BUILDING CONFIDENCE IN AGE-FRIENDLY CARE IN NURSING FACILITIES AND CARE SYSTEMS THROUGH THE KANSAS 4M PARTNERSHIPS

Q: What program was used to apply the 4Ms in nursing home settings?

Kansas 4M Project ECHO introduced and applied the 4Ms framework for LTSS and related health care professionals, including staff and clinicians.

Q: How long was the intervention, and how were confidence changes measured?

Confidence was assessed before and after seven sessions using statements rated from Strongly Disagree (1) to Strongly Agree (5), with paired t-tests analyzing changes.

Q: Which areas of care showed significant confidence improvement?

Improvements included strategies for chronic care management, end-of-life support, memory care, telemedicine, and communicating the importance of implementing age-friendly care in nursing facility and care systems.

Sep 29, 2026

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Kansas 4M Project ECHO used the 4Ms framework in a series for Long-Term Services and Support staff, leadership, nurses, nurse educators, advanced practice clinicians, physicians, and behavioral health clinicians (N=37). After seven sessions, confidence improved on key items, including describing strategies to incorporate the 4Ms into chronic care management, end-of-life support, memory care, and telemedicine, and explaining the importance of implementing age-friendly care in nursing facility and care systems supporting older adults. Paired t-tests showed average increases of 1.59 and 1.38 points (p<0.001).

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Kansas 4M Project ECHO overview

Participants and program design

Confidence outcomes after seven sessions

Innovation in Aging, 2025, Vol. 9, No. S2 1055 Mentation, and Mobility) care. In partnership between Kansas 4M, Project Extension for Community Healthcare Outcomes (ECHO), Kansas Nursing Workforce Center, and Advanced Nursing Education Workforce, the Kansas 4M Project ECHO series introduced and applied the 4Ms to the care of nursing home residents, such as communication strategies. This series was designed for Long-Term Services and Support (LTSS) staff, administration, nurses, nurse educators, advanced practice clinicians, physicians, and behavioral health clinicians (N = 37) . Significant improvement in confidence was found after seven sessions for the statement: “I am confident in my ability to describe effective strategies to incorporate the 4Ms framework into areas of care for nursing facility residents and older adults such as chronic care management, end-of-life support, memory care, and telemedicine.” With responses ranging from Strongly Disagree (1 point) to Strongly Agree (5 points). Based on paired t-tests, the average increase was 1.59 points (Standard Deviation (SD)=1.12, t = 8.68, p < 0.001) in confidence from the beginning (Mean (M)=2.7, SD = 1.03) to the latest follow-up (M = 4.3, SD = 0.80). There was also improvement found for the statement:“I am confident in my ability to explain the importance of implementing age-friendly care in nursing facility and nursing care systems that support older adults” by an average of 1.38 points (SD=1.09, t=7.70, p <0.001). The Kansas 4M model with Project ECHO has shown statistically significant evidence for improvement in confidence among health care workers in LTSS. Abstract citation ID: igaf122.3552 BUILDING CONFIDENCE IN AGE-FRIENDLY CARE IN NURSING FACILITIES AND CARE SYSTEMS THROUGH THE KANSAS 4M PARTNERSHIPS Frances Yang1, Shawna Wright2, Barbara MacArthur3, Tracy Davies4, Jacqueline Beldeen2, Colleen Paramesh2, Kristine Williams3, and Teri Kennedy2, 1. University of Kansas, University of Kansas Medical Center, Kansas, United States, 2. University of Kansas Medical Center, Kansas City, Kansas, United States, 3. University of Kansas, Kansas City, Kansas, United States, 4. Washburn University, Topeka, Kansas, United States Kansas 4M Geriatric Workforce Education Program is a statewide community-academic partnership to advance evidence-based Age-Friendly Health Systems (4Ms: What Matters, Medication,

FAQs

What program was used to apply the 4Ms in nursing home settings?

Kansas 4M Project ECHO introduced and applied the 4Ms framework for LTSS and related health care professionals, including staff and clinicians.

How long was the intervention, and how were confidence changes measured?

Confidence was assessed before and after seven sessions using statements rated from Strongly Disagree (1) to Strongly Agree (5), with paired t-tests analyzing changes.

Which areas of care showed significant confidence improvement?

Improvements included strategies for chronic care management, end-of-life support, memory care, telemedicine, and communicating the importance of implementing age-friendly care in nursing facility and care systems.

Sep 29, 2026

Upload by Kurz