Evaluation of a technology-enhanced, integrated community health and wellness program for seniors (HWePS): protocol of a non-randomized comparison trial.

Background: Healthy aging for all in the community is a shared public health agenda for countries with aging populations, but there is a lack of empirical evidence on community-wide preventive models that promote the health of older people residing in socially-disadvantaged communities. The Health and Wellness Program for Seniors (HWePS) is a technology-enhanced, multi-level, integrated health equity intervention model. This study evaluates the effect of the HWePS on the health and well-being of older adults residing in urban, low-income communities.

Psychological Resilience in Older Residents of Long-Term Care Facilities: Occurrence and Associated Factors.

Objectives: The researchers aimed to (1) explore the occurrence of psychological resilience in the face of a major life stressor and conflict in older residents of long-term care facilities (LTCFs), and (2) identify factors associated with resilience in this population.

Design: Longitudinal cohort study using the Dutch InterRAI-LTCF cohort.

Setting And Participants: Older residents (≥60 years old) of 21 LTCFs in the Netherlands.

Implementation fidelity of the Systems for Person-Centered Elder Care (SPEC): a process evaluation study.

Background: The Systems for Person-Centered Elder Care (SPEC), a complex intervention, was conducted to examine its effectiveness as a technology-enhanced, multidisciplinary, and integrated care model for frail older persons among ten nursing homes (NHs) in South Korea where formal long-term care has recently been introduced. The purpose of this study was to evaluate the implementation fidelity of the SPEC intervention and to identify moderating factors that influence the implementation fidelity.

Methods: This study was a process evaluation based on an evidence-based framework for implementation fidelity using a mixed-methods design.

Effectiveness of a Technology-Enhanced Integrated Care Model for Frail Older People: A Stepped-Wedge Cluster Randomized Trial in Nursing Homes.

Background And Objectives: The objective of this study was to evaluate the impact of an information and communication technologies (ICT)-enhanced, multidisciplinary integrated care model, called Systems for Person-centered Elder Care (SPEC), on frail older adults at nursing homes.

Research Design And Methods: SPEC was implemented at 10 nursing homes in South Korea in random order using a stepped-wedge design. Data were collected on all participating older residents in the homes before the first implementation and until 6 months after the last implementation.

Factors related to aggressive behaviors among older adults in nursing homes of Korea: A cross-sectional survey study.

Background: Aggressive behavior is one of the most challenging behavioral psychological symptoms for older adults and their caregivers in nursing homes.

Objectives: The purpose of this study was to examine and identify contributing factors of aggressive behaviors among older adults in nursing homes in South Korea.

Design: This is a secondary analysis of a national survey on health and functional status among older nursing home residents.

Evaluation of a technology-enhanced integrated care model for frail older persons: protocol of the SPEC study, a stepped-wedge cluster randomized trial in nursing homes.

Background: Limited evidence exists on the effectiveness of the chronic care model for people with multimorbidity. This study aims to evaluate the effectiveness of an information and communication technology- (ICT-)enhanced integrated care model, called Systems for Person-centered Elder Care (SPEC), for frail older adults at nursing homes.

Methods/design: SPEC is a prospective stepped-wedge cluster randomized trial conducted at 10 nursing homes in South Korea.