{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:34:45Z","timestamp":1772998485454,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We aimed to identify factors associated with the use of physical restraints in geriatric care facilities housing older adults with dementia during the COVID\u201019 pandemic in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional anonymous online survey was conducted from January to February 2023 in special nursing homes (SNHs) for older adults with moderate to severe dementia and group homes (GHs) for those with mild to moderate dementia. The survey gathered information on facility characteristics, the presence of residents with dementia infected during COVID\u201019 clusters, and the use of physical restraints. Additional items addressed challenges encountered during a cluster outbreak, difficulties in managing residents with dementia infected with COVID\u201019, measures implemented for these residents, and considerations when residents were unable to isolate in their rooms owing to wandering. Multiple logistic regression analysis was used to identify factors associated with physical restraint use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data from 286 SNHs and 151 GHs were analyzed, all of which housed residents with dementia infected during COVID\u201019 clusters. Among them, 49 SNHs (17.1%) and 14 GHs (9.3%) reported using physical restraints. In SNHs, multiple logistic regression analysis identified wandering, worsening dementia symptoms, and ongoing infections as significant factors associated with restraint use. In GHs, difficulty communicating the situation to other residents and families was notably associated with restraint implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The use of physical restraints in facilities caring for older adults with moderate to severe dementia may be associated with worsening dementia symptoms during the COVID\u201019 pandemic in Japan. These findings underscore the need for improved staff training and the development of care strategies aimed at minimizing restraint use during infectious disease outbreaks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/gps.70174","type":"journal-article","created":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T12:39:58Z","timestamp":1765975198000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Physical Restraint Use in Older Adults With Dementia in Geriatric Care Facilities During the COVID\u201019 Pandemic in Japan"],"prefix":"10.1002","volume":"40","author":[{"given":"Hungu","family":"Jung","sequence":"first","affiliation":[{"name":"Department of Medicine for Integrated Approach to Social Inclusion Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Akishita","sequence":"additional","affiliation":[{"name":"Tokyo Metropolitan Institute for Geriatrics and Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuji","family":"Iwamoto","sequence":"additional","affiliation":[{"name":"Department of Medicine for Integrated Approach to Social Inclusion Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junpei","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Department of Medicine for Integrated Approach to Social Inclusion Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenta","family":"Hirohama","sequence":"additional","affiliation":[{"name":"Department of Medicine for Integrated Approach to Social Inclusion Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5762-4066","authenticated-orcid":false,"given":"Shinya","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Medicine for Integrated Approach to Social Inclusion Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.4683"},{"key":"e_1_2_12_3_1","unstructured":"Updated Report: Mortality Associated with COVID\u201019 Outbreaks in Care Homes: Early International Evidence \u2013 Resources to Support Community and Institutional long\u2010term Care Responses to COVID\u201019. 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