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Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society

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https://www.readbyqxmd.com/read/29991313/recruiting-older-adults-with-functional-difficulties-into-a-community-based-research-study-approaches-and-costs
#1
Manka Nkimbeng, Laken Roberts, Roland J Thorpe, Laura N Gitlin, Alice Delaney, Elizabeth K Tanner, Sarah L Szanton
The CAPABLE (Community Aging in Place, Advancing Better Living for Elders) trial in Baltimore City tested whether an interdisciplinary team of occupational therapists, nurses, and handymen reduces disability and health expenditures in community-dwelling older adults with functional difficulties. This study describes methods and associated costs of recruiting 300 low-income, cognitively intact, older adults with functional difficulties into this study. Sources of participant enrollment included direct mailings (35%), government program referrals (19%), community-based organizations (16%), ambassador referrals (15%), and media (4%)...
July 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29978735/measuring-state-medicaid-home-care-participation-and-intensity-using-latent-variables
#2
Judite Gonçalves, France Weaver, R Tamara Konetzka
Population aging and policies to redirect long-term care toward home- and community-based services have led to increases in Medicaid home care spending in most states. Changes in state Medicaid home care policy generosity may result from changes in the number of persons served (i.e., Participation) and/or changes in quantities of services covered (i.e., Intensity). This study measures state Medicaid home care Participation and Intensity comprehensively using latent variables, and uses those latent variables to describe changes in Medicaid home care policy generosity over time and across states...
July 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29962260/activity-patterns-associated-with-health-status-in-later-life-among-singaporeans
#3
Song-Iee Hong, Srinivasan Chokkanathan, Philip A Rozario
Research on activities overlooks the possibility that older adults engage in different activities contemporaneously. To address this gap, we used latent class analyses to identify activity patterns and then examined demographic and health correlates of these patterns among a nationally representative sample of older adults in Singapore. We identified four classes of activities: the family-focused instrumental activity (FIA) class, the social leisure activity (SLA) class, the multidynamic activity (MDA) class, and the passive activity (PA) class...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29957087/do-internet-users-lead-a-healthier-lifestyle
#4
Yu-I Peng, Yun-Shan Chan
Internet use has spread rapidly worldwide in recent years, but the proportion of older people who use it remains low in Taiwan. Meanwhile, due to population aging in the country, chronic diseases have become more prevalent among older people. This study explores the link between exposure to the Internet and adoption of a healthy lifestyle among the middle-aged and elderly people. Data are drawn from the Topic on Health of the 2011 Taiwan Social Change Survey. We use the logistic regression as the baseline model and apply the propensity-score weighting method to identify the effect of Internet use on exercising, vegetable and fruit eating, betel nut chewing, smoking, and heavy drinking...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29944061/implementing-a-standardized-transition-care-plan-in-skilled-nursing-facilities
#5
Mark Toles, Jennifer Leeman, Cathleen Colón-Emeric, Laura C Hanson
Prior studies have not described strategies for implementing transitional care in skilled nursing facilities (SNFs). As part of the Connect-Home study, we pilot tested the Transition Plan of Care (TPOC) template, an implementation tool that SNF staff used to deliver transitional care. A retrospective chart review was used to describe the impact of the TPOC template on three implementation outcomes: reach to patients, staff adoption of the template, and staff fidelity to the intervention protocol for transition care planning...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29923445/provider-related-linkages-between-primary-care-clinics-and-community-based-senior-centers-associated-with-diabetes-related-outcomes
#6
Polly Hitchcock Noël, Chen-Pin Wang, Erin P Finley, Sara E Espinoza, Michael L Parchman, Mary J Bollinger, Helen P Hazuda
The Institute of Medicine (IOM) suggests that linkages between primary care practices and community-based resources can improve health in lower income and minority patients, but examples of these are rare. We conducted a prospective, mixed-methods observational study to identify indicators of primary care-community linkage associated with the frequency of visits to community-based senior centers and improvements in diabetes-related outcomes among 149 new senior center members (72% Hispanic). We used semistructured interviews at baseline and 9-month follow-up, obtaining visit frequency from member software and clinical assessments including hemoglobin A1c (HbA1c) from colocated primary care clinics...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29909728/the-role-of-ethnic-and-racial-disparities-in-mobility-and-physical-function-in-older-adults
#7
Elizabeth Vásquez, Cassandra M Germain, Fei Tang, Matthew C Lohman, Karen L Fortuna, John A Batsis
OBJECTIVE: To compare estimates of the prevalence of mobility and physical function limitations by race and ethnicity using data from the Medical Expenditure Panel Survey (MEPS). METHOD: The sample comprised of 28,854 adults aged ≥60 from the MEPS (2004-2013). Physical function (limitations in basic and instrumental activities of daily living [ADL/IADL]) and mobility limitations were assessed by self-report. RESULTS: Non-Hispanic Whites (NHWs) represented the majority of the sample followed by non-Hispanic Blacks (NHBs), Hispanic and non-Hispanic Other (Other)...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29900808/the-association-between-psychosocial-work-environment-and-satisfaction-with-old-age-care-among-care-recipients
#8
Dan Lundgren, Marie Ernsth Bravell, Ulrika Börjesson, Ingemar Kåreholt
This study examines the association between nursing assistants' perceptions of their psychosocial work environment and satisfaction among older people receiving care in nursing homes and home care. Cross-sectional surveys were conducted among people receiving care ( N = 1,535) and nursing assistants ( N = 1,132) in 45 nursing homes and 21 home care units within municipal old-age care. Better psychosocial work environment was related to higher satisfaction in old-age care among the recipients. Significant and stronger associations were more common in nursing homes than in home care...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29900756/developing-a-set-of-uniform-outcome-measures-for-adult-day-services
#9
Keith A Anderson, Lyn Geboy, Shannon E Jarrott, Lydia Missaelides, Aaron M Ogletree, Lisa Peters-Beumer, Steven H Zarit
Adult day services (ADS) provide care to adults with physical, functional, and/or cognitive limitations in nonresidential, congregate, community-based settings. ADS programs have emerged as a growing and affordable approach within the home and community-based services sector. Although promising, the growth of ADS has been hampered by a lack of uniform outcome measures and data collection protocols. In this article, the authors detail a recent effort by leading researchers and practitioners in ADS to develop a set of uniform outcome measures...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29871544/findings-from-a-prospective-randomized-controlled-trial-of-an-individualized-music-listening-program-for-persons-with-dementia
#10
Jung Kwak, Keith Anderson, Katharine O'Connell Valuch
Music & Memory (M&M) is a passive music intervention that uses personalized music playlists delivered on digital music players. This program has been increasingly adopted in nursing homes across the United States to facilitate communication, engagement, and socialization among persons with dementia (PWDs); however, few studies have evaluated the program's effect on PWDs' outcomes. In the present study, a randomized controlled crossover design was used to examine the impact of the M&M program on 59 PWDs in 10 nursing homes over a 14-week period...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29865910/expanding-medicaid-coverage-for-community-based-long-term-services-and-supports-lessons-from-maryland-s-community-first-choice-program
#11
Julia Burgdorf, Jennifer Wolff, Amber Willink, Cynthia Woodcock, Karen Davis, Ian Stockwell
Community First Choice (CFC) is a Medicaid state plan option authorized through the Affordable Care Act (ACA) that supports the delivery of long-term services and supports in home and community settings. We interviewed stakeholders in Maryland, one of the first states to adopt CFC, to assess challenges, benefits, and potential implications of this Medicaid option for state and federal policy makers. Study findings suggest that expanding coverage for home- and community-based services through CFC in Maryland has been financially feasible, expanded the personal care workforce, and supported a more equitable approach to personal care services...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29865907/long-term-care-health-care-aides-perceptions-of-decision-making-processes-in-transferring-residents-to-acute-care-services
#12
Kaitlyn Tate, Jude Spiers, Rowan El-Bialy, Greta Cummings
Most transfers of long-term care (LTC) facility residents to the emergency department (ED) via 911 calls are necessary. Avoidable transfers can have adverse effects including increased confusion and dehydration. Around 20% of transfers are perceived to be avoidable or unnecessary, yet decision making around transfers is complex and poorly understood. Using a qualitative-focused ethnographic approach, we examined 20 health care aides' (HCAs) perceptions of decision processes leading to transfer using experiential interview data...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29865902/geriatric-workforce-development-for-the-underserved-using-rcqi-methodology-to-evaluate-the-training-of-ihss-caregivers
#13
Lourdes R Guerrero, Regina Richter Lagha, Amy Shim, Daphna Gans, Heather Schickedanz, Lisa Shiner, Zaldy Tan
Caregivers play an important role in the in-home care of community dwelling older adults living with Alzheimer's disease or related dementias (ADRD); however, many of these caregivers lack training in caring for this vulnerable population. In 2015, we developed and implemented an interactive, community-based, knowledge and skills-based training program for In-Home Supportive Services (IHSS) caregivers. This report shares the results of a process evaluation of this training program as it evolved over the course of three training sessions in Riverside County, California...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29860926/measuring-attitudes-about-end-of-life-care-evaluation-of-a-modified-version-of-the-hospice-philosophy-scale
#14
Daniel J Van Dussen, John Cagle, Amy J Plant, Seokho Hong, Krystal L Culler, Iraida V Carrion
The Hospice Philosophy Scale (HPS) is the only scaled instrument that measures health professionals' attitudes about end-of-life care consistent with the hospice philosophy. This study tested the properties of a modified version of the HPS to provide preliminary validation data on internal consistency, convergent validity, and factorability in a broad population of adults. A cross-sectional telephone survey designed to assess the general population's attitudes regarding hospice use was administered. exploratory factor analysis elicited an eight-item instrument (HPS-8)...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29845870/retraction-notice
#15
(no author information available yet)
No abstract text is available yet for this article.
May 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29806517/a-phenomenological-study-of-the-work-environment-in-long-term-care-facilities-for-the-older-adults
#16
Sandy Pin Pin Choi, Cheryl Chi Yan Yeung, Joseph Kok Long Lee
Attempts to meet the increasing demand for long-term care (LTC) services have been hindered by acute staff shortages and high turnover. Distinct from previous studies, a descriptive phenomenological approach with van Kaam's controlled explication method was adopted in this study, to delineate how attributes of the LTC work environment shape the workforce crisis. Individual interviews were conducted with 40 LTC workers from 10 facilities in Hong Kong. The results suggest that the work environment in LTC facilities is not only characterized by organization- and job-related attributes that influence staff outcomes but also is a socially constructed concept with derogatory connotations that can influence staff recruitment and retention...
May 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29788783/a-mixed-methods-approach-to-understanding-the-palliative-needs-of-parkinson-s-patients
#17
Lindsay P Prizer, Jennifer L Gay, Mark G Wilson, Kerstin G Emerson, Anne P Glass, Janis M Miyasaki, Molly M Perkins
Parkinson's disease (PD) is the second-most common age-related neurodegenerative disorder. Despite recommendations for a palliative approach, little is known about what palliative needs are unmet by standard care. This study aims to (a) identify palliative needs of PD patients, (b) determine the relationship between palliative needs and health-related quality of life (HRQoL), and (c) probe into factors affecting HRQoL. PD patients and neurologists were recruited for a survey on palliative need; a subset of patients was interviewed...
May 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29781358/building-consensus-on-an-integrated-care-pathway-in-geriatric-rehabilitation-a-modified-delphi-study-among-professional-experts
#18
Irma H J Everink, Jolanda C M van Haastregt, Gertrudis I J M Kempen, Jos M G A Schols
To improve continuity and coordination of care in geriatric rehabilitation, an integrated care pathway was developed in the south of the Netherlands. This study aims to reach nationwide consensus on the content and structure of this locally developed pathway using a two-round Delphi study with specialized elderly care physicians ( n = 37) as experts. In the first round, experts indicated their level of agreement on 65 statements representing the pathway on a 5-point Likert-type scale. Statements that did not gain consensus (interquartile range > 1) were redistributed to participants in Round 2...
May 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29779422/patient-portal-use-among-older-adults-what-is-really-happening-nationwide
#19
Eun-Shim Nahm, Shijun Zhu, Michele Bellantoni, Linda Keldsen, Kathleen Charters, Vince Russomanno, Matt Rietschel, HyoJin Son, Leslie Smith
Patient portals (PPs), secure websites that allow patients to access their electronic health records and other health tools, can benefit older adults managing chronic conditions. However, studies have shown a lack of PP use in older adults. Little is known about the way they use PPs in community settings and specific challenges they encounter. The aim of this study was to examine the current state of PP use in older adults, employing baseline data (quantitative and qualitative) from an ongoing nationwide online trial...
May 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29766761/use-of-home-and-community-based-services-in-taiwan-s-national-10-year-long-term-care-plan
#20
Hsiao-Wei Yu, Yu-Kang Tu, Po-Hsiu Kuo, Ya-Mei Chen
We aimed to understand the relationships between care recipients' profiles and home- and community-based services (HCBS use patterns. Data were from the 2010 to 2013 Long-Term Care Service Management System in Taiwan ( N = 78,205). We used latent class analysis and multinomial logistic regression analyses. Three HCBS use patterns were found. Care recipients who lived alone, lived in less urbanized areas, and had instrumental activities of daily living disabilities were more likely to be in the home-based personal care group...
May 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
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