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Implementation and effects of Movement-oriented Restorative Care in a nursing home – a quasi-experimental study

Overview of attention for article published in BMC Geriatrics, October 2017
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Title
Implementation and effects of Movement-oriented Restorative Care in a nursing home – a quasi-experimental study
Published in
BMC Geriatrics, October 2017
DOI 10.1186/s12877-017-0642-x
Pubmed ID
Authors

Marinda Henskens, Ilse M. Nauta, Erik J. A. Scherder, Frits G. J. Oosterveld, Susan Vrijkotte

Abstract

The prevalence of dementia is expected to increase rapidly, and institutionalization is a common consequence of the disease. Dependence in activities of daily living (ADL) is a predictor for institutionalization and a determinant for the quality of life (QoL). A promising method to increase functional independence in nursing homes is a restorative care or function focused care (FFC) approach. Movement-oriented restorative care (MRC) is derived from the concept of FFC and restorative care and focuses on the integration of physical activity in the daily lives of nursing home residents with dementia using a multidisciplinary approach. The objective of this study was to assess the effectiveness of MRC in preservation of ADL independence and QoL in nursing home residents with dementia. In this quasi-experimental 12-month study, the effects of MRC were compared to care as usual in 61 nursing home residents with moderate to severe dementia. The outcome measures were ADL independence and QoL. These outcomes were measured five times (i.e. at baseline, and after 3, 6, 9, and 12 months). Additionally, data was collected regarding the degree of implementation, and the barriers to the implementation process. The effect of the intervention was analyzed using linear mixed model analyses. There was no significant overall intervention effect on ADL independence and QoL. A significant group-by-time interaction was found for the QoL subscale positive self-image: after a 12 month intervention period, the MRC group scored significantly better than the control group on positive self-image. Regarding the other subscales and the total score of the QoL, as well as ADL, no significant group-by-time interactions were found. MRC did not demonstrate significant improvements in ADL or QoL. After a 12-month intervention period, residents who received MRC showed higher scores on positive self-image compared to the control group. This study contributes to the limited research regarding the effect of MRC on resident outcomes. Further large-scale studies are recommended. The trial was retrospectively registered in http://clinicaltrials.gov on February 2, 2017: NCT03001232 .

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 118 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 118 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 19 16%
Researcher 11 9%
Student > Ph. D. Student 11 9%
Student > Bachelor 8 7%
Student > Doctoral Student 7 6%
Other 16 14%
Unknown 46 39%
Readers by discipline Count As %
Nursing and Health Professions 22 19%
Medicine and Dentistry 11 9%
Social Sciences 9 8%
Psychology 6 5%
Sports and Recreations 6 5%
Other 10 8%
Unknown 54 46%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. 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 01 June 2018.
All research outputs
#12,741,295
of 23,006,268 outputs
Outputs from BMC Geriatrics
#1,834
of 3,232 outputs
Outputs of similar age
#148,143
of 327,882 outputs
Outputs of similar age from BMC Geriatrics
#40
of 58 outputs
Altmetric has tracked 23,006,268 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,232 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one is in the 43rd percentile – i.e., 43% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 327,882 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.
We're also able to compare this research output to 58 others from the same source and published within six weeks on either side of this one. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.