Search results for: Quincy M. Samus

Items from 1 to 19 out of 19 results

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“At least we finally found out what it was”: Dementia diagnosis in minoritized populations

Marcela D. Blinka, Sneha Gundavarpu, Dorcas Baker, Roland J. Thorpe, more

Journal of the American Geriatrics Society > 71 > 6 > 1952 - 1962

Background Disparities in diagnosis persist among persons living with dementia (PLWD); most research on delayed diagnosis relies on medical records or administrative claims. This study aimed to identify factors that delay or facilitate dementia diagnoses in racial or ethnic minoritized PLWD and elicit care partner perspectives on timing and effects of diagnosis. Methods Maryland‐based participants...

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The role of care partners in medical visits of older adults with hearing loss and dementia: A national study

Danielle S. Powell, Nicholas S. Reed, Esther Oh, Quincy M. Samus, more

Journal of the American Geriatrics Society > 71 > 3 > 909 - 915

Background Dementia and hearing loss (HL) are conditions, which restrict communication ability and amplify the difficulty of implementing effective care coordination and communication with medical providers. We examined how the presence of HL and dementia influence communication with medical providers, and the role of involved care partners during medical visits. Methods Drawing on responses from...

article

Acute care utilization risk among older adults living undiagnosed or unaware of dementia

Halima Amjad, Quincy M. Samus, Jin Huang, Sneha Gundavarpu, more

Journal of the American Geriatrics Society > 70 > 2 > 470 - 480

Background Dementia is associated with increased risk of hospitalization and emergency department (ED) visits. Many persons with dementia are undiagnosed or unaware of their diagnosis, however. Our objective was to determine whether undiagnosed dementia or unawareness affects risk of hospitalization or ED visits. Methods Retrospective longitudinal cohort study of 3537 community‐living adults age...

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MIND at Home-Streamlined: Study protocol for a randomized trial of home-based care coordination for persons with dementia and their caregivers

Quincy M. Samus, Betty S. Black, Melissa Reuland, Jeannie-Marie S. Leoutsakos, more

Contemporary Clinical Trials > 2018 > 71 > C > 103-112

Dementia is associated with high health care costs, premature long-term care (LTC) placement, medical complications, reduced quality of life, and caregiver burden. Most health care providers and systems are not yet organized or equipped to provide comprehensive long-term care management for dementia, although a range of effective symptoms and supportive care approaches exist. The Maximizing Independence...

article

Underdiagnosis of Dementia: an Observational Study of Patterns in Diagnosis and Awareness in US Older Adults

Halima Amjad, David L. Roth, Orla C. Sheehan, Constantine G. Lyketsos, more

Journal of General Internal Medicine > 2018 > 33 > 7 > 1131-1138

Background Many older adults living with dementia have not been formally diagnosed. Even when clinicians document the diagnosis, patients and families may be unaware of the diagnosis. Knowledge of how individual characteristics affect detection and awareness of dementia is limited. Objective To identify characteristics associated with dementia diagnosis and awareness of diagnosis. Design Cross-sectional...

article

Health Services Utilization in Older Adults with Dementia Receiving Care Coordination: The MIND at Home Trial

Halima Amjad, Stephanie K. Wong, David L. Roth, Jin Huang, more

Health Services Research > 53 > 1 > 556 - 579

Objective To investigate effects of a novel dementia care coordination program on health services utilization. Data Sources/Study Setting A total of 303 community‐dwelling adults aged ≥70 with a cognitive disorder in Baltimore, Maryland (2008–2011). Study Design Single‐blind RCT evaluating efficacy of an 18‐month care coordination intervention delivered through community‐based nonclinical care...

article

Home is where the future is: The BrightFocus Foundation consensus panel on dementia care

Quincy M. Samus, Betty Smith Black, Diane Bovenkamp, Michael Buckley, more

Alzheimer's & Dementia > 2018 > 14 > 1 > 104-114

A national consensus panel was convened to develop recommendations on future directions for home-based dementia care (HBDC).The panel summarized advantages and challenges of shifting to HBDC as the nexus of care and developed consensus-based recommendations.The panel developed five core recommendations: (1) HBDC should be considered the nexus of new dementia models, from diagnosis to end of life in...

article

PATTERNS IN FORMAL DEMENTIA DIAGNOSIS AND AWARENESS OF DIAGNOSIS

Halima Amjad, Alka Ahuja, Constantine Lyketsos, David L. Roth, more

Alzheimer's & Dementia > 2017 > 13 > 7(S) > P841

article

Potentially Unsafe Activities and Living Conditions of Older Adults with Dementia

Halima Amjad, David L. Roth, Quincy M. Samus, Sevil Yasar, more

Journal of the American Geriatrics Society > 64 > 6 > 1223 - 1232

Objectives To examine the prevalence of dementia in the absence of a reported dementia diagnosis and whether potentially unsafe activities and living conditions vary as a function of dementia diagnosis status in a nationally representative sample of older adults. Design Observational cohort study. Setting Community. Participants Medicare beneficiaries aged 65 and older enrolled in the National...

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A Multipronged, Adaptive Approach for the Recruitment of Diverse Community-Residing Elders with Memory Impairment: The MIND at Home Experience

Quincy M. Samus, Halima Amjad, Deirdre Johnston, Betty S. Black, more

The American Journal of Geriatric Psychiatry > 2015 > 23 > 7 > 698-708

To provide a critical review of a multipronged recruitment approach used to identify, recruit, and enroll a diverse community-based sample of persons with memory disorders into an 18-month randomized, controlled dementia care coordination trial.Descriptive analysis of a recruitment approach comprised five strategies: community liaison (“gatekeepers”) method, letters sent from trusted community organizations,...

article

A Randomized Controlled Trial of a Community-Based Dementia Care Coordination Intervention: Effects of MIND at Home on Caregiver Outcomes

Jeremy A. Tanner, Betty S. Black, Deirdre Johnston, Edward Hess, more

The American Journal of Geriatric Psychiatry > 2015 > 23 > 4 > 391-402

To assess whether MIND at Home, a community-based, multicomponent, care coordination intervention, reduces unmet caregiving needs and burden in informal caregivers of persons with memory disorders.An 18-month randomized controlled trial of 289 community-living care recipient (CR)–caregiver (informal caregivers, i.e., unpaid individuals who regularly assisted the CR) dyads from 28 postal code areas...

article

A Multidimensional Home-Based Care Coordination Intervention for Elders with Memory Disorders: The Maximizing Independence at Home (MIND) Pilot Randomized Trial

Quincy M. Samus, Deirdre Johnston, Betty S. Black, Edward Hess, more

The American Journal of Geriatric Psychiatry > 2014 > 22 > 4 > 398-414

To assess whether a dementia care coordination intervention delays time to transition from home and reduces unmet needs in elders with memory disorders.18-month randomized controlled trial of 303 community-living elders.28 postal code areas of Baltimore, MD.Age 70+ years, with a cognitive disorder, community-living, English-speaking, and having a study partner available.18-month care coordination...

article

Unmet Needs of Community‐Residing Persons with Dementia and Their Informal Caregivers: Findings from the Maximizing Independence at Home Study

Betty S. Black, Deirdre Johnston, Peter V. Rabins, Ann Morrison, more

Journal of the American Geriatrics Society > 61 > 12 > 2087 - 2095

ObjectivesTo determine the prevalence and correlates of unmet needs in a sample of community‐residing persons with dementia (PWD) and their informal caregivers. DesignAnalysis of cross‐sectional, baseline participant characteristics before randomization in a care coordination intervention trial. SettingBaltimore, Maryland. ParticipantsCommunity‐residing PWD (n = 254) and their informal caregivers...

article

Separate may not be equal: A preliminary investigation of clinical correlates of electronic psychiatric record accessibility in academic medical centers

Dana E. Kozubal, Quincy M. Samus, Aishat A. Bakare, Carrilin C. Trecker, more

International Journal of Medical Informatics > 2013 > 82 > 4 > 260-267

Electronic Medical Records (EMR) have the potential to improve the coordination of healthcare in this country, yet the field of psychiatry has lagged behind other medical disciplines in its adoption of EMR.Psychiatrists at 18 of the top US hospitals completed an electronic survey detailing whether their psychiatric records were stored electronically and accessible to non-psychiatric physicians. Electronic...

article

Quality of life of community-residing persons with dementia based on self-rated and caregiver-rated measures

Betty S. Black, Deirdre Johnston, Ann Morrison, Peter V. Rabins, more

Quality of Life Research > 2012 > 21 > 8 > 1379-1389

Purpose To identify correlates of self-rated and caregiver-rated quality of life (QOL) in community-residing persons with dementia (PWD) for intervention development. Methods Cross-sectional data of 254 PWD and their caregivers participating in a clinical trial were derived from in-home assessments. Self-rated QOL was measured with the Quality of Life-Alzheimer Disease (QOL-AD) scale, and caregiver-rated...

article

The physical environment influences neuropsychiatric symptoms and other outcomes in assisted living residents

Mark C. Bicket, Quincy M. Samus, Mathew McNabney, Chiadi U. Onyike, more

International Journal of Geriatric Psychiatry > 25 > 10 > 1044 - 1054

ObjectiveAlthough the number of elderly residents living in assisted living (AL) facilities is rising, few studies have examined the AL physical environment and its impact on resident well‐being. We sought to quantify the relationship of AL physical environment with resident outcomes including neuropsychiatric symptoms (NPS), quality of life (QOL), and fall risk, and to compare the effects for demented...

article

Correlates of Functional Dependence Among Recently Admitted Assisted Living Residents With and Without Dementia

Quincy M. Samus, Lawrence Mayer, Chiadi U. Onyike, Jason Brandt, more

Journal of the American Medical Directors Association > 2009 > 10 > 5 > 323-329

To describe and contrast functional dependency (FD) levels among recently admitted AL residents with and without dementia and to assess the differential contribution of cognitive, behavioral, medical, and social factors on FD within each group.A cross-sectional study.A random sample of 28 AL facilities in the Central Maryland region.Two hundred and sixty-two AL residents assessed less than1 year after...

article

The Spectrum of Medical Illness and Medication Use Among Residents of Assisted Living Facilities in Central Maryland

Matthew K. McNabney, Quincy M. Samus, Constantine G. Lyketsos, Jason Brandt, more

Journal of the American Medical Directors Association > 2008 > 9 > 8 > 558-564

Although increasing numbers of older adults are living in assisted living facilities, there is little information on the types and amount of chronic medical illness and the medications required by such residents. To better inform efforts to optimize care in this setting, we sought to quantify chronic medical illnesses and their treatment.Medical diagnoses and treatments were derived from chart reviews...

article

Transition to Nursing Home From Assisted Living Is not Associated With Dementia or Dementia-Related Problem Behaviors

Paul B. Rosenberg, Michelle M. Mielke, Quincy M. Samus, Adam Rosenblatt, more

Journal of the American Medical Directors Association > 2006 > 7 > 2 > 73-78

To examine risk factors for transition from assisted living (AL) care to skilled nursing facility (SNF) care in a random sample of adults residing in AL. Baseline clinical evaluation and telephone follow-up at 6-month intervals for up to 36 months. AL facilities in central Maryland. There were 198 participants randomly sampled from AL facilities stratified by facility size. Consensus diagnoses...

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Keywords

DEMENTIA (13)
ASSISTED LIVING (3)
CARE COORDINATION (3)
CAREGIVERS (2)
DIAGNOSIS (2)
INTERVENTION (2)
MEMORY DISORDERS (2)
ALZHEIMER'S AND RELATED DEMENTIAS (ADRD) (1)
ALZHEIMER’S (1)
ASSISTED LIVING FACILITIES (1)
BEHAVIOR (1)
CARE FINANCING (1)
CARE MANAGEMENT (1)
CAREGIVER (1)
CAREGIVER PERSPECTIVES (1)
CASE FINDING (1)
CHRONIC MEDICAL ILLNESS (1)
CHRONIC PAIN (1)
COGNITIVE IMPAIRMENT (1)
COMMUNITY (1)
COMMUNITY OUTREACH (1)
COMMUNITY-BASED (1)
COMMUNITY-BASED CARE (1)
COMMUNITY-BASED PARTICIPATORY RESEARCH (1)
COMMUNITY‐RESIDING (1)
COST EFFECTIVENESS (1)
DEMENTIA DIAGNOSIS (1)
DISABILITY (1)
EHEALTH (1)
ELECTRONIC HEALTH RECORDS (EHR) (1)
ELECTRONIC MEDICAL RECORDS (EMR) (1)
GERIATRICS (1)
HEALTH SERVICES NEEDS AND DEMANDS (1)
HEALTHCARE UTILIZATION (1)
HEARING LOSS (1)
HOME-BASED CARE (1)
HOSPITALIZATION (1)
INFORMAL CAREGIVERS (1)
INSOMNIA (1)
LONG-TERM CARE (1)
MEDICAL COMMUNICATION (1)
MEDICAL RECORDS (1)
MEDICATIONS (1)
MINORITIZED POPULATIONS (1)
NEUROPSYCHIATRIC SYMPTOMS (1)
NURSING HOME (1)
OBSERVATIONAL STUDY (1)
PAYMENT MODELS (1)
PHYSICAL ENVIRONMENT (1)
PSYCHIATRY (1)
QUALITATIVE STUDY (1)
QUALITY OF LIFE (1)
RECRUITMENT (1)
SAFETY (1)
SURVIVAL ANALYSIS (1)
TECHNOLOGY (1)
UNMET NEEDS (1)
VULNERABLE POPULATIONS (1)
WORKFORCE (1)
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Wiley (7)
Springer (2)

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Search results for: Quincy M. Samus

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