ArticleBMC health services research2018
The impact of attending day care designed for home-dwelling people with dementia on nursing home admission: a 24-month controlled study.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01943071 (Effects and Costs of a Day Care Centre Program Designed for People With Dementia - a 24 Month Controlled Study), which is not on this map. Cited by 12 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.
Effects and Costs of a Day Care Centre Program Designed for People With Dementia - a 24 Month Controlled Study
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Personally tailored activities for improving psychosocial outcomes for people with dementia in community settings.The Cochrane database of systematic reviews · 2020Pooled it
- Pooled it
- A gradual and sustainable approach to diagnosing sleep and circadian disturbances in dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- TaIlored ManagEment of Sleep (TIMES) for people with dementia and mild cognitive impairment in primary care in England: protocol for a feasibility cluster-randomised controlled trial.Pilot and feasibility studies · 2026Article
- Living alone with dementia is a neglected source of inequality: findings from a scoping review of research evidence.Systematic reviews · 2025Article
- Dementia and communication comorbidities within the context of caregiver support systems: a scoping review.BMC geriatrics · 2025Article
- Comparing Different Implementation Strategies for Collaborative Dementia Care Management in Terms of Patients' Characteristics, Unmet Needs, and the Impact on Quality of Life and Costs in Germany.PharmacoEconomics - open · 2025Article
- [Predictors of intensity of use of adult day care centers in people with cognitive impairment].Zeitschrift fur Gerontologie und Geriatrie · 2022Article
- Dropout from farm-based day care for people with dementia in Norway: a follow-up study.BMC geriatrics · 2020Article
- Review
- Cost analysis of day care centres in Norway.PloS one · 2019Article
- Farm-based day care services - a prospective study protocol on health benefits for people with dementia and next of kin.Journal of multidisciplinary healthcare · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundDay care services offer meaningful activities, a safe environment for attendees and respite for family caregivers while being expected to delay the need for nursing home (NH) admission. However, previous research has shown inconsistent results regarding postponement of NH admission. The objective of the study was to explore the influence of a day care programme designed for home-dwelling people with dementia on NH admission.
methodA quasi-experimental trial explored the proportion of patients permanently admitted to nursing homes after 24 months as the main outcome by comparing a group of day care attendees (DG) and a group of participants without day care (CG). In all, 257 participants were included (181 in DG and 76 in CG). A logistic regression model was developed with NH admission as the outcome. Participant group (DG or CG) was the main predictor, baseline patient and family caregiver characteristics and interactions were used as covariates.
resultsThe mean age of participants was 81.5 (SD 6.4), 65% were women and 53% lived alone. The mean MMSE score was 20.4 (SD 3.5). In all, 128 (50%) of the participants were admitted to a nursing home by the 24-month follow-up, 63 participants (25%) completed the follow-up assessment and 66 (26%) dropped out due to death (8%) and other reasons (18%). In the logistic unadjusted regression model for NH admission after 24 months, participant group (DG or CG) was not found to be a significant predictor of NH admission. The results from the adjusted model revealed that the participant group was associated with NH admission through the interactions with age, living conditions, affective symptoms, sleep symptoms and practical functioning, showing a higher probability for NH admission in DG compared to CG.
conclusionThe study reveals no evidence to confirm that day care services designed for people with dementia postpone the need for NH admission. Admission to nursing homes seems to be based on a complex mix of personal and functional characteristics both in the person with dementia and the family caregivers. The findings should be considered in accordance with the limitation of inadequate power and the high drop-out rate.
trial registrationThe study is registered in Clinical Trials ( NCT01943071 ).
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