Table 7Description of participant cognitive function: international cross-sectional and longitudinal peer-reviewed studies

StudyMeasure of Cognitive FunctionHCBS/ALNHSignificanceSummary
aBoersma et al., 199735
The Netherlands
Mean MMSE score; range 0-28, lower scores indicate more impairmentHCBS(a): 14.8
HCBS(b): 13.6
5.5NROn average, HCBS recipients had higher cognitive function (study focused on samples with dementia)
aMargallo-Lana et al., 200149
United Kingdom
Mean MMSE score; lower scores indicate more impairmentHCBS: 15.37.0NROn average, HCBS recipients had higher cognitive function (study focused on samples with dementia)
Challis et al., 200037
England
Median MMSE score; lower scores indicate more impairmentHCBS: 1612p<0.001On average, HCBS recipients had higher cognitive function
Nottingham Studies
Rothera et al., 200357
United Kingdom
Median MMSE score; range 0–30, with lower scores indicating more impairmentHCBS: 1714NROn average, HCBS recipients had higher cognitive function
Resource Implications Study Group, 200032
United Kingdom
Mean AGECAT score; higher scores indicate more impairmentHCBS: 0.92.2NROn average, HCBS recipients had higher cognitive function
Wodchis et al., 200366
Canada
Severe cognitive impairment (percentage)HCBS(a): 4%
HCBS(b): 0%
34%NRHCBS groups had fewer individuals with severe cognitive impairment

AGECAT = Automated Geriatric Examination Computer Assisted Taxonomy; AL = Assisted Living; HCBS = Home and Community-Based Services; MMSE = Mini-mental State Exam; NH = Nursing Home; NR = Not Reported

Note: Table rows ordered by similar measures of cognitive function.

a

Study focused on samples with dementia.

From: Results

Cover of Long-Term Care for Older Adults
Long-Term Care for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care [Internet].
Comparative Effectiveness Reviews, No. 81.
Wysocki A, Butler M, Kane RL, et al.

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