Social Connectedness among Long-Stay Nursing Home Residents with Alzheimer’s and Dementia: Exploring Individual and Facility-Level Variation
| Autor: | Kate L. Lapane, Catherine E. Dubé, Bill M. Jesdale, Carol Bova |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Dementia and Geriatric Cognitive Disorders. 51:249-261 |
| ISSN: | 1421-9824 1420-8008 |
| DOI: | 10.1159/000525343 |
| Popis: | Introduction: This study sought to explore individual and facility-level variation in social connectedness among long-stay nursing home residents with Alzheimer’s or other dementias (ADRD). Methods: We identified 721,074 long-stay residents with ADRD using 2016 Minimum Data Set 3.0 data. Social connectedness was defined using the social connectedness index (SCI) (high: SCI = 5, lower: 0 < SCI ≤ 4). Adjusted odds ratios (aOR) provided estimates of the associations between resident-level and facility-level characteristics, and high SCI was derived from logistic models. Results: The SCI Cronbach’s alpha was 0.69; 78.6% had high SCI scores. Men were less likely than women to have higher SCI scores (aOR = 0.97; 95% CI: 0.97–0.98). Increasing age was associated with higher SCI scores (e.g., aOR [85–94 vs. 40–64 years]: 1.07; 95% CI: 1.06–1.07). Those with moderate cognitive impairment (aOR: 0.87) and severe cognitive impairment (aOR: 0.85) had reduced odds of SCI = 5 relative to those with mild/intact cognitive function. Residents living in homes with special care dementia units and with higher percentage of residents with dementia had decreased odds of high social connectedness. Discussion/Conclusion: Understanding resident- and nursing home-level variation in social connectedness may be important for targeting interventions that reduce isolation among residents with ADRD. |
| Databáze: | OpenAIRE |
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