title: Adverse events associated with the Res-Care Intervention.
abstract: OBJECTIVE
  The purpose of this secondary data analysis was to evaluate the adverse events associated with a restorative care intervention (Res-Care) in nursing home (NH) residents.
  
  
  METHODS
  A randomized controlled repeated-measure design and generalized estimating equations were used to evaluate status at baseline and 4 and 12 months after initiation of the Res-Care Intervention.
  
  
  METHODS
  Twelve NHs in Maryland.
  
  
  METHODS
  A total of 487 residents; 256 in treatment sites and 231 in control sites, all long-stay NH residents ages 65 and older, with an MMSE of 11 or greater.
  
  
  METHODS
  The Res-Care Intervention was a 2-tiered self-efficacy-based intervention focused on motivating nursing assistants to actively engage residents in functional and physical activities.
  
  
  METHODS
  Baseline (2-month pre-intervention), 4-month, and 12-month records of adverse events, including falls, fall-related injuries, fractures, emergency room (ER) visits, hospital admissions, and death abstracted from NH records.
  
  
  RESULTS
  There were significant baseline differences between treatment groups in resident race (more African Americans in control sites) and ER visits (more visits in treatment sites 2 months before intervention). Longitudinal models revealed significant differences in ER visits at 4 months and number of fallers at 12 months that were in the direction of a protective effect of treatment over time.
  
  
  CONCLUSIONS
  The Res-Care Intervention, which maximizes physical functioning, is safe to conduct in NH residents and does not result in increased risks of falling, injury, or other adverse events.
authors: Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD. Electronic address: abaldin@epi.umaryland.edu.
authors: Ann L
authors: AL
authors: Gruber-Baldini
authors: School of Nursing, Adult Health Nursing, University of Maryland School of Nursing, Baltimore, MD.
authors: Barbara
authors: B
authors: Resnick
authors: Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD.
authors: J Richard
authors: JR
authors: Hebel
authors: School of Nursing, Adult Health Nursing, University of Maryland School of Nursing, Baltimore, MD.
authors: Elizabeth
authors: E
authors: Galik
authors: Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, NC.
authors: Sheryl
authors: S
authors: Zimmerman
mesh_terms: D000058:Accidental Falls; D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005851:Geriatric Nursing; D006760:Hospitalization; D006801:Humans; D008297:Male; D008396:Maryland; D009735:Nursing Homes; D012046:Rehabilitation; D017751:Safety Management