Publications

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A Pragmatic Approach to Identifying Goal-Concordant Care for Nursing Home Residents With Alzheimer's Disease or Related Dementias

JAMDA
September 16, 2024
People living with Alzheimer's disease and related dementias (ADRD) experience treatments that are burdensome, costly, and often do not align with their goals.1 Although receipt of goal-concordant care is considered a criterion standard outcome of...

Tailored Strategies to Support Implementation of the Information System in Acute Care Setting for Older Adults Postdischarge Self-Management: A Modified Delphi Study

JAMDA
September 16, 2024
Adverse events related to medication usage pose a significant risk to older adult patients after discharge,1 leading to unplanned readmissions and burdening the health care system.2 Clinical information technologies have shown benefits in improving...

Perspectives of Nursing Home Staff in Advance Care Planning Conversations: Experiences from the APPROACHES Project

JAMDA
September 14, 2024
Advance care planning (ACP) is considered a best practice in the nursing home setting; however, there is a lack of consistency in the training of nursing home staff and implementation of structured ACP programs. A qualitative study interviewing ACP...

Conception of a Recognized Accreditation for a Senior-Friendly Hospital: The Accreditation “Hospital Attentive to the Elder”

JAMDA
September 14, 2024
Consideration of the need to strengthen the commitment of professionals to the good care of the older population in hospitals has been emerging over the last several years. The steering committee of the geriatric sector of the hospitals of our...

Ten-Year Incidence of Sarcopenia in a Population-Based Cohort: Results from the Research on Osteoarthritis/Osteoporosis Against Disability Study

JAMDA
September 13, 2024
To investigate the prevalence and incidence rates of sarcopenia in Japanese community-dwelling people according to the criteria of the Asian Working Group for Sarcopenia 2019 recommendations, using a large-scale population-based cohort over a 10-...

Communication Technology Improves Staff, Resident, and Family Interactions in Skilled Nursing Homes Post COVID-19 Restrictions

JAMDA
September 11, 2024
Infection control measures taken by long-term care facilities (LTCs) during COVID-19, such as restricting outside visitors, exacerbated experiences of social isolation among residents.1 Family caregivers played a crucial role in supporting residents...

Quality of Advance Care Planning in Long-Term Care and Transfers to Hospital at the End Of Life

JAMDA
September 11, 2024
Our primary objective was to determine if more comprehensive advance care planning (ACP) documentation was associated with fewer transfers to hospital in the last year of life. Our secondary objective was to determine the impact of ACP processes and...

Number of Teeth and Dementia-free Life Expectancy: A 10-Year Follow-Up Study from the Japan Gerontological Evaluation Study

JAMDA
September 11, 2024
Previous studies have reported that tooth loss is associated with an increased risk of dementia; however, few have explored the association between number of teeth and dementia-free and total life expectancies. We investigated whether having more...

Differentiating Between Home Care Types to Identify Older Adults at Risk of Adverse Health Outcomes in the Community

JAMDA
September 11, 2024
Acute hospitalization, recurrent admissions, institutionalization, and death are important adverse health outcomes. Older adults receiving home care are especially at risk of these outcomes, yet it remains unclear if this risk differs between older...

A Longitudinal Treatment Effect Analysis of Antipsychotics on Behavior of Residents in Long-Term Care

JAMDA
September 11, 2024
The proportion of long-term care (LTC) residents being treated with antipsychotic medication is high, and these medications may exacerbate behavioral symptoms. We used propensity scores to investigate the effect of antipsychotic use on the worsening...