An intergenerational programme delays health impairment in nursing home residents: the Duplo project

Eur Geriatr Med. 2022 Dec;13(6):1365-1375. doi: 10.1007/s41999-022-00700-x. Epub 2022 Oct 17.

Abstract

Purpose: To analyse whether an intergenerational programme in which students interacted with institutionalised older persons had any impact on the older persons' functional status.

Methods: Each academic year, a group of older adults living in nursing homes were divided into two arms. For the next four months, the first group received daily visits from a group of students during which they followed a pre-established activity plan, whilst the other arm proceeded with their normal activity. After 4 months, the groups crossed over, and the second arm received the student visits, whilst the first group returned to their normal activity. A battery of tests was performed at inception, crossover and the end of the second period. The tests explored mobility (Timed Up-and-Go), cognition (Mini-Mental Examination), executive function (Frontal Assessment Battery) and mood (Geriatric Depression Scale). A dichotomous aggregate "significant impairment" variable was deemed to be present when there was at least a 20% loss of function (compared to the value at the beginning of the period) in any of the aforementioned tests.

Results: The study included 289 older adults who visited with 91 students. Subjects in the active phase had a lower incidence of significant impairment than those in the control phase (O.R. 0.90, p < 0.01). There were no significant differences in the individual variables.

Conclusion: An intergenerational project with students visiting older adults in nursing homes had a protective effect, delaying functional decay in older adults.

Keywords: Cognitive impairment; Functional impairment; Intergenerational programmes; Nursing homes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cognition*
  • Humans
  • Nursing Homes*
  • Physical Therapy Modalities