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000282303 1001_ $$00000-0003-3435-2242$$aKosilek, Robert P.$$b0
000282303 245__ $$aQuality over quantity - rethinking social participation in dementia prevention: results from the AgeWell.de trial
000282303 260__ $$aDarmstadt$$bSteinkopff$$c2024
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000282303 520__ $$aSocial participation as a protective factor against cognitive decline was one of the targets in the AgeWell.de study, a multi-domain interventional trial in a sample of older adults at increased risk for dementia. This study aimed to examine differential effects of the intervention and other influencing factors on social participation throughout the trial.A longitudinal analysis of study data at the primary follow-up after 24 months (n = 819) was conducted. The Lubben Social Network Scale (LSNS-6) was used to assess quantitative aspects of social networks, and self-reported social activities were classified using a three-tiered categorical framework to capture qualitative aspects.A positive effect of the intervention was observed at the qualitative framework level, with an OR of 1.38 [95% CI: 1.05-1.82] for achieving or maintaining higher social participation at follow-up, while no effect could be detected on quantitative social network characteristics. Later phases of the Covid-19 pandemic showed a negative impact on the level of social participation at follow-up with an OR of 0.84 [95% CI: 0.75-0.95].These findings suggest that by focusing on qualitative aspects of social participation as a component of dementia prevention, future interventions can promote enriched social interactions within established social networks.German Clinical Trials Register (DRKS) ID DRKS00013555.
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000282303 650_7 $$2Other$$aCovid-19
000282303 650_7 $$2Other$$aDementia
000282303 650_7 $$2Other$$aLifestyle intervention
000282303 650_7 $$2Other$$aPrevention
000282303 650_7 $$2Other$$aRandomized controlled trial
000282303 650_7 $$2Other$$aSocial participation
000282303 7001_ $$aWendel, Flora$$b1
000282303 7001_ $$aZöllinger, Isabel$$b2
000282303 7001_ $$0P:(DE-2719)9002503$$aKnecht, Hanna Lea$$b3$$udzne
000282303 7001_ $$0P:(DE-2719)9001870$$aBlotenberg, Iris$$b4$$udzne
000282303 7001_ $$aWeise, Solveig$$b5
000282303 7001_ $$aFankhänel, Thomas$$b6
000282303 7001_ $$aDöhring, Juliane$$b7
000282303 7001_ $$aWilliamson, Martin$$b8
000282303 7001_ $$aLuppa, Melanie$$b9
000282303 7001_ $$aZülke, Andrea E.$$b10
000282303 7001_ $$aBrettschneider, Christian$$b11
000282303 7001_ $$aWiese, Birgitt$$b12
000282303 7001_ $$0P:(DE-2719)2000040$$aHoffmann, Wolfgang$$b13$$udzne
000282303 7001_ $$aFrese, Thomas$$b14
000282303 7001_ $$aKönig, Hans-Helmut$$b15
000282303 7001_ $$aKaduszkiewicz, Hanna$$b16
000282303 7001_ $$0P:(DE-2719)2290613$$aThyrian, Jochen René$$b17$$udzne
000282303 7001_ $$aRiedel-Heller, Steffi G.$$b18
000282303 7001_ $$aGensichen, Jochen$$b19
000282303 773__ $$0PERI:(DE-600)1463160-X$$a10.1007/s00127-024-02757-4$$p-$$tSocial psychiatry and psychiatric epidemiology$$vAdvance online publication$$x0037-7813$$y2024
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