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
Chronic care clinics: a randomized controlled trial of a new model of primary care for frail older adults.
To determine whether a new model of primary care, Chronic Care Clinics, can improve outcomes of common geriatric syndromes (urinary incontinence, falls, depressive symptoms, high risk medications, functional impairment) in frail older adults. ⋯ Although intervention patients expressed high levels of satisfaction with Chronic Care Clinics, improved outcomes for selected geriatric syndromes were not demonstrated. These findings suggest the need for developing greater system-wide support for managing geriatric syndromes in primary care and illustrate the challenges of conducting practice improvement research in a rapidly changing delivery system.