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Effectiveness of Expanded Implementation of STAR-VA for Managing Dementia-Related Behaviors Among Veterans

Overview of attention for article published in Gerontologist, July 2015
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  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (78th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (58th percentile)

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1 policy source
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6 X users

Citations

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47 Dimensions

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129 Mendeley
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Title
Effectiveness of Expanded Implementation of STAR-VA for Managing Dementia-Related Behaviors Among Veterans
Published in
Gerontologist, July 2015
DOI 10.1093/geront/gnv068
Pubmed ID
Authors

Michele J. Karel, Linda Teri, Eleanor McConnell, Stephanie Visnic, Bradley E. Karlin

Abstract

Nonpharmacological, psychosocial approaches are first-line treatments for managing behavioral symptoms in dementia, but they can be challenging to implement in long-term care settings. The Veterans Health Administration implemented Staff Training in Assisted Living Residences (STAR)-VA, an interdisciplinary behavioral approach for managing challenging dementia-related behaviors in its Community Living Center (CLCs, nursing home care) settings. This study describes how the program was implemented and provides an evaluation of Veteran clinical outcomes and staff feedback on the intervention. One mental health professional and registered nurse team from 17 CLCs completed STAR-VA training, which entailed an experiential workshop followed by 6 months of expert consultation as they worked with their teams to implement STAR-VA with Veterans identified to have challenging dementia-related behaviors. The frequency and severity of target behaviors and symptoms of depression, anxiety, and agitation were evaluated at baseline and at intervention completion. Staff provided feedback regarding STAR-VA feasibility and impact. Seventy-one Veterans completed the intervention. Behaviors clustered into 6 types: care refusal or resistance, agitation, aggression, vocalization, wandering, and other. Frequency and severity of target behaviors and symptoms of depression, anxiety, and agitation all significantly decreased, with overall effect sizes of 1 or greater. Staff rated both benefits for Veterans and program feasibility favorably. This evaluation supports the feasibility and effectiveness of STAR-VA, an interdisciplinary, behavioral intervention for managing challenging behaviors among residents with dementia in CLCs.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 129 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 <1%
Unknown 128 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 19 15%
Student > Ph. D. Student 18 14%
Researcher 14 11%
Student > Bachelor 12 9%
Student > Doctoral Student 9 7%
Other 34 26%
Unknown 23 18%
Readers by discipline Count As %
Nursing and Health Professions 31 24%
Psychology 22 17%
Medicine and Dentistry 16 12%
Social Sciences 11 9%
Engineering 4 3%
Other 15 12%
Unknown 30 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 March 2020.
All research outputs
#5,188,619
of 25,377,790 outputs
Outputs from Gerontologist
#957
of 2,751 outputs
Outputs of similar age
#60,172
of 276,302 outputs
Outputs of similar age from Gerontologist
#19
of 46 outputs
Altmetric has tracked 25,377,790 research outputs across all sources so far. Compared to these this one has done well and is in the 79th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,751 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.1. This one has gotten more attention than average, scoring higher than 65% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 276,302 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 78% of its contemporaries.
We're also able to compare this research output to 46 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 58% of its contemporaries.