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Carder, Paula, Kali Thomas, Lindsey Smith, David Reed, Philip Sloane, and Sheryl Zimmerman. "ASSISTED LIVING ADMINISTRATORS’ UNDERSTANDING OF REGULATORY REQUIREMENTS IN SEVEN STATES." Innovation in Aging 7, Supplement_1 (2023): 66–67. http://dx.doi.org/10.1093/geroni/igad104.0214.

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Abstract Each state requires assisted living (AL) residences to employ an administrator whose job responsibilities include oversight of resident care, managing staff, and regulatory compliance. This study surveyed administrators of 151 AL residences in 7 states. These AL residences reflect 28 license types (e.g., based on level of care, dementia care services). Administrators were asked whether there were any regulations, policies or procedures that required their AL to do any of 11 health-related activities (e.g., staff able to check vital signs, advance directive on file, reporting change in
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Caspi, Eilon. "Aggressive behaviors between residents with dementia in an assisted living residence." Dementia 14, no. 4 (2013): 528–46. http://dx.doi.org/10.1177/1471301213502588.

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Plys, Evan. "REASONS FOR RELOCATING TO ASSISTED LIVING: THE PUSH, THE PULL, AND DECISIONAL CONTROL." Innovation in Aging 3, Supplement_1 (2019): S638. http://dx.doi.org/10.1093/geroni/igz038.2375.

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Abstract Using the push-pull framework, this study describes reasons for relocation and self-reported decisional control in the move to assisted living (AL). A sample of 202 residents of 21 ALs responded to a semi-structured questionnaire regarding their relocation. Participants most commonly relocated from a private local residence (n = 80, 40%), hospital/rehab facility (n = 27, 13%), or private long-distance residence (n = 24, 12%). The most frequently reported pull reasons to relocate to an AL were: “security and safety” (n = 46), “closer to family or friends” (n = 43), and “appearance of t
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Beuschel, Emily, Jeanneane Wood-Nartker, Katie Macgillivray, and Stephanie Tripp. "Assisted Living Facility Layout: A Comparison between Residence Types." International Journal of Aging and Society 2, no. 4 (2013): 89–101. http://dx.doi.org/10.18848/2160-1909/cgp/v02i04/35225.

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Caspi, Eilon. "Wayfinding difficulties among elders with dementia in an assisted living residence." Dementia 13, no. 4 (2014): 429–50. http://dx.doi.org/10.1177/1471301214535134.

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ElHady, Nancy E., Stephan Jonas, Julien Provost, and Veit Senner. "Sensor Failure Detection in Ambient Assisted Living Using Association Rule Mining." Sensors 20, no. 23 (2020): 6760. http://dx.doi.org/10.3390/s20236760.

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Ambient Assisted Living (AAL) is becoming crucial to help governments face the consequences of the emerging ageing population. It aims to motivate independent living of older adults at their place of residence by monitoring their activities in an unobtrusive way. However, challenges are still faced to develop a practical AAL system. One of those challenges is detecting failures in non-intrusive sensors in the presence of the non-deterministic human behaviour. This paper proposes sensor failure detection and isolation system in the AAL environments equipped with event-driven, ambient binary sen
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Peterson, Lindsay J., Kathryn Hyer, David Dosa, Joseph June, Debra J. Dobbs, and Kali S. Thomas. "EVACUATING OR SHELTERING IN PLACE DURING A DISASTER: HOW ASSISTED LIVING ADMINISTRATORS MAKE THE DECISION." Innovation in Aging 3, Supplement_1 (2019): S699. http://dx.doi.org/10.1093/geroni/igz038.2572.

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Abstract The decision to evacuate or shelter in place during a natural disaster such as a hurricane is complicated and poses risks to long-term care residents. While research has documented the difficulty of the evacuation decision for nursing home administrators, little is known about how assisted living residence (ALR) administrators make this decision. This is a concern given the physical and cognitive impairment level of many ALR residents, the increasing number of ALRs in the U.S., and the frequency of natural disasters. The purpose of this paper was to explore the factors that influenced
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Baldwin, Ann, Barbara Rector, and Ann Alden. "Physiological and Behavioral Benefits for People and Horses during Guided Interactions at an Assisted Living Residence." Behavioral Sciences 11, no. 10 (2021): 129. http://dx.doi.org/10.3390/bs11100129.

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Assisted living is a fast-growing living option for seniors who require residence-based activities for maintaining mental and physical health. Guided equine interactions may benefit seniors, so an on-site equine program was started at Hacienda at the River senior living community. For research purposes, twenty-four residents and associates, aged fifty-five or over, consented to physiological measurements before, during and after four guided sessions of stroking one of three horses for 10 min over 4–6 weeks. Heart rate variability (HRV) was measured simultaneously in humans and horses during in
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Smith, Christen. "The Assisted Living Residence: A Vision for the Futureby Stephen M. Golant and Joan Hyde." Activities, Adaptation & Aging 33, no. 2 (2009): 127–29. http://dx.doi.org/10.1080/01924780902947710.

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Hayes, Susan, Nicole Rosendaal, Xiao (Joyce) Wang, Kali Thomas, and Emma Belanger. "RETENTION OF DUALLY ELIGIBLE BENEFICIARIES IN ASSISTED LIVING AT THE END OF LIFE." Innovation in Aging 6, Supplement_1 (2022): 421–22. http://dx.doi.org/10.1093/geroni/igac059.1656.

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Abstract To examine to what extent dually eligible beneficiaries (duals) residing in assisted living remain there toward the end of life, we conducted a prospective cohort study of 98,944 Medicare beneficiaries present at validated AL ZIP codes in January 2017, and who died during a two-year follow-up. The outcome was AL residence in the last 30 days of life. We compared decedents who were not duals (80,156 decedents), with those newly dually eligible in 2017-2018 (3,722 decedents), and those already dually eligible in 2016 (15,066 decedents). Only 36.7% of new dual decedents resided in AL in
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Spillman, Brenda C. "The Assisted Living Residence: A Vision for the Futureby Stephen M. Golant and Joan Hyde (Eds.)." Journal of Aging & Social Policy 22, no. 1 (2009): 89–93. http://dx.doi.org/10.1080/08959420903385643.

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Wilhelm, Sebastian, Jakob Kasbauer, Dietmar Jakob, Benedikt Elser, and Diane Ahrens. "Exploiting Smart Meter Water Consumption Measurements for Human Activity Event Recognition." Journal of Sensor and Actuator Networks 12, no. 3 (2023): 46. http://dx.doi.org/10.3390/jsan12030046.

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Human activity event recognition (HAER) within a residence is a topic of significant interest in the field of ambient assisted living (AAL). Commonly, various sensors are installed within a residence to enable the monitoring of people. This work presents a new approach for HAER within a residence by (re-)using measurements from commercial smart water meters. Our approach is based on the assumption that changes in water flow within a residence, specifically the transition from no flow to flow above a certain threshold, indicate human activity. Using a separate, labeled evaluation data set from
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Carder, P. C. ""Learning About Your Residents": How Assisted Living Residence Medication Aides Decide to Administer Pro Re Nata Medications to Persons With Dementia." Gerontologist 52, no. 1 (2011): 46–55. http://dx.doi.org/10.1093/geront/gnr099.

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Dorner, Thomas Ernst, Andreas Kauba, and Veronika Schauer. "Care for and with people with severe disabilities. Results of a survey of residents in assisted living communities in Austria." International Journal of Integrated Care 23, S1 (2023): 360. http://dx.doi.org/10.5334/ijic.icic23472.

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Background: Communication barriers, along with attitudinal, physical and financial barriers are among the strongest hurdles in the comprehensive care of people with disabilities. Especially due to communication barriers and patronising attitudes, care is often designed for people with disabilities and not with them. The Integration Team of Haus der Barmherzigkeit (HABIT) in Vienna and Lower Austria offers high-quality care to people with severe and multiple disabilities and high nursing support needs. Most of the residents are dependent on a wheelchair, often communicate non-verbally only, are
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Cornell, Portia Y., Momotazur Rahman, Wenhan Zhang, and Kali Thomas. "DOES MEMORY CARE MATTER? EXAMINING THE EFFECT OF DEMENTIA-LICENSED CARE ON RESIDENTS’ OUTCOMES." Innovation in Aging 3, Supplement_1 (2019): S545—S546. http://dx.doi.org/10.1093/geroni/igz038.2008.

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Abstract The objective of this study is to estimate the effect of receiving care in a dementia-care licensed (DCL) assisted living community, versus a standard AL, on outcomes of residents with ADRD. In four states that issue a license for specialized dementia care (AL, CO, MS, and NY), we identify a cohort of 5,720 Medicare fee-for-services beneficiaries with ADRD who moved to an AL in 2014. To control for unobserved factors that contribute to a patient’s selection of AL type, we use the difference in the log-distances from an individual’s home address to the nearest DCL and standard AL as an
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Lohman, Matthew, Nicholas Resciniti, Morgan Fuller, and Joshua Sellner. "Timeline of COVID-19 Incidence and Mortality among Residents and Staff of South Carolina Long-term Care Facilities." Innovation in Aging 5, Supplement_1 (2021): 728. http://dx.doi.org/10.1093/geroni/igab046.2713.

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Abstract The COVID-19 pandemic has disproportionately impacted older adults living in long-term care facilities (LTCFs), but little research has described parallel infection rates and mortality among LTCF residents and staff in relation to state-level mitigation measures. This study used comprehensive COVID-19 tracking data from the South Carolina Department of Health and Environmental Control (SCDHEC), including case report information on demographics, symptoms, comorbidities, and employment. We included all confirmed or probable COVID-19 cases and deaths among adult SC residents reported bet
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Tunalilar, Ozcan, Jacklyn Kohon, and Paula Carder. "PRODUCING “QUALITY”: ASSISTED LIVING ADMINISTRATORS’ EXPERIENCE OF THE LICENSING AND SURVEY PROCESS IN OREGON." Innovation in Aging 8, Supplement_1 (2024): 675–76. https://doi.org/10.1093/geroni/igae098.2207.

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Abstract Assisted living (AL) communities in the United States are home to a steadily growing population of over 900,000 individuals and provide assistance with daily activities, medical treatments, and social and recreational activities in a congregate residence. States license AL and oversee regulatory compliance. Studies have examined states’ regulations in terms of stringency and specificity, though they did not address survey processes, especially administrators’ perspective. We conducted semi-structured interviews with 37 AL administrators in Oregon to examine AL administrators’ experien
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Deviana, Deviana, and Dimas Iqbal Nurrahman. "SPACE DESIGN STUDY OF ELDERLY BEHAVIOR; CASE STUDY OF THE PURI KEBAJIKAN NURSING HOME, BATAM." Journal of Architectural Research and Education 5, no. 1 (2023): 103–20. http://dx.doi.org/10.17509/jare.v5i1.52451.

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Along with the changing years, the elderly population in Batam City has increased rapidly. However, facilities such as nursing homes for the elderly are still minorly found in Batam City. Regarding quality, nursing homes in Batam City also have not fully met the standards of design that should be both in terms of quality, facilities, and needs for the elderly. The Elderly being the prime residents in a nursing home, of course, need to pay attention to their needs in living in that place, especially the relationship between the behavior of the elderly and the nursing home that provides a recipr
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Belanger, Emmanuelle, Nicole Rosendaal, Xiao (Joyce) Wang, et al. "Association Between State Regulations Supportive of Third-party Services and Likelihood of Assisted Living Residents in the US Dying in Place." JAMA Health Forum 3, no. 10 (2022): e223432. http://dx.doi.org/10.1001/jamahealthforum.2022.3432.

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ImportanceOlder adults are increasingly residing in assisted living residences during their last year of life. The regulations guiding these residential care settings differ between and within the states in the US, resulting in diverse policies that may support residents who wish to die in place.ObjectiveTo examine the association between state regulations and the likelihood of assisted living residents dying in place. The study hypothesis was that regulations supporting third-party services, such as hospice, increase the likelihood of assisted living residents dying in place.Design, Setting,
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Wister, Andrew. "Stephen M. Golant and Joan Hyde (Eds). The Assisted Living Residence: A Vision for the Future. Baltimore, MD: Johns Hopkins University Press, 2008." Canadian Journal on Aging / La Revue canadienne du vieillissement 29, no. 2 (2010): 295–96. http://dx.doi.org/10.1017/s071498081000019x.

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Gimm, Gilbert, Syeda Chowdhury, and Nicholas Castle. "Resident Aggression and Abuse in Assisted Living." Journal of Applied Gerontology 37, no. 8 (2016): 947–64. http://dx.doi.org/10.1177/0733464816661947.

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This article estimates the prevalence and identifies risk factors of resident aggression and abuse in assisted living facilities. We conducted multivariate analyses of resident-level data from an analytic sample of 6,848 older Americans in the 2010 National Survey of Residential Care Facilities. Nationwide, 7.6% of assisted living residents engaged in physical aggression or abuse toward other residents or staff in the past month, 9.5% of residents had exhibited verbal aggression or abuse, and 2.0% of resident engaged in sexual aggression or abuse toward other residents or staff. Dementia and s
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Sun, Carolyn, and Caitlin Burke. "Assessing the Potential of Technology to Describe Resident and Staff Interactions in Assisted Living Facilities." Journal of Gerontological Nursing 50, no. 7 (2024): 7–11. http://dx.doi.org/10.3928/00989134-20240618-02.

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Purpose: Falls are a significant financial burden and health hazard for residents in assisted living facilities (ALFs). However, limited capacity to observe residents has hindered understanding of resident–staff interactions within rooms. The current study aimed to describe nurse–resident interactions using data from a remote technology combining computer vision and staff location tracking. Method: Eighty-three staff working at an urban ALF with 215 residents were trained at the initiation of the study. Remote surveillance devices were installed in 32 residences and staff and resident interact
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Gajdzik, Bożena, Marcin Awdziej, Magdalena Jaciow, et al. "Encouraging Residents to Save Energy by Using Smart Transportation: Incorporating the Propensity to Save Energy into the UTAUT Model." Energies 17, no. 21 (2024): 5341. http://dx.doi.org/10.3390/en17215341.

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The rapid urbanization and technological advancements of the recent decades have increased the need for efficient and sustainable transportation solutions. This study examines the acceptance of smart transportation systems (STSs) among residents in Polish cities and explores the impact of these systems on energy-saving behaviors. Using the extended Unified Theory of Acceptance and Use of Technology (UTAUT2) model, which includes the propensity to save energy, this research seeks to understand the determinants of STS adoption. The primary research was conducted using Computer-Assisted Web Inter
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Resnick, Barbara. "THE ASSISTED LIVING SETTING: CLINICAL CARE AND OUTCOMES." Innovation in Aging 3, Supplement_1 (2019): S235—S236. http://dx.doi.org/10.1093/geroni/igz038.877.

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Abstract Although the description of assisted living (AL) varies by state this term generally refers to residences that provide housing and supportive services, 24-hour supervision, and at least two meals a day to meet the individual needs of residents. Approximately 37% of residents in AL need help with three or more activities of daily living (ADLs), 42% have some cognitive impairment and 39% need skilled nursing services. Approximately 15 to 50% of older adults living in AL communities experience a fall over a 6 to 24 month period. The cause of these falls involves multiple factors at the r
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Shippee, Tetyana, Mark Woodhouse, Tricia Skarphol, Kelly Moeller, Lauren Glass, and Rachel Shands. "IMPROVING ASSISTED LIVING RESIDENTS QUALITY OF LIFE: RESULTS FROM AN MN ASSISTED LIVING REPORT CARD." Innovation in Aging 8, Supplement_1 (2024): 156. https://doi.org/10.1093/geroni/igae098.0502.

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Abstract In 2019, Minnesota enacted new legislation resulting in creation of an online Assisted Living Report Card. As part of this work, two surveys, the Resident Quality of Life Survey and Family Satisfaction Survey, were developed to assess AL residents’ quality of life (QOL) and family satisfaction. Our study presents the development and analysis of these surveys in Minnesota AL communities from 2020-2023. Resident respondents (N=12,091) were predominantly female (68.6%) and White (81.4%), with mean age 82.8 years; family satisfaction survey respondents (N=11,935) were mostly female (64.2%
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Pillemer, Karl, Jeanne A. Teresi, Mildred Ramirez, et al. "Estimated Prevalence of Resident-to-Resident Aggression in Assisted Living." JAMA Network Open 7, no. 5 (2024): e249668. http://dx.doi.org/10.1001/jamanetworkopen.2024.9668.

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ImportanceResident-to-resident aggression in assisted living facilities can result in physical and psychological harm, but its prevalence is unknown.ObjectiveTo estimate the prevalence of resident-to-resident aggression, including physical, verbal, and sexual, among residents in assisted living facilities.Design, Setting, and ParticipantsThis study used cross-sectional, observational data from a clinical trial, in which residents of assisted living facilities were monitored for events over a 1-month period. All residents of 14 large facilities randomly selected from 2 geographic locations (N =
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Raczkiewicz, V., A. Neumann, and B. Buchberger. "Influence of assisted outpatient living in people with intellectual disabilities on individual quality of life and resilience – design of a doctoral thesis." European Psychiatry 65, S1 (2022): S609. http://dx.doi.org/10.1192/j.eurpsy.2022.1560.

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Introduction The research field of disability and mental health is politically and socially relevant, because the psychological well-being of people with intellectual disabilities has often been trivialized in therapy and legislation. Since the pursuit of mental health is coming into focus due to removal of stigma and emerging awareness, people with disabilities must have equal opportunities to choose their place of residence and get suitable psychosocial support. Objectives Our aim is to investigate the influence of assisted outpatient treatment (AOT) on the quality of life and resilience of
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Zhang, Yimeng, Shari Margolese, Mark H. Yudin, et al. "Desires, Need, Perceptions, and Knowledge of Assisted Reproductive Technologies of HIV-Positive Women of Reproductive Age in Ontario, Canada." ISRN Obstetrics and Gynecology 2012 (August 16, 2012): 1–11. http://dx.doi.org/10.5402/2012/853503.

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The purpose of this cross-sectional study is to assess the desire, need, perceptions, and knowledge of assisted reproductive technologies (ARTs) for women living with HIV (WLWHIV) and determine correlates of ART knowledge desire. WLWHIV of reproductive age were surveyed using the survey instrument “The HIV Pregnancy Planning Questionnaire” at HIV/AIDS service organizations across Ontario, Canada. Of our cohort of 500 WLWHIV, median age was 38, 88% were previously pregnant, 78% desired more information regarding ART, 59% were open to the idea of receiving ART, 39% felt they could access a sperm
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Hua, Cassandra. "Trends in Acuity of Residents in Assisted Living." Innovation in Aging 5, Supplement_1 (2021): 526. http://dx.doi.org/10.1093/geroni/igab046.2030.

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Abstract Assisted living serves as a substitute for nursing home residents with low care needs, especially in markets with a high proportion of dually eligible Medicare beneficiaries. This study examines trends in the acuity of residents in assisted living communities over time in comparison to nursing homes to characterize how substitution has affected the resident compositions of both settings. We also examine how trends in acuity are shaped by dual eligibility. Using Medicare claims data, we identify cross-sectional samples of beneficiaries in each setting from 2007-2017. The proportion of
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Beeber, Anna, Ruth Anderson, and Lindsay Schwartz. "A Stakeholder-Based Study Improving Resident and Family Engagement in the Safety of Assisted Living." Innovation in Aging 5, Supplement_1 (2021): 343. http://dx.doi.org/10.1093/geroni/igab046.1330.

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Abstract Assisted living (AL), is a long-term care service that provides housing and care for over 800,000 older adults in 30,000 residences. AL culture and operations have been transforming to enhance resident personhood and increase autonomy, however, these practices are balanced with the need to minimize safety issues (e.g., medication errors, infections, falls, and in cases of dementia, elopement and injuries). In this stakeholder-based study, we are translating existing strategies for improving patient safety to AL residences and developing an evidence-based tool for implementing these en
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Rincon, Jaime A., Angelo Costa, Paulo Novais, Vicente Julian, and Carlos Carrascosa. "Using Emotions in Intelligent Virtual Environments: The EJaCalIVE Framework." Wireless Communications and Mobile Computing 2017 (2017): 1–9. http://dx.doi.org/10.1155/2017/9321463.

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Nowadays, there is a need to provide new applications which allow the definition and implementation of safe environments that attends to the user needs and increases their wellbeing. In this sense, this paper introduces the EJaCalIVE framework which allows the creation of emotional virtual environments that incorporate agents, eHealth related devices, human actors, and emotions projecting them virtually and managing the interaction between all the elements. In this way, the proposed framework allows the design and programming of intelligent virtual environments, as well as the simulation and d
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Park, Nan Sook, Sheryl Zimmerman, Kathleen Kinslow, Hae Jung Shin, and Lucinda Lee Roff. "Social Engagement in Assisted Living and Implications for Practice." Journal of Applied Gerontology 31, no. 2 (2010): 215–38. http://dx.doi.org/10.1177/0733464810384480.

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While it is known that social engagement is important for the well-being of older people, its role among residents in assisted living (AL) residences has not been well explored. The purposes of this study were to explore the experiences of social engagement among AL residents and explain its components and processes as unique to this setting. Qualitative data were collected via semistructured, in-depth interviews with 29 residents in four AL residences in a Southern state. Salient themes were derived using the grounded theory approach. Findings revealed the complexity of social engagement and
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Thomas, Kali S., and Lindsay Schwartz. "INTEREST GROUP SESSION—ASSISTED LIVING: DEMENTIA IN ASSISTED LIVING: STATE VARIABILITY IN REGULATIONS, OVERSIGHT, AND RESIDENT OUTCOMES." Innovation in Aging 3, Supplement_1 (2019): S545. http://dx.doi.org/10.1093/geroni/igz038.2005.

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Abstract Approximately one million individuals, an estimated 40% with a diagnosis of Alzheimer’s disease-related dementias (ADRD), reside in assisted living (AL); yet, little is known about their experience or the quality of care provided in AL. Unlike other forms of long-term care (LTC), the licensing, operating, and enforcement requirements for AL falls to the states, which vary dramatically in their regulatory approaches. The overall objective of this symposium is to examine states’ AL regulatory environments and understand if and how the health outcomes of AL residents with ADRD are impact
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Pavlova, S. V., and A. M. Salogub. "The main approaches to assessing the quality and effectiveness of measures for assisting persons with disabilities." Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH) 14, no. 2 (2024): 170–80. http://dx.doi.org/10.20340/vmi-rvz.2024.2.ozoz.1.

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Introduction. Currently, there is a fairly high demand from society for changing approaches to the life of people with disabilities, improving the level and quality of their lives. There is an increase in the number of people with disabilities who need to be assisted when receiving services for assisted living, assisted work and social employment of disabled people in the Russian Federation. The article considers the main methodological approaches to assessing the quality and effectiveness of support measures in the provision of services for assisted living, assisted work and social employment
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Przydacz, Mikolaj, Marcin Chlosta, Adrian Andrzej Chrobak, et al. "Sexual activity in a large representative cohort of polish men: Frequency, number of partners, correlates, and quality of life." PLOS ONE 19, no. 1 (2024): e0296449. http://dx.doi.org/10.1371/journal.pone.0296449.

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Introduction Sexual activity of men has been evaluated at the population-level in different regions of the world. However, reliable data are lacking for Eastern Europe. Therefore, the aim of this study was to analyze the frequency of sexual activity and the number of sexual partners in a large representative cohort of Polish men. Methods We performed a cross-sectional investigation with computer-assisted web interviews. Participants were stratified by age (≥18 years) and place of residence. The most recent population census was used to produce a population-representative sample of respondents.
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Burnes, David, David Hancock, John Eckenrode, Mark Lachs, and Karl Pillemer. "Incidence and Risk Factors of Elder Mistreatment in the Community: A Longitudinal Population-Based Study." Innovation in Aging 5, Supplement_1 (2021): 87–88. http://dx.doi.org/10.1093/geroni/igab046.335.

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Abstract Prior population-based elder mistreatment (EM) risk factor research has focused on problem prevalence using cross-sectional designs, which cannot make causal inferences between proposed risk factors and EM or discern existing cases from new cases entering the population. This study sought to estimate the incidence of EM and identify risk factors for new cases. It is a ten-year prospective, population-based cohort study with data collected between 2009 (Wave 1) and 2019 (Wave 2). Based on Wave 1 random, stratified sampling to recruit English/Spanish-speaking, cognitively intact, commun
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Lee, John Tayu, Barbara McPake, Likke Prawidya Putri, Kanya Anindya, Diah Ayu Puspandari, and Tiara Marthias. "The effect of health insurance and socioeconomic status on women’s choice in birth attendant and place of delivery across regions in Indonesia: a multinomial logit analysis." BMJ Global Health 8, no. 1 (2023): e007758. http://dx.doi.org/10.1136/bmjgh-2021-007758.

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BackgroundEvidence suggests that women gave birth in diverse types of health facilities and were assisted by various types of health providers. This study examines how these choices are influenced by the Indonesia national health insurance programme (Jaminan Kesehatan Nasional (JKN)), which aimed to provide equitable access to health services, including maternal health.MethodsUsing multinomial logit regression models, we examined patterns and determinants of women’s choice for childbirth, focusing on health insurance coverage, geographical location and socioeconomic disparities. We used the 20
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Plys, Evan, and Rachel Johnson-Koenke. "Perceived Social Standing in Assisted Living Communities: A Mixed-Methods Study of Social Hierarchies Among Residents." Research on Aging 43, no. 1 (2020): 47–57. http://dx.doi.org/10.1177/0164027520932823.

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The purpose of this mixed-methods study was to measure perceived social standing within an assisted living (PSS-AL), and to identify individual determinants and empirical correlates of this construct. The sample consisted of 200 residents of 21 assisted livings (ALs). A self-anchoring ladder measured PSS-AL ( M = 6.95, SD = 2.04) and an open-ended follow-up question assessed individual determinants of PSS-AL ratings. In a multiple regression, mental health ( β = .27, p = .001), intimate staff-resident relationships ( β = .22, p = .024), and extraversion ( β = .27, p < .001) were significant
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David, Daniel, Abraham Brody, Tina Sadarangani, Bei Wu, and Tara Cortez. "Identifying Palliative Care Needs in Assisted Living." Innovation in Aging 4, Supplement_1 (2020): 788. http://dx.doi.org/10.1093/geroni/igaa057.2854.

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Abstract Many residents of Assisted Living (AL) confront serious illness and therefore might benefit from greater access to Palliative Care Services to improve quality of life. We surveyed resident records and AL nursing staff to identify patients in need of Palliative Care. Preliminary findings showed that nurses predicted 23% would not be alive and 49% would no longer live in AL. A majority of residents were over the age of 90, yet 30% did not have a reported code status. These findings suggest that a substantial portion of AL residents may have unmet needs with respect to palliative care. F
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Prizer, Lindsay, Sheryl Zimmerman, Christopher Wretman, John Preisser, Kali Thomas, and Philip Sloane. "Which Assisted Living Communities Provide Hospice?" Innovation in Aging 4, Supplement_1 (2020): 677. http://dx.doi.org/10.1093/geroni/igaa057.2355.

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Abstract Assisted living (AL) communities have become a common site for end-of-life and hospice care. However, AL is highly variable, meaning that hospice use is likely to be variable as well. This study explored the association between AL community characteristics and their residents’ use of hospice. A stratified random sample of 250 AL communities in seven states was recruited. Community-level data were obtained from interviews with AL administrators, and resident-level case-mix data were abstracted from charts. Survey-weighted regressions examined the relationship between community characte
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Morgan, Jennifer C., Candace L. Kemp, Christina Barmon, Andrea Fitzroy, and Mary M. Ball. "Limiting and Promoting Resident Self-Care in Assisted Living." Journals of Gerontology: Series B 76, no. 8 (2021): 1664–72. http://dx.doi.org/10.1093/geronb/gbab016.

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Abstract Objectives Assisted living (AL) residents often manage multiple chronic conditions, functional and/or cognitive decline along with their individual needs and preferences for a full life. Although residents participate in their own care, little is known about their self-care activities and how to support them. This analysis focuses on residents’ self-care and theorizing the dynamic, socially embedded process of negotiating self-care. Methods We analyze data from a grounded theory study informed by the Convoys of Care model. Participants included 50 focal residents and 169 paid and unpa
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Payandeh, Shahram, and Jim Park. "Passive Observer of Activities for Aging in Place Using a Network of RGB-D Sensors." International Journal of Telemedicine and Applications 2020 (October 23, 2020): 1–15. http://dx.doi.org/10.1155/2020/8867926.

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Aging in place is a notion which supports the independent living of older adults at their own place of residence for as long as possible. To support this alternative living which can be in contrast to various other types of assisted living options, modes of monitoring technology need to be explored and studied in order to determine a balance between the preservation of privacy and adequacy of sensed information for better estimation and visualization of movements and activities. In this paper, we explore such monitoring paradigm on how a network of RGB-D sensors can be utilized for this purpos
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Thomas, Kali, and Lindsay Schwartz. "COVID-19 in Assisted Living: Evidence on Policies, Provider Experiences, and Resident Mortality." Innovation in Aging 5, Supplement_1 (2021): 56–57. http://dx.doi.org/10.1093/geroni/igab046.216.

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Abstract The devastating effects of Coronavirus disease 2019 (COVID-19) among older adults residing in long-term care settings has been well documented. Assisted living settings in the U.S. have 811,000 residents; most are 80 years or older, and many have one or more chronic illnesses, making them highly susceptible to poor outcomes if exposed to COVID-19. This symposium highlights five studies that focus on various levels of COVID-19 response in assisted living: national organizations, states, assisted living operators and healthcare providers, and residents. The first study compares the some
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Thomas, Kali, Paula Carder, Lindsey Smith, and Sheryl Zimmerman. "A VISION FOR THE FUTURE OF ASSISTED LIVING RESEARCH: LEVERAGING ADMINISTRATIVE DATA TO STUDY QUALITY." Innovation in Aging 6, Supplement_1 (2022): 281–82. http://dx.doi.org/10.1093/geroni/igac059.1118.

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Abstract Because the assisted living industry is neither federally regulated nor federally licensed, methodologies to study the quality of long-term care used in other settings (e.g., annual inspection reports, resident assessment data) do not exist for the large and growing number of assisted living communities and their residents. The objective of this presentation is to present a vision for the future of assisted living research to inform quality using large, national datasets. To do this, the presenter will discuss existing approaches to identify and characterize assisted living communitie
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Peterson, Lindsay, Sara Hackett, Kallol Kumar Bhattacharyya, and Debra Dobbs. "RESTRICTIONS ON RESIDENT CONTACT IN ASSISTED LIVING DURING COVID-19: A MIXED-METHODS STUDY." Innovation in Aging 6, Supplement_1 (2022): 348–49. http://dx.doi.org/10.1093/geroni/igac059.1380.

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Abstract Efforts to protect assisted living residents from COVID-19 by limiting contact warrant attention. Assisted living was developed as a social model where care is provided in a home-like environment. Given the social dimensions of assisted living, we sought to better understand the effects of COVID-19-based restrictions in assisted living. We surveyed (online) assisted living community (ALC) administrators (N=130) between October 2020 and March 2021 as part of a larger project on COVID-19 in Florida. We then interviewed a subset of participants (N=26). Administrators of chain-affiliated
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Kole, Noviana. "ASRAMA SEBAGAI TEMPAT KEHIDUPAN DAN PEMBINAAN SISWA-SISWI SEKOLAH MISI INTERDENOMINASI." Inculco Journal of Christian Education 2, no. 2 (2022): 151–65. http://dx.doi.org/10.59404/ijce.v2i2.69.

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Abstrak: Apa yang dipikirkan di benak kita tentang kata “tinggal diasrama”, mungkin kita berpikir bahwa asrama adalah bangunan tempat tinggal dimana kita harus mengikuti berbagai tata tertib yang ditetapkan. Tinggal diasrama pasti ada aturan dan tata tertib yang akan kita ikuti, sebagai penghuni asrama harus memiliki disiplin besar ataupun kewajiban untuk bisa melakukan segala kegiatan yang biasanya dibantu oleh keluarga sekarang harus melakukannya sendiri. Dari pembahasan ini akan timbul beberapa pertanyaan: 1. Apakah asrama itu? 2. Bagaimana fungsi asrama bagi mahasiswa? Jawaban : Asrama ada
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Zeisel, John. "Dementia-specific assisted living residences." American Journal of Alzheimer's Disease 10, no. 3 (1995): 40–41. http://dx.doi.org/10.1177/153331759501000307.

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Carder, Paula, Ann McQueen, and Ozcan Tunalilar. "Implementing Oregon’s New Quality Measurement Program for Assisted Living Communities." Innovation in Aging 4, Supplement_1 (2020): 726. http://dx.doi.org/10.1093/geroni/igaa057.2577.

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Abstract Oregon legislation requires assisted living (AL) communities to report selected quality measures to the state licensing agency. The Quality Measurement Program (QMP) includes five metrics that assess different areas of resident safety and wellbeing: falls, antipsychotic medication use, staff training, staff retention, and resident satisfaction. This paper describes findings based on our 2019 survey of AL communities and offers suggestions for stakeholders interested in public reporting and quality metrics. Assisted living providers reported 28% of AL residents and 38% of memory care (
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Haas, Mattie Ann, LuAnn Haas, Kristine Knoke, and Michael Andreski. "Rural Physician-Pharmacist Collaborative Practice Agreements Managing Patients in Supportive Living and Assisted Living Memory Care Facilities." INNOVATIONS in pharmacy 10, no. 4 (2019): 13. http://dx.doi.org/10.24926/iip.v10i4.1371.

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Setting: Supportive living and assisted living memory care facilities in a rural West-Central Illinois county.
 Objectives: 1) Evaluate the impact of active pharmacist participation on patient care for residents living in supportive and assisted living facilities, 2) demonstrate feasibility and financial sustainability of rural community pharmacists providing disease state management services, 3) create processes for best practice to expand the clinical role of the community pharmacist
 Design: Case study.
 Interventions: Participating residents received disease state management
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Morton, Elizabeth, Sheryl Zimmerman, Lea Efird-Green, and Scott Davis. "PROFESSIONAL CAREGIVER SATISFACTION AND BURNOUT IN ASSISTED LIVING." Innovation in Aging 8, Supplement_1 (2024): 1213. https://doi.org/10.1093/geroni/igae098.3883.

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Abstract Professional caregivers (direct care workers) perform most of the care for residents in assisted living (AL) and have consistently high turnover rates. Because high turnover is associated with low job satisfaction and decreased quality of care, understanding professional caregiver satisfaction can inform approaches to improve the well-being of both staff and residents. This study obtained information from 559 professional caregivers from 69 AL communities to explore job satisfaction, burnout, and how satisfaction varies based on professional caregiver and AL characteristics (e.g., res
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