title: Family visits in shared-housing arrangements for residents with dementia--a cross-sectional study on the impact on residents' quality of life.
abstract: BACKGROUND
  Shared-housing arrangements (SHA) are a German type of small-scale living arrangements for people with dementia (PwD). The involvement of family members is one core domain of SHA. But it has not been investigated yet, what are factors associated with family visits and if family involvement within SHA contributes to better residents' quality of life (QoL).
  
  
  METHODS
  A cross-sectional study including all SHA in Berlin/Germany was performed. Main parameters of interest were residents' QoL (QUALIDEM) and frequencies of family visits within the SHA. Besides descriptive analyses we used logistic regression and ANCOVA to analyze the data.
  
  
  RESULTS
  58 SHA with 396 residents (78.4 years, 69.4% female) participated in the study. Older (OR: 1.034; 95% CI: 1.005; 1.064) and female residents (OR: 2.006; 95% CI: 1.018; 3.950) got more often visited by family members. An active participation of family members in SHA contributes on average to a better QoL in terms of social relationship and social isolation (all ANCOVA p < 0.005). A decreased QoL was found for people without family visits compared to those without family members.
  
  
  CONCLUSIONS
  The involvement of family members in SHA is common but on a similar level compared to other care arrangements. Staff should convince available family members to visit PwD, in order to improve residents QoL. However, the response rate in the present study was about 13%, which may limit the results.
authors: Johannes
authors: J
authors: Gräske
authors: Saskia
authors: S
authors: Meyer
authors: Andreas
authors: A
authors: Worch
authors: Karin
authors: K
authors: Wolf-Ostermann
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D003704:Dementia / Q000523:psychology*; D005190:Family; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012111:Residence Characteristics; D012919:Social Behavior; D014789:Visitors to Patients