Publications

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Functional Decline Prior to Emergency Department Presentation in Older Adults: A Prospective Observational Study

JAMDA
November 28, 2025
Identify risk factors for pre-emergency department functional decline and its associations with presentations and outcomes.

Changes in Patient Medical Complexity After Skilled Nursing Facility Payment Reform: A Qualitative Study

JAMDA
November 28, 2025
The skilled nursing facility (SNF) patient-driven payment model (PDPM) is intended to align payment with patient clinical characteristics to more accurately compensate complex and resource intensive care. However, it is unclear whether and how SNFs...

Changing Patient Medical Complexity After Skilled Nursing Facility Payment Reform: An Interrupted Time Series Analysis

JAMDA
November 28, 2025
Medicare implemented a new skilled nursing facility (SNF) payment model, the Patient-Driven Payment Model (PDPM), in part to incentivize SNFs to admit more medically complex patients. However, it is unclear whether PDPM led to changes in case-mix in...

The Business Case for Family Caregiver Skills Training: Results From a Multisite Trial in the Veterans Health Care System

JAMDA
November 28, 2025
In the United States, nearly 10% of adults provide unpaid caregiving, often for an aging family member.1 This need is expected to increase as the population ages while the direct care workforce remains limited.2 Many family caregivers require...

Implementation Factors for Wearable Fall Injury Mitigation Technology: A Framework for Technology Adoption

JAMDA
November 28, 2025
To identify implementation factors influencing the adoption of wearable fall injury mitigation technology in long-term care (LTC) settings and develop a practical framework for technology implementation success.

Prevalence and Risk Factors for Falls in Older Adults With Diabetes: A Systematic Review and Meta-Analysis

JAMDA
November 26, 2025
To investigate the prevalence of falls and to assess risk factors associated with falls in older adults with diabetes.

Development of a Model to Predict the Risk of Chronic Opioid Use After Entry Into Long-Term Care Facilities

JAMDA
November 25, 2025
Chronic opioid use is common in residents of long-term care facilities (LTCFs) and is associated with an increased risk of falls, fractures, and cognitive impairment. However, predictors of chronic opioid use in this cohort remain unclear. This...

Associations of Laboratory-based Gait Speed and Daily-Life Gait Speed With Frailty, Sarcopenia, and Life-Space Mobility in Community-Dwelling Older Adults

JAMDA
November 25, 2025
Although daily-life gait speed (DGS) may better reflect real-world walking than laboratory- or clinic-based gait speed (LGS), it is unclear whether DGS provides superior discriminatory value for clinical outcomes. We compared LGS and DGS on their...

Factors Associated With 1-Year Home Health Admission Among Older Adults Initiating Long-Term Opioid Therapy

JAMDA
November 21, 2025
Long-term opioid therapy (LTOT) in older adults poses risks of cognitive and functional decline. This study aimed to identify factors associated with home health admission within 1 year of LTOT initiation among Medicare-enrolled older adults.

Outpatient Triage Models and Older Adults: An Opportunity for Improvement

JAMDA
November 20, 2025
As health care systems seek to reduce unnecessary emergency department (ED) visits and improve access to care,1 many have implemented centralized outpatient triage (OPT) models.2 These systems, often telephonic and registered nurse-led, are designed...