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Longitudinal study of care needs and behavioural changes in people living with dementia using in-home assessment data
Chloe Walsh, Alexander Capstick, Nan Fletcher‐Lloyd, Jessica True, CR&T Group, Leadership and Management, David Sharp, Danielle Wilson et al.. Communications Medicine, 2025-01-10
Topic: Risk, prevention and care in population studies
Here we show, psychiatric behavioural symptoms and difficulties in activities of daily living, fluctuate alongside cognitive decline. 677 activities of daily living and 632 psychiatric behaviour questionnaires are available at intervals of 3 months. Clustering shows three severity-based groups. Mild cognitive decline associates with higher caregiver anxiety, while the most severe group interacts more with community services, but less with hospitals. We characterise behavioural symptoms and difficulties in activities of daily living in dementia, offering clinically relevant insights not commonly considered in current practice. We provide a holistic overview of participants' health during their progression of dementia.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Walsh, C., Capstick, A., Fletcher‐Lloyd, N., True, J., CR&T Group, Management, L. a., et al. (2025). Longitudinal study of care needs and behavioural changes in people living with dementia using in-home assessment data. Communications Medicine. https://doi.org/10.1038/s43856-024-00724-3
Vancouver
Walsh C, Capstick A, Fletcher‐Lloyd N, True J, CR&T Group, Management La, et al. Longitudinal study of care needs and behavioural changes in people living with dementia using in-home assessment data. Communications Medicine. 2025. doi:10.1038/s43856-024-00724-3. PMID: 39794486.
BibTeX
@article{walsh2025-39794486,
author = {Walsh, Chloe and Capstick, Alexander and Fletcher‐Lloyd, Nan and True, Jessica and {CR\&T Group} and Management, Leadership and and Sharp, David and Wilson, Danielle and others},
title = {{Longitudinal study of care needs and behavioural changes in people living with dementia using in-home assessment data}},
journal = {Communications Medicine},
year = {2025},
doi = {10.1038/s43856-024-00724-3},
pmid = {39794486},
url = {https://doi.org/10.1038/s43856-024-00724-3}
}
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's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- Here we show, psychiatric behavioural symptoms and difficulties in activities of daily living, fluctuate alongside cognitive decline. 677 activities of daily living and 632 psychiatric behaviour questionnaires are available at intervals of 3 months.
- Clustering shows three severity-based groups.
- Mild cognitive decline associates with higher caregiver anxiety, while the most severe group interacts more with community services, but less with hospitals.
- We characterise behavioural symptoms and difficulties in activities of daily living in dementia, offering clinically relevant insights not commonly considered in current practice.
- We provide a holistic overview of participants' health during their progression of dementia.
Why it matters
Using in-home assessment data, this study found that psychiatric behavioural symptoms and difficulties in activities of daily living fluctuate alongside cognitive decline in people living with dementia. It offers insights into care needs and behavioural changes but does not test any treatment, cure or prevention.
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Study details
- Participants141
- Evidence strengthLow
How this study scored 43/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it. We have no data on senior author's track record, so that was left out: it earned 41 of the 96 points we could judge it on, which is 43 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Communications Medicine) |
| Journal's citation record | 0 / 4 | Communications Medicine: journal h-index 55 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 141 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 | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 8 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 5.1× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 8 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | — / 4 | OpenAlex's profile for last-listed author Akena Kutuzova holds only 1 work(s), too few to judge a track record — left out of this score |
| Institution's track record | 2 / 3 | Imperial College London: institution h-index 1,744 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 39794486) |
| Free to read | 2 / 2 | Free to read |
| Points | 41 / 96 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 41 of the 96 points we could judge it on is 43 out of 100. |
| Total | 43 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1038/s43856-024-00724-3
- PubMed: 39794486
- Original source →
- Free full text: Communications Medicine →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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