Response Letter Regarding the “Questions About the Results Described in the Article: The Efficacy and Safety of Tube Feeding in Advanced Dementia Patients: A Systemic Review and Meta-Analysis Study”
We thank Cintra and colleagues1 for pointing out the errors in our analyses. We re-extracted the data and recalculated the analyses and made 3 corrections. First, the mean difference of the survival period was  −5.59 [95% confidence interval (CI) −178.11, 166.92] for patients with advanced dementia receiving tube feeding compared to those without tube feeding in the original version of our article. The revised mean difference was 20.82 (95% CI −95.67, 137.32). Second, the odds ratio (OR) of pneum onia was 2.25 (95% CI 0.81, 6.24) for patients with advanced dementia receiving tube feeding co...
Source: Journal of the American Medical Directors Association - April 14, 2021 Category: Health Management Authors: Chih-Sung Liang, Che-Sheng Chu Tags: Letter to the Editor Source Type: research

Does Public Reporting of Staffing Ratios and Nursing Home Compare Ratings Matter?
The objective was to examine the association between publicly available staffing ratios and the Five-Star Quality Ratings from Nursing Home Compare over time. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 13, 2021 Category: Health Management Authors: Pamela B. de Cordova, Mary L. Johansen, Peijia Zha, Joseph Prado, Victoria Field, Edna Cadmus Tags: Original Study Source Type: research

Recovery from COVID-19 among older adults in post-acute skilled nursing facilities Post-acute COVID-19 functional recovery
To examine functional outcomes of post-acute care for COVID-19 in skilled nursing facilities (SNFs). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 12, 2021 Category: Health Management Authors: Sandra Shi, On-Yee Lo, Natalie Newmeyer, Innokentiy Bakaev, Dae Hyun Kim Tags: Original Study - Brief Report Source Type: research

Hypotension in Nursing Home Residents on Antihypertensive Treatment: Is It Associated With Mortality?
To assess whether low systolic blood pressure (SBP) or diastolic blood pressure (DBP) due to antihypertensive medications might be related to mortality among nursing home (NH) residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 10, 2021 Category: Health Management Authors: Gulistan Bahat, Birkan Ilhan, Asli Tufan, Sevilay Muratli, Hilal Ozkaya, Cihan Kilic, Meryem Merve Oren, Hafize Dogan, Esad Karisik, Mehmet Akif Karan, Athanase Benetos Tags: Original Study Source Type: research

Factors Associated With Timing of the Start-of-Care Nursing Visits in Home Health Care
This study's purpose was to examine variation in timing of start-of-care visits and characterize patients with visits later than 2 days postdischarge. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 9, 2021 Category: Health Management Authors: Jiyoun Song, Maryam Zolnoori, Margaret V. McDonald, Yolanda Barr ón, Kenrick Cato, Paulina Sockolow, Sridevi Sridharan, Nicole Onorato, Kathryn H. Bowles, Maxim Topaz Tags: Original Study Source Type: research

The Rights of Persons With Dementia and Their Meanings
Concern about the lack of human rights afforded to persons living with dementia has emerged in recent years. Although the literature addresses certain rights, it does not include a holistic framework of rights in terms of the lived experience of older persons with cognitive impairment. Inspired by the 20 rights advocated for children by physician-educator Janusz Korczak, this article analyzes his formulation of rights in the context of persons with dementia, linking them to the ethical principles of Beneficence, Autonomy, and Justice. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 9, 2021 Category: Health Management Authors: Jiska Cohen-Mansfield Tags: Special Article Source Type: research

Frailty and All-Cause Mortality in Older Adults: A Risk Assessment
I read the recent article published in this journal written by Fan et  al1 with great interest. The authors conducted a meta-analysis on the association between frailty and all-cause mortality in older adults. The pooled risk ratios (RRs) of frail women and men for all-cause mortality were 2.41 [95% confidence interval (CI) 2.07-2.80] and 2.94 (95% CI 2.12-4.09), res pectively. By using the frailty index, the pooled RRs (95% CIs) of frail women and men for all-cause mortality were 3.23 (2.16-4.83) and 2.63 (2.33-2.98), respectively. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 8, 2021 Category: Health Management Authors: Tomoyuki Kawada Tags: Letter to the Editor Source Type: research

Proceedings from an International Virtual Townhall: Reflecting on the COVID-19 Pandemic: Themes from Long Term Care
Residents of long-term care (LTC) homes have suffered disproportionately during the Covid-19 pandemic, from the virus itself and often from the imposition of lockdown measures. Provincial Geriatrics Leadership Ontario, in collaboration with interRAI and the International Federation on Aging, hosted a virtual Town Hall on September 25 2020. The purpose of this event was to bring together international perspectives from researchers, clinicians, and policy experts to address important themes potentially amenable to timely policy interventions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 8, 2021 Category: Health Management Authors: George A. Heckman, Kelly Kay, Adam Morrison, David Grabowski, J. Hirdes, Vine Mor, Greg Shaw, Sophiya Benjamin, Veronique M. Boscart, Andrew P. Costa, Anja Declercq, Leon Geffen, Terry Yat Sang Lum, Andrea Moser, Graziano Onder, Hein van Hout Tags: Controversies in Care Source Type: research

Decomposing Racial and Ethnic Disparities in Nursing Home Influenza Vaccination
Quantify how observable characteristics contribute to influenza vaccination disparities among White, Black, and Hispanic nursing home (NH) residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 7, 2021 Category: Health Management Authors: Melissa R. Riester, Elliott Bosco, Barbara H. Bardenheier, Patience Moyo, Rosa R. Baier, Melissa Eliot, Joe B. Silva, Stefan Gravenstein, Robertus van Aalst, Ayman Chit, Matthew M. Loiacono, Andrew R. Zullo Tags: Original Study Source Type: research

The 4-DSD: A New Tool to Assess Delirium Superimposed on Moderate to Severe Dementia
The purpose of this study was to create, standardize, and validate a new instrument, named 4-DSD, and determine its diagnostic accuracy in the diagnosis of delirium in subjects with moderate to severe dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 3, 2021 Category: Health Management Authors: Alessandro Morandi, Eleonora Grossi, Elena Lucchi, Antonella Zambon, Bianca Faraci, Jessica Severgnini, Alasdair MacLullich, Heidi Smith, Pratik Pandharipande, Andrea Rizzini, Marianna Galeazzi, Francesca Massariello, Samanta Corradi, Alessandra Raccichin Tags: Original Study Source Type: research

Upgrading the Nursing Home Survey Process: Continuing the Dialogue
In the December 2020 issue of JAMDA, we published an editorial titled “Time for an Upgrade in the Nursing Home Survey process: A Position Statement From the Society for Post-Acute and Long-Term Care Medicine.”1 Although the overall reaction to our specific recommendations in the Position Statement has been positive,2 some individuals, including some consumer advoc ates, have been critical of them.3 We are hoping that this response will clarify and emphasize our point of view, while highlighting clear areas of agreement and future collaboration among various stakeholders. (Source: Journal of the American Medical...
Source: Journal of the American Medical Directors Association - April 3, 2021 Category: Health Management Authors: Arif Nazir, Karl Steinberg, Michael Wasserman, Alan C. Horowitz, James E. Lett Tags: Letter to the Editor Source Type: research

Telemedicine and Telehealth in Nursing Homes: An Integrative Review
Telemedicine and telehealth are increasingly used in nursing homes (NHs). Their use was accelerated further by the COVID-19 pandemic, but their impact on patients and outcomes has not been adequately investigated. These technologies offer promising avenues to detect clinical deterioration early, increasing clinician's ability to treat patients in place. A review of literature was executed to further explore the modalities' ability to maximize access to specialty care, modernize care models, and improve patient outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 2, 2021 Category: Health Management Authors: Lisa L. Groom, Margaret M. McCarthy, Amy Witkoski Stimpfel, Abraham A. Brody Tags: Review Article Source Type: research

Results of High-Protein, High-Calorie Oral Nutritional Supplementation in Malnourished Older People in Nursing Homes: An Observational, Multicenter, Prospective, Pragmatic Study (PROT-e-GER)
To assess if the impact of oral nutritional supplements (ONS) on nutritional and functional status in malnourished older persons living in nursing homes shown by clinical trials are also found outside a trial setting. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 2, 2021 Category: Health Management Authors: Vincenzo Malafarina, Jos é A. Serra Rexach, Ferrán Masanés, M Carmen Cervera-Díaz, Luis Lample Lacasa, Andrés Ollero Ortigas, Alfonso J. Cruz-Jentoft Tags: Original Study Source Type: research

Timed Up and Go (TUG) Reference Values and Predictive Cutoffs for Fall Risk and Disability in Singaporean Community-Dwelling Adults: Yishun Cross-Sectional Study and Singapore Longitudinal Aging Study
The objectives of this study were to determine TUG reference values and optimum cutoffs predicting prevalent and incident disability for community-dwelling adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 2, 2021 Category: Health Management Authors: Pei Ling Choo, Nien Xiang Tou, Benedict Wei Jun Pang, Lay Khoon Lau, Khalid Abdul Jabbar, Wei Ting Seah, Kenneth Kexun Chen, Tze Pin Ng, Shiou-Liang Wee Tags: Original Study Source Type: research

How Should Assisted Living Be Using Emergency Departments?
In the United States (US), residential long-term care is provided in nursing homes and assisted living (AL) communities. Regardless of the type of care setting, long-term care residents are at increased risk of transfer to the emergency department (ED) and for subsequent hospitalization.1 Given the iatrogenic risks that hospitalization poses to older adults, as well as the costs associated with these transfers, there is considerable interest in ways to understand this process and improve outcomes by reducing such transfers. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2021 Category: Health Management Authors: Matthew K. McNabney Tags: Editorial Source Type: research

Exercise with Older People who have Activity Limitations
This issue of the Journal includes 5 articles and a research letter with the theme of exercise and aging.1 –6 The focus of 4 of the articles is older people with multimorbidity in a nursing home or hospital setting, and the other 2 include older people living in their own homes with frailty or pre frailty, and older people with subjective memory complaints (who were not frail). They have a distinctly i nternational flavor with groups from Japan, Finland, Germany, Spain, and the United States. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2021 Category: Health Management Authors: Ian Cameron Tags: Editorial Source Type: research

Muscle Function and Sarcopenia: Clinical Implications of Recent Research
While the complexity of sarcopenia pathogenesis has been universally accepted, gender-specific aspects have only received little attention. A recent study on microscopic characteristics of muscle composition in patients with hip fracture and sarcopenia showed a significant difference of fiber atrophy between men and women, with type II ( “fast-twitch”) fiber atrophy being present only in men.1 This observation illustrates the need for a more gender-specific analysis of etiologic factors in sarcopenia, as this might also have therapeutic implications in the future. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2021 Category: Health Management Authors: J ürgen M. Bauer Tags: Editorial Source Type: research

Sarcopenia: Innovation and Challenges
The loss of muscle mass, strength, and function associated with aging, known as sarcopenia, is one of the leading causes of falls and fractures in older persons.1 Due to the growing aging population, it is estimated that the number of people who live with sarcopenia, as well as all the health-associated costs and morbidities, will increase in the years to come. Sarcopenia is fast becoming one of the most challenging medical conditions of the 21st century; however, many aspects of sarcopenia remain unclear or lack consensus. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2021 Category: Health Management Authors: Itamar Levinger, Gustavo Duque Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2021 Category: Health Management Source Type: research

Table of Contents
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2021 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2021 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2021 Category: Health Management Source Type: research

Stroke Rehabilitation Use and Caregiver Psychosocial Health Profiles in Singapore: A Latent Profile Transition Analysis
To identify and describe caregiver profiles based on their psychosocial health characteristics over a 12-month period and transitions among these profiles, to determine if stroke rehabilitation use at 12  months post-stroke differed by caregiver profile transition patterns, and to investigate if caregiver profiles at 3 months post-stroke moderate the association of stroke rehabilitation use at 3 months and 12 months post-stroke after accounting for covariates. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2021 Category: Health Management Authors: Wayne F.W. Chong, Leong Hwee Ng, Ringo M-H Ho, Gerald C.H. Koh, Helen Hoenig, David B. Matchar, Philip Yap, Narayanaswamy Venketasubramanian, Kelvin B. Tan, Chou Ning, Edward Menon, Hui Meng Chang, Deidre A. De Silva, Kim En Lee, Boon Yeow Tan, Sherry H.Y Tags: Original Study Source Type: research

The Live Oak Project Endorsement of the Position Statement from the Society for Post-Acute and Long-Term Care Medicine
Our partnership, The Live Oak Partnership, is committed to transforming all aspects of long-term care from public policy implementation to the quality of care and life of each resident and short-term patient. Founded in May 2020, we were motivated by the heavy toll the pandemic was taking on nursing home residents and staff. The 3 partners spent our respective careers, encompassing many decades, attempting to substantially reform nursing home care and life for staff and residents. The devastation of COVID-19 has revealed that there is still a long way to go. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2021 Category: Health Management Authors: Jeff Jerebker, Barry Barkan, Rose Marie Fagan Tags: Letter to the Editor Source Type: research

Virtual Reality Exergames for Improving Older Adults ’ Cognition and Depression: A Systematic Review and Meta-analysis of Randomized Control Trials
Virtual reality (VR) exergames are an innovative approach to promote older adults' mental health. VR exergames are active video games controlled by bodily movements in a safe surrounding with advantages of physical activity engagement and interactions. The purpose of this study was to explore the effectiveness of VR exergames in improving older adults ’ cognition and ameliorating depressive outcome by a systematic review, meta-analysis, subgroup analysis, and meta-regression. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2021 Category: Health Management Authors: Hsin-Yen Yen, Huei-Ling Chiu Tags: Review Article Source Type: research

A Multi-Institutional Study of Older Hearing Aids Beginners —A Prospective Single-Arm Observation on Executive Function and Social Interaction
To obtain new insights into research questions on how executive function and social interaction would be observed to change after the introduction of hearing aids (HAs) in older people with hearing impairment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 31, 2021 Category: Health Management Authors: Yasue Uchida, Kazuyo Mise, Daiji Suzuki, Yoko Fukunaga, Nobuhiro Hakuba, Naoki Oishi, Takaki Ogawa, Mariko Takahashi, Yutaka Takumi, Shohei Fujimoto, Yukihide Maeda, Kazunori Nishizaki, Teppei Noda, Noritaka Komune, Nozomu Matsumoto, Takashi Nakagawa, Yuk Tags: Original Study Source Type: research

Geriatric Syndromes and Incident Chronic Health Conditions Among 9094 Older Community-Dwellers: Findings From the Lifelines Cohort Study
To determine the association between geriatric syndromes and any specific incident chronic health conditions among older community-dwellers. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 30, 2021 Category: Health Management Authors: Christian Rausch, Sander van Zon, Yajun Liang, Lucie Laflamme, Jette M öller, Sophia de Rooij, Ute Bültmann Tags: Original Study Source Type: research

An Efficacy Trial of Long-Term Care Residents With Alzheimer's Disease Using Videos to Communicate Care Preferences
Understanding care and end-of-life preferences for persons living with dementia (PLWD) is of particular importance in long-term care (LTC) settings, such as nursing homes and assisted living communities, where nearly one-half of residents have some form of Alzheimer's disease or dementia.1 Although most LTC providers record care preferences on standardized assessments and have policies to obtain advance directives at admission, few target or tailor their approach for PLWD to ensure that their preferences are captured while they are able to convey them. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 30, 2021 Category: Health Management Authors: Gail L. Towsley, Bob Wong, Rosa R. Baier, Sarah Neller Tags: Research Letters Source Type: research

Diabetes and Prediabetes Inhibit Reversion From Mild Cognitive Impairment to Normal Cognition
This study, therefore, aimed to examine the prospective associations of diabetes and prediabetes with reversion from MCI to normal cognition among community-dwelling older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 30, 2021 Category: Health Management Authors: Keitaro Makino, Sangyoon Lee, Seongryu Bae, Ippei Chiba, Kenji Harada, Osamu Katayama, Yohei Shinkai, Hyuma Makizako, Hiroyuki Shimada Tags: Original Study Source Type: research

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Regarding the January 2021 article, White EM, Fox Wetle T, Reddy A, Baier RR. Front-line Nursing Home Staff Experiences During the COVID-19 Pandemic. J Am Med Dir Assoc 2021;22(1):199-203. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 28, 2021 Category: Health Management Tags: Erratum Source Type: research

Validity and Utility of the Questionnaire-based FRAIL Scale in Older Patients With Heart Failure: Findings From the FRAGILE-HF
We investigated whether the FRAIL scale questionnaire is consistent with the Fried criteria, predicts all-cause mortality, and reflects physical dysfunction in patients with heart failure (HF). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 27, 2021 Category: Health Management Authors: Kohei Nozaki, Kentaro Kamiya, Nobuaki Hamazaki, Hiroshi Saito, Kazuya Saito, Yuki Ogasahara, Emi Maekawa, Masaaki Konishi, Takeshi Kitai, Kentaro Iwata, Kentaro Jujo, Hiroshi Wada, Takatoshi Kasai, Hirofumi Nagamatsu, Tetsuya Ozawa, Katsuya Izawa, Shuhei Tags: Original Study Source Type: research

Response to Hori et  al, “Association of Speech Therapy Time and Cognitive Recovery in Stroke Patients: A Comparison of Studies”
We thank our colleagues for their interest in our work. Our respective studies point to different results on the association between therapy time and cognitive outcomes in post-acute care patients with stroke. Specifically, Hori and colleagues identified 7 differences; we respond to each point below. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 27, 2021 Category: Health Management Authors: Alison M. Cogan, Jennifer A. Weaver, Leslie F. Davidson, Nikolai Khromouchkine, Trudy Mallinson Tags: Letter to the Editor Source Type: research

The Association of Nursing Home Characteristics and Quality With Adverse Events After a Hospitalization
We previously found high rates of adverse events (AEs) for long-stay nursing home residents who return to the facility after a hospitalization. Further evidence about the association of AEs with aspects of the facilities and their quality may support quality improvement efforts directed at reducing risk. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 27, 2021 Category: Health Management Authors: Terry S. Field, Hassan Fouayzi, Sybil Crawford, Alok Kapoor, Cassandra Saphirak, Steven M. Handler, Kimberly Fisher, Florence Johnson, Ann Spenard, Ning Zhang, Jerry H. Gurwitz Tags: Original Study-Brief Report Source Type: research

Slowness Predicts Mortality: A Comparative Analysis of Walking Speed and Moberg Picking-Up Tests
Slow walking speed (WS) is predictive of mortality but may be difficult to measure, which compromises the assessment of frailty, based on Fried et  al's phenotype. The timed Moberg picking-up test (MPUT), developed to evaluate hand's function, was found moderately but significantly correlated with WS. We compared the relationship between slowness, assessed by MPUT and WS tests, and mortality. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 27, 2021 Category: Health Management Authors: May-Lucie Meyer, Sarah Fustinoni, Yves Henchoz, Andreas F. Hottinger, Brigitte Santos-Eggimann Tags: Original Study Source Type: research

Questions About the Results Described in the Article “The Efficacy and Safety of Tube Feeding in Advanced Dementia Patients: A Systemic Review and Meta-Analysis Study”
We are the authors of one of the studies selected for the meta-analysis that was recently published in JAMDA: “The Efficacy and Safety of Tube Feeding in Advanced Dementia Patients: A Systemic Review and Meta-Analysis Study.”1 We published the study “A Comparison of Survival, Pneumonia, and Hospitalization in Patients With Advanced Dementia and Dysphagia Receiving Either Oral or Enteral Nutrition.”2 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 25, 2021 Category: Health Management Authors: Marco T úlio Gualberto Cintra, Nilton Alves de Rezende, Henrique Oswaldo da Gama Torres Tags: Letter to the Editor Source Type: research

Relative Role of Physical Frailty and Poor Cognitive Performance in Progression to Dementia
The growing burden of dementia and its associated health care costs reinforce the importance of developing strategies for preventing dementia. Moreover, given limited resources, risk stratification that helps determine those at greatest risk of dementia can enable targeting of interventions at identified high-risk groups. Physical frailty and cognitive decline are 2 common conditions in older people that are associated with incident dementia. Results are inconsistent with not all studies finding an independent relationship between physical frailty and incident dementia after adjustment for baseline cognition. (Source: Jour...
Source: Journal of the American Medical Directors Association - March 25, 2021 Category: Health Management Authors: Chia-Lin Li, Hsing-Yi Chang, Yea-Ing L. Shyu, Fiona F. Stanaway Tags: Research Letters Source Type: research

Addressing Systemic Racism in Nursing Homes: A Time for Action
Long-term services and supports for older persons in the United States are provided in a complex, racially segregated system, with striking racial disparities in access, process, and outcomes of care for residents, which have been magnified during the Coronavirus Disease 2019 pandemic. These disparities are in large measure the result of longstanding patterns of structural, interpersonal, and cultural racism in US society, which in aggregate represent an underpinning of systemic racism that permeates the long-term care system's organization, administration, regulations, and human services. (Source: Journal of the American ...
Source: Journal of the American Medical Directors Association - March 25, 2021 Category: Health Management Authors: Philip D. Sloane, Ruqaiijah Yearby, R. Tamara Konetzka, Yue Li, Robert Espinoza, Sheryl Zimmerman Tags: Special Article Source Type: research

How Well Does Self-Reported Health Predict Mortality in an InterRAI Context? An Exploratory Analysis
Subjective self-reported health measurements have been used to approximate the general health of individuals1,2 and enable cross-national comparisons of health status at the population level. As a measure of health status, self-reported health has become popularized in part due to its predictive power of indicators such as individual mortality1,2 and service utilization.3,4 With the development of standardized assessments incorporating evidence from both subjective and objective sources, it is necessary to examine the utility of single-item self-reports of health in the context of such instruments. (Source: Journal of the ...
Source: Journal of the American Medical Directors Association - March 20, 2021 Category: Health Management Authors: Timothy Wood, Milou Angevaare, Matthew Leyenaar, Sharmin Bala, Nancye Peel, Len Gray, Kim-Huong Nguyen Tags: Research Letter Source Type: research

The adverse effects of the COVID-19 pandemic on nursing home resident well-being
Quantify the effects of the COVID-19 pandemic on nursing home resident well-being. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 20, 2021 Category: Health Management Authors: Michael Levere, Patricia Rowan, Andrea Wysocki Tags: Original Studies Source Type: research

“Somebody like me”: Understanding COVID-19 Vaccine Hesitancy among Staff in Skilled Nursing Facilities
Vaccination of skilled nursing staff (SNF) for COVID-19 is critical, yet some staff are hesitant to receive the vaccine. We highlight how provider-academic-community partnerships can help. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 20, 2021 Category: Health Management Authors: Jill Harrison, Sarah Berry, Vince Mor, David Gifford Tags: Original Studies Source Type: research

Coronavirus disease 2019 in French residential care facilities: a nationwide study
The COVID-19 pandemic caused a considerable mortality in long-term care facilities. Through a nationwide observational study, we observed that French residential care facilities experienced a much lower burden from COVID-19 than nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 20, 2021 Category: Health Management Authors: Jo ël Belmin, Scarlett Georges, Florian Franke, Come Daniau, Amandine Cochet, Cécile Durand, Ursula Noury, Maria Eugênia Gomes do Espirito Santo, Laure Fonteneau, Sylvie Pariel, Carmelo Lafuente-Lafuente, Kostas Danis Tags: Original Study - Brief Report Source Type: research

A Cross-Sectional Survey of Internal Medicine Residents ’ Knowledge, Attitudes, and Current Practices Regarding Patient Transitions to Post-Acute Care
Prior studies have found suboptimal knowledge about post-acute care (PAC) among inpatient providers and poor communication at discharge that can lead to unsafe discharge transitions, but little is known about residents and the PAC transition. The aim of this study is to assess internal medicine residents ’ knowledge, attitudes, and current practice regarding patient transitions to PAC. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 19, 2021 Category: Health Management Authors: Julia Limes, Catherine Callister, Eric Young, Robert E. Burke, Tyler Albert, Paul B. Cornia, Raj Sehgal, Christine D. Jones Tags: Original Study Source Type: research

Dental Care in Programs of All-Inclusive Care for the Elderly: Organizational Structures and Protocols
This study uses a national model of community-based long-term services and supports, the Program of All-inclusive Care for the Elderly (PACE), to identify organizational structures and protocols that can facilitate the delivery of dental examinations. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 17, 2021 Category: Health Management Authors: Matthew M. Oishi, Elizabeth T. Momany, Robert J. Collins, Pamela Z. Cacchione, Joan I. Gluch, Howard J. Cowen, Peter C. Damiano, Leonardo Marchini Tags: Original Study - Brief Report Source Type: research

Resident-to-Resident Elder Mistreatment in Residential Aged Care Services: A Systematic Review of Event Frequency, Type, Resident Characteristics, and History
Resident-to-resident elder mistreatment (R-REM) between residents living in residential aged care (RAC) services is a challenging issue in relation to the care of older people. Evidence suggests that R-REM, such as verbal, physical, and sexual conflict between residents, is a common and pervasive issue. This review examines the frequency with which R-REM occurs in RAC services; identifies the types of R-REM that occur; and provides an overview of the reported characteristics of both the victim and perpetrator involved in the R-REM event. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 13, 2021 Category: Health Management Authors: Marta H. Woolford, Susan J. Stacpoole, Lisa Clinnick Tags: Review Article Source Type: research

Impact of Isotemporal Substitution of Sedentary Time With Physical Activity on Sarcopenia in Older Japanese Adults
Isotemporal substitution modeling estimates the effect of replacing time spent doing one activity type with time spent doing another activity.1 To date, the substitution of sedentary behavior for different physical activity levels and the extent that this can reduce the prevalence of sarcopenia remains unclear. Therefore, this study aimed to ascertain the practical effects of replacing sedentary behavior with light-intensity or moderate- to vigorous-intensity physical activity on the prevalence of sarcopenia and subdomain criteria including muscle strength, physical performance, and skeletal muscle mass, according to the l...
Source: Journal of the American Medical Directors Association - March 12, 2021 Category: Health Management Authors: Koutatsu Nagai, Ryota Matsuzawa, Yosuke Wada, Shotaro Tsuji, Masako Itoh, Kyoko Sano, Manabu Amano, Kayoko Tamaki, Hiroshi Kusunoki, Ken Shinmura Tags: Research Letter Source Type: research

State Variation in Long-Term Care Availability, Regulation, and Cost and Suicide Mortality Among Older Adults in the United States: 2010 –2015
Residential long-term care (LTC) facilities may be key settings for the prevention of suicide among older adults; however, little is known about the relationship between statewide policies determining characteristics of LTC facilities and suicide mortality. The primary goal of this study was to evaluate the association between state policies regarding availability, regulation, and cost of LTC and suicide mortality among adults aged 55 and older in the United States over a 5-year period. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 12, 2021 Category: Health Management Authors: Matthew C. Lohman, Tomohiro M. Ko, Ashley Rapp, Erica Bennion, Briana Mezuk Tags: Original Study Source Type: research

The Metrics Matter: Improving Comparisons of COVID-19 Outbreaks in Nursing Homes
In the United States, nursing facility residents comprise fewer than 1% of the population but more than 40% of deaths due to Coronavirus Disease 2019 (COVID-19). Mitigating the enormous risk of COVID-19 to nursing home residents requires adequate data. The widely used Centers for Medicare and Medicaid Services (CMS) COVID-19 Nursing Home Dataset contains 2 derived statistics: Total Resident Confirmed COVID-19 Cases per 1000 Residents and Total Resident COVID-19 Deaths per 1000 Residents. These metrics provide a misleading picture, as facilities report cumulative counts of cases and deaths over different time periods but us...
Source: Journal of the American Medical Directors Association - March 10, 2021 Category: Health Management Authors: Katherine E.M. Miller, Rebecca J. Gorges, R. Tamara Konetzka, Courtney H. Van Houtven Tags: Original Study - Brief Report Source Type: research

Brief Aids to Guide Clinical Frailty Scale Scoring at the Front Door of Acute Hospitals
Frailty is a clinical syndrome characterized by increased vulnerability to functional dependency and/or mortality attributable to 1 or more stressors.1 Given that the Emergency Department (ED) stands as a portal to multiple health care settings, the identification of frailty at the ED represents a pivotal component of care and risk assessment among older adults.2 –4 Nonetheless, the implementation of frailty screening and frailty-centered care at the ED remains challenging owing to limitation of resources and manpower, prioritization of disease-specific care, time-pressured environment to assess and transfer patients...
Source: Journal of the American Medical Directors Association - March 10, 2021 Category: Health Management Authors: Edward Chong, Audrey Tham, Justin Chew, Wee Shiong Lim, Huei Nuo Tan, Hou Ang, Mark Chan Tags: Research Letter Source Type: research

Brief Aids to Guide Clinical Frailty Scale Scoring at the Front-Door of Acute Hospitals
Frailty is a clinical syndrome characterized by increased vulnerability to functional dependency and/or mortality attributable to 1 or more stressors.1 Given that the Emergency Department (ED) stands as a portal to multiple health care settings, the identification of frailty at the ED represents a pivotal component of care and risk assessment among older adults.2 –4 Nonetheless, the implementation of frailty screening and frailty-centered care at the ED remains challenging owing to limitation of resources and manpower, prioritization of disease-specific care, time-pressured environment to assess and transfer patients...
Source: Journal of the American Medical Directors Association - March 10, 2021 Category: Health Management Authors: Edward Chong, Audrey Tham, Justin Chew, Wee Shiong Lim, Huei Nuo Tan, Hou Ang, Mark Chan Tags: Research Letter Source Type: research

The Metrics Matter: Improving Comparisons of COVID-19 Outbreaks in Nursing Homes.
In the United States, nursing facility residents comprise less than 1% of the population but over 40% of deaths due to COVID-19. Mitigating the enormous risk of COVID-19 to nursing home residents requires adequate data. The widely used CMS COVID-19 Nursing Home Dataset contains two derived statistics: Total Resident Confirmed COVID-19 Cases per 1,000 Residents and Total Resident COVID-19 Deaths per 1,000 Residents. These metrics provide a misleading picture, as facilities report cumulative counts of cases and deaths over different time periods but use a point-in-time measure as proxy for number of residents (number of occu...
Source: Journal of the American Medical Directors Association - March 10, 2021 Category: Health Management Authors: Katherine E.M. Miller, Rebecca J. Gorges, R. Tamara Konetzka, Courtney H. Van Houtven Tags: Original Study - Brief Report Source Type: research