{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:41:04Z","timestamp":1792107664009,"version":"4.4.0"},"reference-count":67,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T00:00:00Z","timestamp":1752883200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp; Dementia"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Few evidence\u2010based psychosocial interventions target people with advanced dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>\n                      Namaste Care Family is a daily multi\u2010dimensional care program to improve quality of life (QoL) of people with dementia and their family caregivers. In this cluster\u2010randomized controlled trial, adjusted linear mixed models were used to analyze effects at 1, 3, 6, and 12 months follow\u2010up. Ten nursing homes implemented the program (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0116) while nine nursing homes provided care as usual (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0115).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The intervention group showed less discomfort (\u22121.06; 95% confidence interval [CI] = \u22121.88 to \u22120.23) and fewer sentinel events (\u20100.40; 95% CI = \u22120.64 to \u22120.16), specifically pneumonia (\u22120.08; 95% CI = \u22120.14, \u22120.02). There were no differences in residents\u2019 QoL, challenging behavior, and medication use. There was no effect on positive caregiving experiences, caregiver burden or guilt, whereas conflict with staff was lower at 12 months (\u22122.04; 95% CI = \u22124.07 to \u22120.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>Namaste Care Family has some beneficial effects on residents with dementia and family caregivers.<\/jats:p>\n                    <jats:p>Clinical Trial Registration: This trial was registered with the CCMO Research with human participants (old ID 5692\/new ID 5570).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Namaste Care Family involves family in a daily program for residents with dementia.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Residents\u2019 quality of life did not improve (primary outcome) due to the program.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Also, family's positive caregiving experiences did not improve (primary outcome).<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Namaste Care Family reduced discomfort and sentinel events in people with dementia.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Family caregivers\u2019 conflict with staff over caregiving decreased due to the program.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.70495","type":"journal-article","created":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T03:29:11Z","timestamp":1752982151000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Namaste Care Family for people with dementia and family\u2212A randomized controlled trial"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7836-431X","authenticated-orcid":false,"given":"Hanneke J. A.","family":"Smaling","sequence":"first","affiliation":[{"name":"Department of Public Health and Primary Care Leiden University Medical Center  Leiden the Netherlands"},{"name":"Department of Public and Occupational Health Amsterdam University Medical Centers, Location VU University Medical Center  Amsterdam the Netherlands"},{"name":"Leiden University Medical Center University Network for the Care Sector South Holland  Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karlijn J.","family":"Joling","sequence":"additional","affiliation":[{"name":"Department of Medicine for Older People Amsterdam UMC  Amsterdam the Netherlands"},{"name":"Amsterdam Public Health, Aging &amp; Later Life  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith J. M.","family":"Rijnhart","sequence":"additional","affiliation":[{"name":"College of Public Health University of South Florida  Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos W. R.","family":"Twisk","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute VU University Medical Center  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilco P.","family":"Achterberg","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care Leiden University Medical Center  Leiden the Netherlands"},{"name":"Leiden University Medical Center University Network for the Care Sector South Holland  Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anneke L.","family":"Francke","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health Amsterdam University Medical Centers, Location VU University Medical Center  Amsterdam the Netherlands"},{"name":"Netherlands Institute for Health Services Research (NIVEL)  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny T.","family":"van der Steen","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care Leiden University Medical Center  Leiden the Netherlands"},{"name":"Radboudumc Alzheimer Center and Department of Primary and Community Care Radboud University Medical Center  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313493685"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2013.09.010"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/neu0000015"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-1331.2002.00356.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2009.11.2\/hbrodaty"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2006.09.017"},{"key":"e_1_2_9_8_1","first-page":"274","volume-title":"The End\u2010of\u2010Life Namaste Care Program for People With Dementia","author":"Simard J","year":"2013"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313493685"},{"issue":"1","key":"e_1_2_9_10_1","first-page":"91","article-title":"There's something they can do\u2019: educating aged care staff about the trajectory of dementia, palliative care and the Namaste Care\u2122 program: a mixed methods study","volume":"43","author":"Karacsony S","year":"2024","journal-title":"AJA"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301219878299"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15665"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010018\u20100995\u20109"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4211"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2013.12.043"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987119832932"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.7726\/ajad.2015.1003"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40814\u2010020\u201000575\u20104"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2020.11.009"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18137150"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2017.06.26"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1533317509333258"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610218002314"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05570-2"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-025411"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-500X.72352"},{"key":"e_1_2_9_27_1","unstructured":"SmalingHJA EngelsJ AchterbergWP van derSteenJT.Namaste toolkit.University Network for the Care Sector South Holland Leiden University Medical Center.2024. 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