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Table of Contents
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 1, 2024 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 1, 2024 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 1, 2024 Category: Health Management Source Type: research

Longitudinal Evaluation of a Statewide Quality Improvement Program for Nursing Homes
The National Academies of Sciences, Engineering, and Medicine (NASEM) Nursing Home Quality report recommends that states “develop and operate state-based…technical assistance programs…to help nursing homes…improve care and…operations.” The Quality Improvement Program for Missouri (QIPXX) is one such program. This longitudinal evaluation examined and compared differences in quality measures (QMs) and nursin g home (NH) characteristics based on intensity of QIPXX services used. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 31, 2024 Category: Health Management Authors: Marilyn Rantz, Nicky Martin, Isabella Zaniletti, Jessica Mueller, Colleen Galambos, Amy Vogelsmeier, Lori L. Popejoy, Roy A. Thompson, Charles Crecelius Tags: Original Study Source Type: research

Characterizing the Individuals Who Regain or Maintain Walking Ability After a Hip Fracture: Insights Into Physical Resilience
This study investigated characteristics of individuals who regained walking ability after a hip fracture, an expression of physical resilience. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 31, 2024 Category: Health Management Authors: Stina Ek, Alexandra Wennberg, Mozhu Ding, Anna C. Meyer, Margareta Hedstr öm, Karin Modig Tags: Original Study Source Type: research

Temporal Muscle Thickness: A Practical Approximation for Assessing Muscle Mass in Older Adults
This study aimed to determine the correlation between temporal muscle thickness (TMT) and appendicular lean soft tissue in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 30, 2024 Category: Health Management Authors: Miguel German Borda, Jonathan Patricio Baldera, Jessica Samuelsson, Anna Zettergren, Lina Ryd én, Eric Westman, Mario Ulises Pérez-Zepeda, Silke Kern, Luis Carlos Venegas, Gustavo Duque, Ingmar Skoog, Dag Aarsland Tags: Original Study Source Type: research

Cost-Consequence Analysis of Deprescribing to Optimize Health Outcomes for Frail Older People: A Within-Trial Analysis
This study aimed to evaluate the costs and consequences of deprescribing in frail older people living in residential aged care facilities (RACFs) in Australia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 30, 2024 Category: Health Management Authors: Charles E. Okafor, Syed Afroz Keramat, Tracy Comans, Amy T. Page, Kathleen Potter, Sarah N. Hilmer, Richard I. Lindley, Dee Mangin, Vasi Naganathan, Christopher Etherton-Beer Tags: Original Study Source Type: research

Presymptomatic Profiles of Cognitive Impairment With Prior Mobility Impairment
To identify cognitive and health profiles of cognitively impaired older adults with the presence of prior mobility impairment, which may represent a specific pathway to the development of cognitive impairment or dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 30, 2024 Category: Health Management Authors: Qu Tian, Yang An, Susan M. Resnick, Luigi Ferrucci Tags: Original Study Source Type: research

Sedentary Behavior and Sleep Quality in Women
I read the article published in this journal by Zhou et  al1 with great interest. The authors examined the relationship between sedentary behavior and sleep quality among older adults with special reference to sex differences. The adjusted odds ratio [OR (95% CI] of sedentary behavior for poor sleep quality was 1.49 (1.20-1.85), and there was a dose-res ponse relationship by using the subjective sleep quality, sleep latency, and habitual sleep efficiency as sleep outcomes. These significances were only observed in women, and I have some comments on the study. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 30, 2024 Category: Health Management Authors: Tomoyuki Kawada Tags: Letter to the Editor Source Type: research

Sliding Scale Insulin Use in Nursing Homes Before and After Onset of the COVID-19 Pandemic
To characterize sliding-scale insulin (SSI) use in US nursing homes (NHs) before and after the COVID-19 pandemic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 30, 2024 Category: Health Management Authors: Darlene P. Tat, Andrew R. Zullo, Vincent Mor, Kaleen N. Hayes Tags: Original Study - Brief Report Source Type: research

A Paradigm Shift in Caregiver Preparation: From Information Provision to Enhanced Collaborative Care-element Optimization (ECCO)
A much-lauded method for improving the quality of life for persons with dementia is the training of caregivers, primarily through classroom instruction,1,2 in preparation for work in long-term care facilities, adult daycare centers, and private residences in the community. However, various studies have shown that the effectiveness of such training is limited or nil (eg, Lamppu et  al,3 Surr et al4), or that the measured outcome is not staff caregiving behavior or older care-recipient well-being, but rather, staff knowledge, attitudes, satisfaction with training, or similar outcomes (eg, Parks et al,5 Pleasant et al6), ...
Source: Journal of the American Medical Directors Association - January 26, 2024 Category: Health Management Authors: Jiska Cohen-Mansfield Tags: Editorial Source Type: research

Exploring Staffing Levels in Adult Day Services: Does Profit Status Matter?
For more than 4 decades, adult day service centers (ADSCs) have provided long-term care services and socialization to hundreds of thousands of people in the United States. An important part of the long-term care continuum, ADSCs serve older adults and adults with disabilities, many of whom have low incomes and are racial and ethnic minorities. Yet, little is known about the quality of ADSCs. To better understand ADSC quality, we examined staffing levels, a key aspect of organizational structure. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 19, 2024 Category: Health Management Authors: Eleanor V. Batista-Malat, Mengzhao Yan, Kathleen H. Wilber, Mireille Jacobson Tags: Original Study - Brief Report Source Type: research

Research Gaps Concerning Human-Animal Interactions and Animal-Assisted Services in Nursing Homes
Human-animal interactions (HAIs) and animal-assisted services (AASs) —previously known as animal-assisted interventions (AAIs)1—in nursing homes are gaining popularity.2 AASs in care settings usually include initiatives with teams of voluntary or professional handlers who bring a companion or visitation animal—such as a dog, a cat, or another species—into a r esidential care setting, offering an opportunity for residents to interact with the animal, with the intention to improve resident well-being (eg, reducing stress) and/or general living conditions as part of creating more home-like environments. (Source: Journ...
Source: Journal of the American Medical Directors Association - January 18, 2024 Category: Health Management Authors: Joni Delanoeije, Mieke Deschodt Tags: Letter to the Editor Source Type: research

Lifetime Physical Activity and Late-Life Mild Cognitive Impairment in Community-Dwelling Older Adults
This study aimed to examine the association of lifetime physical activity and their transitions with late-life MCI. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 18, 2024 Category: Health Management Authors: Keitaro Makino, Parminder Raina, Lauren E. Griffith, Sangyoon Lee, Kenji Harada, Osamu Katayama, Kouki Tomida, Masanori Morikawa, Ryo Yamaguchi, Chiharu Nishijima, Kazuya Fujii, Yuka Misu, Hiroyuki Shimada Tags: Original Study Source Type: research

Palliative End-of-Life Medication Prescribing Rates in Long-Term Care: A Retrospective Cohort Study
Medications are often needed to manage distressing end-of-life symptoms (eg, pain, agitation). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 16, 2024 Category: Health Management Authors: Peter Tanuseputro, Rhiannon Roberts, Christina Milani, Anna E. Clarke, Colleen Webber, Sarina R. Isenberg, Daniel Kobewka, Luke Turcotte, Shirley H. Bush, Kaitlyn Boese, Amit Arya, Benoit Robert, Aynharan Sinnarajah, Jessica E. Simon, Michelle Howard, Jen Tags: Original Study Source Type: research