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@ARTICLE{Kosilek:282303,
      author       = {Kosilek, Robert P. and Wendel, Flora and Zöllinger, Isabel
                      and Knecht, Hanna Lea and Blotenberg, Iris and Weise,
                      Solveig and Fankhänel, Thomas and Döhring, Juliane and
                      Williamson, Martin and Luppa, Melanie and Zülke, Andrea E.
                      and Brettschneider, Christian and Wiese, Birgitt and
                      Hoffmann, Wolfgang and Frese, Thomas and König, Hans-Helmut
                      and Kaduszkiewicz, Hanna and Thyrian, Jochen René and
                      Riedel-Heller, Steffi G. and Gensichen, Jochen},
      title        = {{Q}uality over quantity - rethinking social participation
                      in dementia prevention: results from the {A}ge{W}ell.de
                      trial},
      journal      = {Social psychiatry and psychiatric epidemiology},
      volume       = {Advance online publication},
      issn         = {0037-7813},
      address      = {Darmstadt},
      publisher    = {Steinkopff},
      reportid     = {DZNE-2025-01273},
      pages        = {-},
      year         = {2024},
      abstract     = {Social 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.},
      keywords     = {Covid-19 (Other) / Dementia (Other) / Lifestyle
                      intervention (Other) / Prevention (Other) / Randomized
                      controlled trial (Other) / Social participation (Other)},
      cin          = {AG Rodriguez / AG Thyrian / AG Hoffmann},
      ddc          = {610},
      cid          = {I:(DE-2719)1510900 / I:(DE-2719)1510800 /
                      I:(DE-2719)1510600},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      doi          = {10.1007/s00127-024-02757-4},
      url          = {https://pub.dzne.de/record/282303},
}