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Zimmerman S, Anderson W, Brode S, et al. Comparison of Characteristics of Nursing Homes and Other Residential Long-Term Care Settings for People With Dementia [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 Oct. (Comparative Effectiveness Reviews, No. 79.)

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

Cover of Comparison of Characteristics of Nursing Homes and Other Residential Long-Term Care Settings for People With Dementia

Comparison of Characteristics of Nursing Homes and Other Residential Long-Term Care Settings for People With Dementia [Internet].

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Appendix ASearch Strategy

We outline our search strategies by database below.

Initial Search

We performed the initial searches on July 15, 2011.

Table A-1MEDLINE®

SearchQueriesResult
#1Search “dementia”[MeSH Terms] OR “dementia”[All Fields] OR “alzheimer disease”[MeSH Terms] OR “alzheimer”[All Fields] OR “alzheimer disease”[All Fields]124861
#2Search #1 Limits: Humans, English96335
#3Search “Assisted Living Facilities”[MeSH Terms]653
#4Search #2 AND #3126
#5Search “Nursing Homes”[MeSH Terms]28793
#6Search #2 AND #52508
#7Search “Long-Term Care”[MeSH Terms]19577
#8Search #2 AND #7892
#9Search “Group Homes”[MeSH Terms]746
#10Search #2 AND #956
#11Search “Homes for the Aged”[MeSH Terms]9773
#12Search #2 AND #111099
#13Search “Housing for the Elderly”[MeSH Terms]1336
#14Search #2 AND #1372
#15Search “Institutionalization”[MeSH Terms]7326
#16Search #2 AND #15545
#17Search “long term care”[tiab]12016
#18Search #2 AND #17862
#19Search “residential care”[tiab]1588
#20Search #2 AND #19196
#21Search “institutional care”[tiab]1252
#22Search #2 AND #21142
#23Search skilled nursing facilit*3995
#24Search #2 AND #23162
#25Search group home*1122
#26Search #2 AND #2569
#27Search nursing home*32683
#28Search #2 AND #273181
#29Search assist* living27313
#30Search #2 AND #29782
#31Search “Wellspring”38
#32Search #2 AND #311
#33Search Eden alternative*18
#34Search #2 AND #330
#35Search green house*173
#36Search #2 AND #351
#37Search green home*7
#38Search #2 AND #370
#39Search #4 OR #6 OR #8 OR #10 OR #12 OR #14 OR #16 OR #18 OR #20 OR #22 OR #24 OR #26 OR #28 OR #30 OR #32 OR #34 OR #36 OR #385250
#40Search #39 Limits: Editorial, Letter, Addresses, Autobiography, Bibliography, Biography, Case Reports, Comment, Congresses, Consensus Development Conference, Consensus Development Conference, NIH, Dictionary, Directory, Festschrift, In Vitro, Interactive Tutorial, Interview, Lectures, Legal Cases, Legislation, Patient Education Handout, Periodical Index, Portraits, Scientific Integrity Review, Video-Audio Media, Webcasts477
#41Search #39 NOT #404773
#42Search #41 Limits: Middle Aged: 45-64 years, Middle Aged + Aged: 45+ years, Aged: 65+ years, 80 and over: 80+ years4128
#43Search ((#42) AND “1990/01/01”[Publication Date] : “3000”[Publication Date]) AND “0”[Publication Date] : “3000”[Publication Date] Sort by: Author3646

Table A-2Cochrane Database

IDSearchHits
#1“dementia”[MeSH Terms] OR “dementia”[All Fields] OR “alzheimer disease”[MeSH Terms] OR “alzheimer”[All Fields] OR “alzheimer disease”[All Fields]9351
#2“Assisted Living Facilities”[MeSH Terms]38
#3“Nursing Homes”[MeSH Terms]1217
#4“Long-Term Care”[MeSH Terms]2229
#5“Group Homes”[MeSH Terms]64
#6“Homes for the Aged”[MeSH Terms]415
#7“Housing for the Elderly”[MeSH Terms]34
#8“Institutionalization”[MeSH Terms]308
#9“long term care”[tiab]2229
#10“residential care”[tiab]281
#11“institutional care”[tiab]193
#12skilled nursing facilit*191
#13group home*16569
#14nursing home*4813
#15assist* living2258
#16Wellspring1
#17Eden alternative*30
#18green house*87
#19green home*217
#20(#2 OR #3 OR #4 OR #5 OR #6 OR #7 OR #8 OR #9 OR #10 OR #11 OR #12 OR #13 OR #14 OR #15 OR #16 OR #17 OR #18 OR #19)20704
#21(#1 AND #20)1263
#22(#21), from 1990 to 20111220
#23“Humans”[Mesh]412650
#24(#22 AND #23)921
#25(#24)916

Table A-3CINAHL, AgeLine, PsycINFO

#QueryLimiters/ExpandersLast Run ViaResults
S29S27 and S28Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
1890
S28DE “United States”Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
238126
S27S25 and S26Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
2786
S26DE “Older Adults”Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
102053
S25S4 and S23Limiters - English Language; Exclude MEDLINE records; Human; Language: English; Publication Year from: 1990-2011; Publication Type: Journal article; Publication Year from: 1990-2011; English; Language: English; Population Group: Human; Exclude Dissertations Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
6791
S24S4 and S23Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
11975
S23S5 or S6 or S7 or S9 or S10 or S11 or S12 or S13 or S14 or S15 or S16 or S17 or S18 or S19 or S20 or S21 or S22Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
94213
S22green home*Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
80
S21green house*Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
87
S20Eden alternative*Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
100
S19“Wellspring”Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
115
S18assist* livingSearch modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
5359
S17nursing home*Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
48507
S16group home*Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
5106
S15skilled nursing facilit*Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
3417
S14“institutional care”Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
4684
S13“residential care”Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
16659
S12“long term care”Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
34904
S11“Institutionalization”Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
9680
S10“Housing for the Elderly”Search modes - Boolean/PhraseInterface - EBSCOhost
Search Screen - Advanced Search
Database - CINAHL with Full Text;AgeLine;PsycINFO
2288

Table A-4EMBASE Database Search

IDSearchResults
2‘dementia’/exp/mj119986
3‘alzheimer disease’/exp/mj60262
4#2 OR #3119986
6‘nursing home’/exp/mj OR ‘long term care’/exp/mj OR ‘residential home’/exp/mj OR ‘home for the aged’/exp/mj OR ‘institutionalization’/exp/mj OR ‘residential care’/exp/mj OR ‘institutional care’/exp/mj OR ‘skilled nursing facility’ OR ‘assisted living facility’/exp60593
7#4 AND #61684
8#4 AND #6 AND (‘article’/it OR ‘article in press’/it OR ‘conference abstract’/it OR ‘conference paper’/it OR ‘review’/it)1514
9#8 AND [humans]/lim AND [english]/lim AND ([embase]/lim OR [embase classic]/lim) AND [1990-2012]/py543

Total number of records identified: 5,589

Update Search

We performed update searches from March 21 - 23, 2012.

PubMed: 21 March 2012

SearchQueryItems found
#1Search “dementia”[MeSH Terms] OR “dementia”[All Fields] OR “alzheimer disease”[MeSH Terms] OR “alzheimer”[All Fields] OR “alzheimer disease”[All Fields]130527
#2Search #1 Limits: Humans, English100658
#3Search “Assisted Living Facilities”[MeSH Terms]694
#4Search #2 AND #3132
#5Search “Nursing Homes”[MeSH Terms]29462
#6Search #2 AND #52622
#7Search “Long-Term Care”[MeSH Terms]20040
#8Search #2 AND #7931
#9Search “Group Homes”[MeSH Terms]772
#10Search #2 AND #960
#11Search “Homes for the Aged”[MeSH Terms]10039
#12Search #2 AND #111144
#13Search “Housing for the Elderly”[MeSH Terms]1361
#14Search #2 AND #1374
#15Search “Institutionalization”[MeSH Terms]7436
#16Search #2 AND #15558
#17Search “long term care”[tiab]12478
#18Search #2 AND #17919
#19Search “residential care”[tiab]1679
#20Search #2 AND #19209
#21Search “institutional care”[tiab]1301
#22Search #2 AND #21147
#23Search skilled nursing facilit*4094
#24Search #2 AND #23164
#25Search group home*1159
#26Search #2 AND #2573
#27Search nursing home*33580
#28Search #2 AND #273336
#29Search assist* living29200
#30Search #2 AND #29831
#31Search “Wellspring”40
#32Search #2 AND #311
#33Search Eden alternative*19
#34Search #2 AND #330
#35Search green house*182
#36Search #2 AND #351
#37Search green home*7
#38Search #2 AND #370
#39Search #4 OR #6 OR #8 OR #10 OR #12 OR #14 OR #16 OR #18 OR #20 OR #22 OR #24 OR #26 OR #28 OR #30 OR #32 OR #34 OR #36 OR #385503
#40Search #39 Limits: Editorial, Letter, Addresses, Autobiography, Bibliography, Biography, Case Reports, Comment, Congresses, Consensus Development Conference, Consensus Development Conference, NIH, Dictionary, Directory, Festschrift, In Vitro, Interactive Tutorial, Interview, Lectures, Legal Cases, Legislation, Patient Education Handout, Periodical Index, Portraits, Scientific Integrity Review, Video-Audio Media, Webcasts492
#41Search #39 NOT #405011
#42Search #41 Limits: Middle Aged: 45-64 years, Middle Aged + Aged: 45+ years, Aged: 65+ years, 80 and over: 80+ years4326
#43Search (#42) AND (“2011/04/01”[Date - Entrez] : “3000”[Date - Entrez])142

Cochrane: 21 March 2012

IDSearchHits
#1“dementia”[MeSH Terms] OR “dementia”[All Fields] OR “alzheimer disease”[MeSH Terms] OR “alzheimer”[All Fields] OR “alzheimer disease”[All Fields]9771
#2“Assisted Living Facilities”[MeSH Terms]45
#3“Nursing Homes”[MeSH Terms]1328
#4“Long-Term Care”[MeSH Terms]2445
#5“Group Homes”[MeSH Terms]68
#6“Homes for the Aged”[MeSH Terms]436
#7“Housing for the Elderly”[MeSH Terms]37
#8“Institutionalization”[MeSH Terms]334
#9“long term care”[tiab]2445
#10“residential care”[tiab]330
#11“institutional care”[tiab]210
#12skilled nursing facilit*254
#13group home*17986
#14nursing home*5656
#15assist* living2978
#16Wellspring1
#17Eden alternative*57
#18green house*679
#19green home*1714
#20(#2 OR #3 OR #4 OR #5 OR #6 OR #7 OR #8 OR #9 OR #10 OR #11 OR #12 OR #13 OR #14 OR #15 OR #16 OR #17 OR #18 OR #19)22643
#21(#1 AND #20)1529
#22(#21), from 2011 to 2012191
#23“Humans”[Mesh]429201
#24(#22 AND #23)171

CINAHL, AgeLine, PsycINFO: 23 March 2012

#QueryResults
S28S27

Limiters - Published Date from: 20110701-20120431; English Language; Human; Language: English; Age Groups: All Adult; Publication Year from: 2011-2012; Publication Type: Journal Article; Publication Year from: 2011-2012; English; Age Groups: Adulthood (18 yrs & older); Population Group: Human; Exclude Dissertations Search modes - Boolean/Phrase
10
S27S23 and S261995
S26S24 or S25416805
S25DE “United States”245288
S24(MH “United States+”)332536
S23S20 and S21 and S225348
S22S18 or S19692901
S21S5 or S6 or S7 or S8 or S9 or S10 or S11 or S12 or S13 or S14 or S15 or S16 or S17113110
S20S1 or S2 or S3 or S483188
S19DE “Older Adults”102212
S18(MH “Adult+”) OR (MH “Frail Elderly”)590689
S17DE “Long Term Care”25056
S16(MH “Residential Care+”)4106
S15(MH “Institutionalization+”)57237
S14DE “Institutionalization”5718
S13(MH “Housing for the Elderly”)1593
S12DE “Homes for the Elderly”670
S11(MH “Long Term Care”)14191
S10DE “Nursing Homes”27470
S9(MH “Nursing Homes+”)14695
S8DE “Assisted Living Facilities”1492
S7DE “Assisted Living”1919
S6“assisted living”4760
S5(MH “Assisted Living”)1518
S4DE “Dementia”44708
S3(DE “Dementia” OR DE “AIDS Dementia Complex” OR DE “Dementia with Lewy Bodies” OR DE “Presenile Dementia” OR DE “Semantic Dementia” OR DE “Senile Dementia” OR DE “Vascular Dementia”)48489
S2(MH “Dementia+”)28434
S1Dementia73994

EMBASE: 23 March 2012

IDSearchResults
1‘dementia’/exp/mj128,476
2‘alzheimer disease’/exp/mj64,758
3#1 OR #2128,476
4‘nursing home’/exp/mj OR ‘long term care’/exp/mj OR ‘residential home’/exp/mj OR home for the aged’/exp/mj OR ‘institutionalization’/exp/mj OR ‘residential care’/exp/mj OR ‘institutional care’/exp/mj OR ‘skilled nursing facility’ OR ‘assisted living facility’/exp64,845
5#3 AND #41,823
6#5 AND ([adult]/lim OR [aged]/lim) AND [humans]/lim AND [english]/lim AND [1-7-2011]/sd NOT [31-3-2012]/sd71

Total number of records identified: 353

Handsearches

Handsearches of the following references yielded 341 additional records.

  • Alessi CA, Schnelle JF. Approach to sleep disorders in the nursing home setting. Sleep Med Rev. 2000 Feb;4(1):45–56. REVIEW ARTICLE. [PubMed: 12531160]
  • Allen-Burge R, Stevens AB, Burgio LD. Effective behavioral interventions for decreasing dementia-related challenging behavior in nursing homes. Int J Geriatr Psychiatry. 1999 Mar;14(3):213–28. discussion 28-32. [PubMed: 10202663]
  • Aoyama L, Weintraub N, Reuben DB. Is weight loss in the nursing home a reversible problem? Journal of the American Medical Directors Association. 2005;6(4):250–6. [PubMed: 16005411]
  • Blasi ZV, Hurley AC, Volicer L. End-of-life care in dementia: a review of problems, prospects, and solutions in practice. Journal of the American Medical Directors Association. 2002;3(2):57–65. [PubMed: 12807540]
  • Cunje A, Molloy DW, Standish TI, et al. Alternate forms of logical memory and verbal fluency tasks for repeated testing in early cognitive changes. Int Psychogeriatr. 2007 Feb;19(1):65–75. [PubMed: 16684396]
  • Day K, Carreon D, Stump C. The therapeutic design of environments for people with dementia: a review of the empirical research. Gerontologist. 2000 Aug;40(4):397–416. [PubMed: 10961029]
  • DiBartolo MC. Careful hand feeding: a reasonable alternative to PEG tube placement in individuals with dementia. J Gerontol Nurs. 2006;32(5):25–33. [PubMed: 16708981]
  • Doyle CJP. Social interventions to manage mental disorders of the elderly in long-term care. Australian Psychologist. 1993;28(1):25–30.
  • Finkel SI. Behavioral and psychological signs and symptoms of dementia: implications for research and treatment. Int Psychogeriatr. 1996;8(Suppl. 3):215–542. [PubMed: 9221032]
  • Finnema E, Droes RM, Ribbe M, et al. The effects of emotion-oriented approaches in the care for persons suffering from dementia: a review of the literature (Structured abstract). Int J Geriatr Psychiatry. 2000:141–61. [PubMed: 10679846]
  • Fleming R, Purandare N. Long-term care for people with dementia: environmental design guidelines. Int Psychogeriatr. 2010 Nov;22(7):1084–96. [PubMed: 20478095]
  • Forbes D, Morgan DG, Bangma J, et al. Light therapy for managing sleep, behaviour, and mood disturbances in dementia. Cochrane Database Syst Rev. 2004;(2):CD003946. [PubMed: 15106228]
  • Forbes DA. Strategies for managing behavioural symptomatology associated with dementia of the Alzheimer type: a systematic overview (Structured abstract). Can J Nurs Res. 1998:67–86. [PubMed: 9807289]
  • Gaugler JE. Family involvement in residential long-term care: a synthesis and critical review. Aging Ment Health. 2005 Mar;9(2):105–18. [PMC free article: PMC2247412] [PubMed: 15804627]
  • Gaugler JE, Kane RL. Families and Assisted Living. Gerontologist. 2007;47:83–99. [PubMed: 19127297]
  • Hall S, Kolliakou A, Petkova H, et al. Interventions for improving palliative care for older people living in nursing care homes. Cochrane Database Syst Rev. 2011;(3):CD007132. [PMC free article: PMC6494579] [PubMed: 21412898]
  • Jorm AF. The epidemiology of depressive states in the elderly: implications for recognition, intervention and prevention. Soc Psychiatry Psychiatr Epidemiol. 1995 Mar;30(2):53–9. [PubMed: 7754416]
  • Konetzka RT, Spector W, Limcangco MR. Reducing hospitalizations from long-term care settings. Med Care Res Rev. 2008 Feb;65(1):40–66. [PubMed: 17895516]
  • Kong EH, Evans LK, Guevara JP. Nonpharmacological intervention for agitation in dementia: a systematic review and meta-analysis (Structured abstract). Aging and Mental Health. 2009:512–20. [PubMed: 19629775]
  • Lai CK, Yeung JH, Mok V, et al. Special care units for dementia individuals with behavioural problems. Cochrane Database Syst Rev. 2009;(4):CD006470. [PubMed: 19821370]
  • Livingston G, Johnston K, Katona C, et al. Systematic review of psychological approaches to the management of neuropsychiatric symptoms of dementia. Am J Psychiatry. 2005 Nov;162(11):1996–2021. [PubMed: 16263837]
  • Lum TY, Kane RA, Cutler LJ, et al. Effects of Green House nursing homes on residents' families. Health Care Financ Rev. 2008 Winter;30(2):35–51. [PMC free article: PMC4195056] [PubMed: 19361115]
  • Olazaran J, Reisberg B, Clare L, et al. Nonpharmacological therapies in Alzheimer's disease: a systematic review of efficacy. Dement Geriatr Cogn Disord. 2010;30(2):161–78. [PubMed: 20838046]
  • Oliver D, Connelly JB, Victor CR, et al. Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta-analyses. BMJ. 2007 Jan 13;334(7584):82. [PMC free article: PMC1767306] [PubMed: 17158580]
  • Opie J, Rosewarne R, O'Connor DW. The efficacy of psychosocial approaches to behaviour disorders in dementia: a systematic literature review (Structured abstract). Aust N Z J Psychiatry. 1999:789–99. [PubMed: 10619204]
  • Ostaszkiewicz J, Johnston L, Roe B. Timed voiding for the management of urinary incontinence in adults, Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons, Ltd; 2004. [PMC free article: PMC6993947] [PubMed: 14973993]
  • Price James D, Hermans D, Grimley Evans J. Subjective barriers to prevent wandering of cognitively impaired people, Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons, Ltd; 2001. [PMC free article: PMC8406984] [PubMed: 11034735]
  • Rahman A, Straker JK, Manning L. Staff assignment practices in nursing homes: review of the literature. J Am Med Dir Assoc. 2009 Jan;10(1):4–10. [PubMed: 19111847]
  • Roberts J, Browne G, Gafni A, et al. Specialized continuing care models for persons with dementia: a systematic review of the research literature. Canadian Journal on Aging. 2000;19(1):106–26.
  • Rosenblatt A, Samus QM, Steele CD, et al. The Maryland Assisted Living Study: prevalence, recognition, and treatment of dementia and other psychiatric disorders in the assisted living population of central Maryland. J Am Geriatr Soc. 2004 Oct;52(10):1618–25. [PubMed: 15450036]
  • Vasse E, Vernooij-Dassen M, Spijker A, et al. A systematic review of communication strategies for people with dementia in residential and nursing homes. Int Psychogeriatr. 2010 Mar;22(2):189–200. [PubMed: 19638257]
  • Verkaik R, van Weert JC, Francke AL. The effects of psychosocial methods on depressed, aggressive and apathetic behaviors of people with dementia: a systematic review. Int J Geriatr Psychiatry. 2005 Apr;20(4):301–14. [PubMed: 15799081]
  • Zimmerman S, Cohen LW. Evidence behind The Green House and similar models of nursing home care. Aging Health. 2010;6(6):717–37.

Total references from initial and update search and handsearches after duplicates removed=6,209.

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