OBJECTIVES: To develop and test the Function-Focused Care in Assisted Living (FFC-AL) intervention so as to alter the decline that older adults in AL experience. DESIGN: Cluster-randomized controlled trial using repeated measures to test the effect of FFC-AL. SETTING: Four AL facilities with at least 100 beds. PARTICIPANTS: One hundred seventy-one residents and 96 direct care workers (DCWs) were recruited. Ninety-five of the DCWs were female (99%), and 59 were black (62%), with a mean age of 41.7 ± 13.8. The residents were mostly female (80%), white (93%), and widowed (80%), with a mean age of 87.7 ± 5.7. INTERVENTION: FFC-AL included four components implemented by a research-supported function focused-care nurse (FFCN) and a site-identified champion over a 12-month period. Control sites were exposed to FFC education only. MEASUREMENTS: Outcomes for residents included psychosocial domains (mood, resilience, self-efficacy, and outcome expectations for function and physical activity), function, gait and balance, and actigraphy. Outcomes for DCWs included knowledge, performance, and beliefs associated with FFC. RESULTS: DCWs in treatment sites provided more FFC by 12 months than those in control sites. Residents in treatment sites demonstrated less decline in function, a greater percentage returned to ambulatory status, and there were positive trends demonstrating more time in moderate-level physical activity at 4 months and more overall counts of activity at 12 months than for residents in control sites. CONCLUSION: Using a function-focused approach in AL may help prevent some of the functional decline commonly noted in these settings.
OBJECTIVES: To develop and test the Function-Focused Care in Assisted Living (FFC-AL) intervention so as to alter the decline that older adults in AL experience. DESIGN: Cluster-randomized controlled trial using repeated measures to test the effect of FFC-AL. SETTING: Four AL facilities with at least 100 beds. PARTICIPANTS: One hundred seventy-one residents and 96 direct care workers (DCWs) were recruited. Ninety-five of the DCWs were female (99%), and 59 were black (62%), with a mean age of 41.7 ± 13.8. The residents were mostly female (80%), white (93%), and widowed (80%), with a mean age of 87.7 ± 5.7. INTERVENTION: FFC-AL included four components implemented by a research-supported function focused-care nurse (FFCN) and a site-identified champion over a 12-month period. Control sites were exposed to FFC education only. MEASUREMENTS: Outcomes for residents included psychosocial domains (mood, resilience, self-efficacy, and outcome expectations for function and physical activity), function, gait and balance, and actigraphy. Outcomes for DCWs included knowledge, performance, and beliefs associated with FFC. RESULTS: DCWs in treatment sites provided more FFC by 12 months than those in control sites. Residents in treatment sites demonstrated less decline in function, a greater percentage returned to ambulatory status, and there were positive trends demonstrating more time in moderate-level physical activity at 4 months and more overall counts of activity at 12 months than for residents in control sites. CONCLUSION: Using a function-focused approach in AL may help prevent some of the functional decline commonly noted in these settings.
Authors: Jo-Ana D Chase; Liming Huang; David Russell; Alexandra Hanlon; Melissa O'Connor; Keith M Robinson; Kathryn H Bowles Journal: J Aging Health Date: 2017-06-29
Authors: Barbara Resnick; Elizabeth Galik; Marie Boltz; Erin Vigne; Sarah Holmes; Steven Fix; Shijun Zhu Journal: West J Nurs Res Date: 2018-03-21 Impact factor: 1.967
Authors: Barbara Resnick; Marie Boltz; Elizabeth Galik; Sarah Holmes; Erin Vigne; Steven Fix; Shijun Zhu Journal: Pain Manag Nurs Date: 2019-05-10 Impact factor: 1.929
Authors: Barbara Resnick; Lauren Beaupre; Katherine S McGilton; Elizabeth Galik; Wen Liu; Mark D Neuman; Ann L Gruber-Baldini; Denise Orwig; Jay Magaziner Journal: J Am Med Dir Assoc Date: 2015-11-25 Impact factor: 4.669
Authors: Barbara Resnick; Marie Boltz; Elizabeth Galik; Steven Fix; Sarah Holmes; Shijun Zhu; Erik Barr Journal: J Am Geriatr Soc Date: 2020-10-23 Impact factor: 5.562