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Implementation Outcomes for the SLUMBER Sleep Improvement Program in Long-Term Care J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-03-14 Joshua Chodosh MD MSHS, Mary Cadogan DrPH GNP, Abraham A. Brody PhD RN, Michael N. Mitchell PhD, Diana E. Hernandez BS, Michael Mangold MD MPH, Cathy A. Alessi MD, Yeonsu Song PhD FNP, Jennifer L. Martin PhD
To describe the implementation of a mentored staff-delivered sleep program in nursing facilities. Modified stepped-wedge unit-level intervention. This program was implemented in 2 New York City nursing facilities, with partial implementation (due to COVID-19) in a third facility. Expert mentors provided staff webinars, in-person workshops, and weekly sleep pearls via text messaging. We used the integrated
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Improving Sleep Using Mentored Behavioral and Environmental Restructuring (SLUMBER) J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-03-14 Jennifer L. Martin PhD, Mary Cadogan DrPH GNP, Abraham A. Brody PhD RN, Michael N. Mitchell PhD, Diana E. Hernandez BS, Michael Mangold MD MPH, Cathy A. Alessi MD, Yeonsu Song PhD FNP, Joshua Chodosh MD MSHS
To evaluate the impact of a mentoring program to encourage staff-delivered sleep-promoting strategies on sleep, function, depression, and anxiety among skilled nursing facility (SNF) residents. Modified stepped-wedge unit-level intervention. Seventy-two residents (mean age 75 ± 15 years; 55.9% female, 41% non-Hispanic White, 35% Black, 20% Hispanic, 3% Asian) of 2 New York City urban SNFs. Expert mentors
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Evaluating the Association between the Implementation of the PoET (Prevention of Error-Based Transfers) Southwest Spread Project and Palliative Care Provision: A Quasi-Experimental Matched Cohort Study Using Population-Level Health Administrative Data J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-03-08 Henry Yu-Hin Siu MSc MD, Shuaib Hafid MPH, David Kirkwood MSc, Dawn Elston MA, Richard Perez MSc PhD, Aaron Jones MSc PhD, Jill Oliver PhD, Paula Chidwick PhD, Theresa Nitti RPN, Andrew Costa PhD
The PoET (Prevention of Error-based Transfers) project seeks to align long-term care (LTC) home informed consent practices to existing legislation, thereby reducing consent-related error-based transfers to acute care. We sought to measure changes in resident-level palliative care provision after participating in the PoET Southwest Spread Project (PSSP), and to identify patient and LTC home characteristics
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Continuous Glucose Monitoring-Guided Insulin Administration in Long-Term Care Facilities: A Randomized Clinical Trial J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-03-06 Thaer Idrees, Iris Castro, Hyungseok D. Oh, Monica D. Gavaller, Zohyra Zabala, Emmelin Moreno, Bobak Moazzami, Rodolfo J. Galindo, Priyathama Vellanki, Elena Cabb, Theodore M. Johnson, Limin Peng, Guillermo E. Umpierrez
To evaluate the efficacy of real-time continuous glucose monitoring (rt-CGM) in adjusting insulin therapy in long-term care facilities (LTCF). Prospective randomized clinical trial. Insulin-treated patients with type 2 diabetes (T2D) admitted to LTCF. Participants in the standard of care wore a blinded CGM with treatment adjusted based on point-of-care capillary glucose results before meals and bedtime
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Association Between Age at Diagnosis of Hyperlipidemia and Subsequent Risk of Dementia J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-03-04 Yang Pan, Jie Liang, Wenya Zhang, Darui Gao, Chenglong Li, Wuxiang Xie, Fanfan Zheng
The relationship between age at diagnosis of hyperlipidemia and dementia remains unclear. We examined whether younger age at diagnosis of hyperlipidemia is associated with higher risk of subsequent dementia. A longitudinal population-based study with a median follow-up of 12.8 years. We analyzed data on a sample of 489,642 participants in the United Kingdom. This study was based on the UK Biobank.
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Screening and Recognition of Cognitive Impairment in Older People Visiting Hearing Aid Dispensers in the Netherlands J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-03-02 Iris Haaijer Bsc, H.A.(Rianne) Louwes Bsc, Jelte W. Vrielink, Fijanne Strijkert, Barbara C. van Munster, Sander W.J. Ubbink
This study aims to determine how prevalent suspected cognitive impairment is in older people visiting hearing aid dispensers, and to assess whether hearing aid dispensers’ judgment on cognition was in accordance with the outcome of a cognitive screening. This observational study was conducted between April and May 2022. Four private hearing aid retail stores in the Netherlands, where cognitive impairment
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Changes in End-of-Life Symptom Management Prescribing Among Long-Term Care Residents During COVID-19 J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-03-02 Deena Fremont BScH, Rhiannon Roberts MSc, Colleen Webber PhD, Anna E. Clarke MSc, Christina Milani MSc, Sarina R. Isenberg MA PhD, Shirley H. Bush MBBS, Daniel Kobewka MD MSc, Luke Turcotte PhD, Michelle Howard PhD, Kaitlyn Boese MD, Amit Arya MD CCFP(PC) FCFP, Benoit Robert MD MBA, Aynharan Sinnarajah MD MPH, Jessica E. Simon MB ChB, Jenny Lau MD MSc, Danial Qureshi MSc, James Downar MD MSc, Peter
To examine changes in the prescribing of end-of-life symptom management medications in long-term care (LTC) homes during the COVID-19 pandemic. Retrospective cohort study using routinely collected health administrative data in Ontario, Canada. We included all individuals who died in LTC homes between January 1, 2017, and March 31, 2021. We separated the study into 2 periods: before COVID-19 (January
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How the Timing of Annual COVID-19 Vaccination of Nursing Home Residents and Staff Affects Its Value J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-03-01 Sarah M. Bartsch MPH, Colleen Weatherwax MS, Michael R. Wasserman MD CMD, Kevin L. Chin MPH, Marie F. Martinez MSPH, Kavya Velmurugan BS, Raveena D. Singh MA, Danielle C. John BA, Jessie L. Heneghan MCP, Gabrielle M. Gussin MS, Sheryl A. Scannell MS, Alexandra C. Tsintsifas MS, Kelly J. O'Shea BSFS, Alexis M. Dibbs BS, Bruce Leff MD, Susan S. Huang MD MPH, Bruce Y. Lee MD MBA
To evaluate the epidemiologic, clinical, and economic value of an annual nursing home (NH) COVID-19 vaccine campaign and the impact of when vaccination starts. Agent-based model representing a typical NH. NH residents and staff. We used the model representing an NH with 100 residents, its staff, their interactions, COVID-19 spread, and its health and economic outcomes to evaluate the epidemiologic
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Temporal Muscle Thickness: A Far-Fetched Measurement in Sarcopenia J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-29 Pelin Analay MD, Murat Kara MD, Levent Özçakar MD
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Impacts of Negative and Positive Life Events on Development of Social Frailty among Community-Dwelling Older Adults J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-29 Keitaro Makino PhD, Takehiko Doi PhD, Kota Tsutsumimoto PhD, Osamu Katayama PhD, Ryo Yamaguchi MSc, von Fingerhut Georg PhD, Daiki Yamagiwa MSc, Hyuma Makizako PhD, Hiroyuki Shimada PhD
This study aimed to examine the impact of negative and positive life events on the development of social frailty. Population-based longitudinal study. This study was set in the Japanese community cohort and included 2174 adults aged ≥65 years without social frailty at baseline. We assessed the experiences of 6 negative and positive life events (increase in economic difficulties, illness or injury of
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Having a Say in Patient Care: Factors Associated with High and Low Voice among Home Care Workers J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-29 Geoffrey Gusoff MD MBA MS, Joanna Bryan Ringel MPH, Mara Bensson-Ravunniarath MD, Faith Wiggins MS, Ann Lee BS, Cisco G. Espinosa BA, Ariel C. Avgar PhD, Catherine Sarkisian MD MSPH, Madeline R. Sterling MD MPH MS
To identify factors associated with high and low “voice”—or level of input in patient care decisions—among home care workers (HCWs), an often marginalized workforce that provides care in the home to older adults and those with chronic conditions. We conducted a secondary analysis of data from a cross-sectional survey assessing experiences of HCWs in caring for adults with heart failure. The survey
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Historical Trends of Home Care Package Use for Older People in Australia, 2008–2021 J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-29 Ling W. Davies MBiostats, Tracy Air MBiostats, Robert N. Jorissen PhD, Johannes Schwabe PhD, Murthy M. Mittinty PhD, Gillian Caughey PhD, Steve Wesselingh PhD, Maria C. Inacio PhD
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One Month Prediction of Pressure Ulcers in Nursing Home Residents with Bayesian Networks J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-29 Clara Charon MSc, Pierre-Henri Wuillemin PhD, Charlotte Havreng-Théry PhD, Joël Belmin MD PhD
Pressure ulcers (PUs) are a common and avoidable condition among residents of nursing homes, and their consequences are severe. Reliable and simple identification of high-risk residents is a major challenge for prevention. Available tools like the Braden and Norton scale have imperfect predictive performance. The objective is to predict the occurrence of PUs in nursing home residents from electronic
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Impact of Prefracture Cognitive Impairment and Postoperative Delirium on Recovery after Hip Fracture Surgery J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-28 Tomoko Kamimura OTR PhD, Yuya Kobayashi OTR, Satoshi Tamaki OTR, Masayoshi Koinuma PhD
This study aimed to examine the impact of prefracture cognitive impairment (CI) severity and postoperative delirium on recovery after hip fracture surgery in older patients. Prospective study with a 1-year follow-up. We included 355 patients aged ≥80 years from 2 acute hospitals in Japan. Barthel Index (BI) ambulation scores were assessed prefracture and at 1, 3, 6, and 12 months postoperatively. The
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Effects of Multimodal Exercise With Augmented Reality on Cognition in Community-Dwelling Older Adults J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-28 Soraia Ferreira MSc, Armando Raimundo PhD, Jesus del Pozo-Cruz PhD, Alexandre Bernardino PhD, Nilton Leite MSc, Hélio Mamoru Yoshida PhD, José Marmeleira PhD
This study aims to investigate the effects of an exercise intervention using multimodal exercise with augmented reality and multimodal exercise-only on cognitive function in older adults living in a community dwelling. Quasi-experimental research study. In this control study, 78 participants were divided into 2 experimental groups (with sessions 3 times a week for 12 weeks) and a control group (CG)
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Feasibility of a Nurse-Led Intervention to Reduce Urine Dipstick Testing in Long-Term Residential Aged Care Homes J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-28 Lyn-li Lim MBBS MPH, Kate Williams MEd-EDL, Jill Francis PhD, Melanie Wroth MBBS, Juanita Breen PhD
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Medicines Regimens Charted for Older People Living in Residential Aged Care: A Repeated Cross-Sectional Study Describing the Number of Medicines, Regimen Complexity, High-Risk Prescribing, and Potential Underprescribing J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-28 Amy Theresa Page PhD MClinPharm GradDipBiostat GCertHProfEd BPharm BHSci, Kathleen Potter MBChB PhD FRACGP, Georgie Lee BPH BHMedSci(Hons), Hend Almutairi PhD MClinPharm MHAdmin BPharm, Kenneth Lee PhD GDipBiostatistics BPharm(Hons), Kate Wang PhD BPharm(Hons), Nagham Ailabouni PhD PGCertResPharm (Dist) BPharm, Christopher Etherton-Beer MBBS GradCertHPEd PhD FRACP
We aimed to explore medicines regimens charted for older people living in residential aged care facilities (RACFs). Repeated cross-sectional study using routinely collected data sampled in a cross-sectional manner at 11 time points (day of admission, then at 1, 3, 7, 14, and 30 days, and 3, 6, 12, 18, and 24 months post admission). The cohort is set in 34 RACFs managed by a single Australasian provider
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Antibiotic Prescribing Patterns for Urinary Tract Infections and Pneumonia by Prescriber Type and Specialty in Nursing Home Care, 2016–2018 J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-27 Joe B.B. Silva, Melissa R. Riester, Andrew R. Zullo
To identify whether differences in antibiotic prescribing practices by prescriber type and specialization in nursing home (NH) care exist for urinary tract infection (UTI) and pneumonia. Retrospective cohort. This national study included antibiotic dispensings to traditional Medicare beneficiaries aged ≥65 years with UTI or pneumonia infections residing long-term (≥100 days) in US NHs between 2016
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Comment on “Malnutrition and Polypharmacy in Older Adult Patients Receiving Home Care Nursing Services: A Cross-sectional Study” J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-26 Mehmet Ilkin Naharci PhD
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Deprescribing Opportunities for Frail Residents of Nursing Homes: A Multicenter Study in Australia, China, Japan, and Spain J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-26 Shin J. Liau, Meng Zhao, Shota Hamada, Marta Gutiérrez-Valencia, Agathe D. Jadczak, Li Li, Nicolás Martínez-Velilla, Nobuo Sakata, Peipei Fu, Renuka Visvanathan, Samanta Lalic, Victoria Roncal-Belzunce, J. Simon Bell
Deprescribing opportunities may differ across health care systems, nursing home settings, and prescribing cultures. The objective of this study was to compare the prevalence of STOPPFrail medications according to frailty status among residents of nursing homes in Australia, China, Japan, and Spain. Secondary cross-sectional analyses of data from 4 cohort studies. A total of 1142 residents in 31 nursing
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Impact of Pain and Neuropsychiatric Symptoms on Activities in Nursing Home Residents (COSMOS Trial) J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-22 Sifra H. van de Beek MSc, Ane Erdal PhD, Bettina S. Husebø PhD, Maarja Vislapuu MSc, Wilco P. Achterberg MD PhD, Monique A.A. Caljouw PhD
This study aims to identify whether pain and dementia-related behavior are associated with different types of activities in nursing home residents, controlled for dementia severity. Cross-sectional baseline data from the multicomponent cluster randomized controlled COSMOS trial (acronym for Communication, Systematic pain treatment, Medication review, Organization of activities, and Safety). A total
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An Integrative Review of the State of POLST Science: What Do We Know and Where Do We Go? J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-21 Elizabeth E. Umberfield PhD RN, Matthew C. Fields BSN RN, Rachel Lenko PhD RN, Teryn P. Morgan BS, Elissa Schuler Adair PhD, Erik K. Fromme MD, Hillary D. Lum MD PhD, Alvin H. Moss MD, Neil S. Wenger MD MPH, Rebecca L. Sudore MD, Susan E. Hickman PhD
POLST is widely used in the care of seriously ill patients to document decisions made during advance care planning (ACP) conversations as actionable medical orders. We conducted an integrative review of existing research to better understand associations between POLST use and key ACP outcomes as well as to identify directions for future research. Integrative review. Not applicable. We queried PubMed
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Dynamic Prediction of Post-Acute Care Needs for Hospitalized Medicine Patients J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-19 Daniel L. Young, Susan M. Hannum, Rebecca Engels, Elizabeth Colantuoni, Lisa Aronson Friedman, Erik H. Hoyer
Use patient demographic and clinical characteristics at admission and time-varying in-hospital measures of patient mobility to predict patient post-acute care (PAC) discharge. Retrospective cohort analysis of electronic medical records. Patients admitted to the XXXX and XXXX Hospitals from November 2016 through December 2019 with ≥72 hours in a general medicine service. Discharge location (PAC vs home)
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Life-Space of Older Adults after Discharge from Skilled Nursing Facilities J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-17 Ayomide Okanlawon Bankole PhD RN, Ying Zhang PhD, Di Hu MS, John S. Preisser PhD, Cathleen Colón-Emeric MD MHS, Mark Toles PhD RN
Describe (1) patient or caregiver perceptions of physical function in 30 days after skilled nursing facility (SNF) discharge indicated by Life-Space Assessment (LSA) scores, and (2) patient and caregiver factors associated with LSA scores. Secondary analysis of baseline and outcomes data from the cluster randomized trial of the Connect-Home transitional care intervention. Six SNFs in North Carolina
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Atrial Fibrillation and Dementia: Focus on Shared Pathophysiological Mechanisms and Therapeutic Implications J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-12 Giovanni Carbone, Erica Ercolano, Leonardo Bencivenga, Maria Emiliana Palaia, Francesco Scognamiglio, Giuseppe Rengo, Grazia Daniela Femminella
Atrial fibrillation (AF) and dementia are highly prevalent chronic and debilitating conditions, especially affecting the older population. This review focuses on possible common pathophysiological mechanisms that could explain the association between the 2 conditions. Narrative review. Evidence from epidemiologic, observational, and interventional studies evaluating prevalence and incidence of cognitive
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Predictors and Outcomes of Oral Anticoagulant Deprescribing in Geriatric Inpatients With Atrial Fibrillation: A Retrospective Multicenter Cohort Study J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-12 Enrico Brunetti, Roberto Presta, Chukwuma Okoye, Claudia Filippini, Silvio Raspo, Gerardo Bruno, Marco Marabotto, Fabio Monzani, Mario Bo
To investigate prevalence and predictors of oral anticoagulant therapy (OAT) deprescribing in older inpatients with atrial fibrillation (AF), and its association with 1-year incidence of major clinical outcomes. Multicenter retrospective cohort study. Inpatients aged ≥75 years with known AF on OAT at admission discharged from 3 Italian acute geriatric wards between January 2014 and July 2018. Data
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Using Exploratory Structural Equation Modeling to Examine Caregiver Distress and Its Contributors J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-07 Wenshan Li, Douglas G. Manuel, Sarina R. Isenberg, Peter Tanuseputro
To develop and test the direct and indirect associations between caregiver distress and its many contributing factors and covariates. Analysis using data from a national, cross-sectional survey of Canadian caregivers. A total of 6502 respondents of the 2012 General Social Survey-Caregiving and Care-receiving who self-identified as a caregiver. We used exploratory structural equation modeling to achieve
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Comparison of the Incidence of Functional Disability Correlated With Social Participation Among Older Adults in Japan J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-06 Ryota Watanabe PhD, Taishi Tsuji PhD, Kazushige Ide PhD, Masashige Saito PhD, Tomohiro Shinozaki PhD, Shosuke Satake PhD, Katsunori Kondo PhD
Japan, which has the world's longest life expectancy, has been reporting rejuvenation of physical function among its older adult population. However, evidence for the incidence of functional disability is limited. This study aimed to investigate the comparison in the incidence of functional disability. We used data from the Japan Gerontological Evaluation Study. The participants were 2 nonoverlapping
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A National Survey on Point of Care Ultrasonography Use Among Veterans Affairs Clinicians in Home Care and Skilled Nursing Facilities J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-06 Shivani K. Jindal, Truelian Lee, Arushi Agrawal, Lindsay Demers, Andrea Wershof Schwartz
Older adults who are homebound and those in skilled nursing facilities (SNFs) often have limited access to point of care imaging to inform clinical decision making. Point-of-care ultrasonography (POCUS) can help span this gap by augmenting the physical examination to aid in diagnosis and triaging. Although training in POCUS for medical trainees is becoming more common and may focus on settings such
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Examining the Association between Frailty and Antibody Neutralization of SARS-CoV-2: A Multisite Retrospective Cohort Study J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-05 Zain Pasat MSc, Jessica A. Breznik PhD, Ahmad Rahim MSc, Ali Zhang MSc, Jann Ang MSc, Tara Kajaks PhD, Matthew S. Miller PhD, Dawn M.E. Bowdish PhD, Andrew P. Costa PhD
Abstract not available
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Patient Priorities Care Increases Long-Term Service and Support Use: Propensity Match Cohort Study J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-03 Rafael Samper-Ternent, Javad Razjouyan, Lilian Dindo, Jaime Halaszynski, Jennifer Silva, Terri Fried, Aanand D. Naik
Patient priorities care (PPC) is a patient-centered approach designed to help patients achieve what matters most to them by identifying their health priorities and working with clinicians to align the care they provide to the patient's priorities. This study examined the impact of the PPC approach on long-term service and support (LTSS) use among veterans. Quasi-experimental study examining differences
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Change in Provider Specialty Was Associated With Less Fluoroquinolone Use at a Veterans Affairs Long-Term Care Setting J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-03 Taissa A. Bej, Brigid M. Wilson, Nadim El Chakhtoura, Federico Perez, Robin L.P. Jump
In July 2021, as part of a planned multiyear broad and long-term organizational realignment, the general medicine service assumed continuous care of residents at a Community Living Center (CLC), which are nursing homes within the Veterans Affairs (VA) health care system. We hypothesized that practitioners accustomed to caring for patients in acute care would be more likely to prescribe antibiotics
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Bridging Hospital and Nursing Home: Collaboration for Smoother Transitions and Reduced Hospitalizations J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-02 Chong Yau Ong, Jieru Lai, Deanna Wai Ching Lee, Jean Mui Hua Lee
The exigencies of managing acutely ill residents within nursing homes have led to an increase in ambulance conveyances to the emergency department. This is further compounded by a shortage of adequately trained nursing staff and on-site physicians available around the clock. An acute regional hospital, strategically located in the epicenter of nursing home facilities in Singapore, encountered this
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Presymptomatic Profiles of Cognitive Impairment With Prior Mobility Impairment J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-30 Qu Tian, Yang An, Susan M. Resnick, Luigi Ferrucci
Objectives To identify cognitive and health profiles of cognitively impaired older adults with the presence of prior mobility impairment, which may represent a specific pathway to the development of cognitive impairment or dementia. Design Retrospective longitudinal study. Setting and Participants In adults aged ≥65 years who developed cognitive impairment or dementia, we compared cognitive and health
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Cost-Consequence Analysis of Deprescribing to Optimize Health Outcomes for Frail Older People: A Within-Trial Analysis J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-30 Charles E. Okafor, Syed Afroz Keramat, Tracy Comans, Amy T. Page, Kathleen Potter, Sarah N. Hilmer, Richard I. Lindley, Dee Mangin, Vasi Naganathan, Christopher Etherton-Beer
Objectives The structured, clinically supervised withdrawal of medicines, known as deprescribing, is one strategy to address inappropriate polypharmacy. This study aimed to evaluate the costs and consequences of deprescribing in frail older people living in residential aged care facilities (RACFs) in Australia. Design A within-trial cost-consequence analysis of a deprescribing intervention—Opti-Med
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Temporal Muscle Thickness: A Practical Approximation for Assessing Muscle Mass in Older Adults J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-30 Miguel German Borda, Jonathan Patricio Baldera, Jessica Samuelsson, Anna Zettergren, Lina Rydén, Eric Westman, Mario Ulises Pérez-Zepeda, Silke Kern, Luis Carlos Venegas, Gustavo Duque, Ingmar Skoog, Dag Aarsland
Objective Ongoing research has evidenced the importance of muscle measurement in predicting adverse outcomes. Measurement of other muscles is promising in current research. This study aimed to determine the correlation between temporal muscle thickness (TMT) and appendicular lean soft tissue in older adults. Design Cross-sectional study. Settings and Participants Single cohort gathered in Gothenburg
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Sliding Scale Insulin Use in Nursing Homes Before and After Onset of the COVID-19 Pandemic J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-30 Darlene P. Tat, Andrew R. Zullo, Vincent Mor, Kaleen N. Hayes
Objective To characterize sliding-scale insulin (SSI) use in US nursing homes (NHs) before and after the COVID-19 pandemic. Design Cross-sectional study. Setting and Participants A total of 129,829 US NH residents on SSI across 12 NH chains with a common electronic health record system. Methods Among all residents with at least 1 administration of SSI documented in the electronic medication administration
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Sedentary Behavior and Sleep Quality in Women J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-30 Tomoyuki Kawada
Abstract not available
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Longitudinal Evaluation of a Statewide Quality Improvement Program for Nursing Homes J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-01 Marilyn Rantz, Nicky Martin, Isabella Zaniletti, Jessica Mueller, Colleen Galambos, Amy Vogelsmeier, Lori L. Popejoy, Roy A. Thompson, Charles Crecelius
Objectives The National Academies of Sciences, Engineering, and Medicine (NASEM) Nursing Home Quality report recommends that states “develop and operate state-based…technical assistance programs…to help nursing homes…improve care and…operations.” The Quality Improvement Program for Missouri (QIPXX) is one such program. This longitudinal evaluation examined and compared differences in quality measures
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Directions & Connections J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-01
Abstract not available
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What Can We Learn from Studies of Medical Care in Other Countries? J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-01 James S. Goodwin
Abstract not available
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Characterizing the Individuals Who Regain or Maintain Walking Ability after a Hip Fracture: Insights Into Physical Resilience J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-01 Stina Ek, Alexandra M. Wennberg, Mozhu Ding, Anna C. Meyer, Margareta Hedström, Karin Modig
Maintaining walking ability is key to healthy aging. Hip fractures often lead to declined walking ability. This study investigated characteristics of individuals who regained walking ability after a hip fracture, an expression of physical resilience. Register-based cohort study. A total of 55,467 Swedish residents aged ≥60 years with a first hip fracture (71% women, mean age = 82.3 ± 8) included in
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Antipsychotics in Perspective: Past, Present, and Future (Article 2 of 3) J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-02-01 Steven Levenson
The history of antipsychotics in nursing homes is one piece of a much larger, more complex puzzle. In many ways, it reflects the virtues and limitations of the entire health care system and those who provide care. None of the issues related to the use of antipsychotics are specific to these medications or to nursing homes. After decades of effort to reduce unwarranted antipsychotics use, the current
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A Paradigm Shift in Caregiver Preparation: From Information Provision to Enhanced Collaborative Care-element Optimization (ECCO) J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-26 Jiska Cohen-Mansfield
Abstract not available
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Exploring Staffing Levels in Adult Day Services: Does Profit Status Matter? J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-19 Eleanor V. Batista-Malat, Mengzhao Yan, Kathleen H. Wilber, Mireille Jacobson
Objective For more than 4 decades, adult day service centers (ADSCs) have provided long-term care services and socialization to hundreds of thousands of people in the United States. An important part of the long-term care continuum, ADSCs serve older adults and adults with disabilities, many of whom have low incomes and are racial and ethnic minorities. Yet, little is known about the quality of ADSCs
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Lifetime Physical Activity and Late-Life Mild Cognitive Impairment in Community-Dwelling Older Adults J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-18 Keitaro Makino, Parminder Raina, Lauren E. Griffith, Sangyoon Lee, Kenji Harada, Osamu Katayama, Kouki Tomida, Masanori Morikawa, Ryo Yamaguchi, Chiharu Nishijima, Kazuya Fujii, Yuka Misu, Hiroyuki Shimada
Objectives Regular physical activity throughout life is generally recommended to prevent dementia; however, there is little evidence regarding the association between lifetime physical activity and mild cognitive impairment (MCI), which often precedes dementia. This study aimed to examine the association of lifetime physical activity and their transitions with late-life MCI. Design A population-based
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Research Gaps Concerning Human-Animal Interactions and Animal-Assisted Services in Nursing Homes J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-18 Joni Delanoeije, Mieke Deschodt
Abstract not available
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Web-Based Compassion Interventions for Family Caregivers' Mental Well-Being: A Systematic Review and Meta-Analysis J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-16 Manyu Zhu, Minhua Lai, Rong Chen, Qi Zhang
Objectives To assess the effectiveness of web-based compassion interventions on the mental well-being of family caregivers. Design Systematic review and meta-analysis. Setting and Participants Randomized controlled trials of web-based compassion intervention for family caregivers. Methods MEDLINE, Embase, PsycINFO, Web of Science, Cochrane Library, and Proquest were searched from database inception
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Palliative End-of-Life Medication Prescribing Rates in Long-Term Care: A Retrospective Cohort Study J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-17 Peter Tanuseputro, Rhiannon Roberts, Christina Milani, Anna E. Clarke, Colleen Webber, Sarina R. Isenberg, Daniel Kobewka, Luke Turcotte, Shirley H. Bush, Kaitlyn Boese, Amit Arya, Benoit Robert, Aynharan Sinnarajah, Jessica E. Simon, Michelle Howard, Jenny Lau, Danial Qureshi, Deena Fremont, James Downar
Background Medications are often needed to manage distressing end-of-life symptoms (eg, pain, agitation). Objectives In this study, we describe the variation in prescribing rates of symptom relief medications at the end of life among long-term care (LTC) decedents. We evaluate the extent these medications are prescribed in LTC homes and whether prescribing rates of end-of-life symptom management can
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Barriers and Enablers for Deprescribing Glucose-Lowering Treatment in Older Adults: A Systematic Review J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-15 Marion Mellot, Lina Jawal, Thomas Morel, Jean-Pascal Fournier, Florence Tubach, Jean-Sébastien Cadwallader, Antoine Christiaens, Lorène Zerah
Objectives Overtreatment with glucose-lowering treatment (GLT) is frequent and a source of high morbidity and mortality in older adults with type 2 diabetes mellitus (T2DM). This study aimed to identify and synthesize barriers and enablers for deprescribing GLT in older adults (≥65 years) with T2DM. Design Systematic review of qualitative and mixed-methods studies. Setting and Participants Older adults
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Qualitative Evaluation of a Pilot Physician Training Program in Long-Term Care Facilities in Switzerland J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-08 Eve Rubli Truchard, Laura Jones, Francesca Bosisio, Tosca Bizzozzero, Alexandre Ronga, Ralf J. Jox, Christophe Büla
Increasing demand for long-term care facilities (LTCFs) and increasingly complex medical needs of LTCF residents necessitate recruiting new physician graduates and developing programs which provide them with experience and specific skills in geriatric and palliative medicine. We developed an educational program for physicians in training, which combines 1 year of immersion at 20% full-time equivalent
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Survival Characteristics of Older Patients Hospitalized With COVID-19: Insights From the American Heart Association COVID-19 Cardiovascular Disease Registry J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-08 Raymond Y. Yeow, Michael P. O'Leary, Akshay R. Reddy, Neil S. Kamdar, Salim S. Hayek, James A. de Lemos, Nadia R. Sutton
Abstract not available
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COVID-19 Pandemic Impact on the Trajectories of Cognitive Decline and Depression Symptoms in Long-Term Care Facility Residents J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-06 Rawabi Aljadani, Ryan Carnahan, Kennith Culp, Juliana N. Souza-Talarico
Objectives To compare the longitudinal rates of change in cognition and depressive symptoms between 2019 (pre–COVID-19 pandemic) and 2020 (COVID-19 pandemic) among long-term care facility (LTCF) residents in Iowa, which ranked among the top 10 US states that suffered from extreme nursing staff shortages during this crisis. Design A longitudinal cohort study analyzing the Long-Term Care Minimum Data
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“We're Onto Something Here!”: Clinician Perspectives of a Pilot Program to Increase Palliative Care Access in an Urban Skilled Nursing Facility J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-04 Brook Calton, Pamela Williams, Carolina Jaramillo, Kathryn Corelli, Katie Carr, Louis Waldman
Many adults cycle between the hospital and skilled nursing facilities (SNFs) near the end of life. However, palliative care services, which can provide specialized support for patients with serious illness, are often limited at SNFs. The “3C's Palliative Care Program,” a 5-month pilot, aimed to improve palliative care access for patients admitted to subacute rehabilitation at an SNF affiliated with
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Authors' Response to the Letter to the Editor Entitled: How Can We Interpret Insomnia as a “Risk Factor” on Behavioral Symptom J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-03 Farid Chekani
Abstract not available
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The Association Between Family Support and Changes in Self-Rated Health Among Chinese Older Adults: How Living Arrangements Moderate the Association? J. Am. Med. Dir. Assoc. (IF 7.6) Pub Date : 2024-01-02 Zixuan Jiang, Hongyu Chen, Tianren Lu, Fei Yin, Yue Ma
Objectives The study intends to investigate the association between family support and older adult health as well as the interaction between family support and living arrangements on their health. Design Cross-sectional study. Setting and Participants Samples included in the final analysis (N = 11,430) come from the 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS). Methods Multiple logistic
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