Robert P. Kosilek, Flora Wendel, Isabel Zöllinger, Hanna Lea Knecht, Iris Blotenberg, Solveig Weise, Thomas Fankhänel, Juliane Döhring, Martin Williamson, Melanie Luppa, Andrea E. Zülke, Christian Brettschneider, Birgitt Wiese, Wolfgang Hoffmann, Thomas Frese, Hans-Helmut König, Hanna Kaduszkiewicz, Jochen René Thyrian, Steffi G. Riedel-Heller, Jochen Gensichen
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This study aimed to examine differential effects of the intervention and other influencing factors on social participation throughout the trial.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A longitudinal analysis of study data at the primary follow-up after 24 months (<i>n</i> = 819) was conducted. The Lubben Social Network Scale (LSNS-6) was used to assess quantitative aspects of social networks, and self-reported social activities were classified using a three-tiered categorical framework to capture qualitative aspects.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>A positive effect of the intervention was observed at the qualitative framework level, with an OR of 1.38 [95% CI: 1.05–1.82] for achieving or maintaining higher social participation at follow-up, while no effect could be detected on quantitative social network characteristics. Later phases of the Covid-19 pandemic showed a negative impact on the level of social participation at follow-up with an OR of 0.84 [95% CI: 0.75–0.95].</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>These findings suggest that by focusing on qualitative aspects of social participation as a component of dementia prevention, future interventions can promote enriched social interactions within established social networks.</p><h3 data-test=\"abstract-sub-heading\">Trial Registration</h3><p>German Clinical Trials Register (DRKS) ID DRKS00013555.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":"26 1","pages":""},"PeriodicalIF":3.6000,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Quality over quantity - rethinking social participation in dementia prevention: results from the AgeWell.de trial\",\"authors\":\"Robert P. 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Quality over quantity - rethinking social participation in dementia prevention: results from the AgeWell.de trial
Background
Social participation as a protective factor against cognitive decline was one of the targets in the AgeWell.de study, a multi-domain interventional trial in a sample of older adults at increased risk for dementia. This study aimed to examine differential effects of the intervention and other influencing factors on social participation throughout the trial.
Methods
A longitudinal analysis of study data at the primary follow-up after 24 months (n = 819) was conducted. The Lubben Social Network Scale (LSNS-6) was used to assess quantitative aspects of social networks, and self-reported social activities were classified using a three-tiered categorical framework to capture qualitative aspects.
Results
A positive effect of the intervention was observed at the qualitative framework level, with an OR of 1.38 [95% CI: 1.05–1.82] for achieving or maintaining higher social participation at follow-up, while no effect could be detected on quantitative social network characteristics. Later phases of the Covid-19 pandemic showed a negative impact on the level of social participation at follow-up with an OR of 0.84 [95% CI: 0.75–0.95].
Conclusions
These findings suggest that by focusing on qualitative aspects of social participation as a component of dementia prevention, future interventions can promote enriched social interactions within established social networks.
Trial Registration
German Clinical Trials Register (DRKS) ID DRKS00013555.
期刊介绍：
Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic.
In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation.
Both original work and review articles may be submitted.
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