Evidence map›Paper›PMID 40684251›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Namaste Care Family for people with dementia and family-A randomized controlled trial.

Hanneke J A Smaling, Karlijn J Joling, Judith J M Rijnhart, Jos W R Twisk, Wilco P Achterberg, Anneke L Francke, Jenny T van der Steen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Namaste Care Family for people with dementia and family-A randomized controlled trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  3. 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

7 authors.

Hanneke J A SmalingDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-7836-431X
Karlijn J JolingDepartment of Medicine for Older People, Amsterdam UMC, Amsterdam, the Netherlands.
Judith J M RijnhartCollege of Public Health, University of South Florida, Tampa, Florida, USA.
Jos W R TwiskDepartment of Epidemiology and Data Science, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, the Netherlands.
Wilco P AchterbergDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.
Anneke L FranckeDepartment of Public and Occupational Health, Amsterdam University Medical Centers, Location VU University Medical Center, Amsterdam, the Netherlands.
Jenny T van der SteenDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.

Funding

Fonds NutsOhra (FNO) 1405-181Netherlands Organisation for Health Research and Development (ZonMw) 733050302University Network of the Care sector South Holland
6 · The paper itself

Abstract

introductionFew evidence-based psychosocial interventions target people with advanced dementia.

methodsNamaste Care Family is a daily multi-dimensional care program to improve quality of life (QoL) of people with dementia and their family caregivers. In this cluster-randomized controlled trial, adjusted linear mixed models were used to analyze effects at 1, 3, 6, and 12 months follow-up. Ten nursing homes implemented the program (n = 116) while nine nursing homes provided care as usual (n = 115).

resultsThe intervention group showed less discomfort (-1.06; 95% confidence interval [CI] = -1.88 to -0.23) and fewer sentinel events (-0.40; 95% CI = -0.64 to -0.16), specifically pneumonia (-0.08; 95% CI = -0.14, -0.02). There were no differences in residents' QoL, challenging behavior, and medication use. There was no effect on positive caregiving experiences, caregiver burden or guilt, whereas conflict with staff was lower at 12 months (-2.04; 95% CI = -4.07 to -0.01). DISCUSSION: Namaste Care Family has some beneficial effects on residents with dementia and family caregivers. CLINICAL

trial registrationThis trial was registered with the CCMO Research with human participants (old ID 5692/new ID 5570). HIGHLIGHTS: Namaste Care Family involves family in a daily program for residents with dementia. Residents' quality of life did not improve (primary outcome) due to the program. Also, family's positive caregiving experiences did not improve (primary outcome). Namaste Care Family reduced discomfort and sentinel events in people with dementia. Family caregivers' conflict with staff over caregiving decreased due to the program.

Indexed as

CaregiversDementiaFamilyQuality of LifeAgedAged, 80 and overFemaleHumansMaleMiddle AgedNursing Homescluster randomized control trialdementiafamily caregiversNamaste Carepalliative carequality of life

Identifiers

PMID40684251
PMCPMC12276077

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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.