{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T09:23:35Z","timestamp":1787822615981,"version":"build-2784847793"},"reference-count":35,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["T32CA190194"],"award-info":[{"award-number":["T32CA190194"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01 AG066922"],"award-info":[{"award-number":["R01 AG066922"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["T32AG000262"],"award-info":[{"award-number":["T32AG000262"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Family visits with nursing home residents have been shown to improve residents' quality of life. However, little is known about the association between in\u2010person family visits and physical (e.g., pain) and behavioral symptoms (e.g., agitation) among residents with cognitive impairment. Using data from a large clinical trial of a palliative care program in Maryland and Indiana, we examined the association between family visits and staff\u2010reported resident symptom burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using cross\u2010sectional baseline data from an ongoing multi\u2010state clinical trial involving 194 nursing home residents with cognitive impairment, we conducted bivariate analyses to examine the association between in\u2010person family visits (family involvement) as reported by family members and staff\u2010reported resident symptom burden. Linear regression models assessed the association between symptom burden and family visits in an adjusted framework. The model controlled for other relevant covariates, including resident race, gender, and age, and the care partner's relationship to the resident. Staff\u2010reported symptom burden was measured using a modified version of the Comfort Assessment in Dying End of Life in Dementia (CAD\u2010EOLD) scale. Family involvement was measured by the average weekly frequency of in\u2010person visits reported by the family over the past month.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      On average, spouses visited 5\u2009days per week, children 2\u2009days per week, and other family members 1.5\u2009days a week. In bivariate analyses, there was a weak but statistically significant and positive correlation between family involvement and symptom burden (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.16,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04). However, in the adjusted model, the association was not statistically significant (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u20090.16,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.09).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bivariate analyses suggest a significant and positive correlation between family visitation and symptom burden. However, this finding was not in the expected direction. Family visitation was associated with residents experiencing greater symptom burden. The association was not statistically significant in the adjusted model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      identifier: NCT04520698\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70552","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T15:17:17Z","timestamp":1784128637000},"page":"2226-2234","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Family Visits and Symptom Burden in Nursing Home Residents With Cognitive Impairment"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4981-6874","authenticated-orcid":false,"given":"Gretchen G.","family":"Tucker","sequence":"first","affiliation":[{"name":"University of Maryland School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John G.","family":"Cagle","sequence":"additional","affiliation":[{"name":"University of Maryland School of Social Work  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy E.","family":"Stump","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanzhu","family":"Tu","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4170-1412","authenticated-orcid":false,"given":"Todd D.","family":"Becker","sequence":"additional","affiliation":[{"name":"WashU Medicine  St. Louis Missouri USA"},{"name":"Silberman School of Social Work at Hunter College, City University of New York  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Floyd","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4203-4749","authenticated-orcid":false,"given":"Peiyuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"University of Maryland School of Social Work  Baltimore Maryland USA"},{"name":"University of Alabama School of Social Work  Tuscaloosa Alabama 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