{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:18:21Z","timestamp":1777396701902,"version":"3.51.4"},"reference-count":58,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2024,1,16]]},"abstract":"<jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Il Paese Ritrovato<\/jats:italic>\n                      is an Italian nursing home founded in 2018, it is\n            based on the Alzheimer village model and admits people with mild-to-moderate\n            dementia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      Describe the impact of the SARS-CoV-2 pandemic on people living at\n                      <jats:italic toggle=\"yes\">Il Paese\n              Ritrovato<\/jats:italic>\n                      through a Comprehensive Geriatric Assessment (CGA) regularly\n            administered prior to and during the pandemic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We explored the effects of a person-centered approach. We assessed 64 subjects\n            (enrolled and followed between June 2018 and December 2020), who underwent at least 18\n            months of observation prior to the pandemic. Each subject was evaluated using a CGA on\n            admission time (T\n                      <jats:sub>0<\/jats:sub>\n                      ) and at defined time-points: T\n                      <jats:sub>6<\/jats:sub>\n                      ,\n            T\n                      <jats:sub>12<\/jats:sub>\n                      , T\n                      <jats:sub>18<\/jats:sub>\n                      . One last CGA evaluation was performed during the\n            SARS-CoV-2 pandemic (T\n                      <jats:sub>Covid-19<\/jats:sub>\n                      ). Temporal trends during\n              T\n                      <jats:sub>0<\/jats:sub>\n                      \u2013T\n                      <jats:sub>18<\/jats:sub>\n                      , and differences between T\n                      <jats:sub>18<\/jats:sub>\n                      and\n              T\n                      <jats:sub>Covid-19<\/jats:sub>\n                      were calculated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean age was 82 years with a prevalence for females (77.0%) and Alzheimer\u2019s disease\n            diagnosis (60%). Psychiatric and behavioral disorders were the most common conditions\n            (80%). We utilized a nonpharmacological approach aimed at promoting the residents\u2019\n            overall wellbeing and observed satisfactory performance during the first 18 months. In\n            comparison with the pre-pandemic period, T\n                      <jats:sub>Covid-19<\/jats:sub>\n                      enlightened +11.7% use of\n            antidepressants and a decline of Mini-Mental State Examination mean values (not\n            statistically significant), while engagement in activities dropped.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      The pandemic may have disrupted the existing model of care, but at the same time, it\n            confirmed that the\n                      <jats:italic toggle=\"yes\">Il Paese Ritrovato<\/jats:italic>\n                      approach, which encompasses\n            symptoms improvement and multicomponent support, is in fact beneficial.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/jad-230229","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T12:20:44Z","timestamp":1702988444000},"page":"741-752","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Shifting the Paradigm of Nursing Home Care for People with Dementia: The          Italian Experience of Il Paese Ritrovato and the Impact of SARS-CoV-2"],"prefix":"10.1177","volume":"97","author":[{"given":"Paolo","family":"Mazzola","sequence":"first","affiliation":[{"name":"School of Medicine and Surgery","place":["Italy"]},{"name":"Fondazione IRCCS San Gerardo dei Tintori, Acute Geriatrics\r          Unit, Monza, Italy"},{"name":"NeuroMI \u2013 Milan Center for Neuroscience","place":["Italy"]},{"name":"Clinical Neurosciences research area","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariella","family":"Zanetti","sequence":"additional","affiliation":[{"name":"Cooperativa La Meridiana, Monza,\r          Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaia","family":"Ferraguzzi","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences for Health, Universit\u00e0\r          degli Studi di Milano, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Letizia","family":"Villa","sequence":"additional","affiliation":[{"name":"Cooperativa La Meridiana, Monza,\r          Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Cristina","family":"Sandrini","sequence":"additional","affiliation":[{"name":"Cooperativa La Meridiana, Monza,\r          Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Fumagalli","sequence":"additional","affiliation":[{"name":"Cooperativa La Meridiana, Monza,\r          Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Volpi","sequence":"additional","affiliation":[{"name":"Cooperativa La Meridiana, Monza,\r          Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Caggiu","sequence":"additional","affiliation":[{"name":"Department of Statistics and Quantitative Methods, Universit\u00e0\r          degli Studi di Milano-Bicocca, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Monzio Compagnoni","sequence":"additional","affiliation":[{"name":"Department of Statistics and Quantitative Methods, Universit\u00e0\r          degli Studi di Milano-Bicocca, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrizia","family":"Mecocci","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences for Health, Universit\u00e0 di\r          Perugia, Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Bellelli","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery","place":["Italy"]},{"name":"Fondazione IRCCS San Gerardo dei Tintori, Acute Geriatrics\r          Unit, Monza, Italy"},{"name":"NeuroMI \u2013 Milan Center for Neuroscience","place":["Italy"]},{"name":"Clinical Neurosciences research area","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,12,18]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/26.5.995"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1871-y"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-020-01440-x"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30367-6"},{"key":"e_1_3_6_6_2","first-page":"e1002500","article-title":"Impact of person-centred care training and person-centred activities on\n            quality of life, agitation, and antipsychotic use in people with dementia living in\n            nursing homes: A cluster-randomised controlled trial","volume":"15","author":"Ballard C","year":"2018","unstructured":"BallardC, CorbettA, OrrellM, WilliamsG, Moniz-CookE, RomeoR, WoodsB, GarrodL, TestadI, Woodward-CarltonB, WenbornJ, KnappM, FosseyJ (2018) Impact of person-centred care training and person-centred activities on quality of life, agitation, and antipsychotic use in people with dementia living in nursing homes: A cluster-randomised controlled trial. Med 15, e1002500.","journal-title":"Med"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610214000131"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-019-1049-5"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12549"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70045-6"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afz016"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-210647"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-78787-5_36"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1471301221997309"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S117637"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.36613\/tgg.1875-6832\/2020.03.01"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1086\/JCE199809103"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192416760"},{"key":"e_1_3_6_19_2","first-page":"509","article-title":"Developmental disorders in the fourth edition of the\n            American classification: Diagnostic and statistical manual of mental disorders (DSM IV \u2013\n            optional book)","volume":"28","author":"Gmitrowicz A","year":"1994","unstructured":"GmitrowiczA, KucharskaA (1994) Developmental disorders in the fourth edition of the American classification: Diagnostic and statistical manual of mental disorders (DSM IV \u2013 optional book). Psychiatr Pol 28, 509\u2013521.","journal-title":"Psychiatr Pol"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h369"},{"key":"e_1_3_6_21_2","first-page":"637","article-title":"Clinical Dementia Rating (CDR)","volume":"24","author":"Berg L","year":"1988","unstructured":"BergL (1988) Clinical Dementia Rating (CDR). Psychopharmacol Bull 24, 637\u2013639.","journal-title":"Psychopharmacol Bull"},{"key":"e_1_3_6_22_2","first-page":"153","article-title":"Assessment of comorbidity in elderly","volume":"49","author":"Rosas-Carrasco O","year":"2011","unstructured":"Rosas-CarrascoO, Gonz\u00e1lez-FloresE, Brito-CarreraAM, V\u00e1zquez-ValdezOE, Peschard-S\u00e1enzE, Guti\u00e9rrez-RobledoLM, Garc\u00eda-MayoEJ (2011) Assessment of comorbidity in elderly. Rev Med Inst Mex Seguro Soc 49, 153\u2013162.","journal-title":"Rev Med Inst Mex Seguro Soc"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_3_6_24_2","article-title":"Valutare la qualit\u00e0 della vita nelle residenze per anziani. Guida all\u2019uso\n            dell\u2019intervista standardizzata Quality_VIA","author":"Borella E","year":"2019","unstructured":"BorellaE, CantarellaA, De BeniR (2019) Valutare la qualit\u00e0 della vita nelle residenze per anziani. Guida all\u2019uso dell\u2019intervista standardizzata Quality_VIA. Franco Angeli.","journal-title":"Franco Angeli"},{"key":"e_1_3_6_25_2","first-page":"33","article-title":"Assessment tools to evaluate Activities of Daily Living (ADL) and\n            Instrumental Activities of Daily Living (IADL) in older adults: A systematic\n            review","volume":"34","author":"Pashmdarfard M","year":"2020","unstructured":"PashmdarfardM, AzadA (2020) Assessment tools to evaluate Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in older adults: A systematic review. Iran 34, 33.","journal-title":"Iran"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000314810.46029.74"},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/25.2.113"},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/9.3_Part_1.179"},{"key":"e_1_3_6_29_2","first-page":"150","article-title":"The measurement of disability in the elderly: A systematic review of\n            self-reported questionnaires","volume":"15","author":"Yang M","year":"2014","unstructured":"YangM, DingX, DongB (2014) The measurement of disability in the elderly: A systematic review of self-reported questionnaires. Assoc 15, 150.","journal-title":"Assoc"},{"key":"e_1_3_6_30_2","doi-asserted-by":"publisher","DOI":"10.1159\/000110738"},{"key":"e_1_3_6_31_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.44.12.2308"},{"key":"e_1_3_6_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/0006-3223(88)90038-8"},{"key":"e_1_3_6_33_2","first-page":"40","article-title":"A revised Index for Social Engagement for long-term care","volume":"34","author":"Gerritsen DL","year":"2008","unstructured":"GerritsenDL, SteverinkN, FrijtersDHM, HirdesJP, OomsME, RibbeMW (2008) A revised Index for Social Engagement for long-term care. Nurs 34, 40\u201348.","journal-title":"Nurs"},{"key":"e_1_3_6_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-017-0749-0"},{"key":"e_1_3_6_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.10.011"},{"key":"e_1_3_6_36_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(20000215)19:3<335::AID-SIM336>3.0.CO;2-Z"},{"key":"e_1_3_6_37_2","first-page":"e126161","article-title":"Joinpoint regression analysis with time-on-study as\n            time-scale. Application to three Italian population-based cohort\n          studies","volume":"14","author":"Rea F","year":"2017","unstructured":"ReaF, PaganE, CompagnoniMM, CantaruttiA, PugniP, BagnardiV, CorraoG (2017) Joinpoint regression analysis with time-on-study as time-scale. Application to three Italian population-based cohort studies. Epidemiol Biostat Public Health 14, e126161\u2013e12616-8.","journal-title":"Epidemiol Biostat Public Health"},{"key":"e_1_3_6_38_2","doi-asserted-by":"publisher","DOI":"10.4103\/aca.ACA_94_19"},{"key":"e_1_3_6_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2017.07.002"},{"key":"e_1_3_6_40_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1541-0420.2005.00389.x"},{"key":"e_1_3_6_41_2","doi-asserted-by":"publisher","DOI":"10.1002\/9780471462422.eoct979"},{"key":"e_1_3_6_42_2","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/42.3-4.412"},{"key":"e_1_3_6_43_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.116.535.651"},{"key":"e_1_3_6_44_2","first-page":"86","article-title":"Categorical data analysis","author":"Agresti A","year":"2002","unstructured":"AgrestiA (2002) Categorical data analysis. John Wiley & Sons, p. 86.","journal-title":"John Wiley & Sons"},{"key":"e_1_3_6_45_2","doi-asserted-by":"publisher","DOI":"10.1590\/1980-57642020dn14-040002"},{"key":"e_1_3_6_46_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2023.05.018"},{"key":"e_1_3_6_47_2","doi-asserted-by":"publisher","DOI":"10.1177\/07334648231154544"},{"key":"e_1_3_6_48_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41582-018-0070-3"},{"key":"e_1_3_6_49_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.585540"},{"key":"e_1_3_6_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2021.101406"},{"key":"e_1_3_6_51_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2014.01.008"},{"key":"e_1_3_6_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnur.2022.02.009"},{"key":"e_1_3_6_53_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.01.010"},{"key":"e_1_3_6_54_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610210001365"},{"key":"e_1_3_6_55_2","first-page":"253","article-title":"Cognitive stimulation for people with dementia in\n            long-term care facilities: Baseline cognitive level predicts cognitive gains, moderated\n            by depression","volume":"54","author":"Middelst\u00e4dt J","year":"2016","unstructured":"Middelst\u00e4dtJ, FolkertsAK, BlawathS, KalbeE (2016) Cognitive stimulation for people with dementia in long-term care facilities: Baseline cognitive level predicts cognitive gains, moderated by depression. Dis 54, 253\u2013268.","journal-title":"Dis"},{"key":"e_1_3_6_56_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12372"},{"key":"e_1_3_6_57_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnw259"},{"key":"e_1_3_6_58_2","first-page":"CD012892","article-title":"Physical environmental designs in residential care to\n            improve quality of life of older people","volume":"3","author":"Harrison SL","year":"2022","unstructured":"HarrisonSL, DyerSM, LaverKE, MilteRK, FlemingR, CrottyM (2022) Physical environmental designs in residential care to improve quality of life of older people. Cochrane Database Syst Rev 3, CD012892.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_6_59_2","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-210017"}],"container-title":["Journal of Alzheimer\u2019s Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3233\/JAD-230229","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.3233\/JAD-230229","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3233\/JAD-230229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:09:06Z","timestamp":1777370946000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.3233\/JAD-230229"}},"subtitle":[],"editor":[{"given":"Giulio","family":"Pasinetti","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,12,18]]},"references-count":58,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,1,16]]}},"alternative-id":["10.3233\/JAD-230229"],"URL":"https:\/\/doi.org\/10.3233\/jad-230229","relation":{},"ISSN":["1387-2877","1875-8908"],"issn-type":[{"value":"1387-2877","type":"print"},{"value":"1875-8908","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,18]]}}}