Article
Clinical Neurology
Imama A. Naqvi, Kevin Strobino, Ying Kuen Cheung, Hanlin Li, Kevin Schmitt, Stephen Ferrara, Sarah E. Tom, Adriana Arcia, Olajide A. Williams, Ian M. Kronish, Mitchell S. Elkind
Summary: This study tested the feasibility of TASC (Telehealth After Stroke Care), a post-acute stroke care model integrating nurse-supported home BP telemonitoring and tailored infographics. The results showed that TASC improved hypertension control and increased adherence to video visits and retention rates.
Article
Public, Environmental & Occupational Health
Yayi Zhao, Li Liu, Yaping Ding, Helen Y. L. Chan
Summary: This study explored the current dementia care practices in care homes in China, identifying suboptimal care practices in areas such as care environment, care culture, attitudes towards dementia, and dementia care competence. Creating a dementia-friendly and enabling environment, shifting the care culture paradigm, and developing culturally sensitive care practices are imperative. Dementia care education for care home staff using a systematic, comprehensive approach is fundamental to achieve these goals.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2021)
Article
Geriatrics & Gerontology
Blair P. Golden, Laura Block, Clark Benson, Quinton D. Cotton, Ann Wieben, Farah Kaiksow, Andrea Gilmore-Bykovskyi
Summary: This study examines family caregiver perspectives and experiences of hospitalizations among persons living with dementia (PLWD) in the context of high neighborhood-level disadvantage. The findings reveal that caregivers perceive PLWD receiving suboptimal care influenced by system pressures and inadequate workforce competencies, resulting in communication breakdowns and caregiver strain. The study highlights the lack of person-focused care and the exclusion of PLWD from care.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Audiology & Speech-Language Pathology
Sara K. Mamo, Kara A. Wheeler
Summary: The study aimed to characterize the health characteristics of older adults in a long-term group care setting, focusing on the impact of hearing loss and cognitive impairment. Results showed a high prevalence of hearing loss and cognitive impairment among the sample, with 43% of those with mild hearing loss also having cognitive impairment. While there were no significant differences between cognitive impairment groups within their hearing loss degree, the sample exhibited a high prevalence of other chronic conditions such as diabetes, hypertension, cardiovascular disease, and depression.
JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH
(2021)
Review
Nursing
Angela Schnelli, Melanie Karrer, Hanna Mayer, Adelheid Zeller
Summary: This article aims to outline and examine the aggressive incidents of persons with dementia towards professional caregivers in the home care setting. It highlights the lack of literature on this topic and the hindrances to solving the problematic behavior. It suggests that specific education and training for home caregivers may help to deal with aggressive behavior.
JOURNAL OF CLINICAL NURSING
(2023)
Review
Oncology
Laura Ashley, Claire Surr, Rachael Kelley, Mollie Price, Alys Wyn Griffiths, Nicole R. Fowler, Dana E. Giza, Richard D. Neal, Charlene Martin, Jane B. Hopkinson, Anita O'Donovan, William Dale, Bogda Koczwara, Katie Spencer, Lynda Wyld
Summary: With the aging population, cancer patients are getting older and more likely to have preexisting comorbidities, such as dementia. People with dementia are vulnerable to health disparities, which can complicate cancer care and outcomes.
CA-A CANCER JOURNAL FOR CLINICIANS
(2023)
Article
Geriatrics & Gerontology
Anita M. Y. Goh, Meg Polacsek, Sue Malta, Colleen Doyle, Brendan Hallam, Luke Gahan, Lee Fay Low, Claudia Cooper, Gill Livingston, Anita Panayiotou, Samantha M. Loi, Maho Omori, Steven Savvas, Jason Burton, David Ames, Samuel C. Scherer, Nadia Chau, Stefanie Roberts, Margaret Winbolt, Frances Batchelor, Briony Dow
Summary: This study aimed to explore the definition of 'good' in-home care for people living with dementia from the perspectives of those receiving and providing care. The results identified five key themes considered important for good in-home dementia care: home care workers' understanding of dementia, person-centred care and empathy, relationships and communication, knowledge of positive strategies for changed behaviors, and effective workplace policies and culture. These findings can inform the development of training programs and service design for home care workers, ultimately improving the delivery of home care services for people with dementia.
Article
Medicine, General & Internal
Beth Jones, Pam James, Ganga Vijayasiri, Yiting Li, Dave Bozaan, Nkiru Okammor, Karly Hendee, Grace Jenq
Summary: This study aimed to understand patients' experiences during the care transition process from hospital or skilled nursing facility to home and identify factors associated with follow-up appointment completion. The study found gaps and racial disparities in care transition experiences, which had implications for patient experiences and outcomes.
Article
Nursing
Angela M. H. J. Mengelers, Vincent R. A. Moermans, Michel H. C. Bleijlevens, Hilde Verbeek, Elizabeth Capezuti, Frans Tan, Koen Milisen, Jan P. H. Hamers
Summary: This study aimed to investigate the demand, use, and associated factors of involuntary treatment in people with dementia (PwD) receiving professional home care in the Netherlands and Belgium. The findings revealed that more than half of the PwD living at home received involuntary treatment, including nonconsensual care, psychotropic medication, and physical restraints. The use of involuntary treatment was influenced by living status, ADL dependency, cognitive ability, caregiver burden, and the country where home care was received. The study highlights the need for further research on variations in prevalence and the prevention of involuntary treatment in dementia.
JOURNAL OF CLINICAL NURSING
(2022)
Article
Geriatrics & Gerontology
Yoon Jae Lee, Deirdre M. Johnston, Melissa Reuland, Constantine G. Lyketsos, Quincy Samus, Halima Amjad
Summary: This study aims to describe the reasons for hospitalizations among community-living persons with dementia participating in a dementia care coordination study, and how these reasons vary by disease stage. The results show that infections and falls are the most common reasons for hospitalization, and the reasons vary based on the severity of functional impairment.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Geriatrics & Gerontology
Shekinah A. Fashaw-Walters, Ellen McCreedy, Julie P. W. Bynum, Kali S. Thomas, Theresa Shireman
Summary: The research demonstrated an increase in schizophrenia diagnoses among nursing home residents, especially for those with Alzheimer's and related dementia. After the partnership, there was a significant increase in schizophrenia diagnoses for Black residents with ADRD.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Geriatrics & Gerontology
Fred B. Ketchum, Jessica Monsees, Alice J. Kim, Tim Schmachtenberg, Amy Kind, Manish Shah, Wolfgang Hoffmann, Jochen Rene Thyrian, Andrea Gilmore-Bykovskyi
Summary: The objective of this study is to identify barriers and facilitators to the use of formal dementia services among underserved and minority groups in the United States and Germany. Through qualitative interviews with caregivers, it was found that limited knowledge, challenges in interacting with healthcare systems, and the alignment of formal services with cultural or ethnic/racial identity were important factors influencing the utilization of dementia care services.
AGING & MENTAL HEALTH
(2023)
Article
Medicine, General & Internal
Seiyoun Kim, Kira L. Ryskina, Hye-Young Jung
Summary: A cohort study on 4482 nursing homes found that the use of SNFists in medical care delivery was not significantly associated with unplanned 30-day rehospitalization rates for patients receiving postacute care. However, this may represent a strategy for nursing homes to increase the number of patients receiving postacute care while maintaining rehospitalization rates.
Article
Geriatrics & Gerontology
Maria P. Aranda, Ian N. Kremer, Ladson Hinton, Julie Zissimopoulos, Rachel A. Whitmer, Cynthia Huling Hummel, Laura Trejo, Chanee Fabius
Summary: Dementia incidence is decreasing, but the advances in population health are uneven. Studies have identified clear disparities in the educational, geographic, and race/ethnic distribution of Alzheimer's disease and related dementias. Gaps in evidence for interventions may amplify disparities in health and healthcare, while the economic costs for persons living with dementia and their care partners' time are high and may persist into future generations.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Geriatrics & Gerontology
Vimal Sriram, Crispin Jenkinson, Michele Peters
Summary: This study examines the experiences and impact of Assistive Technology (AT) on carers of persons with dementia. The survey results show that smartphones and tablet computers are the most frequently used AT, primarily for safety, communication, and reminders. The study also finds that AT has a positive impact on the physical, mental, and social well-being of carers, and strengthens caring relationships.
Article
Health Care Sciences & Services
Claire K. Ankuda, Ashwin Kotwal, Jennifer Reckrey, Krista L. Harrison, Katherine A. Ornstein
Summary: This study examined the impact of COVID-19 on social contact and mood symptoms among previously homebound older adults. The results showed that older adults had limited social contact and experienced negative mood symptoms during the pandemic.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Geriatrics & Gerontology
Katherine A. Ornstein, Claire K. Ankuda, Bruce Leff, Subashini Rajagopalan, Albert L. Siu, Krista L. Harrison, Anna Oh, Jennifer M. Reckrey, Christine S. Ritchie
Summary: Nearly half of community-dwelling persons with dementia receive home-based clinical care annually, but there is significant variation in utilization based on race/ethnicity and environmental context. Increased understanding of how these factors impact utilization is necessary to reduce potential inequities in healthcare delivery among the dementia population.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Health Care Sciences & Services
Elizabeth T. Trandel, Jane Lowers, Megan E. Bannon, Laura T. Moreines, Elisabeth P. Dellon, Patrick White, Sarah H. Cross, Tammie E. Quest, Keith Lagnese, Tamar Krishnamurti, Robert M. Arnold, Krista L. Harrison, Rachel E. Patzer, Li Wang, Ali John Zarrabi, Dio Kavalieratos
Summary: This study suggests that patients receiving expensive and/or complex treatments for palliation may have difficulty accessing hospice.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Geriatrics & Gerontology
Lauren J. Hunt, Siqi Gan, W. John Boscardin, Kristine Yaffe, Christine S. Ritchie, Melissa D. Aldridge, Alexander K. Smith
Summary: This study investigated patterns and factors influencing disenrollment among hospice enrollees with dementia, revealing significant variation in disenrollment related to hospice type, geographic region, and patient characteristics.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Health Care Sciences & Services
Anna Oh, Lauren J. Hunt, Christine S. Ritchie, Katherine A. Ornstein, Amy S. Kelley, Subashini Rajagopalan, Claire K. Ankuda
Summary: This study compared the populations and visit patterns of Medicare beneficiaries receiving home health, hospice, or both near the end of life. The findings showed that more than one-third of Medicare decedents received home health at the end of life, highlighting the potential of home health to serve individuals who cannot access hospice care and improve the quality of end-of-life care.
JOURNAL OF PALLIATIVE MEDICINE
(2023)
Article
Health Care Sciences & Services
Kate G. Radcliffe, Madina Halim, Christine S. Ritchie, Marlon Maus, Krista L. Harrison
Summary: Care partners of people with dementia often rely on the support of healthcare providers to make decisions about care setting, but these providers are often ill-prepared to offer adequate counseling. This qualitative study identified the need for early, specific guidance from healthcare providers on transitions between home and long-term care. Current care partners expressed overwhelming uncertainty, while former care partners desired guidance on institutional placement or support for staying in the home. The findings highlight the importance of healthcare providers in assisting care partners throughout the dementia journey.
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
(2023)
Article
Health Care Sciences & Services
Lauren J. Hunt, Kenneth E. Covinsky, Irena Cenzer, Edie Espejo, W. John Boscardin, Heather Leutwyler, Alexandra K. K. Lee, Janine Cataldo
Summary: This study examined the trends in smoking prevalence among older adults in the US from 1998 to 2018, and found a decrease in smoking prevalence over time. In addition, a substantial number of older smokers were able to quit smoking for a sustained period of time.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Geriatrics & Gerontology
Krista L. Harrison, Irena Cenzer, Alexander K. Smith, Lauren J. Hunt, Amy S. Kelley, Melissa D. Aldridge, Kenneth E. Covinsky
Summary: This study investigated the characteristics, hospice use patterns, and care quality ratings of hospice enrollees with coexisting dementia. The results showed that these individuals have similar functional and clinical needs as those with a principal diagnosis of dementia, and they require changes in hospice care models and policies to ensure appropriate dementia care.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Health Care Sciences & Services
Lauren J. Hunt, Siqi Gan, Alexander K. Smith, Melissa D. Aldridge, W. John Boscardin, Krista L. Harrison, Jennifer E. James, Alexandra K. Lee, Kristine Yaffe
Summary: This study investigated the association between hospice quality and racial disparities in disenrollment among racial and ethnic minoritized people with dementia. The results showed that patients, both White and minority, were more likely to disenroll from hospice in low-quality facilities, especially in unrated ones. Additionally, minority patients were more likely to disenroll compared to White patients in both low- and high-quality hospices. Therefore, efforts to improve racial equity in hospice care should focus on increasing access to high-quality hospices and improving care for racial minority patients in all facilities.
JOURNAL OF PALLIATIVE MEDICINE
(2023)
Book Review
Communication
Krista L. Harrison
Article
Geriatrics & Gerontology
Kristie Y. Y. Hsu, Irena Cenzer, Krista L. L. Harrison, Christine S. S. Ritchie, Linda Waite, Ashwin Kotwal
Summary: This study investigated the prevalence of loneliness and depressive symptoms among older adults married to persons with cognitive impairment or dementia, and found that marital quality played a significant role in mediating these outcomes.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Editorial Material
Medicine, General & Internal
Krista L. Harrison, Nicole Boyd, Christine S. Ritchie
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Article
Medicine, General & Internal
Elan L. Guterman, Rachel E. Kiekhofer, Andrew J. Wood, I. Elaine Allen, James G. Kahn, Sarah Dulaney, Jennifer J. Merrilees, Kirby Lee, Winston Chiong, Stephen J. Bonasera, Tamara L. Braley, Lauren J. Hunt, Krista L. Harrison, Bruce L. Miller, Katherine L. Possin
Summary: Collaborative dementia care programs can reduce healthcare costs and provide a cost-effective model for dementia care.
JAMA INTERNAL MEDICINE
(2023)
Meeting Abstract
Health Care Sciences & Services
Kristie Hsu, Irena Cenzer, Krista Harrison, Christine Ritchie, Linda Waite
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)