Cochrane · systematic review · CD012892
Physical environmental designs in residential care to improve quality of life of older people
Harrison, SL, Dyer, SM, Laver, KE, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Whole‐facility changes: Home‐like models compared to traditional environment for older people living in long‐term residential care
Population: older adults living in long‐term residential care including, but not limited to, dementia‐specific care settings
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health‐related quality of life Dementia‐specific quality of life measure (QUALIDEM) (higher scores = better) Whole‐facility changes: Home‐like models vs traditional environment | no estimate extracted | 33 participants | Very low Downgraded: risk of bias, imprecision |
Global behaviour Neuropsychiatric Inventory (NPI), Neuropsychiatric Inventory‐Nursing Home version (NPI‐NH) and Nurses Observations Scale for Geriatric Patients (NOSGER) (lower scores = better) Whole‐facility changes: Home‐like models vs traditional environment | no estimate extracted | 257 participants | Very low Downgraded: risk of bias, imprecision |
Depression Revised Memory and Behaviour Problems Checklist (RMBPC) and Mood Scale Score (MSS) (lower scores = better) Whole‐facility changes: Home‐like models vs traditional environment | no estimate extracted | 406 participants | Very low Downgraded: risk of bias, imprecision |
Function Activities of daily living (ADL) long‐form scale (lower scores = better), Interview for the Deterioration of Daily Living activities in Dementia (IDDD) (lower scores = better) Or Barthel Index (higher scores = better) Whole‐facility changes: Home‐like models vs traditional environment | no estimate extracted | 499 participants | Very low Downgraded: risk of bias, imprecision |
Serious adverse effects Physical restraints, reported as percentage points (lower = better) Whole‐facility changes: Home‐like models vs traditional environment | no estimate extracted | 1 study · 74449 participants | Very low Downgraded: risk of bias, imprecision |