{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T06:28:07Z","timestamp":1792304887100,"version":"4.4.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T00:00:00Z","timestamp":1786147200000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Alzheimer\u2019s Association","id":[{"id":"https:\/\/ror.org\/0375f4d26","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,10]]},"abstract":"Abstract<\/jats:title>\n \n Background and Objectives<\/jats:title>\n Within care communities, including nursing home and assisted living settings, person-centered dementia care, outlined by the 2018 Alzheimer\u2019s Association Dementia Care Practice Recommendations (DCPR), is foundational to quality care and improving staff outcomes. This study evaluates the effectiveness of a 6-month Care Community Coaching Program in enhancing person-centered dementia care and staff outcomes in alignment with the DCPR.<\/jats:p>\n <\/jats:sec>\n \n Research Design and Methods<\/jats:title>\n A cluster randomized controlled trial was conducted with 77 care communities and 434 staff members\u2014227 from 38 intervention communities and 207 from 39 control communities. Outcomes included employee satisfaction (areas: job satisfaction, team building and communication, scheduling and staffing, training, and management and leadership), person-centered care practices (areas: workplace practices, individualized care and services, caregiver-resident relationships), and dementia care confidence, measured pre- and post-intervention and at 3-month follow-up. A generalized Estimating Equations model was used to estimate intervention effects.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Care communities assigned to the coaching intervention showed statistically significant improvements in employee satisfaction and staff perceptions of workplace practices and individualized care. No statistically significant effects on staff perceptions of caregiver-resident relationships or on dementia care confidence were noted.<\/jats:p>\n <\/jats:sec>\n \n Discussion and Implications<\/jats:title>\n Findings provide direction for future research and intervention development, including examining coaching\u2019s impact on resident quality outcomes, and incorporating skills training into future models. Collectively, findings provide evidence of the effectiveness of a Care Community Coaching Program in improving staff outcomes and person-centered practices, offering a practical path towards improving the lived experience of residents and staff in care communities.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/geront\/gnag183","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T11:10:59Z","timestamp":1786101059000},"source":"Crossref","is-referenced-by-count":1,"title":["Evaluating a coaching intervention for Dementia Care Practice Recommendations in care communities: a cluster randomized controlled trial"],"prefix":"10.1093","volume":"66","author":[{"given":"Boeun","family":"Kim","sequence":"first","affiliation":[{"name":"College of Nursing, University of Iowa , Iowa City, Iowa,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basia","family":"Belza","sequence":"additional","affiliation":[{"name":"de Tornyay Center for Healthy Aging, School of Nursing, University of Washington , Seattle, Washington,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn","family":"Johnson","sequence":"additional","affiliation":[{"name":"Care & Support, Programs and Research Department, Alzheimer\u2019s Association , Chicago, Illinois,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Waddington","sequence":"additional","affiliation":[{"name":"Care & Support, Programs and Research Department, Alzheimer\u2019s Association , Chicago, Illinois,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4570-4281","authenticated-orcid":false,"given":"Walter","family":"Moczygemba","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill National Center for Excellence in Assisted Living at the University of North Carolina (CEAL@UNC), , Chapel Hill, North Carolina,","place":["United States"]},{"name":"University of North Carolina at Chapel Hill Cecil G. Sheps Center for Health Services Research, , Chapel Hill, North Carolina,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Fazio","sequence":"additional","affiliation":[{"name":"Care & Support, Programs and Research Department, Alzheimer\u2019s Association , Chicago, Illinois,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1228-814X","authenticated-orcid":false,"given":"Lorna","family":"Prophater","sequence":"additional","affiliation":[{"name":"Care & Support, Programs and Research Department, Alzheimer\u2019s Association , Chicago, Illinois,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"2026101714461907700_gnag183-B1","doi-asserted-by":"publisher","first-page":"1611","DOI":"10.1016\/j.jamda.2019.06.020","article-title":"Factors associated with nurses\u2019 job satisfaction in residential long-term care: The importance of organizational context","volume":"20","author":"Aloisio","year":"2019","journal-title":"Journal of the American Medical Directors Association"},{"key":"2026101714461907700_gnag183-B2","doi-asserted-by":"publisher","first-page":"e70235","DOI":"10.1002\/alz.70235","article-title":"Alzheimer\u2019s disease facts and figures","volume":"21","author":"Alzheimer\u2019s Association","year":"2025","journal-title":"Alzheimers Dement"},{"key":"2026101714461907700_gnag183-B3","author":"Alzheimer\u2019s Association","year":".."},{"key":"2026101714461907700_gnag183-B4","author":"Alzheimer\u2019s Association","year":".."},{"key":"2026101714461907700_gnag183-B5","author":"Alzheimer\u2019s Association","year":".."},{"key":"2026101714461907700_gnag183-B6","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1177\/1533317513520213","article-title":"Effects of person-centered care approaches to dementia care on staff: A systematic review","volume":"30","author":"Barbosa","year":"2015","journal-title":"American Journal of Alzheimer\u2019s Disease and Other Dementias"},{"key":"2026101714461907700_gnag183-B7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2147\/CIA.S38589","article-title":"Effects of person-centered care on residents and staff in aged-care facilities: A systematic review","volume":"8","author":"Brownie","year":"2013","journal-title":"Clinical Interventions in Aging"},{"key":"2026101714461907700_gnag183-B8","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1017\/S0714980816000374","article-title":"Practice change interventions in long-term care facilities: What works, and why?","volume":"35","author":"Caspar","year":"2016","journal-title":"Canadian Journal on Aging"},{"key":"2026101714461907700_gnag183-B9","author":"Centers for Medicare & Medicaid Services","year":"."},{"key":"2026101714461907700_gnag183-B10","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1186\/s12913-016-1815-6","article-title":"Individual and organizational predictors of health care aide job satisfaction in long term care","volume":"16","author":"Chamberlain","year":"2016","journal-title":"BMC Health Services Research"},{"key":"2026101714461907700_gnag183-B11","author":"Chidambaram","year":"2024"},{"key":"2026101714461907700_gnag183-B12","author":"Colorado State University","year":"."},{"key":"2026101714461907700_gnag183-B13","doi-asserted-by":"publisher","first-page":"47","DOI":"10.3928\/00989134-20071101-08","article-title":"Initiating person-centered care practices in long-term care facilities","volume":"33","author":"Crandall","year":"2007","journal-title":"Journal of Gerontological Nursing"},{"key":"2026101714461907700_gnag183-B14","doi-asserted-by":"publisher","first-page":"726","DOI":"10.1093\/geroni\/igy023.2682","article-title":"The impact of leadership and culture on sustainability of a dementia training program in long-term care","volume":"2","author":"Danylyshen-Laycock","year":"2018","journal-title":"Innovation in Aging"},{"key":"2026101714461907700_gnag183-B15","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1080\/13607863.2013.856860","article-title":"\u201cGetting to Know Me\u201d: The development and evaluation of a training programme for enhancing skills in the care of people with dementia in general hospital settings","volume":"18","author":"Elvish","year":"2014","journal-title":"Aging & Mental Health"},{"key":"2026101714461907700_gnag183-B16","doi-asserted-by":"publisher","first-page":"S10","DOI":"10.1093\/geront\/gnx122","article-title":"The fundamentals of person-centered care for individuals with dementia","volume":"58","author":"Fazio","year":"2018","journal-title":"The Gerontologist"},{"key":"2026101714461907700_gnag183-B17","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1093\/geront\/gnx182","article-title":"Alzheimer\u2019s association Dementia Care Practice Recommendations","volume":"58","author":"Fazio","year":"2018","journal-title":"The Gerontologist"},{"key":"2026101714461907700_gnag183-B18","doi-asserted-by":"publisher","first-page":"e0159137","DOI":"10.1371\/journal.pone.0159137","article-title":"Coaching as a developmental intervention in organisations: A systematic review of its effectiveness and the mechanisms underlying it","volume":"11","author":"Grover","year":"2016","journal-title":"PloS One"},{"key":"2026101714461907700_gnag183-B19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1108\/JCS-09-2017-0043","article-title":"The good coach: implementation and sustainment factors that affect coaching as evidence-based intervention fidelity support","volume":"13","author":"Gunderson","year":"2018","journal-title":"Journal of Children\u2019s Services"},{"key":"2026101714461907700_gnag183-B20","doi-asserted-by":"publisher","first-page":"816","DOI":"10.1016\/j.gerinurse.2021.04.005","article-title":"Perceptions and experiences of person-centered care among nurses and nurse aides in long term residential care facilities: A systematic review of qualitative studies","volume":"42","author":"G\u00fcney","year":"2021","journal-title":"Geriatric Nursing (New York, N.Y.)"},{"key":"2026101714461907700_gnag183-B21","author":"Institute for Healthcare Improvement","year":"."},{"key":"2026101714461907700_gnag183-B22","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1016\/j.ijnurstu.2011.10.020","article-title":"Staff outcomes from the Caring for Aged Dementia Care REsident Study (CADRES): A cluster randomised trial","volume":"49","author":"Jeon","year":"2012","journal-title":"International Journal of Nursing Studies"},{"key":"2026101714461907700_gnag183-B23","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1177\/08404704241290777","article-title":"HCA PIECESTM Care Coach Program: Peer-to-peer approach to promote person-centred care in long-term care","volume":"38","author":"Jones","year":"2025","journal-title":"Healthcare Management Forum"},{"key":"2026101714461907700_gnag183-B24","doi-asserted-by":"publisher","first-page":"1395","DOI":"10.1016\/j.ijnurstu.2014.04.003","article-title":"Resident outcomes of person-centered care in long-term care: a narrative review of interventional research","volume":"51","author":"Li","year":"2014","journal-title":"International Journal of Nursing Studies"},{"key":"2026101714461907700_gnag183-B25","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1093\/biomet\/73.1.13","article-title":"Longitudinal data analysis using generalized linear models","volume":"73","author":"Liang","year":"1986","journal-title":"Biometrika"},{"key":"2026101714461907700_gnag183-B26","doi-asserted-by":"publisher","first-page":"105026","DOI":"10.1016\/j.jamda.2024.105026","article-title":"Implementation of evidence-based practice in long-term care: A scoping review","volume":"25","author":"McGough","year":"2024","journal-title":"Journal of the American Medical Directors Association"},{"key":"2026101714461907700_gnag183-B27","doi-asserted-by":"publisher","first-page":"6647","DOI":"10.1002\/alz.14111","article-title":"Empowering a person-centered long-term care workforce","volume":"20","author":"Pace","year":"2024","journal-title":"Alzheimer\u2019s & Dementia"},{"key":"2026101714461907700_gnag183-B28","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1016\/j.gerinurse.2017.10.001","article-title":"Resident choice: A nursing home staff perspective on tensions and resolutions","volume":"39","author":"Palmer","year":"2018","journal-title":"Geriatric Nursing (New York, N.Y.)"},{"key":"2026101714461907700_gnag183-B29","doi-asserted-by":"publisher","first-page":"e039939","DOI":"10.1136\/bmjopen-2020-039939","article-title":"Impact of dementia education and training on health and social care staff knowledge, attitudes and confidence: a cross-sectional study","volume":"11","author":"Parveen","year":"2021","journal-title":"BMJ Open"},{"key":"2026101714461907700_gnag183-B30","doi-asserted-by":"publisher","first-page":"e12598","DOI":"10.1111\/nin.12598","article-title":"Work engagement, psychological empowerment and relational coordination in long-term care: A mixed-method examination of nurses\u2019 perceptions and experiences","volume":"31","author":"Rawson","year":"2024","journal-title":"Nursing Inquiry"},{"key":"2026101714461907700_gnag183-B31","doi-asserted-by":"publisher","first-page":"440","DOI":"10.1111\/psyg.12422","article-title":"What influences self-perceived competence and confidence in dementia care home staff? A systematic review","volume":"19","author":"Rivett","year":"2019","journal-title":"Psychogeriatrics"},{"key":"2026101714461907700_gnag183-B32","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1080\/13607863.2017.1399342","article-title":"Outcomes in knowledge, attitudes and confidence of nursing staff working in nursing and residential care homes following a dementia training programme","volume":"23","author":"Scerri","year":"2019","journal-title":"Aging & Mental Health"},{"key":"2026101714461907700_gnag183-B33","doi-asserted-by":"publisher","first-page":"1172","DOI":"10.1002\/gps.4488","article-title":"The impact of staff training on staff outcomes in dementia care: A systematic review","volume":"31","author":"Spector","year":"2016","journal-title":"International Journal of Geriatric Psychiatry"},{"key":"2026101714461907700_gnag183-B34","doi-asserted-by":"publisher","first-page":"157924","DOI":"10.1155\/2015\/157924","article-title":"Job satisfaction among care aides in residential long-term care: A systematic review of contributing factors, both individual and organizational","volume":"2015","author":"Squires","year":"2015","journal-title":"Nursing Research and Practice"},{"key":"2026101714461907700_gnag183-B35","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2014\/303728","article-title":"Generalized estimating equations in longitudinal data analysis: A review and recent developments","volume":"2014","author":"Wang","year":"2014","journal-title":"Advances in Statistics"},{"key":"2026101714461907700_gnag183-B36","doi-asserted-by":"publisher","first-page":"105379","DOI":"10.1016\/j.jamda.2024.105379","article-title":"A team coaching intervention for dementia care: Acceptability and feasibility study in care communities","volume":"26","author":"Welsch","year":"2025","journal-title":"Journal of the American Medical Directors Association"},{"key":"2026101714461907700_gnag183-B37","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1016\/j.jamda.2009.04.004","article-title":"Beyond the medical model: The culture change revolution in long-term care","volume":"10","author":"White-Chu","year":"2009","journal-title":"Journal of the American Medical Directors Association"},{"key":"2026101714461907700_gnag183-B38","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1016\/j.jamda.2014.07.016","article-title":"A measure of person-centered practices in assisted living: The PC-PAL","volume":"16","author":"Zimmerman","year":"2015","journal-title":"Journal of the American Medical Directors Association"}],"container-title":["The Gerontologist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/gerontologist\/advance-article-pdf\/doi\/10.1093\/geront\/gnag183\/70544787\/gnag183.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/gerontologist\/article-pdf\/66\/10\/gnag183\/70544787\/gnag183.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/gerontologist\/article-pdf\/66\/10\/gnag183\/70544787\/gnag183.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T18:46:23Z","timestamp":1792262783000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/gerontologist\/article\/doi\/10.1093\/geront\/gnag183\/8756713"}},"subtitle":[],"editor":[{"given":"Howard B","family":"Degenholtz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,8,7]]},"references-count":38,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,9,10]]}},"URL":"https:\/\/doi.org\/10.1093\/geront\/gnag183","relation":{},"ISSN":["0016-9013","1758-5341"],"issn-type":[{"value":"0016-9013","type":"print"},{"value":"1758-5341","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,10]]},"published":{"date-parts":[[2026,8,7]]},"article-number":"gnag183"}}