Abstract
Summary
Women and residents in Certified Nursing Homes (CNHs) with higher star ratings had
better attendance in exercise and social engagement programming (ie, Bingocize) than
men and residents in CNHs with lower ratings.
Objective
The purpose of the current study was to determine whether resident factors and nursing
home star ratings influenced attendance in Bingocize, a therapeutic exercise program
that incorporates opportunities for social engagement in nursing homes.
Design
This is a descriptive study of data collected across multiple nursing homes over 17 months.
Setting and Participants
Data were collected from residents in 25 certified nursing homes in the mid-southern
United States.
Methods
The program consisted of two 45–60-minute sessions each week. Bingocize attendance
was recoded as number of sessions attended each month from September 2017 to February
2019 in 25 nursing homes. The impact of gender, age, cognitive functioning, and Nursing
Home Star Ratings on adherence to the program based on percentage of Bingocize sessions
attended was analyzed.
Results
A total of 1165 residents of certified nursing homes were recruited and participated
in Bingocize; 55% of participants attended Bingocize infrequently or had poor attendance,
21% of the participants had average attendance, and 24% had good attendance. The association
between gender and level of attendance was significant (P = .045). The star rating of the nursing home also affected attendance. As star level
of the nursing home increased, the percentage of good attendance increased (P < .001): 19.12% (1 star), 20.69% (2 stars), 23.57% (3 stars), 33.76% (4 stars), and
36.63% (5 stars). Neither age nor cognitive functioning [based on Brief Interview
of Mental Status (BIMS)] had a significant impact on attendance.
Conclusions and Implications
We examined adherence to an exercise program called Bingocize based on percentage
of sessions attended in 25 nursing homes. Women and residents in nursing homes with
higher star ratings were reported to have better attendance in Bingocize than men
or residents in nursing homes with lower ratings, respectively. Residents of all ages
and cognitive ability can successfully participate in the Bingocize program.
Keywords
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Article info
Publication history
Published online: October 29, 2020
Footnotes
This work was supported by Western Kentucky University and a Civil Money Penalty grant to K. Jason Crandall (PI) and Jean Neils-Strunjas (co-PI), Centers for Medicare and Medicaid Services.
The authors declare no conflicts of interests.
Identification
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© 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
