Publications

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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.

Turnover in Nursing Homes That Serve Residents With Serious Mental Illness

JAMDA
October 8, 2025
To examine whether nursing facility proportion of residents with serious mental illness (SMI) is associated with nursing staff turnover.

Critical Reflections on the LTC+ Program Evaluation

JAMDA
October 8, 2025
We read with great interest the recent article by Wong et al, titled “A Program to Reduce Emergency Department Transfers and Build Long-Term Care Home Capacity: A Mixed-Methods Study.”1 I would like to highlight several relevant aspects of the study...

Cardiovascular Safety of Dipeptidyl Peptidase 4 Inhibitors Compared With Insulin or Sulfonylureas Added to Metformin Among Older People With Diabetes Living in Long-Term Care Facilities

JAMDA
October 8, 2025
To examine the cardiovascular safety of dipeptidyl peptidase 4 (DPP-4) inhibitors compared with long-acting insulin or sulfonylurea initiation added to metformin in older people with diabetes in long-term care facilities (LTCFs).

Nil per os on Admission and Dehydration Are Risk Factors for Delirium in Hospitalized Older Adults With Dementia and Dysphagia

JAMDA
October 8, 2025
Patients with Alzheimer's disease and related dementias (ADRD) experience oral intake restriction. The objective of this study was to determine whether nil per os (NPO) and dysphagia diets (thickened liquids) are associated with delirium in patients...

Exploring Safety Concerns in Assisted Living Communities: A Qualitative Comparison of Resident, Family, and Staff Perspectives

JAMDA
October 8, 2025
Safety concerns in assisted living (AL) communities are critical, yet understudied from the perspectives of residents, family caregivers, and staff. This study aimed to explore and compare safety concerns across these 3 groups.