University of Maryland School of Nursing, Baltimore.
Fam Community Health. 2014 Apr-Jun;37(2):155-65. doi: 10.1097/FCH.0000000000000021.
Assisted livings settings are residential settings that provide housing and supportive services for older and disabled adults. Although individuals in assisted living settings are less functionally impaired than those in nursing home settings, they engage in limited amounts of physical activity and decline functionally more rapidly than their peers in nursing homes. Function-focused care for assisted living (FFC-AL) was developed to prevent decline, improve function, and increase physical activity among residents living in these settings. The purpose of this study was to translate the previously established, effective FFC-AL intervention to 20 assisted living facilities. Evidence of our ability to successfully translate function-focused care into these 20 assisted living facilities was determined using the RE-AIM (Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance) model. Our findings supported our ability to translate FFC-AL effectively into 18 of these 20 settings, using our dissemination and implementation approach.
辅助生活设施是为老年人和残疾成年人提供住房和支持服务的居住设施。虽然辅助生活设施中的个人的功能障碍程度低于疗养院中的个人,但他们的身体活动量有限,并且比疗养院中的同龄人更快地出现功能下降。以功能为重点的辅助生活护理(FFC-AL)是为了预防下降、改善功能和增加居住在这些环境中的居民的身体活动量而开发的。本研究的目的是将先前建立的、有效的 FFC-AL 干预措施推广到 20 个辅助生活设施中。使用 RE-AIM(覆盖范围、效果/有效性、采用、实施和维护)模型来确定我们成功将以功能为重点的护理成功转化到这 20 个辅助生活设施中的能力的证据。我们的研究结果支持了我们使用传播和实施方法将 FFC-AL 有效地转化到这 20 个设施中的 18 个的能力。