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Table 3 Background characteristics of participants

From: Predictors of activity involvement in dementia care homes: a cross-sectional study

 

Overall sample

Type 1 CH a

Type 2 CH a

Type 3 CH a

Type 4 CH a

Type 5 CH a

Variables (if applicable: range)

M (SD) or n (%)

M (SD) or n (%)

M (SD) or n (%)

M (SD) or n (%)

M (SD) or n (%)

M (SD) or n (%)

1. Resident characteristics

n = 1218

n = 249

n = 268

n = 242

n = 236

n = 223

  Age (42–101)

M 84.10 (SD 7.42)

M 82.77 (SD 8.51)

M 85.62 (SD 6.10)

M 83.65 (SD 7.49

M 84.19 (SD 6.41)

M 84.16 (SD 8.21)

  Female residents

n 921 (% 75.7)

n 189 (% 75.9)

n 213 (% 79.5)

n 165 (% 68.2)

n 178 (% 75.4)

n 176 (% 78.9)

  Residents with life partner

n 301 (% 24.7)

n 72 (% 28.9)

n 64 (% 23.9)

n 57 (% 23.6)

n 50 (% 21.2)

n 58 (% 26.0)

  Residents with length of stay 6 months or more

n 1067 (% 87.6)

n 218 (% 87.5)

n 231 (% 85.8)

n 216 (% 89.2)

n 207 (% 87.7)

n 196 (% 87.9)

  CPS overall score (0–6)

M 3.99 (SD 1.46)

M 4.11 (SD 1.46)

M 4.00 (SD 1.49)

M 4.14 (SD 1.44

M 3.80 (SD 1.49)

M 3.87 (SD 1.40)

 Residents with mild to moderate cognitive impairment (CPS 0–3)

n 408 (% 33.6)

n 76 (% 30.5)

n 95 (% 35.4)

n 67 (% 27.7)

n 89 (% 37.7)

n 81 (% 36.3)

  Residents moderate to severe cognitive impairment (CPS 4)

n 297 (% 24.4)

n 61 (% 24.5)

n 55 (% 20.5)

n 57 (% 23.6)

n 62 (% 26.3)

n 27.8 (% 27.8)

 Residents with severe to very severe cognitive impairment (CPS 5–6)

n 513 (% 42.1)

n 112 (% 45.0)

n 118 (% 44.0)

n 118 (% 48.8)

n 85 (% 36.0)

n 35.9 (% 35.9)

  NPIQ (0–36)

M 11.52 (SD 6.31)

M 11.50 (SD 6.87)

M 11.29 (SD 6.33)

M 11.75 (SD 6.09

M 11.45 (SD 6.19)

M 11.66 (SD 6.03)

  Residents with agitation symptoms

n 329 (% 27.1)

n 73 (% 29.6)

n 80 (% 29.9)

n 66 (% 27.3)

n 60 (% 25.4)

n 50 (% 22.4)

  Residents with depression symptoms

n 318 (% 26.1)

n 69 (% 27.5)

n 58 (% 21.6)

n 61 (% 25.3)

n 74 (% 31.4)

n 56 (% 25.1)

 Residents with anxiety symptoms

n 262 (% 21.5)

n 47 (% 19.0)

n 60 (% 22.4)

n 52(% 21.5)

n 54 (% 22.9)

n 49 (% 22.0)

  Residents with apathy symptoms

n 541 (% 44.5)

n 122 (% 49.0)

n 113 (% 42.2)

n 108 (% 44.6)

n 46.2 (% 46.2)

n 90 (% 40.4)

  Katz ADL dependency (1–7)

M 5.35 (SD 1.65)

M 5.49 (SD 1.61)

M 5.51 (SD 1.56)

M 5.35 (SD 1.69

M 5.20 (SD 1.71)

M 5.19 (SD 1.67)

  Residents without or low ADL dependency (Katz 1–3)

n 181 (% 14.9)

n 32 (% 12.9)

n 32(% 11.9)

n 40(% 16.5)

n 18.2(% 18.2)

n 34(% 15.2)

  Residents dependent in various ADL domains (Katz 4–6)

n 627 (% 51.5)

n 125 (% 50.2)

n 139(% 51.9)

n 117(% 48.3)

n 50.4(% 50.4)

n 127(% 57.0)

  Residents dependent in all ADL domains (Katz = 7)

n 410 (% 33.7)

n 92 (% 36.9)

n 97(% 36.2)

n 35.1(% 35.1)

n31.4(% 31.4)

n 62(% 27.8)

  Residents independent in transferring (with or without aids)

n 651 (% 53.6)

n 125 (% 50.2)

135 (% 50.4)

133 (% 55.0)

129 (% 54.7)

94 (% 57.8)

  Minutes involved in 17 listed activities during the past 3 days (0–1125)

M 152.49 (SD 166.80)

M 120.66 (SD 150.32)

M 143.53 (SD 156.71)

M 136.08 (SD 163.07)

M 191.03 (SD 177.60)

M 175.84 (SD 178.46)

  Residents ≤3 h involved in activities during past 3 days

n 822 (% 67.5)

n 186 (% 74.7)

n 180 (% 67.3)

n 183 (% 75.6)

n 133 (% 56.4)

n 140 (% 62.8)

  Residents >3 h involved in activities during past 3 days

n 396 (% 32.5)

n 63 (% 25.3)

n 88 (% 32.7)

n 59 (% 24.4)

n 103 (% 43.6)

n 83 (% 37.2)

2. Characteristics of resources of finances, staff ratio and educational level

n = 139

n = 28

n = 30

n = 28

n = 28

n = 25

  Staff ratio (13.86–30.48)

M 20.86 (SD 3.61)

M 18.89 (SD 3.46)

M 20.49 (SD 3.57)

M 21.55 (SD 3.52)

M 21.59 (SD 3.24)

M 21.92 (SD 3.69)

  Staff with education level 3 or higher (22.70–100)

M 63.55 (SD 15.58)

M 58.27 (SD 13.83)

M 63.58 (SD 13.65)

M 67.49 (SD 18.76)

M 61.85 (SD 12.69)

M 66.97 (SD 17.67)

  Average % of sickness leave (0.82–17.0)

M 6.22 (SD 3.09)

M 7.10 (SD 2.00)

M 5.12 (SD 2.60)

M 5.96 (SD 2.62)

M 6.22 (SD 3.49)

M 6.86 (SD 3.51)

  Number of vacancies per resident (0–0.22)

M 0.016 (SD 0.034)

M 0.015 (SD 0.023)

M 0.013 (SD 0.028)

M 0.022 (SD 0.036)

M 0.022 (SD 0.052)

M 0.008 (SD 0.022)

  Hours / week (para) medics per resident (0–5.06)

M 1.32 (SD 0.93)

M 1.70 (SD 1.11)

M 1.24 (SD 0.92)

M 1.38 (SD 0.88)

M 0.91 (SD 0.55)

M 1.38 (SD 0.99)

3. Characteristics of modern or traditional care culture of the care facility

n = 139

n = 28

n = 30

n = 28

n = 28

n = 25

  GTL (1.55–4.81)

M 3.23 (SD 0.63)

M 3.13 (SD 0.67)

M 3.10 (SD 0.69)

M 3.29 (SD 0.65)

M 3.35 (SD 0.62)

M 3.30 (SD 0.54)

  P-CAT (2.76–4.35)

M 3.62 (SD 0.34)

M 3.36 (SD 0.33)

M 3.50 (SD 0.24)

M 3.73 (SD 0.26)

M 3.87 (SD 0.31)

M 3.62 (SD 0.31)

  Unanimity in care philosophy (2.39–4.57)

M 3.38 (SD 0.39)

M 3.19 (SD 0.33)

M 3.28 (SD 0.37)

M 3.53 (SD 0.32)

M 3.54 (SD 0.42)

M 3.35 (SD 0.37)

  FPCR ( 3.98–6.47)

M 5.51 (SD 0.46)

M 5.31 (SD 0.42)

M 5.38 (SD 0.45)

M 5.50 (SD 0.44)

M 5.74 (SD 0.39)

M 5.66 (SD 0.43)

  Number of psychotropic drugs per resident (0.17–2.38)

M 0.90 (SD 0.36)

M 1.08 (SD 0.41)

M 0.84 (SD 0.33)

M 0.92 (SD 0.29)

M 0.74 (SD 0.36)

M 0.95 (SD 0.35)

  Number of physical restraints per resident (0–0.74)

M 0.11 (SD 0.13)

M 0.17 (SD 0.14)

M 0.12 (SD 0.18)

M 0.09 (SD 0.08)

M 0.09 (SD 0.12)

M 0.11 (SD 0.11)

4. Characteristics of workload as perceived by care staff (mean scores per care home)

n = 139

n = 28

n = 30

n = 28

n = 28

n = 25

  LWQ Job satisfaction (2.28–3.75)

M 3.04 (SD 0.26)

M 2.85 (SD 0.24)

M 3.04 (SD 0.22)

M 3.09 (SD 0.25)

M 3.20 (SD 0.25)

M 3.04 (SD 0.25)

  LWQ Job demands (1.70–3.20)

M 2.45 (SD 0.29)

M 2.70 (SD 0.25)

M 2.50 (SD 0.19)

M 2.41 (SD 0.27)

M 2.22 (SD 0.25)

M 2.41 (SD 0.27)

  LWQ Autonomy (2.33–4.00)

M 2.95 (SD 0.21)

M 2.82 (SD 0.21)

M 2.88 (SD 0.14)

M 2.98 (SD 0.17)

M 3.11 (SD 0.16)

M 2.98 (SD 0.25)

  LWQ Social support manager (2.17–3.68)

M 3.04 (SD 0.30)

M 2.97 (SD 0.35)

M 3.00 (SD 0.30)

M 3.06 (SD 0.34)

M 3.08 (SD 0.26)

M 3.09 (SD 0.26)

  LWQ Social support coworkers (2.40–3.88)

M 3.21 (SD 0.23)

M 3.15 (SD 0.23)

M 3.20 (SD 0.21)

M 3.25 (SD 0.20)

M 3.22 (SD 0.28)

M 3.20 (SD 0.48)

  UBOS emotional exhaustion (0.61–3.46)

M 1.76 (SD 0.52)

M 2.08 (SD 0.49)

M 1.82 (SD 0.57)

M 1.74 (SD 0.45)

M 1.47 (SD 0.41)

M 1.68 (SD 0.48)

  UBOS Burnout personal competence ( 3.71–5.79)

M 4.73 (SD 0.31)

M 4.53 (SD 0.30)

M 4.72 (SD 0.32)

M 4.76 (SD 0.25)

M 4.84 (SD 0.29)

M 4.82 (SD 0.33)

5. Characteristics of the physical care environment

n = 139

n = 28

n = 30

n = 28

n = 28

n = 25

  Number of residents in facility (6–161)

M 40.43 (SD 32.44)

M 69.54 (SD 38.68)

M 23.37 (SD 8.63)

M 60.61 (SD 34.03)

M 20.71 (SD 15.49)

M 27.80 (SD 16.14)

  Number of residents per living room (5–28)

M 9.26 (SD 3.88)

M 12.18 (SD 2.99)

M 12.09 (SD 4.84)

M 8.07 (SD 2.91)

M 6.41 (SD 0.87)

M 7.12 (SD 1.37)

  Group living home care characteristics (9–51)

M 31.32 (SD 10.59)

M 22.58 (SD 7.29)

M 22.47 (SD 5.74)

M 33.64 (SD 8.04)

M 42.04 (SD 5.48)

M 37.12 (SD 8.77)

6. Characteristics of the organization of activities

n = 139

n = 28

n = 30

n = 28

n = 28

n = 25

  Care homes with activities arranged in clubs

75 (% 54.0)

n 21 (% 75.0)

n 11 (% 36.7)

n 19 (% 67.9)

n 9 (% 32.1)

n 15 (% 60.0)

  Care homes with central activity program

119 (% 85.6)

n 25 (% 89.3)

n 25 (% 83.3)

n 26 (% 92.9)

n 23 (% 82.1)

n 20 (% 80.0)

  Care homes with activities in living room

132 (% 95.0)

n 28 (% 100)

n 28 (% 93.3)

n 27 (% 96.4)

n 27 (% 96.4)

n 22 (% 88.0)

  Care homes where activities are (also) offered by care staff

124 (% 89.2)

n 24 (% 85.7)

n 26 (% 86.7)

n 27 (% 96.4)

n 24 (% 85.7)

n 23 (% 92.0)

  Hours / week recreational staff per resident (0–4.71)

M 0.78 (SD 0.78)

M 1.12 (SD 0.85)

M 1.17 (SD 0.92)

M 0.75 (SD 0.50

M 0.12 (SD 0.19)

M 0.74 (SD 0.69)

  Hours of help from family caregivers per resident per week (0–4.20)

M 0.36 (SD 0.68)

M 0.24 (SD 0.53)

M 0.16 (SD 0.28)

M 0.33 (SD 0.67

M 0.66 (SD 0.81)

M 0.39 (SD 0.90)

  Hours of help from volunteers per resident per week (0–6.67)

M 1.06 (SD 1.08)

M 0.62 (SD 0.78)

M 0.89 (SD 0.57)

M 1.21 (SD 1.25

M 1.58 (SD 1.46)

M 0.95 (SD 0.93)

  1. a Types of care homes that were represented in the LAD-study: 1) traditional large scale nursing homes; 2) nursing home wards in homes for the aged; 3) large scale group living homes (>36 residents with dementia); 4) small scale group living homes (< 36 residents) only providing group living home care, 5) small scale group living homes with other care forms at same location
  2. CPS cognitive performance scale, NPI-Q 12 item Neuropsychiatric Inventory questionnaire; KATZ, ADL dependency; UBOS, burnout questionnaire; LQWQ, Leiden Quality of Work Questionnaire; Staff ratio in hours of care staff per resident per week; GTL, transformational leadership; P-CAT, person-centered care; FPCR, Family Perception of Caregiver Role, Group living home characteristics, short version of the Questionnaire ‘Group Living Home Characteristics’