Evidence map›Paper›PMID 26055774›Full record

Trial reportThe Gerontologist2015

Function Focused Care for Assisted Living Residents With Dementia.

Elizabeth Galik, Barbara Resnick, Nancy Lerner, Margaret Hammersla, Ann L Gruber-Baldini

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Gerontologist, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Review
  14. Characterizing Intervention Components and Complexity of Nonpharmacologic Healthcare Interventions to Manage Distress Behaviors in Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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  16. Review
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  20. Model Testing of the Factors That Influence Performance of Function Focused Care and Function Among Assisted Living Residents.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elizabeth GalikDepartment of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, Maryland. galik@son.umaryland.edu.
Barbara ResnickDepartment of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, Maryland.
Nancy LernerDepartment of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, Maryland.
Margaret HammerslaDepartment of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, Maryland.
Ann L Gruber-BaldiniDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.

Funding

Function and Behavior Focused Care for Nursing Home Residents with DementiaR01AG046217 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI GALIK, ELIZABETH M · 2013 to 2017
$1.6M
NIA NIH HHS R01 AG046217
6 · The paper itself

Abstract

purpose of the studyAssisted living (AL) residents with dementia require assistance with activities of daily living, encounter limited opportunities to engage in physical activity, and often exhibit challenging behavioral symptoms. The Function Focused Care Intervention for the Cognitively Impaired (FFC-CI) teaches and motivates direct care workers (DCWs) to engage residents with dementia in activities that optimize function and activity while minimizing behavioral symptoms. The purpose of this study was to test the impact of FFC-CI on function, physical activity, behavior, and falls. DESIGN AND

methodsA cluster-randomized trial included 96 residents with dementia and 76 DCWs from 4 ALs. Generalized estimating equations were used to evaluate outcomes at 3 and 6 months.

resultsThere were no treatment by time differences with regard to resident behavior, mood, counts of physical activity based on actigraphy, falls, and function. There were significant increases in physical activity based on kilocalories burned (p = .001), time spent in physical activity based on survey results (p = .001), and time spent in repetitive behaviors, such as wandering (p = .01) among the control group over time. There were no treatment by time differences with regard to DCW beliefs, knowledge, or performance of FFC, except for less decline in job satisfaction among the treatment group (p = .002). Treatment fidelity with regard to delivery and receipt were poor due to high staff attrition in the treatment group (46% vs. 16%) and limited site support. IMPLICATIONS: The findings from this study can be used to adapt future FFC intervention studies to improve treatment fidelity and optimize intervention efficacy.

Indexed as

Activities of Daily LivingAssisted Living FacilitiesGeriatric NursingMotor ActivityAdultAged, 80 and overDementiaFemaleHealth PersonnelHumansJob SatisfactionMaleOutcome Assessment, Health CarePatient-Centered CareAssisted livingDementiaFunctionPhysical activityWorkforce issues

Identifiers

PMID26055774
PMCPMC8483173

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.