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View article: PSYCHOTHERAPY AND CARE QUALITY OF LONG-STAY NURSING HOME RESIDENTS WITH MENTAL ILLNESS OR DEMENTIA
PSYCHOTHERAPY AND CARE QUALITY OF LONG-STAY NURSING HOME RESIDENTS WITH MENTAL ILLNESS OR DEMENTIA Open
This study aims to fill the knowledge gap on the effect of psychotherapy on the quality of care of long-stay nursing home (NH) residents with mental illness or Alzheimer’s Disease and Related Dementias (ADRD). The 2017-2018 MDS and Medicar…
View article: AGREEMENT OF MEDICARE PART D VS. MINIMUM DATA SET REPORTED MENTAL HEALTH DRUGS USE IN NURSING HOMES
AGREEMENT OF MEDICARE PART D VS. MINIMUM DATA SET REPORTED MENTAL HEALTH DRUGS USE IN NURSING HOMES Open
Researchers have often used the nursing home Minimum Data Set (MDS) data to measure the rate of medication use, but little evidence exists on the accuracy of the MDS-based medication items. We compared quarterly rates of antipsychotic, ant…
View article: The factor structure of the Patient Health Questionnaire-9 in stroke: A comparison with a non-stroke population
The factor structure of the Patient Health Questionnaire-9 in stroke: A comparison with a non-stroke population Open
View article: Outcomes After Community Discharge From Skilled Nursing Facilities: The Role of Medicaid Home and Community-Based Services
Outcomes After Community Discharge From Skilled Nursing Facilities: The Role of Medicaid Home and Community-Based Services Open
This study investigated the association between Medicaid Home and Community-Based Services (HCBS) generosity and post-discharge outcomes among dual-eligible beneficiaries discharged from skilled nursing facilities (SNFs). We linked multipl…
View article: Shortening self-report mental health symptom measures through optimal test assembly methods: Development and validation of the Patient Health Questionnaire-Depression-4
Shortening self-report mental health symptom measures through optimal test assembly methods: Development and validation of the Patient Health Questionnaire-Depression-4 Open
Background: The objective of this study was to develop and validate a short form of the Patient Health Questionnaire-9 (PHQ-9), a self-report questionnaire for assessing depressive symptomatology, using objective criteria. Methods: Respons…
View article: Probability of major depression diagnostic classification using semi-structured versus fully structured diagnostic interviews
Probability of major depression diagnostic classification using semi-structured versus fully structured diagnostic interviews Open
Background: Different diagnostic interviews are used as reference standards for major depression classification in research. Semi-structured interviews involve clinical judgement, whereas fully structured interviews are completely scripted…
View article: Equivalency of the diagnostic accuracy of the PHQ-8 and PHQ-9: A systematic review and individual participant data meta-analysis
Equivalency of the diagnostic accuracy of the PHQ-8 and PHQ-9: A systematic review and individual participant data meta-analysis Open
Item 9 of the Patient Health Questionnaire-9 (PHQ-9) queries about thoughts of death and self-harm, but not suicidality. Although it is sometimes used to assess suicide risk, most positive responses are not associated with suicidality. The…
View article: The Accuracy of the Patient Health Questionnaire-9 Algorithm for Screening to Detect Major Depression: An Individual Participant Data Meta-Analysis
The Accuracy of the Patient Health Questionnaire-9 Algorithm for Screening to Detect Major Depression: An Individual Participant Data Meta-Analysis Open
Background: Screening for major depression with the Patient Health Questionnaire-9 (PHQ-9) can be done using a cutoff or the PHQ-9 diagnostic algorithm. Many primary studies publish results for only one approach, and previous meta-analyses…
View article: Driving Cessation and Late-Life Depressive and Anxiety Symptoms: Findings from the National Health and Aging Trends Study
Driving Cessation and Late-Life Depressive and Anxiety Symptoms: Findings from the National Health and Aging Trends Study Open
Although the mechanism linking driving cessation with worse mental health symptoms is uncertain, driving facilitates many important activities. Clinicians should monitor the well-being of patients who stop or intend to stop driving.
View article: A case study of an individual participant data meta-analysis of diagnostic accuracy showed that prediction regions represented heterogeneity well
A case study of an individual participant data meta-analysis of diagnostic accuracy showed that prediction regions represented heterogeneity well Open
View article: THE FACTOR STRUCTURE OF THE PATIENT HEALTH QUESTIONNAIRE-9 IN STROKE: A COMPARISON WITH A NON-STROKE POPULATION
THE FACTOR STRUCTURE OF THE PATIENT HEALTH QUESTIONNAIRE-9 IN STROKE: A COMPARISON WITH A NON-STROKE POPULATION Open
Background There are concerns that the measurement of depression by the Patient Health Questionnaire-9 (PHQ-9), a self-report screening questionnaire, is biased by comorbid stroke sequelae. We, therefore, aimed to investigate these concern…
View article: Hospitalization’s association with depression in adults over 50 years old: does living arrangement matter? Findings from the Health and Retirement Study
Hospitalization’s association with depression in adults over 50 years old: does living arrangement matter? Findings from the Health and Retirement Study Open
Late middle-life and older adults residing with spouses or cohabitating appear at risk for having depressive symptoms following a hospitalization. A better understanding of how relationships and living arrangements may affect depression ri…
View article: Older Adults Receiving Rehabilitation Services Are More Likely to Get Bathing and Toileting Equipment Installed
Older Adults Receiving Rehabilitation Services Are More Likely to Get Bathing and Toileting Equipment Installed Open
Importance: Adaptive equipment, such as shower grab bars and modified toilet seating, is effective but underused in the United States. To change this, a better understanding of how equipment ends up being installed is needed. We hypothesiz…
View article: ETHNORACIAL DIFFERENCES IN HOME HEALTHCARE USE: FINDINGS FROM THE NATIONAL HEALTH AND RETIREMENT STUDY
ETHNORACIAL DIFFERENCES IN HOME HEALTHCARE USE: FINDINGS FROM THE NATIONAL HEALTH AND RETIREMENT STUDY Open
This study seeks to identify ethnoracial differences in self-reported home health care (HHC) use among older adults. To do so, we examined 8,817 people aged 65 and older from the 2016 wave of the Health and Retirement Study (HRS), a nation…
View article: Lonely older adults are more likely to delay or avoid medical care during the coronavirus disease 2019 pandemic
Lonely older adults are more likely to delay or avoid medical care during the coronavirus disease 2019 pandemic Open
Objectives To examine the relationship between loneliness and self‐reported delay or avoidance of medical care among community‐dwelling older adults during the coronavirus disease 2019 (COVID‐19) pandemic. Methods Analyses of data from a n…
View article: Nursing Home COVID-19 Action Network: Responding With Stress First Aid and Caring for Residents With Dementia
Nursing Home COVID-19 Action Network: Responding With Stress First Aid and Caring for Residents With Dementia Open
The GWEP at the University of Rochester (New York) has an established network of nursing homes participating in Project ECHO. This ECHO hub includes geriatric medicine, psychiatry, pharmacy, aging services network and the Alzheimer’s Assoc…
View article: Outcomes after Community Discharge from Skilled Nursing Facilities: The Role of Medicaid Home and <scp>Community‐Based</scp> Services
Outcomes after Community Discharge from Skilled Nursing Facilities: The Role of Medicaid Home and <span>Community‐Based</span> Services Open
Research Objective Most older adults receiving post‐acute care in skilled nursing facilities (SNFs) return home, but remaining in the community after SNF discharge is challenging, especially for Medicare‐Medicaid dually enrolled individual…
View article: Skilled Nursing Facility-to-Home Trajectories for Older Adults With Mental Illness or Dementia
Skilled Nursing Facility-to-Home Trajectories for Older Adults With Mental Illness or Dementia Open
View article: Medicaid home‐ and community‐based services and discharge from skilled nursing facilities
Medicaid home‐ and community‐based services and discharge from skilled nursing facilities Open
Objective To examine the association between the generosity of Medicaid home‐ and community‐based services (HCBS) and the likelihood of community discharge among Medicare‐Medicaid dually enrolled older adults who were newly admitted to ski…
View article: Near Vision but not Hearing Loss is Associated with Lacking a Usual Source of Health Care
Near Vision but not Hearing Loss is Associated with Lacking a Usual Source of Health Care Open
Objectives: Sensory loss may be a barrier to accessing healthcare services, and this study seeks to examine the association of sensory loss with whether older adults report having a usual source of health care. Methods: Our study included …
View article: Care‐Partner Support and Hospitalization in Assisted Living During Transitional Home Health Care
Care‐Partner Support and Hospitalization in Assisted Living During Transitional Home Health Care Open
BACKGROUND/OBJECTIVES Care‐partner support affects outcomes among assisted living (AL) residents. Yet, little is known about care‐partner support and its effects on hospitalization during post‐acute care transitions. This study examined th…
View article: Changes in Income and Household Spending During Early Months of COVID-19 Pandemic Reveal Racial and Ethnic Disparities Among Older Adults
Changes in Income and Household Spending During Early Months of COVID-19 Pandemic Reveal Racial and Ethnic Disparities Among Older Adults Open
The COVID-19 pandemic has both elucidated and exacerbated racial and ethnic disparities in the United States. Conspicuous early effects in healthcare access and direct morbidity and mortality due to COVID-19 disease revealed that, compared…
View article: CAPABLE Transitions: A Home Health Agency-Based Intervention to Optimize the SNF-to-Home Transition
CAPABLE Transitions: A Home Health Agency-Based Intervention to Optimize the SNF-to-Home Transition Open
Community Aging in Place-Advancing Better Living for Elders (CAPABLE) consists of an interprofessional team of a registered nurse (RN), occupational therapist (OT), and handyworker that delivers an in-home client-specific package of interv…
View article: Relationships of Severe Pain and Cognitive Impairment With Acute Care Use in Home Health Patients
Relationships of Severe Pain and Cognitive Impairment With Acute Care Use in Home Health Patients Open
Pain assessment is challenging in patients with cognitive impairment that can lead to inappropriate pain management and unfavorable health outcomes. Using a 10% random sample of Medicare home health (HH) patients ≥ 65 years old from the 20…
View article: Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture
Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture Open
Background and Objectives Nursing homes (NHs) care for 70% of Americans dying with dementia. Many consider deaths in NHs rather than hospitals as preferable for most of these residents. NH characteristics such as staff teamwork, communicat…
View article: Receipt of Timely Primary Care Services Following Post-Acute Skilled Nursing Facility Care
Receipt of Timely Primary Care Services Following Post-Acute Skilled Nursing Facility Care Open
View article: Estimating the sample mean and standard deviation from commonly reported quantiles in meta-analysis
Estimating the sample mean and standard deviation from commonly reported quantiles in meta-analysis Open
Researchers increasingly use meta-analysis to synthesize the results of several studies in order to estimate a common effect. When the outcome variable is continuous, standard meta-analytic approaches assume that the primary studies report…
View article: Patients discharged from higher‐quality skilled nursing facilities spend more days at home
Patients discharged from higher‐quality skilled nursing facilities spend more days at home Open
Objective To evaluate the association of skilled nursing facility (SNF) quality with days spent alive in nonmedical settings (“home time”) after SNF discharge to the community. Data Sources Secondary data are from Medicare claims for New Y…
View article: Severe Behavioral Health Manifestations in Nursing Homes: Associations with Service Availability?
Severe Behavioral Health Manifestations in Nursing Homes: Associations with Service Availability? Open
BACKGROUND/OBJECTIVES Despite high prevalence of behavioral health (BH) manifestations among nursing home (NH) residents, availability of BH services in this care setting is often inadequate. Our objective was to examine associations betwe…
View article: Nursing Home Residents with Dementia Experience Better End‐of‐Life Care and Outcomes in Nursing Homes with Alzheimer’s Special Care Units
Nursing Home Residents with Dementia Experience Better End‐of‐Life Care and Outcomes in Nursing Homes with Alzheimer’s Special Care Units Open
Research Objective Nursing homes (NHs) are critical end‐of‐life (EOL) care settings for 70% of Americans dying with Alzheimer’s disease/related dementia (ADRD). Associations between facility‐level organization of care, including presence o…