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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

Web-Based Compassion Interventions for Family Caregivers' Mental Well-Being: A Systematic Review and Meta-Analysis
To assess the effectiveness of web-based compassion interventions on the mental well-being of family caregivers. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 16, 2024 Category: Health Management Authors: Manyu Zhu, Minhua Lai, Rong Chen, Qi Zhang Tags: Review Article Source Type: research

Barriers and Enablers for Deprescribing Glucose-Lowering Treatment in Older Adults: A Systematic Review
This study aimed to identify and synthesize barriers and enablers for deprescribing GLT in older adults ( ≥65 years) with T2DM. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 15, 2024 Category: Health Management Authors: Marion Mellot, Lina Jawal, Thomas Morel, Jean-Pascal Fournier, Florence Tubach, Jean-S ébastien Cadwallader, Antoine Christiaens, Lorène Zerah Tags: Review Article Source Type: research

Survival Characteristics of Older Patients Hospitalized With COVID-19: Insights From the American Heart Association COVID-19 Cardiovascular Disease Registry
The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has caused more than 6.5 million deaths worldwide.1 Infection with SARS-CoV-2 disproportionately affects older patients.2 We sought to identify prognostic factors of survival in patients ≥80 years old hospitalized with COVID-19. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 8, 2024 Category: Health Management Authors: Raymond Y. Yeow, Michael P. O'Leary, Akshay R. Reddy, Neil S. Kamdar, Salim S. Hayek, James A. de Lemos, Nadia R. Sutton Tags: Research Letters Source Type: research

Qualitative Evaluation of a Pilot Physician Training Program in Long-Term Care Facilities in Switzerland
Increasing demand for long-term care facilities (LTCFs) and increasingly complex medical needs of LTCF residents necessitate recruiting new physician graduates and developing programs which provide them with experience and specific skills in geriatric and palliative medicine. We developed an educational program for physicians in training, which combines 1 year of immersion at 20% full-time equivalent with (1) theoretical teaching, (2) clinical exposure under the supervision of a senior LTCF physician, and (3) structured case presentations and debriefing with experienced geriatricians. (Source: Journal of the American Medic...
Source: Journal of the American Medical Directors Association - January 8, 2024 Category: Health Management Authors: Eve Rubli Truchard, Laura Jones, Francesca Bosisio, Tosca Bizzozzero, Alexandre Ronga, Ralf J. Jox, Christophe Bula Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

COVID-19 Pandemic Impact on the Trajectories of Cognitive Decline and Depression Symptoms in Long-Term Care Facility Residents
To compare the longitudinal rates of change in cognition and depressive symptoms between 2019 (pre –COVID-19 pandemic) and 2020 (COVID-19 pandemic) among long-term care facility (LTCF) residents in Iowa, which ranked among the top 10 US states that suffered from extreme nursing staff shortages during this crisis. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 6, 2024 Category: Health Management Authors: Rawabi Aljadani, Ryan Carnahan, Kennith Culp, Juliana N. Souza-Talarico Tags: Original Study Source Type: research

Geriatric Genital Dermatology
The objective of this article is to highlight the major vulvovaginal conditions affecting older women and provide up-to-date information on treatment for providers in long-term care facilities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 5, 2024 Category: Health Management Authors: Jennifer A. Foster, Deborah Freeland, Melissa Mauskar Tags: Special Article Source Type: research

“We're Onto Something Here!”: Clinician Perspectives of a Pilot Program to Increase Palliative Care Access in an Urban Skilled Nursing Facility
Many adults cycle between the hospital and skilled nursing facilities (SNFs) near the end of life. However, palliative care services, which can provide specialized support for patients with serious illness, are often limited at SNFs. The “3C's Palliative Care Program,” a 5-month pilot, aimed to improve palliative care access for patients admitted to subacute rehabilitation at an SNF affiliated with an urban academic medical center. This manuscript focuses on the pilot's feasibility, acceptability based on SNF clinician feedback from interviews, and lessons learned. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 4, 2024 Category: Health Management Authors: Brook Calton, Pamela Williams, Carolina Jaramillo, Kathryn Corelli, Katie Carr, Louis Waldman Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

Trajectories of Long-term Care After Stroke in Sweden: Nationwide Study Exploring Patterns and Determinants
This study explores long-term care trajectories among older men and women with stroke in the Swedish population. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 3, 2024 Category: Health Management Authors: Anna C. Meyer, Marcus Ebeling, Karin Modig Tags: Original Study Source Type: research

The Association Between Family Support and Changes in Self-Rated Health Among Chinese Older Adults: How Living Arrangements Moderate the Association?
The study intends to investigate the association between family support and older adult health as well as the interaction between family support and living arrangements on their health. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 2, 2024 Category: Health Management Authors: Zixuan Jiang, Hongyu Chen, Tianren Lu, Fei Yin, Yue Ma Tags: Original Study Source Type: research

Clinical Impact of improvement in sarcopenia Through cardiac Rehabilitation in patients With Heart Failure
This study investigated the relationship between the changes in sarcopenia status in patients with HF undergoing outpatient CR and the risk of mortality and adverse events. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 2, 2024 Category: Health Management Authors: Saki Shakuta, Takumi Noda, Kentaro Kamiya, Nobuaki Hamazaki, Kohei Nozaki, Masashi Yamashita, Shota Uchida, Kensuke Ueno, Emi Maekawa, Minako Yamaoka-Tojo, Atsuhiko Matsunaga, Junya Ako Tags: Original Study Source Type: research

How Can We Interpret Insomnia as a “Risk Factor” on Behavioral Symptom? Comments on the Article by Chekani et al
We read with great interest the recent study by Chekani et  al evaluating the prevalence and diagnostic risk of behavioral symptoms in Alzheimer disease (AD) patients aged 50 years and older in the IBM MarketScan Multi-State Medicaid Database.1 By highlighting the potential role of insomnia as a warning sign of worsening symptoms in AD patients, the autho rs have provided invaluable insight for health care providers. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 2, 2024 Category: Health Management Authors: Takashi Matsushita, Ryuji Suzuki, Hideyuki Ito, Ryohei Yamamoto Tags: Letter to the Editor Source Type: research