WHAT THIS MEANS FOR YOU: This Australian mixed-methods study examined thirty five older adults from 4 AL communities to assess their physical activity levels and examine their perception of barriers and promoters of activity. Females, younger residents, those with lower BMIs, and those who did not need ambulatory assistance showed higher activity levels. Those using more support services and who had more comorbidities showed lower activity levels. The interview portion of the study revealed older adults believed exercise was important, but they had misconceptions about their own activity levels, perceiving that they were more active than they were.
Academic Publication
Feasibility of a Novel Lighting System to Reduce Nighttime Falls in Assisted Living Residents With Dementia
Feasibility of a Novel Lighting System to Reduce Nighttime Falls in Assisted Living Residents With Dementia
WHAT THIS MEANS FOR YOU: This crossover trial examined 38 residents in 5 AL communities to test a new lighting system to reduce nighttime falls. Using cameras to capture falls, falls density was found to be 34% lower in the intervention condition than the control condition, although this reduction was not statistically significant. The results were promising enough to continue testing in a larger trial, which is ongoing.
An Initial Exploration into Job Satisfaction Among Long-Term Care Administrators and State Tested Nursing Assistants in Ohio
An Initial Exploration into Job Satisfaction Among Long-Term Care Administrators and State Tested Nursing Assistants in Ohio
WHAT THIS MEANS FOR YOU: This pilot study used 2 surveys to examine 28 licensed nursing home administrators’ and 17 state-tested nursing assistants’ opinions on job satisfaction, future plans, potential changes, and how to reduce turnover in Ohio. Working with residents and families contributed to satisfaction, but wages were a concern, and many employees face burnout. These factors should be addressed in order to address turnover and staffing shortages in long-term care settings.
Postimplementation Evaluation in Assisted Living Facilities of an eHealth Medical Device Developed to Predict and Avoid Unplanned Hospitalizations: Pragmatic Trial
Postimplementation Evaluation in Assisted Living Facilities of an eHealth Medical Device Developed to Predict and Avoid Unplanned Hospitalizations: Pragmatic Trial
WHAT THIS MEANS FOR YOU: This study tested a new monitoring system to predict risk of emergency hospitalizations in seven French AL communities. For the 118 included residents, 38 emergency hospitalizations were documented, and 50% of alerts from the system led to health care interventions. Hospitalizations were correlated with a lack of alert-triggered interventions, suggesting the system leads to improvements.
Differences in Medication Use by Gender and Race in Hospitalized Persons Living with Dementia
Differences in Medication Use by Gender and Race in Hospitalized Persons Living with Dementia
WHAT THIS MEANS FOR YOU: This study examined how demographic differences in 352 older adults living at home, in assisted living, and in nursing homes were associated with differing use of medications. Most medication use was significantly higher for white, compared to Black, older adults, except for antihypertensives. Females received more anxiolytics than males, and differences in medication use existed by at-home and residential setting. These treatment differences were notable even when adjusting for age, cognitive status, hospital, delirium, and comorbidities, showing disparities in treatment regimens by race and gender that may need to be addressed.
Participants’ Baseline Characteristics and Feedback of the Nature-Based Social Intervention “Friends in Nature” among Lonely Older Adults in Assisted Living Facilities in Finland: A Randomised Controlled Trial of the RECETAS EU-Project
Participants’ Baseline Characteristics and Feedback of the Nature-Based Social Intervention “Friends in Nature” among Lonely Older Adults in Assisted Living Facilities in Finland: A Randomised Controlled Trial of the RECETAS EU-Project
WHAT THIS MEANS FOR YOU: This Finnish study conducted a randomized controlled trial of a “friends in nature” intervention for 319 lonely older adult participants from 22 AL communities. General alleviation of loneliness was seen in 57% of residents who received the friends in nature intervention. When asked for their feedback, participants appreciated the experience and 96% would recommend the intervention to other older adults.
Paucity of Published Data and Protocols for Hypoglycemia Management in Long-term Care
Paucity of Published Data and Protocols for Hypoglycemia Management in Long-term Care
WHAT THIS MEANS FOR YOU: This systematic review examined established hypoglycemia protocols in LTC settings and assessed their effects on patient outcomes and healthcare resource use. Only 5 articles met the inclusion criteria and only 2 publications involved specific treatment protocols in long-term care settings, indicating a lack of published research on this issue.
Health of the Pandemic: Dementia Paid Staff and Unpaid Caregiver Workforce in Congregate Care and Community Settings
Health of the Pandemic: Dementia Paid Staff and Unpaid Caregiver Workforce in Congregate Care and Community Settings
WHAT THIS MEANS FOR YOU: This study used questionnaires to capture the experiences of 182 paid staff and 148 unpaid caregivers of people living with dementia living in the community and long-term care settings across the US during theCOVID-19 pandemic. Paid staff were more likely to have been exposed, tested, hospitalized, or been ill with COVID-19 and had more medical and mental health services impacts than unpaid caregivers. Unpaid caregivers showed higher rates of depressive symptom severity and scored lower for hope than paid staff, showing disparate negative impacts from COVID-related stressors.
Aging in Isolation: Sexual Orientation Differences in Navigating Cognitive Decline
Aging in Isolation: Sexual Orientation Differences in Navigating Cognitive Decline
WHAT THIS MEANS FOR YOU: This cross-sectional study examined data from 2015-19 to investigate subjective cognitive decline differences among individuals with different sexual orientations. Sexual minorities (e.g., lesbian, gay, bisexual, and queer individuals) were more likely to experience cognitive decline, and sexual minority women were less likely to receive social support than non-sexual minority individuals. Therefore, specific strategies to increase support and services to prevent cognitive decline in sexual minority populations are recommended.
Nursing Staff’s Perspectives of Care Robots for Assisted Living Facilities: Systematic Literature Review
Nursing Staff’s Perspectives of Care Robots for Assisted Living Facilities: Systematic Literature Review
WHAT THIS MEANS FOR YOU: This systematic review examined the results of 15 studies about nurses’ attitudes toward care robots in assisted living communities. The studies were conducted with small sample sizes, and there were concerns from nurses regarding ethics, safety, accessibility, and Overall, nurses supported care robots for assisting with physical tasks and reducing workload, but were mixed about whether they should help with social tasks.
Determinants of Received Care Time among Finnish Home Care Clients and Assisted Living Facility Residents: A Time-Motion Study
Determinants of Received Care Time among Finnish Home Care Clients and Assisted Living Facility Residents: A Time-Motion Study
WHAT THIS MEANS FOR YOU: This cross-sectional observational study examined individual and organizational factors associated with received care time for 1477 home care clients and 1538 residents from 61 AL care units in Finland. Physical functioning associated with activities of daily living was the highest predictor of care time in both settings. In home care greater pain, unstable health, and care team autonomy were associated with more care time, whereas depressive mood and higher staffing ratios were associated in AL care units.
Examining Care Network Characteristics in Older Adults’ Relocation to Residential Care Settings
Examining Care Network Characteristics in Older Adults’ Relocation to Residential Care Settings
WHAT THIS MEANS FOR YOU: This study used data from the National Health and Aging Trends Study to examine risk associated with older adults transitioning to residential care, specifically their care networks (involvement of multiple helpers). A total of 7,085 initially community-dwelling older adults were followed over 8 years, and the greatest risk for transitioning was having a care network with shared medical tasks, followed by sharing household tasks. Shared mobility, transportation, or self-care responsibilities decreased the risk. Having a close family member as a primary caregiver could act as a protective factor that decreases risk of transitioning into residential care.
Reliability and Validity Testing of the Modified Quality of Interaction Scale
Reliability and Validity Testing of the Modified Quality of Interaction Scale
WHAT THIS MEANS FOR YOU: This study used observational data from 152 staff-resident interactions in 4 AL communities to test the reliability and validity of the Modified Quality of Interaction Scale. There was some evidence for both reliability and validity, as resident engagement was significantly associated with positive social and care interactions, but reliability and validity were not comprehensively supported in this setting.
Wastewater-Based Surveillance Reveals the Effectiveness of the First COVID-19 Vaccination Campaigns in Assisted Living Facilities
Wastewater-Based Surveillance Reveals the Effectiveness of the First COVID-19 Vaccination Campaigns in Assisted Living Facilities
WHAT THIS MEANS FOR YOU: This study examined the impacts of non-pharmaceutical interventions and mass vaccination campaigns in 4 AL communities in Arizona to understand the effects of different interventions against COVID-19 in this setting. Using wastewater surveillance, large-scale vaccination campaigns were found to reduce the viral load in three of the four communities.
A Cross-Sectional Study of Nurse Turnover in Residential Care Communities
A Cross-Sectional Study of Nurse Turnover in Residential Care Communities
WHAT THIS MEANS FOR YOU: This cross-sectional study examined 2018 public data of RNs and aides in residential care communities (RCCs) to examine factors related to turnover. On average, RN turnover was 72% and aide turnover was 48%. Non-profit RCCs had lower turnover and chain facilities had higher turnover. Contrary to predictions, large RCCs had lower turnover rates.
Adaptive Biking for Assisted Living Memory Care Residents and Staff: A Feasibility Study
Adaptive Biking for Assisted Living Memory Care Residents and Staff: A Feasibility Study
WHAT THIS MEANS FOR YOU: This study paired 8 memory care residents and 7 staff members from an AL community to test a biking program as an intervention to improve health and well-being. The pairs completed eight 20-30 minute bike rides over 4 weeks. The rides gave residents and staff a chance to discuss issues around health and well-being. Qualitative results indicate further piloting of the program could be warranted given its acceptability and feasibility.
Family Involvement among Oregon Adult Foster Home Residents, 2018-2023
Family Involvement among Oregon Adult Foster Home Residents, 2018-2023
WHAT THIS MEANS FOR YOU: This study used cross-sectional data from 2017-2022 from Adult Foster Homes (AFHs) in Oregon to examine trends in family involvement and home and resident characteristics. Data showed declines in familial social visits and help with appointments in 2021/22 following COVID-19, but by 2023 social visits were back to pre-pandemic levels. However, there was less familial support in going on outings and getting to medical appointments, and there were disparities in that rural and Medicaid AFHs had less family support for residents in all areas. The continued decline in medical appointment and outings support presents concerns for resident socio-emotional well-being.
Variation in Hospice Aide Care by Residential Setting
Variation in Hospice Aide Care by Residential Setting
WHAT THIS MEANS FOR YOU: This longitudinal cohort study examined data from 1,915 Medicare beneficiaries who died between 2010-2019 and had hospice claims in different residential settings to compare hospice aide use. Hospice aide visits were least common in community settings, followed by NHs and AL communities. However, analyzed factors associated with hospice aide visits were similar among settings, meaning that further research is needed to understand how to tailor hospice care appropriately for different settings.
Associations between Specialized Dementia Care, COVID-19 and Central Nervous System Medication Use in Assisted Living: A Population-Based Repeated Cross-Sectional Study
Associations between Specialized Dementia Care, COVID-19 and Central Nervous System Medication Use in Assisted Living: A Population-Based Repeated Cross-Sectional Study
WHAT THIS MEANS FOR YOU: This cross-sectional study examined the associations between AL setting (general or memory care), COVID-19 waves, and drug use among residents with dementia in Alberta between 2018-2021. In waves 2-4, antipsychotic drug use increased in all AL communities, but in waves 3 and 4, this was more pronounced in dementia care units. Other drug type uses were similar, although gabapentinoid usage increased for dementia care residents only.
Well-Being Outcomes from the Delivery of RASCALs, a Group Activity Intervention Using Nature-Focused Livestream Broadcasts
Well-Being Outcomes from the Delivery of RASCALs, a Group Activity Intervention Using Nature-Focused Livestream Broadcasts
WHAT THIS MEANS FOR YOU: This study pilot tested the effectiveness of RASCALs, a nature-based group activity program, to improve resident well-being in an AL community in Texas. The test group of 16 residents that lived in buildings that received RASCALs programming showed increased positive relations with others as measured by a wellbeing scale as compared to the 17 residents who did not receive programming.
The Prevalence and Benefits of Self-Compassion Among Professional Caregivers
The Prevalence and Benefits of Self-Compassion Among Professional Caregivers
WHAT THIS MEANS FOR YOU: This cross-sectional study examined the relationship between self-compassion, anxiety and depressive symptoms, and job satisfaction from 391 caregivers across 13 nursing homes and assisted living communities in 3 states. Older caregivers, those with higher education, and those who were born outside the US reported highest self-compassion, while white caregivers reported the lowest. Self-compassion was negatively associated with mental health symptoms and positively associated with job satisfaction, meaning that its use could be beneficial as one method to address workforce issues in long-term care.
Impact of Antecedent and Organizational Differences on Nurse-Social Worker Collaboration in a Retirement and Assisted Living Community with Skilled Nursing Care
Impact of Antecedent and Organizational Differences on Nurse-Social Worker Collaboration in a Retirement and Assisted Living Community with Skilled Nursing Care
WHAT THIS MEANS FOR YOU: This qualitative thematic study of 23 workers at a Midwestern AL community explored nurses’ and social workers’ collaborative experiences. Contrasts arose in responding to resident complexity and peer-to-peer work, with a main difference being social workers’ focus on resident self-determination and nurses’ focus on resident safety. Social workers showed greater openness to working with nurses while nurses showed greater separation, which has implications for teamwork in these settings.
Admission and Discharge Practices Among Assisted Living Communities: The Role of State Regulations and Organizational Characteristics
Admission and Discharge Practices Among Assisted Living Communities: The Role of State Regulations and Organizational Characteristics
WHAT THIS MEANS FOR YOU: This study examined state regulations and characteristics from 250 AL communities in 7 states related to admission and discharge practices and three activities of daily living (ADLs). State regulations were not associated with admission and discharge practices, but communities who were above the mean in staff-resident ratio were 17% more likely to admit residents with feeding difficulties and 25% less likely to discharge them. For-profit facilities were more likely to admit residents with bathing and feeding difficulties. These relationships mean that organizational characteristics may drive admission and discharge practices more than state regulations.
Revolutionizing Patient Surveillance in Assisted Living Facilities: Insights from AUGi Technology Implementation
Revolutionizing Patient Surveillance in Assisted Living Facilities: Insights from AUGi Technology Implementation
WHAT THIS MEANS FOR YOU: The study examined the effectiveness of a remote-surveillance technology (AUGi) to enhance falls surveillance, conduct remote assessments and send out alerts in 3 AL communities in 3 different states. Using data collection, AUGi facilitated a 64% average reduction in falls and had success enhancing nurse surveillance by providing falls notifications.


