Abstract
The study aimed to examine the influence of personal characteristics on activity preferences using decision tree analysis and examine the effects of the variables using conventional approaches (logistic regression analysis). A descriptive study was conducted with 251 nursing home residents with dementia in Korea (76.9% female) to examine the relationship between their personal characteristics and activity preferences. Decision tree analysis was used to classify participants’ activity preferences, and preference levels were examined using logistic regression analysis. Activities were classified as either physical and social activities or cognitive and affective activities. This model showed an accuracy rate of 85.7% for positively predicting physical and social activity preference and 30.3% for positively predicting cognitive and affective activity preference. Gender was the strongest determinant of activity preference. The odds of preferring physical and social activities were 3.179 times higher among women, while the odds for preferring cognitive and affective activities were 0.412 times higher among men. Notably, cognitive and affective activity preference increased to 58.8% for married male participants. This study’s findings can contribute to the development of programs to decrease behavioral and psychological symptoms among older people with dementia residing in nursing homes and provide scientific evidence for integrating these activities into long-term services for this population.
Highlights
A major problem related to dementia is cognitive decline, which makes it difficult for people to maintain their usual activities (Nygård, 2004; Van Der Roest et al, 2007; O’Sullivan and Hocking, 2013)
This study aimed to examine the influence of personal characteristics on activity preferences using decision tree analysis and examine the effects of personal characteristics using logistic regression analysis
Alleviates boredom among patients with dementia residing in nursing homes and helps to evoke positive emotions (Cohen-Mansfield et al, 2010a, 2011)
Summary
A major problem related to dementia is cognitive decline, which makes it difficult for people to maintain their usual activities (Nygård, 2004; Van Der Roest et al, 2007; O’Sullivan and Hocking, 2013). People with dementia tend to be less involved in leisure activities due to the loss of their physical and cognitive abilities, which could lead to feeling isolated from friends and family, depressive mood, and boredom (Engelman et al, 1999; Feliciano et al, 2009). Several studies have reported that environmental stimuli can increase behavioral and psychological symptoms and decrease positive affect among people with dementia (Cohen-Mansfield and Werner, 1997; Cohen-Mansfield et al, 2010a, 2011).
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