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were Community Engagement Studios held for the DIGNITY intervention?","Question",{"text":56,"@type":57},"To involve rural nursing home stakeholders in early development and obtain feedback on study design and procedures, including the intervention protocol, program materials, and implementation and evaluation plan.","Answer",{"name":59,"@type":54,"acceptedAnswer":60},"How were the CE Studios structured and what activities were included?",{"text":61,"@type":57},"Each in-person studio followed a similar format: a welcome and ice breaker, an introduction to DIGNITY, a risky preference card sort activity, and a detailed review of DIGNITY program manual procedures and tools.",{"name":63,"@type":54,"acceptedAnswer":64},"What changes did experts primarily recommend?",{"text":65,"@type":57},"Experts suggested revisions to program materials and procedures, including components such as the DIGNITY Practice Model, Personal Risk Portfolio, Risk and Impact Worksheet, and the Decision-Making 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\nDIGNITY: FEEDBACK FROM RURAL NURSING HOME STAKEHOLDERS VIA COMMUNITY  \nENGAGEMENT STUDIOS  \nSusan Ryan1, Liza Behrens2, Kimberly Van Haitsma2, Jennifer Kraschnewski3, and Marie Boltz2, 1. Center for Innovation, Linthicum, Maryland, United States, 2. The Pennsylvania State University, University Park, Pennsylvania, United States, 3. Penn State College of Medicine, Hershey, Pennsylvania, United States  \nPrior intervention development work identified the need to involve rural nursing home (NH) stakeholders in the initial development of DIGNITY.To meet this need, Community Engagement (CE) Studios were held to obtain feedback on study design and procedures (intervention protocol, program materials, implementation andevaluation plan). Four rounds of CE Studios were conducted with self-identified NH leaders, staff, regulators, and resident advocates (n=2), and rural NH community staff, residents with dementia, and family members (n=2). All CE studios were held in person and followed institutional guidelines. Each CE studio followed a similar format including: a welcome and ice breaker exercise, an introduction to the DIGNITY program, a risky preference card sort activity, and a detailed review of relevant DIGNITY program manual procedures and tools.Audio recordings and written field notes recorded participant responses. Rapid content analysis provided themes for reporting results in a standardized feedback loop. In total, 39 Community Experts participated in CE studios between July 2022 and August 2024. The Experts represented NH leadership (n=3), nursing staff (n=10), social work (n=1), activities staff (n=1), residents with dementia (n=4), family members (n=4), surveyors  \n604 Innovation in Aging, 2025, Vol. 9, No. S2  \n(n=15), and a federal regulator (n=1). Just under half of the participants were working/living in a rural NH community (n=16).  \nExperts primarily suggested changes to program materials and procedures, including the DIGNITY Practice Model, Personal Risk Portfolio, Risk and Impact Worksheet, and Decision-Making Capacity Assessment Tool. Experts were also concerned about program costs. Future work needs to implement all expert suggestions into the intervention manual.","cbCaimpeeQqqYdPh","https://ap.wps.com/l/cbCaimpeeQqqYdPh","pdf",1088374,"English","# Background\n# CE Studios Method\n## Participants and Rounds\n## Activities and Data Collection\n# Key Feedback Themes\n## Program Materials and Procedures\n## Program Costs\n# Next Steps","[{\"question\":\"Why were Community Engagement Studios held for the DIGNITY intervention?\",\"answer\":\"To involve rural nursing home stakeholders in early development and obtain feedback on study design and procedures, including the intervention protocol, program materials, and implementation and evaluation plan.\"},{\"question\":\"How were the CE Studios structured and what activities were included?\",\"answer\":\"Each in-person studio followed a similar format: a welcome and ice breaker, an introduction to DIGNITY, a risky preference card sort activity, and a detailed review of DIGNITY program manual procedures and tools.\"},{\"question\":\"What changes did experts primarily recommend?\",\"answer\":\"Experts suggested revisions to program materials and procedures, including components such as the DIGNITY Practice Model, Personal Risk Portfolio, Risk and Impact Worksheet, and the Decision-Making Capacity Assessment Tool, and they also raised concerns about program costs.\"}]","DIGNITY: FEEDBACK FROM RURAL NURSING HOME STAKEHOLDERS VIA COMMUNITY ENGAGEMENT STUDIOS - Abstract | PDF"]