[K01] The Impact of Differences in Backgrounds and Life Experiences on Resident-to-Resident Aggression in Long-Term Care Residents with Dementia
Ente: National Institute on Aging
Scadenza: 2028-03-31
Importo max: 119.438 EUR
Paese: US
Descrizione
Resident-to-resident aggression (RRA) in long-term care (LTC) is associated with preventable injury, suffering,
and serious psychological distress. One in five residents in nursing homes (NH) experiences RRA in a given
month. Residents with Alzheimer’s Disease and Related Dementias (ADRD) are at an even higher risk of RRA
due to cognitive impairment-related symptoms. However, RRA remains poorly understood. Resident
demographic, social, communication-related, and clinical characteristics may play an important role in the
occurrence of RRA. For this study, backgrounds refer to measurable characteristics, including sex, race and
ethnicity, education, language preference, geographic origin, cognitive status, functional impairment, and
behavioral symptoms. Life experiences refer to resident preferences and experiences that may shape
interactions in LTC settings, including daily routines, activities, and social interactions. As NH populations are
becoming increasingly heterogeneous, differences between residents may shape interpersonal interactions
and contribute to RRA risk, particularly among residents with ADRD. The goal of this project is to
systematically investigate how resident backgrounds and life experiences contribute to RRA using the first
prevalence cohort study of RRA, and collecting additional stakeholder input with explicit consideration of the
needs of residents with ADRD, to develop, refine, and pilot-test a novel intervention. In Aim 1, I will leverage
the first and only NIH-funded RRA prevalence cohort study to qualitatively contextualizing and quantitatively
examining factors associated with RRA across individual, dyadic, and facility levels. Aim 2, I will gather input
from multiple NH stakeholders to improve understanding of resident backgrounds and life experiences that
may contribute to RRA, and to identify current and optimal intervention and prevention strategies in residents
with and without ADRD via mixed methods approach. In Aims 3a and 3b, findings from Aim 1 and Aim 2 will be
used to develop and refine a staff education intervention that may be integrated into an existing RRA
intervention program. As a social scientist trained in public health research, I am ideally positioned to
spearhead this line of research. Through the award period, I will build upon my prior training to develop new
knowledge and skills in long-term care research (Aim 1; Training Objective 1); population health research (Aim
1; Training Objective 2); long-term care policy-making, advocacy, and leadership (Aim 2; Training Objective 3);
and behavioral intervention and implementation science (Aim 3a, 3b; Training Objective 4). Career
development activities will consist of formal coursework, experiential learning and research opportunities, and
mentorship from experts in elder mistreatment, RRA research, and behavioral intervention development. This
award will help me achieve my long-term career goal of being an independent investigator with an impactful
Istituzione: WEILL MEDICAL COLL OF CORNELL UNIV
PI: E-Shien Chang
Progetto: 5K01AG081540-04
Settori: National Institute on Aging
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