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. 2024 Feb 26;24(1):192.
doi: 10.1186/s12877-024-04677-z.

Association between freedom of movement and health of nursing home residents with dementia: an exploratory longitudinal study

Suzan van Liempd  1   2 , Sascha Bolt  3 , Marjolein Verbiest  3 , Katrien Luijkx  3
Affiliations

Association between freedom of movement and health of nursing home residents with dementia: an exploratory longitudinal study

Suzan van Liempd et al. BMC Geriatr. .

Abstract

Background: Locked doors remain a common feature of dementia units in nursing homes (NHs) worldwide, despite the growing body of knowledge on the negative effects of restricted freedom on residents. To date, no previous studies have explored the health effects of opening locked NH units, which would allow residents to move freely within the building and enclosed garden. This study examines the association between increased freedom of movement and the health of NH residents with dementia.

Methods: This longitudinal, pre-post study involved a natural experiment in which NH residents with dementia (N = 46) moved from a closed to a semi-open location. Data on dimensions of positive health were collected at baseline (T0; one month before the relocation), at one (T1), four (T2) and nine (T3) months after the relocation. Linear mixed models were used to examine changes in positive health over time.

Results: Cognition, quality of life and agitation scores improved significantly at T1 and T2 compared to the baseline, while mobility scores decreased. At T3, improvements in agitation and quality of life remained significant compared to the baseline. Activities of daily living (ADL) and depression scores were stable over time.

Conclusions: Increasing freedom of movement for NH residents with dementia is associated with improved health outcomes, both immediately and over time. These findings add to the growing evidence supporting the benefits of freedom of movement for the overall health of NH residents with dementia.

Keywords: Dementia; Freedom of movement; Nursing homes; Open doors; Positive health.

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Conflict of interest statement

The authors declare no competing interests.

Figures

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Fig. 1
Mean scores per health outcome per time point
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References

    1. Sanford AM, Orrell M, Tolson D, Abbatecola AM, Arai H, Bauer JM, et al. An international definition for nursing home. J Am Med Dir Assoc. 2015;16(3):181–4. doi: 10.1016/j.jamda.2014.12.013. - DOI - PubMed
    1. Alzheimer Nederland. Factsheet cijfers en feiten over dementie (Factsheet numbers and facts about dementia) 2023. [Available from: https://www.alzheimer-nederland.nl/factsheet-cijfers-en-feiten-over-deme....
    1. Estabrooks CA, Morgan DG, Squires JE, Boström A-M, Slaughter SE, Cummings GG, et al. The care unit in nursing home research: evidence in support of a definition. BMC Med Res Methodol. 2011;11(1):46. doi: 10.1186/1471-2288-11-46. - DOI - PMC - PubMed
    1. Landeweer E, Frederiks B, Vinckers MF, Janus S, Zuidema S. Open deuren voor PG? (open doors for PG?). Tijdschrift Voor Ouderengeneeskunde. 2021;3. Onderzoeksrapport_Alternatieven_voor_een_gesloten_deur.pdf (vumc.nl).
    1. Gezondheid.nl. Wet zorg en dwang bestaat maar werkt (nog) niet. Hoe dan? (Care and Coercion Act exists but doesn’t work (yet). How then?) 2023 [Available from: https://gezondheid.nl/wet-zorg-en-dwang-bestaat-maar-werkt-nog-niet-hoe-....

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