{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T05:45:10Z","timestamp":1782711910744,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The coronavirus disease 2019 (COVID\u201019) pandemic has profoundly impacted people with dementia (PWD) residing in care facilities, where stringent infection prevention measures are implemented. While these measures aim to reduce virus transmission, they may inadvertently exacerbate cognitive and physical decline in PWD. This study examines the relationship between the types and the number of COVID\u201019 infection prevention measures and their adverse effects on PWD in Special Elderly Nursing Homes (SENHs) and Group Homes (GHs) in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional survey was conducted between January and February 2023 among representatives of elderly care facilities. Data were collected using an anonymous online questionnaire, which gathered information on COVID\u201019 infection prevention measures, facility characteristics, and adverse effects experienced by PWD. Statistical analyses, including\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      tests and multivariate logistic regression models, were performed to assess associations between these measures and unfavorable outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 567 valid responses, 73% of facilities reported adverse effects on PWD. In SENHs, restrictions on outings, reduced rehabilitation, and cluster outbreaks were significantly associated with negative impacts. In GHs, environmental modifications and cluster outbreaks emerged as significant factors. Additionally, a greater number of infection prevention measures correlated with increased adverse effects in both facility types.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>COVID\u201019 infection prevention measures may negatively impact PWD, particularly in facilities with extensive restrictions and limited opportunities for social interaction. These findings highlight the importance of balancing infection control strategies with interventions that support residents' cognitive and physical well\u2010being, especially during public health emergencies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70339","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T03:11:51Z","timestamp":1768619511000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of Infection Prevention Measures on Patients With Dementia in Care Facilities During the\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2882-1009","authenticated-orcid":false,"given":"Yuji","family":"Iwamoto","sequence":"first","affiliation":[{"name":"Department of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"},{"name":"Department of Rehabilitation, Faculty of Health Sciences Hiroshima Cosmopolitan University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7500-7029","authenticated-orcid":false,"given":"Hungu","family":"Jung","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":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5942-6562","authenticated-orcid":false,"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"},{"name":"Department of Rehabilitation, Faculty of Health Sciences Hiroshima Cosmopolitan University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4015-6056","authenticated-orcid":false,"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"},{"name":"Department of Rehabilitation Sakamidorii Hospital  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-201016"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5567"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16445"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2020.104299"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-020-01205-z"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-020-2521-4"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.17269\/s41997-021-00500-z"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14412"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2022.12.008"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2020.04.010"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045889"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.12688\/hrbopenres.13030.1"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-022-03602-6"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113294"},{"key":"e_1_2_12_16_1","unstructured":"Ministry of Health Labour and Welfare of Japan \u201cEthical Guidelines for Medical and Health Research; 2015. 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