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A tablet-based intervention for activating nursing home residents with dementia: results from a cluster-randomized controlled trial
Julie L O'Sullivan, Sonia Lech, Paul Gellert, Ulrike Grittner, Jan-Niklas Voigt-Antons, Sebastian Möller, Adelheid Kuhlmey, Johanna Nordheim. International psychogeriatrics, 2021-06-29
Topic: Health services, long-term care and technology
Levels of apathy decreased slightly in both groups (mean decrease in AES-I of .61 points, 95% CI -3.54, 2.33 for TBI and .36 points, 95% CI -3.27, 2.55 for CAS). Group difference in change of apathy was not statistically significant (β = .25; 95% CI 3.89, 4.38, p = .91). This corresponds to a standardized effect size (Cohen's d) of .02. A reduction of psychotropic medication was found for TBI compared to CAS. Further analyses revealed a post-intervention improvement in QUALIDEM scores across both groups and short-term improvements of momentary quality of life in the CAS group. Our findings suggest that interventions involving tailored activities have a beneficial impact on global and momentary quality of life in nursing home residents with dementia. Although we found no clear advantage of TBI compared to CAS, tablet computers can support delivery of non-pharmacological interventions in nursing homes and facilitate regular assessments of fluctuating momentary states.
Key findings
- Levels of apathy decreased slightly in both groups (mean decrease in AES-I of .61 points, 95% CI -3.54, 2.33 for TBI and .36 points, 95% CI -3.27, 2.55 for CAS).
- Group difference in change of apathy was not statistically significant (β = .25; 95% CI 3.89, 4.38, p = .91).
- This corresponds to a standardized effect size (Cohen's d) of .02.
- A reduction of psychotropic medication was found for TBI compared to CAS.
- Further analyses revealed a post-intervention improvement in QUALIDEM scores across both groups and short-term improvements of momentary quality of life in the CAS group.
Study details
- Study designrandomized controlled trial
- Participants162
- Evidence strengthHigh
How this study scored 79/100
Published in a peer-reviewed journal, and it is a randomised controlled trial. Scored zero for effect reported because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record, multi-centre collaboration and free to read, so those were left out: it earned 44 of the 56 points we could judge it on, which is 79 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (International psychogeriatrics) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 11 / 12 | A randomised controlled trial |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 3 / 5 | 2022 — within 6 year(s) of the newest study here |
| Sample size | 2 / 4 | 162 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 1 / 2 | Randomised (as stated in the record) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 34183087) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 44 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 44 of the 56 points we could judge it on is 79 out of 100. |
| Total | 79 / 100 | — |
What each of these 20 components measures, and what this score is not →
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Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 8 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
APA 7th
O'Sullivan, J. L., Lech, S., Gellert, P., Grittner, U., Voigt-Antons, J.-N., Möller, S., et al. (2022). A tablet-based intervention for activating nursing home residents with dementia: results from a cluster-randomized controlled trial. International psychogeriatrics. https://doi.org/10.1017/s1041610221000818
Vancouver
O'Sullivan JL, Lech S, Gellert P, Grittner U, Voigt-Antons J.-N, Möller S, et al. A tablet-based intervention for activating nursing home residents with dementia: results from a cluster-randomized controlled trial. International psychogeriatrics. 2022. doi:10.1017/s1041610221000818. PMID: 34183087.
BibTeX
@article{osullivan2022-34183087,
author = {O'Sullivan, Julie L and Lech, Sonia and Gellert, Paul and Grittner, Ulrike and Voigt-Antons, Jan-Niklas and Möller, Sebastian and Kuhlmey, Adelheid and Nordheim, Johanna},
title = {{A tablet-based intervention for activating nursing home residents with dementia: results from a cluster-randomized controlled trial}},
journal = {International psychogeriatrics},
year = {2022},
doi = {10.1017/s1041610221000818},
pmid = {34183087},
url = {https://doi.org/10.1017/s1041610221000818}
}