Development of a Reminiscence Therapy Online Platform With Machine Learning to Increase Engagement With People Living With Dementia and Their Care Partners

Change in Center for Epidemiological Studies Depression Scale (CES-D) From Baseline

Time Frame: Baseline, After intervention (4 weeks from baseline)

10-item Measure of depressive symptomatology; Scale: 0 (rarely or none of the time) to 3 (most or almost all of the time); Possible scores range from 0 (minimum) to 30 (maximum). Higher scores indicate higher frequency of reported depressive symptomology.

Change in Satisfaction With Care in the Nursing Home Scale From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

Measurement of resident satisfaction with care in a long-term care facility; 8-items measured on a scale of 1 = generally yes and 0 = generally no; Possible scores range from 0 (minimum) to 8 (maximum). Higher scores indicate higher satisfaction with care at the resident's facility.

Change in Quality of Life Alzheimer's Disease (QoL-AD) From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

13-item Quality of life scale for an individual living with Alzheimer's Disease: rated on a scale of 1 (poor) to 4 (excellent); Possible scores range from 13 (minimum) to 52 (maximum). Higher scores indicate higher quality of life.

Change in Cohen-Mansfield Agitation Inventory (CMAI) - Short Form From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

14-item Measurement of agitation that was completed by the staff for each resident they were assigned to conduct a life story interview with at baseline and post-intervention (proxy completed by staff on behalf of each resident) rated on a scale: 1 (never) to 5 (several times an hour) scores can range from 14-70, with higher scores indicating higher frequency of agitated behaviors of persons living with dementia as reported by those staff conducting their life story interviews.

Change in Staff Attitudes Towards Residents Scale From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

Measurement of the attitudes of long term care staff towards the residents under their care includes 4-items on a 5-pt scale of 1= never to 5=always, scores ranging from 4 to 20, higher scores indicate more positive attitudes toward residents.

Change in Individualized Care Instrument (ICI) Subscale - Knowing the Person - From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

13-item subscale of the ICI scale "knowing the person"; rated on a scale from 1 (strongly disagree) to 4 (strongly agree); Possible scores range from 13 (minimum) to 52 (maximum). Higher scores indicate staff feel they know the resident more.

Change in The UCLA 3-Item Loneliness Scale From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

3-item Measurement of feelings of loneliness; rated on a scale: 1 (hardly ever) to 3 (often), ranging from 3 to 9, higher scores indicate higher feelings of loneliness.

Resident Satisfaction With the LifeBio Memory Program

Time Frame: After intervention (4 weeks from baseline)

A total of 9-items were developed from the pilot and current study to understand resident's acceptance and satisfaction with the LifeBio Memory program. Participants answered either "no" (0) or "yes" (1) to each item, with total scores ranging from 0 to 9 (higher scores indicating high satisfaction with the LifeBio Memory program).

Change in Perceived Importance of Life Story Work Among Staff

Time Frame: Baseline; After intervention (4 weeks from baseline)

3-item measure related to the importance of life story work with residents; items are rated on a scale from 1 = strongly disagree to 5 = strongly agree, scores ranging from 3 to 15, with higher scores indicating staff feeling life story work is more important.

Staff Satisfaction With LifeBio Memory Program

Time Frame: After intervention (4 weeks from baseline)

On the follow-up post-evaluations, staff were asked to rate their overall satisfaction with the LifeBio Memory program. A total of 8-items developed from the pilot and current study were rated on a 1 (strongly disagree) to 5 (strongly agree) scale. Possible scores range from 8 (minimum) to 40 (maximum). Higher scores indicate higher satisfaction with the program.

Change in Sense of Competence in Dementia Care Staff (SCIDS) Scale From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

17-item measurement of staffs' overall sense of dementia care competence; rated on a scale: 1 (not at all) to 4 (very much) with scores potentially ranging from 17-68, higher scores indicating higher sense of competence in dementia care among staff.

Change in Person-Centered Care Assessment Tool [Sub-Scales I and II] From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

10-item measurement of staff experience with person-centered care in their current care community; rated on a scale: 1 (strongly disagree) to 5 (strongly agree), scores ranging from 10-50, higher scores indicating higher agreement with experience providing person-centered care.

Change in Direct Care Worker Job Satisfaction Scale From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

9-item measurement of staff satisfaction with different aspects of their job; rated on a Scale: 1 (very dissatisfied) to 4 (very satisfied), potential scores ranging from 9-36, higher scores indicating higher satisfaction with their job.

Change in Individualized Care Instrument (ICI) Subscale - Resident Autonomy Subscale - From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

15-item Measurement of staff perceptions about resident's autonomy; rated on a Scale: 1 (never) to 5 (very frequently), potential scores ranging from 15-75, higher scores indicating staff perceiving residents having more frequent autonomy.

Change in Individualized Care Instrument (ICI) Subscale - Staff and Resident Communication Subscale - From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

7-item measurement of staff perceptions of their communication with residents; rated on a Scale: 1 (never) to 4 (always), scores ranging from 7-28. higher scores indicating higher frequency of staff to resident communication about their care.

Change in Individualized Care Instrument (ICI) Subscale - Staff to Staff Communication Subscale - From Baseline

Time Frame: Baseline; After intervention (4 weeks from baseline)

10-item measurement of staff perceptions of staff to staff level communication, rated on a scale from 1 (never) to 4 (always), scores ranging from 10-40, higher scores indicating more frequent staff to staff communication.

Staff Perceptions About the Feasibility of the LifeBio Memory Program Protocol

Time Frame: After intervention (4 weeks from baseline)

7-items were developed (rated on a 1 = strongly disagree to 5 = strongly agree response scale) and administered on the follow-up post-evaluation to understand staff's perceptions about the feasibility of the program protocol once interviews were complete and materials (i.e., Action Plans, Life Story books, Snapshots) were delivered (e.g., Within the first 2-weeks of delivery, I was able to present the residents' Action Plans during a team meeting"). Possible scores range from 7 (minimum) to 35 (maximum). Higher scores indicate higher feasibility with the implementation of program materials.