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Nursing home resident outcomes from the Res-Care intervention


Resnick, Barbara, Gruber-Baldini, Ann L., Zimmerman, Sheryl, Galik, Elizabeth, Pretzer-Aboff, Ingrid, Russ, Karin, Hebel, J. Richard


Journal Of The American Geriatrics Society, Volume: 57, No.: 7, Pages.: 1156-1165

Year of Publication



Objectives: To test the effectiveness of a restorative care (Res-Care) intervention on function, muscle strength, contractures, and quality of life of nursing home residents, with secondary aims focused on strengthening self-efficacy and outcome expectations.; Design: A randomized controlled repeated-measure design was used, and generalized estimating equations were used to evaluate status at baseline and 4 and 12 months after initiation of the Res-Care intervention.; Setting: Twelve nursing homes in Maryland.; Participants: Four hundred eighty-seven residents consented and were eligible: 256 from treatment sites and 231 from control sites. The majority were female (389, 80.1%) and white (325, 66.8%); 85 (17.4%) were married and the remaining widowed, single, or divorced/separated. Mean age was 83.8 +/- 8.2, and mean Mini-Mental State Examination score was 20.4 +/- 5.3.; Intervention: Res-Care was a two-tiered self-efficacy-based intervention focused on motivating nursing assistants and residents to engage in functional and physical activities.; Measurements: Barthel Index, Tinetti Gait and Balance, grip strength, Dementia Quality-of-Life Scale, self-efficacy, and Outcome Expectations Scales for Function.; Results: Significant treatment-by-time interactions (P<.05) were found for the Tinetti Mobility Score and its gait and balance subscores and for walking, bathing, and stair climbing.; Conclusion: The findings provide some evidence for the utility and safety of a Res-Care intervention in terms of improving function in NH residents.;

Bibtex Citation

@article{Resnick_2009, doi = {10.1111/j.1532-5415.2009.02327.x}, url = {}, year = 2009, month = {jul}, publisher = {Wiley-Blackwell}, volume = {57}, number = {7}, pages = {1156--1165}, author = {Barbara Resnick and Ann L. Gruber-Baldini and Sheryl Zimmerman and Elizabeth Galik and Ingrid Pretzer-Aboff and Karin Russ and J. Richard Hebel}, title = {Nursing Home Resident Outcomes from the Res-Care Intervention}, journal = {Journal of the American Geriatrics Society} }


activities of daily living, aged, aged, 80 and over, care, education, female, gait, geriatric assessment, geriatric nursing, humans, inservice training, intervention, intervention studies, male, maryland, motivation, multicompoment, muscle strength, nurses aides, nursing homes, outcome assessment (health care), postural balance, psychology, quality of life, questionnaires, rescare, restorative, self efficacy

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

ADLs/IADLs, Physical Health, Quality of Life of Person With Dementia


Nursing Homes

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions