Evidence map›Paper›PMID 31860641›Full record

ArticlePloS one2019

Mood and behavioral problems are important predictors of quality of life of nursing home residents with moderate to severe dementia: A cross-sectional study.

Marinda Henskens, Ilse M Nauta, Susan Vrijkotte, Katja T Drost, Maarten V Milders, Erik J A Scherder

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
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

11 citing papers in PubMed, 43 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Marinda HenskensDepartment of Clinical Neuropsychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-9318-5363
Ilse M NautaDepartment of Neurology, MS Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Susan VrijkotteMenzis, Wageningen, the Netherlands.
Katja T DrosttanteLouise, Bergen op Zoom, the Netherlands.
Maarten V MildersDepartment of Clinical Neuropsychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Erik J A ScherderDepartment of Clinical Neuropsychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Vrije Universiteit Amsterdam · NLAmsterdam University Medical Centers · NLTante Louise · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the predictors associated with quality of life of nursing home residents with dementia, in order to identify which predictors are most important and hold most promise for future intervention studies. METHODS/

designThis cross-sectional analysis of data collected in two intervention trials included 143 participants with moderate to severe dementia who resided in 40 psychogeriatric wards in 13 nursing homes. The outcome measure quality of life was assessed with the Qualidem. Predictors examined were demographic factors, cognition, mood, behavioral problems, and comorbid conditions.

resultsLinear mixed regression analyses showed that all nine domains of quality of life showed independent (negative) associations with either depression, agitation, apathy, or a combination of these predictors. Agitation, apathy, depression, and the presence of neurological disease explained 50% of the variance in total quality of life. Male gender, psychiatric/mood disorders, and having one or more comorbid conditions was associated with worse social relations, while the presence of comorbid neurological diseases was associated with more social isolation and a worse care relationship. The presence of endocrine/metabolic disorders and pulmonary disorders was associated with less restless tense behavior.

conclusionsDifferent domains of quality of life showed different associations, confirming the multidimensionality of quality of life in nursing home residents with dementia. Quality of life is independently associated with mood and behavioral problems, comorbid conditions, and gender. This knowledge may help to identify older persons at risk of a lower quality of life, and to offer targeted interventions to improve quality of life.

trial registrationDutch Trial registration NTR5641.

Indexed as

Activities of Daily LivingAffectAgedAged, 80 and overCognitionCross-Sectional StudiesDementiaDepressionDepressive DisorderFemaleForecastingHumansMaleNursing HomesProblem BehaviorQuality of Life

Identifiers

PMID31860641
PMCPMC6924675
OpenAlexW2996600446

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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.