Journal article 1202 views
The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia
Dementia
Swansea University Author:
Norah Keating
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DOI (Published version): 10.1177/1471301216654336
Abstract
Objectives: Research into the lived experiences of long-term care residents with dementia hasidentified perceived conflict, and its impact on sadness, as priorities for quality of life from theperspectives of people with dementia. However, whether and to what extent perceived conflictand sadness are...
Published in: | Dementia |
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ISSN: | 1741-2684 |
Published: |
2016
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URI: | https://cronfa.swan.ac.uk/Record/cronfa30079 |
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2016-09-20T07:03:50Z |
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<?xml version="1.0"?><rfc1807><datestamp>2016-11-18T09:53:41.0056720</datestamp><bib-version>v2</bib-version><id>30079</id><entry>2016-09-15</entry><title>The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia</title><swanseaauthors><author><sid>79aa9c79c6c3f3fa498a1d429844c45e</sid><ORCID>0000-0002-2535-4564</ORCID><firstname>Norah</firstname><surname>Keating</surname><name>Norah Keating</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2016-09-15</date><deptcode>HSOC</deptcode><abstract>Objectives: Research into the lived experiences of long-term care residents with dementia hasidentified perceived conflict, and its impact on sadness, as priorities for quality of life from theperspectives of people with dementia. However, whether and to what extent perceived conflictand sadness are associated has not been previously tested in this population. This study tested theassociations between perceived conflicts with staff, family or friends and co-residents and theirexperience of sadness, and whether cognitive impairment or functional dependence modifiedthese associations.Methods: The study design was cross-sectional, correlational retrospective. Participants were5001 residents of 613 long-term care facilities in Ontario, Canada with moderate and severedementia. Clinical administrative data collected from 2012 to 2013 using the Resident AssessmentInstrument 2.0 were used to measure the person’s perception of conflicts with family/friends,staff, or co-residents, as well as verbal and non-verbal indicators of sadness. Hypotheses weretested using logistic regression, with cluster correction.Results: Sadness (adjusting for age, sex, family/friend contact, pain, cognitive impairment, andfunctional dependence) was positively associated with perceived conflicts with family or friends(OR 1.91; 95% CI 1.26–2.88; p¼0.002) and staff (OR 1.51; 95% CI 1.07–2.13; p¼0.020). Theseassociations did not differ depending on the level of cognitive impairment or functionaldependence. The association between co-resident conflict and sadness was statisticallysignificant for people with moderate (OR 2.02; 95% CI 1.45–2.82; p<0.001) but not for thosewith severe dementia (OR 1.18; 95% CI 0.72–1.91; p¼0.511).Conclusion: Long-term care residents with dementia who perceive conflict with others requiresupport to maintain high quality relationships, particularly with family and friends. Future researchshould rigorously assess the modifiability of perceived conflict for people with moderate andsevere dementia, and whether interventions to ameliorate perceived conflict result in decreasedsadness and improved quality of life.</abstract><type>Journal Article</type><journal>Dementia</journal><publisher/><issnElectronic>1741-2684</issnElectronic><keywords>relationships, mood, dementia, quality of life, Resident Assessment Instrument</keywords><publishedDay>15</publishedDay><publishedMonth>6</publishedMonth><publishedYear>2016</publishedYear><publishedDate>2016-06-15</publishedDate><doi>10.1177/1471301216654336</doi><url/><notes/><college>COLLEGE NANME</college><department>Health and Social Care School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HSOC</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2016-11-18T09:53:41.0056720</lastEdited><Created>2016-09-15T23:27:16.6336869</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">The Centre for Innovative Ageing</level></path><authors><author><firstname>H. M.</firstname><surname>O'Rourke</surname><order>1</order></author><author><firstname>K. D.</firstname><surname>Fraser</surname><order>2</order></author><author><firstname>W.</firstname><surname>Duggleby</surname><order>3</order></author><author><firstname>N.</firstname><surname>Keating</surname><order>4</order></author><author><firstname>Norah</firstname><surname>Keating</surname><orcid>0000-0002-2535-4564</orcid><order>5</order></author></authors><documents/><OutputDurs/></rfc1807> |
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2016-11-18T09:53:41.0056720 v2 30079 2016-09-15 The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia 79aa9c79c6c3f3fa498a1d429844c45e 0000-0002-2535-4564 Norah Keating Norah Keating true false 2016-09-15 HSOC Objectives: Research into the lived experiences of long-term care residents with dementia hasidentified perceived conflict, and its impact on sadness, as priorities for quality of life from theperspectives of people with dementia. However, whether and to what extent perceived conflictand sadness are associated has not been previously tested in this population. This study tested theassociations between perceived conflicts with staff, family or friends and co-residents and theirexperience of sadness, and whether cognitive impairment or functional dependence modifiedthese associations.Methods: The study design was cross-sectional, correlational retrospective. Participants were5001 residents of 613 long-term care facilities in Ontario, Canada with moderate and severedementia. Clinical administrative data collected from 2012 to 2013 using the Resident AssessmentInstrument 2.0 were used to measure the person’s perception of conflicts with family/friends,staff, or co-residents, as well as verbal and non-verbal indicators of sadness. Hypotheses weretested using logistic regression, with cluster correction.Results: Sadness (adjusting for age, sex, family/friend contact, pain, cognitive impairment, andfunctional dependence) was positively associated with perceived conflicts with family or friends(OR 1.91; 95% CI 1.26–2.88; p¼0.002) and staff (OR 1.51; 95% CI 1.07–2.13; p¼0.020). Theseassociations did not differ depending on the level of cognitive impairment or functionaldependence. The association between co-resident conflict and sadness was statisticallysignificant for people with moderate (OR 2.02; 95% CI 1.45–2.82; p<0.001) but not for thosewith severe dementia (OR 1.18; 95% CI 0.72–1.91; p¼0.511).Conclusion: Long-term care residents with dementia who perceive conflict with others requiresupport to maintain high quality relationships, particularly with family and friends. Future researchshould rigorously assess the modifiability of perceived conflict for people with moderate andsevere dementia, and whether interventions to ameliorate perceived conflict result in decreasedsadness and improved quality of life. Journal Article Dementia 1741-2684 relationships, mood, dementia, quality of life, Resident Assessment Instrument 15 6 2016 2016-06-15 10.1177/1471301216654336 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University 2016-11-18T09:53:41.0056720 2016-09-15T23:27:16.6336869 Faculty of Medicine, Health and Life Sciences The Centre for Innovative Ageing H. M. O'Rourke 1 K. D. Fraser 2 W. Duggleby 3 N. Keating 4 Norah Keating 0000-0002-2535-4564 5 |
title |
The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia |
spellingShingle |
The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia Norah Keating |
title_short |
The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia |
title_full |
The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia |
title_fullStr |
The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia |
title_full_unstemmed |
The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia |
title_sort |
The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia |
author_id_str_mv |
79aa9c79c6c3f3fa498a1d429844c45e |
author_id_fullname_str_mv |
79aa9c79c6c3f3fa498a1d429844c45e_***_Norah Keating |
author |
Norah Keating |
author2 |
H. M. O'Rourke K. D. Fraser W. Duggleby N. Keating Norah Keating |
format |
Journal article |
container_title |
Dementia |
publishDate |
2016 |
institution |
Swansea University |
issn |
1741-2684 |
doi_str_mv |
10.1177/1471301216654336 |
college_str |
Faculty of Medicine, Health and Life Sciences |
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|
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facultyofmedicinehealthandlifesciences |
hierarchy_top_title |
Faculty of Medicine, Health and Life Sciences |
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facultyofmedicinehealthandlifesciences |
hierarchy_parent_title |
Faculty of Medicine, Health and Life Sciences |
department_str |
The Centre for Innovative Ageing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}The Centre for Innovative Ageing |
document_store_str |
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description |
Objectives: Research into the lived experiences of long-term care residents with dementia hasidentified perceived conflict, and its impact on sadness, as priorities for quality of life from theperspectives of people with dementia. However, whether and to what extent perceived conflictand sadness are associated has not been previously tested in this population. This study tested theassociations between perceived conflicts with staff, family or friends and co-residents and theirexperience of sadness, and whether cognitive impairment or functional dependence modifiedthese associations.Methods: The study design was cross-sectional, correlational retrospective. Participants were5001 residents of 613 long-term care facilities in Ontario, Canada with moderate and severedementia. Clinical administrative data collected from 2012 to 2013 using the Resident AssessmentInstrument 2.0 were used to measure the person’s perception of conflicts with family/friends,staff, or co-residents, as well as verbal and non-verbal indicators of sadness. Hypotheses weretested using logistic regression, with cluster correction.Results: Sadness (adjusting for age, sex, family/friend contact, pain, cognitive impairment, andfunctional dependence) was positively associated with perceived conflicts with family or friends(OR 1.91; 95% CI 1.26–2.88; p¼0.002) and staff (OR 1.51; 95% CI 1.07–2.13; p¼0.020). Theseassociations did not differ depending on the level of cognitive impairment or functionaldependence. The association between co-resident conflict and sadness was statisticallysignificant for people with moderate (OR 2.02; 95% CI 1.45–2.82; p<0.001) but not for thosewith severe dementia (OR 1.18; 95% CI 0.72–1.91; p¼0.511).Conclusion: Long-term care residents with dementia who perceive conflict with others requiresupport to maintain high quality relationships, particularly with family and friends. Future researchshould rigorously assess the modifiability of perceived conflict for people with moderate andsevere dementia, and whether interventions to ameliorate perceived conflict result in decreasedsadness and improved quality of life. |
published_date |
2016-06-15T07:06:11Z |
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1823381359929851904 |
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11.050268 |