Effects of institutionalization: a comparison of community, waiting list, and institutionalized aged persons.

Prock, Valencia N.

doi:10.2105/ajph.59.10.1837

Cited by 5 publications

(2 citation statements)

References 38 publications

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“…Other studies comparing institutionalized older people with those living in the community have found higher levels of impairment, dependency and depression and lower levels of subjective well-being, Aging & Mental Health 887 and cognitive functioning in the former group (Plati, Covre, Lukasova, & de Macedo, 2006;Prock, 1969;van Roosmalen & Marcoen, 2007). However, institutionalization per se does not seem to be a risk factor for poorer health status and well-being in older people, since age might act as a factor moderating the effect.…”

Section: Discussionmentioning

confidence: 94%

Health status and well‐being of older adults living in the community and in residential care settings: Are differences influenced by age?

Rodríguez‐Blázquez

Forjaz

Prieto-Flores

et al. 2012

Aging & Mental Health

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The objective is to identify the differences and the main factors influencing health status and well-being variables between institutionalized and non-institutionalized older adults, as well as the interaction effect of institutionalization and age. Data on a total of 468 older adults from a national survey on non-institutionalized and from a study on institutionalized older people were analyzed. Socio-demographic variables and measures on well-being (Personal Well-being Index, PWI), health status (EQ-5D), functional ability (Barthel Index), depression (Hospital Anxiety and Depression Scale-Depression subscale), loneliness and comorbidity were used. Analysis of variance and Kruskal-Wallis tests to examine differences between groups and multiple regression analyses to identify factors associated to health and well-being were performed. Significant differences in health status variables, but not in well-being were detected between groups. Controlling for age, differences in health status (EQ-VAS) were found to be not significant in both groups. In the non-institutionalized group, people aged 78 years or more reported a significantly lower well-being (PWI) than younger counterparts. Step-wise multiple regression analysis showed that depression, functional dependence, loneliness and sex were associated with health status; while depression, health status, loneliness and the interaction of age-institutionalization were related to well-being. The results suggest that age influences community-dwelling older adults' well-being to a greater extent than it does to institutionalized older people. This finding has implications for resource allocation and interventions addressed to improve health and well-being in older adults.

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Section: Discussionmentioning

confidence: 94%

Health status and well‐being of older adults living in the community and in residential care settings: Are differences influenced by age?

Rodríguez‐Blázquez

Forjaz

Prieto-Flores

et al. 2012

Aging & Mental Health

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“…The relationship of environmental change to mortality has been investigated in mental hospitals (1)(2)(3)(4), nursing homes (5)(6)(7), and homes for the aged (8)(9)(10). Moving the older person from a familiar setting into an institution, or even into surroundings similar to his own home, has been reported to cause psychological disorganization and distress (11).…”

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confidence: 99%

Male Nursing Home Patients: Relocation and Mortality*

Ogren

Linn

1971

J American Geriatrics Society

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The effect of transfer from one nursing home to another was studied in 82 male veterans over a four-year period. Group T comprised 41 patients who were transferred from the initial nursing home to one or more other homes; Group NT (controls) comprised 41 patients who were not transferred from the initial nursing home. Disability and illness were assessed by specific rating scales, and the 32 nursing homes were evaluated by three social workers. There were no significant differences between the two groups of patients, although the NT group seemed more disorganized at the end of the study period. For the transferred group there was no increase in the mortality rate. Apparently the most important factor in good adjustment to a nursing home is the understanding of the patient's needs for assistance and service.

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References

1977

Behavioral Approaches to Community Psychology

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Effects of institutionalization: a comparison of community, waiting list, and institutionalized aged persons.

Cited by 5 publications

References 38 publications

Health status and well‐being of older adults living in the community and in residential care settings: Are differences influenced by age?

Health status and well‐being of older adults living in the community and in residential care settings: Are differences influenced by age?

Male Nursing Home Patients: Relocation and Mortality*

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