Journal of the American Geriatrics Society
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Randomized Controlled Trial Clinical Trial
A randomized trial of a combined physical activity and environmental intervention in nursing home residents: do sleep and agitation improve?
The purpose of this study was to test whether an intervention combining increased daytime physical activity with improvement in the nighttime environment improves sleep and decreases agitation in nursing home residents. ⋯ This study provides preliminary evidence that an intervention combining increased physical activity with improvement in the nighttime nursing home environment improves sleep and decreases agitation in nursing home residents.
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Randomized Controlled Trial Clinical Trial
The nursing home at night: effects of an intervention on noise, light, and sleep.
The sleep of nursing home residents is fragmented by frequent awakening episodes associated, at least in part, with environmental variables, including noise and light changes. The purpose of this study was to improve sleep by reducing the frequency of nighttime noise and light changes. ⋯ The significant reductions in noise and light events resulting from the intervention did not lead to significant improvements in the day sleep and most night sleep measures. An intervention that combines both behavioral and environmental strategies and that addresses daytime behavioral factors associated with poor sleep (e.g., excessive time in bed) would potentially be more effective in improving the night sleep and quality of life of nursing home residents.
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Randomized Controlled Trial Comparative Study Clinical Trial
A pelvic muscle precontraction can reduce cough-related urine loss in selected women with mild SUI.
To test the hypothesis that selected older women with mild-to-moderate stress urinary incontinence (SUI) can learn to demonstrate significantly reduced urine loss in 1 week by intentionally contracting the pelvic floor muscles before and during a cough (a skill we have termed "The Knack"). ⋯ Within 1 week, selected older women with mild-to-moderate SUI can acquire the skill of using a properly-timed pelvic floor muscle contraction to significantly reduce urine leakage during a cough.
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Randomized Controlled Trial Comparative Study Clinical Trial
Effects of home-based intervention on unplanned readmissions and out-of-hospital deaths.
To determine the effect of a home-based intervention (HBI) on the frequency of unplanned readmission and out-of-hospital death among patients discharged home from acute hospital care. ⋯ Among high-risk patients discharged from acute hospital care, HBI is beneficial in limiting unplanned readmissions and reducing risk of out-of-hospital death. It may be particularly cost-effective if applied selectively to patients with a history of frequent unplanned hospital admission.
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Randomized Controlled Trial Comparative Study Clinical Trial
Adverse drug events in high risk older outpatients.
To describe the prevalence, types, and consequences of adverse drug events (ADEs) in older outpatients with polypharmacy. ⋯ Predictable ADEs are common in high risk older outpatients, resulting in considerable medication modification and substantial healthcare utilization.