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@ARTICLE{Palm:140907,
      author       = {Palm, Rebecca and Trutschel, Diana and Sorg, Christian G G
                      and Dichter, Martin N and Haastert, Burkhard and Holle,
                      Bernhard},
      title        = {{Q}uality of {L}ife in {P}eople {W}ith {S}evere {D}ementia
                      and {I}ts {A}ssociation {W}ith the {E}nvironment in
                      {N}ursing {H}omes: {A}n {O}bservational {S}tudy.},
      journal      = {The gerontologist},
      volume       = {59},
      number       = {4},
      issn         = {0016-9013},
      address      = {Oxford},
      publisher    = {Oxford Univ. Press},
      reportid     = {DZNE-2020-07229},
      pages        = {665-674},
      year         = {2019},
      abstract     = {Theoretical models propose the environment as a factor
                      influencing the quality of life (QoL) of nursing home
                      residents with dementia. This study investigates whether the
                      observed QoL differs depending on the type of care
                      unit.DemenzMonitor is an exploratory, observational study
                      involving annual data collection in German nursing homes
                      (2012-2014). For this analysis, we selected residents with a
                      recorded diagnosis of dementia and severe cognitive
                      impairment. QoL was measured with the proxy assessment
                      QUALIDEM. Four care unit types were investigated: large
                      integrated, large segregated, small integrated, and small
                      segregated.We did not find a significant difference between
                      the care units. During the 2 years, the observed QoL was not
                      affected by any of the care unit types in a statistically
                      significant or clinically relevant manner. However, a
                      significant interaction effect between time and care unit
                      types was found.Structural and organizational
                      characteristics of care units, which in turn have
                      implications for residents characteristics and the quality
                      of care, may influence the QoL of residents. This may
                      explain the interaction we observed.},
      keywords     = {Aged / Aged, 80 and over / Dementia / Environment / Female
                      / Germany / Health Facility Size / Humans / Longitudinal
                      Studies / Male / Nursing Homes: organization $\&$
                      administration / Quality of Life / Severity of Illness Index
                      / Social Environment},
      cin          = {AG Holle / AG Halek / AG Roes / Witten Pre 2020},
      ddc          = {570},
      cid          = {I:(DE-2719)1610002 / I:(DE-2719)1610001 /
                      I:(DE-2719)1610003 / I:(DE-2719)6000020},
      pnm          = {344 - Clinical and Health Care Research (POF3-344)},
      pid          = {G:(DE-HGF)POF3-344},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:29566150},
      doi          = {10.1093/geront/gny017},
      url          = {https://pub.dzne.de/record/140907},
}