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The association between attending specialized day care centers and the quality of life of people with dementia

Published online by Cambridge University Press:  17 November 2016

Anne Marie Mork Rokstad ,
Knut Engedal ,
Øyvind Kirkevold ,
Jūratė Šaltytė Benth ,
Maria Lage Barca  and
Geir Selbæk
Anne Marie Mork Rokstad*
Affiliation:
Norwegian National Advisory Unit on Ageing and Health, Vestfold Health Trust, Tønsberg, Norway Faculty of Health Sciences and Social Care, Molde University College, Molde, Norway
Knut Engedal
Affiliation:
Norwegian National Advisory Unit on Ageing and Health, Vestfold Health Trust, Tønsberg, Norway
Øyvind Kirkevold
Affiliation:
Norwegian National Advisory Unit on Ageing and Health, Vestfold Health Trust, Tønsberg, Norway Department of Care and Nursing, Faculty of Health, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway Centre for Old Age Psychiatric Research, Innlandet Hospital Trust, Ottestad, Norway
Jūratė Šaltytė Benth
Affiliation:
Institute of Clinical Medicine, Campus Ahus, University of Oslo, Oslo, Norway HØKH, Research Centre, Akershus University Hospital, Oslo, Norway
Maria Lage Barca
Affiliation:
Norwegian National Advisory Unit on Ageing and Health, Vestfold Health Trust, Tønsberg, Norway
Geir Selbæk
Affiliation:
Norwegian National Advisory Unit on Ageing and Health, Vestfold Health Trust, Tønsberg, Norway Centre for Old Age Psychiatric Research, Innlandet Hospital Trust, Ottestad, Norway Department of Nursing Science, Faculty of Medicine, University of Oslo, Oslo, Norway
*
Correspondence should be addressed to: Anne Marie, Norwegian National Advisory Unit on Ageing and Health, Vestfold Health Trust, Postbox 2136, 3103 Tønsberg, Norway. Phone: +47 99509819. Email: anne.marie.rokstad@aldringoghelse.no.
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Abstract

Background:

Day care that is designed for people with dementia aims to increase the users’ quality of life (QoL). The objective of the study was to compare the QoL of people with dementia attending day care with those not attending day care.

Methods:

The study is based on baseline data from a project using a quasi-experimental design, including a group of day care users (n = 183) and a comparison group not receiving day care (n = 78). Quality of Life-Alzheimer's Disease (QoL-AD) was used as the primary outcome, to collect both self-reported and proxy-based information from family carers on the users’ QoL. A linear mixed model was used to examine the differences between groups.

Results:

Attending day care was significantly associated with higher mean scores of self-reported QoL. There was no difference between the groups in proxy-reported QoL. Analyses of the interaction between group belonging and awareness of memory loss revealed that the participants with shallow or no awareness who attended day care had significant higher mean scores of QoL-AD compared to those not attending day care.

Conclusions:

Higher self-reported QoL was found among people attending day care designed for people with dementia compared to the comparison group. The difference in QoL ratings was found in the group of day care users with shallow or no awareness of their memory loss. Hence, day care designed for people with dementia might have the potential to increase QoL as it is experienced by the users.

Keywords

day carequality of life (QoL)dementiainsight
Type
Research Article
Information
International Psychogeriatrics , Volume 29 , Issue 4 , April 2017 , pp. 627 - 636
Copyright
Copyright © International Psychogeriatric Association 2016 

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