Journal of the American Medical Directors Association

Person Profile Dementia Intervention in Long-Term Care: A Stepped-Wedge Cluster-Randomized Trial
Spichiger F, Koppitz AL, Riese F, Kipfer S, Nagl-Cupal M, Büscher A, Volken T, Larkin P and Meichtry A
We aimed to assess the efficacy of a person-centered care intervention in improving quality of life (QoL) for people with dementia in long-term care facilities.
Prognostic Value of Sarcopenia Definitions and Outcomes Consortium Criteria in Older Patients With Heart Failure
Nakade T, Maeda D, Matsue Y, Kagiyama N, Fujimoto Y, Sunayama T, Dotare T, Jujo K, Saito K, Kamiya K, Saito H, Ogasahara Y, Maekawa E, Konishi M, Kitai T, Iwata K, Wada H, Kasai T, Nagamatsu H, Momomura SI and Minamino T
The Asian Working Group for Sarcopenia in 2019 (AWGS 2019) emphasized muscle mass measurements. In contrast, the Sarcopenia Definitions and Outcomes Consortium (SDOC) prioritizes functional strength and mobility. Therefore, this study aimed to compare the prognostic utility of the SDOC and AWGS 2019 criteria for all-cause mortality in older patients with heart failure.
The Ideal vs Reality: Is the Pursuit of a "Good Death" Hindering End-of-Life Care?
Malhotra C
Assisted Living, Residential Care, and Memory Care Staffing Level Dynamics: Oregon, 2017-2023
Dys S and Tunalilar O
To examine changes in staffing levels over time in Oregon assisted living and residential care (AL/RC) communities between 2017 and 2023.
Transfers among Vulnerable Long-Term Nursing Home Residents
McWilliam DC, Park P, Jensen M, Bynum JPW and Montoya A
To determine whether the risk of nursing home-to-nursing home transfer is higher among long-term nursing home residents with intellectual and developmental disabilities (IDD), or serious mental illness (SMI), and/or Alzheimer's disease and related dementias (ADRD), relative to residents without these clinical diagnoses, and to assess the factors associated with transfer overall and for residents with these diagnoses.
Measurement Practice of Slow Gait Speed for Motoric Cognitive Risk Syndrome: A Systematic Review
Wang L, Su L, Shi L, Zhao D, Zhang C and Wu B
Individuals with motoric cognitive risk (MCR) syndrome have a high dementia risk. However, a knowledge gap exists in the measurement procedure for slow gait speed, which is a crucial component of MCR diagnosis. The study aimed to systematically review slow gait speed measurement practices in MCR diagnosis to identify critical constructs in gait speed measurement procedure.
Frailty Risk Patterns and Mortality Prediction in Community-Dwelling Older Adults: A 3-Year Longitudinal Study
Yang M, Liu Y, Watanabe Miura K, Matsumoto M, Jiao D, Zhu Z, Li X, Cui M, Zhang J, Qian M, Huang L and Anme T
Frailty is a heterogeneous syndrome with distinct patterns. This study aimed to identify frailty risk patterns and their predictive value for mortality in older adults.
Effectiveness Evaluation of Smart Home Technology in Preventing and Detecting Falls in Community and Residential Care Settings for Older Adults: A Systematic Review and Meta-Analysis
Yeoh Lui CX, Yang N, Tang A and Tam WWS
To assess the effectiveness of smart home technologies (SHTs) in preventing and detecting falls among older adults in community and residential care settings.
Prevalence and Risk Factors Associated With Zinc Deficiency: A Study of a Rural Nursing Home
Phongkusolchit K and Gau JT
Knowledge and Attitudes Toward New Disease-Modifying Treatments for Alzheimer's Disease Among Nursing Home Directors
Liang S, Ott BR, Tjia J, Lapane KL, Rataj A and Alcusky M
Nursing home (NH) administrator perceptions regarding the utility of Alzheimer's disease (AD) disease-modifying medications in NHs are important because many short and long-stay residents have mild AD. This study examined the interest of directors of nursing (DoNs) in using new AD disease-modifying treatments, changes in attitudes based on differences in costs to the NH, and characteristics (DoN and NH) associated with such changes.
Dissociation in Long-Term Care Home Staff During COVID-19: Challenges and Promising Practices
Duan Y, Smith LJ, DeGraves BS, Angel C, Wang A, Saeidzadeh S, Lanius R and Estabrooks CA
Long-term care (LTC) staff may develop dissociation due to high-stress work environments and trauma exposures. This study aimed to (1) assess the prevalence of pathological dissociation in LTC home staff during the COVID-19 pandemic; (2) examine the associations of pathological dissociation with demographic characteristics, mental health, insomnia, and professional quality of life; and (3) examine whether pathological dissociation was sensitive to change following a coherent breathing intervention.
Value of eReaders to Mitigate Apathy and Reduce the Digital Divide in Long-Term Care Settings
Agboji A, Freeman S, Banner D, Armstrong J and Martin-Khan M
A Nursing Home Clinician Survey to Explain Gabapentinoid Increases
Winter JD, Kerns JW, Qato DM, Winter KM, Brandt N, Wastila L, Winter C, Fu YH, Elonge E, Krist AH, Reves SR and Etz RS
Survey nursing home (NH) clinicians about the indications for NH gabapentinoid use, the factors driving increased prescribing, and their experiences with gabapentinoid deprescribing.
Feasibility of a Multimodal Prehabilitation Program before Elective Knee and Hip Arthroplasty in Older Adults
Genet B, Cohen-Bittan J, Nicolas M, Bonnet-Zamponi D, Naline C, Ouafi-Hendel D, François V, Cabral C, Cloppet A, Davy C, Boddaert J and Zerah L
Hip osteoarthritis and knee osteoarthritis cause significant disability and pain in older adults, often leading to hip or knee replacement surgery. Prehabilitation programs have been established for these surgeries, but there are few programs for orthogeriatrics. We evaluated the feasibility of a new multimodal prehabilitation program (MPP) for older adults before hip or knee replacement due to arthrosis: the Prehabilitation for Os (PRE4OS) study.
The Meaningful Engagement Assessment for Residents With Dementia in Assisted Living Settings
Holmes SD, Scherr S, O'Brien E, Levy S, Galik E and Resnick B
Providing meaningful activity is a critical dimension of person-centered care for residents with dementia in all settings, including assisted living. Defined broadly as participation in physical, social, and leisure activities that provide meaning and value to the person and are tailored to individualized interests and preferences, meaningful activity has implications for well-being, mental health, cognition, and physical function. Assisted living residents with dementia would benefit from having more opportunities to engage in meaningful activity. There is a need to develop and assess practical tools to help assisted living staff evaluate preferences and identify opportunities to engage residents with dementia in meaningful activity. To address this need, we developed the Meaningful Engagement Assessment tool. Based on implementation of this tool with 31 residents in 2 assisted living communities, we provide a description of the feasibility and recommendations for strategies to facilitate the successful implementation of this tool in practice.
Hospitalization Due to Infections Before and After Alzheimer's Disease Diagnosis
Järvinen HI, Tolppanen AM and Hartikainen S
There is a lack of studies on the rate and temporal changes of infections in relation to Alzheimer's disease (AD) diagnosis. We studied the infection rate in persons with and without AD yearly 5 years before and after AD diagnosis.
Measurement of Quality in Assisted Living in the United States of America: A Scoping Review
Shippee TP, Akosionu O, Beebe TJ, Parikh RR and Brasure M
To identify different approaches (unique domains) and indicators to evaluate quality in assisted living communities in the United States.
Successful Aging Rates of Global Older Adults: A Systematic Review and Meta-analysis
Liu Y, Zhang X, Fu X, Li W, Wang Y and Lu W
This meta-analysis aimed to qualitatively analyze the different aspects of the successful aging (SA) criteria and quantitatively assess the rate of SA and its different dimensions among people aged ≥60 years globally to provide a basis for constructing criteria for SA.
Dose-Response Relationships of Daily Steps With Disability Incidence and All-Cause Mortality Stratified by Age and Physical Frailty
Shimoda T, Tomida K, Nakajima C, Kawakami A and Shimada H
To examine the optimal range of steps for an individual based on the dose-response relationship of the number of steps taken with disability incidence and all-cause mortality stratified by age and physical frailty.
A New Look at Diabetes Through the Revised 2024 Diabetes Clinical Practice Guideline
Resnick B
Nursing Home Staffing Levels and Resident Characteristics in Larger Versus Smaller Chains
Maughan MP, Yu J and Jung HY
To analyze patient and facility characteristics associated with smaller versus larger nursing home (NH) chains.