scholarly journals Model Testing of the Factors That Influence Performance of Function Focused Care and Function Among Assisted Living Residents

2020 ◽  
pp. 073346482097643
Author(s):  
Barbara Resnick ◽  
Marie Boltz ◽  
Elizabeth Galik ◽  
Steven Fix ◽  
Sarah Holmes ◽  
...  
Keyword(s):  
Assisted Living ◽  
Secondary Data ◽  
Model Testing ◽  
Dissemination And Implementation ◽  
Factors Associated ◽  
Profit Status ◽  
Using Data ◽  
And Function ◽  
Evidence Integration

The purpose of this study was to test a model of factors associated with participating in function focused care. Function focused care is a philosophy of care in which residents are encouraged to engage in functional and physical activities during care interactions. This was a secondary data analysis using data from the Dissemination and Implementation of Function Focused Care for Assisted Living Using the Evidence Integration Triangle (FFC-AL-EIT) study. Residents ( n = 550) were recruited from 59 AL settings. The majority were female ( n = 380, 69%) and White ( n = 536, 97%). Model testing was done. Comorbidities, quality of interactions, environments, profit status, cognitive impairment, depression, and function were associated with function focused care and accounted for 17% of the variance. Next steps should include intervening on changeable factors (e.g., environments) and adding factors to better explain performance of function focused care such as motivation, resilience, and staff satisfaction.

The Impact of Cognitive impairment on Clinical Symptoms, Physical Activity and Care Interactions among Residents in Assisted Living Settings

2021 ◽  
pp. 105477382110406
Author(s):  
Barbara Resnick ◽  
Marie Boltz ◽  
Elizabeth Galik ◽  
Shijun Zhu
Keyword(s):  
Physical Activity ◽  
Cognitive Impairment ◽  
Assisted Living ◽  
Clinical Symptoms ◽  
Secondary Data ◽  
Ongoing Trial ◽  
Trial Testing ◽  
The Impact ◽  
Evidence Integration

The purpose of this study was to describe differences in pain, behavioral symptoms, quality of staff-resident interactions, participation in function focused care and physical activity among residents with and without cognitive impairment in assisted living. This was a secondary data analysis using baseline data from an ongoing trial testing Function Focused Care for Assisted Living using the Evidence Integration Triangle (FFC-AL-EIT). A total of 550 residents were recruited from 59 communities. The average age of participants was 89.30 ( SD = 7.63), the majority were white (98%), female (69%), had evidence of cognitive impairment (75%), and 5.16 ( SD = 1.86) comorbidities. Those with cognitive impairment had more pain, were more sedentary and less likely to engage in function focused care activities. Addressing pain and implementing interventions for those with cognitive impairment to participate in function focused care may help optimize function and physical activity in assisted living residents.

scholarly journals Feasibility, Reliability, and Validity of the MotionWatch 8 to Evaluate Physical Activity Among Older Adults With and Without Cognitive Impairment in Assisted Living Settings

2020 ◽  
pp. 1-9
Author(s):  
Barbara Resnick ◽  
Marie Boltz ◽  
Elizabeth Galik ◽  
Steven Fix ◽  
Shijun Zhu
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Hypothesis Testing ◽  
Assisted Living ◽  
Reliability And Validity ◽  
Dissemination And Implementation ◽  
And Function ◽  
Evidence Integration

This study tested the feasibility, reliability, and validity of the MotionWatch 8 among assisted living residents with and without cognitive impairment. Data from the Dissemination and Implementation of Function Focused Care in Assisted Living Using the Evidence Integration Triangle study were used. The sample included 781 individuals from 85 facilities with a mean age of 89.48 (SD = 7.43) years. The majority were female (71%), White (97%), and overall (44%) had cognitive impairment. A total of 70% were willing to wear the MotionWatch 8. Reliability was supported as there was no difference in time spent in activity across three consecutive wear days. Validity was based on hypothesis testing, and function was associated with counts of activity at baseline (p = .001) and 4 months (p = .001). Those with cognitive impairment engaged in less physical activity (p = .04). The MotionWatch 8 is a useful option for measuring physical activity in older adults with and without cognitive impairment.

scholarly journals Factors Associated With the Quality of Staff-Resident Interactions in Assisted Living

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 69-70
Author(s):  
Anju Paudel ◽  
Elizabeth Galik ◽  
Barbara Resnick ◽  
Kelly Doran ◽  
Marie Boltz ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Assisted Living ◽  
Future Research ◽  
Positive Interactions ◽  
Dissemination And Implementation ◽  
Factors Associated ◽  
Resistiveness To Care ◽  
Communication Approach ◽  
The Impact

Abstract Care interactions are essential to understand and respond to resident needs in assisted living (AL). The factors that influence care interactions in AL have not been directly examined. In this study, we explored the factors associated with the quality of care interactions in AL. It was hypothesized that resident functional status, agitation, depression, and resistiveness to care as well as facility size and ownership would be significantly associated with the quality of care interactions in AL after controlling for resident demographics (age, gender, marital status), comorbidities, and cognition. To test the hypothesis, we utilized baseline data including 379 residents from the second and third cohorts recruited in a randomized trial titled ‘Dissemination and Implementation of Function Focused Care for Assisted Living Using the Evidence Integration Triangle’. Regression analysis was performed using a stepwise method. The care interactions were mostly positive (mean=6.3; range = 0-7). Resident agitation and facility ownership were significantly associated with care interactions and accounted for 8.2% of the variance. Increased resident agitation was associated with negative or neutral interaction while for-profit ownership was associated with positive interactions. To promote positive care interactions, staff should be educated about strategies to minimize resident agitation (e.g., calm posture and respectful listening) and encouraged to engage with residents using resident-centered care and communication approach. Findings also suggest the need to work towards optimizing care interactions in nonprofit stings. Future research could further explore the impact of facility-level factors (e.g., staffing ratios, staff longevity, and job satisfaction) on care interactions.

scholarly journals Benefits of Sustained Physical Activity From Middle-Age To Early Old Age On Quality Of Life In Early Old Age

2022 ◽  
Author(s):  
Mikyung Lee ◽  
Hyeonkyeong Lee ◽  
Ki Jun Song ◽  
Young-Me Lee
Keyword(s):  
Quality Of Life ◽  
Old Age ◽  
Secondary Data ◽  
Activity Levels ◽  
Related Quality ◽  
Health Related ◽  
Using Data ◽  
Middle Aged Adults ◽  
Early Old Age

Abstract This secondary data analysis study aimed to examine the changes in physical activities (PAs) over time (2009-2017) in the same participants and to determine an association between changes in PA and health-related quality of life (HRQoL) in early older adults (n=994) using data from the Korea Health Panel Survey. The HRQoL was measured using the EuroQol quality-of-life system and the amount of PA were grouped to 4 activity levels (remained inactive, became inactive, became active, and remained active). The association of changes in PA over 8 years with HRQoL was examined using logistic regression analysis while controlling for socioeconomic and behavioral factors. The total PA decreased from 1,859.72±1,760.01 MET-minutes in 2009 to 1,264.80 ±1,251.14 MET-minutes in 2017 (P < 0.001). In 2017, 142 (14.3%) remained inactive, whereas 419 (42.2%) remained active. The participants who remained inactive at early old age were more likely to be at the lowest 10% HRQoL of the sample (odds ratio = 1.95, 95% confidence interval = 1.09–3.48). This indicates that educating middle-aged adults who are relatively inactive must be a priority in order to maintain and improve PA, enhance HRQoL, and maximize the benefits of PA in old age.

scholarly journals FACTORS THAT CONTRIBUTE TO FALLS AMONG AL RESIDENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S236-S236
Author(s):  
Marie Boltz
Keyword(s):  
Physical Activity ◽  
Data Analysis ◽  
Assisted Living ◽  
Secondary Data ◽  
Secondary Data Analysis ◽  
Moderate Intensity ◽  
Risk Of Falling ◽  
Moderate Intensity Physical Activity ◽  
Intensity Physical Activity ◽  
Using Data

Abstract Many nurses, patients, and families continue to believe that physical activity increases the risk of falling. The purpose of this study was to test the hypothesis that residents who are exposed to Function Focused Care for Assisted Living (FFC-AL-EIT) and engage in moderate levels of physical activity would not be more likely to fall. This was a secondary data analysis using data from the first two cohorts of the FFC-AL-EIT study. The study included 508 residents the majority of whom were female (70%), white (97%), with a mean age of 87.72 (SD=7.47). Those who engaged in more moderate intensity physical activity were 1% less likely to fall (b = -.01, Wald =6.13, p =.01). There was no association between exposure to function focused care and falling (Beta =.41, Wald =2.35, p=.13). Further, engaging in moderate level physical activity was noted to be slightly protective of falling.

scholarly journals Factors associated with mortality due to neonatal pneumonia in India: a protocol for systematic review and planned meta-analysis

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e017616 ◽  
Author(s):  
N Sreekumaran Nair ◽  
Leslie Edward Lewis ◽  
Theophilus Lakiang ◽  
Myron Godinho ◽  
Shruti Murthy ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Grey Literature ◽  
Secondary Data ◽  
Research Knowledge ◽  
Neonatal Deaths ◽  
Factors Associated ◽  
Assessment Development ◽  
Indian Context ◽  
Ethical Approval

IntroductionIndia contributes to the highest number of neonatal deaths globally. It also has the greatest number of pneumonia-related neonatal deaths in the developing world. We aim to systematically review the evidence for the factors associated with mortality due to neonatal pneumonia in the Indian context, to address the lack of consolidated evidence on this important issue.Methods and analysisThis protocol is part of a series of three reviews on neonatal pneumonia in India. Observational studies reporting on outcome of neonatal pneumonia in the Indian context, and published in English in peer-reviewed and indexed journals will be eligible for inclusion. Outcomes of this review will be the factors determining mortality due to neonatal pneumonia. A total of nine databases will be searched. Electronic and hand searching of published and grey literature will be performed. Selection of studies will be done in title, abstract and full text screening stages. Risk of bias, independently assessed by two authors, will be evaluated. Meta-analysis will be performed and heterogeneity assessed. Pooled effect estimates will be stated with 95% confidence intervals. Narrative synthesis will be done where meta-analysis cannot be performed. Publication bias will be evaluated and sensitivity analysis performed according to study quality. Quality of this review will be evaluated using AMSTAR (Assessing the Methodological quality of Systematic Reviews) and GRADE (Grades of Recommendation, Assessment, Development & Evaluation). A summary of findings table will be reported using GRADEPro.Ethics and disseminationSince this is a review involving analysis of secondary data which is available in the public domain, and does not involve human participants, ethical approval was not required. The findings of the study will be shared with all stakeholders of this research. Knowledge dissemination workshops will be conducted with relevant stakeholders to transfer the evidence, tailored to the stakeholder (eg, policy briefs, publications, information booklets, etc).

scholarly journals Assisted Living Administrators' Views of Palliative Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 906-906
Author(s):  
Elise Abken ◽  
Molly Perkins ◽  
Alexis Bender
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Assisted Living ◽  
Spiritual Needs ◽  
Structured Interviews ◽  
Age In Place ◽  
Care Access ◽  
Access And Quality ◽  
Using Data

Abstract As many older adults with progressive chronic conditions choose to age-in-place in assisted living (AL) communities, external healthcare workers (e.g., those who provide palliative care) increasingly support AL staff in caring for residents with complex health needs. Palliative care is a branch of healthcare dedicated to preserving quality of life by attending to the physical, mental, and spiritual needs of individuals with chronic, life-threatening diseases and is well suited to manage AL residents’ progressive medical conditions. However, AL residents and their care partners often face barriers to accessing palliative care. Using data from a larger 5-year NIA-funded study, we examined AL administrator knowledge and use of palliative care in seven AL communities around the Atlanta metropolitan area that were racially, ethnically, and socioeconomically diverse. Findings from thematic analysis of semi-structured interviews with 16 administrators indicated that 15 of 16 administrators were familiar with palliative care. A minority of administrators clearly distinguished palliative care from hospice services and conceptualized it as a “bridge” to hospice services. Administrators emphasized how palliative care assists communities in caring for health concerns in-house rather than having to send residents to the hospital. Despite their positive view of palliative care, administrators described infrequent use of palliative services in their communities. Findings show that although none of the AL communities integrate palliative care with their service offerings, AL administrators see value in palliative care for their residents. We provide recommendations for improving palliative care access and quality of life for AL residents at end of life.

scholarly journals Survey Deficiencies as Quality Indicators in Oregon Assisted Living Communities

2021 ◽  
Author(s):  
Ozcan Tunalilar ◽  
Sunny Lin ◽  
Paula Carder
Keyword(s):  
Assisted Living ◽  
Structural Characteristics ◽  
Resource Dependency ◽  
Resource Dependency Theory ◽  
Dependency Theory ◽  
Environmental Characteristics ◽  
For Profit ◽  
Using Data ◽  
Inspection Data

Abstract Background and Objectives License inspection data have commonly been used as a quality measure for nursing homes but has not yet been used to assess the quality of assisted living/residential care (AL/RC) communities. Drawing on resource dependency theory, we test the hypothesis that structural and environmental characteristics influence AL/RC quality as measured by deficiency citations (“deficiencies”) issued during license inspections. Research Design and Methods Using data from 526 licensed AL/RC communities in Oregon that received a license inspection visit between 2008 and 2016, we examined the prevalence of deficiencies by type and year. We estimated regression models to identify structural and environmental characteristics associated with the number of deficiencies. Results Most (79%) inspections resulted in at least one deficiency. The most common deficiencies concerned medications and treatments (57%), change of condition and monitoring (48%), and resident health services (45%). Structural characteristics associated with higher odds of receiving one or more deficiencies included: larger size, memory care designation, shorter administrative tenure, and for-profit status. Environmental characteristics associated with higher odds of receiving one or more deficiencies included: rural location, lower unemployment, and market concentration. The number and likelihood of a given community receiving a deficiency decreased over time. Discussion and Implications Resource dependency theory constitutes a useful framework to consider the role of structural and environmental factors that affect AL/RC quality, including resident needs, institutional knowledge, resource availability, and market pressure. License inspection data are a viable option for assessing the quality of AL/RC communities.

scholarly journals Factors Associated with Poor Quality of Sleep in Construction Workers: A Secondary Data Analysis

2021 ◽  
Vol 18 (5) ◽  
pp. 2279
Author(s):  
Youkyung Kim ◽  
Sangeun Lee ◽  
Jeeyeon Lim ◽  
Soyeon Park ◽  
Sojeong Seong ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Sleep Quality ◽  
Secondary Data ◽  
Binary Logistic Regression ◽  
Poor Quality ◽  
Construction Workers ◽  
Quality Of Sleep ◽  
Factors Associated ◽  
The Poor

This study aimed to explore factors associated with poor quality of sleep in construction workers. This study was cross-sectional, correlational in design and used secondary data from fatigue instrument development study. We analyzed the data from 206 participants aged over 19 years who worked at construction sites for more than 6 months. We used multivariate binary logistic regression to identify the factors associated with poor quality of sleep. We classified the two sleep quality groups based on the Pittsburgh Sleep Quality Index (PSQI) score, and almost 63% of them were classified as the poor quality of sleep group. Based on multivariate binary logistic regression (Cox and Snell R2 = 0.317, Nagelkerke R2 = 0.429), the poor quality of sleep group tended to sleep for a shorter duration before the working day, and not only showed lower sleep latency and higher levels of daytime dysfunction and discomfort in daily life, but also had more chronic disease, depressive symptoms, and higher physical fatigue. Our study findings support that there are many modifiable factors associated with poor sleep and a high rate of poor quality of sleep occurred in construction workers. Thus, clinicians should consider providing diverse options for applying interventions to ensure better sleep, fatigue management, and depression prevention in construction workers after considering their unique characteristics.

Factors Associated With the Quality of Staff-Resident Interactions in Assisted Living

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anju Paudel ◽  
Elizabeth Galik ◽  
Barbara Resnick ◽  
Kelly Doran ◽  
Marie Boltz ◽  
...  
Keyword(s):  
Assisted Living ◽  
Factors Associated
Sign in / Sign up

Export Citation Format

Share Document