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The effects of group living homes on older people with dementia: a comparison with traditional nursing home care


te Boekhorst, Selma, Depla, Marja F.I.A., de Lange, Jacomine, Pot, Anne-Margriet, Eefsting, Jan A.


International Journal Of Geriatric Psychiatry, Volume: 24, No.: 9, Pages.: 970-978

Year of Publication



Objectives: The aim of this study was to investigate the effects of group living homes on quality of life and functioning of people with dementia.; Methods: The study had a quasi-experimental design with a baseline measurement on admission and an effect measurement six months later. Participants were 67 residents in 19 group living homes and 97 residents in seven traditional nursing homes. DQOL and QUALIDEM measured quality of life, functional status was examined with MMSE, IDDD, RMBPC, NPI-Q and RISE from RAI. Use of psychotropic drugs and physical restraints was also assessed. Linear and logistic regression analyses analyzed the data.; Results: After adjustment for differences in baseline characteristics, residents of group living homes needed less help with ADL and were more socially engaged. There were no differences in behavioral problems or cognitive status. Also after adjusting, two of the 12 quality of life subscales differed between the groups. Residents of group living homes had more sense of aesthetics and had more to do. While there were no differences in prescription of psychotropic drugs, residents of group living homes had less physical restraints.; Conclusions: Group living homes had some beneficial effects on its residents, but traditional nursing homes performed well as well. Possible study limitations included the baseline differences between the study groups and the use of different informants on T0 and T1. Future nursing home care may very well be a combination of the best group living care and traditional nursing home care have to offer.;

Bibtex Citation

@article{te_Boekhorst_2009, doi = {10.1002/gps.2205}, url = {}, year = 2009, month = {sep}, publisher = {Wiley-Blackwell}, volume = {24}, number = {9}, pages = {970--978}, author = {Selma te Boekhorst and Marja F. I. A. Depla and Jacomine de Lange and Anne Margriet Pot and Jan A. Eefsting}, title = {The effects of group living homes on older people with dementia: a comparison with traditional nursing home care}, journal = {Int. J. Geriat. Psychiatry} }


aged, aged, 80 and over, dementia, drug therapy, drugs, female, geriatric assessment, group, group homes, homes, homes for the aged, humans, including, living, male, nursing homes, of, outcome assessment (health care), physical, psychology, psychotropic, quality of health care, quality of life, research design, restraint, restraint physical, restraints, standards, statistics & numerical data, unspecified, use

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Non randomised controlled trial

Type of Outcomes

ADLs/IADLs, Behaviour, Cognition, Other, Quality of Life of Carer, Quality of Life of Person With Dementia


Nursing Homes

Type of Interventions

Non-pharmacological Treatment, Pharmaceutical Interventions

Pharmaceutical Interventions

Antipsychotics and antidepressants

Non-Pharmaceutical Interventions