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Published on: February 13, 2020
Testing the effect of function-focused care in assisted living.
Barbara Resnick1, Elizabeth Galik, Ann Gruber-Baldini
1School of Nursing, University of Maryland, Baltimore, Maryland 21201, USA. resnick@son.umaryland.edu
Function-Focused Care in Assisted Living (FFC-AL) intervention helped older adults maintain function and physical activity. This approach may prevent functional decline in assisted living settings.
Area of Science:
- Gerontology
- Geriatric Care
- Health Services Research
Background:
- Older adults in assisted living facilities (AL) often experience functional decline.
- Interventions are needed to mitigate this decline and improve quality of life.
Purpose of the Study:
- To develop and test the Function-Focused Care in Assisted Living (FFC-AL) intervention.
- To determine if FFC-AL can alter the functional decline experienced by older adults in AL.
Main Methods:
- A cluster-randomized controlled trial was conducted across four AL facilities.
- 171 residents and 96 direct care workers (DCWs) participated over 12 months.
- FFC-AL intervention involved trained nurses and site champions; control sites received FFC education only.
Main Results:
- DCWs in FFC-AL sites provided more function-focused care.
- Residents in FFC-AL sites showed less functional decline and a higher return to ambulatory status.
- Positive trends in physical activity levels were observed in the FFC-AL group.
Conclusions:
- The Function-Focused Care in Assisted Living (FFC-AL) intervention shows promise in preventing functional decline.
- Implementing a function-focused approach in AL settings may improve resident outcomes and activity levels.
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