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Table 4 Measurements on the resident level

From: Longitudinal evaluation of dementia care in German nursing homes: the “DemenzMonitor” study protocol

Resident level (assessed by nurses)

Conceptual domain

Operational definition

Number of items

Empirical measure

General Characteristics

Gender

1

Female/Male

Date of birth

1

Date

Place of residence before NH admission

1

5-response option

Date of entry into nursing home and write NH

1

Date

Legal guardian

1

4-response option

Court order for admission

1

Yes/No

Court order for physical restraints

1

Yes/No

Care level according to Long Term Care Insurance (LTCI)

1

5-response option

Substantial additional care needs according to LTCI § 87b

1

3-response option

Visitors

1

Yes/No

* Frequency of visits (spouse / other relatives / friends-neighbors / legal guardian / volunteers / other residents / others)

7

4 point-Likert-Scale

Characteristics of Living Environment

Residents room (single / double / multi-shared rooms)

1

3-response option

Individual furniture in residents room

1

Yes/No

Resident brought a pet to the NH

1

Yes/No

Provision of Dementia Care

Case conference (CC) after admission

1

Yes/No

* Date of last CC

1

Date

* Participants of last CC (resident / relatives / legal guardian / head nurse / ward nurses / other care staff / physicians / therapeutic staff / facilitating service / external moderators / others)

11

Yes/No

* Reason for conducting last CC (due to an acute occasion / due to the routines)

1

2-response option

* Content of last CC (nutrition / continence problems / risk of falls-actual falls / chronic wound / physical restraints / acute health problems / pain / cognition based problems / challenging behavior / psychosocial situation / quality of life - well-being / needs of the resident and relatives / admission to NH / hospital stay / others)

15

Yes/No

Assessment of pain

1

Yes/No

* Instrument used for pain assessment

1

11-response option

* Date of pain assessment

1

Date

Assessment of behavior

1

Yes/No

* Instrument used for behavioral assessment

1

6-response option

* Date of behavioral assessment

1

Date

Assessment of dementia severity

1

Yes/No

* Instrument used for dementia severity assessment

1

10-response option

MMSE-Score (if available)

1

Free-text

* Date of MMSE

1

Date

Assessment of quality of life

1

Yes/No

* Instrument used for quality of life assessment

1

6-response option

* Date of quality of life assessment

1

Date

Assessment of depression

1

Yes/No

* Instrument used for depression assessment

1

3-response option

* Date of depression assessment

1

Date

Participation in Dementia Care Mapping

1

Yes/No/Unknown

*Date of last Dementia Care Mapping

1

Date

Assessment of biography

1

Yes/No

* Amendment of biography assessment after initial assessment

1

Yes/No/Unknown

Provision of multisensory stimulation (aroma therapy / music therapy / massage / listening to music / Basale Stimulation© / Snoezelen / cuddling pets / using touch materials / others / none)

10

Yes/No

Provision of validation therapy

1

Yes/No

* Kind of validation therapy (use in daily conversation / in personal communications / in group therapy / as a crisis intervention)

4

Yes/No

Frequency of being in the open air during the last week

1

5 point-Likert-Scale

Participation on physical activities (PA) (gymnastics / dance / games / walk outside / physiotherapy / others / none)

1

Yes/No

* Kind of PA (gymnastics / dance / games / walk outside / physiotherapy / others)

10

Yes/No

Incidence of acute psychiatric crisis in the last 6 months

1

Yes/No/Unknown

* Frequency of acute psychiatric crisis in the last 6 months

1

4 point-Likert-Scale

Continuous attendance by a General Practitioner

1

Yes/No

Continuous attendance by a neurologist/psychiatrist

1

Yes/No

Care Dependency

Physical Self Maintenance Scale (PSMS) [55]

6

5 point-Likert- Scale

Behavior

Neuropsychiatric Inventory (NPI-Q) [48]

12

3 point-Likert-Scale

Dementia

Medical diagnosis of dementia

1

Yes/No/Unknown

Functional Assessment Staging (FAST) [51]

16

7 stages

Dementia Screening Scale (DSS) [53]

7

3 point-Likert-Scale

Quality of Life

Qualidem [41]

40

4 point-Likert-Scale

  1. * Conditional answer depending on previous answer.