Usage Of Facilities Research Articles

Healthcare Workforce Response to The Coronavirus Disease Outbreak in Daegu, Korea: A Multi-Center, Cross-Sectional Survey.

BackgroundSecuring an available healthcare workforce is critical to respond to coronavirus disease 2019 (COVID-19); however, research investigating Korea’s COVID-19 staffing response is rare. To present the fundamental data of healthcare staff in response to the surge in COVID-19 cases, we investigated the healthcare workforce response in Daegu, South Korea, which experienced the first largest outbreak of COVID-19 outside of China.Materials and MethodsIn response to the COVID-19 outbreak, this retrospective cross-sectional study analyzed data on the scale and characteristics of healthcare workers (HCWs). Additionally, it analyzed the clinical and epidemiological characteristics of HCWs infected with COVID-19 in six major teaching hospitals (five tertiary and one secondary) in Daegu from January 19 to April 30, 2020.ResultsDuring this study period, only 1.3% (n = 611) of the total hospitalized patients (n = 48,807) were COVID-19 inpatients, but they occupied 6.0% (n = 303) of the total hospital beds (n = 5,056), and 23.7% (n = 3,471) of all HCWs (n = 14,651) worked in response to COVID-19. HCWs participating in COVID-19-related works comprised 50.6% (n = 1,203) of doctors (n = 2,379), 26.3% (n = 1,571) of nurses (n = 5,982), and 11.4% (n = 697) of other HCWs (n = 6,108). Only 0.3% (n = 51) of HCWs (n = 14,651) developed COVID-19 infections from community-acquired (66.7%) or hospital-acquired (29.4%). Nurses were affected predominantly (33.3%), followed by doctors (9.8%), caregivers (7.8%), radiographers (5.9%), and others (45.1%), including nurse aides and administrative, facility maintenance, telephone appointment centers, and convenience store staff. All HCWs infected with COVID-19 recovered completely. The 32.7% (n = 333) of individuals (n = 1,018) exposed to HCWs who had COVID-19 were quarantined, and only one case of secondary transmission among them occurred.ConclusionThe COVID-19 pandemic has necessitated significant staffing and facility usage, which is disproportionate to the relatively low number of COVID-19 inpatients, imposing a substantial burden on healthcare resources. Therefore, beyond the current reimbursement level of the Korean National Health Insurance, a new type of rewarding system is needed to prepare hospitals for the emerging outbreaks of infectious diseases. Keeping HCWs safe from COVID-19 is crucial for maintaining the healthcare workforce during a sudden massive outbreak. Further studies are needed to determine the standards of required HCWs through detailed research on the working hours and intensity of HCWs responding to COVID-19.

Effects of Technology-Assisted Learning on Students’ Learning in the Chadian Education System

It is undeniable fact that technology plays a critical role in the growth of today's nations. The demand of today, technology cannot be blotted out. Technology lays pressure on demand in every aspect of our daily life. One key area is education. Different software, technological approaches, technological pedagogies, and methods are evolving just to facilitate teaching and learning. The study, therefore, sought to find out whether Technology Assisted Learning (TAL) improves students learning in the Chadian Education system? As a result, there will be simple access, high-quality teaching and learning, infrastructure, and managerial efficiency. Despite this, many academic institutions have yet to fully appreciate the promise of TAL in teaching and learning. The investigation was conducted using a mixed technique approach. A questionnaire was utilized to gather information from 288 respondents: 108 lecturers and 180 students from Ndjamena University. Interviews were also held with 4 management and ICT professionals. According to the study's findings, TAL has not been widely integrated into Ndjamena University's learning activities. Frequent power fluctuations, a lack of maintenance, poor internet speed, a lack of pedagogical models for how to utilize TAL in teaching and learning, and inadequate ICT skills of lecturers and students to fully integrate ICT were some of the issues noted. To help practical integration of TAL in teaching and learning, the research advised that, ICT training for lecturers and students is key. ICT infrastructure provision and maintenance, as well as ICT service delivery, should be prioritized. The complete implementation and usage of ICT facilities and services will not only transform teaching and learning at N’djamena University, but it will also help lecturers and students improve their intrinsic scientific inquiry mind and critical thinking talents. There is also the need to call on stakeholders such as IT service providers and the government to support the institution. Keywords: Technology-Assisted Learning, Students, Learning, Chadian Education System DOI: 10.7176/JEP/13-3-07 Publication date: January 31 st 2022

The reliability of the transport system on the pendulum route

The usage of mobile transportation facilities for the movement of cargo from the place of accumulation to the place of consumption can significantly reduce the cost of cargo transportation on the farm. The reliability of transportation and distribution systems depends on many factors. One of the main indicators of reliability is the availability factor indicating the probable state of the feed distribution system at an arbitrary time, at which there will be no failure in feeding on any distribution line. Reliability of transport and distribution systems depends on many factors. One of the main indicators of reliability is the availability factor kг indicating the probable state of the feed distribution system at an arbitrary time. The technique allowing to obtain quantitative indicators of reliability of transportation and feed distribution systems at a design stage and to define the amount of transportation facilities necessary to serve the livestock in a compartment is proposed. It is shown that using the coordinate system of feed distribution contributes to increasing the utilization rate of mobile vehicles and improving the reliability indicator of the feed distribution system. The article provides comparative analysis of the transportation and feed distribution systems for the compartments with the multi-row maintenance livestock. A new undercarriage for the feed distributor on pneumatic wheels with steering on the target shaft and electromechanical drive on the drive shaft is developed that allows the feed distributor to move autonomously along the distribution line, to move from one feed line to another within one compartment, does not require rail-type guides along the feed line and additional areas for turning.

Impact of COVID-19 on Internet Traffic in Nigeria

In the course of the outbreak of COVID-19, the Nigerian society adopted digital life as an alternative to physical interaction so as to keep afloat in the period of the lockdown. This option brought about a lot of changes especially in the usage of communication facilities. Many Nigerians that are not willing to have Internet connectivity had no option than to accept the reality on ground. This work examines the related literatures within and outside Nigeria. Thereafter, it examined the usage level and satisfaction of the users through questionnaires administering to the subscribers of different cellular networks available. The questionnaires were administered in Akure to the cellular subscribers of MTN, GLO, Airtel and 9mobile randomly. Afterwards, the data were analyzed and discussion of the results of each component of the questionnaires was done. The study revealed that MTN subscribers are more and most respondents are just using 4G services within 1 - 6 months durations. Also, the studies established that those respondents always on 4G Services are more than any other class in a day. Thus, this work established that COVID-19 pandemic brought changes to the daily activities, thus, a shift to digital life among the subscribers.

Quality of care and respect of human rights in mental health services in four West African countries: collaboration between the mental health leadership and advocacy programme and the World Health Organization QualityRights initiative.

Although recent reports suggest that service users in West African psychiatric facilities are exposed to poor quality of care and human rights violations, evidence is lacking on the extent and profile of specific deficits in the services provided to persons with mental health conditions. To evaluate the quality of care and respect of human rights in psychiatric facilities in four West African countries, The Gambia, Ghana, Liberia and Sierra Leone, using the World Health Organization QualityRights Toolkit. Trained research workers collected information through observation, review of records and interviews with service users, caregivers and staff. Independent panels of assessors used the information to assign scores to the criteria, standards and themes of the QualityRights Toolkit. The study revealed significant gaps in these facilities. The rights to an adequate standard of living and to enjoyment of the highest attainable standard of health were poorly promoted. Adherence to the right to exercise legal capacity and the right to personal liberty and security was almost absent. Severe shortcomings in the promotion of the right to live independently and be included in the community were reported. Inadequate appreciation of service users' rights, lack of basic approaches to protect them and the non-promotion of rights-based services in these facilities are major problems that need to be addressed. Although it recognises the resource constraints and need for more human and financial resources, the study also identifies critical areas and challenges that require significant changes at the facility level.

Isolation, Optimization and Characterization of Lipase Producing Bacteria from Abbatoir Soil

Microorganisms can easily degrade agro-industrial wastes in a solid-state fermentation process thereby synthesizing many important commercial bio compounds including lipolytic enzymes. Screening different habitats for bacteria with lipase activity and optimizing its fermentation parameters with facilities effective production and usage in industries. In this study, soil samples from different Abattoirs in Kaduna metropolis were screened for presence of lipase positive strains culture medium parameters such as carbon source, inducers, nitrogen source, pH, temperature, inoculums level and incubation period were varied for the purpose of optimization. Maximum lipase activity was recorded at 48hours incubation, this activity occurred in media containing groundnut peel and rice husk, supplemented with ammonium nitrate and urea which are the best carbon and nitrogen sources. The isolated bacteria were identified as Pseudomonas biochemically, the production, partial purification and characterization of lipase activity at different pH, determination of molecular weight analysis. The lipase was partially purified up to saturation using ammonium sulphate precipitation spectrophotometric lipase assay was used for enzyme characterization. Lipases produced by pseudomonas have been used widely in pharmaceutical, food, pulp, textile, paper, leather industries among others due to their stability, selectivity and broad substrate specificity.

A Proposal for a Process Model for Data Collection in Facilities Programming

The literature on programming is limited both in absolute terms and compared to the publication record of other fields, domains, and thematic areas. In a period of fifty years, there have been barely more than a dozen core books written on this topic and only a few more tangential ones. Compared to other fields and research domains, journal publications form a very small pool of information. Most papers and book chapters present programming cases and rarely deal with explicating the programming process. This presents a problem in sharing knowledge, developing new knowledge, explicating practice wisdom, and teaching new generations of programmers. In this article, we present a generic process model for data collection in facilities (or architectural) programming. Programming provides information about building (or facility) users. In effect, it is a social science research endeavor. In this paper, we present a process model for collecting facilities programming information. The model is intended to function as a road map for collecting building users’ information for developing design requirements. The process guidance is delimited to the sociocultural aspects of facilities planning and design. The model is created at a high level of abstraction so that it can be applied to many building types and programming situations. This is intended to guide professionals with good social science field research skills who need to be informed about the scope of sociocultural information necessary for programming and design decision making.

Modeling digital camera monitoring count data with intermittent zeros for short-term prediction

Digital camera monitoring has revolutionised survey designs in many fields, as an important source of information. The extended sampling coverage offered by this monitoring scheme makes it preferable compared to other traditional methods of survey. However, data obtained from digital camera monitoring are often highly variable, and characterized by sparse periods of zero counts, interspersed with missing observations due to outages. In practice, missing data of relatively shorter duration are mostly observed and are often imputed using interpolation techniques, ignoring long-term trends leading to inherent estimation biases. In this study, we investigated time series forecasting methods that adequately handle intermittency and produced plausible estimates for imputation and forecasting purposes. The study utilised a yearlong digital camera monitoring data set of hourly counts of powerboat launches at three boat ramps in Western Australia. Several time series forecasting methods were evaluated and the accuracies of their point estimates of forecasts for various lead times in hours of up to one week were assessed using cross-validation techniques. Intermittent demand forecasting techniques, including Croston's method and Syntetos-Boylan Approximation (SBA) models, and count data forecasting methods including autoregressive conditional Poisson (ACP) models, integer-valued moving average (INMA) models, and integer-valued autoregressive (INAR) models were evaluated. ACP and INAR models performed better than intermittent demand forecasting techniques for short forecast horizons and provided some evidence of their sufficiency in predicting the dynamics in recreational boating activities. This result established that, in as much as intermittency may be a key feature for a given dataset, it should not override the systemic characteristics of data in the application of forecasting techniques. Our results provide plausible estimates for short-term missing data and forecasts for monitoring events, with applications in supporting proper tracking of usage of facilities, guiding resource allocations and providing insightful perspectives for management decisions.

The performance of COVID-19 Surveillance System as timely containment strategy in Western Oromia, Ethiopia

BackgroundCOVID-19 has been swiftly spreading throughout the world ever since it emerged in Wuhan, China, in late December 2019. Case detection and contact identification remain the key surveillance objectives for effective containment of the pandemic. This study was aimed at assessing performance of surveillance in early containment of COVID 19 in Western Oromia, Ethiopia.MethodsA cross-sectional study was conducted from August 1 to September 30, 2020, in the 7 kebeles of Nekemte and 2 kebeles of Shambu Town. Residents who lived there for at least the past six months were considered eligible for this study. Data were collected from community and health system at different levels using semi structured questionnaire and checklist, respectively. Participants’ health facility usage (dependent variable) and perceived risk, awareness, Socioeconomic Status, and practices (independent variable) were assessed. Bivariable analysis was computed to test the presence of an association between dependent and independent variables. Independent predictors were identified on multivariable logistic regression using a p-value of (<0.05) significance level. We have checked the model goodness of fit test by Hosmer-lemeshow test.ResultsOne hundred seventy-nine (41%) of the participants believe that they have a high risk of contracting COVID-19 and 127 (29%) of them reported they have been visited by health extension worker. One hundred ninety-seven (45.2%) reported that they were not using health facilities for routine services during this pandemic. Except one hospital, all health facilities (92%) were using updated case definition. Three (33%) of the assessed health posts didn’t have community volunteers. On multivariable logistic regression analysis, the source of income AOR=0.30, 95% CI (0.11, 0.86), perceived level of risk AOR=3.42, 95% CI (2.04, 5.7) and not visited by health extension workers AOR=0.46, 95% CI (0.29, 0.74) were found to be independent predictors of not using health facilities during this pandemic.ConclusionEvent based surveillance, both at community and health facility level, was not performing optimally in identifying potential suspects. Therefore, for effective early containment of epidemic, it is critical to strengthen event based surveillance and make use of surveillance data for tailored intervention in settings where mass testing is not feasible.

Health-seeking behaviours in a malaria endemic district in Lao People’s Democratic Republic: a mixed methods study

ObjectivesThis mixed methods study was conducted to explore the barriers and facilitators for health-seeking behaviours in a malaria endemic district in Lao PDR.DesignA convergent mixed methods design.SettingTwo malaria endemic villages...

Staff and Facility Utilization in Direct Patient Transfer to the Comprehensive Stroke Center: Testing a Real-Time Location System for Automatic Patient Pathway Characterization.

Introduction: Starting reperfusion therapies as early as possible in acute ischemic strokes are of utmost importance to improve outcomes. The Comprehensive Stroke Centers (CSCs) can use surveys, shadowing personnel or perform journal analysis to improve logistics, which can be labor intensive, lack accuracy, and disturb the staff by requiring manual intervention. The aim of this study was to measure transport times, facility usage, and patient–staff colocalization with an automated real-time location system (RTLS).Patients and Methods: We tested IR detection of patient wristbands and staff badges in parallel with a period when the triage of stroke patients was changed from admission to the emergency room (ER) to direct admission to neuroradiology.Results: In total, 281 patients were enrolled. In 242/281 (86%) of cases, stroke patient logistics could be detected. Consistent patient–staff colocalizations were detected in 177/281 (63%) of cases. Bypassing the ER led to a significant decrease in median time neurologists spent with patients (from 15 to 9 min), but to an increase of the time nurses spent with patients (from 13 to 22 min; p = 0.036). Ischemic stroke patients used the most staff time (median 25 min) compared to hemorrhagic stroke patients (median 13 min) and stroke mimics (median 15 min).Discussion: Time spent with patients increased for nurses, but decreased for neurologists after direct triage to the CSC. While lower in-hospital transport times were detected, time spent in neuroradiology (CT room and waiting) remained unchanged.Conclusion: The RTLS could be used to measure the timestamps in stroke pathways and assist in staff allocation.

Analysis of Public Recreational Needs by User Population in South-Eastern Nigeria

This paper examined the recreational needs of the user population in South-eastern Nigeria. The study considered educational status, public awareness, degree of awareness, public recreational options, extant open space services, and reasons for low usage of available recreational facilities. The study was carried out using descriptive statistics, use of weights and relative mean scare analysis. The study showed a general loss of interest in the available public recreational facilities and services, thus leading to disregard of public recreational open spaces. This fact prompts a high rate of conversion of public recreational spaces in South-Eastern Nigeria for other uses. There is therefore the need to provoke users’ interest through classical advertisements, posting of bills and publication in both local and national dailies, particularly on the implication of converting recreational spaces in the areas being advertised. This calls for the need for public enlightenment plans in the likes of orientation programs, seminars, symposiums, recreation outreach courses and educating the masses at various levels, on the need to recreate and participate actively on public open space activities. Keywords: Recreation, open space services, public recreation, users, recreational facilities.

Post Acceptance Model for Online Teleconsultation services: An Empirical Study in Malaysia

Most nations across the world are actively pursuing equal access to healthcare services. Teleconsultation technology is a substantial improvement in terms of an effective framework for the provision of healthcare services. However, a lack of understanding of people’s willingness towards the use of this technology has been observed. The goal of this study is to investigate the factors affecting the post-acceptance of teleconsultation services in Malaysia. This study developed a theoretical model which involves the combination of the second generation of Unified Theory of Acceptance and Use of Technology (UTAUT2) and Expectation Confirmation Theory (ECT), with the inclusion of several other constructs. An online survey was used to collect data from 154 university students and partial least squares (PLS) approach was used for data analysis. The research findings indicate that confirmation, performance, effort expectancy, usefulness, and satisfaction were the key factors that affect the post-acceptance of teleconsultation services. Furthermore, actual use, ease of use, technology readiness, and facilitating conditions did not impact participants' post intention in the continuous usage of teleconsultation facilities.

Analisis Ability to Pay dan Willingness to Pay Penggunaan Parkir di Pasar Banjaran Kabupaten Tegal

The problem of setting tariffs is often a point of conflict between communities and managers. On the one hand, the community wants tariffs at the lowest level according to their capabilities with satisfactory service, on the other hand, the management wants high rates that can generate satisfactory profits. Basically, the determination of parking rates in accordance with the ability and willingness of the community will make it easier for users of parking facilities to pay the tariffs, especially if balanced with adequate services and facilities. Formulate the problem in this study is how the ability and willingness to pay parking users in the Banjaran Market area and whether the existing parking rates are in accordance with the ability and willingness of parking users in the Banjaran Market?. The method used in this study is descriptive analysis method, descriptive is a systematic, actual and accurate depiction of facts, data on events being studied. Analysis is the arrangement of data to obtain answers to questions that arise in research. For users of parking facilities for two-wheeled and four-wheeled vehicles on weekdays, the ATP value is obtained. The first hour tariff is Rp. 1,629.39, the progressive parking rate is Rp. 629, 39 WTP the tariff is Rp. Rp 1.388.08. For users of two-wheeled and four-wheeled vehicles on weekends, the ATP value for the first hour is Rp. Rp. 1,388.08 and the next hour tariff is Rp. 388.08 with a fixed WTP rate of Rp. 1388.08. From all calculations ATP is greater than WTP. The difference between the amount of ATP and WTP from the results of the analysis can occur due to several factors, one of which is the large percentage of parking fee allocation used as a component of ATP calculations that is not suitable for the tariffs applied at the Banjaran Market.

스포츠시설 이용자의 코로나19에 대한 인식이 운동몰입과 운동참여행동에 미치는 영향: 보호동기이론을 중심으로

Purpose: This study tries to analyze the effects of protective motivational factors on exercise commitment and exercise participation behavior by approaching the perception of COVID-19 among users of sports facilities from the perspective of protection motivation theory.BR Method: For data analysis, 484 data out of a total of 509 data were used. For data analysis, frequency analysis, exploratory factor analysis, reliability analysis, correlation analysis, and multiple regression analysis were performed using SPSS 23.0. The significant level of hypothesis verification was set-up as α=.05.BR Results: The results are as follows. First, the severity of the protective motive was found to have a negatively significant effect on exercise commitment, and the coping efficacy was found to have a positively significant effect on the positive effect. Second, the vulnerability of protective motivation was found to have a negatively significant effect on exercise participation behavior, and the coping efficacy was found to have a positively significant effect on exercise participation behavior. Third, exercise commitment was found to have a significant positive effect on exercise participation behavior.BR Conclusion: In summary, this study indicates that protective motives are very important for sports facility users to continue their exercise participation behavior despite COVID-19. Accordingly, sports facility managers should frequently perform quarantine of the facility so that users can lower the awareness of the severity and vulnerability of COVID-19, and ensure continuity of operation by thoroughly following the quarantine rules when exercising.

Manfaat Vessel Traffic System (VTS) di Alur Pelayaran Tanjung Emas Semarang

This study aims to determine whether the Vessel Traffic System (VTS) in Tanjung Emas is sufficient to provide benefits to users of port facilities. This research was conducted to determine whether the implementation of VTS as a form of technological advancement (science and technology) in the maritime world has been fully enjoyed by shipping service users. In obtaining data and filling out the questionnaire in this study using a sample of 60 people from the shipping office and ship crew (ABK). The research method is descriptive qualitative method and the sampling technique in this study is non-probability sampling with purposive sampling method. Based on the research results it can be concluded that VTS service users are satisfied with the services provided to vessels. The information system owned by VTS Tanjung Emas is quite effective in providing information related to shipping in Tanjung Emas. VTS gives a sizable economic role to the state through PNBP payments.

ANALYSIS VISIBILITY PARK AND RIDE TANGERANG DISTRICT (case study Cisauk Station)

&lt;p&gt;Tangerang Regency is an area located in Tatar Pasundan, Banten Province, Indonesia. This area is located 30 km west of Jakarta and 90 km southeast of Serang. With an annual population growth rate of ± 2.15 percent, the total population of Tangerang Regency in 2020 is ± 2,838,621 according to the Central Statistics Agency (BPS) of South Tangerang Regency. South Tangerang Regency which has an area of 959.6 kilometers. This research was conducted to determine the feasibility level of the Park and Ride development plan in Tangerang Regency. Traffic counting surveys and interviews were carried out on main road sections which were then processed using Microsoft Excel to determine the parking accumulation until the fluctuation of motorbikes and cars was known. Furthermore, the interview data is processed to determine the amount of public interest in the development of Park and Ride which is reviewed based on gender, age, trip duration, trip intent, parking duration, monthly fuel expenditures, desired parking rates and those who agree to use Park and Ride when the survey was conducted. at 06.00-21.00 WIB on the road in the Cisauk Station area. From the results of processing this data using Microsoft Excel, it was found that the characteristics of Park and Ride facilities users and also the number of users of Park and Ride facilities for motorbikes were 2349, while for cars of 272 with a plan age until 2021, this proves there is a need for increased interest in motorbikes. Park and Ride development at Cisauk Station, Tangerang Regency.&lt;/p&gt;

Impact of nationwide COVID-19 lockdown on workload and injury patterns of major trauma cases in a regional trauma centre in Singapore.

Singapore instituted lockdown measures from 7 February 2020 to 1 June 2020 in response to the coronavirus disease 2019 (COVID-19) pandemic. A retrospective analysis of cases from the national trauma registry was carried out comparing the lockdown period (from 7 February 2020 to 1 June 2020) to the pre-lockdown period (from 7 February 2019 to 1 June 2019). Data extracted included the volume of Tier 1 (injury severity score [ISS] >15) and Tier 2 (ISS 9-15) cases and epidemiology. Subgroup analysis was performed for Tier 1 patient outcomes. Trauma volume decreased by 19.5%, with a 32% drop in Tier 1 cases. Road traffic and workplace accidents decreased by 50% (P < 0.01), while interpersonal violence showed an increase of 37.5% (P = 0.34). There was an 18.1% decrease in usage of trauma workflows (P = 0.01), with an increase in time to intervention for Tier 1 patients from 88 to 124 min (P = 0.22). Discharge to community facilities decreased from 31.4% to 17.1% (P < 0.05). There was no increase in inpatient mortality, length of stay in critical care or length of stay overall. There was an overall decrease in major trauma cases during the lockdown period, particularly road traffic accidents and worksite injuries, and a relative increase in interpersonal violence. Redeployment of manpower and hospital resources may have contributed to decreased usage of trauma workflows and community facilities. In the event of further lockdowns, it is necessary to plan for trauma coverage and maintain the use of workflows to facilitate early intervention.

The prevalence of neurological symptoms and psychiatric manifestations of tetrahydrocannabinol (THC) among cannabis users in psychiatric facilities in Khartoum state, Sudan 2021

Cannabis refers to three group of plants with psychoactive properties. It can contribute to wide range of neurological and psychological manifestations. To study the prevalence of neurological symptoms & psychiatric manifestations of tetrahydrocannabinol among cannabis users in psychiatric facilities.

Predictors of institutionalization in users of day care facilities with mild cognitive impairment to moderate dementia

BackgroundMost people with dementia wish to remain at home for as long as possible. Therefore, it is important to know the predictors of institutionalization, especially those that can be influenced. The aim of the present study is to identify predictors of the institutionalization of people with mild cognitive impairment (MCI) to moderate dementia who attend day care facilities (DCFs) throughout Germany.MethodsThis study is a secondary analysis of longitudinal data from 371 dyads comprising a cognitively impaired care receiver (CR) and a caregiver (CG). The data were collected in DCFs and via telephone interviews at three measurement points. To investigate the extent to which 16 variables could predict the institutionalization of the CRs between the 6- and 12-month follow-up, in the first step bivariate Cox regressions were calculated. In the second step, significant predictors were included in a model using multivariate Cox regression.ResultsBetween the 6- and 12-month evaluations, 39 CRs moved into an institution. The risk of institutionalization of people with MCI to moderate dementia attending a DCF increased significantly (p < .05) when the CRs showed more neuropsychiatric symptoms (Hazard ratio (HR) = 1.237), when the CRs and their CGs did not live together in the same house (HR = 2.560), or when the care level of the CRs is low (HR = 2.241).ConclusionsNeuropsychiatric symptoms could be a possible starting point for therapeutic interventions that are designed to delay or prevent institutionalization. CG who do not live with their CR in the same house and CG who care for a CR with impairment in performing daily routine tasks care are particularly likely to make the decision to institutionalize the CR. For this group, advice and support are particularly important.Trail registrationISRCTN16412551.