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dc.contributor.authorRokstad, Anne Marie Mork
dc.contributor.authorEngedal, Knut
dc.contributor.authorKirkevold, Øyvind
dc.contributor.authorSaltyte Benth, Jurate
dc.contributor.authorSelbæk, Geir
dc.date.accessioned2019-09-06T07:32:52Z
dc.date.available2019-09-06T07:32:52Z
dc.date.created2018-11-19T13:21:42Z
dc.date.issued2018
dc.identifier.citationBMC Health Services Research. 2018, 18:864 1-11.nb_NO
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/11250/2612857
dc.description.abstractBackground: Day 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. Method: A 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. Results: The 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. Conclusion: The 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 registration: The study is registered in Clinical Trials (NCT01943071). Keywords: dementia, day care, nursing home admissionnb_NO
dc.description.abstractThe impact of attending day care designed for home-dwelling people with dementia on nursing home admission : a 24-month controlled studynb_NO
dc.language.isoengnb_NO
dc.publisherBioMed Centralnb_NO
dc.relation.urihttps://doi.org/10.1186/s12913-018-3686-5
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleThe impact of attending day care designed for home-dwelling people with dementia on nursing home admission : a 24-month controlled studynb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.pagenumber1-11nb_NO
dc.source.volume18:864nb_NO
dc.source.journalBMC Health Services Researchnb_NO
dc.identifier.doi10.1186/s12913-018-3686-5
dc.identifier.cristin1632140
dc.description.localcodeOpen Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.nb_NO
cristin.unitcode194,65,70,0
cristin.unitnameInstitutt for helsevitenskap Gjøvik
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal