ArticleJournal of the American Medical Directors Association2022
The Imperative to Reimagine Assisted Living.
Article in Journal of the American Medical Directors Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychotropic use for behavioral and psychological symptoms of dementia during the COVID-19 pandemic: a systematic review and meta-analysis.BMC geriatrics · 2024Pooled it
- User-Generated Google Maps Ratings, State Staffing and Training Regulations, and the Quality of Hospice Care in Assisted Living Communities.Journal of the American Geriatrics Society · 2026Article
- My Journey Through Assisted Living Facilities.Journal of the American Geriatrics Society · 2026Article
- Public Health and Residential Care Facilities: Geriatricians' Roles in the COVID-19 Response and Beyond.Journal of the American Geriatrics Society · 2026Article
- Assisted living resident quality of life questionnaire: development and validation.Journal of patient-reported outcomes · 2026Article
- Opportunities to Improve End-of-Life Care in Assisted Living: Results From a National Survey of Administrators.Journal of the American Medical Directors Association · 2026Article
- How do US states define person-centered and family-involved care in assisted living regulations.Frontiers in dementia · 2026Article
- Examining family and facility characteristics associated with family satisfaction in assisted living: the Minnesota Assisted Living Report Card project.Innovation in aging · 2026Article
- The National Dementia Workforce Study: Development of Questionnaires for Home Care, Assisted Living, and Nursing Home Settings.Journal of the American Geriatrics Society · 2025Article
- Staff Satisfaction and Burnout in Assisted Living and Validity of the DCW Job Satisfaction Scale.Journal of the American Medical Directors Association · 2025Article
- Analgesic and adjuvant co-prescribing in Australian and Finnish residential care homes.Australasian journal on ageing · 2025Article
- Emergency Department Care Coordination Program for Assisted Living Residents With Dementia: A Qualitative Study.JAMA network open · 2025Article
- "There Should Be a Nurse on Call": Complex Care Needs of Low-Income Older Adults in Medicaid-Supported Assisted Living.Journal of palliative medicine · 2025Article
- Urinary Incontinence Is an Independent Risk Factor for Nursing Home Placement among Assisted Living Residents.Journal of the American Medical Directors Association · 2025Article
- What happens behind closed doors? Investigating care practices in nursing home and assisted living memory care units.Health affairs scholar · 2025Article
- Staffing Patterns in Nursing Homes, Assisted Living Communities, and Memory Care Units: Variation Across Shifts.Journal of the American Medical Directors Association · 2024Observational
- Associations between specialized dementia care, COVID-19 and central nervous system medication use in assisted living: a population-based repeated cross-sectional study.BMC geriatrics · 2024Article
- Changes in Nursing Staff Levels and Injury-Related Emergency Department Visits among Assisted Living Residents with Alzheimers Disease and Related Dementias.Journal of the American Medical Directors Association · 2024Article
- Do end-of-life outcomes differ by assisted living memory-care designation?Journal of the American Geriatrics Society · 2024Article
- Admission and Discharge Practices Among Assisted Living Communities: The Role of State Regulations and Organizational Characteristics.The Gerontologist · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
24 authors.
Funding
Abstract
Assisted living (AL) has existed in the United States for decades, evolving in response to older adults' need for supportive care and distaste for nursing homes and older models of congregate care. AL is state-regulated, provides at least 2 meals a day, around-the-clock supervision, and help with personal care, but is not licensed as a nursing home. The key constructs of AL as originally conceived were to provide person-centered care and promote quality of life through supportive and responsive services to meet scheduled and unscheduled needs for assistance, an operating philosophy emphasizing resident choice, and a residential environment with homelike features. As AL has expanded to constitute half of all long-term care beds, the increasing involvement of the real estate, hospitality, and health care sectors has raised concerns about the variability of AL, the quality of AL, and standards for AL. Although the intent to promote person-centered care and quality of life has remained, those key constructs have become mired under tensions related to models of AL, regulation, financing, resident acuity, and the workforce. These tensions have resulted in a model of care that is not as intended, and which must be reimagined if it is to be an affordable care option truly providing quality, person-centered care in a suitable environment. Toward that end, 25 stakeholders representing diverse perspectives conferred during 2 half-day retreats to identify the key tensions in AL and discuss potential solutions. This article presents the background regarding those tensions, as well as potential solutions that have been borne out, paving the path to a better future of assisted living.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.