Depressive Signs and Daily Life of Residents When Relocating from a Regular to an Innovative Nursing Home.

Autor:	Brouwers M; Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands; Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands. Electronic address: mpj.brouwers@maastrichtuniversity.nl., de Boer B; Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands; Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands., Groen WG; Department of Medicine for Older People, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands; Amsterdam Public Health, Aging & Later Life, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Ageing & Vitality, Rehabilitation & Development, Amsterdam, The Netherlands., Gabrio A; Department of Methodology and Statistics, Faculty of Health Medicine and Life Science, Maastricht University, Maastricht, The Netherlands., Verbeek H; Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands; Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands.
Jazyk:	angličtina
Zdroj:	Journal of the American Medical Directors Association [J Am Med Dir Assoc] 2024 Dec; Vol. 25 (12), pp. 105298. Date of Electronic Publication: 2024 Oct 10.
DOI:	10.1016/j.jamda.2024.105298
Abstrakt:	Objectives: In this study, we examine how residents are affected by moving from a regular nursing home into an innovative living arrangement. In the past decade, a culture change has taken place, leading to rapid developments of innovative living arrangements that aim to change the physical, social, and organizational environment to better suit the needs of older adults needing 24-hour care. This has inevitably led to more group relocations in long-term care. Insight into the change in residents when relocating is lacking. Design: An observational longitudinal study. Setting and Participants: Four Dutch care organizations in which 5 relocations took place from a regular to an innovative living arrangement. Residents (N = 97) requiring 24-hour care who were relocated from a regular nursing home to an innovative living arrangement were included. Methods: Data were collected 1 month before, 2 weeks after, and 6 months after relocating. Depressive signs and symptoms, cognitive functioning, and dependence in activities of daily living were measured using questionnaires. Furthermore, the daily lives of the residents were assessed using ecological momentary assessments. Results: Overall, no long-term change in depressive signs and symptoms, cognitive functioning, and dependence in activities of daily living was found when relocating. Furthermore, the daily life of residents was not different 6 months after moving. Relocating was accompanied by a significant short-term increase in depressive signs and symptoms in 2 out of 4 locations (P < .001). Conclusions and Implications: This study shows that relocating to an innovative living arrangement does not lead to long-term changes in residents. There are indications that there might be a short-term change in depressive signs and symptoms that could be prevented by considering the approach and context. More research is needed into the changes in the physical, social, and organizational environment that are necessary for a positive impact on the daily lives of residents. Competing Interests: Disclosures The authors declare no conflicts of interest. (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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