Journal of the American Medical Directors Association最新文献

{"title":"PALTmed Events and Product","authors":"","doi":"10.1016/S1525-8610(26)00116-7","DOIUrl":"10.1016/S1525-8610(26)00116-7","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 5","pages":"Article 106226"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147858465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the Commentary on “Hip Fracture Geriatric (HIP-G) Index: Predicting 12-Month Mortality in Older Adults With Hip Fracture”","authors":"Chiara Ceolin MD, Gaetano Paride Arcidiacono MD, PhD , Stefania Sella MD, PhD, Valentina Camozzi MD, PhD, Marco Onofrio Torres MD, Paolo Simioni MD, PhD, Pietro Ruggieri MD, PhD, Giuseppe Sergi MD, PhD, Sandro Giannini MD, PhD, Marina De Rui MD, PhD","doi":"10.1016/j.jamda.2026.106144","DOIUrl":"10.1016/j.jamda.2026.106144","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 5","pages":"Article 106144"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on “Hip Fracture Geriatric (HIP-G) Index: Predicting 12-Month Mortality in Older Adults With Hip Fracture”","authors":"Tatiana Orlova MBBS, Samuel A.C. Singha BM BS, Benjamin H.L. Harris PhD, Michael B. Fertleman MD, Louis J. Koizia MBBS","doi":"10.1016/j.jamda.2026.106145","DOIUrl":"10.1016/j.jamda.2026.106145","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 5","pages":"Article 106145"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147321808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General Information","authors":"","doi":"10.1016/S1525-8610(26)00114-3","DOIUrl":"10.1016/S1525-8610(26)00114-3","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 5","pages":"Article 106224"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147858321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-Acute and Long-Term Care Medical Association Adds 5 New Choosing Wisely Statements","authors":"Cecilia Y. Cai MD, CMD , Lauren J. Gleason MD, MPH, CMD , Sing-I T. Palat MD, CMD","doi":"10.1016/j.jamda.2026.106158","DOIUrl":"10.1016/j.jamda.2026.106158","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 5","pages":"Article 106158"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Directions & Connections","authors":"","doi":"10.1016/S1525-8610(26)00115-5","DOIUrl":"10.1016/S1525-8610(26)00115-5","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 5","pages":"Article 106225"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147858322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Witnessing Interparental Violence in Childhood and Frailty in Adulthood: Evidence From a National Population-Based Study in China.","authors":"XiaoLei Gao, ShuLin Zhu, WeiYe Yang, Heng Li, WenShun Xu, HongRu Wang, XiaoXia Fang, AnNa Ma, LiNa Wang, Tong Zhao","doi":"10.1016/j.jamda.2026.106216","DOIUrl":"https://doi.org/10.1016/j.jamda.2026.106216","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines the relationship between witnessing parental violence-a specific type of adverse childhood experiences (ACEs)-and frailty in adulthood, employing a graded exposure measurement approach.</p><p><strong>Design: </strong>A population-based cross-sectional study.</p><p><strong>Setting and participants: </strong>Data from 6490 adults aged ≥45 years from the 2014 wave of the China Health and Retirement Longitudinal Study (CHARLS) were analyzed. Frailty was assessed using the Frailty Index (FI). Exposure was measured by 3 items and categorized into low, medium, and high levels.</p><p><strong>Methods: </strong>Linear and logistic regression models were employed to examine the associations between exposure and continuous FI scores, as well as frailty risk (FI ≥ 0.25), respectively. All models were adjusted for age, gender, marital status, rural/urban residence, education, smoking, alcohol use, and body mass index. Dose-response relationships were further evaluated using restricted cubic spline (RCS) models, with optimal knot selection to improve model fit.</p><p><strong>Results: </strong>Higher exposure scores were significantly associated with increased FI (β = 0.004, P < .001) and frailty risk (odds ratio, 1.08; 95% CI, 1.04-1.12). RCS models revealed a monotonic increase in frailty with greater exposure.</p><p><strong>Conclusions and implications: </strong>Witnessing interparental violence in childhood is significantly linked to higher frailty in adulthood. Interventions addressing domestic violence may contribute to healthier aging outcomes.</p>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":" ","pages":"106216"},"PeriodicalIF":3.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Durability of Clinical Protection in Nursing Home Residents Following Monovalent KP.2 SARS-CoV-2 Vaccination.","authors":"Stefan Gravenstein, DeVone Frank, Yasin Abul, Christopher W Halladay, James L Rudolph, Clare Nugent, Benjamin Skov, Selma Yavuz, David H Canaday, Kevin W McConeghy","doi":"10.1016/j.jamda.2026.106214","DOIUrl":"https://doi.org/10.1016/j.jamda.2026.106214","url":null,"abstract":"<p><strong>Objectives: </strong>Nursing home residents received updated monovalent SARS-CoV-2 vaccines to protect them from the most recently emerging SARS-CoV-2 variants. We evaluated the extent and durability of clinical protection following receipt of the first monovalent KP.2 vaccination in nursing home residents.</p><p><strong>Design: </strong>Retrospective cohort study using a target trial emulation design. We conducted a sequential, daily comparison of KP.2 vaccination vs no SARS-CoV-2 vaccination during the study period. Residents who received KP.2 were matched to unvaccinated residents based on index date and propensity scores incorporating demographics, vaccination status, and basic clinical characteristics.</p><p><strong>Setting and participants: </strong>Veterans Affairs nursing home residents in long-term care between September 18, 2024, and October 30, 2024.</p><p><strong>Methods: </strong>The primary exposure was KP.2 vaccination vs no SARS-CoV-2 vaccine during the study period. The primary outcome was a test-confirmed SARS-CoV-2 infection (with or without symptoms). Secondary outcome was composite outcome of COVID-19 infection-associated hospitalizations within 21 days of infection or death within 30 days of infection.</p><p><strong>Results: </strong>Among eligible residents, a matched cohort of 1711 paired person trials were created (average age 76, 95% male, 28% African American). Vaccine effectiveness against COVID-19 infection was 38% at week 12 (95% CI, 13%-56%) and 4% at week 18 (95% CI, -30 to 29%). Vaccine effectiveness against hospitalization or death was 77% at week 12 (95% CI, 60%-90%) and 53% at week 18 (95% CI, 21%-71%).</p><p><strong>Conclusion and implications: </strong>Vaccination with the KP.2 updated SARS-CoV-2 vaccine provided significant clinical protection against hospitalization or death among nursing home residents. This protection started to wane within a few months of vaccination, mirroring antibody decline reported in other studies. Our findings support consideration of twice-annual vaccination strategy to optimize protection in this vulnerable population.</p>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":" ","pages":"106214"},"PeriodicalIF":3.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Implementation of a Toolkit With Meaningful Activities for Residents With Dementia.","authors":"Myrthe J Houben, Caroline A de Lange, Monique A A Caljouw, Hanneke J A Smaling","doi":"10.1016/j.jamda.2026.106210","DOIUrl":"https://doi.org/10.1016/j.jamda.2026.106210","url":null,"abstract":"<p><strong>Objectives: </strong>Engagement in meaningful activities supports the well-being and quality of life of nursing home residents with dementia. This study evaluated the implementability of a toolkit to choose meaningful activities for residents with dementia.</p><p><strong>Design: </strong>A process evaluation was conducted using the RE-AIM framework. Two nursing homes were involved in the implementation of the toolkit through a 6-month participatory action research approach, whereas 3 nursing homes followed an implementation track of equal duration without participatory action research.</p><p><strong>Setting and participants: </strong>The toolkit was implemented within 5 Dutch nursing homes, involving health care professionals and family caregivers of residents with dementia.</p><p><strong>Methods: </strong>Demographics were collected at baseline, user experience questionnaires were administered monthly, and at the end of the study, activity logs were collected and interviews conducted. Qualitative data were analyzed using a thematic analysis, based on a combined inductive and deductive approach (Consolidated Framework for Implementation Research).</p><p><strong>Results: </strong>In total, 64 residents, 26 family caregivers, and 84 health care professionals were reached. Reach involved a mix of relevant stakeholders; however, family caregivers were least involved. Adoption declined from 40.4% to 28.1% during the study, with most users selecting a perceived lack of necessity and time constraints as reasons for nonuse. Implementation barriers and facilitators were categorized into the following 6 themes: individual characteristics, intervention characteristics, inner setting, outer setting, implementation process, and resident factors.</p><p><strong>Conclusions and implications: </strong>The toolkit was well received by end users and generally considered user-friendly. Prominent facilitators to implementation were leadership, peer support, and regular reminders, among others. Key barriers included staff turnover, workload, and limited perceived usefulness. Addressing these via task transfer, retraining and clear framing can improve toolkit implementation. This study provides practical insights to strengthen future implementation of the toolkit and similar innovations.</p>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":" ","pages":"106210"},"PeriodicalIF":3.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Residential Care and Racism: A Scoping Review.","authors":"Austin Harding, Elaine Moody, Tasnim Nashnoush, Gaynor Watson-Creed","doi":"10.1016/j.jamda.2026.106209","DOIUrl":"https://doi.org/10.1016/j.jamda.2026.106209","url":null,"abstract":"<p><strong>Objectives: </strong>To systematically map and synthesize literature on racism experienced by staff in long-term residential care (LTRC) settings.</p><p><strong>Design: </strong>Scoping review of peer-reviewed articles.</p><p><strong>Setting and participants: </strong>Any staff member in LTRC.</p><p><strong>Methods: </strong>A scoping review conducted using Joanna Briggs Institute methodology, reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews Checklist. A comprehensive search of 7 electronic databases and gray literature was performed. Included peer-reviewed studies of any methodology reporting on racism experienced by LTRC staff. Findings were synthesized narratively using a framework examining interpersonal, institutional, and structural racism.</p><p><strong>Results: </strong>From 1647 studies, 28 were included, published between 1989 and 2025, mostly in the past decade in the United States. Interpersonal racism involved overt behaviors like slurs, accusations, rejection, and violence, as well as microaggressions questioning competence. Institutional racism appeared through inconsistent responses and a lack of antiracism policies. Structural racism was seen in wage gaps, limited mobility, and disadvantages for staff with intersecting identities.</p><p><strong>Conclusions and implications: </strong>Racism in LTRC is widespread, affecting interpersonal, institutional, and structural levels. Addressing it needs more than individual resilience or leadership; understanding multilevel dynamics is crucial for future research and creating safe, inclusive environments.</p>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":" ","pages":"106209"},"PeriodicalIF":3.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}