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The association between aspects of daily life and quality of life of people with dementia living in long-term care facilities: a momentary assessment study

Published online by Cambridge University Press:  12 April 2016

Hanneke C. Beerens ,
Bram de Boer ,
Sandra M.G. Zwakhalen ,
Frans E.S. Tan ,
Dirk Ruwaard ,
Jan P.H. Hamers  and
Hilde Verbeek
Hanneke C. Beerens*
Affiliation:
Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
Bram de Boer
Affiliation:
Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
Sandra M.G. Zwakhalen
Affiliation:
Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
Frans E.S. Tan
Affiliation:
Department of Methodology & Statistics, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
Dirk Ruwaard
Affiliation:
Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
Jan P.H. Hamers
Affiliation:
Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
Hilde Verbeek
Affiliation:
Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
*
Correspondence should be addressed to: Hanneke C. Beerens MSc, RN, Department of Health Services Research, CAPHRI School for Public Health and Primary Care Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands. P.O. Box 616, 6200 MD, Maastricht. Phone: +31 43 38 82815. Email: h.beerens@maastrichtuniversity.
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Abstract

Background:

To improve the quality of life (QoL) of people with dementia (PwD) living in long-term care facilities, insight into the association between QoL and how people spend their daily lives is urgently needed. This study investigated which aspects of daily life are related to QoL in dementia.

Methods:

An observational study was conducted. Daily life was assessed with the tablet-based Maastricht Electronic Daily Life Observation-tool (MEDLO-tool). Aspects included activity, engagement in the activity, social interaction, physical effort, mood, and agitation. QoL was assessed by formal nursing caregivers using the Quality of Life-Alzheimer's Disease scale (QoL-AD). A total of 9,660 momentary assessments were conducted.

Results:

The mean age of the 115 participants was 84 years and most (75%) were women. Bivariate analyses showed that residents with a higher QoL carried out less passive/purposeless activities (25% vs. 38%), were more engaged in active, expressive, and social activities, (40% vs. 27%), had more social interaction (34% vs. 22%), and had better mood scores (scale 1–7, 5.0 vs. 4.8), compared with residents with a lower QoL (all p-values < 0.001). Multivariate analyses showed that having more social interaction and a positive mood are related to a higher QoL.

Conclusions:

The results underline the importance of social interaction and a positive mood for a higher QoL. Future research should investigate the importance of engagement in activities in more detail.

Keywords

dementiaquality of lifenursing homeslong-term careneuropsychiatric symptoms
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 8 , August 2016 , pp. 1323 - 1331
Copyright
Copyright © International Psychogeriatric Association 2016 

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