Condition category
Mental and Behavioural Disorders
Date applied
Date assigned
Last edited
Retrospectively registered
Overall trial status
Recruitment status
No longer recruiting
Publication status

Plain English Summary

Not provided at time of registration

Trial website

Contact information



Primary contact

Ms Ietje de Rooij


Contact details

Care Centre De Kievitshorst
Beneluxlaan 101

Additional identifiers

EudraCT number number

Protocol/serial number


Study information

Scientific title

Perspectives on the results of small-scale living facilities in the Netherlands and Belgium


Study hypothesis

What is the effect of living in a small-scale facility compared to living in a traditional care ward on patient outcomes, including quality of life, for elderly people suffering from dementia?

Ethics approval

1. Ethics committee of the University of Tilburg approved in April 2007
2. Ethics committee of De Wever approved in April 2007

Study design

Multicentre cross-national longitudinal qualitative study

Primary study design


Secondary study design

Cohort study

Trial setting


Trial type

Quality of life

Patient information sheet

Not available in web format, please use contact details below to request a patient information sheet


Severe dementia


Participants will be followed for a year during their stay at a closed-environment dementia care ward. They were not assigned a kind of ward by the researchers. At three points during the study (the beginning, after six months, after a year) participants will fill out the Standardized Mini Mental State Examination with the help of a psychologist, care givers will provide information on quality of life measures, activities of daily living, depression, neuropsychatric symptoms and social engagement. The family will provide information about the quality of the care received at the start and end of the study. The participating care giving staff will provide information about their workload and work experiences at the start and the end of the study.

Intervention type



Not Applicable

Drug names

Primary outcome measure

1. Quality of life, assessed by Quality of Life in Dementia (QUALIDEM)
2. Activities of daily living (ADL), assessed by Barthel Index
3. Depression, assessed by Cornell Scale for Depression in Dementia (CSDD)
4. Neuropsychiatric symptoms, assessed by Neuropsychiatric Inventory, Nursing Home Version (NPI-NH)
5. Social engagement, assessed by Revised Index of Social Engagement (RISE) taken from the Resident Assessment Instrument (RAI 2.0)
All outcomes were measured at baseline (i.e. start of study), 6 months and one year. All questionnaires used were in the Dutch language.

Secondary outcome measures

1. Control measures:
1.1. Severity of dementia, assessed by Standardized Mini Mental State Examination (S-MMSE)
1.2. Medications falling in the category antipsychotics, antidepressants and sedatives were
1.3. Restriction measures, kind of measure and number of measures were noted
1.4. Visitors, a single question was answered how many times a month the patient gets a visit from family or friends
1.5. Weight, registered fully clothed and with shoes on
2. Family:
2.1. Quality of care
2.2. Interactive activities with their loved one
The questionnaire they received was designed by the researchers themselves. A copy can be requested through the contact details below.
3. Staff:
3.1. Work load and work experience
The questionnaire they received was designed by the researchers themselves. A copy can be requested through the contact details below.
Additionally, staff filled out the Utrecht Burnout Scale (Utrechtse Burnout Schaal) (UBOS-C), a questionnaire for professions in which physical contact is present

All patient and family outcomes will be measured at baseline (i.e. start of study), 6 months and one year. Staff outcomes will be measured at the beginning and end of the study. All questionnaires used were in the Dutch language.

Overall trial start date


Overall trial end date


Reason abandoned (if study stopped)


Participant inclusion criteria

Care centres were selected based on the kind of wards existing contacts and willingness to participate. Traditional and Small-scale closed-environment wards were selected with a policy indicating that a patient can stay there till the end of their life. From those care centres participants were selected who were patients suffering from dementia, over the age of 70, of either sex. Also, information from family and direct care-givers of the participants were included in the study.
For every participant a compliance form was filled out and returned by the family to the researchers

Participant type


Age group




Target number of participants


Participant exclusion criteria

1. Patients did not fit the inclusion criteria
2. Patients did not finish the study. This could happen for example by a death or by moving to another institution.

Recruitment start date


Recruitment end date



Countries of recruitment

Belgium, Netherlands

Trial participating centre

Care Centre De Kievitshorst

Sponsor information


University of Tilburg (Netherlands) - Department Tranzo

Sponsor details

Faculty of Social and Behavioral Sciences
Po box 90153
5000 LE
+ 31 (0)13 466 2969

Sponsor type




Funder type


Funder name

University of Tilburg (Netherlands) - Department Tranzo

Alternative name(s)

Funding Body Type

Funding Body Subtype


Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Basic results (scientific)

Publication list

1. 2012 caregivers' questionnaire results in
2. 2012 results in

Publication citations

  1. Results

    de Rooij AH, Luijkx KG, Spruytte N, Emmerink PM, Schols JM, Declercq AG, Family caregiver perspectives on social relations of elderly residents with dementia in small-scale versus traditional long-term care settings in the Netherlands and Belgium., J Clin Nurs, 2012, 21, 21-22, 3106-3116, doi: 10.1111/j.1365-2702.2012.04110.x.

  2. de Rooij AH, Luijkx KG, Declercq AG, Emmerink PM, Schols JM, Professional caregivers' mental health problems and burnout in small-scale and traditional long term care settings for elderly people with dementia in the Netherlands and Belgium., J Am Med Dir Assoc, 2012, 13, 5, 486.e7-11, doi: 10.1016/j.jamda.2012.01.001.

Additional files

Editorial Notes