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The effect of integrated emotion-oriented care versus usual care on elderly persons with dementia in the nursing home and on nursing assistants: a randomized clinical trial
Finnema E, Dröes RM, Ettema T, Ooms M, Adèr H, Ribbe M, van Tilburg W.. International journal of geriatric psychiatry, 2005-04-01
Topic: Risk, prevention and care in population studies
Objectives To examine the effect of integrated emotion-oriented care on nursing home residents with dementia and nursing assistants. Design A multi-site randomized clinical trial with matched groups, and measurements at baseline and after seven months. Setting Sixteen psychogeriatric wards in fourteen nursing homes in the Netherlands. Participants One hundred and forty-six elderly residents with the diagnosis dementia of the Alzheimer (DAT) type, mixed DAT and vascular dementia, and dementia syndrome (NAO) and 99 nursing assistants. Interventions Integrated emotion-oriented care and usual care. MESUREMENTS: Demented elderly: Behaviour and mood related to adaptation to the illness and the institutionalization. Nursing assistants: General health as measured by feelings of stress, stress reactions, feeling of competence and illness. Results Positive effects in favour of the integrated emotion-oriented care were found in mild to moderately demented residents on two adaptive tasks: maintaining an emotional balance (less anxiety) and preserving a positive self-image (less dissatisfaction). In the trained group of nursing assistants fewer stress reactions were found only in those who perceived improvement in their emotion-oriented care skills after training. Conclusion Emotion-oriented care is more effective with regard to the emotional adaptation in nursing homes of persons with a mild to moderate dementia. For the severely demented elderly we did not find this surplus value. This outcome is of clinical importance for elderly persons with dementia who are cared for in nursing homes. With respect to the nursing assistants it is concluded that emotion-oriented care has a positive influence on stress reactions in some of them.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Finnema, E., Dröes, R. M., Ettema, T., Ooms, M., Adèr, H., Ribbe, M., et al. (2005). The effect of integrated emotion-oriented care versus usual care on elderly persons with dementia in the nursing home and on nursing assistants: a randomized clinical trial. International journal of geriatric psychiatry. https://doi.org/10.1002/gps.1286
Vancouver
Finnema E, Dröes RM, Ettema T, Ooms M, Adèr H, Ribbe M, et al. The effect of integrated emotion-oriented care versus usual care on elderly persons with dementia in the nursing home and on nursing assistants: a randomized clinical trial. International journal of geriatric psychiatry. 2005. doi:10.1002/gps.1286. PMID: 15799079.
BibTeX
@article{finnema2005-15799079,
author = {Finnema, E. and Dröes, R. M. and Ettema, T. and Ooms, M. and Adèr, H. and Ribbe, M. and van Tilburg, W.},
title = {{The effect of integrated emotion-oriented care versus usual care on elderly persons with dementia in the nursing home and on nursing assistants: a randomized clinical trial}},
journal = {International journal of geriatric psychiatry},
year = {2005},
doi = {10.1002/gps.1286},
pmid = {15799079},
url = {https://doi.org/10.1002/gps.1286}
}
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 7 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.
Key findings
- Results Positive effects in favour of the integrated emotion-oriented care were found in mild to moderately demented residents on two adaptive tasks: maintaining an emotional balance (less anxiety) and preserving a positive self-image (less dissatisfaction).
- With respect to the nursing assistants it is concluded that emotion-oriented care has a positive influence on stress reactions in some of them.
Why it matters
In this trial of 146 nursing home residents with dementia, integrated emotion-oriented care produced positive effects in mild to moderately demented residents on maintaining emotional balance and preserving a positive self-image, and some nursing assistants had fewer stress reactions. This is about emotional adaptation and caregiving in nursing homes, not about treating, curing, or preventing Alzheimer's disease.
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Study details
- Evidence strengthHigh
How this study scored 61/100
Published in a peer-reviewed journal, and it is a randomised controlled trial. Scored zero for sample size and effect reported because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (International journal of geriatric psychiatry) |
| Journal's citation record | 2 / 4 | International Journal of Geriatric Psychiatry: journal h-index 190 (OpenAlex, 2026-10-29) |
| Study design | 11 / 12 | A randomised controlled trial (from PubMed type “Randomized 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 | 1 / 5 | 2005 — older than 20 years, still counted |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| 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 (pubmed indexes it as a clinical or observational study) |
| Randomised / blinded | 1 / 2 | Randomised (as stated in the record) |
| Times cited | 5 / 7 | Cited 156 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 6.8 citations a year over 23 year(s) since 2005 |
| Impact for its field and year | 4 / 6 | Cited 11.4× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 2 other studies in this library |
| Still being cited | 1 / 4 | Cited 9 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author W. van Tilburg: h-index 62 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Vrije Universiteit Amsterdam: institution h-index 1,014 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | PubMed indexes it as a multicentre study |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 15799079) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 61 / 100 | — |
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