{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T04:25:27Z","timestamp":1777782327550,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T00:00:00Z","timestamp":1744588800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG068450"],"award-info":[{"award-number":["R01AG068450"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>This study examined associations of COVID-19 mortality rates, staffing, and resident behavior with changes in antidementia and psychotropic medication initiation among nursing home (NH) residents with dementia. A nationally representative survey of Directors of Nursing was analyzed to assess changes in medication initiation at the peak of the pandemic. NHs with higher COVID-19 mortality rates were less likely to report increases in antidementia medication initiation. COVID-19 mortality rates were not associated with significant increases or decreases in psychotropic initiation. NH\u2019s that reported increased resident behavioral problems during the pandemic had higher odds of psychotropic initiation. In summary, NHs most affected by COVID-19 deaths were less likely than NHs with a milder pandemic experience to increase initiation of antidementia medications. Increased behavioral symptoms, possibly due to consequences of COVID-19, were associated with more psychotropic drug use. More research is needed to understand factors influencing prescribing practices during public health emergencies.<\/jats:p>","DOI":"10.1177\/07334648251332388","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T18:38:06Z","timestamp":1744655886000},"page":"17-25","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["COVID-19 Factors Associated With Medication Changes Among Nursing Home Residents With Dementia"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8959-9467","authenticated-orcid":false,"given":"Alison C.","family":"Rataj","sequence":"first","affiliation":[{"name":"University of Massachusetts Chan Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate L.","family":"Lapane","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian R.","family":"Ott","sequence":"additional","affiliation":[{"name":"Brown University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonggyu","family":"Baek","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiwei","family":"Liang","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Alcusky","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,14]]},"reference":[{"key":"e_1_3_7_2_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20200605-02"},{"key":"e_1_3_7_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.578015"},{"key":"e_1_3_7_4_1","doi-asserted-by":"crossref","unstructured":"Campitelli M. A. Bronskill S. E. Maclagan L. C. Harris D. A. Cotton C. A. Tadrous M. Gruneir A. Hogan D. B. Maxwell C. J. (2021). Comparison of medication prescribing before and after the COVID-19 pandemic among nursing home residents in Ontario Canada. JAMA Network Open 4(8) Article e2118441. https:\/\/doi.org\/10.1001\/jamanetworkopen.2021.18441","DOI":"10.1001\/jamanetworkopen.2021.18441"},{"key":"e_1_3_7_5_1","article-title":"Reducing COVID-19 deaths in nursing homes: Call to action","author":"Cantor M.","year":"2020","unstructured":"Cantor M., Liu C., Wong M., Chiang J., Polakoff D. F., Dave J. (2020). Reducing COVID-19 deaths in nursing homes: Call to action. Health Affairs Blog. https:\/\/doi.org\/10.1377\/forefront.20200522.474405","journal-title":"Health Affairs Blog"},{"key":"e_1_3_7_6_1","volume-title":"National partnership \u2013 dementia care resources","author":"Center for Medicare and Medicaid Services (CMS)","year":"2020","unstructured":"Center for Medicare and Medicaid Services (CMS). (2020). National partnership \u2013 dementia care resources. https:\/\/www.cms.gov\/Medicare\/Provider-Enrollment-and-Certification\/SurveyCertificationGenInfo\/National-Partnership-to-Improve-Dementia-Care-in-Nursing-Homes"},{"key":"e_1_3_7_7_1","volume-title":"COVID-19 nursing home data archive; 2020, 2021, and 2022 annual files","author":"Centers for Medicare and Medicaid (CMS) COVID-19 Nursing Home Data","year":"2024","unstructured":"Centers for Medicare and Medicaid (CMS) COVID-19 Nursing Home Data. (2024). COVID-19 nursing home data archive; 2020, 2021, and 2022 annual files. https:\/\/data.cms.gov\/covid-19\/covid-19-nursing-home-data"},{"key":"e_1_3_7_8_1","doi-asserted-by":"crossref","unstructured":"Chen A. T. Yun H. Ryskina K. L. Jung H. (2021). Nursing home characteristics associated with resident COVID-19 morbidity in communities with high infection rates. JAMA Network Open 4(3) Article e211555. https:\/\/doi.org\/10.1001\/jamanetworkopen.2021.1555","DOI":"10.1001\/jamanetworkopen.2021.1555"},{"key":"e_1_3_7_9_1","volume-title":"Over 200,000 residents and staff in long-term care facilities have died from COVID-19","author":"Chidambaram P.","year":"2022","unstructured":"Chidambaram P. (2022). Over 200,000 residents and staff in long-term care facilities have died from COVID-19. KFF. https:\/\/www.kff.org\/policy-watch\/over-200000-residents-and-staff-in-long-term-care-facilities-have-died-from-covid-19\/#:\u223c:text=More_than_200%2C000_long%2Dterm,deaths_over_this_bleak_milestone"},{"key":"e_1_3_7_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-017-0428-1"},{"key":"e_1_3_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18116"},{"key":"e_1_3_7_12_1","volume-title":"COVID-19 intensifies nursing home workforce challenges","author":"Denny-Brown N.","year":"2020","unstructured":"Denny-Brown N., Stone D., Hays B., Gallaghe D. (2020). COVID-19 intensifies nursing home workforce challenges. U.S. Department Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation. https:\/\/aspe.hhs.gov\/reports\/covid-19-intensifies-nursing-home-workforce-challenges"},{"key":"e_1_3_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558717745936"},{"key":"e_1_3_7_14_1","doi-asserted-by":"crossref","unstructured":"Dub\u00e9 C. E. Nielsen N. McPhillips E. Lee Hargraves J. Cosenza C. Jesdale B. Lapane K. L. (2023). U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis. PLoS One 18(12) Article e0293336. https:\/\/doi.org\/10.1371\/journal.pone.0293336","DOI":"10.1371\/journal.pone.0293336"},{"key":"e_1_3_7_15_1","volume-title":"Guidelines on the optimal and rational supply of medicines to avoid shortages during the COVID-19 outbreak","author":"European Commission","year":"2020","unstructured":"European Commission. (2020). Guidelines on the optimal and rational supply of medicines to avoid shortages during the COVID-19 outbreak. https:\/\/eur-lex.europa.eu\/legal-content\/EN\/TXT\/?toc=OJ%3AC%3A2020%3A116I%3ATOC&uri=uriserv%3AOJ.CI.2020.116.01.0001.01.ENG"},{"key":"e_1_3_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjopharm.2006.10.001"},{"key":"e_1_3_7_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13584-016-0070-y"},{"key":"e_1_3_7_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2022.0010"},{"key":"e_1_3_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-021-00531-2"},{"key":"e_1_3_7_20_1","doi-asserted-by":"crossref","unstructured":"Gorges R. J. Konetzka R. T. (2021). Factors associated with racial differences in deaths among nursing home residents with COVID-19 infection in the US. JAMA Network Open 4(2) Article e2037431. https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.37431","DOI":"10.1001\/jamanetworkopen.2020.37431"},{"key":"e_1_3_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(20)30370-7"},{"key":"e_1_3_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200012000-00003"},{"key":"e_1_3_7_23_1","doi-asserted-by":"crossref","unstructured":"Ju C. Lau W. C. Y. Hayes J. F. Osborn D. Man K. K. C. Chan E. W. Wong I. C. K. Wei L. (2021). Impact of the COVID-19 pandemic on use of anti-dementia medications in 34 European and North American countries. Alzheimer\u2019s and Dementia 7(1) Article e12206. https:\/\/doi.org\/10.1002\/trc2.12206","DOI":"10.1002\/trc2.12206"},{"key":"e_1_3_7_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610213002019"},{"key":"e_1_3_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2023.09.022"},{"key":"e_1_3_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16847"},{"key":"e_1_3_7_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5567"},{"key":"e_1_3_7_28_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-201016"},{"key":"e_1_3_7_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40120-015-0032-2"},{"key":"e_1_3_7_30_1","volume-title":"Nursing home compare data archive \u2013 2022 annual files","author":"Nursing Home Compare","year":"2022","unstructured":"Nursing Home Compare. (2022). Nursing home compare data archive \u2013 2022 annual files. https:\/\/data.medicare.gov\/data\/archives\/nursing-home-compare"},{"key":"e_1_3_7_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/08919887231202948"},{"key":"e_1_3_7_32_1","volume-title":"Experiences of directors of nursing in preparing for and managing Covid-19 in care homes for older people","author":"Phelan A.","year":"2022","unstructured":"Phelan A., Daly L., Coffey A., Kent S., Naughton C., Tuohy D., Ryan A., Byrne M. (2022). Experiences of directors of nursing in preparing for and managing Covid-19 in care homes for older people. Trinity Centre for Practice and Healthcare Innovation. https:\/\/www.tcd.ie\/tcphi\/assets\/pdf\/experienceofdons-carehomes-covid.pdf"},{"key":"e_1_3_7_33_1","volume-title":"2022 annual file","author":"Provider of Services (POS)","year":"2022","unstructured":"Provider of Services (POS). (2022). 2022 annual file. https:\/\/data.cms.gov\/provider-characteristics\/hospitals-and-other-facilities\/provider-of-services-file-hospital-non-hospital-facilities"},{"key":"e_1_3_7_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000002016"},{"key":"e_1_3_7_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcvp\/pvad102"},{"key":"e_1_3_7_36_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20180322-03"},{"key":"e_1_3_7_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2022.12.007"},{"key":"e_1_3_7_38_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2021.0224"},{"key":"e_1_3_7_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17739"},{"key":"e_1_3_7_40_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000201161"},{"key":"e_1_3_7_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40266-022-00948-9"},{"key":"e_1_3_7_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.11.022"},{"key":"e_1_3_7_43_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000011832"},{"key":"e_1_3_7_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2022.09.009"}],"container-title":["Journal of Applied Gerontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07334648251332388","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/07334648251332388","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07334648251332388","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:33:22Z","timestamp":1777491202000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/07334648251332388"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,14]]},"references-count":43,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/07334648251332388"],"URL":"https:\/\/doi.org\/10.1177\/07334648251332388","relation":{},"ISSN":["0733-4648","1552-4523"],"issn-type":[{"value":"0733-4648","type":"print"},{"value":"1552-4523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,14]]}}}