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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)
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)
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)
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)
Older adults with dementia are at higher risk than other patients for being placed in restraints, despite numerous negative physical and psychological outcomes associated with their use. Many nurses continue to believe that restraints are necessary to control behavioral symptoms and prevent falls or the disruption of life-sustaining therapies in patients(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)