Lois K. Evans

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This article reports the development of the functional outcomes of sleep questionnaire (FOSQ). This is the first self-report measure designed to assess the impact of disorders of excessive sleepiness (DOES) on multiple activities of everyday living. Three samples were used in the development and psychometric analyses of the FOSQ: Sample 1 (n = 153)(More)
OBJECTIVE To investigate the relative effects of two experimental interventions on the use of physical restraints. DESIGN Prospective 12-month clinical trial in which three nursing homes were randomly assigned to restraint education (RE), restraint education-with-consultation (REC), or control (C). SETTING Three voluntary nursing homes in the(More)
OBJECTIVE To examine the relationship between restraint use and falls while controlling for the effect of psychoactive drug use among nursing home residents, including subgroups of nursing home residents with high rates of restraint use and/or falls. DESIGN Secondary analysis of data from a longitudinal clinical trial designed to reduce restraint use. (More)
PURPOSE To discuss the barriers and enablers of changing organizational culture in 3 nursing homes undergoing a culture change initiative, and suggest actions for program enhancement. METHODS Interview data with staff (n = 64) and families (n = 14) from 3 culture-change facilities in a larger mixed-methods pilot study were used to identify barriers and(More)
OBJECTIVES To describe the changes in psychoactive drug use in nursing homes after implementation of physical restraint reduction interventions and mandates of the Omnibus Budget Reconciliation Act of 1987 (OBRA '87). METHODS A secondary analysis was conducted using data from a controlled clinical trial that took place in three nursing homes: a control(More)
In this pilot study a one group pretest posttest design was employed to identify resident characteristics and environmental factors associated with initiation of physical restraint. Predictors of restraint initiation for older adults were examined using secondary analysis of an existing data set of nursing home residents who were subjected to a federal(More)
BACKGROUND Long-term care providers across the United States are building innovative environments called "Green House" or small-house nursing homes that weave humanistic person-centered philosophies into clinical care, organizational policies, and built environments. PURPOSE To compare and contrast trajectories of at-homeness and health over time between(More)
BACKGROUND A major reason cited for continued restraint use in American nursing homes is the widely held belief that restraint reduction will lead to fall-related incidents and injuries. METHODS This study represents an analysis of data collected in a clinical trial of interventions aimed at reducing the use of restraints in nursing homes. Two different(More)
There is an abundant literature about the experience of caregiving for a spouse living with Alzheimer's disease (AD), but there are very few qualitative studies about caregiving for persons living with Frontotemporal Degeneration (FTD). FTD causes a change in personality and affected persons may lose the ability to adhere to social norms. Thus, the(More)
OBJECTIVES To examine predictors of continued restraint use in nursing home residents following efforts aimed at restraint reduction. DESIGN Secondary analysis of data from a clinical trial using a one-group, pre-test post-test design. SETTING Three nonprofit, religion-affiliated nursing homes in a metropolitan area. PARTICIPANTS The sample consisted(More)