We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Estimated Prevalence of Resident-to-Resident Aggression in Assisted Living.
- Authors
Pillemer, Karl; Teresi, Jeanne A.; Ramirez, Mildred; Eimicke, Joseph; Silver, Stephanie; Boratgis, Gabriel; Meador, Rhoda; Schultz, Leslie; Kong, Jian; Ocepek-Welikson, Katja; Chang, E-Shien; Lachs, Mark S.
- Abstract
Key Points: Question: What is the prevalence of resident-to-resident aggression (RRA) among residents of assisted living facilities? Findings: Data from a cross-sectional study using a probability sample of assisted living facilities in New York state showed that the 1-month prevalence of RRA was estimated to be 15.2%. The most common forms of RRA included verbal, physical, and sexual aggression. Meaning: The relatively high prevalence of RRA among residents of assisted living facilities underscores the need for recognition and treatment to avoid serious consequences for residents. Importance: Resident-to-resident aggression in assisted living facilities can result in physical and psychological harm, but its prevalence is unknown. Objective: To estimate the prevalence of resident-to-resident aggression, including physical, verbal, and sexual, among residents in assisted living facilities. Design, Setting, and Participants: This study used cross-sectional, observational data from a clinical trial, in which residents of assisted living facilities were monitored for events over a 1-month period. All residents of 14 large facilities randomly selected from 2 geographic locations (N = 1067), except those receiving hospice care (n = 11), were invited to participate; 93 died or moved prior to enrollment. There were 33 family and resident refusals; 930 residents were enrolled. Data were collected between May 30, 2018, and August 11, 2022. Main Outcomes and Measures: The data are from a clinical trial testing the effectiveness of an intervention to reduce resident-to-resident aggression. In addition, the study was designed to assess prevalence using the Time 1 (baseline) data, using a probability sample of facilities to allow for this analysis. Resident-to-resident aggression was identified using a mixed-method, case-finding strategy involving 6 sources: (1) cognitively capable resident reports regarding 22 possible events, (2) direct care staff report, (3) staff member reports collected from event-reporting forms, (4) research assistant observation of events in real time, (5) facility accident or incident reports, and (6) resident records. Results: The prevalence of resident-to-resident aggression among the 930 participants (mean [SD] age, 88.0 [7.2] years; 738 women [79.4%]) during the past month was estimated to be 15.2% (141 of 930 residents; 95% CI, 12.1%-18.8%). The most common forms of aggression included verbal (11.2% [104 of 930 residents; 95% CI, 8.8%-14.2%]), physical (41 of 930 residents; 4.4% [95% CI, 3.1%-6.3%]), sexual (0.8% [7 of 930 residents; 95% CI, 0.4%-1.6%]), and other (70 of 930 residents; 7.5% [95% CI, 5.5%-10.2%]). These categories are not mutually exclusive as residents could be involved with more than 1 type of aggressive behavior. Conclusions and Relevance: In this cross-sectional, observational prevalence study, resident-to-resident aggression in assisted living facilities was highly prevalent. Verbal aggression was the most common form, and physical aggression also occurred frequently. The effects of resident-to-resident aggression can be both morbid and mortal; therefore, intervention research is needed to prevent it and to treat it when it occurs. This cross-sectional study estimates the prevalence of resident-to-resident aggression, including physical, verbal, and sexual, among residents in assisted living facilities.
- Subjects
NEW York (State); ELDER care; CROSS-sectional method; SEX crimes; VIOLENCE; ALZHEIMER'S disease; RESEARCH funding; INVECTIVE; SCIENTIFIC observation; STATISTICAL sampling; DESCRIPTIVE statistics; AGGRESSION (Psychology); CONGREGATE housing; INTERPERSONAL relations; SOCIODEMOGRAPHIC factors; CONFIDENCE intervals; HOSPICE care
- Publication
JAMA Network Open, 2024, Vol 7, Issue 4, pe249668
- ISSN
2574-3805
- Publication type
Article
- DOI
10.1001/jamanetworkopen.2024.9668