B. R. Connell

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OBJECTIVE This study investigates the process of aging in place in assisted living facilities (ALFs) and seeks to gain an in-depth understanding of the factors influencing this phenomenon in a variety of ALF contexts. METHODS Qualitative methods were used to study five ALFs for 1 year. Data collection methods included participant observation; informal and(More)
OBJECTIVES To determine whether high-intensity ambient light in public areas of long-term care facilities will improve sleeping patterns and circadian rhythms of persons with dementia. DESIGN A cluster-unit crossover intervention trial involving four conditions: morning bright light, evening bright light, all-day bright light, and minimum standard light.(More)
Environmental change offers an attractive approach to falls prevention, particularly as part of multidimensional intervention strategies. This article reviews and summarizes prior research that has examined environmental factors in falls experienced by older people in community and long-term care settings. Limitations of this research as a basis for falls(More)
OBJECTIVE To conduct an in-depth examination of the environmental and behavioral circumstances associated with falls and near-falls experienced by elderly individuals and to evaluate the usefulness of reenactment as a method for studying falls. DESIGN Observational and self-report data of incidents were obtained through a reenactment procedure.(More)
OBJECTIVES To improve nighttime sleep in nursing home patients. DESIGN Controlled clinical trial. SETTING Eight community nursing homes enrolled two at a time. PARTICIPANTS Of 1,077 patients assessed in the eight nursing homes, 638 (59%) were eligible, and consent was obtained for 273 (43% of those eligible). Of the 230 who underwent baseline(More)
OBJECTIVES To assess the effect of ambient bright light therapy on depressive symptoms in persons with dementia. DESIGN A cluster-unit crossover intervention trial involving four lighting conditions: morning bright light, evening bright light, all-day bright light, and standard light. SETTING The common areas of two geriatric units in a state-operated(More)
The objective of this pilot study was to obtain preliminary information on wayfinding information placement for NH (nursing home) residents by finding where older adults with mild dementia look during a wayfinding task. Wayfinding problems (e.g., an inability to find or recognize a destination) are common among NH residents. These behaviors have been(More)
OBJECTIVE To evaluate the effect of ambient bright light therapy (BLT) on agitation among institutionalized persons with dementia. METHODS High intensity, low glare ambient lighting was installed in activity and dining areas of a state psychiatric hospital unit in North Carolina and a dementia-specific residential care facility in Oregon. The study(More)
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