Evidence map›Paper›PMID 28129741›Full record

ArticleBMC geriatrics2017

Life-space and movement behavior in nursing home residents: results of a new sensor-based assessment and associated factors.

Carl-Philipp Jansen, Mona Diegelmann, Eva-Luisa Schnabel, Hans-Werner Wahl, Klaus Hauer

Abstract read
In one paragraph

Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

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  15. 'Can do' versus 'Do do' in nursing home residents: identification of contextual factors discriminating groups with aligned or misaligned physical activity and physical capacity.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024
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  18. Cognitive, physical and emotional determinants of activities of daily living in nursing home residents-a cross-sectional study within the PROCARE-project.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2023
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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

5 authors.

Carl-Philipp JansenDepartment of Psychological Aging Research, Institute of Psychology, Heidelberg University, Bergheimer Str. 20, 69115, Heidelberg, Germany. carl-philipp.jansen@psychologie.uni-heidelberg.de.
Mona DiegelmannDepartment of Psychological Aging Research, Institute of Psychology, Heidelberg University, Bergheimer Str. 20, 69115, Heidelberg, Germany.
Eva-Luisa SchnabelNetwork Aging Research, Heidelberg University, Bergheimer Str. 20, 69115, Heidelberg, Germany.
Hans-Werner WahlDepartment of Psychological Aging Research, Institute of Psychology, Heidelberg University, Bergheimer Str. 20, 69115, Heidelberg, Germany.
Klaus HauerDepartment of Geriatric Research, Agaplesion Bethanien Hospital, Geriatric Center at Heidelberg University, Rohrbacher Str. 149, 69126, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies on life-space (LS) and its determinants have previously been limited to community-dwelling subjects but are lacking in institutionalized older persons. The purpose of this study was to provide an advanced descriptive analysis of LS in nursing home residents and to identify associated factors based on an established theoretical framework, using an objective, sensor-based assessment with a high spatiotemporal resolution.

methodsCross-sectional study in two nursing homes in Heidelberg, Germany (n = 65; mean age: 82.9 years; 2/3 female). Changes of location in the nursing home (Transits) as well as time spent away from the private room (TAFR) were assessed using a wireless sensor network. Measures of physical, psychosocial, cognitive, socio-demographic, and environmental factors were assessed via established motor performance tests, interviews, and proxy-reports.

resultsLS of residents was largely restricted to the private room and the surrounding living unit (90%); 10% of daytime was spent outside the living unit and/or the facility. On average, TAFR was 5.1 h per day (±2.3; Range: 0-8); seven Transits (6.9 ± 3.2; Range: 0-18) were performed per day. Linear regression analyses revealed being male, lower gait speed, higher cognitive status, and lower apathy to be associated with more Transits; higher gait speed, lower cognitive status, and less depressive symptoms were associated with more TAFR. LS was significantly increased during institutional routines (mealtimes) as compared to the rest of the day.

conclusionsThe sensor-based LS assessment provided new, objective insights into LS of institutionalized persons living in nursing homes. It revealed that residents' LS was severely limited to private rooms and adjacent living units, and that in institutional settings, daily routines such as meal times seem to be the major determinant of LS utilization. Gait speed, apathy, and depressive symptoms as well as institutional meal routines were the only modifiable predictors of Transits and/or TAFR, and thus have greatest potential to lead to an enhancement of LS when targeted with interventions.

trial registrationCurrent Controlled Trials ISRCTN96090441 (retrospectively registered).

Indexed as

Environment DesignFitness TrackersHomes for the AgedNursing HomesActivities of Daily LivingAgedAged, 80 and overCross-Sectional StudiesDepressionFemaleGermanyHumansLocomotionMaleMiddle AgedMovementLife-spaceNursing homeSensor-based assessmentSpatiotemporal movement behavior

Identifiers

PMID28129741
PMCPMC5273820

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.