| Title |
Life-space and movement behavior in nursing home residents: results of a new sensor-based assessment and associated factors
|
|---|---|
| Published in |
BMC Geriatrics, January 2017
|
| DOI | 10.1186/s12877-017-0430-7 |
| Pubmed ID | |
| Authors |
Carl-Philipp Jansen, Mona Diegelmann, Eva-Luisa Schnabel, Hans-Werner Wahl, Klaus Hauer |
| Abstract |
Studies on life-space (LS) and its determinants have previously been limited to community-dwelling subjects but are lacking in institutionalized older persons. The purpose of this study was to provide an advanced descriptive analysis of LS in nursing home residents and to identify associated factors based on an established theoretical framework, using an objective, sensor-based assessment with a high spatiotemporal resolution. Cross-sectional study in two nursing homes in Heidelberg, Germany (n = 65; mean age: 82.9 years; 2/3 female). Changes of location in the nursing home (Transits) as well as time spent away from the private room (TAFR) were assessed using a wireless sensor network. Measures of physical, psychosocial, cognitive, socio-demographic, and environmental factors were assessed via established motor performance tests, interviews, and proxy-reports. LS of residents was largely restricted to the private room and the surrounding living unit (90%); 10% of daytime was spent outside the living unit and/or the facility. On average, TAFR was 5.1 h per day (±2.3; Range: 0-8); seven Transits (6.9 ± 3.2; Range: 0-18) were performed per day. Linear regression analyses revealed being male, lower gait speed, higher cognitive status, and lower apathy to be associated with more Transits; higher gait speed, lower cognitive status, and less depressive symptoms were associated with more TAFR. LS was significantly increased during institutional routines (mealtimes) as compared to the rest of the day. The sensor-based LS assessment provided new, objective insights into LS of institutionalized persons living in nursing homes. It revealed that residents' LS was severely limited to private rooms and adjacent living units, and that in institutional settings, daily routines such as meal times seem to be the major determinant of LS utilization. Gait speed, apathy, and depressive symptoms as well as institutional meal routines were the only modifiable predictors of Transits and/or TAFR, and thus have greatest potential to lead to an enhancement of LS when targeted with interventions. Current Controlled Trials ISRCTN96090441 (retrospectively registered). |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 1 | 50% |
| Unknown | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 2 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 137 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Germany | 1 | <1% |
| Unknown | 136 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 23 | 17% |
| Student > Ph. D. Student | 21 | 15% |
| Researcher | 19 | 14% |
| Student > Bachelor | 10 | 7% |
| Student > Doctoral Student | 6 | 4% |
| Other | 15 | 11% |
| Unknown | 43 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 22 | 16% |
| Medicine and Dentistry | 16 | 12% |
| Psychology | 11 | 8% |
| Sports and Recreations | 6 | 4% |
| Social Sciences | 5 | 4% |
| Other | 30 | 22% |
| Unknown | 47 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 February 2017.
All research outputs
#18,616,159
of 23,881,329 outputs
Outputs from BMC Geriatrics
#2,714
of 3,241 outputs
Outputs of similar age
#299,551
of 423,921 outputs
Outputs of similar age from BMC Geriatrics
#50
of 56 outputs
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