Social Connectedness among Long-Stay Nursing Home Residents with Alzheimer’s and Dementia: Exploring Individual and Facility-Level Variation

Dementia and Geriatric Cognitive Disorders

Lapane K.L.a· Dubé C.E.a· Jesdale B.M.a· Bova C.b

Author affiliations

aDivision of Epidemiology, Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, USA
bTan Chingfen Graduate School of Nursing, UMass Chan Medical School, Worcester, MA, USA

Dement Geriatr Cogn Disord

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Article / Publication Details

First-Page Preview

Abstract of Research Article

Received: April 08, 2022
Accepted: May 13, 2022
Published online: July 04, 2022

Number of Print Pages: 13
Number of Figures: 1
Number of Tables: 4

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: https://www.karger.com/DEM

Abstract

Introduction: This study sought to explore individual and facility-level variation in social connectedness among long-stay nursing home residents with Alzheimer’s or other dementias (ADRD). Methods: We identified 721,074 long-stay residents with ADRD using 2016 Minimum Data Set 3.0 data. Social connectedness was defined using the social connectedness index (SCI) (high: SCI = 5, lower: 0 < SCI ≤ 4). Adjusted odds ratios (aOR) provided estimates of the associations between resident-level and facility-level characteristics, and high SCI was derived from logistic models. Results: The SCI Cronbach’s alpha was 0.69; 78.6% had high SCI scores. Men were less likely than women to have higher SCI scores (aOR = 0.97; 95% CI: 0.97–0.98). Increasing age was associated with higher SCI scores (e.g., aOR [85–94 vs. 40–64 years]: 1.07; 95% CI: 1.06–1.07). Those with moderate cognitive impairment (aOR: 0.87) and severe cognitive impairment (aOR: 0.85) had reduced odds of SCI = 5 relative to those with mild/intact cognitive function. Residents living in homes with special care dementia units and with higher percentage of residents with dementia had decreased odds of high social connectedness. Discussion/Conclusion: Understanding resident- and nursing home-level variation in social connectedness may be important for targeting interventions that reduce isolation among residents with ADRD.

© 2022 S. Karger AG, Basel

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First-Page Preview

Abstract of Research Article

Received: April 08, 2022
Accepted: May 13, 2022
Published online: July 04, 2022

Number of Print Pages: 13
Number of Figures: 1
Number of Tables: 4

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: https://www.karger.com/DEM

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