{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:43:11Z","timestamp":1785544991795,"version":"3.56.0"},"reference-count":19,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Nursing"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Training programs help dementia care staff handle residents\u2019 behavioral symptoms in nursing homes and assisted living facilities. However, it is unclear how feeling well-prepared from such training relates to experiences of physical and verbal aggression from residents.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to determine whether perceived training preparedness was related to experiences of physical and verbal aggression from residents in nursing homes and assisted living facilities using data from a large, nationally representative dementia care workforce sample.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This study was an analysis of the 2024 National Dementia Workforce Study, a cross-sectional online survey of the national dementia care workforce. Weighted regression modeling was used to identify associations between feeling well-prepared by training programs and experiencing physical or verbal aggression.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Dementia care staff in nursing homes (weighted n=896,320) commonly reported experiencing physical (365,452\/896,320, 40.8%) and verbal (470,536\/896,320, 52.5%) aggression from residents with dementia, whereas more than two-thirds (614,561\/896,320, 68.6%) reported feeling that their training prepared them well to manage resident behaviors. Staff in assisted living facilities (n=738,856) less commonly reported experiencing physical (198,964\/738,856, 26.9%) and verbal (223,343\/738,856, 30.2%) aggression, whereas almost three-quarters (527,621\/738,856, 71.4%) reported feeling that their training prepared them well to manage resident behaviors. In regression modeling in nursing homes, feeling well-prepared by training for managing resident behaviors was associated with a lower likelihood of experiencing physical aggression (odds ratio [OR] 0.4, 95% CI 0.223-0.711;\n P<\/jats:italic>\n =.01) and verbal aggression (OR 0.5, 95% CI 0.299-0.844;\n P<\/jats:italic>\n =.02). In assisted living facilities, feeling well-prepared by training for managing resident behaviors was associated with a lower likelihood of experiencing physical (OR 0.14, 95% CI 0.04-0.55;\n P<\/jats:italic>\n =.01) and verbal (OR 0.07, 95% CI 0.0134-0.354;\n P<\/jats:italic>\n =.001) aggression.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n While physical and verbal aggression from residents with dementia is common in nursing homes and assisted living facilities, nationally representative weighted regression modeling highlights an association between feeling well-prepared to handle resident behaviors and a lower likelihood of experiencing aggression. As the data used were derived from a cross-sectional survey, the causal link between these 2 factors should be explored in interventional studies. Our results indicate that effective training programs are associated with worker-reported reduced experiences of physical and verbal aggression in both nursing homes and assisted living facilities. The specific components of training programs that may support effectiveness remain unknown.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/94077","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T18:21:47Z","timestamp":1783707707000},"page":"e94077-e94077","source":"Crossref","is-referenced-by-count":0,"title":["Training Programs for Dementia Care Staff and Aggression in Nursing Homes: Secondary Analysis of a Cross-Sectional Online 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