Evidence map›Paper›PMID 33095469›Full record

Trial reportJournal of the American Geriatrics Society2021

Testing the Impact of FFC-AL-EIT on Psychosocial and Behavioral Outcomes in Assisted Living.

Barbara Resnick, Marie Boltz, Elizabeth Galik, Steven Fix, Sarah Holmes, Shijun Zhu, Erik Barr

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Predictors of Performing Function Focused Care.International journal of older people nursing · 2026
    Article
  5. 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
    Article
  6. Article
  7. Article
  8. 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

7 authors.

Barbara ResnickUniversity of Maryland School of Nursing, Baltimore, Maryland, USA.
Marie BoltzPennsylvania State University College of Nursing, University Park, Pennsylvania, USA.
Elizabeth GalikUniversity of Maryland School of Nursing, Baltimore, Maryland, USA.
Steven FixPennsylvania State University College of Nursing, University Park, Pennsylvania, USA.
Sarah HolmesUniversity of Maryland School of Nursing, Baltimore, Maryland, USA.
Shijun ZhuUniversity of Maryland School of Nursing, Baltimore, Maryland, USA.
Erik BarrUniversity of Maryland School of Nursing, Baltimore, Maryland, USA.

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
Dissemination and Implementation of Function Focused Care for Assisted LivingR01AG050516 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI RESNICK, BARBARA · 2016 to 2020
$1.8M
NIA NIH HHS P30 AG028747NIA NIH HHS R01 AG050516NIA NIH HHS R01AG050516
6 · The paper itself

Abstract

backgroundThis study tested the impact of Function Focused Care for Assisted Living Using the Evidence Integration Triangle (FFC-AL-EIT) on: (1) care interactions between residents and direct care staff; and (2) behavior and psychological symptoms associated with dementia among residents.

designThis was a randomized controlled trial.

settingA total of 59 assisted living facilities in Maryland, Pennsylvania, and Massachusetts participated.

participantsThe sample included 550 mostly White (98%), female (69%) residents with a mean age of 89.30 (standard deviation = 7.63) years.

interventionThe four-step FFC-AL-EIT intervention was implemented by a function focused care nurse facilitator working with a facility champion over 12 months. The steps included: (1) environment and policy assessments; (2) education; (3) establishing resident function focused care service plans; and (4) mentoring and motivating. MEASURES: Resident descriptive data (e.g., age, sex, education, and comorbidities), depression, agitation, resistiveness to care, and the quality of care interactions were obtained at baseline and 4 and 12 months. Treatment fidelity data included environment and policy assessments, performance of function focused care by staff, and service plan assessments.

resultsThere was a significant positive treatment effect related to depression, agitation, resistiveness to care, and quality of care interactions with either less decline or some improvement in these behaviors and symptoms in the treatment versus control group.

conclusionThe study provides some statistical support, which may not necessarily be clinically significant evidence, for psychosocial outcomes of residents and care interactions between staff and residents in assisted living settings.

Indexed as

Assisted Living FacilitiesDementiaProfessional-Patient RelationsSocial EnvironmentAged, 80 and overBehavioral SymptomsDepressionFemaleFrail ElderlyHumansMaleOutcome and Process Assessment, Health CarePolicy MakingPsychomotor AgitationPsychosocial FunctioningPsychosocial Interventionagitationcare interactionsdepressionfunction focused care

Identifiers

PMID33095469
PMCPMC8116977

What OpenQuestion holds

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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.