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A Longitudinal Study of Participation in Nursing Home Activity Programs

The authors evaluated pariticipation in activity programs in a prospective study of 198 new nursing home admissions. Both on admission and after 1 year, approximately 50% of patients were not participating in activities. Nonparticipation was associated with greater cognitive and functional impairment and the use of restraints and neuroleptics. Over the year, activity status changed for approximately 50% of patients in relation to these factors. These findings indicate current limitations in nursing home activity programs and suggest that participation is a dynamic process influenced by identifiable clinical variables. Revision of activity programs is necessary to meet OBRA regulations to improve the quality of patients' lives.