IMPACT Collaboratory

Excited to share a new publication by IMPACT members Guangyu T., Kendra Plourde, Xueqi Wang, Fan Li, and Monica Taljaard: A Review of Current Practice in the Design and Analysis of Extremely Small Stepped-Wedge Cluster Randomized Trials. This comprehensive review offers valuable insights into the design and analysis methods used in small-scale stepped-wedge cluster randomized trials, a unique and complex trial design often used in healthcare research. A must-read for researchers and clinicians working with SWCRTs! Read more at https://lnkd.in/eZQ-KsqH #ClinicalTrials #ResearchMethods #Biostatistics #HealthResearch #SWCRT #HealthcareInnovation

New publication by IMPACT members including CDA Awardee Natalie F. Douglas, Joan Carpenter, PhD, CRNP, ACHPN, FPCN, Kimberly Van Haitsma, Ph.D., and Katherine Abbott, PhD, MGS, FGSA: Feasibility of Implementing Dementia Collaborative Coaching (DCC) into Routine Care in Nursing Homes. This important study examines how DCC can be integrated into the routine workflow of speech-language pathologists (SLPs) in nursing homes, supporting better care for people living with dementia. A promising step toward enhancing care practices and improving outcomes for residents in long-term care settings. Access the article at https://lnkd.in/eF_usBck #DementiaCare #SLP #NursingHomes #CareInnovation #Aging #HealthCare"

IMPACT-funded research has been featured in The New York Times! This insightful article, "When Dementia Changes a Loved One’s Personality," highlights the significant behavioral changes that can occur in dementia and offers valuable strategies for caregivers. IMPACT Pilot Grant Awardee Helen Kales MD, introduces her innovative DICE Approach (Describe, Investigate, Create, and Evaluate), a tool empowering caregivers to respond to behavioral shifts with empathy and effectiveness. Additionally, IMPACT Faculty Scholar Fayron Epps PhD, RN, FGSA,FAAN provides perspective on activities that can comfort those with dementia, like specially designed and shortened religious services. Thank you to The New York Times for spotlighting this vital work that brings guidance and hope to many families. #DementiaCare #Caregiving #IMPACT Read full article at https://nyti.ms/3NJGOF5

Join webinar Tuesday, October 29th @ 1PM ET to learn how researchers can link Long Term Care Data Cooperative nursing home (NH) electronic health record (EHR) data with Centers for Medicare & Medicaid Services data! This session will be led by Stephanie Kissam, Executive Director of the LTC Data Cooperative from AHCA/NCAL and Vincent Mor, Professor of Health Services, Policy & Practice at the Brown University School of Public Health. Join the interactive session to: -Discover how to leverage the LTC Data Cooperative for your research -Understand the application process -Explore the types of studies suitable for these datasets -Get your questions answered Governed by the AHCA/NCAL and funded by the National Institute on Aging (NIA), the LTC Data Cooperative, provides free access to person-level EMR data from thousands of skilled nursing facilities and assisted living buildings. This data, linkable to CMS Medicare and Medicaid claims through the NIA LINKAGE Program, is a powerful new resource for post-acute and long-term care research. Don’t miss the chance to learn more about the new linkage capabilities and how they can advance data opportunities and insights in long-term care. 👉 Register here: https://bit.ly/3XQWYkB David Gifford Partha Bhattacharyya Lonnita Myles

Read about an innovative approach to improve dementia care communication in this new publication by IMPACT CDA Awardee Tina Sadarangani: Exploring Family Caregivers' Likelihood of Adopting a Novel App That Connects Care Teams of Persons Living With Dementia: A Mixed-Methods Study. The research employed a concurrent mixed-methods triangulation design to assess the acceptability and likely use of CareMOBI, a promising mHealth app prototype. The goal for CareMOBI is to enhance care coordination and communication between care team members, specifically supporting family caregivers of persons living with dementia (PLWD). Read more at https://lnkd.in/eiSVdiyf. #DementiaCare #Caregiving #DigitalHealth #HealthTech #Aging #CareCoordination

Thrilled to share a new publication, Embedding Authorship Identity into a Portal-Based Agenda Setting Intervention to Support Older Adults and Care Partners, by IMPACT Health Care Systems Scholar Awardee Hillary Lum. This study evaluates an innovative adaptation to #OurNotes, a pre-visit agenda-setting questionnaire, by including a self-identification question. This crucial change helps clinicians better interpret information provided by patients and care partners in a geriatric practice. Read more about this important work supporting older adults and their care partners at https://lnkd.in/eKngv2VC #Geriatrics #Caregiving #PatientCare #DigitalHealth #Aging #HealthInnovation

Excited to share our new publication revealing important links between subjective cognitive decline (SCD) and key socioeconomic and medical factors, including poverty, diabetes, and hypertension. This research underscores the need for targeted interventions to address health disparities and improve cognitive health outcomes, particularly for adults aged 45 and older. Read more here: https://lnkd.in/dgDevujw #PublicHealth #CognitiveDecline #HealthEquity #Research Nicholas Pajewski

📢 New Study on Goal-Concordant Care in Nursing Homes Members of the NIA IMPACT Collaboratory including: Natalie Ernecoff, Ellen McCreedy from Brown University School of Public Health, Laura Hanson of the University of North Carolina at Chapel Hill, and Susan Mitchell from Hebrew SeniorLife and Hyunkyung Yulia Yun from Brown University have tested a pragmatic approach to identify goal-concordant care for nursing home residents with Alzheimer’s Disease or Related Dementias (ADRD). The study used NH EHR data to operationalize a feasible pragmatic approach to identify NH residents with moderate to advanced ADRD who received goal-concordant care. The findings indicate that 87% of residents received such care, however, goal-discordant care was not rare. The study supports the feasibility of the approach, but identified limitations including: (1) goal determination was limited to orders, and did not include more nuanced discussions documented in progress notes or other text; (2) changes in preferences that may have occurred for in-the-moment decisions could not be captured; (3) other goals of care (eg, prioritization of maintaining function) could not be captured; and (4) goal-discordant care for residents whose goal is life prolongation would be challenging to operationalize using this approach. This approach may inform outcome selection in future pragmatic trials evaluating the effectiveness of interventions that aim to improve the concordance of care with goals among NH residents with a preference for comfort. 👉 Read the full article: https://bit.ly/4fgB9lM #Alzheimers #Dementia #GoalConcordantCare #NursingHomes

📅 Save the date! Join us for Grand Rounds on Thursday Oct 17, 2024 at noon ET. Maggie Ramirez, PhD, MS, MS & Rafael Samper-Ternent, MD, PhD will present "Using Pilot Studies to Inform ePCTs in Hispanic/Latino People Living with Dementia and their Care Partners." Don't miss this opportunity to learn about how pilot studies can shape and enhance dementia care research in diverse communities! Learn more and join https://bit.ly/4eRX16u #DementiaResearch #ePCT #GrandRounds #HispanicHealth

Learn all about the first 5 years of IMPACT in the GEAR 2.0 ADC Grand Rounds on October 15, 2024, 3:00PM-4:00PM (ET)! IMPACT Principal Investigators Susan Mitchell, MD, MPH, and Vincent Mor, PhD will present in the The Geriatric Emergency Care Applied Research (2.0) Network – Advancing Dementia Care (GEAR 2.0-ADC) Grand Rounds! Their presentation, "The First 5 Years of the IMPACT Collaboratory: Building an Infrastructure to Conduct Pragmatic Trials in Dementia Care," will highlight the incredible journey of the IMPACT Collaboratory and its contributions to advancing research in dementia care, paving the way for future innovations in pragmatic trials. Learn more and register https://lnkd.in/eevtYQ8U #DementiaCare #GeriatricResearch #IMPACTCollaboratory #GEAR2ADC #HealthcareInnovation #PragmaticTrials #AdvancingCare National Institute on Aging (NIA) The John A. Hartford Foundation Ula Hwang Scott Dresden Andrea Gilmore Bykovskyi Cameron Gettel