Effects of an Exercise Program to Reduce Falls in Older People Living in Long-Term Care: A Randomized Controlled Trial
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. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 29, 2023 Category: Health Management Authors: Lynne M. Taylor, John Parsons, Simon A. Moyes, Elizabeth Binns, Alana Cavadino, Denise Taylor, Sue Lord, Silvia Del Din, Jochen Klenk, Lynn Rochester, Ngaire Kerse Tags: Original Study Source Type: research

Age-Friendly Framework in Post-Acute and Long-Term Care: Implementing the 4Ms in Long-Term Care
Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement, in partnership with the American Hospital Association and the Catholic Health Association of the United States that uses a framework to ensure high-quality, person-centered care for older adults. The framework, called the 4  Ms, includes what matters, mobility, medications, and mentation. This work outlines a practical, evidence- based approach to implementing 4 Ms care in long-term care (LTC). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 29, 2023 Category: Health Management Authors: Katherine F. Edstrom, Benjamin D. Fallah, Emily A. Morgan Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

Association of COVID-19 Vaccination Rates and Facility Characteristics on COVID-19 Cases, Hospitalizations, and Deaths in US Nursing Homes
This study has 2 objectives: (1) to describe nursing facility characteristics associated with higher vs lower vaccination rates and (2) to estimate facility characteristics associated with COVID-19 cases, hospitalizations, and deaths, stratified by vaccination rate. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 29, 2023 Category: Health Management Authors: Aaron Carabajal-Johnson, Danya M. Qato, Sean P. Fleming, Rebecca Faulkner, Linda Wastila Tags: Original Study Source Type: research

Life-Space Mobility Change in Nursing Home Residents Over 12  Months
Influenced by individual and environmental factors, life-space mobility (LSM) describes a person's interaction with the space in which they live and engage.1 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 29, 2023 Category: Health Management Authors: Agathe D. Jadczak, Mark Q. Thompson, Graeme R. Tucker, Renuka Visvanathan Tags: Research Letters Source Type: research

Implementing Dementia Caregiver Programs in Real-World Settings: Fidelity Considerations
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 sustainable in practice. This paper reviews published translational or pragmatic studies of dementia caregiver support interventions to understand how fidelity was previously treated in order to derive recommendations for future pragmatic-like trials. A search using SCOPUS, EMBASE, and Google Scholar identified 31 translational caregiver intervention studies of which 20 (64.5%) refere...
Source: Journal of the American Medical Directors Association - November 27, 2023 Category: Health Management Authors: Yeji Hwang, Nancy A. Hodgson, Laura N. Gitlin Tags: Special Article Source Type: research

Pragmatic Implementation of a Music Intervention in Nursing Homes Before and During COVID-19
In this report, we compare adherence fidelity across the trials using the Framework for Implementation Fidelity (FIF). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 27, 2023 Category: Health Management Authors: Ellen M. McCreedy, Aleena Dewji, Laura Dionne, Enya Zhu, Rosa R. Baier, Ann Reddy, Miranda B. Olson, James L. Rudolph Tags: Original Study Source Type: research

Transforming Nursing Home Teams: What We Can Do Now to Build a Stronger Nursing Home Workforce
Many people are drawn to work in nursing homes because they want to build deep relationships with residents and families and be part of an interprofessional team that cares about the whole person and what matters to each resident. However, profound staffing needs and a lack of regulations and policies to support staff make achieving these goals in long-term care difficult. To address current staffing challenges and provide the quality of care and life that nursing home residents deserve, most people agree that we need to make nursing home jobs –from Director of Nursing (DON) to medical director to certified nursing assis...
Source: Journal of the American Medical Directors Association - November 24, 2023 Category: Health Management Authors: Jasmine L. Travers, Kezia Scales, Alice Bonner, Isaac Longobardi, Sumire Maki Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 24, 2023 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 - November 24, 2023 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 24, 2023 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 24, 2023 Category: Health Management Source Type: research

The Impact of State Dementia Training Requirements for Nursing Homes on Antipsychotic Medication Use
This study evaluated whether the state-mandated dementia training for NH staff was associated with improving resident outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 23, 2023 Category: Health Management Authors: Victoria Shier, Yuna Bae-Shaaw, Neeraj Sood, Cara Lekovitch, Felicia Chew, Natalie E. Leland Tags: Original Study Source Type: research

Patient Portal Use During Home Health Care at an Academic Health System
To characterize patient portal use among older adults receiving skilled home health (HH) care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 22, 2023 Category: Health Management Authors: Julia G. Burgdorf, Chanee D. Fabius, Mingche M.J. Wu, Kelly T. Gleason, Jennifer L. Wolff Tags: Original Study - Brief Report Source Type: research

We're Not Keeping Him Alive. We ’re Keeping Him Comfortable
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. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 21, 2023 Category: Health Management Authors: Richard W. Sams Tags: Letter to the Editor Source Type: research

Recommendations for Improving Chronic Care in Times of a Pandemic Based on Patient Experiences
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 improving care provision, based on patient experiences. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 21, 2023 Category: Health Management Authors: Jeroen R.J.H. Gruiskens, Liesbeth F.M. van Hoef, Maurice M.S. Theunissen, Annemie M. Courtens, Annerika H.M. Gidding-Slok, Onno C.P. van Schayck, Marieke M.H.J. van den Beuken –van Everdingen Tags: Original Study Source Type: research