Background and method of the Striving to be Strong study a RCT testing the efficacy of a m-health self-management intervention.

Background: Osteoporosis is a prevalent and debilitating condition affecting >50% of post-menopausal women. Yet, a low percentage of women regularly engage in health promoting behaviors associated with osteoporosis prevention. Complex, multidimensional, m-Health interventions hold promise to effect engagement in health behavior change related to calcium and vitamin D intake, balance, core and leg strength, and physical activity.

Cost analysis of a home-based nurse care coordination program.

Objectives: To determine whether a home-based care coordination program focused on medication self-management would affect the cost of care to the Medicare program and whether the addition of technology, a medication-dispensing machine, would further reduce cost.

Design: Randomized, controlled, three-arm longitudinal study.

Setting: Participant homes in a large Midwestern urban area.

Integrated literature review of postdischarge telephone calls.

This systematic review of the literature assessed the impact of a postdischarge telephone call on patient outcomes. Nineteen articles met inclusion criteria. Data were extracted and an evidence table was developed.

Nurse care coordination and technology effects on health status of frail older adults via enhanced self-management of medication: randomized clinical trial to test efficacy.

Background: Self-management of complex medication regimens for chronic illness is challenging for many older adults.

Objectives: The purpose of this study was to evaluate health status outcomes of frail older adults receiving a home-based support program that emphasized self-management of medications using both care coordination and technology.

Design: This study used a randomized controlled trial with three arms and longitudinal outcome measurement.

Effects of the Serial Trial Intervention on discomfort and behavior of nursing home residents with dementia.

This study tested the effectiveness of the Serial Trial Intervention (STI), an innovative clinical protocol for assessment and management of unmet needs in people with late-stage dementia. A double-blinded randomized experiment was conducted in 14 nursing homes with 114 subjects. The treatment group had significantly less discomfort than the control group at posttesting and more frequently had behavioral symptoms return to baseline.

The Serial Trial Intervention: an innovative approach to meeting needs of individuals with dementia.

Individuals with dementia often use behaviors rather than specific verbal complaints to express the presence of a symptom or need. The Serial Trial Intervention uses systematic serial assessments and sequential trials of treatments to identify and treat unmet needs that may be the underlying cause of these behaviors. Because chronic pain is common and often under-treated in this population, a trial of analgesics is used when other approaches, including nonpharmacological treatments, have not been effective.

A model of consequences of need-driven, dementia-compromised behavior.

Purpose: To extend the original need-driven, dementia-compromised behavior (NDB) model by explaining the consequences of behavioral symptoms for the person with dementia.

Organizing Construct And Methods: Literature is reviewed and the consequences of expressing needs through need-driven, dementia-compromised behaviors are posited. The consequences of need-driven, dementia-compromised behavior (C-NDB) theory is proposed as a framework to improve understanding of the person with dementia and the consequences of behavioral symptoms and unmet needs.

Effect of the BACE intervention on agitation of people with dementia.

Purpose: This study tests the effectiveness of the theoretically driven BACE (i.e., Balancing Arousal Controls Excesses) intervention in decreasing agitation in residents of long-term care with moderate or severe dementia.