@article{
 title = {Dual Sensory Impairment and Cognitive Decline: The Results From the Shelter Study},
 type = {article},
 year = {2015},
 identifiers = {[object Object]},
 keywords = {Cognitive ageing,Dual sensory impairment,Nursing home,Social engagement},
 websites = {http://login.ezproxy.library.ualberta.ca/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=25869524&site=ehost-live&scope=site},
 month = {13},
 publisher = {published on behalf of the Gerontological Society of America by Oxford University Press},
 city = {Department of Geriatrics, First Faculty of Medicine, Charles University, Prague, Czech Republic. Department of Nursing, Faculty of Health Sciences, Palacky Univestiy, Olomouc, Czech Republic. yukari.yamada@upol.cz.; AGAPLESION Bethesda Clinic, Competence },
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 created = {2016-08-20T16:55:47.000Z},
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 last_modified = {2017-03-14T09:54:45.334Z},
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 notes = {ID: 25869524; Accession Number: 25869524. Language: English. Date Revised: 20150415. Date Created: 20150414. Update Code: 20150423. Publication Type: JOURNAL ARTICLE. Journal ID: 9502837. Publication Model: Print-Electronic. Cited Medium: Internet. NLM ISO Abbr: J. Gerontol. A Biol. Sci. Med. Sci.. Linking ISSN: 10795006. Date of Electronic Publication: 2015 Apr 13. Current Imprints: Publication: Washington, DC : published on behalf of the Gerontological Society of America by Oxford University Press; Original Imprints: Publication: Washington, DC : Gerontological Society of America, c1995-},
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 abstract = {Objectives: To examine whether nursing home residents with concurrent vision and hearing impairment, dual sensory impairment (DSI), have a greater cognitive decline over time than do those without sensory impairment and whether social engagement modifies this association.; Methods: Based on the Services and Health for Elderly in Long TERm Care study, 1,989 nursing home residents who were assessed using the interRAI LTCF at 6-month intervals over 1 year were included. Multivariate linear regression models with time-variant exposure variables of sensory impairment and social engagement using generalized estimating equations were performed to predict cognitive function measured by the Cognitive Performance Scale (range 0-6).; Results: Residents with DSI had a greater cognitive decline changes in Cognitive Performance Scale over 1 year = 1.12 (95% confidence interval = 0.81:1.42)] compared to those with either vision or hearing impairment 0.67 (0.53:0.64)] and those without sensory impairment 0.56 (0.48:0.64)]. A lower level of social engagement was also associated with a greater cognitive decline. The combined exposure variable of sensory impairment and social engagement revealed the greatest cognitive decline for socially disengaged residents with DSI 1.87 (1.24:2.51)] and the potential effect modification of social engagement on the association between DSI and cognitive decline; DSI was not associated with a greater cognitive decline among socially engaged residents, while it was associated among socially disengaged residents DISCUSSION : Cognitive function declines faster in nursing home residents with DSI only when residents were not socially engaged. Therefore, residents with DSI might cognitively benefit from interventions to improve involvement in social life at nursing homes.; © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please email: journals.permissions@oup.com.},
 bibtype = {article},
 author = {Yamada, Yukari and Denkinger, Michael D and Onder, Graziano and Henrard, Jean-Claude and van der Roest G., Henriëtte and Finne-Soveri, Harriet and Richter, Tomas and Vlachova, Martina and Bernabei, Roberto and Topinkova, Eva},
 journal = {The Journals Of Gerontology.Series A, Biological Sciences And Medical Sciences}
}

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Multivariate linear regression models with time-variant exposure variables of sensory impairment and social engagement using generalized estimating equations were performed to predict cognitive function measured by the Cognitive Performance Scale (range 0-6).; Results: Residents with DSI had a greater cognitive decline changes in Cognitive Performance Scale over 1 year = 1.12 (95% confidence interval = 0.81:1.42)] compared to those with either vision or hearing impairment 0.67 (0.53:0.64)] and those without sensory impairment 0.56 (0.48:0.64)]. A lower level of social engagement was also associated with a greater cognitive decline. The combined exposure variable of sensory impairment and social engagement revealed the greatest cognitive decline for socially disengaged residents with DSI 1.87 (1.24:2.51)] and the potential effect modification of social engagement on the association between DSI and cognitive decline; DSI was not associated with a greater cognitive decline among socially engaged residents, while it was associated among socially disengaged residents DISCUSSION : Cognitive function declines faster in nursing home residents with DSI only when residents were not socially engaged. Therefore, residents with DSI might cognitively benefit from interventions to improve involvement in social life at nursing homes.; © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please email: journals.permissions@oup.com.","bibtype":"article","author":"Yamada, Yukari and Denkinger, Michael D and Onder, Graziano and Henrard, Jean-Claude and van der Roest G., Henriëtte and Finne-Soveri, Harriet and Richter, Tomas and Vlachova, Martina and Bernabei, Roberto and Topinkova, Eva","journal":"The Journals Of Gerontology.Series A, Biological Sciences And Medical Sciences","bibtex":"@article{\n title = {Dual Sensory Impairment and Cognitive Decline: The Results From the Shelter Study},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n keywords = {Cognitive ageing,Dual sensory impairment,Nursing home,Social engagement},\n websites = {http://login.ezproxy.library.ualberta.ca/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=25869524&site=ehost-live&scope=site},\n month = {13},\n publisher = {published on behalf of the Gerontological Society of America by Oxford University Press},\n city = {Department of Geriatrics, First Faculty of Medicine, Charles University, Prague, Czech Republic. 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