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. Wed, 08 Feb 2012 16:54:29 +0100 http://www.medworm.com/index.php?rid=5657483&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%3D22298744%26dopt%3DAbstract Authors: Lin IF, Brown SL Abstract Purpose of the Study:Our study provides a national portrait of the Baby Boom generation, paying particular attention to the heterogeneity among unmarried Boomers and whether it operates similarly among women versus men. DESIGN AND METHODS: We used the 1980, 1990, and 2000 Census 5% samples and the 2009 American Community Survey (ACS) to document the trends in the share and marital status composition of the unmarried population during midlife. Using the 2009 ACS, we developed a sociodemographic portrait of Baby Boomers according to marital status. RESULTS: One in three Baby Boomers was unmarried. The vast majority of these unmarried Boomers were either divorced or never-married; just 10% were widowed. Unmarried Boomers faced greater economic, healt... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5657483 Tue, 31 Jan 2012 05:00:00 +0100 5657483 http://www.medworm.com/index.php?rid=5657482&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%3D22298745%26dopt%3DAbstract This study examines how Baby Boomers in Quebec, Canada, perceive and play their role as caregivers and how this might differ from their parents' generation. DESIGN AND METHODS: This was a qualitative and empirical study using an interpretive constructivist design. We interviewed 39 Baby Boomers caring for a family member with a semistructured guide that examined respondents' identification with their social generation, their relationship to and values regarding caregiving, and the reality of the caregiving they offered. RESULTS: In contrast to our perceptions of previous generations, the majority of interviewees refuse to be confined to the sole identity of caregiver, as they work to juggle caregiving, work, family, and social commitments. To succeed in this juggling act, they have high ex... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5657482 Tue, 31 Jan 2012 05:00:00 +0100 5657482 http://www.medworm.com/index.php?rid=5657481&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%3D22298746%26dopt%3DAbstract This article argues for the application of this latter approach to research into the lasting impacts of HIV/AIDS on this cohort of gay men. We examine HIV/AIDS mortality within this cohort at the epidemic's height, these deaths' concentration in urban gay communities, and the growing and increasingly diverse population of HIV-positive gay men born in the Baby Boom Years. Our conclusion suggests that a fuller examination of the role of HIV/AIDS in the lives of gay male Baby Boomers, using a life course perspective, is critical to appreciating this generation's heterogeneity and to expanding knowledge of how later life is shaped by the intersection between historical events, personal biography, and social and community ties. PMID: 22298746 [PubMed - as supplied by publisher] (Source: The... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5657481 Tue, 31 Jan 2012 05:00:00 +0100 5657481 http://www.medworm.com/index.php?rid=5657480&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%3D22298747%26dopt%3DAbstract Authors: Ryan LH, Smith J, Antonucci TC, Jackson JS Abstract Purpose of the Study:We compare the close family resources of Baby Boomers (BBs) to previous cohorts of older adults at population level and then examine individual-level cohort comparisons of age-related trajectories of informal care availability from midlife into old age. DESIGN AND METHODS: Population data from the U.S. Census and from the Health and Retirement Study (HRS) are used to identify a cohort similar to the BBs on marital status and fertility rates. Using generalized linear mixed models and 10-year longitudinal data from Depression and WWII parents (DWP; n = 1,052) and the parents of BBs (PBB; n = 3,573) in the HRS, we examine cohort differences in the time-varying likelihoods of being married and of having a... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5657480 Tue, 31 Jan 2012 05:00:00 +0100 5657480 http://www.medworm.com/index.php?rid=5637769&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%3D22267528%26dopt%3DAbstract Authors: Polivka L PMID: 22267528 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5637769 Fri, 20 Jan 2012 05:00:00 +0100 5637769 http://www.medworm.com/index.php?rid=5637768&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%3D22267529%26dopt%3DAbstract Authors: Perkinson MA PMID: 22267529 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5637768 Fri, 20 Jan 2012 05:00:00 +0100 5637768 http://www.medworm.com/index.php?rid=5619472&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%3D22250130%26dopt%3DAbstract Authors: Fingerman KL, Pillemer KA, Silverstein M, Suitor JJ Abstract PURPOSE: As Baby Boomers enter late life, relationships with family members gain importance. This review article highlights two aspects of their intergenerational relationships: (a) caregiving for aging parents and (b) interactions with adult children in the context of changing marital dynamics. DESIGN AND METHODS: The researchers describe three studies: (a) the Within Family Differences Study (WFDS) of mothers aged 65-75 and their multiple grown children (primarily Baby Boomers) ongoing since 2001; (b) the Family Exchanges Study (FES) of Baby Boomers aged 42-60, their spouses, parents, and multiple grown children ongoing since 2008; and (c) the Longitudinal Study of Generations (LSoG) of 351 three-generation fam... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5619472 Mon, 16 Jan 2012 05:00:00 +0100 5619472 http://www.medworm.com/index.php?rid=5619473&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%3D22247431%26dopt%3DAbstract This article addresses the developmental and ongoing challenges encountered in the translation of these programs to inform other community-based organizations considering the translation of evidence-based programs and to assist researchers in making their work more germane to their community colleagues. PMID: 22247431 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5619473 Thu, 12 Jan 2012 05:00:00 +0100 5619473 http://www.medworm.com/index.php?rid=5619477&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%3D22241808%26dopt%3DAbstract Discussion: Our article builds on the constructs of worldview, grief for the husband and father, and narrative at the juncture of self-evaluation, as family members reflected on where they stood in their own journey through life. PMID: 22241808 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5619477 Wed, 11 Jan 2012 05:00:00 +0100 5619477 http://www.medworm.com/index.php?rid=5619476&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%3D22241809%26dopt%3DAbstract Authors: Hudson RB, Gonyea JG Abstract Employing the political construct of "target" populations, we suggest that the Boomers in old age will constitute a conceptually distinct population from that represented by either their parents or grandparents. A fourfold typology organized along the dimensions posited by Schneider and Ingram (1993) yields categorizations of target populations as Dependent, Deviant, Advantaged, or Contender. Although these authors labeled the aged as Advantaged, categorizations of target populations can and do change over time. Using historical analysis, we explore, first, the transformation of the aged from Dependent to Advantaged and the more recent transformation to Contender status. This latest shift is reinforced by the perceived characteristics of the B... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5619476 Wed, 11 Jan 2012 05:00:00 +0100 5619476 http://www.medworm.com/index.php?rid=5619475&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%3D22241810%26dopt%3DAbstract We report on a randomized controlled trial examining the impact of a multifaceted telehealth intervention on health, mental health, and service utilization outcomes among homebound medically ill older adults diagnosed with HF or COPD. Random effects regression modeling was used, and we hypothesized that older adults in the telehealth intervention (n = 51) would receive significantly better quality of care resulting in improved scores in health-related quality of life, mental health, and satisfaction with care at 3 months follow-up as compared with controls (n = 51) and service utilization outcomes at 12 months follow-up.  RESULTS:  At follow-up, the telehealth intervention group reported greater increases in general health and social functioning, and improved in depression symptom scor... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5619475 Wed, 11 Jan 2012 05:00:00 +0100 5619475 http://www.medworm.com/index.php?rid=5619474&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%3D22241811%26dopt%3DAbstract Authors: Cossar R Abstract PURPOSE:  This essay examines the human experience of aging in the distant past by investigating a group of aging men during the 14th century in an Italian city, Bergamo, using notarial "documents of practice" from that community. Studying the aging process and its effects on the lives of people in the medieval era has three-fold significance: it broadens our understanding of aging as a human construct and a human experience, challenges an antihistorical theory of aging, and reinforces the importance of studying the specific experiences of aging individuals in both the past and the present.  Design of the study:  A qualitative study. Methods of analysis include nominative linkage and an investigation of the physical effects of aging on an individual... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5619474 Wed, 11 Jan 2012 05:00:00 +0100 5619474 http://www.medworm.com/index.php?rid=5619480&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%3D22230491%26dopt%3DAbstract We examined 7 QOL domains: comfort, meaningful activities, privacy, environment, individuality, autonomy, relationships, and a positive mood scale. We applied multilevel models (resident and facility) to examine the relationship between the resident's score on each QOL domain and the resident's cognitive impairment (CI) level and SCU placement after controlling for covariates, such as activities of daily living dependency, pain, depression or psychiatric diagnosis, and length of stay. RESULTS: Residents with more severe CI reported higher QOL in the domains of comfort and environment and lower QOL in activities, individuality, privacy and meaningful relationships, and the mood scale. Residents on SCU reported higher QOL in the meaningful activities, comfort, environment, and autonomy domai... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5619480 Mon, 09 Jan 2012 05:00:00 +0100 5619480 http://www.medworm.com/index.php?rid=5619479&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%3D22230492%26dopt%3DAbstract This study examines urban-rural differences in end-of-life (EOL) quality of care provided to nursing home (NH) residents. Data and Methods: We constructed 3 risk-adjusted EOL quality measures (QMs) for long-term decedent residents: in-hospital death, hospice referral before death, and presence of severe pain. We used CY2005-2007 100% Minimum Data Set, Medicare beneficiary file, and inpatient and hospice claims. Logistic regression models were estimated to predict the probability of each outcome conditional on decedents' risk factors. For each facility, QMs were calculated as the difference between the actual and the expected risk-adjusted outcome rates. We fit multivariate linear regression models, with fixed state effects, for each QM to assess the association with urban-rural locatio... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5619479 Mon, 09 Jan 2012 05:00:00 +0100 5619479 http://www.medworm.com/index.php?rid=5619478&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%3D22230493%26dopt%3DAbstract We describe the growing number of older adults with dementia in U.S. prisons, high-risk factors for dementia present in the prison population, and the life and experience of persons with dementia in the culture and environment of prison that is primarily not designed for them. We review the current state of services and programs for dementia in prison. We conclude by proposing practice, policy, and research-related priority areas and strategies for interdisciplinary gerontological responses. PMID: 22230493 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5619478 Mon, 09 Jan 2012 05:00:00 +0100 5619478 http://www.medworm.com/index.php?rid=5577390&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%3D22217462%26dopt%3DAbstract This study showed that the TFI is a valid instrument to predict disability, many indicators of health care utilization, and quality of life of older people, 1 and 2 years later. PMID: 22217462 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5577390 Wed, 04 Jan 2012 05:00:00 +0100 5577390 http://www.medworm.com/index.php?rid=5577389&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%3D22217463%26dopt%3DAbstract Authors: McCaughey D, McGhan G, Kim J, Brannon D, Leroy H, Jablonski R Abstract Purpose of study: The direct care workforce continues to rank as one of the most frequently injured employee groups in North America. Occupational health and safety studies have shown that workplace injuries translate into negative outcomes for workers and their employers. The National Institute for Occupational Safety and Health (NIOSH) Organization of Work and Occupational Safety and Health framework is used to examine (a) relationships between injuries and work outcomes as reported by home health aides (HHAs) and (b) the likely efficacy of employee training and supervisor support in reducing worker risk for injury.  DESIGN AND METHODS:  Data for this analysis were drawn from the 2007 National H... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5577389 Wed, 04 Jan 2012 05:00:00 +0100 5577389 http://www.medworm.com/index.php?rid=5510513&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%3D22156734%26dopt%3DAbstract This study has wide implications for health care professionals, social services agencies, and policy makers. Our results call for improved public health education and awareness programs to highlight the health impact of depressive symptoms on Chinese older adults. Future prospective studies are needed to investigate the prevalence of depressive symptoms among U.S. Chinese older adults. Longitudinal research is needed to quantify the risk and protective factors of depressive symptoms. PMID: 22156734 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5510513 Mon, 12 Dec 2011 05:00:00 +0100 5510513 http://www.medworm.com/index.php?rid=5510515&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%3D22156713%26dopt%3DAbstract Authors: Utz RL, Caserta M, Lund D Abstract PURPOSE:  Widowhood is among the most distressing of all life events, resulting in both mental and physical health declines. This paper explores the dynamic relationship between physical health and psychological well-being among recently bereaved spouses.  DESIGN AND METHODS:  Using a sample of 328 bereaved persons who participated in the "Living After Loss" study, we modeled trends in physical health, somatic symptoms, and psychological well-being over the first year and a half of widowhood. The primary focus is whether physical health at the time of widowhood modifies psychological well-being over time.  RESULTS:  There were considerable somatic symptoms during the earliest months of bereavement but no major health declines ov... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5510515 Wed, 07 Dec 2011 05:00:00 +0100 5510515 http://www.medworm.com/index.php?rid=5510514&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%3D22156714%26dopt%3DAbstract This study examines sex differences among Baby Boom workers in the likelihood of coverage by an employer-provided retirement plan.  DESIGN AND METHODS:  This study used a sample of Baby Boom workers drawn from the 2009 Current Population Survey. Independent variables were selected to replicate as closely as possible those in two 1995 studies of retired workers and pension plans. Three new variables were added to reflect major social and economic shifts since 1995. Logistic regression was performed to analyze the effect of the independent variables on the likelihood of retirement plan coverage.  RESULTS:  In this cohort, the proportions of men and women included in employer-provided retirement plans were almost the same. The overall odds of women being included in a plan were only s... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5510514 Wed, 07 Dec 2011 05:00:00 +0100 5510514 http://www.medworm.com/index.php?rid=5438253&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%3D22102690%26dopt%3DAbstract Authors: Van Haitsma KS, Williamson JB, Pruchno R PMID: 22102690 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5438253 Wed, 23 Nov 2011 20:06:11 +0100 5438253 http://www.medworm.com/index.php?rid=5417461&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%3D22075772%26dopt%3DAbstract This article uses insights from ecological frameworks-specifically Urie Bronfenbrenner's bioecological systems theory and M. Powell Lawton's general ecological model of aging-to conceptualize a range of programs as aging-in-place initiatives and for describing their similarities and differences, particularly in terms of the features through which they intend to promote aging in place. Theoretically derived dimensions along which to characterize aging-in-place initiatives include environment-focused aspects (e.g., the types of social systems and structures that the initiatives target for change) and person-focused aspects (e.g., the extent to which the initiatives target particular subgroups of older adults). The article concludes with a discussion on how these theoretically derived dimensi... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5417461 Wed, 09 Nov 2011 05:00:00 +0100 5417461 http://www.medworm.com/index.php?rid=5417460&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%3D22075773%26dopt%3DAbstract Authors: Cohen-Mansfield J, Jensen B, Resnick B, Norris M Abstract Purpose of the Study: Behavior problems are common in nursing homes. Current guidelines recommend nonpharmacological interventions (NPHIs) as first-line treatment, but pharmacological regimens (PIs) continue to be used. Given differences in background and training of those who treat behavior problems in residents, we compared attitudes of physicians (MDs), psychologists (PhDs), and nurse practitioners (NPs) concerning PI and NPHI usage as well as knowledge of NPHIs.  DESIGN AND METHODS:  One hundred and eight MDs, 36 PhDs, and 89 NPs responded to a web-based questionnaire that captured level of agreement with statements concerning treatment of behavior symptoms and familiarity with NPHIs.  RESULTS:  NPs we... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5417460 Wed, 09 Nov 2011 05:00:00 +0100 5417460 http://www.medworm.com/index.php?rid=5417464&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%3D22056959%26dopt%3DAbstract This article describes elements for making informed decisions about purchasing motion sensor-based monitoring technologies and factors that could be used to evaluate these technologies. Case managers, physicians, nurses, and social workers may be asked to help older individuals and their families make informed purchasing decisions. Recommendations and practical tools are provided to best support these professionals in their dialog with older individuals and their families. PMID: 22056959 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5417464 Fri, 04 Nov 2011 04:00:00 +0100 5417464 http://www.medworm.com/index.php?rid=5417463&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%3D22056960%26dopt%3DAbstract Conclusion: Consistent assignment has developed as a preferred practice in nursing homes based on little empirical evidence in the peer-reviewed literature. The findings presented here provide some justification for the use of this staffing practice for NAs. PMID: 22056960 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5417463 Fri, 04 Nov 2011 04:00:00 +0100 5417463 http://www.medworm.com/index.php?rid=5417462&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%3D22056961%26dopt%3DAbstract Authors: Stephens CE, Newcomer R, Blegen M, Miller B, Harrington C Abstract PURPOSE:  To examine the 1-year prevalence and risk of emergency department (ED) use and ambulatory care-sensitive (ACS) ED use by nursing home (NH) residents with different levels of severity of cognitive impairment (CI).  DESIGN AND METHODS:  We used multinomial logistic regression to estimate the effect of CI severity on the odds of any ED visit and any ACS ED visit in a 2006 national random sample of NH residents, controlling for predisposing, enabling, and need characteristics.  RESULTS:  Of 132,753 NH residents, 62% had at least one ED visit and approximately 24% had at least one ACS ED visit in 2006. The probability of any ED visit or any ACS ED visit varied with the severity of resident CI... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5417462 Fri, 04 Nov 2011 04:00:00 +0100 5417462 http://www.medworm.com/index.php?rid=5378242&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%3D22048806%26dopt%3DAbstract This study examines the longitudinal patterns of Preparation for Future Care (PFC), defined as Awareness, Avoidance, Gathering Information, Decision Making, and Concrete Plans, in first-degree relatives of people with Alzheimer's disease (AD).  DESIGN AND METHODS:  Eight time points across 6.5 years from a subsample of adults aged 70 years and older who were participating in the Alzheimer's Disease Anti-inflammatory Prevention Trial (ADAPT) were analyzed using latent growth modeling. Baseline attitudes toward planning for future care and demographic variables functioned as predictors in the conditional analyses.  RESULTS:  Awareness, Gathering Information, Decision Making, and Concrete Planning increased across time, but Avoidance did not. Covariates were more often associated with... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378242 Tue, 01 Nov 2011 04:00:00 +0100 5378242 http://www.medworm.com/index.php?rid=5378241&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%3D22048807%26dopt%3DAbstract Authors: Werner P, Mittelman MS, Goldstein D, Heinik J Abstract PURPOSE:  The stigma experienced by the family members of an individual with a stigmatized illness is defined by 3 dimensions: caregiver stigma, lay public stigma, and structural stigma. Research in the area of mental illness suggests that caregivers' perception of stigma is associated with increased burden. However, the effect of stigma on caregiver burden among those caring for a relative with Alzheimer's disease (AD) has yet to undergo theoretical and empirical testing. The aim of this study was to examine whether family stigma is a predictor of caregiver burden in the case of Alzheimer's disease.  DESIGN AND METHODS:  Structured face-to-face interviews were conducted with 185 adult child caregivers (75% femal... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378241 Tue, 01 Nov 2011 04:00:00 +0100 5378241 http://www.medworm.com/index.php?rid=5378240&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%3D22048808%26dopt%3DAbstract This article describes and evaluates a long distance coaching course aimed at improving nutritional care in nursing homes (NHs). The course was structured to provide more support than traditional training programs offer. Methods: In a series of 6 monthly teleconferences led by an expert in NH nutritional care, participating NH staff received step-by-step instructions for implementing an evidence-based nutritional management program. After each session, participants were asked to implement the care step they had just learned. Coaching calls helped facilitate implementation. Staff in 18 NHs in 12 states completed the course. Evaluation data were collected using a resident data form, pre- and post-training quizzes, a participant course evaluation survey, and a supervisor's report.  RESU... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378240 Tue, 01 Nov 2011 04:00:00 +0100 5378240 http://www.medworm.com/index.php?rid=5378239&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%3D22048809%26dopt%3DAbstract Authors: Binstock RH Abstract PURPOSE:  To analyze the extent to which Americans aged 65 and older may have voted as an old age-benefits bloc in the 2010 midterm election in response to threats of Medicare rationing. Methods: Analysis of age group data from the Edison Research 2010 Election Day exit polls, complemented by data published elsewhere.  RESULTS:  For the first time in 4 decades, there were signs of an old-age voting bloc in the 2010 election; yet, analysis of the age group data by sex and race/ethnicity reveals notable differences among these subgroups.  IMPLICATIONS:  This new tendency toward old-age bloc voting may well continue in the 2012 election and beyond. If "reforming" Medicare and Social Security persist as policy issues, the votes of older perso... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378239 Tue, 01 Nov 2011 04:00:00 +0100 5378239 http://www.medworm.com/index.php?rid=5378238&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%3D22048810%26dopt%3DAbstract This study sought to advance the state of knowledge regarding physical activity and aging by identifying areas of agreement among experts regarding topics that are well understood versus those that are in urgent need of continued research efforts. DESIGN AND METHODS: We used a web-based survey with snowball sampling to identify 348 experts who were invited to complete a brief web-based survey. Responses were received from 38% of invited respondents. RESULTS: Respondents reported that the efficacy and effectiveness of several types of physical activity were well understood but the dose-response relationship required for a health benefit was not. In general, more research is needed examining the effectiveness of programs on cognitive health outcomes and the impact of multiple risk factor pro... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378238 Tue, 01 Nov 2011 04:00:00 +0100 5378238 http://www.medworm.com/index.php?rid=5378237&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%3D22048811%26dopt%3DAbstract This study employed a qualitative event reconstruction methodology to identify the major forms of RRA that occur in nursing homes.  DESIGN AND METHODS:  Events of RRA were identified within a 2-week period in all units (n = 53) in nursing homes located in New York City. Narrative reconstructions were created for each event based on information from residents and staff who were involved as well as other sources. The event reconstructions were analyzed using qualitative methods to identify common features of RRA events.  RESULTS:  Analysis of the 122 event reconstructions identified 13 major forms of RRA, grouped under five themes. The resulting framework demonstrated the heterogeneity of types of RRA, the importance of considering personal, environmental, and triggering factors, and... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378237 Tue, 01 Nov 2011 04:00:00 +0100 5378237 http://www.medworm.com/index.php?rid=5378244&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%3D22038338%26dopt%3DAbstract Authors: Irvine AB, Billow MB, Gates DM, Fitzwater EL, Seeley JR, Bourgeois M Abstract PURPOSE:  This research evaluated an individualized Internet training designed to teach nurse aides (NAs) strategies to prevent or, if necessary, react to resident aggression in ways that are safe for the resident as well as the caregiver.  DESIGN AND METHODS:  A randomized treatment and control design was implemented, with baseline, 1-, and 2-month assessments for 158 NAs. The training involved 2 weekly visits. The Internet intervention was a behaviorally focused and video-based training that included content on skills for safely dealing with physical aggression. Measures included video situation testing and assessment of psychosocial constructs associated with behavior change.  RESULTS:... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378244 Sun, 30 Oct 2011 04:00:00 +0100 5378244 http://www.medworm.com/index.php?rid=5378243&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%3D22038339%26dopt%3DAbstract Authors: Glicksman A, Litwin H Abstract The State of Israel provides significant opportunities to study social processes that can enhance our understanding of the aging experience. It has high life expectancy and rapid growth of its older population. With an older cohort that is composed largely of former immigrants and includes a minority Arab population, Israel provides much diversity for gerontological study. Among the unique issues facing older Israelis are the aging of Holocaust survivors, modernization in the Arab sector, and privatization in the kibbutzim. New legislation related to pensions and universal health care is expected to affect aging processes. The development of "supportive communities" offers a new service model. The article notes 2 longitudinal studies of impor... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378243 Sun, 30 Oct 2011 04:00:00 +0100 5378243 http://www.medworm.com/index.php?rid=5378245&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%3D22024979%26dopt%3DAbstract Authors: Doherty-King B, Bowers B Abstract Adults over the age of 65 years account for 60% of all hospital admissions and experience consequential negative outcomes directly related to hospitalization. Negative outcomes include falls, delirium, loss in ability to perform basic activities of daily living, and new walking dependence. New walking dependence, defined as the loss in ability to walk independently, occurs in 16%--59% of hospitalized older patients. Nurses are pivotal in promoting functional walking independence in hospitalized patients. However, little is known about how nurses make decisions about whether, when, and how to ambulate older patients. A qualitative study using grounded dimensional analysis was conducted to further explore how nurses make decisions about ambu... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378245 Mon, 24 Oct 2011 04:00:00 +0100 5378245 http://www.medworm.com/index.php?rid=5378246&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%3D22021402%26dopt%3DAbstract Authors: Fang J, Power M, Lin Y, Zhang J, Hao Y, Chatterji S Abstract Purpose of the study: To explore short-form versions of World Health Organization Quality of Life (WHOQOL-OLD) with acceptable psychometric properties, which was developed for older adults by the WHOQOL research group, containing 24 items initially.  DESIGN AND METHODS:  We randomly sampled two-thirds of respondents from the data of WHOQOL-OLD field study (N = 5,566), as a developmental sample, and the remaining third as a validation sample. Three approaches (item response theory [IRT] and regression analysis [REG], classical test theory [CTT] and REG, and CTT and IRT and REG) were performed to develop three short-form scales with six items each using the developmental sample. The reliability and criterion ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378246 Fri, 21 Oct 2011 04:00:00 +0100 5378246 http://www.medworm.com/index.php?rid=5378248&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%3D22012960%26dopt%3DAbstract Authors: Newcomer RJ, Kang T, Doty P Abstract Purpose of the Study: Medicaid service use and expenditure and quality of care outcomes in California's personal care program known as In-Home Supportive Service (IHSS) are described. Analyses investigated Medicaid expenditures, hospital use, and nursing home stays, comparing recipients who have paid spouse caregivers with those having other relatives or unrelated individuals as their caregivers.  DESIGN AND METHODS:  Medicaid claims and IHSS assessment data for calendar year 2005 were linked for IHSS recipients aged 18 years or older (n = 386,447)  RESULTS:  The rates of ambulatory care-sensitive hospital admissions and Medicaid-covered nursing home placements were at least comparable among IHSS recipients' with spouse, paren... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378248 Wed, 19 Oct 2011 04:00:00 +0100 5378248 http://www.medworm.com/index.php?rid=5378247&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%3D22012961%26dopt%3DAbstract Authors: Park J, Roh S, Yeo Y Abstract PURPOSE:  The present study tested Smith's (2003. Theorizing religious effects among American adolescents. Journal for the Scientific Study of Religion, 42, 17-30. doi:10.1111/1468-5906.t01-1-00158) theory of religious effects to explore the relationship of religiosity, social support, and life satisfaction among elderly Korean immigrants. The study investigated the mediating role of social support to the relationship between religiosity and life satisfaction.  DESIGN AND METHODS:  We hypothesized that religiosity would be positively associated with life satisfaction and that the relationship between religiosity and life satisfaction would be mediated by social support. Structural equation modeling was used to test the proposed hypothese... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5378247 Wed, 19 Oct 2011 04:00:00 +0100 5378247 http://www.medworm.com/index.php?rid=5310969&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%3D21983126%26dopt%3DAbstract This study illuminates the concept of "ageing in place" in terms of functional, symbolic, and emotional attachments and meanings of homes, neighbourhoods, and communities. It investigates how older people understand the meaning of "ageing in place," a term widely used in ageing policy and research but underexplored with older people themselves.  DESIGN AND METHODS:  Older people (n = 121), ranging in age from 56 to 92 years, participated in focus groups and interviews in 2 case study communities of similar size in Aotearoa New Zealand, both with high ratings on deprivation indices. The question, "What is the ideal place to grow older?" was explored, including reflections on ageing in place. Thematic and narrative analyses on the meaning of ageing in place are presented in this paper.â€... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5310969 Fri, 07 Oct 2011 04:00:00 +0100 5310969 http://www.medworm.com/index.php?rid=5275034&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%3D21610179%26dopt%3DAbstract This study describes the creation and use of a web-based resource, designed to help nursing homes implement quality improvements through changes in staffing characteristics.  DESIGN AND METHODS:  Information on staffing characteristics (i.e., staffing levels, turnover, stability, and use of agency staff), facility characteristics (e.g., ownership, size), and quality (i.e., quality measures [QMs]) coming from 2,946 nursing homes were utilized in a simulation analysis. The simulation was used to predict changes in each of 11 QMs, based on changes in staffing characteristics for individual nursing homes using the web-tool.  RESULTS:  The website was visited 2,347 times in the first 6 months after it became operational. Evidence would suggest that it was useful in informing nur... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5275034 Sat, 01 Oct 2011 04:00:00 +0100 5275034 http://www.medworm.com/index.php?rid=5275033&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%3D21948864%26dopt%3DAbstract Authors: Whittington FJ, Pruchno R PMID: 21948864 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5275033 Sat, 01 Oct 2011 04:00:00 +0100 5275033 http://www.medworm.com/index.php?rid=5275032&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%3D21948865%26dopt%3DAbstract Authors: Cubit KA, Meyer C PMID: 21948865 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5275032 Sat, 01 Oct 2011 04:00:00 +0100 5275032 http://www.medworm.com/index.php?rid=5226987&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%3D21911846%26dopt%3DAbstract Authors: Smith ML, Ory MG, Ahn S, Bazzarre TL, Resnick B Abstract Purpose of the Study: The Exercise Assessment Screening for You (EASY) tool was developed to encourage older adults at every functional level to be more physically active. The purposes of this study were to examine characteristics of older adults who participated in an evidence-based falls prevention program by their entry to EASY tool scores, associations between EASY tool responses and class completion, and influences of EASY scores and items on improvements in days limited from usual activity and unhealthy physical health days. Methods and Design: The program consisted of eight sessions conducted statewide by trained lay leaders in Texas. Assessments were collected at the beginning of session 1 and conclusio... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5226987 Mon, 12 Sep 2011 04:00:00 +0100 5226987 http://www.medworm.com/index.php?rid=5226986&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%3D21911847%26dopt%3DAbstract This study evaluates students' responses to geriatrics integration within the curriculum using journals kept by volunteer preclerkship and clerkship students between 2007 and 2010. The journals were used to assess the quality of curricular integration of geriatrics didactic and clinical content, to gather information for shaping the evolving curriculum, and to elicit students' responses about their professional development and caring for older adults.  DESIGN AND METHODS:  Student "journalers" wrote narrative reactions to and evaluations of aging-related content and exposure to older patients in response to written semistructured questions. An interdisciplinary team (including a health services researcher, gerontologist, medical anthropologist, and 2 geriatricians) used qualitative ana... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5226986 Mon, 12 Sep 2011 04:00:00 +0100 5226986 http://www.medworm.com/index.php?rid=5216371&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%3D21908803%26dopt%3DAbstract Authors: Choi J, Flynn L, Aiken LH Abstract PURPOSE:  Recruiting and retaining registered nurses (RNs) in nursing homes is problematic, and little research is available to guide efforts to make nursing homes a more attractive practice environment for RNs. The purpose of this study was to examine relationships between aspects of the nursing practice environment and job satisfaction among RNs in nursing homes.  DESIGN AND METHODS:  The sample included 863 RNs working as staff RNs in 282 skilled nursing facilities in New Jersey. Two-level hierarchical linear modeling was used to account for the RNs nested by nursing homes.  RESULTS:  Controlling for individual and nursing home characteristics, staff RNs' participation in facility affairs, supportive manager, and resource ade... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5216371 Fri, 09 Sep 2011 04:00:00 +0100 5216371 http://www.medworm.com/index.php?rid=5216370&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%3D21908804%26dopt%3DAbstract We examined messages that the websites of the top cable news companies (MSNBC, FOX, and CNN) conveyed about cognition between January 2007 and March 2010. Drawing on agenda-setting theory, this work assessed the frequency, prominence, and attributes of cognitive topics in messages targeting an aging audience.  DESIGN AND METHODS:  We used quantitative content analysis to examine the frequency and prominence of cognitive topics and cognitive goals, as well as how the cognitive discussions were framed. Chi-square analyses were conducted to compare cognitive health information discussed in news items that did and did not target an "aging audience." Qualitative analysis of the aging audience subgroup was used to further examine age-associated cognitive messages.  RESULTS:  Within the 2... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5216370 Fri, 09 Sep 2011 04:00:00 +0100 5216370 http://www.medworm.com/index.php?rid=5216369&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%3D21908805%26dopt%3DAbstract Authors: Bradway C, Trotta R, Bixby MB, McPartland E, Wollman MC, Kapustka H, McCauley K, Naylor MD Abstract PURPOSE:  The purpose of this study was to describe barriers and facilitators to implementing a transitional care intervention for cognitively impaired older adults and their caregivers lead by advanced practice nurses (APNs).  DESIGN AND METHODS:  APNs implemented an evidence-based protocol to optimize transitions from hospital to home. An exploratory, qualitative directed content analysis examined 15 narrative case summaries written by APNs and fieldnotes from biweekly case conferences.  RESULTS:  Three central themes emerged: patients and caregivers having the necessary information and knowledge, care coordination, and the caregiver experience. An additional cat... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5216369 Fri, 09 Sep 2011 04:00:00 +0100 5216369 http://www.medworm.com/index.php?rid=5216374&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%3D21900505%26dopt%3DAbstract Authors: Lehning AJ Abstract Purpose of the study: To examine the characteristics associated with city government adoption of community design, housing, and transportation innovations that could benefit older adults. DESIGN AND METHODS:  A mixed-methods study with quantitative data collected via online surveys from 62 city planners combined with qualitative data collected via telephone interviews with a subsample of 18 survey respondents. RESULTS:  Results indicate that advocacy is an effective strategy to encourage city government adoption of these innovations. Percent of the population with a disability was positively associated, whereas percent of the population aged 65 and older was not associated or negatively associated, with innovation adoption in the regression models... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5216374 Wed, 07 Sep 2011 04:00:00 +0100 5216374 http://www.medworm.com/index.php?rid=5216373&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%3D21903614%26dopt%3DAbstract This study compares the QoL of long-term residents with dementia as assessed by the individuals, their relatives, and their care staff. DESIGN AND METHODS: Data on residents with dementia were collected in 11 nursing homes. The Quality of Life-Alzheimer's Disease Scale (QOL-AD) residential version was directly applied to residents with dementia diagnosis and Mini-Mental State Examination scores under 27, randomly selected in each canter. Residents' QoL was further assessed from the perspective of some close relative and of some staff member. Altogether, 102 data sets from residents, 184 from relatives, and 197 from staff members were collected. RESULTS: The completion rate for the resident QOL-AD was 48.8%. Residents' QoL ratings were significantly higher than proxies' ratings. Proxy (i.e.... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5216373 Wed, 07 Sep 2011 04:00:00 +0100 5216373 http://www.medworm.com/index.php?rid=5216372&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%3D21903615%26dopt%3DAbstract This study identified how unlicensed staff members decide to administer medications prescribed pro re nata (PRN) to residents of assisted living (AL) settings designated for persons with dementia. Theories of knowledge, including explicit and implicit knowledge, discretion, and judgment, guided the analysis.  DESIGN AND METHODS:  Data were collected and analyzed using qualitative methods. The staff members responsible for medication administration were shadowed for 6 consecutive days in three Oregon ALs. In-person interviews were conducted with 16 staff members, and residents' medication records were reviewed.  RESULTS:  Medication aides' decisions to administer PRN medications were informed by resident request, interpretation of resident-specific actions, training and experience, ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5216372 Wed, 07 Sep 2011 04:00:00 +0100 5216372 http://www.medworm.com/index.php?rid=5192117&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%3D21873280%26dopt%3DAbstract This study examines the characteristics of the "Village" model, an innovative consumer-driven approach that aims to promote aging in place through a combination of member supports, service referrals, and consumer engagement.  DESIGN AND METHODS:  Thirty of 42 fully operational Villages completed 2 surveys. One survey examined Villages' member characteristics, membership types, and fee structures. An additional survey collected information about organizational mission, goals, methods of operation, funding sources, challenges, and older adults' roles.  RESULTS:  Villages provide a variety of support services designed to help members age in place, meet service needs, and promote health and quality of life. Most Villages operate relatively autonomously, relying primarily on member fees... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5192117 Wed, 24 Aug 2011 23:00:00 +0100 5192117 http://www.medworm.com/index.php?rid=5152219&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%3D21856746%26dopt%3DAbstract Authors: Li LW, McLaughlin SJ Abstract Purpose of the study: The primary aim of this investigation was to determine whether caregiver confidence in their care recipients' functional capabilities predicts changes in the performance of activities of daily living (ADL) among elderly home care recipients. A secondary aim was to explore how caregiver confidence and care recipient functional self-efficacy jointly influence changes in ADL performance over time.  DESIGN AND METHODS:  The sample included 5,138 elderly recipients of home and community-based long-term care in Michigan. ADL performance was assessed multiple times over a 2-year period. Caregiver confidence was measured at baseline with a single item. Multilevel modeling was used to estimate the effect of caregiver confidenc... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5152219 Thu, 18 Aug 2011 23:00:00 +0100 5152219 http://www.medworm.com/index.php?rid=5152220&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%3D21852271%26dopt%3DAbstract Authors: Maschi T, Morgen K, Zgoba K, Courtney D, Ristow J Abstract Background: The aging prison population in the United States presents a significant public health challenge with high rates of trauma and mental health issues that the correctional system alone is ill-prepared to address. The purpose of this study was to examine the relationship of age, objective, and subjective measures of trauma and stressful life events and post-traumatic stress symptoms among older adults in prison. Methods: Data were gathered from 334 prisoners (aged 55+) housed in the New Jersey Department of Corrections, as of September 2010. An anonymous self-report, self-administered survey was mailed to the total population of 1,000 prisoners aged 55 years and older. Objective and subjective trauma ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5152220 Tue, 16 Aug 2011 23:00:00 +0100 5152220 http://www.medworm.com/index.php?rid=5095170&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%3D21804113%26dopt%3DAbstract Authors: McCutcheon M, Pruchno R PMID: 21804113 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5095170 Sun, 31 Jul 2011 23:00:00 +0100 5095170 http://www.medworm.com/index.php?rid=5095136&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%3D21804114%26dopt%3DAbstract Authors: Muramatsu N, Akiyama H Japan has the highest proportion of older adults in the world. Aging is not only an immediate personal issue but also a salient factor in crucial public policies, such as pensions, health, and long-term care. The Great East Japan Earthquake, tsunami, and nuclear power plant disaster of March 2011 has highlighted current and emerging issues of a "super-aging" society, especially the need for community-based support systems. PMID: 21804114 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5095136 Sun, 31 Jul 2011 23:00:00 +0100 5095136 http://www.medworm.com/index.php?rid=5046670&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%3D21746836%26dopt%3DAbstract This article used a sample of 3,000+ American adults, aged 25-74, who were first interviewed in 1995 and reinterviewed in 2005. Logistic regression was used to estimate the odds of avoiding disease at the first wave and remaining disease free a decade later.  RESULTS:  Consistent with a life course view of successful aging, higher levels of childhood misfortune (e.g., abuse, financial strain) are associated with a lower probability of disease avoidance. This pattern was observed across a large set of chronic conditions and in multivariate analyses spanning both waves of the study.  IMPLICATIONS:  Childhood misfortune has approximately equal consequences for adult disease avoidance as does the combined effect of moderate lifetime smoking and obesity. Efforts to alleviate adverse exp... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5046670 Sun, 10 Jul 2011 23:00:00 +0100 5046670 http://www.medworm.com/index.php?rid=5046669&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%3D21746837%26dopt%3DAbstract This study examines different types of individual-level social capital (bonding, bridging, and linking) and their relationships with physical and emotional health among older Chinese living in urban and rural settings.  DESIGN AND METHODS:  Using the 2005 China General Social Survey, physical and emotional health were regressed on social capital controlling for sociodemographic variables by urban and rural Chinese aged 65 years and older.  RESULTS:  Bonding social capital was significantly associated with physical and emotional health (β = .14; p < .001 and β = .11; p < .01, respectively), and linking social capital was significantly associated with physical health (β = .11; p < .01) among the urban older Chinese. No significant associations between social capital measu... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5046669 Sun, 10 Jul 2011 23:00:00 +0100 5046669 http://www.medworm.com/index.php?rid=5046672&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%3D21737397%26dopt%3DAbstract This study tested the applicability of the activity restriction model of depressed affect to the context of poor vision in late life. This model hypothesizes that late-life stressors contribute to poorer mental health not only directly but also indirectly by restricting routine everyday functioning. Method: We used data from a national probability-based sample of older adults (N = 1,178; M = 69.2 years, approximately 50% female). Vision was assessed both subjectively (via self-report) and objectively (via a visual acuity test). Respondents also reported on their levels of physical and driving limitations, feelings of social isolation, and symptoms of depression.  RESULTS:  Path analyses indicated a strong fit of the data to the activity restriction model for subjective vision. In a... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5046672 Tue, 05 Jul 2011 23:00:00 +0100 5046672 http://www.medworm.com/index.php?rid=5046671&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%3D21737398%26dopt%3DAbstract This study evaluates the effects of the Program of All-Inclusive Care for the Elderly (PACE) on hospital use. PACE's capitated financing creates incentives to reduce the use of costly services. Furthermore, its emphasis on preventative care and regular monitoring by provides a mechanism for reducing unnecessary hospital use while maintaining quality of care.  DESIGN AND METHODS:  This study builds on previous research by comparing hospital use by PACE enrollees with a comparison group of frail community-dwelling older adults selected through propensity score matching over a 2-year period. Outcomes are estimated using regression adjustment with the 2-part model.  RESULTS:  The results suggest that PACE effectively controls hospital use among community-dwelling frail elderly persons.... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=5046671 Tue, 05 Jul 2011 23:00:00 +0100 5046671 http://www.medworm.com/index.php?rid=4999076&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%3D21719629%26dopt%3DAbstract This study included 73 long-stay residents in 2 facilities. Research staff conducted observations for 4 consecutive morning hours during targeted care activities (transfer out of bed, incontinence, dressing, and dining location). Observations were conducted weekly for 12 consecutive weeks. Staff-resident interactions were measured related to staff offers of choice and residents' responses.  RESULTS:  Interrater agreement was achieved for measures of staff offers of choice (kappa = .83, p < .001), type of choice provided (kappa = .75, p < .001), and resident requests related to choice (kappa = .72, p < .001). Observations over 2,766 care episodes during 4 aspects of morning care showed that staff offered residents choice during 18% of the episodes. Most observations (70%) were ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4999076 Wed, 29 Jun 2011 23:00:00 +0100 4999076 http://www.medworm.com/index.php?rid=4999075&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%3D21719630%26dopt%3DAbstract We describe how we replicated CDSMP in Asian and Pacific Islander (API) communities.  DESIGN AND METHODS:  We used the "track changes" tool to deconstruct CDSMP into its various components (e.g., recruitment and staffing) and the "adaptation traffic light" to identify allowable modifications to the original program. We monitored local leaders' fidelity of delivery of CDSMP and tracked participants' attendance, satisfaction, and 6-month outcomes.  RESULTS:  Between July 2007 and February 2010, 584 completed a CDSMP workshop. Baseline and 6-month data were available for 422 (72%), including 53 Caucasians, 177 Asians, and 194 Pacific Islanders. All 3 groups realized significant decreases in social and role activity limitations and significant increases in communication with physicians... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4999075 Wed, 29 Jun 2011 23:00:00 +0100 4999075 http://www.medworm.com/index.php?rid=4999074&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%3D21719631%26dopt%3DAbstract Authors: Kang Y, Meng H, Miller NA Purpose of the Study: To evaluate the impact of rural geographic location on nursing home quality of care in the United States.  DESIGN AND METHODS:  The study used cross-sectional observational design. We obtained resident- and facility-level data from 12,507 residents in 1,174 nursing homes from the 2004 National Nursing Home Survey. We used multilevel regression models to predict risk-adjusted rates of hospitalization, influenza and pneumococcal vaccination, and moderate to severe pain while controlling for resident and facility characteristics.  RESULTS:  Adjusting for covariates, residents in rural facilities were more likely to experience hospitalization (odds ratio [OR] = 1.50, 95% confidence interval [CI] = 1.16-1.94) and moderate to... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4999074 Wed, 29 Jun 2011 23:00:00 +0100 4999074 http://www.medworm.com/index.php?rid=4999073&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%3D21719632%26dopt%3DAbstract Authors: Castle NG, Decker FH PURPOSE:  The purpose of this study was to examine the association of Nursing Home Administrator (NHA) leadership style and Director of Nursing (DON) leadership style with quality of care.  DESIGN AND METHODS:  Leaders were categorized into 4 groups: consensus managers, consultative autocrats, shareholder managers, or autocrats. This leadership style assessment came from primary data collected from approximately 4,000 NHAs and DONs that was linked to quality information (i.e., Nursing Home Compare Quality Measures and 5-Star rating scores) and nursing home information (i.e., Online Survey, Certification, And Reporting data).  RESULTS:  A consensus manager leadership style has a strong association with better quality. Top managers using this style... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4999073 Wed, 29 Jun 2011 23:00:00 +0100 4999073 http://www.medworm.com/index.php?rid=4999077&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%3D21708985%26dopt%3DAbstract Authors: Arnetz JE, Zhdanova LS, Elsouhag D, Lichtenberg P, Luborsky MR, Arnetz BB Purpose of the Study: In recent years, there has been an increasing focus on the role of safety culture in preventing costly adverse events, such as medication errors and falls, among nursing home residents. However, little is known regarding critical organizational determinants of a positive safety culture in nursing homes. The aim of this study was to identify organizational climate predictors of specific aspects of the staff-rated resident safety culture (RSC) in a sample of nursing homes.  DESIGN AND METHODS:  Staff at 4 Michigan nursing homes responded to a self-administered questionnaire measuring organizational climate and RSC. Multiple regression analyses were used to identify organizationa... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4999077 Sun, 26 Jun 2011 23:00:00 +0100 4999077 http://www.medworm.com/index.php?rid=4999080&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%3D21700767%26dopt%3DAbstract Authors: Iecovich E PURPOSE:  The study aims to examine job satisfaction of migrant live-in home care workers who provide care to frail older adults and to examine the extent to which quality of relationships between the care provider and care recipient and workplace characteristics is associated with job satisfaction.  DESIGN AND METHODS:  A convenience sample that included 335 dyads of Philippine workers and their frail care recipients were recruited through 2 national home care agencies and snowballing. Multiple regression analyses examined the extent to which workplace characteristics, quality of relationships, care recipient characteristics, and care worker characteristics explain job satisfaction.  RESULTS:  Scores for job satisfaction, quality of relationships, and wor... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4999080 Wed, 22 Jun 2011 23:00:00 +0100 4999080 http://www.medworm.com/index.php?rid=4999079&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%3D21700768%26dopt%3DAbstract Authors: Berkman BJ Purpose of the Study: This paper is a revision of the Kent Award Lecture given at the Annual Meeting of the Gerontological Society of America held in New Orleans, Louisiana, in November, 2010.  DESIGN AND METHODS:  This paper looks at the evolution in geriatric social work assessment and outcomes research and concludes with observations of the changing landscape in health and aging.  RESULTS:  Since the 1960s, the policies and the context of health care delivery have changed many times as have geriatric health screening and assessment of patients in need of social health care services. Research on social-behavioral and environmental factors critical in measurement of outcomes of health care has progressed significantly as theories of care and the research te... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4999079 Wed, 22 Jun 2011 23:00:00 +0100 4999079 http://www.medworm.com/index.php?rid=4999078&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%3D21700769%26dopt%3DAbstract We describe overall rates and analyze predictors of unit and item nonresponse for the 695,197 Medicare beneficiaries selected for the 2007 MCAHPS survey (335,249 unit respondents, 49% overall response rate). Results: Asians, African Americans, and Hispanics responded at adjusted response rates 7-17 percentage points lower than non-Hispanic Whites (p < .001 for each). Among seniors, response rates dropped beyond age 75. Asians and older beneficiaries were especially likely to respond by mail, and African Americans and Hispanics by phone. Breakoff from telephone surveys was most common among African Americans and older respondents. Among respondents, older age was the strongest predictor of item missingness (e.g., those 85 years and older failed to answer items at twice the rate of th... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4999078 Wed, 22 Jun 2011 23:00:00 +0100 4999078 http://www.medworm.com/index.php?rid=4953518&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%3D21665958%26dopt%3DAbstract Authors: George DR, Stuckey HL, Dillon CF, Whitehead MM PURPOSE:  To evaluate whether medical student participation in TimeSlips (TS), a creative group-based storytelling program, with persons affected by dementia would improve student attitudes toward this patient population.  DESIGN AND METHODS:  Fifteen fourth-year medical students from Penn State College of Medicine participated in a month-long regimen of TS sessions at a retirement community. Student course evaluations were analyzed at the conclusion of the program to examine perceived qualitative changes in attitude. Findings: Qualitative data revealed insights into the manner in which student attitudes toward a geriatric patient population became more positive.  IMPLICATIONS:  This is the first known pilot study to... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4953518 Thu, 09 Jun 2011 23:00:00 +0100 4953518 http://www.medworm.com/index.php?rid=4904267&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%3D21642238%26dopt%3DAbstract Authors: Hahn EA, Thomas KS, Hyer K, Andel R, Meng H Purpose of the study: To examine the relationship between county-level Medicaid home- and community-based service (HCBS) waiver expenditures and the prevalence of low-care residents in Florida nursing homes (NHs).  DESIGN AND METHODS:  The present study used a cross-sectional design. We combined two data sources: NH facility-level data (including characteristics of the facility and its residents) and county-level market characteristics (including HCBS waiver expenditures) for 653 Florida NHs in 2007. Low-care was defined as residents who require no physical assistance in any of the 4 late-loss activities of daily living (bed mobility, toileting, transferring, and eating). We estimated a 2-level hierarchical linear model (HLM) t... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4904267 Wed, 01 Jun 2011 23:00:00 +0100 4904267 http://www.medworm.com/index.php?rid=4854291&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%3D21576704%26dopt%3DAbstract Authors: Schoenberg NE, Miller EA, Pruchno R PMID: 21576704 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854291 Tue, 24 May 2011 15:47:23 +0100 4854291 http://www.medworm.com/index.php?rid=4854290&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%3D21565811%26dopt%3DAbstract Authors: Dilworth-Anderson P Recruitment and retention of research participants is evolving with the changing demographics of the American population, in particular its growing diversity. The cultural-historical background and sociopolitical conditions of each diverse group poses unique challenges in developing successful recruitment and retention methods and strategies. This critical collection of articles demonstrates important theoretical and conceptual frameworks that seek to address the shortcomings of previous models of recruiting diverse populations. Understanding the key components of cultural distinctions, such as values and beliefs, community cohesion, and collective history, has proven to be instrumental in reaching out to these diverse groups. This important strategy has al... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854290 Tue, 24 May 2011 15:47:14 +0100 4854290 http://www.medworm.com/index.php?rid=4854289&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%3D21565812%26dopt%3DAbstract Authors: Chadiha LA, Washington OG, Lichtenberg PA, Green CR, Daniels KL, Jackson JS An emerging strategy for increasing public participation in health research is volunteer registries. Using a community-based participatory research framework, we describe recruitment processes and outcomes in building a research volunteer registry of older urban African Americans. The specific research question examined retrospectively was: How does a community outreach partnership between older residents and academic researchers of the Healthier Black Elders Center facilitate recruitment of older urban African Americans for a research volunteer registry?  PMID: 21565812 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854289 Tue, 24 May 2011 15:47:03 +0100 4854289 http://www.medworm.com/index.php?rid=4854288&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%3D21565813%26dopt%3DAbstract Authors: Lichtenberg PA Effective strategies to recruit minority elders into health research (e.g., through churches, partnering with community gatekeepers) often involve nonrandom sampling methods. The current study has two aims: (a) to examine some new practices in recruitment of African American elders and (b) to determine the similarities and differences of the volunteers in the Healthier Black Elders (HBE) Participant Resource Pool (PRP), with a population-based community sample from the Detroit Health Needs Assessment (Chapleski, E. E. (2002). Facing the future: City of Detroit needs assessment). Detroit, MI: Wayne State University. PMID: 21565813 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854288 Tue, 24 May 2011 15:46:58 +0100 4854288 http://www.medworm.com/index.php?rid=4854287&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%3D21565814%26dopt%3DAbstract Authors: Chao SZ, Lai NB, Tse MM, Ho RJ, Kong JP, Matthews BR, Miller BL, Rosen HJ To describe the results of efforts to recruit Asian Americans into longitudinal research on cognitive decline in aging. PMID: 21565814 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854287 Tue, 24 May 2011 15:46:52 +0100 4854287 http://www.medworm.com/index.php?rid=4854286&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%3D21565815%26dopt%3DAbstract We describe strategies used by the Resource Centers on Minority Aging Research and other National Institute of Aging-funded programs to advance the science of recruitment of ethnically diverse older adults. Finally, we propose a set of broad recommendations designed to generate a body of evidence on successful methods of recruitment and retention of ethnically diverse populations in health research. To eliminate health disparities and better understand aging processes in ethnically diverse populations, much more research is needed on effective strategies for increasing minority enrollment in health research. Comparative effectiveness research on more intensive recruitment and retention methods, which are often needed for including diverse populations, will require dedicated funding and con... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854286 Tue, 24 May 2011 15:46:46 +0100 4854286 http://www.medworm.com/index.php?rid=4854285&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%3D21565817%26dopt%3DAbstract This study sought to identify and rectify these barriers to recruit and retain a biracial (African American and non-Hispanic White) and socioeconomically diverse cohort for a longitudinal study. PMID: 21565817 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854285 Tue, 24 May 2011 15:46:42 +0100 4854285 http://www.medworm.com/index.php?rid=4854284&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%3D21565818%26dopt%3DAbstract Authors: Allman RM, Sawyer P, Crowther M, Strothers HS, Turner T, Fouad MN To identify racial/ethnic differences in retention of older adults at 3 levels of participation in a prospective observational study: telephone, in-home assessments, and home visits followed by blood draws. PMID: 21565818 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854284 Tue, 24 May 2011 15:46:39 +0100 4854284 http://www.medworm.com/index.php?rid=4854283&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%3D21565819%26dopt%3DAbstract Authors: Sood JR, Stahl SM The National Institute on Aging created the Resource Centers for Minority Aging Research (RCMARs) to address infrastructure development intended to reduce health disparities among older adults. The overall goals of the RCMARs are to (a) increase the size of the cadre of researchers conducting research on issues related to minority aging; (b) increase the diversity of researchers conducting research on minority aging; (c) create and test reliable measures for use in older diverse populations; and (d) conduct research on recruitment and retention of community-dwelling older adults for research addressing behavioral, social, and medical issues. Along with this latter goal, the RCMARs developed and maintain academic-community partnerships. To accomplish the recru... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854283 Tue, 24 May 2011 15:46:35 +0100 4854283 http://www.medworm.com/index.php?rid=4854282&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%3D21565820%26dopt%3DAbstract Authors: Stineman MG, Strumpf N, Kurichi JE, Charles J, Grisso JA, Jayadevappa R To assess the recruitment, adherence, and retention of urban elderly, predominantly African Americans to a falls reduction exercise program. PMID: 21565820 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854282 Tue, 24 May 2011 15:46:28 +0100 4854282 http://www.medworm.com/index.php?rid=4854281&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%3D21565821%26dopt%3DAbstract This study examined employment of specific recruitment and retention strategies in a study evaluating outcomes of a moderate activity exercise program for older African American women with functional impairments attending a Program for All-Inclusive Care of Elders (PACE). PMID: 21565821 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854281 Tue, 24 May 2011 15:46:22 +0100 4854281 http://www.medworm.com/index.php?rid=4854280&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%3D21565822%26dopt%3DAbstract The objective of this article was to assess the quality of the HRS with respect to the recruitment and retention of minority respondents. PMID: 21565822 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854280 Tue, 24 May 2011 15:46:11 +0100 4854280 http://www.medworm.com/index.php?rid=4854279&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%3D21565823%26dopt%3DAbstract Authors: Santoyo-Olsson J, Cabrera J, Freyre R, Grossman M, Alvarez N, Mathur D, Guerrero M, Delgadillo AT, Kanaya AM, Stewart AL To conduct and evaluate a two-phased community-based approach to recruit lower socioeconomic status, minority, or Spanish-speaking adults at risk of developing diabetes to a randomized trial of a lifestyle intervention program delivered by a public health department. PMID: 21565823 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854279 Tue, 24 May 2011 15:46:03 +0100 4854279 http://www.medworm.com/index.php?rid=4854278&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%3D21565824%26dopt%3DAbstract We describe the recruitment strategies and personnel and materials costs associated with two community-based research studies in a Mexican-origin population. We also highlight the role that academic-community partnerships played in the outreach and recruitment process for our studies. We reviewed study documents using case study methodology to categorize recruitment methods, examine community partnerships, and calculate study costs. PMID: 21565824 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854278 Tue, 24 May 2011 15:45:55 +0100 4854278 http://www.medworm.com/index.php?rid=4854273&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%3D21565816%26dopt%3DAbstract This study examined the associations between participant and site characteristics and retention in a multisite cardiovascular disease risk reduction project. PMID: 21565816 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854273 Tue, 24 May 2011 15:45:18 +0100 4854273 http://www.medworm.com/index.php?rid=4854272&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%3D21602292%26dopt%3DAbstract Conclusion: With a large sample size, repeated measure design, and advanced methods, we have found a relationship between CNA staffing and nursing home quality. PMID: 21602292 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854272 Thu, 19 May 2011 23:00:00 +0100 4854272 http://www.medworm.com/index.php?rid=4854277&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%3D21593007%26dopt%3DAbstract We examined end-of-life treatment preferences and days of desired life for several health scenarios among male inmates incarcerated primarily for murder.  DESIGN AND METHODS:  Inmates over the age of 45 who passed a cognitive screening completed face-to-face interviews (N = 94; mean age = 57.7; SD = 10.68).  RESULTS:  We found a 3-way interaction indicating that the effect of parole expectation on desire for life-sustaining treatment varied by race/ethnicity and treatment. Minority inmates desired cardiopulmonary resuscitation or feeding tubes only if they believed that they would be paroled. The model predicting desire for palliative care was not significant. Future days of desired life were related to prospective health condition, fear of death, negative affect, and trust in pris... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854277 Tue, 17 May 2011 23:00:00 +0100 4854277 http://www.medworm.com/index.php?rid=4854276&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%3D21593008%26dopt%3DAbstract This article describes these complaints, considers facility-level predictors of complaints, and examines how complaints to the 2 entities are related.  DESIGN AND METHODS:  This article uses North Carolina complaint data from the state certification agency and Ombudsman from 2002 to 2006. First, we outline the similarities and differences in the 2 complaint sources by considering descriptive statistics and examining the structure of the 2 agencies. Second, we examine the relationship between complaints and facility characteristics that have been predictive of traditional quality measures. Finally, we examine the relationships between the 2 types of complaints.  RESULTS:  We find that complaints to the 2 agencies exhibit distinct differences in substantiation rates, although the top... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854276 Mon, 16 May 2011 23:00:00 +0100 4854276 http://www.medworm.com/index.php?rid=4854275&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%3D21593009%26dopt%3DAbstract Authors: Hill AM, Hoffmann T, Beer C, McPhail S, Hill KD, Oliver D, Brauer SG, Haines TP PURPOSE:  The aim of this study was to examine whether older people are prepared to engage in appropriate falls prevention strategies after discharge from hospital.  DESIGN AND METHODS:  We used a semi-structured interview to survey older patients about to be discharged from hospital and examined their knowledge regarding falls prevention strategies to utilize in the post-discharge period. The study was part of a prospective cohort study, nested within a larger, randomized controlled trial. Participants (n = 333) were asked to suggest strategies to reduce their falls risk at home after discharge, and their responses were compared with current reported research evidence for falls prevention in... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854275 Mon, 16 May 2011 23:00:00 +0100 4854275 http://www.medworm.com/index.php?rid=4854274&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%3D21593010%26dopt%3DAbstract Authors: Kwak J, Montgomery RJ, Kosloski K, Lang J Purpose of the Study: Findings are reported from a study that examined the effects of the Tailored Caregiver Assessment and Referral (TCARE(®)) protocol, a care management process designed to help family caregivers, on care planning and caregiver outcomes.  DESIGN AND METHODS:  A longitudinal, randomized controlled trial was conducted with 97 caregivers enrolled in a demonstration project in Georgia. Data included on care plans pertaining to service recommendations, compliance, and use were reviewed. Caregiver identity discrepancy, objective burden, relationship burden, stress burden, and depressive symptoms were assessed up to 4 times during a 9-month observation period. Chi-square tests, independent samples t tests, random eff... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854274 Mon, 16 May 2011 23:00:00 +0100 4854274 http://www.medworm.com/index.php?rid=4854292&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%3D21572161%26dopt%3DAbstract Authors: George DR, Whitehouse PJ In the therapeutic void created by over 20 failed Alzheimer's disease drugs during the past decade, a new marketplace of "brain fitness" technology products has emerged. Ranging from video games and computer software to mobile phone apps and hand-held devices, these commercial products promise to maintain and enhance the memory, concentration, visual and spatial skills, verbal recall, and executive functions of individual users. It is instructive to view these products as sociocultural objects deeply imbued with the values and ideologies of our age; consequently, this article offers a critique of the brain fitness technology marketplace while identifying limitations in the capacity of commercial products to realistically improve cognitive health. A bro... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854292 Sat, 14 May 2011 23:00:00 +0100 4854292 http://www.medworm.com/index.php?rid=4854293&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%3D21562055%26dopt%3DAbstract This study evaluates the role of older family members as providers of social resources within familial network systems affected by an inherited cancer susceptibility syndrome.  DESIGN AND METHODS:  Respondents who previously participated in a study that involved genetic counseling and testing for Lynch syndrome and their family network members were invited to participate in a onetime telephone interview about family communication.  RESULTS:  A total of 206 respondents from 33 families identified 2,051 social relationships (dyads). Nineteen percent of the respondents and 25% of the network members were older (≥60 years). Younger respondents (≤59 years) were more likely to nominate older network members as providers of social resources than younger members: instrumental support (... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4854293 Tue, 10 May 2011 23:00:00 +0100 4854293 http://www.medworm.com/index.php?rid=4802043&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%3D21498629%26dopt%3DAbstract This study should help nursing home administrators better understand the work-related factors associated with staff turnover. PMID: 21498629 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4802043 Thu, 14 Apr 2011 23:00:00 +0100 4802043 http://www.medworm.com/index.php?rid=4802044&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%3D21482589%26dopt%3DAbstract Conclusions: This study demonstrates that a "one size fits all" approach may not be best because at-homeness is an individualized construct. Complex relationships emerged between perceived self-care ability, functional performance, and SmH nursing homes. Mixed methods enable deeper understanding of therapeutic environments and inform the development and testing of tailored interventions. PMID: 21482589 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4802044 Sun, 10 Apr 2011 23:00:00 +0100 4802044 http://www.medworm.com/index.php?rid=4637652&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%3D21406726%26dopt%3DAbstract Authors: PMID: 21406726 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4637652 Sun, 27 Mar 2011 12:22:56 +0100 4637652 http://www.medworm.com/index.php?rid=4637647&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%3D21406727%26dopt%3DAbstract Authors: Kivnick HQ, Pruchno R PMID: 21406727 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4637647 Sun, 27 Mar 2011 12:22:22 +0100 4637647 http://www.medworm.com/index.php?rid=4637633&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%3D21430129%26dopt%3DAbstract This study was a cross-sectional survey of primary care clinicians affiliated with 5 practice-based research networks, October 2008 to June 2009. A total of 374 of the 1,510 distributed surveys were returned (24.8% response rate); 357 analyzed. Mean respondent age was 48.6 years (SD = 11.6; range 23-87 years); 88.0% physicians, 96.0% family medicine, 94.9% White, and 61.9% male.  RESULTS:  Female clinicians reported higher ERA-12 scores; clinicians' age expectations decreased with greater years in practice. Among the clinicians, higher ERA-12 scores were associated with higher clinician ratings of the importance of and personal skill in administering preventive counseling and the importance of delivering preventive services. Agreement with individual ERA-12 items varied widely.  IMPL... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4637633 Wed, 23 Mar 2011 00:00:00 +0100 4637633 http://www.medworm.com/index.php?rid=4637640&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%3D21427162%26dopt%3DAbstract Authors: Koren C Purpose: Continuity and discontinuity are controversial concepts in social theories on aging. The aim of this article is to explore these concepts using the experiences of older persons living in second couplehood in old age as a case in point.  Design and Method: Based on a larger qualitative study on second couplehood in old age, following the existential-phenomenological tradition, a theoretical sample of 20 couples was chosen. Forty individual semi-structured interviews were conducted, tape-recorded, and transcribed verbatim.  Results: A continuity-discontinuity continuum and a value-attribution pole emerged from data analysis. Continuity was experienced as the exception and discontinuity as the rule.  Implications: Findings are discussed in light of ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4637640 Tue, 22 Mar 2011 00:00:00 +0100 4637640 http://www.medworm.com/index.php?rid=4748386&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%3D21402646%26dopt%3DAbstract This study provides support for the validity of findings that compare the burden scores of Black and White caregivers in studies utilizing the ZBI. The 14-item version also offers a more parsimonious way to measure burden in clinical settings, potentially increasing screening opportunities when caregiver contact time is limited. PMID: 21402646 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4748386 Mon, 14 Mar 2011 00:00:00 +0100 4748386 http://www.medworm.com/index.php?rid=4748375&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%3D21402647%26dopt%3DAbstract Discussion: Future use of the Physical Resilience Scale should consider adding more challenging items to better differentiate those particularly high in physical resilience. PMID: 21402647 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4748375 Mon, 14 Mar 2011 00:00:00 +0100 4748375 http://www.medworm.com/index.php?rid=4748395&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%3D21398383%26dopt%3DAbstract This article describes an innovative practice called Blended Learning Networks (BLNs) whose aim is to enable older people, their families, and care providers to exchange knowledge, learn together, and support each other in local development work so that care is improved for older people. BLNs were established in 31 municipalities, headed up by a local facilitator. They were supported by a national themed network consisting of virtual meetings between local facilitators and national facilitators at the Swedish National Family Care Competence Centre.  DESIGN AND METHODS:  An evaluation was conducted to explore the utility of the BLNs so that any improvements to the model could be instigated. Focus group interviews were conducted with members of 9 BLNs, and self-evaluation questions were ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4748395 Fri, 11 Mar 2011 00:00:00 +0100 4748395 http://www.medworm.com/index.php?rid=4577401&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%3D21383111%26dopt%3DAbstract Authors: Reamy AM, Kim K, Zarit SH, Whitlatch CJ Purpose of the Study: We explore discrepancies in perceptions of values and care preferences between individuals with dementia (IWDs) and their family caregivers.  DESIGN AND METHODS:  We interviewed 266 dyads consisting of an individual with mild to moderate dementia and his or her family caregiver to determine IWDs' beliefs for 5 values related to care (autonomy, burden, control, family, and safety). We used multilevel modeling to investigate if there are dyadic level discrepancies in beliefs and what factors are associated with such discrepancies.  RESULTS:  Caregivers consistently underestimated the IWD's values for all five values. Discrepancies were associated primarily with caregivers' beliefs about the IWD's involvement i... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4577401 Mon, 07 Mar 2011 00:00:00 +0100 4577401 http://www.medworm.com/index.php?rid=4577400&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%3D21383112%26dopt%3DAbstract "Learning to Become a Family Caregiver" Efficacy of an Intervention Program for Caregivers Following Diagnosis of Dementia in a Relative. Gerontologist. 2011 Mar 7; Authors: Ducharme FC, Lévesque LL, Lachance LM, Kergoat MJ, Legault AJ, Beaudet LM, Zarit SH PURPOSE:  The purpose of this experimental study was to test the efficacy of a psychoeducational individual program conceived to facilitate transition to the caregiver role following diagnosis of Alzheimer disease in a relative.  DESIGN AND METHODS:  Caregivers were recruited in memory clinics and randomized to an experimental group (n = 62) or a control group (n = 49) receiving usual care. Eligible participants-primary caregivers of a relative diagnosed with Alzheimer in the past 9 months-were assessed blindly before... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4577400 Mon, 07 Mar 2011 00:00:00 +0100 4577400 http://www.medworm.com/index.php?rid=4577399&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%3D21383113%26dopt%3DAbstract Authors: Piercy KW, Cheek C, Teemant B Purpose of the study: We conducted a qualitative study of 38 mid-late life volunteers in intensive humanitarian service to ascertain the challenges, personal changes, and benefits they experienced from their volunteer activities. Intensive volunteering was defined as service done on a 24-hr a day basis at a location away from home.  DESIGN AND METHODS:  In-depth interviews were conducted by phone or in person with each participant. Couples serving together were interviewed conjointly. Data were analyzed using McCracken's 5-step process for long interviews.  RESULTS:  Participants described and resolved many challenges including adjustment to new situations and cultures, work-related challenges, and readjustment to home. Consistent with Eri... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4577399 Mon, 07 Mar 2011 00:00:00 +0100 4577399 http://www.medworm.com/index.php?rid=4577398&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%3D21385754%26dopt%3DAbstract Authors: Atchley RC PMID: 21385754 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4577398 Mon, 07 Mar 2011 00:00:00 +0100 4577398 http://www.medworm.com/index.php?rid=4577397&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%3D21385755%26dopt%3DAbstract Authors: Glicksman A PMID: 21385755 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4577397 Mon, 07 Mar 2011 00:00:00 +0100 4577397 http://www.medworm.com/index.php?rid=4577402&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%3D21357658%26dopt%3DAbstract Authors: Lewis JP PURPOSE:  Alaska Natives (ANs) view aging from a holistic perspective, which is not typical of the existing successful aging literature. One of the challenges of conducting research with cultural groups (e.g., ANs) is the lack of data, or research, on culture and aging and its impact on how we view successful aging. This research explores successful aging from an AN perspective or what it means to reach "Eldership" in rural Alaskan communities, which is an area of successful aging where there is very little research.  DESIGN AND METHODS:  Data were gathered from 26 elders aged 61-93 years in 6 Bristol Bay communities in Southwest Alaska. An Explanatory Model approach was used and adapted to gain a sense of the beliefs about aging and establish an indigenous unde... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4577402 Mon, 28 Feb 2011 00:00:00 +0100 4577402 http://www.medworm.com/index.php?rid=4522840&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%3D21350038%26dopt%3DAbstract This study sought to expand our knowledge of quality of care by investigating EC within a diverse sample of dementia CGs. DESIGN AND METHODS: We examined the relation between CG subjective appraisal (daily care bother, burden, and behavioral bother), EC, and CG emotional outcomes (depression and positive aspects of caregiving [PAC]). Specifically, EC was examined as a possible mediator of the effects of CG subjective appraisals on emotional outcomes. Using a bootstrapping method and an SPSS macro developed by Preacher and Hayes (2008 Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models), we tested the indirect effect of EC on the relation between CG subjective appraisals and CG emotional outcomes. RESULTS: Overall, EC partially media... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4522840 Thu, 24 Feb 2011 00:00:00 +0100 4522840 http://www.medworm.com/index.php?rid=4522841&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%3D21335422%26dopt%3DAbstract Authors: Corcoran MA PURPOSE: An increasing number of elderly individuals are diagnosed with Alzheimer's disease and related disorders (ADRD), many of whom receive daily caregiving from spouse or adult child. Caregiving is a "cultural activity," and as such it is strongly influenced by sociocultural beliefs about caregiving and how it should be enacted. Understanding this thinking-action process has important implications for future research and service. Reasoned action theory provides empirical evidence that attitudes and beliefs, as they are influenced by the social environment, predict intentions to act. In turn, behavioral intentions can reliably predict behaviors. This grounded theory study describes a typology of caregiving styles relevant to family members of an individual with ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4522841 Fri, 18 Feb 2011 00:00:00 +0100 4522841 http://www.medworm.com/index.php?rid=4465019&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%3D21310768%26dopt%3DAbstract Authors: Solimeo SL, Weber TJ, Gold DT PURPOSE: To explore the nature of men's experiences of osteoporosis by developing an understanding of men's explanatory models.  DESIGN AND METHODS:  This descriptive study invited community-residing male osteoporosis patients aged 50+ to participate in interviews about osteoporosis. Participants were recruited from a hospital-affiliated bone clinic. Men completed a questionnaire on demographic, medication, and fracture-related information, and descriptive statistics were calculated using Statistical Package for the Social Sciences. Interviews elicited the 5 domains of men's explanatory model (Kleinman, 1987) and open-ended information regarding men's experiences living with this disorder. Narrative data were analyzed both for content and indu... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4465019 Thu, 10 Feb 2011 00:00:00 +0100 4465019 http://www.medworm.com/index.php?rid=4465021&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%3D21292752%26dopt%3DAbstract Authors: Beck C, Richards K, Lambert C, Doan R, Landes RD, Whall A, Algase D, Kolanowski A, Feldman Z Purpose of the Study: Problematic vocalizations (PVs) are the most frequent and persistent disruptive behaviors exhibited by nursing home residents with dementia. Understanding factors associated with these behaviors are important to prevent or reduce them. We used the Need-Driven Dementia-Compromised Behavior model to identify the characteristics of persons with dementia who are likely to display nonaggressive and aggressive PVs and the conditions under which these behaviors are likely to occur and persist.  DESIGN AND METHODS:  This multisite descriptive study included 138 residents of 17 nursing homes, and approximately half had a history of PVs. Background data were gathered ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4465021 Thu, 03 Feb 2011 00:00:00 +0100 4465021 http://www.medworm.com/index.php?rid=4465020&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%3D21292753%26dopt%3DAbstract Authors: Goins RT, Garroutte EM, Fox SL, Dee Geiger S, Manson SM Models for community-based participatory research (CBPR) urge academic investigators to collaborate with communities to identify and pursue research questions, processes, and outcomes valuable to both partners. The tribal participatory research (TPR) conceptual model suggests modifications to CBPR to fit the special needs of American Indian communities. This paper draws upon authors' collaboration with one American Indian tribe to recommend theoretical revision and practical strategies for conducting gerontological research in tribal communities. We rated the TPR model as a strong, specialized adaptation of participatory research principles. Although the need for some TPR mechanisms may vary, our experience recommends inc... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4465020 Thu, 03 Feb 2011 00:00:00 +0100 4465020 http://www.medworm.com/index.php?rid=4398119&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%3D21224342%26dopt%3DAbstract Authors: Pruchno R PMID: 21224342 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4398119 Wed, 26 Jan 2011 15:00:17 +0100 4398119 http://www.medworm.com/index.php?rid=4398117&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%3D21242317%26dopt%3DAbstract This article provides a detailed description of a telephone-based care coordination intervention, Partners in Dementia Care (PDC), for veterans with dementia and their family caregivers. Essential features of PDC included (a) formal partnerships between Veterans Affairs (VA) medical centers and Alzheimer's Association Chapters; (b) a multidimensional assessment and treatment approach, (c) ongoing monitoring and long-term relationships with families, and (d) a computerized information system to guide service delivery and fidelity monitoring.  DESIGN AND METHODS:  Data illustrating the use of the intervention were displayed for 93 veterans and their caregivers after 12 months in PDC. Descriptive data were provided for each major component of the intervention protocol, including: initial ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4398117 Mon, 17 Jan 2011 00:00:00 +0100 4398117 http://www.medworm.com/index.php?rid=4398118&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%3D21239416%26dopt%3DAbstract Authors: Silva-Smith AL, Feliciano L, Kluge MA, Yochim BP, Anderson LN, Hiroto KE, Qualls SH PURPOSE:  The conceptual model and implementation strategies for a university-private housing collaboration in a multilevel housing campus for older adults are described. The faculty and private developers viewed senior housing as an opportunity for people to downsize their space in order to upsize their lives within a community rich with resources to support their developmental needs. Methods: A wellness program that includes assessments developed and performed by a multidisciplinary team provides the basis for the development of resources and interventions aimed at upsizing residents' lives. Semi-annual assessments and feedback sessions provide the residents with opportunities to set an... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4398118 Fri, 14 Jan 2011 00:00:00 +0100 4398118 http://www.medworm.com/index.php?rid=4328144&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%3D21208997%26dopt%3DAbstract Authors: Miller EA The Patient Protection and Affordable Care Act attempts to address prevailing deficiencies in long-term care (LTC) financing through the Community Living Assistance Services and Supports (CLASS) Act, a national voluntary LTC insurance program administered by the Federal government. The CLASS Act is intended to supplement rather than supplant assistance received from other payers. Furthermore, its reliance on a cash benefit allocated by beneficiaries with the assistance of counseling services makes it consistent with the consumer-directed philosophy increasingly favored by the LTC advocacy community. Largely due to inadequate take-up, however, particularly among better than average risks, it is unlikely that implementation of the CLASS Act will fundamentally alter the... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4328144 Wed, 05 Jan 2011 00:00:00 +0100 4328144 http://www.medworm.com/index.php?rid=4328145&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%3D21199862%26dopt%3DAbstract Authors: Fingerman KL, Vanderdrift LE, Dotterer AM, Birditt KS, Zarit SH PURPOSE:  Black and White middle-aged adults typically are in a pivot position of providing support to generations above and below. Racial differences in support to each generation in the family remain unclear, however. Different factors may account for racial differences in support of grown children versus aging parents. DESIGN AND METHODS:  Middle-aged adults (aged 40-60 years; 35%, n = 216 Black and 65%, n = 397 White) rated social support they provided each aging parent and grown child. Participants reported background characteristics representing their resources and measures of needs for each family member. Interviews also assessed beliefs about obligation to support parents and grown children and rewards... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4328145 Mon, 03 Jan 2011 00:00:00 +0100 4328145 http://www.medworm.com/index.php?rid=4328148&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%3D21177397%26dopt%3DAbstract Authors: Fitzgerald KG PMID: 21177397 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4328148 Tue, 21 Dec 2010 00:00:00 +0100 4328148 http://www.medworm.com/index.php?rid=4328147&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%3D21177398%26dopt%3DAbstract Authors: Renter H PMID: 21177398 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4328147 Tue, 21 Dec 2010 00:00:00 +0100 4328147 http://www.medworm.com/index.php?rid=4328146&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%3D21177399%26dopt%3DAbstract Authors: Sato M, Shaffer T, Arbaje AI, Zuckerman IH PURPOSE:  To describe annual care transition patterns across residential and health care settings and assess consistency in care transition patterns across years. DESIGN AND METHODS:   This retrospective cohort study used the Medicare Current Beneficiary Survey (2000-2005). The sample comprised beneficiaries aged 65 years and older (N = 57,684 person-years of observation). We defined annual care transition patterns by combining 4 types of settings: C (community), F (facility), S (skilled nursing facility-SNF), and H (hospital). We compared weighted frequencies of transition patterns across years. We counted repeated/multiple transitions that involved movement into hospital and SNF settings and compared them by demographic characte... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4328146 Tue, 21 Dec 2010 00:00:00 +0100 4328146 http://www.medworm.com/index.php?rid=4328150&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%3D21173436%26dopt%3DAbstract Authors: Williams MM, Meisel MM, Williams J, Morris JC PURPOSE:  The African American Outreach Satellite (Satellite) provides educational outreach to facilitate African American recruitment for longitudinal studies at the Washington University Alzheimer's Disease Research Center (ADRC). This descriptive article characterizes the Satellite's recruitment methods, plan for community engagement, results of recruitment efforts, and potential for replication.  DESIGN AND METHODS:  The Satellite developed a comprehensive outreach and recruitment plan that identifies and addresses barriers to research participation. The Satellite conducts community outreach and recruitment programs and training for health care providers. Results: Enrollment of cognitively healthy and mildly demented ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4328150 Mon, 20 Dec 2010 00:00:00 +0100 4328150 http://www.medworm.com/index.php?rid=4328149&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%3D21173437%26dopt%3DAbstract This study tested key psychometric properties of the Older Adult Psychological Abuse Measure (OAPAM), one self-report scale of the Older Adult Mistreatment Assessment (OAMA).  DESIGN AND METHODS:  Items and theory were developed in a prior concept mapping study. Subsequently, the measures were administered to 226 substantiated clients by 22 elder abuse staff from 7 agencies in a full-scale field test. The resulting database was used to estimate the psychometric properties of the OAPAM using the Rasch item response theory model and traditional validation techniques. Analyses included tests for dimensionality, model fit, and theoretical construct validation. Results from the OAPAM client report were validated against the adult protective services substantiation decision of abuse and the ... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4328149 Mon, 20 Dec 2010 00:00:00 +0100 4328149 http://www.medworm.com/index.php?rid=4328151&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%3D21163911%26dopt%3DAbstract This study's purpose was to advance the process of culture change within long-term care (LTC) and assisted living settings by using participatory action research (PAR) to promote residents' competence and nourish the culture change process with the active engagement and leadership of residents.  DESIGN AND METHODS:  Seven unit-specific PAR groups, each consisting of 4-7 residents, 1-2 family members, and 1-3 staff, met 1 hour per week for 4 months in their nursing home or assisted living units to identify areas in need of improvement and to generate ideas for community change. PAR groups included residents with varied levels of physical and cognitive challenges. Residents were defined as visionaries with expertise based on their 24/7 experience in the facility and prior life experience... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4328151 Thu, 16 Dec 2010 00:00:00 +0100 4328151 http://www.medworm.com/index.php?rid=4328152&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%3D21148253%26dopt%3DAbstract Authors: Goins RT, Spencer SM, McGuire LC, Goldberg J, Wen Y, Henderson JA PURPOSE:  With a sample of American Indian adults, we estimated the prevalence of adult caregiving, assessed the demographic and cultural profile of caregivers, and examined the association between cultural factors and being a caregiver. This is the first such study conducted with American Indians.  DESIGN AND METHODS:  Data came from a cross-sectional study of 5,207 American Indian adults residing on 2 closely related Lakota Sioux reservations in the Northern Plains and one American Indian community in the Southwest. Cultural factors included measures of cultural identity and traditional healing practices.  RESULTS:  Seventeen percent of our sample reported being caregivers. In both the Northern Plain... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4328152 Thu, 09 Dec 2010 00:00:00 +0100 4328152 http://www.medworm.com/index.php?rid=4249436&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%3D21135026%26dopt%3DAbstract This study included 280 spouse/partner and 243 adult child caregivers of persons with chronic illnesses.  RESULTS:  Analysis using 2-group structural equation modeling showed that the factor structure of burden was equivalent for spouses and adult children. For both groups, assisting with ADLs was directly related with objective burden, whereas PBs were directly related to all dimensions of burden. For both groups, stress burden was the only predictor of self-rated health, whereas PBs were significantly linked with intention to institutionalize. However, stress burden among spouses and relationship burden among adult children were significantly linked with intention to institutionalize.  IMPLICATIONS:  We discuss the research and practice implications of the differing needs of spou... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4249436 Mon, 06 Dec 2010 00:00:00 +0100 4249436 http://www.medworm.com/index.php?rid=4184057&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%3D21081588%26dopt%3DAbstract Authors: McAuley WJ PMID: 21081588 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4184057 Sat, 20 Nov 2010 04:17:34 +0100 4184057 http://www.medworm.com/index.php?rid=4184060&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%3D21078827%26dopt%3DAbstract Authors: Tyler DA, Shield RR, Rosenthal M, Miller SC, Wetle T, Clark MA PURPOSE:  Although surveys are usually piloted before fielding, cognitive-based testing of surveys is not standard practice in nursing home (NH) research. Many terms used in the literature do not have standard definitions and may be interpreted differently by researchers, respondents, and policy makers. The purpose of this study was to ensure that survey respondents understood questions as intended, determine whether the Nursing Home Administrator (NHA) or the Director of Nursing (DON) was better able to answer questions on certain topics, and to inform the answer choices provided for questions. Methods: Using existing survey questions and input from experts, we developed surveys to be administered to DONs an... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4184060 Mon, 15 Nov 2010 00:00:00 +0100 4184060 http://www.medworm.com/index.php?rid=4184063&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%3D21076085%26dopt%3DAbstract This study identifies factors associated with hospice use among urban Black and White nursing home (NH) decedents in the United States.  DESIGN AND METHODS:  Multiple data sources are combined and multilevel logistic regression is utilized to examine hospice use among urban Black and White NH residents who had access to hospice and died in 2006 (N = 288,202).  RESULTS:  In NHs, Blacks are less likely to use hospice than Whites (35.4% vs. 39.3%), even when controlling for covariates, interactions, and clustering of decedents in NHs and counties (adjusted odds ratio = 0.81, 95% confidence interval = 0.77-0.86). Variation in hospice use is greater among subgroups of Blacks than between Blacks and Whites, and these variations are predominantly due to individual-level factors, with some... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4184063 Fri, 12 Nov 2010 00:00:00 +0100 4184063 http://www.medworm.com/index.php?rid=4165242&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%3D21071621%26dopt%3DAbstract Authors: Ackerman ML, Crowe M, Vance DE, Wadley VG, Owsley C, Ball KK In 129 community-dwelling older adults, feedback regarding qualification for an insurance discount (based on a visual speed of processing test; Useful Field of View) was examined as a prospective predictor of change in self-reported driving ability, driving avoidance, and driving exposure over 3 months, along with physical, visual, health, and cognitive variables. Multiple regression models indicated that after controlling for baseline scores on the outcome measures, failure to qualify was a significant predictor of increased avoidance over 3 months (p = .02) but not change in self-rated driving ability or exposure. Female gender (p = .03) was a significant predictor of subsequent lower self-rated driving ability. Ov... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4165242 Thu, 11 Nov 2010 00:00:00 +0100 4165242 http://www.medworm.com/index.php?rid=4165245&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%3D21051464%26dopt%3DAbstract Authors: Wassel J PMID: 21051464 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4165245 Thu, 04 Nov 2010 00:00:00 +0100 4165245 http://www.medworm.com/index.php?rid=4165244&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%3D21051465%26dopt%3DAbstract Authors: Beard RL PMID: 21051465 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4165244 Thu, 04 Nov 2010 00:00:00 +0100 4165244 http://www.medworm.com/index.php?rid=4165243&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%3D21051466%26dopt%3DAbstract Authors: Greenwood PM PMID: 21051466 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4165243 Thu, 04 Nov 2010 00:00:00 +0100 4165243 http://www.medworm.com/index.php?rid=4137893&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%3D21047971%26dopt%3DAbstract Authors: Leland N, Porell F, Murphy SL Purpose of the study: To determine whether reported falls at baseline are associated with an older adult's decision to make a residential adjustment (RA) and the type of adjustment made in the subsequent 2 years.  DESIGN AND METHODS:  Observations (n = 25,036) were from the Health and Retirement Study, a nationally representative sample of community-living older adults, 65 years of age and older. At baseline, fall history (no fall, 1 fall no injury, 2 or more falls no injury, or 1 or more falls with an injury) and factors potentially associated with RA were used to predict the initiation of an RA (i.e., moving, home modifications, increased use of adaptive equipment, family support, or personal care assistance) during the subsequent 2 years.... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4137893 Wed, 03 Nov 2010 00:00:00 +0100 4137893 http://www.medworm.com/index.php?rid=4122494&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%3D21030471%26dopt%3DAbstract Authors: Nimrod G Purpose of the study: Previous research found that "fun on line" is the most dominant content in seniors' online communities. The present study aimed to further explore the fun culture in these communities and to discover its unique qualities.  DESIGN AND METHODS:  The study applied an online ethnography (netnography) approach, utilizing a full year's data from 6 leading seniors' online communities. The final database included about 50,000 posts.  RESULTS:  The majority of posts were part of online social games, including cognitive, associative, and creative games. The main subjects in all contents were sex, gender differences, aging, grandparenting, politics, faith, and alcohol. Main participatory behaviors were selective timing, using expressive style, and... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4122494 Thu, 28 Oct 2010 00:00:00 +0100 4122494 http://www.medworm.com/index.php?rid=4107604&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%3D20974657%26dopt%3DAbstract Authors: Mitchell MB, Miller LS, Woodard JL, Davey A, Martin P, Burgess M, Poon LW, Purpose of the Study: There is lack of consensus on the best method of functional assessment, and there is a paucity of studies on daily functioning in centenarians. We sought to compare associations between performance-based, self-report, and proxy report of functional status in centenarians. We expected the strongest relationships between proxy reports and observed performance of basic activities of daily living (BADLs) and instrumental activities of daily living (IADLs). We hypothesized that the discrepancy between self-report and observed daily functioning would be modified by cognitive status. We additionally sought to provide clinicians with estimates of centenarians' observed daily functioning... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4107604 Sun, 24 Oct 2010 23:00:00 +0100 4107604 http://www.medworm.com/index.php?rid=4088089&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%3D20956798%26dopt%3DAbstract Authors: PMID: 20956798 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=4088089 Mon, 18 Oct 2010 23:00:00 +0100 4088089 http://www.medworm.com/index.php?rid=3973275&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%3D20837507%26dopt%3DAbstract Authors: PMID: 20837507 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3973275 Thu, 16 Sep 2010 12:54:28 +0100 3973275 http://www.medworm.com/index.php?rid=3973274&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%3D20837508%26dopt%3DAbstract Authors: PMID: 20837508 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3973274 Thu, 16 Sep 2010 12:54:25 +0100 3973274 http://www.medworm.com/index.php?rid=3973273&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%3D20837509%26dopt%3DAbstract Authors: PMID: 20837509 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3973273 Thu, 16 Sep 2010 12:54:21 +0100 3973273 http://www.medworm.com/index.php?rid=3973272&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%3D20837510%26dopt%3DAbstract Authors: PMID: 20837510 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3973272 Thu, 16 Sep 2010 12:54:17 +0100 3973272 http://www.medworm.com/index.php?rid=3973271&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%3D20837511%26dopt%3DAbstract Authors: McAuley WJ PMID: 20837511 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3973271 Thu, 16 Sep 2010 12:54:14 +0100 3973271 http://www.medworm.com/index.php?rid=3973270&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%3D20837512%26dopt%3DAbstract Authors: Binstock RH During the 50 years in which The Gerontologist has been publishing, the politics of aging in the United States has undergone distinct changes. The political behavior of older individuals has remained largely the same even though different birth cohorts have succeeded each other in populating the ranks of older people. But the politics of policies on aging-the organized interest and advocacy groups active in this arena, the tenor of public discourse about older people as beneficiaries of policies on aging, the national political agendas regarding public old-age benefits, and the broader U.S. political economy-have changed substantially over these five decades. Now, in the contexts of the aging of the baby boom and concerns about reducing large federal fiscal deficit... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3973270 Thu, 16 Sep 2010 12:54:10 +0100 3973270 http://www.medworm.com/index.php?rid=3973269&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%3D20837513%26dopt%3DAbstract Authors: PMID: 20837513 [PubMed - in process] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3973269 Thu, 16 Sep 2010 12:54:06 +0100 3973269 http://www.medworm.com/index.php?rid=3900129&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%3D20732938%26dopt%3DAbstract Authors: Shapiro A PMID: 20732938 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3900129 Sun, 22 Aug 2010 23:00:00 +0100 3900129 http://www.medworm.com/index.php?rid=3900131&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%3D20724656%26dopt%3DAbstract This report describes caregiving patterns at 3 time points over 24 months in a sample of 485 Ohio grandmothers and examines the effects of stability and change in grandmother caregiving roles (raising a grandchild, living in a multigenerational home, or not caregiving to grandchildren). Drawing on the Resiliency Model of Family Stress, the study examined caregiving stress and reward, intrafamily strain, social support, resourcefulness, depressive symptoms, mental and physical health, and perceived family functioning. Caregiver group, time of measurement, switching between caregiver groups, and baseline age, race, education, work status, and marital status were considered as independent variables within the context of a one-way treatment structure in a mixed-model multivariate analysis. RES... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3900131 Wed, 18 Aug 2010 23:00:00 +0100 3900131 http://www.medworm.com/index.php?rid=3900130&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%3D20724657%26dopt%3DAbstract Authors: Lawrence V, Samsi K, Banerjee S, Morgan C, Murray J PURPOSE: There is a fundamental knowledge gap regarding the experience of dementia within minority ethnic groups in the United Kingdom and elsewhere. The present study examined the subjective reality of living with dementia from the perspective of people with dementia within the 3 largest ethnic groups in the United Kingdom. DESIGN AND METHODS: This was a qualitative study in which in-depth individual interviews were conducted with 11 Black Caribbean, 9 south Asian, and 10 White British older people with dementia. The lack of information in this area prompted the use of a grounded theory approach. RESULTS: The main theme to emerge from the interviews with the people with dementia was "threat to valued elements of life." Parti... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3900130 Wed, 18 Aug 2010 23:00:00 +0100 3900130 http://www.medworm.com/index.php?rid=3882251&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%3D20713454%26dopt%3DAbstract Authors: Rosenbloom C PMID: 20713454 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3882251 Sun, 15 Aug 2010 23:00:00 +0100 3882251 http://www.medworm.com/index.php?rid=3882250&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%3D20713455%26dopt%3DAbstract This study highlighted the consistently greater development of disability over time in adults with diabetes and particularly in those who are women, non-White, or adults of lower education. Future studies are recommended to examine the mechanisms underlying the differential effects of diabetes on physical disability by gender and education. PMID: 20713455 [PubMed - as supplied by publisher] (Source: The Gerontologist) The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3882250 Sun, 15 Aug 2010 23:00:00 +0100 3882250 http://www.medworm.com/index.php?rid=3870663&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%3D20702518%26dopt%3DAbstract Authors: Chou RJ PURPOSE: The Family Support Agreement (FSA) is a voluntary but legal contract between older parents and adult children on parental support in China. As the first comprehensive empirical study on the FSA, this study aims to understand the prevalence and covariates of older parents' perceived need and actual use of this agreement. DESIGN AND METHODS: Using logistic regression analyses, t-tests and chi-square tests, this study analyzed data from a nationally representative sample of 9,587 rural parents aged 60 years and above from the 2006 Sample Survey on Aged Population in Urban/Rural China, which had a 99% response rate. RESULTS: More than 11% of the subjects regarded the FSA as necessary, and more than 6% have signed it, respectively, representing 160 million and 30.7... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3870663 Tue, 10 Aug 2010 23:00:00 +0100 3870663 http://www.medworm.com/index.php?rid=3855005&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%3D20696793%26dopt%3DAbstract Filial Piety by Contract? The Emergence, Implementation, and Implications of the "Family Support Agreement" in China. Gerontologist. 2010 Aug 9; Authors: Chou RJ China has the largest aging population in the world today. Despite the Chinese tradition of filial piety, economic, social, cultural, and familial changes have made it increasingly difficult for older Chinese to receive support from adult children. To ensure parental support, the Family Support Agreement (FSA) emerged from a local community in the mid-1980s. Since then, the FSA has been promoted and monitored by the government. By the end of 2005, FSAs had been signed by more than 13 million rural families across China and is now finding its way into cities. A voluntary contract between older parents and adult children... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3855005 Sun, 08 Aug 2010 23:00:00 +0100 3855005 http://www.medworm.com/index.php?rid=3855006&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%3D20693237%26dopt%3DAbstract Authors: Choi S PURPOSE: This longitudinal study examined the role of health insurance in access to health care among older immigrants. DESIGN AND METHODS: Using data from the Second Longitudinal Study of Aging, the longitudinal trajectories of having a usual source of care were compared between 3 groups (all 70+ years): (a) late-life immigrants with less than 15 years of residence in the United States ("recent immigrants"; n = 133), (b) "earlier immigrants" (15 years or longer in the United States, n = 672), and (c) U.S. born (n = 8,642). A series of hierarchical generalized linear models were run to test the mediating relationship of health insurance between immigrant status and having a usual source of care. RESULTS: Although the probabilities of having a usual source of care increa... The Gerontologist journals http://www.medworm.com/rss/comments.php?id=3855006 Thu, 05 Aug 2010 23:00:00 +0100 3855006