Publications

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Effects of an Exercise Program to Reduce Falls in Older People Living in Long-Term Care: A Randomized Controlled Trial

JAMDA
November 29, 2023
To investigate the effect of an exercise program on falls in intermediate and high-level long-term care (LTC) residents and to determine whether adherence, physical capacity, and cognition modified outcomes.

Pragmatic Implementation of a Music Intervention in Nursing Homes Before and During COVID-19

JAMDA
November 27, 2023
We conducted 2 trials of a music intervention for managing behaviors in nursing home (NH) residents with dementia, before (2019) and during (2021) the pandemic. In this report, we compare adherence fidelity across the trials using the Framework for...

Implementing Dementia Caregiver Programs in Real-World Settings: Fidelity Considerations

JAMDA
November 27, 2023
Testing interventions in real-world settings requires fidelity monitoring to ensure implementation integrity. However, strategies to enhance, monitor, and measure fidelity deployed in efficacy trials may not be feasible in pragmatic trials or...

The Impact of State Dementia Training Requirements for Nursing Homes on Antipsychotic Medication Use

JAMDA
November 23, 2023
Nursing home (NH) staff often report not having adequate dementia-specific knowledge to effectively care for these residents. Between 2011 and 2019, 9 states in the United States implemented dementia training requirements for NH staff. This study...

Patient Portal Use during Home Health Care at an Academic Health System

JAMDA
November 22, 2023
To characterize patient portal use among older adults receiving skilled home health (HH) care.

We're Not Keeping Him Alive. We’re Keeping Him Comfortable

JAMDA
November 21, 2023
In a patient's interdisciplinary care plan conference, a very devoted wife of one of our patients with severe Parkinson dementia aptly described an ethically sound, reasonable approach to the last phase of life for patients with advanced dementia.

The Impact of a Point-of-Care Ultrasound (POCUS) Program to Diagnose and Manage Ascites in Home-based Palliative Care

JAMDA
November 21, 2023
The objective of this study was to examine the impact of a point-of-care ultrasound (POCUS) program among people with ascites receiving home-based palliative care by measuring the association of POCUS with ascites-related days spent out of the home...

Recommendations for Improving Chronic Care in Times of a Pandemic Based on Patient Experiences

JAMDA
November 21, 2023
The COVID-19 pandemic had a profound and pervasive impact on the health of chronic care patients and disrupted care systems worldwide. Our research aimed to assess the impact of the pandemic on chronic care provision and provide recommendations for...

A Novel Home-Based Medication Management Program and Its Influence on Hospitalization Rates among Home Health Care Recipients

JAMDA
November 18, 2023
Patients do not take their medicine as prescribed 50% of the time, and of medication-related hospital admissions in the United States, 33% to 69% are due to poor medication adherence, at a cost of approximately $100 billion a year. Continue CareRx (...

Nursing Home Organization Mealtimes and Staff Attitude Toward Nutritional Care: A Multicenter Observational Study

JAMDA
November 18, 2023
The aims of this study were to investigate the practices of registered nurses and nurse aides at mealtimes in nursing homes (NHs) and to evaluate the attitudes of health care staff toward the nutritional care of older people.