Resident-to-Resident Elder Mistreatment Intervention for Dementia Care in Assisted Living

NCT03383289 | Completed Results DMC

• 2 other identifiers: 9525R01AG057389
• Study Type: interventional
• Target: 930
• Locations: 1 country
• Sites: 1

Brief Summary

Resident-to-resident elder mistreatment (R-REM) is a significant problem in long-term services and support settings (LTSS), and likely to cause physical and or psychological distress. The proposed project tests an intervention developed for use by LTSS staff. As such, it represents an important step in the process of developing approaches for ameliorating and preventing R-REM in assisted living residences which house residents with dementia and related behavioral disorders, and is thus likely to have significant public health impact.

Conditions

Assisted Living, Resident to Resident Elder Mistreatment

Outcome Measures

Primary Outcomes (1)

• Falls, Accidents, and Injuries

  Impact on falls, accidents, and injuries as measured by incident reports

  Six months before baseline through twelve month follow-up

Secondary Outcomes (1)

• Affect

  Baseline, 6- and 12- month follow-up

Other Outcomes (3)

• Staff Knowledge Module 1

  Pre and post training evaluation: Immediately before and immediately after training

• Staff Recognition, Reporting and Care Planning of Resident-to-resident Elder Mistreatment Events

  baseline through 1-year follow-up

• Staff Knowledge Module 2

  Administered immediately before and immediately after training was provided

Study Arms (2)

R-REM training

EXPERIMENTAL

3 module training for frontline staff in assisted living facilities related to recognizing and management of resident-to-resident elder mistreatment

Other: R-REM training

Usual Care

NO INTERVENTION

Usual care arm

Interventions

R-REM training OTHER

three training modules for front-line long-term care staff to aid in recognition, management and reporting of R-REM

R-REM training

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• all long term residents residing at each facility at baseline, for those unable to consent, proxy consent will be sought

You may not qualify if:

• residents receiving hospice care,
• facilities will have the option to exclude individuals for selected reasons, (e.g., severe psychosis)

Sponsors & Collaborators

• Hebrew Home at Riverdale: lead
• Cornell University: collaborator
• Weill Medical College of Cornell University: collaborator
• National Institute on Aging (NIA): collaborator

Study Sites (1)

Hebrew Home at Riverdale

The Bronx, New York, 10471, United States

Location

Related Publications (2)

• Teresi JA, Silver S, Boratgis GD, Schultz L, Meador R, Kong J, Eimicke JP, Lachs MS, Pillemer KA. A Staff Intervention Targeting Resident-to-Resident Aggression in Assisted Living: A Cluster-Randomized Trial. J Am Geriatr Soc. 2026 Jan 9. doi: 10.1111/jgs.70268. Online ahead of print.

  PMID: 41511825 DERIVED

• Teresi JA, Silver S, Ramirez M, Kong J, Eimicke JP, Boratgis GD, Meador R, Schultz L, Lachs MS, Pillemer KA. Resident-to-resident elder mistreatment (R-REM) intervention for direct care staff in assisted living residences: study protocol for a cluster randomized controlled trial. Trials. 2020 Aug 12;21(1):710. doi: 10.1186/s13063-020-04580-z.

  PMID: 32787944 DERIVED

Limitations and Caveats

The pandemic may have affected the observed affect and behavior results which may have been impacted by missing data. During the pandemic there was more social isolation, impacting quality-of-life outcomes. There were several limitations to this study, most notably the large amount of missing data observed at the final wave in part because of COVID, affected testing the third study aim. To mitigate this loss, several statistical methods were used to examine missing data due to COVID.

Results Point of Contact

• Title: Jeanne Teresi, EdD, PhD
• Organization: Columbia University in the City of New York

jat61@cumc.columbia.edu

212-305-9379

Study Officials

• Jeanne A Teresi, PhD, EdD

  Research Division, Hebrew Home at Riverdale

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Research Assistants
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 8, 2017
• First Posted: December 26, 2017
• Study Start: June 22, 2018
• Primary Completion: June 5, 2023
• Study Completion: June 5, 2023
• Last Updated: March 30, 2025
• Results First Posted: March 30, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)