Evidence map›Paper›PMID 27031480›Full record

Trial reportJournal of Alzheimer's disease : JAD2016

Living Alone with Dementia: Prevalence, Correlates and the Utilization of Health and Nursing Care Services.

Tilly Eichler, Wolfgang Hoffmann, Johannes Hertel, Steffen Richter, Diana Wucherer, Bernhard Michalowsky, Adina Dreier, Jochen René Thyrian

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of Alzheimer's disease : JAD, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01401582 (Dementia), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT01401582 nacompletednot on this map

Dementia: Life- and Personcentered Help in Germany

TypeinterventionalSponsorGerman Center for Neurodegenerative Diseases (DZNE)Ran2012 to 2024Enrolled634ConditionsDementiaArmsImplementation of Dementia Care Manager
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Living Alone With Dementia: A Reality Check.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
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  16. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tilly EichlerGerman Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Greifswald, Germany.
Wolfgang HoffmannGerman Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Greifswald, Germany.
Johannes HertelGerman Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Greifswald, Germany.
Steffen RichterGerman Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Greifswald, Germany.
Diana WuchererGerman Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Greifswald, Germany.
Bernhard MichalowskyGerman Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Greifswald, Germany.
Adina DreierGerman Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Greifswald, Germany.
Jochen René ThyrianGerman Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Greifswald, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the proportion and the characteristics of community-dwelling people with dementia (PWD) living alone in Germany.

objectivesTo analyze the prevalence of PWD living alone (with and without the support of an informal caregiver) and socio-demographical and clinical characteristics as well as health and nursing care utilization associated with living alone.

methodsDelpHi-MV (Dementia: Life- and person-centered help in Mecklenburg-Western Pomerania) is a general practitioner-based, randomized controlled intervention trial. The present analyses are based on baseline data of 511 patients (≥70 years, community-dwelling) who had screened positive for dementia (DemTect <9).

resultsN = 251 (51%) of the patients lived alone. PWD living alone were statistically significantly more often female, older, and more often widowed than those not living alone. About 9% of the patients (n = 24) were not supported by any informal caregiver. Regarding the clinical variables (cognitive and functional impairment, depression, falls, number of drug-related problems, malnutrition, quality of life), there were no statistically significant group differences. Patients living alone utilized professional services such as home care, help with medication, home-delivered meals, or housekeeping assistance significantly more often. Multivariate analyses confirmed these findings.

conclusionOur results reveal the high proportion of PWD living alone in Germany. PWD living alone did not seem to be at an increased health risk. Our findings indicate that living alone with dementia is possible. In order to ensure the sufficient provision of health and nursing care services for PWD living alone, providers should consider the present results for future planning.

Indexed as

AgedAged, 80 and overAge FactorsCross-Sectional StudiesDementiaFamily CharacteristicsFemaleGermanyHome Care ServicesHousingHumansMaleMultivariate AnalysisPrevalenceSex FactorsAmbulatory caredementialiving arrangementsprimary health care

Identifiers

PMID27031480
PMCPMC4927920

What OpenQuestion holds

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Registered trials

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.