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2004
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Organizational Culture in Nursing Homesî
PI: C. Scalzi and L. Evans
Period: March 1, 2004 to February 29, 2005
Project Summary: The project will build on a previous study that examined cultural change in nursing home settings. This project will examine organizational culture, its patterns, and its susceptibility to adaptation of a patient focused intervention. Pilot resources will also be used to support a systematic review of the literature and manuscript preparation. Findings from this pilot will support a NIH or comparable grant submission to conduct a larger scale study that employs secondary analysis to further test this cultural change intervention across multiple nursing home facilities in various geographic regions. |
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The Effects of Informal Caregivers on the Outcomes of Older Adults Receiving Home Health Careî
PI: Eunhee Cho (doctoral student)
Period: March 01, 2004 to February 28, 2005
Project Summary:
The purpose of this secondary analysis is to evaluate the effects of informal caregiving on the type of primary caregiver (i.e., spouse, offspring, relative, non-relative, paid helper) on the outcomes of elders receiving home health care. The project will compare changes in functional status and depression symptoms, as well as differences in the rates and timing of re-hospitalization over a 60 day period among patients who do and those who do not receive informal care in addition to home health care. |
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A Description of Enrollment in a Program of All-Inclusive Care for the Elderly (PACE)"
PI: Anna Beeber (doctoral student)
Period: February 01, 2004 to June 1, 2005
Project Summary:
The purpose of this qualitative descriptive study is to describe enrollment in a Program of All-Inclusive Care for the Elderly (PACE) from the perspective of elders and others involved in enrollment. This project will address what is enrollment; when, how and why do elders enroll; what events contribute or lead to enrollment from the perspective of elders and families, informal caregivers and providers of health and social services. This project provides opportunities to examine why nursing home eligible elders choose the PACE program rather than institutional care. |
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The Impact of the Prospective Payment System on Psychiatric Home Health Care for Depressed Older Adultsî
PI: Yu Ru Lin (doctoral student)
Period: September 1, 2004 to December 30, 2004
Project Summary:
This descriptive comparative study focuses on an examination of the Prospective Payment System (PPS) reimbursement methodology as it affects access to quality of psychiatric home health care services for vulnerable older adults with depression as defined by the International Statistical Classification of Diseases. Pre- and post- depressed older client receiving psychiatric home health care will be examined to determine if there are any differences for these individuals related to physical functioning levels and service utilization. Project results provide an opportunity to gain additional knowledge related to how a home care reimbursement system may affect the provision and quality of psychiatric home care services. |
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Non-pharmacological intervention for agitation in dementia: Meta-Analysisî (Pilot I)
PI: Eun-Hi Kong (doctoral student)
Period: November 1, 2004 to October 30, 2005
Project Summary:
The purpose of this project is to complete a systematic meta-analysis review of the literature related to non-pharmacological interventions for agitation in dementia. A comprehensive evaluation of research evidence based on ìbest practicesî methodology will be used to ascertain the strength of evidence used to support specific protocols examined, to resolve uncertainty when original research disagrees, and to identify gaps in knowledge where further study is needed. |
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