Evidence map›Paper›PMID 30217190›Full record

Observational studyHealth and quality of life outcomes2018

Quality of life in persons with dementia using regional dementia care network services in Germany: a one-year follow-up study.

Johannes Gräske, Annika Schmidt, Sylvia Schmidt, Franziska Laporte Uribe, Jochen René Thyrian, Bernhard Michalowsky, Susanne Schäfer-Walkmann, Karin Wolf-Ostermann

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Health and quality of life outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Quality of life in patients with severe mental illness: a cross-sectional survey in an integrated outpatient health care model.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Article
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.

Johannes GräskeHTW des Saarlandes, Faculty of Social Sciences, Department of Health and Nursing, Goebenstr. 40, 66117, Saarbrücken, Germany.
Annika SchmidtInstitute for Public Health and Nursing Research (IPP), University of Bremen, Grazer Str. 4, 28359, Bremen, Germany. schmidt.annika@uni-bremen.de.
Sylvia SchmidtCompetence Centre for Clinical Studies, University of Bremen, Linzer Str. 4, 28359, Bremen, Germany.
Franziska Laporte UribeGerman Centre for Neurodegenerative Diseases (DZNE) site Witten, Stockumer Str. 12, 58453, Witten, Germany.
Jochen René ThyrianGerman Centre for Neurodegenerative Diseases (DZNE), site Rostock / Greifswald, Ellernholzstr. 1-2, 17489, Greifswald, Germany.
Bernhard MichalowskyGerman Centre for Neurodegenerative Diseases (DZNE), site Rostock / Greifswald, Ellernholzstr. 1-2, 17489, Greifswald, Germany.
Susanne Schäfer-WalkmannInstitute of Applied Social Sciences (IfaS) at DHBW Stuttgart, Rotebühlstraße 131, 70197, Stuttgart, Germany.
Karin Wolf-OstermannInstitute for Public Health and Nursing Research (IPP), University of Bremen, Grazer Str. 4, 28359, Bremen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe majority of individuals with dementia live in the community; thus, regional dementia care networks are becoming increasingly more important for the provision of care. To date, four different types of dementia care networks have been identified in Germany (stakeholder, organisation, hybrid, mission); however, the effect on the quality of life of persons with dementia using such network services has not yet been examined. Moreover, the possible differences in the effect on the quality of life among the four types of dementia care networks have not been investigated. Therefore, the aim of the present study was to describe the changes over time in the quality of life of persons with dementia, assessing the association with the different types of dementia care networks.

methodsWithin the DemNet-D study, face-to-face interviews with persons with dementia and their primary caregivers were conducted to collect data of typical outcome parameters, such as quality of life (Quality of Life Alzheimers Disease: QoL-AD), sociodemographic data, social index (Scheuch-Winkler), depression (Geriatric Depression Scale: GDS), challenging behaviour (Cohen-Mansfield Agitation Inventory: CMAI), capacities of daily living (Instrumental Activity of Daily Living: IADL), impairment due to dementia (FAST), and caregiver burden. In addition to these parameters, the differences in quality of life scores among the four types of dementia care networks were analysed using multi-level analysis.

resultsIn total, 407 persons with dementia (79.1 years; 60.1% female) and their caregivers were included in the analysis. Over 75% of the persons with dementia showed moderate to (very) severe impairments of dementia and at least one challenging behaviour. At baseline, 60.6% had a low social index. Quality of life was stable over one-year on a level slightly above average (baseline 29.1; follow-up 28.7). Multi-level analyses (p <  0.001; R

conclusionUsers of dementia care network services showed a stable QoL-AD score over time at a level slightly above average, indicating no decrease or worsening over time as expected. Therefore, dementia care network services can be considered as a beneficial model of care in terms of the quality of life of persons with dementia, regardless of their special organisational type.

Indexed as

Quality of LifeActivities of Daily LivingAdaptation, PsychologicalAgedAged, 80 and overCaregiversCommunity Health ServicesDelivery of Health CareDementiaFemaleFollow-Up StudiesGermanyHealth Status IndicatorsHumansMaleDementiaPrimary dementia careQuality of lifeRegional dementia care networks

Identifiers

PMID30217190
PMCPMC6137910

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Registered trials

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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.