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Facilitators and Barriers to Attendance in a Nursing Home Exercise Program
Jean Neils-Strunjas1, K Jason Crandall2, Xiuhua Ding2
1College of Health and Human Services, Western Kentucky University, Bowling Green, KY, USA; Department of Communication Sciences and Disorders, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Journal of the American Medical Directors Association
|November 2, 2020
Summary
Women and residents in higher-rated nursing homes showed better attendance in the Bingocize program. This exercise and social engagement program is suitable for all residents regardless of age or cognitive function.
Area of Science:
- Gerontology
- Public Health
- Rehabilitation Medicine
Background:
- Certified Nursing Homes (CNHs) offer therapeutic programs to enhance resident well-being.
- Resident engagement in programs like Bingocize is crucial for health outcomes.
- Factors influencing program attendance in CNHs require further investigation.
Purpose of the Study:
- To determine the influence of resident factors and nursing home star ratings on attendance in the Bingocize program.
- To analyze the impact of gender, age, and cognitive functioning on Bingocize participation.
- To assess the correlation between CNH quality (star ratings) and program adherence.
Main Methods:
- A descriptive study analyzed data from 1165 residents across 25 CNHs over 17 months.
- Bingocize attendance was recorded as the percentage of sessions attended monthly.
- Statistical analysis examined the effects of gender, age, cognitive status, and CNH star ratings on attendance.
Main Results:
- Women and residents in higher-rated CNHs (4-5 stars) demonstrated significantly better Bingocize attendance.
- Attendance increased proportionally with CNH star ratings (P < .001).
- Gender was a significant factor (P = .045), with women attending more frequently.
Conclusions:
- Higher nursing home quality is associated with increased participation in therapeutic programs.
- Women and residents in well-rated facilities benefit more from engagement programs.
- Bingocize is an inclusive program, accessible to residents of all ages and cognitive abilities.
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