MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'The Gerontologist' source. Sat, 20 Mar 2010 14:21:45 +0100 http://www.medworm.com/index.php?rid=3371409&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20231170%26dopt%3DAbstract Authors: PMID: 20231170 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3371409 Wed, 17 Mar 2010 13:56:19 +0100 3371409 http://www.medworm.com/index.php?rid=3371408&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20231171%26dopt%3DAbstract Authors: PMID: 20231171 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3371408 Wed, 17 Mar 2010 13:56:16 +0100 3371408 http://www.medworm.com/index.php?rid=3371407&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20231172%26dopt%3DAbstract Authors: PMID: 20231172 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3371407 Wed, 17 Mar 2010 13:56:13 +0100 3371407 http://www.medworm.com/index.php?rid=3371406&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20231173%26dopt%3DAbstract Authors: PMID: 20231173 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3371406 Wed, 17 Mar 2010 13:56:11 +0100 3371406 http://www.medworm.com/index.php?rid=3371405&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20231174%26dopt%3DAbstract Authors: McAuley WJ PMID: 20231174 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3371405 Wed, 17 Mar 2010 13:56:08 +0100 3371405 http://www.medworm.com/index.php?rid=3371404&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20231175%26dopt%3DAbstract Authors: Achenbaum WA Donald Peterson Kent believed that gerontology would grow through innovative inquiry, effective teaching, and well-evaluated policies and programs that benefited the elderly people. Because advances in research, education, and practice sustain each other, Kent's tripartite agenda continues to be instructive as globalization presents fresh challenges and opportunities for gerontologists to advance our multifaceted, multidisciplinary, multinational enterprise. Donald Kent's vision offers a compelling blueprint for interpreting the field's future as gerontologists engage in theory building, educational trail blazing, and redefining older people's roles in aging societies. PMID: 20231175 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3371404 Wed, 17 Mar 2010 13:56:05 +0100 3371404 http://www.medworm.com/index.php?rid=3354853&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211944%26dopt%3DAbstract This study tested a theoretical model of volunteering benefits and examined the mechanism through which volunteering benefits older adults. DESIGN AND METHODS: This is a 2-wave study of 253 older adult volunteers serving in 10 volunteer programs. Older volunteers completed the mailed surveys in 2005 and 2006. Structural equation modeling was used to define the latent variables and to test direct and indirect relationships among organizational support, socioemotional benefits, and self-reported health. RESULTS: Organizational support (measured by choice of volunteer activity, training, and ongoing support) had significant direct associations with 2 latent factors of socioemotional benefits, that is, perceived contribution and personal benefits. Perceived contribution was significantly relat... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3354853 Mon, 08 Mar 2010 00:00:00 +0100 3354853 http://www.medworm.com/index.php?rid=3340010&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20203096%26dopt%3DAbstract Authors: McDougall GJ, Becker H, Pituch K, Acee TW, Vaughan PW, Delville CL PURPOSE: Cognitive training improves mental abilities in older adults, but the benefit to minority elders is unclear. We conducted a subgroup analysis of subjects in the SeniorWISE (Wisdom Is Simply Exploration) trial to examine this issue. DESIGN AND METHODS: SeniorWISE was a Phase 3 randomized trial that enrolled 265 nondemented community-dwelling older adults aged 65 years and older between 2001 and 2006. Participants were randomly assigned to 12 hr of either memory or health training. RESULTS: The sample was 79% female, 71% Caucasian, 17% Hispanic, and 12% African American. On the Rivermead Behavioural Memory Test (RBMT), 28% of the sample scored normal, 47% scored poor, and 25% impaired. Memory performance... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3340010 Thu, 04 Mar 2010 00:00:00 +0100 3340010 http://www.medworm.com/index.php?rid=3316291&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20185520%26dopt%3DAbstract Authors: Tyler DA, Jung HY, Feng Z, Mor V PURPOSE: The purpose of this study was to describe how the prevalence of nurse aide training and competency evaluation programs (NATCEPs) provided in the nursing home (NH) setting changed between 1997 and 2007, to explore the environmental factors that may be influencing the prevalence of these programs, and to examine how the changing prevalence of NH-based NATCEPs may be affecting those considering certified nursing assistant (CNA) work. Methods: We used the Online Survey Certification and Reporting (OSCAR) data to generate descriptive statistics for 3 groups of NHs from 1997 to 2007: NHs that never provided an NATCEP, those that provided the program throughout the study period, and those that provided the program intermittently. We gathered ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3316291 Thu, 25 Feb 2010 00:00:00 +0100 3316291 http://www.medworm.com/index.php?rid=3316290&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20185521%26dopt%3DAbstract Authors: Doron I, Apter I In recent years, there has been a growing interest and debate around the question, whether there is a need for an international convention on the rights of older persons. The debate around this question is far from simple or consensual. Although there are strong voices in favor, there are also strong arguments against. Moreover, the mere fact that a legal gap exists at the international level is not a sufficient reason for the advancement of a new convention. Hence, the goal of this article will be not only to provide a detailed analysis of the arguments in support and against such a convention but also to propose some specific recommendations for the advancement of such a convention in the future. PMID: 20185521 [PubMed - as supplied by publisher] (Source... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3316290 Thu, 25 Feb 2010 00:00:00 +0100 3316290 http://www.medworm.com/index.php?rid=3316289&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20185522%26dopt%3DAbstract Authors: Golden AG, Tewary S, Dang S, Roos BA Community-based frail older adults, burdened with complex medical and social needs, are at great risk for preventable rapid rehospitalizations. Although federal and state regulations are in place to address the care transitions between the hospital and nursing home, no such guidelines exist for the much larger population of community-dwelling frail older adults. Few studies have looked at interventions to prevent rehospitalizations in this large segment of the older adult population. Similarly, standardized disease management approaches that lower hospitalization rates in an independent adult population may not suffice for guiding the care of frail persons. Care management interventions currently face unique challenges in their attempt to i... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3316289 Thu, 25 Feb 2010 00:00:00 +0100 3316289 http://www.medworm.com/index.php?rid=3303058&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20172902%26dopt%3DAbstract This study tested the hypothesis that volunteering in environmental organizations in midlife is associated with greater physical activity and improved mental and physical health over a 20-year period. Design and Methods: The study used data from two waves (1974 and 1994) of the Alameda County Study, a longitudinal study of health and mortality that has followed a cohort of 6,928 adults since 1965. Using logistic and multiple regression models, we examined the prospective association between environmental and other volunteerism and three outcomes (physical activity, self-reported health, and depression), with 1974 volunteerism predicting 1994 outcomes, controlling for a number of relevant covariates. Results: Midlife environmental volunteering was significantly associated with physical acti... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3303058 Fri, 19 Feb 2010 00:00:00 +0100 3303058 http://www.medworm.com/index.php?rid=3303057&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20172903%26dopt%3DAbstract Authors: Sapp S PMID: 20172903 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3303057 Fri, 19 Feb 2010 00:00:00 +0100 3303057 http://www.medworm.com/index.php?rid=3276831&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20154306%26dopt%3DAbstract Authors: Castle NG, Engberg J PURPOSE: Nursing facilities that are determined to have a greater number of quality problems, more serious problems than average, and a demonstrated pattern of quality problems are included in the Special Focus Facility (SFF) initiative. The purpose of this research was to provide descriptive information on these SFFs and to examine the quality characteristics of these facilities. DESIGN AND METHODS: The 1997 through 2008 On-line Survey, Certification And Reporting data and 2003 through 2008 Nursing Home Compare data were used. Descriptive analyses, including t tests, were used to compare the 2 groups of facilities (i.e., SFF nursing facilities and non-SFF nursing facilities). RESULTS: Staffing for registered nurses and nurse aides was lower in SFFs; all c... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3276831 Fri, 12 Feb 2010 00:00:00 +0100 3276831 http://www.medworm.com/index.php?rid=3276830&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20154307%26dopt%3DAbstract Authors: Castle NG, Sonon K, Antonova J PURPOSE: Special Focus Facilities (SFFs) are nursing facilities designated by the Centers for Medicare & Medicaid Services to be of chronic poor quality. Relatively few nursing facilities are included in this initiative. The purpose of this research was to examine whether nursing facilities included in the 2007 SFF initiative subsequently influenced the quality of other facilities in their market. DESIGN AND METHODS: The 2007 On-line Survey, Certification and Reporting data and 2007 through 2008 Nursing Home Compare data were used. Multivariate analyses examining the quality indicators at the county level were used to examine the market influence of SFFs. RESULTS: Of the 135 nursing facilities included in the 2007 SFF initiative, 58 (i.e., 42... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3276830 Fri, 12 Feb 2010 00:00:00 +0100 3276830 http://www.medworm.com/index.php?rid=3269916&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20147745%26dopt%3DAbstract Authors: de Medeiros K PMID: 20147745 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3269916 Wed, 10 Feb 2010 00:00:00 +0100 3269916 http://www.medworm.com/index.php?rid=3263132&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20145017%26dopt%3DAbstract Authors: Webber SC, Porter MM, Menec VH Mobility is fundamental to active aging and is intimately linked to health status and quality of life. Although there is widespread acceptance regarding the importance of mobility in older adults, there have been few attempts to comprehensively portray mobility, and research has to a large extent been discipline specific. In this article, a new theoretical framework for mobility is presented with the goals of raising awareness of the complexity of factors that influence mobility and stimulating new integrative and interdisciplinary research ideas. Mobility is broadly defined as the ability to move oneself (e.g., by walking, by using assistive devices, or by using transportation) within community environments that expand from one's home, to the ne... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3263132 Tue, 09 Feb 2010 00:00:00 +0100 3263132 http://www.medworm.com/index.php?rid=3179102&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20071401%26dopt%3DAbstract Authors: McAuley WJ PMID: 20071401 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3179102 Sat, 16 Jan 2010 18:22:07 +0100 3179102 http://www.medworm.com/index.php?rid=3179101&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20071402%26dopt%3DAbstract Authors: Brody EM PMID: 20071402 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3179101 Sat, 16 Jan 2010 18:22:05 +0100 3179101 http://www.medworm.com/index.php?rid=3140742&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20045873%26dopt%3DAbstract Authors: Westerhof GJ, Bohlmeijer ET, van Beljouw IM, Pot AM PURPOSE: The purpose of the study was to assess the impact of a life review intervention on personal meaning in life and the mediating effect of personal meaning on depressive symptoms as the primary outcome of this form of indicated prevention. DESIGN AND METHODS: A multicenter randomized controlled trial was conducted with one group of older adults obtaining life review (N = 83) and the other watching a video about the art of growing older (N = 88). Measurements took place before and after the intervention as well as 6 months later at follow-up. RESULTS: It was found that those who followed life review improved more in personal meaning than those in the control group, although at follow-up the difference was no longer signi... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3140742 Sat, 02 Jan 2010 00:00:00 +0100 3140742 http://www.medworm.com/index.php?rid=3130083&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20038541%26dopt%3DAbstract We examined race/ethnicity and cultural context within hypothetical end-of-life medical decision scenarios and its influence on patient-proxy agreement. DESIGN AND METHODS: Family dyads consisting of an older adult and 1 family member, typically an adult child, responded to questions regarding the older adult's preferences for cardiopulmonary resuscitation, artificial feeding and fluids, and palliative care in hypothetical illness scenarios. The responses of 34 Caucasian dyads and 30 African American dyads were compared to determine the extent to which family members could accurately predict the treatment preferences of their older relative. RESULTS: We found higher treatment preference agreement among African American dyads compared with Caucasian dyads when considering overall raw differ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3130083 Sun, 27 Dec 2009 00:00:00 +0100 3130083 http://www.medworm.com/index.php?rid=3113582&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20026525%26dopt%3DAbstract We examined the decision making and care practices of personal support workers (PSWs) in relation to the RAI/MDS standardized process. DESIGN AND METHODS: This qualitative study utilized focus groups and semi-structured interviews with PSWs (n = 26) and supervisors (n = 9) in two nursing homes in central Canada. RESULTS: PSWs evidenced unique occupational contributions to assessment via proximal familiarity and biographical information as well as to individualizing care by empathetically linking their own bodily experiences and forging bonds of fictive kinship with residents. These contributions were neither captured by RAI/MDS categories nor relayed to the interdisciplinary team. Causal factors for PSW exclusion included computerized records, low status, and poor interprofessional collabo... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3113582 Mon, 21 Dec 2009 00:00:00 +0100 3113582 http://www.medworm.com/index.php?rid=3113583&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20022935%26dopt%3DAbstract Authors: Judge KS, Menne HL, Whitlatch CJ Purpose: Individuals with dementia (IWDs) face particular challenges in managing and coping with their illness. The experience of dementia may be affected by the etiology, stage, and severity of symptoms, preexisting and related chronic conditions, and available informal and formal supportive services. Although several studies have examined particular features of IWD's illness experience, few draw upon a conceptual model that outlines the global illness experience and the resulting stressors that commence with symptom onset, proliferate over time, and continue through the later stages of cognitive loss. Building on the work of Pearlin and colleagues (1990, Caregiving and the stress process: An overview of concepts and their measures. The Geront... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3113583 Fri, 18 Dec 2009 00:00:00 +0100 3113583 http://www.medworm.com/index.php?rid=3105550&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20019178%26dopt%3DAbstract Authors: Gaugler JE PMID: 20019178 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3105550 Thu, 17 Dec 2009 00:00:00 +0100 3105550 http://www.medworm.com/index.php?rid=3105549&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20019179%26dopt%3DAbstract This article examines the extent to which positive and negative support from children prior to and after spousal loss and changes in support from pre- to post-loss affect widowed older adults' depressive symptoms, anxiety, and anger 18 months following widowhood. DESIGN AND METHODS: Analyses are based on the Changing Lives of Older Couples, a prospective study of 1,532 married individuals aged 65 years and older. The analytic sample includes 148 widowed persons who have at least one living child and participated in the baseline and two follow-up interviews conducted 6 and 18 months following widowhood. RESULTS: The analyses revealed that higher levels of positive support from children 6 months following widowhood were associated with fewer depressive symptoms at the 18-month follow-up, whe... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3105549 Thu, 17 Dec 2009 00:00:00 +0100 3105549 http://www.medworm.com/index.php?rid=3105548&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20019180%26dopt%3DAbstract Authors: Dong X, Simon M, Fulmer T, Mendes de Leon CF, Rajan B, Evans DA PURPOSE: This longitudinal study examines the association between physical function decline and the risk of elder self-neglect in a community-dwelling population. DESIGN AND METHODS: Of the 5,570 participants in the Chicago Health Aging Project, 1,068 were reported to social services agency for suspected elder self-neglect from 1993 to 2005. The primary predictor was objectively assessed physical function using decline in physical performance testing. Secondary predictors were assessed using the decline in self-reported Katz, Nagi, and Rosow-Breslau scales. Outcome of interest was elder self-neglect. Logistic and linear regression models were used to assess these associations. RESULTS: After adjusting for confound... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3105548 Thu, 17 Dec 2009 00:00:00 +0100 3105548 http://www.medworm.com/index.php?rid=3105551&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20016016%26dopt%3DAbstract This study compared the official poverty rate for adults aged 65 years and older with alternative measures that portray the true resources and needs of older adults. Design and Methods: The analysis used data from the 2004 Health and Retirement Study on income, assets, in-kind transfers, and out-of-pocket medical expenses. It also incorporated the effects of federal and state income taxes on net incomes, and accounted for the potential annuity value of assets in measuring resources. Results: The alternative poverty measures that account for out-of-pocket health spending estimate that between 0.3 and 1.5 million more older adults live in poverty than acknowledged by the official measure. Implications: These results highlight the need to update poverty measures so that they better reflect ol... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3105551 Wed, 16 Dec 2009 00:00:00 +0100 3105551 http://www.medworm.com/index.php?rid=3009171&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19917645%26dopt%3DAbstract Authors: Nimrod G PURPOSE: To examine the contents and characteristics of seniors' online communities and to explore their potential benefits to older adults. DESIGN AND METHODS: Quantitative content analysis of a full year's data from 14 leading online communities using a novel computerized system. The overall database included 686,283 messages. RESULTS: There was a constant increase in the daily activity level during the research period. Content analysis identified 13 main subjects discussed in the communities, including (in descending order) "Fun on line," "Retirement," "Family," "Health," "Work and Study," "Recreation" "Finance," "Religion and Spirituality," "Technology," "Aging," "Civic and Social," "Shopping," and "Travels." The overall tone was somewhat more positive than negati... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3009171 Mon, 16 Nov 2009 00:00:00 +0100 3009171 http://www.medworm.com/index.php?rid=2944318&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19861633%26dopt%3DAbstract THE SEARCH FOR MEANING IN LATER LIFE. Gerontologist. 2009 Oct 27; Authors: Moody HR PMID: 19861633 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2944318 Tue, 27 Oct 2009 00:00:00 +0100 2944318 http://www.medworm.com/index.php?rid=2944317&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19861634%26dopt%3DAbstract ADMITTING THAT EVEN PETER PAN GROWS OLD. Gerontologist. 2009 Oct 27; Authors: Lawler K PMID: 19861634 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2944317 Tue, 27 Oct 2009 00:00:00 +0100 2944317 http://www.medworm.com/index.php?rid=2917205&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19846473%26dopt%3DAbstract Authors: Cooke V, Arling G, Lewis T, Abrahamson KA, Mueller C, Edstrom L PURPOSE: Minnesota's Nursing Facility Performance-Based Incentive Payment Program (PIPP) supports provider-initiated projects aimed at improving care quality and efficiency. PIPP moves beyond conventional pay for performance. It seeks to promote implementation of evidence-based practices, encourage innovation and risk taking, foster collaboration and shared learning, and establish a solid case for investing in better quality from the perspective of the state, providers, and consumers. We explain PIPP rationale and design, describe projects and participating facilities, and present findings from interviews with project leaders. DESIGN AND METHODS: Provider-initiated projects lasting from 1 to 3 years are selected t... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2917205 Tue, 20 Oct 2009 23:00:00 +0100 2917205 http://www.medworm.com/index.php?rid=2872284&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19808841%26dopt%3DAbstract This article highlights the merit of using a strength-based approach for working with caregiving dyads with dementia and how a single intervention protocol can be used to address the goals of both care partners. Furthermore, the intervention program was found to be highly acceptable and feasible, which is an important aspect of developing dyadic protocols. PMID: 19808841 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2872284 Mon, 05 Oct 2009 23:00:00 +0100 2872284 http://www.medworm.com/index.php?rid=2872282&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19808842%26dopt%3DAbstract Authors: McDougall GJ, Becker H, Vaughan PW, Acee TW, Delville CL PURPOSE: The original version of the Direct Assessment of Functional Status (DAFS), a measure of instrumental activities of daily living (IADLs), was found to have a ceiling effect in older adults living independently in the community. This suggested that the tasks measured, although relevant, do not require full use of this population's abilities, and thus, the instrument may not be sensitive to the early decrements in IADLs that can signal initial cognitive impairment and may not detect improvements in IADLs over time, which is especially important in intervention research. DESIGN AND METHODS: By removing items with little to no variation and adding more difficult subscales that emphasized medication management skills,... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2872282 Mon, 05 Oct 2009 23:00:00 +0100 2872282 http://www.medworm.com/index.php?rid=2797516&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19752015%26dopt%3DAbstract This study describes Florida's model of Medicaid nursing home (NH) reimbursement to compensate NHs for disaster-related expenses incurred as a result of 8 hurricanes within a 2-year period. This Florida model can serve as a demonstration for a national model for disaster-related reimbursement. DESIGN AND METHODS: Florida reimburses NHs for approved disaster-related costs through hurricane interim rate requests (IRRs). The state developed its unique Medicaid per diem rate temporary add-on by adapting its standard rate-setting reimbursement methodology. To understand the payment mechanisms and the costs that facilities incurred as a result of natural disasters, we examined the IRRs and cost reports for facilities requesting and receiving reimbursement. RESULTS: Cost reports and IRR applicati... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2797516 Sat, 12 Sep 2009 23:00:00 +0100 2797516 http://www.medworm.com/index.php?rid=2789260&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19741112%26dopt%3DAbstract This study gathered data from older adults to determine their health information needs, the perceived usefulness of sources of health information, and if there are differences in perceptions and use of health information between Internet users and nonusers. DESIGN AND METHODS: We conducted 9 focus groups-4 groups of Internet users (n = 27) and 5 groups of non-Internet users (n = 26)-to determine reasons for seeking health information, satisfaction with information, and use of the Internet to fulfill information needs. Data from focus groups were supplemented with questionnaire data. RESULTS: Those who do not use the Internet were found to be just as satisfied with the health information they find as those who search for information online. We also found that nonusers are more likely to mak... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2789260 Tue, 08 Sep 2009 23:00:00 +0100 2789260 http://www.medworm.com/index.php?rid=2766942&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19726732%26dopt%3DAbstract This article describes results from a study using concept mapping to create a conceptual model of ESN. Design and Methods: Two brainstorming sessions were convened with senior services program supervisors, geriatricians, local policy analysts and program planners, elder law practitioners, and university-based researchers (n = 20), and a list of 73 ESN indicators was generated. Using Concept Systems software, the 20 original panelists and an additional 30 practitioners, including case managers and supervisors from local agencies, social workers specializing in working with older adults, and elder abuse investigators, sorted the 73 items and rated them along the dimension of importance for the concept of self-neglect. RESULTS: Using hierarchical cluster analysis and multidimensional scaling,... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2766942 Tue, 01 Sep 2009 23:00:00 +0100 2766942 http://www.medworm.com/index.php?rid=2766941&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19726733%26dopt%3DAbstract Authors: Edwards JD, Bart E, O'Connor ML, Cissell G PURPOSE: Recent prospective studies have found that cognition is a more salient predictor of driving cessation than physical performance or demographic factors among community-dwelling older adults. However, these studies have been limited to 5 years of follow-up. The current study used data from the Maryland Older Drivers Project to examine predictors of driving cessation in older adults over a 10-year period. DESIGN AND METHODS: Participants (N = 1,248) completed baseline and 5-year assessments of physical and cognitive abilities. Driving status was ascertained at baseline and annually thereafter. RESULTS: Cox proportional hazard models were used to examine the risk of driving cessation as a function of demographic, physical, and co... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2766941 Tue, 01 Sep 2009 23:00:00 +0100 2766941 http://www.medworm.com/index.php?rid=2759241&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19720879%26dopt%3DAbstract This article describes a distance learning model designed to help nursing homes implement incontinence management best practices. A basic premise is that translating research into practice requires both a feasible intervention and a dissemination strategy responsive to the target audience's needs. DESIGN AND METHODS: Over 8 months, nurse supervisors from 14 nursing homes in nine states learned how to implement prompted voiding during monthly 60- to 90-min teleconferences. Supervisors completed field assignments that required them to implement prompted voiding. Descriptive evaluation data were collected using a resident data form, pre- and posttraining quizzes, and a project evaluation survey. RESULTS: Nursing home staff attended an average of 6.5 teleconferences; on average, three staff me... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2759241 Sun, 30 Aug 2009 23:00:00 +0100 2759241 http://www.medworm.com/index.php?rid=2742119&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19710353%26dopt%3DAbstract Authors: Zhan HJ PMID: 19710353 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2742119 Tue, 25 Aug 2009 23:00:00 +0100 2742119 http://www.medworm.com/index.php?rid=2742118&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19710354%26dopt%3DAbstract Authors: Wolff JL, Giovannetti ER, Boyd CM, Reider L, Palmer S, Scharfstein D, Marsteller J, Wegener ST, Frey K, Leff B, Frick KD, Boult C PURPOSE: Guided Care (GC) is a model of health care for multimorbid older adults that is provided by a registered nurse who works with the patients' primary care physician (PCP). The purpose of this study was to determine whether GC improves patients' primary caregivers' depressive symptoms, strain, productivity, and perceptions of the quality of care recipients' chronic illness care. DESIGN AND METHODS: A cluster-randomized controlled trial of GC was conducted within 14 PCP teams. The study sample included 196 primary caregivers who completed baseline and 18-month surveys and whose care recipients remained alive and enrolled in the GC study for 18 ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2742118 Tue, 25 Aug 2009 23:00:00 +0100 2742118 http://www.medworm.com/index.php?rid=2742117&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19710355%26dopt%3DAbstract Authors: Cohen ES PMID: 19710355 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2742117 Tue, 25 Aug 2009 23:00:00 +0100 2742117 http://www.medworm.com/index.php?rid=2742116&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19710356%26dopt%3DAbstract Authors: Dassel KB PMID: 19710356 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2742116 Tue, 25 Aug 2009 23:00:00 +0100 2742116 http://www.medworm.com/index.php?rid=2720419&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19692541%26dopt%3DAbstract Authors: Leutz W, Bishop CE, Dodson L PURPOSE: To investigate how a partnership between labor and management works to change the organization and focus of nursing home frontline work, supporting a transition toward person-centered care (PCC) in participating nursing homes. DESIGN AND METHODS: Using a participatory research approach, we conducted case studies of 2 nursing homes participating in a partnership between a labor union and a provider coalition. The study was designed to reveal whether and how the labor-management partnership supported PCC and to identify challenges to overcome in the future. RESULTS: The partnership provided training and follow-up support to member homes to implement PCC. Management and worker participants used the partnership as a learning collaborative to a... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2720419 Tue, 18 Aug 2009 23:00:00 +0100 2720419 http://www.medworm.com/index.php?rid=2697483&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19671660%26dopt%3DAbstract Authors: Kramer BJ, Kavanaugh M, Trentham-Dietz A, Walsh M, Yonker JA PURPOSE: Guided by an explanatory matrix of family conflict at the end of life, the purpose of this article was to examine the correlates and predictors of family conflict reported by 155 spouses and adult children of persons with lung cancer. DESIGN AND METHODS: A cross-sectional statewide survey of family members of persons who died from lung cancer was conducted as part of the larger study on the Assessment of Cancer CarE and SatiSfaction in Wisconsin. RESULTS: Significant bivariate correlations were found between family conflict and family context variables (i.e., a history of conflict, younger respondent age, race, and specified end-of-life care wishes of the patient), conditions (i.e., greater physical and psyc... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2697483 Mon, 10 Aug 2009 23:00:00 +0100 2697483 http://www.medworm.com/index.php?rid=2691817&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19666783%26dopt%3DAbstract Authors: Hank K, Erlinghagen M PURPOSE: To investigate the dynamics of volunteering in the population aged 50 years or older across 11 Continental European countries. DESIGN AND METHODS: Using longitudinal data from the first 2 waves of the Survey of Health, Ageing and Retirement in Europe, we run multivariate regressions on a set of binary-dependent variables indicating transitions from active volunteering to inactivity and vice versa. RESULTS: Volunteer transitions were affected by both time-invariant individual resources and changes in individuals' resources. Moreover, we found that the societal context in which older persons live not only has a significant impact on the prevalence of volunteering at a given point in time but that the dynamics of volunteering also vary by country. I... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2691817 Thu, 06 Aug 2009 23:00:00 +0100 2691817 http://www.medworm.com/index.php?rid=2675217&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19651667%26dopt%3DAbstract Authors: Phillips LR, Reed PG PURPOSE: To describe caregivers' constructions of their caregiving role in providing care to elders they knew were dying from life-limiting illnesses. DESIGN AND METHODS: Study involved in-depth interviews with 27 family caregivers. Data were analyzed using constant comparative analysis. RESULTS: Four categories were identified: centering life on the elder, maintaining a sense of normalcy, minimizing suffering, and gift giving. Generative caregiving was the term adopted to describe the end-of-life (EOL) caregiving role. Generative caregiving is situated in the present with a goal to enhance the elder's present quality of life, but also draws from the past and projects into the future with a goal to create a legacy that honors the elder and the elder-caregi... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2675217 Sun, 02 Aug 2009 23:00:00 +0100 2675217 http://www.medworm.com/index.php?rid=2646067&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19633203%26dopt%3DAbstract This study examines transitioning residents with Alzheimer's disease or a related disorder (ADRD) from assisted living facilities (ALFs) to memory care units (MCUs) from the perspective of 3 ALF organizational models: freestanding ALFs, ALFs with MCUs, and ALFs in continuing care retirement communities (CCRCs) with MCUs. DESIGN AND METHODS: In-depth interviews were conducted with 37 ALF administrators, representing the 3 ALF types. Grounded theory identified major themes. Thematic analysis organized content. The constant comparison method compared themes among ALF types. RESULTS: Administrators in freestanding ALFs were notably more likely to discuss transfer policies on admission. CCRCs with MCUs were more likely to make multidisciplinary decisions. In ALFs with MCUs, typically, the admin... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2646067 Thu, 23 Jul 2009 23:00:00 +0100 2646067 http://www.medworm.com/index.php?rid=2602858&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19597056%26dopt%3DAbstract Authors: Ku YC, Tsai YF, Lin YC, Lin YP Purpose Institutionalized veterans in Taiwan are a high-risk group for completing suicide due to their institutionalization and social minority status. The purpose of this study was to understand the suicide experiences, especially the triggers of suicide in this group. Design and Methods Data about suicide experiences were collected from 19 older (>/=65 years) residents who had attempted suicide in four veterans' homes in Taiwan from 2006 to 2007. Transcripts from 26 tape-recorded interviews were analyzed by thematic analysis. Results Five major themes related to suicide triggers were identified: illness and pain, death of close relatives or friends, conflicts with family members, disputes with friends or workers, and difficulty adapting to i... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2602858 Sun, 12 Jul 2009 23:00:00 +0100 2602858 http://www.medworm.com/index.php?rid=2602854&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19597057%26dopt%3DAbstract Authors: Miller EA, Mor V, Clark M PURPOSE: Theories of the policy process recognize that policy proposals are typically generated, debated, redrafted, and accepted for consideration through the gradual accumulation of knowledge within communities of specialists. Thus, to inform long-term care (LTC) reform efforts, we conducted a Web-based survey of 1,147 LTC specialists nationwide. DESIGN AND METHODS: Survey respondents included consumer advocates, provider representatives, public officials, policy experts, and others with experience in LTC. Administration took place between September 2007 and March 2008 and addressed prevailing challenges and options for reform. RESULTS: Although differences could be discerned, constituency group views converged in several areas. There was general ag... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2602854 Sun, 12 Jul 2009 23:00:00 +0100 2602854 http://www.medworm.com/index.php?rid=2602853&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19597058%26dopt%3DAbstract This article explores primary care physicians' (PCPs) self-reported approaches and barriers to management of patients with dementia, with a focus on comparisons in dementia care practices between PCPs in 2 states. DESIGN AND METHODS: In this cross-sectional study, questionnaires were mailed to 600 randomly selected licensed PCPs in Connecticut and to all 1,017 licensed PCPs in Maine. RESULTS: A total of 422 eligible PCPs responded. Nearly 90% of PCPs prescribed donepezil in the previous year for their dementia patients. Connecticut PCPs were more likely to prescribe several other therapeutics than their Maine counterparts. Connecticut PCPs were more likely to refer dementia patients to adult day care (85% vs. 59%) but less likely to refer to Area Agencies on Aging (21% vs. 44%; both ps &lt... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2602853 Sun, 12 Jul 2009 23:00:00 +0100 2602853 http://www.medworm.com/index.php?rid=2602870&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592637%26dopt%3DAbstract This study assessed the effectiveness of Active Start, a community-based behavior change and fitness program, designed to promote physical activity among sedentary community-dwelling older adults. DESIGN AND METHODS: A quasi-experimental design was used. Data were analyzed using a within-group pretest-post-test design to calculate changes in the intervention group and changes in the waitlist comparison group. Further analyses were conducted after the comparison group completed the intervention. Paired t tests were employed to analyze unadjusted mean changes in physical performance measures from pretest to post-test. Repeated measures analysis of covariance (using SAS Proc Mixed) was then conducted to calculate the adjusted mean change for the intervention group. RESULTS: Significant improv... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2602870 Thu, 09 Jul 2009 23:00:00 +0100 2602870 http://www.medworm.com/index.php?rid=2602869&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592638%26dopt%3DAbstract Authors: Wallhagen MI PURPOSE: To explore dimensions of stigma experienced by older adults with hearing loss and those with whom they frequently communicate to target interventions promoting engagement and positive aging. DESIGN AND METHODS: This longitudinal qualitative study conducted interviews over 1 year with dyads where one partner had hearing loss. Participants were naive to or had not worn hearing aids in the past year. Data were analyzed using grounded theory, constant comparative methodology. RESULTS: Perceived stigma emerged as influencing decision-making processes at multiple points along the experiential continuum of hearing loss, such as initial acceptance of hearing loss, whether to be tested, type of hearing aid selected, and when and where hearing aids were worn. Stigm... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2602869 Thu, 09 Jul 2009 23:00:00 +0100 2602869 http://www.medworm.com/index.php?rid=2602860&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592639%26dopt%3DAbstract This study demonstrates the feasibility of using readily available digital video technology to produce MBs that hold special meaning for individuals experiencing AD or MCI and their families. PMID: 19592639 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2602860 Thu, 09 Jul 2009 23:00:00 +0100 2602860 http://www.medworm.com/index.php?rid=2592192&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19589918%26dopt%3DAbstract Authors: Piercy KW, McAuley WJ PMID: 19589918 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2592192 Wed, 08 Jul 2009 23:00:00 +0100 2592192 http://www.medworm.com/index.php?rid=2592194&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19587108%26dopt%3DAbstract In this study of hip fracture patients, adherence to guidelines for PRSS use was low and was based more on facility-related factors than on patient risk. There is an urgent need for health care providers to improve strategies for the prevention of pressure ulcers in high-risk patients. PMID: 19587108 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2592194 Tue, 07 Jul 2009 23:00:00 +0100 2592194 http://www.medworm.com/index.php?rid=2592193&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19587109%26dopt%3DAbstract Authors: Friedman B, Wamsley BR, Liebel DV, Saad ZB, Eggert GM Purpose: To report the impact on patient and informal caregiver satisfaction, patient empowerment, and health and disability status of a primary care-affiliated disease self-management-health promotion nurse intervention for Medicare beneficiaries with disabilities and recent significant health services use. Design and Methods: The Medicare Primary and Consumer-Directed Care Demonstration was a 24-month randomized controlled trial that included a nurse intervention. The present study (N = 766) compares the nurse (n = 382) and control (n = 384) groups. Generalized linear models for repeated measures, linear regression, and ordered logit regression were used. Results: The patients whose activities of daily living (ADL) were r... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2592193 Tue, 07 Jul 2009 23:00:00 +0100 2592193 http://www.medworm.com/index.php?rid=2573290&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19574536%26dopt%3DAbstract Authors: Helmes E, Campbell A PURPOSE: Reluctance to reveal sensitive or socially undesirable attitudes has posed a problem for measurement of personal attributes such as attitudes toward older people. These have long been documented to be negative and likely arise both from fears of one's own aging and the modern societal emphasis on youth. In order to increase our knowledge about the measurement of attitudes toward older people, we compared the administration of attitude measures toward older people by computer and conventional paper-and-pencil methods. DESIGN AND METHODS: We contrasted the responses of 60 university undergraduates (mean age 24.3 years, SD 8.51; 68% female) to five traditional paper-and-pencil format attitude questionnaires toward older people with responses to the s... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2573290 Wed, 01 Jul 2009 23:00:00 +0100 2573290 http://www.medworm.com/index.php?rid=2573289&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19574537%26dopt%3DAbstract Authors: Macneil G, Kosberg JI, Durkin DW, Dooley WK, Decoster J, Williamson GM PURPOSE: Caregivers feeling stress and experiencing mental health problems can be at risk for engaging in abusive acts against elderly care recipients. Potentially harmful behavior (PHB) was used as a measure of caregivers' engagement in, or fear of engagement in, behavior that places dependent care recipients at risk of physical and/or psychological maltreatment and may be seen as an antecedent of, or a proxy for, identifiably abusive behavior. The study examined the ability of anger to mediate and moderate the relations of depression, resentment, and anxiety with PBH. DESIGN AND METHODS: Data are from the first wave of the second Family Relationships in Late Life study of caregivers of community-dwelling ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2573289 Wed, 01 Jul 2009 23:00:00 +0100 2573289 http://www.medworm.com/index.php?rid=2573288&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19574538%26dopt%3DAbstract This study offers a new validated tool for measuring EOL care processes in nursing homes. Our findings suggest wide variations in care processes across facilities, which in part may stem from lack of gold standards for EOL practice in nursing homes. PMID: 19574538 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2573288 Wed, 01 Jul 2009 23:00:00 +0100 2573288 http://www.medworm.com/index.php?rid=2573287&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19574539%26dopt%3DAbstract This study investigates the impact of wages, hours, and benefits on the retention of home care workers. DESIGN AND METHODS: Using a 2-wave survey design and a sample of home care workers from Maine, the factors associated with turnover intentions, actual turnover, and job-to-job transitions are examined. The analysis uses actual data on hours, wages, and benefits at current and subsequent jobs and controls for perceived rewards and work conditions, personal characteristics, and local labor market conditions. RESULTS: Although the analysis finds that improved work conditions and non-pecuniary rewards of home-based direct care work have significant negative effects on turnover intentions, compensation accounts for more actual job turnover. Higher wages, more hours, and travel cost reimbursem... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2573287 Wed, 01 Jul 2009 23:00:00 +0100 2573287 http://www.medworm.com/index.php?rid=2573286&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19574540%26dopt%3DAbstract Authors: Hong SI PURPOSE: The article seeks to identify patterns of service utilization among informal caregivers of frail older adults. In particular, the study examined determinants that explain heterogeneous variations in caregivers' service use patterns. Methods: Using a latent class analysis (LCA) on the 2004 National Long-Term Care Survey and Informal Caregiver data (n = 1,908), this study classifies overall patterns of caregiver service utilization: financial information, support group, respite service, day care or senior center, personal or nursing care, housework, meal delivery, transportation, house modification, and assistive devices. With an emphasis on caregivers' service use patterns and social network derived from the Network Episode Model, the modified Andersen model gu... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2573286 Wed, 01 Jul 2009 23:00:00 +0100 2573286 http://www.medworm.com/index.php?rid=2573285&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19574541%26dopt%3DAbstract This article explores recruitment strategies based on the transtheoretical model (TTM) with older adults living in a naturally occurring retirement community (NORC) to encourage enrollment in a physical activity promotion program, Active Living Every Day (ALED). Reasons for participation or nonparticipation are identified. DESIGN AND METHODS: Recruitment strategies were designed to move older adults through the TTM stages of change to enroll in ALED and were built on meetings and resources established by St. Louis NORC's supportive service program. NORC residents (25 ALED participants and 25 nonparticipants) were interviewed about reasons for enrollment or nonenrollment. RESULTS: A significant difference was found between the two groups on their responses to a physical activity stage-of-ch... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2573285 Wed, 01 Jul 2009 23:00:00 +0100 2573285 http://www.medworm.com/index.php?rid=2573284&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19574542%26dopt%3DAbstract Authors: Binstock RH PURPOSE: In the 2008 presidential election, a majority of older persons voted for John McCain, the loser. The purposes of this report are to help illuminate why older voters were the only age-group that gave a majority to McCain and to delineate some ongoing issues in the analysis of older persons' voting behavior. Methods: Analysis was undertaken by mining raw data from the 2008 Edison-Mitofsky national Election Day exit poll, as well as compilations from that poll that were published by various media that finance it. RESULTS: Republican leanings of the Eisenhower birth cohort that is presently among those aged 65 years and older were a factor, whereas the immediately succeeding younger cohorts did not manifest the same partisan predilection. Positive self-identif... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2573284 Wed, 01 Jul 2009 23:00:00 +0100 2573284 http://www.medworm.com/index.php?rid=2573283&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19574543%26dopt%3DAbstract This study examines the association between oral health and foods avoided or modified in a multiethnic rural population of older adults. It considers implications for nutrition and medical service provision to this population. DESIGN AND METHODS: In-home interviews and oral examinations were conducted with 635 adults in rural North Carolina counties with substantial African American and American Indian populations. Avoidance and modification data were obtained for foods representing different dental challenges and dietary contributions. Data were weighted to census data for ethnicity and sex. Bivariate analyses of oral health measures and foods avoided used chi-square and logistic regression tests. Multivariable analyses used proportional odds or nominal regression models. RESULTS: Whole f... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2573283 Wed, 01 Jul 2009 23:00:00 +0100 2573283 http://www.medworm.com/index.php?rid=2573282&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19574544%26dopt%3DAbstract Conclusions: As nursing aides' attitudes condoning elder abuse may influence their actual behaviors, training and supervision programs should be developed to reduce work stressors and burnout and to modify these attitudes. PMID: 19574544 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2573282 Wed, 01 Jul 2009 23:00:00 +0100 2573282 http://www.medworm.com/index.php?rid=2548894&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556393%26dopt%3DAbstract In this study, we empirically examine the 17 existing state Silver Alert and related policies. The analysis includes an examination of the varieties of programs: dementia related and AMBER extension, the dates of enactment, the criteria for activation, and the process of activation. We conclude with two salient questions that emerged from the analysis. We examine these questions and make recommendations for future research, including examining whether Silver Alerts are an appropriate response to address the problem of missing adults with dementia or cognitive impairments and examining the costs and benefits of the programs including determining how best to balance efforts to keep cognitively impaired elders safe while keeping their basic human rights of autonomy and empowerment intact. ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548894 Wed, 24 Jun 2009 23:00:00 +0100 2548894 http://www.medworm.com/index.php?rid=2548893&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556394%26dopt%3DAbstract Authors: Donnelly EA, Hinterlong JE PURPOSE: Widowhood eliminates a key source of support that may trigger greater involvement in social activities and volunteer participation, which are related to better late-life health and functioning. We reexamine and build upon 2 recent studies exploring recent widowhood and social participation. Using different data, we perform a quasi-replication of Utz, Carr, Nesse, and Wortman's (2002; "The effect of widowhood on older adults' social participation: An evaluation of activity, disengagement, and continuity theories," The Gerontologist, 42, 522-533) study and employ different analytic strategies to Li's (2007; "Recovering from spousal bereavement in later life: Does volunteer participation play a role?" Journal of Gerontology Series B: Psychologi... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548893 Wed, 24 Jun 2009 23:00:00 +0100 2548893 http://www.medworm.com/index.php?rid=2548896&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19549715%26dopt%3DAbstract This article examines resilience at older ages, focusing on the relationships between quality of life (qol) and adversity. Our objectives are to identify (a) the basis of adversity, (b) the characteristics of resilient individuals, and (c) the attributes that attenuate the full impact of adversity. DESIGN AND METHODS: Resilience is defined as flourishing despite adversity. Analysis is carried out in a subsample of the Boyd Orr cohort (aged between 68 and 82 years) using questionnaire data. Adversity was identified as circumstances that produce a significant average decrease in qol (CASP-19 scores). Participants were classified into resilient and vulnerable groups based on high or low qol (CASP-19 scores dichotomized at the median) in the face of significant adversity. Shared characteristic... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548896 Mon, 22 Jun 2009 23:00:00 +0100 2548896 http://www.medworm.com/index.php?rid=2548895&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19549716%26dopt%3DAbstract Authors: Rich SE, Williams CS, Zimmerman S PURPOSE: To identify differences in perspectives that may complicate the process of joint decision making at the end of life, this study determined the agreement of family and staff perspectives about end-of-life experiences in nursing homes and residential care/assisted living communities and whether family and staff roles, involvement in care, and interaction are associated with such agreement. DESIGN AND METHODS: This cross-sectional study examined agreement in 336 family-staff pairs of postdeath telephone interviews conducted as part of the Collaborative Studies of Long-Term Care. Eligible deaths occurred in or within 3 days of leaving one of a stratified random sample of 113 long-term care facilities in four states and after the resident ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548895 Mon, 22 Jun 2009 23:00:00 +0100 2548895 http://www.medworm.com/index.php?rid=2548897&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19546114%26dopt%3DAbstract Authors: Edelstein BA, Heisel MJ, McKee DR, Martin RR, Koven LP, Duberstein PR, Britton PC PURPOSE: The purposes of these studies were to develop and initially evaluate the psychometric properties of the Reasons for Living Scale-Older Adult version (RFL-OA), an older adults version of a measure designed to assess reasons for living among individuals at risk for suicide. DESIGN AND METHODS: Two studies are reported. Study 1 involved instrument development with 106 community-dwelling older adults, and initial psychometric evaluation with a second sample of 119 community-dwelling older adults. Study 2 evaluated the psychometric properties of the RFL-OA in a clinical sample. One hundred eighty-one mental health patients 50 years or older completed the RFL-OA and measures of depression, sui... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548897 Sat, 20 Jun 2009 23:00:00 +0100 2548897 http://www.medworm.com/index.php?rid=2548900&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19542519%26dopt%3DAbstract This article challenges popular conceptions of the nature of ethnicity and religiousness in the gerontological literature. Using the example of older Jewish Americans, the authors argue for more nuanced definitions and usage of terms such as "religion" and "ethnicity" in order to begin to understand the complex interweaving of these two dimensions in the lives of older persons. DESIGN AND METHODS: The analyses used data from the 2000-2001 National Jewish Population Survey (NJPS) as well as comparisons with the 1990 NJPS. There were 1,099 respondents aged 65 years and older in the 2000-2001 NJPS who reported themselves to be Jewish. This sample was then split into three groups: those who reported observing only Judaism and were affiliated with a denomination within Judaism (n = 776) or were... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548900 Thu, 18 Jun 2009 23:00:00 +0100 2548900 http://www.medworm.com/index.php?rid=2548899&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19542520%26dopt%3DAbstract Authors: Cohen-Mansfield J, Regier NG, Peyser H, Stanton J PURPOSE: This is a pilot study that provides a description of the values older persons report in ethical wills and their reasoning for the values they chose, and compares the values in ethical wills of seniors and students. Nursing home residents rarely get the opportunity or venue to discuss these topics and the ethical will enables them to have conversations about issues they feel are important. DESIGN AND METHODS: The 22 Questions for Ethical Wills((c)) assessment was administered to 15 residents of a large nursing home in suburban Maryland and to 11 student volunteers. Raters identified recurring themes and independently analyzed the text from the ethical wills based on the themes. Questions that prompted similar responses ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548899 Thu, 18 Jun 2009 23:00:00 +0100 2548899 http://www.medworm.com/index.php?rid=2548898&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19542521%26dopt%3DAbstract Authors: Finch CE PMID: 19542521 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548898 Thu, 18 Jun 2009 23:00:00 +0100 2548898 http://www.medworm.com/index.php?rid=2548901&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19541922%26dopt%3DAbstract THE UNCERTAIN FUTURE OF ASSISTED LIVING. Gerontologist. 2009 Jun 18; Authors: Ball MM PMID: 19541922 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548901 Wed, 17 Jun 2009 23:00:00 +0100 2548901 http://www.medworm.com/index.php?rid=2548903&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19531805%26dopt%3DAbstract This article traces the instrument's development and the design decisions that shaped it, discusses the MDS's manifest functions-data collection intended to drive quality improvement and the unintended consequences of its use-paper compliance and diminished attention to resident quality of life, and examines the revised version to gauge its success in meeting the instrument's objectives. Although results of the national evaluation of MDS 3.0 are promising, the revisions, especially those pertaining to quality-of-life assessment and the use of resident interviews and standardized assessment procedures, raise questions for future consideration. Additionally, past research suggests that the MDS's impact on quality-of-care improvement will be limited unless efforts are directed toward resolvin... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548903 Mon, 15 Jun 2009 23:00:00 +0100 2548903 http://www.medworm.com/index.php?rid=2548902&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19531806%26dopt%3DAbstract Authors: Skarupski KA, Mendes de Leon CF, Barnes LL, Evans DA PURPOSE: The Medicare Prescription Drug Benefit (Part D) program debuted in January 2006. We ascertained the sociodemographic and health characteristics of Blacks and Whites who enrolled in the early stages of the program. DESIGN AND METHODS: Data were collected between April 2006 and October 2007 from an ongoing population-based biracial study of older adults. RESULTS: We interviewed 2,694 subjects, 1,784 Blacks and 910 Whites, of whom 40% and 35% reported to have enrolled in Medicare Part D, respectively. Among Blacks, those who enrolled were more likely to be female, unmarried, have less education and income, more medical conditions, greater physical disability, and poorer physical function than Blacks who did not enroll.... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548902 Mon, 15 Jun 2009 23:00:00 +0100 2548902 http://www.medworm.com/index.php?rid=2548904&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19525208%26dopt%3DAbstract This study provided compelling evidence that causes of falling are systemic and develop over time. It demonstrated that the systems approach is needed to expand the focus from the individual to multilayered organizational and supervisory causes. The SFIM demonstrated capability to identify causes of falls that will allow better prevention and management programs, hence advancing seniors' safety. SFIM shows great potential for implementation in organized settings, such as hospitals and long-term care homes. PMID: 19525208 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548904 Thu, 11 Jun 2009 23:00:00 +0100 2548904 http://www.medworm.com/index.php?rid=2548906&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19520840%26dopt%3DAbstract Authors: O'Rourke N, Chappell NL, Caspar S PURPOSE: Motivating and enabling formal caregivers to provide individualized resident care has become an increasingly important objective in long-term care (LTC) facilities. The current study set out to examine the structure of responses to the individualized care inventory (ICI). DESIGN AND METHODS: Samples of 242 registered nurses (RNs)/licensed practical nurses (LPNs) and 326 care aides were recruited from 54 LTC facilities in 3 of 5 British Columbia health authorities. Baseline confirmatory factor analytic (CFA) models were computed separately for RNs/LPNs and care aides; invariance analyses were next undertaken to compare these CFA models. RESULTS: For both RNs/LPNs and care aides, support was found for a 4-factor model of ICI responses m... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548906 Wed, 10 Jun 2009 23:00:00 +0100 2548906 http://www.medworm.com/index.php?rid=2548905&cid=s_38715_18_f&fid=38715&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19520841%26dopt%3DAbstract Authors: Speziale J, Black E, Coatsworth-Puspoky R, Ross T, O'Regan T PURPOSE: The Gentle Persuasive Approaches (GPA) curriculum was developed as an adjunct to other educational initiatives that were part of Ontario, Canada's Alzheimer Strategy. GPA emphasizes that an individual's unique personal history has a direct application to the interpretation of and response to their behavior. It incorporates strategies into geriatric patient care to assist staff to respond effectively to verbal and physical expressions of need. DESIGN AND METHODS: A pre- and postintervention approach was used to evaluate the effectiveness of GPA: (a) Staff Satisfaction Surveys immediately after GPA training and after 3 months, (b) risk event profiling to monitor aggressive behavior rates, (c) occupational heal... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=2548905 Wed, 10 Jun 2009 23:00:00 +0100 2548905