Publications

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Social Service Staffing and Quality of Care Outcomes in US Nursing Homes

JAMDA
October 14, 2025
Examine the association between social service staffing intensity and resident quality of care outcomes in US nursing homes.

Physiological Phenotypic Aging Index and Its Association With Health, Functional, and Health Care Outcomes in Older Adults: Findings From the UK Biobank

JAMDA
October 14, 2025
This study aimed to analyze the associations of the Phenotypic Aging Index (PAI) with health outcomes, functional outcomes, and health care utilization using UK Biobank data. Specifically, we assessed whether the PAI predicts these outcomes after...

Comparing Post-Acute Care Outcomes Between Home Health Care and Skilled Nursing Facilities: A Scoping Review

JAMDA
October 14, 2025
Skilled nursing facilities (SNFs) and home health care (HHC) are 2 primary settings for post-acute care (PAC). There is growing interest in shifting care from SNFs to lower-cost home-based care, which may also be preferred by patients and families...

Longitudinal Pain Medication Use Among US Older Adults After a Hip Fracture

JAMDA
October 13, 2025
To describe longitudinal pain medication use, including gabapentinoid-opioid co-prescribing, among older adults discharged to a skilled nursing facility (SNF) following a hip fracture.

Education for Certified Nursing Assistants in Skilled Nursing Facilities: A Needs Assessment and Pilot Intervention

JAMDA
October 13, 2025
To assess educational needs for certified nursing assistants (CNAs) in skilled nursing facilities (SNFs), develop an adapted curriculum based on identified priorities, and evaluate its impact on CNA attitudes toward clinical care and self-care.

Investing in the Direct Care Workforce: Lessons From the CalGrows Training and Stipend Initiative

JAMDA
October 10, 2025
The California Growing a Resilient and Outstanding Workforce (CalGrows) program sought to address the challenges of low retention and low pay among direct care workers (DCWs) and improve the quality of care delivered to older adults and people with...

Rates and Reasons for Recurrent Emergency Hospitalizations Among Frail Residents With Diabetes Following First Admission to Long-Term Care Facilities

JAMDA
October 10, 2025
Frail residents with type 2 diabetes (T2D) living in long-term care facilities (LTCFs) are at high risk of emergency hospitalizations. We investigated rates and reasons for recurrent emergency hospitalizations by frailty status.

Disrupted Circadian Rhythm of Heart Rate Variability in Pre-frail Adults Compared to Nonfrail Individuals

JAMDA
October 9, 2025
Frailty is a widespread aging-related syndrome that increases vulnerability to stressors.1 About 12% to 24% of individuals aged 50 and older are frail, and 46% to 49% are pre-frail.2 It adversely affects older adults physically, psychologically, and...

Patterns and Predictors of Reopening Nursing Homes to Visitors During the COVID-19 Pandemic

JAMDA
October 9, 2025
Statewide restrictions on visitors to nursing homes were widely used during the COVID-19 pandemic. This study examines the patterns and predictors of allowing outside visitors after a statewide ban on visitors was lifted.

The Level of Technophobia Among Older Adults in China in the Context of Digital Health: A Systematic Review and Meta-Analysis

JAMDA
October 9, 2025
To systematically review the level of technophobia among Chinese older adults in digital health and compare it with global studies to identify characteristics and differences.