Psychotherapy and Care Quality in Nursing Home Residents
Author Information
Author(s): Huan Tianwen, Intrator Orna, Simning Adam, Boockvar Kenneth, Grabowski David C, Cai Shubing
Primary Institution: University of Rochester
Hypothesis
Does psychotherapy improve the quality of care for long-stay nursing home residents with mental illness or dementia?
Conclusion
Psychotherapy may lower hospitalization risk for residents with mental illness but has limited effects on the quality of care for those with dementia.
Supporting Evidence
- Psychotherapy was associated with lower likelihood of hospitalization in residents with mental illness.
- Five quarterly outcomes were examined including physical behavior and emergency-room visits.
Takeaway
This study looked at whether talking therapy helps people in nursing homes feel better and stay out of the hospital. It found that it helps some people but not everyone.
Methodology
The study used Medicare claims data and MDS assessments to compare outcomes between residents receiving psychotherapy and those who did not.
Limitations
The study found no significant results for other outcomes in the dementia group.
Participant Demographics
Fee-for-service Medicare beneficiaries aged 65 and older.
Statistical Information
P-Value
0.73
Confidence Interval
95%CI: 0.53, 0.99
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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