{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T09:12:21Z","timestamp":1789463541375,"version":"build-2803163510"},"reference-count":41,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Tarsus Municipality"},{"name":"Mersin Alzheimers Association"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Non-pharmacological interventions may improve quality of life in patients with Alzheimer's disease and reduce caregiver burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to compare the effects of a single-modal social (choir) and a multimodal intervention program on patient quality of life and caregiver burden in early-stage Alzheimer's disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This quasi-experimental study included 20 patients with early-stage Alzheimer's disease and their primary caregivers. Participants were allocated to either choir (control) group or multimodal (intervention) group. The former consisted of choir-based social stimulation, whereas the latter combined structured activities with supervised respite care. Both programs were delivered twice weekly for 6 months. Outcomes were assessed before and after the intervention using patient- and caregiver-rated Quality of Life in Alzheimer's Disease scores and Zarit Caregiver Burden Interview scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patient-rated quality of life scores improved in both groups, with a significantly greater increase in the multimodal group (F(1,18)\u2009=\u200917.78, p\u2009=\u20090.001, partial \u03b7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.497). Difference-in-differences analysis confirmed a greater improvement in patient-rated quality of life in the multimodal group (\u03b2\u2009=\u20096.20, p\u2009=\u20090.001). Caregiver-rated quality of life scores also improved more prominently in the multimodal group (F(1,18)\u2009=\u200915.46, p\u2009=\u20090.001; \u03b2\u2009=\u20099.30, p\u2009&lt;\u20090.001). Zarit caregiver burden scores decreased in both groups, with a significantly greater decrease in the multimodal group (F(1,18)\u2009=\u20097.09, p\u2009=\u20090.016, partial \u03b7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.283).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A multimodal community-based intervention incorporating respite care may offer greater benefits than a single-modal intervention alone<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877261471873","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T14:03:38Z","timestamp":1785247418000},"page":"852-862","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cA light, A breath\u201d: A community-based temporary care model for enhancing quality of life in Alzheimer's disease patients and supporting caregivers"],"prefix":"10.1177","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6103-7948","authenticated-orcid":false,"given":"Utku","family":"Topba\u015f","sequence":"first","affiliation":[{"name":"Neurology, Mersin Toros State Hospital, Mersin, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6958-4145","authenticated-orcid":false,"given":"\u015eura","family":"Alan","sequence":"additional","affiliation":[{"name":"Institute of Health Sciences, Healthcare Management Department, Ankara University, Ankara, T\u00fcrkiye"},{"name":"Faculty of Applied Sciences, Healthcare Management Department, Tarsus University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3231-2389","authenticated-orcid":false,"given":"G\u00fclpembe","family":"O\u011fuzhan","sequence":"additional","affiliation":[{"name":"Faculty of Applied Sciences, Healthcare Management Department, Tarsus University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2797-2398","authenticated-orcid":false,"given":"Aynur","family":"\u00d6zge","sequence":"additional","affiliation":[{"name":"Neuropsychiatry Center, N\u00d6ROM Center, Gazi University, Ankara, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2019.01.010"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/alz.12638"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2018.10.009"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnz110"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/08946566.2020.1741054"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/00912174241272615"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.0510"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/03601277.2016.1156375"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1471301221989604"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1159\/000512238"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12227"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1471301218795289"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-024-05033-x"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurger.2016.01.002"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610211002614"},{"key":"e_1_3_3_17_2","article-title":"Respite care for people with dementia and their carers","volume":"2014","author":"Maayan N","year":"2014","unstructured":"Maayan N, Soares-Weiser K, Lee H. Respite care for people with dementia and their carers. Cochrane Database Syst Rev 2014; 2014: CD004396.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4504"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.140.6.566"},{"key":"e_1_3_3_20_2","first-page":"554","article-title":"The validity and reliability of the Turkish version of the quality of life scale for patients with Alzheimer\u2019s disease (QOL-AD)","volume":"29","author":"S\u00f6ylemez BA","year":"2012","unstructured":"S\u00f6ylemez BA, K\u00fc\u00e7\u00fckg\u00fc\u00e7l\u00fc \u00d6. The validity and reliability of the Turkish version of the quality of life scale for patients with Alzheimer\u2019s disease (QOL-AD). J Neurol Sci (Turkish) 2012; 29: 554\u2013565.","journal-title":"J Neurol Sci (Turkish)"},{"key":"e_1_3_3_21_2","first-page":"38","article-title":"Zarit Bak\u0131c\u0131 Y\u00fck \u00f6l\u00e7e\u011finin \u015fizofreni hasta yakinlarinda ge\u00e7erlilik ve g\u00fcvenilirlik \u00e7ali\u015fmasi","volume":"46","author":"\u00d6zl\u00fc A","year":"2009","unstructured":"\u00d6zl\u00fc A, Y\u0131ld\u0131z M, Aker T. Zarit Bak\u0131c\u0131 Y\u00fck \u00f6l\u00e7e\u011finin \u015fizofreni hasta yakinlarinda ge\u00e7erlilik ve g\u00fcvenilirlik \u00e7ali\u015fmasi. Noro Psikiyatr Ars 2009; 46: 38\u201342.","journal-title":"Noro Psikiyatr Ars"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020128"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.03938.x"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4543"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1159\/000444084"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.25.1601"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269215507086239"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/1533317514568888"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/1533317512440493"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.2196\/70291"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e3181c37ce9"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1002\/cne.23433"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1093\/jmt\/29.1.54"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/0733464819901094"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S93914"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/1533317507302071"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-025-02985-x"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.0069"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics8050085"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2023.01.001"},{"key":"e_1_3_3_41_2","article-title":"MIND-China in 2018-2023: multimodal interventions in rural communities","volume":"20","author":"Qiu C","year":"2025","unstructured":"Qiu C. MIND-China in 2018-2023: multimodal interventions in rural communities. Alzheimers Dement 2025; 20: e086888.","journal-title":"Alzheimers Dement"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-160619"}],"container-title":["Journal of Alzheimer\u2019s Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13872877261471873","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13872877261471873","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13872877261471873","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T08:11:50Z","timestamp":1789459910000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13872877261471873"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":41,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/13872877261471873"],"URL":"https:\/\/doi.org\/10.1177\/13872877261471873","relation":{},"ISSN":["1387-2877","1875-8908"],"issn-type":[{"value":"1387-2877","type":"print"},{"value":"1875-8908","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,28]]}}}