title: Quality of care and its impact on quality of life for care-dependent persons with dementia in shared-housing arrangements: results of the Berlin WGQual-study.
abstract: OBJECTIVE
  The aim of study was to evaluate setting-specific quality indicators (QIs) for shared-housing arrangements (SHA) regarding effects of a guided quality development process on resident's quality of life (QoL).
  
  
  BACKGROUND
  SHA are a specific German kind of small-scale living facilities for care-dependent persons with dementia. SHA are disconnected from residential facilities and served by community care services.
  
  
  METHODS
  In a longitudinal cluster-randomised design 104 residents of 34 SHA were surveyed for 1 year; the intervention group took part in a quality development process. QIs, physical and psychological health outcomes including QoL were surveyed.
  
  
  RESULTS
  During the 1 year follow-up, analyses show a positive trend regarding QI-outcomes in the intervention group, but no statistically significant differences could be proved regarding QoL.
  
  
  CONCLUSIONS
  Setting-sensitive QIs are absolutely essential to measure quality of care in multi-professional settings like SHA. Further research as well as longer study intervals is essential.
authors.affiliation: Alice Salomon Hochschule Berlin - University of Applied Sciences; Alice Salomon Platz 5, D- 12627 Berlin, Germany. Electronic address: wolf-ostermann@ash-berlin.eu.
authors.forename: Karin
authors.initials: K
authors.lastname: Wolf-Ostermann
authors.affiliation: Alice Salomon Hochschule Berlin - University of Applied Sciences; Alice Salomon Platz 5, D- 12627 Berlin, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Worch
authors.affiliation: Alice Salomon Hochschule Berlin - University of Applied Sciences; Alice Salomon Platz 5, D- 12627 Berlin, Germany.
authors.forename: Saskia
authors.initials: S
authors.lastname: Meyer
authors.affiliation: Alice Salomon Hochschule Berlin - University of Applied Sciences; Alice Salomon Platz 5, D- 12627 Berlin, Germany.
authors.forename: Johannes
authors.initials: J
authors.lastname: Gräske
mesh_terms: D000203:Activities of Daily Living; D003153:Community Health Services / Q000458:organization & administration; D003704:Dementia / Q000451:nursing* / Q000503:physiopathology; D005858:Germany; D006801:Humans; D008137:Longitudinal Studies; D011787:Quality of Health Care; D011788:Quality of Life; D012114:Residential Treatment
keywords: Dementia; Quality of care; Quality of life; Shared-housing arrangements; Small scale living