Trial reportJournal of the American Medical Directors Association2021
Testing the Implementation of Function-focused Care in Assisted Living Settings.
Trial report in Journal of the American Medical Directors Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Training and education provided to local change champions within implementation trials: a rapid systematic review.Implementation science : IS · 2025Pooled it
- Models for delivery and co-ordination of primary or secondary health care (or both) to older adults living in aged care facilities.The Cochrane database of systematic reviews · 2024Pooled it
- Considerations for Use of the Cornell Scale for Depression in Dementia Among Assisted Living Residents: Factor Analysis Results.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Trial
- Pragmatic Trials in Long-Term Care: Research Challenges and Potential Solutions in Relation to Key Areas of Care.Journal of the American Medical Directors Association · 2022Trial
- [Rehabilitation with active participation of nursing staff in residential long-term care : A scoping review].Zeitschrift fur Gerontologie und Geriatrie · 2026Review
- Coaching-Driven Digital Literacy for Older Adults: Results from AGAPE Ecosystem Pilot Study.Geriatrics (Basel, Switzerland) · 2026Article
- Physical Activity and Sedentary Behavior in Assisted Living Residents: Feasibility and Acceptability of a Longitudinal Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- The Mediating Role of Activities of Daily Living in the Relationship Between Depressive Symptoms and Multidimensional Frailty in the Elderly with Multimorbidity.Clinical interventions in aging · 2025Article
- Objectively Measured Physical Activity and Sedentary Behaviors Among Older Adults in Assisted Living Facilities: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Pragmatic Trials and Improving Long-Term Care: Recommendations From a National Institutes of Health Conference.Journal of the American Medical Directors Association · 2022Article
- Pragmatic Trials in Long-Term Care: Research Challenges and Potential Solutions in Relation to Key Areas of Care.Journal of the American Geriatrics Society · 2022Article
- Pragmatic Trials and Improving Long-Term Care: Recommendations From a National Institutes of Health Conference.Journal of the American Geriatrics Society · 2022Article
- Function focused care in hospital: A mixed-method feasibility study.International journal of nursing studies advances · 2021Article
- Pragmatic trials and improving long-term care: Recommendations from a national institutes of health conference.Geriatric nursing (New York, N.Y.)Article
- Pragmatic trials in long-term care: Research challenges and potential solutions in relation to key areas of care.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectivesThe purpose of this study was to evaluate the Function-Focused Care for Assisted Living Using the Evidence Integration Triangle (FFC-AL-EIT) intervention.
designFFC-AL-EIT was a randomized controlled pragmatic trial including 85 sites and 794 residents.
interventionFFC-AL-EIT was implemented by a Research Nurse Facilitator working with a facility champion and stakeholder team for 12 months to increase function and physical activity among residents. FFC-AL-EIT included (Step I) Environment and Policy Assessments; (Step II) Education; (Step III) Establishing Resident Function-Focused Care Service Plans; and (Step IV) Mentoring and Motivating. SETTING AND
participantsThe age of participants was 89.48 years [standard deviation (SD) = 7.43], and the majority were female (n = 561; 71%) and white (n = 771; 97%).
methodsResident measures, obtained at baseline, 4, and 12 months, included function, physical activity, and performance of function-focused care. Setting outcomes, obtained at baseline and 12 months, included environment and policy assessments and service plans.
resultsReach was based on 85 of 90 sites that volunteered (94%) participating. Effectiveness was based on less decline in function (P < .001), more function-focused care (P = .012) and better environment (P = .032) and policy (P = .003) support for function-focused care in treatment sites. Adoption was supported with 10.00 (SD = 2.00) monthly meetings held, 77% of settings engaged in study activities as or more than expected, and direct care workers providing function-focused care (63% to 68% at 4 months and 90% at 12 months). The intervention was implemented as intended, and education was received based on a mean knowledge test score of 88% correct. Evidence of maintenance from 12 to 18 months was noted in treatment site environments (P = .35) and policies continuing to support function-focused care (P = .28)]. CONCLUSIONS AND IMPLICATIONS: The Evidence Integration Triangle is an effective implementation approach for assisted living. Future work should continue to consider innovative approaches for measuring RE-AIM outcomes.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.