline age and in poorer medical health as well as residing in a nursing home at follow-up.
conclusionP-ADL and I-ADL functioning in older people worsened over time. The worsening was associated with lower MMSE sum-score, diagnosed MCI and dementia, poorer medical health, neuropsychiatric symptoms, use of psychotropic medication and being transferred to nursing home care. Clinicians should pay close attention to the assessment and treatment of these factors to help older people maintain their level of functioning for as long as possible.
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