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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.