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Model Testing of the Factors That Influence Performance of Function Focused Care and Function Among Assisted Living Residents.

Barbara ResnickMarie BoltzElizabeth GalikSteven FixSarah D HolmesShijun Zhu
Published in: Journal of applied gerontology : the official journal of the Southern Gerontological Society (2020)
The purpose of this study was to test a model of factors associated with participating in function focused care. Function focused care is a philosophy of care in which residents are encouraged to engage in functional and physical activities during care interactions. This was a secondary data analysis using data from the Dissemination and Implementation of Function Focused Care for Assisted Living Using the Evidence Integration Triangle (FFC-AL-EIT) study. Residents ( n = 550) were recruited from 59 AL settings. The majority were female ( n = 380, 69%) and White ( n = 536, 97%). Model testing was done. Comorbidities, quality of interactions, environments, profit status, cognitive impairment, depression, and function were associated with function focused care and accounted for 17% of the variance. Next steps should include intervening on changeable factors (e.g., environments) and adding factors to better explain performance of function focused care such as motivation, resilience, and staff satisfaction.
Keyphrases
  • healthcare
  • quality improvement
  • palliative care
  • pain management
  • affordable care act
  • cognitive impairment
  • electronic health record
  • chronic pain
  • big data
  • deep learning
  • social support
  • data analysis