{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T15:56:09Z","timestamp":1768924569187,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,23]],"date-time":"2022-02-23T00:00:00Z","timestamp":1645574400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of the present study was to explore factors associated with (i) the inability to attend a follow\u2010up assessment in the community\u2010based participatory research (CBPR) framework; (ii) mortality; and (iii) institutionalization, across a 5\u2010year period among older people with cognitive impairment identified via an epidemiological survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The participants were 198 older people whose score on the Mini\u2010Mental State Examination was below 24, and who were living in our CBPR region in the Tokyo metropolitan area. Baseline data included sociodemographic factors, health\u2010related factors, social factors, and assessments by healthcare professionals. Over the following 5\u2009years we observed what happened to the subjects within the CBPR framework. Bivariate and stepwise multiple logistic regression analyses were performed to explore the factors associated with the inability to attend a follow\u2010up assessment, 5\u2010year mortality, and institutionalization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants who did not attend a follow\u2010up assessment tended to live alone. Being older (&gt;80), living with others, frailty, and the need for rights protection and daily living support were associated with increased mortality. Long\u2010term care insurance certification was strongly associated with institutionalization as a natural consequence of the health\u2010care system. Having dementia and low access to doctors were also positively associated with institutionalization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Older people with cognitive impairment who are living alone are at higher risk of being overlooked by society. To move toward more inclusive communities, the following are recommended: (i) more interventions focusing on older people living alone; (ii) social interventions to detect daily life collapse or rights violations; and (iii) more support to help people with dementia continue living in the community.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psyg.12816","type":"journal-article","created":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T04:24:02Z","timestamp":1645676642000},"page":"332-342","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Factors associated with inability to attend a follow\u2010up assessment, mortality, and institutionalization among community\u2010dwelling older people with cognitive impairment during a 5\u2010year period: evidence from community\u2010based participatory research"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5879-6051","authenticated-orcid":false,"given":"Tsuyoshi","family":"Okamura","sequence":"first","affiliation":[{"name":"Research team for promoting independence and mental health Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiaki","family":"Ura","sequence":"additional","affiliation":[{"name":"Research team for promoting independence and mental health Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mika","family":"Sugiyama","sequence":"additional","affiliation":[{"name":"Research team for promoting independence and mental health Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Inagaki","sequence":"additional","affiliation":[{"name":"Research team for promoting independence and mental health Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7989-3168","authenticated-orcid":false,"given":"Fumiko","family":"Miyamae","sequence":"additional","affiliation":[{"name":"Research team for promoting independence and mental health Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayako","family":"Edahiro","sequence":"additional","affiliation":[{"name":"Research team for promoting independence and mental health Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsutomu","family":"Taga","sequence":"additional","affiliation":[{"name":"Research team for promoting independence and mental health Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuji","family":"Tsuda","sequence":"additional","affiliation":[{"name":"Research team for promoting independence and mental health Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"},{"name":"Health Care Science Institute  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4071-7420","authenticated-orcid":false,"given":"Riko","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Research team for promoting independence and mental health Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"},{"name":"Department of Integrated Education and Science, Graduate School of Education The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kae","family":"Ito","sequence":"additional","affiliation":[{"name":"Research team for human care Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuichi","family":"Awata","sequence":"additional","affiliation":[{"name":"Integrated Research Initiative for Living Well with Dementia Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,23]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Japan Geriatric Society. 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