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Effects Of The Namaste Care Family Programme On Quality Of Life Of Nursing Home Residents With Advanced Dementia And On Family Caregiving Experiences: Study Protocol Of A Cluster-Randomised Controlled Trial, Hanneke J. A. Smaling, Karlijin J. Joling, Peter M. De Ven, Judith E. Bosmans, Joyce Simard, Ladislav Volicer, Wilco P. Achterberg, Anneke L. Francke, Jenny T. Van Der Steen

Aging Studies Faculty Publications

Introduction: Quality of life of people with advanced dementia living in nursing homes is often suboptimal. Family caregivers can feel frustrated with limited contact with their relatives, which results in visits that are perceived as stressful and not very meaningful. Few psychosocial interventions are specifically developed for people with advanced dementia, and actively involve family caregivers or volunteers. Also, interventions usually stop when it becomes difficult for people to participate. The Namaste Care Family programme aims to increase the quality of life of people with advanced dementia, and improve family caregiving experiences through connecting to people and making them comfortable. …

Occupational Stress And Risk For Parkinson's Disease: A Nationwide Cohort Study, Johanna Sieurin, Ross Andel, Annika Tillander, Elise G. Valdes, Nancy L. Pederson, Karin Wirdefeldt

Aging Studies Faculty Publications

Background: Stress has been suggested as a contributing factor in the etiology of Parkinson's Disease (PD), but epidemiological evidence is sparse.

Objective: The objective of this study was to explore the association between occupational stress according to the job demands‐control model and the risk for PD.

Methods: We conducted a population‐based cohort study with 2,544,748 Swedes born 1920 to 1950 who had an occupation reported in the population and housing censuses in 1980 or, if missing, in 1970. Job demands and control were measured using a job‐exposure matrix. Incident PD cases were identified using Swedish national health registers from 1987 …

Factors Associated With Willingness To Enter Long-Term Care Facilities Among Older Adults In Chengdu, China, Ziyue Huang, Qingyue Liu, Hongdao Meng, Dangping Liu, Debra Dobbs, Kathryn Hyer, Kyaien O. Conner

Aging Studies Faculty Publications

Objective: To describe Chinese older adults’ willingness to enter long-term care facilities and to examine individual factors associated with the willingness of using this growing model of long-term care in China.

Methods: A cross-sectional study involving a random sample of 670 adults aged 60+ in the Hezuo community in Chengdu, China in 2016. Respondents were interviewed by trained staff on socio-demographics, health status, quality of life, social support, and willingness to enter long-term care facilities.

Results: Only 11.9% of the respondents were willing to enter long-term care facilities for meeting their medical and social service needs. Multivariable logistic regression analysis …

Changes In Hypertension-Related Knowledge And Behavior And Their Associations With Socioeconomic Status Among Recently Urbanized Residents In China: 2013–2016, Wenjie Zhang, Hongdao Meng, Shujuan Yang, Honglin Luo, Danping Liu

Aging Studies Faculty Publications

The rapid urbanization in China has brought with it some health benefits, but it also brought about a negative influence on the lifestyle of residents. We conducted this study to assess the change in hypertension-related knowledge and behavior from 2013 to 2016 among recently urbanized residents and determine their association with socioeconomic status (SES). This research used data from two cross-sectional studies conducted in Hezuo community in Chengdu, Sichuan province of China. A total of 2268 and 2601 individuals, respectively, participated and completed standard questionnaires. According to the results, the median (IQR) scores of health knowledge was 1 (0,3) and …

Comparison Of The Flexible Parametric Survival Model And Cox Model In Estimating Markov Transition Probabilities Using Real-World Data, Xudong Du, Mier Li, Ping Zhu, Ju Wang, Lisha Hou, Jijie Li, Hongdao Meng, Muke Zhou, Cairong Zhou

Aging Studies Faculty Publications

Background and Objective: Markov micro-simulation models are being increasingly used in health economic evaluations. An important feature of the Markov micro-simulation model is its ability to consider transition probabilities of heterogeneous subgroups with different risk profiles. A survival analysis is generally performed to accurately estimate the transition probabilities associated with the risk profiles. This study aimed to apply a flexible parametric survival model (FPSM) to estimate individual transition probabilities.

Materials and Methods: The data were obtained from a cohort study investigating ischemic stroke outcomes in Western China. In total, 585 subjects were included in the analysis. To explore the goodness …

The Association Between Assisted Living Direct Care Worker End-Of-Life Training And Hospice Use Patterns, Debra Dobbs, Sharon Kaufman, Hongdao Meng

Aging Studies Faculty Publications

As resident acuity levels increase for those who reside in assisted living (AL), states allow for hospice care provision in AL. End-of-life care training for staff can potentially increase the awareness of benefits of hospice care for AL residents. This study examined the association between AL staff trained in end-of-life care and hospice utilization in a sample of ALs (n = 45) in Florida. The sample included ALs (n = 21) with a low percentage (≤59%) and ALs (n = 24) with a high percentage (≥60%) of staff trained in end-of-life care as reported by AL directors. …

Sleep Disturbance In Men Receiving Androgen Deprivation Therapy For Prostate Cancer: The Role Of Hot Flashes And Nocturia, Brian D. Gonzalez, Brent J. Small, Mallory G. Cases, Noelle L. Williams, Mayer N. Fishman, Paul B. Jacobsen, Heather S. L. Jim

Aging Studies Faculty Publications

Background: Patients with prostate cancer receiving androgen deprivation therapy (ADT) are at risk of sleep disturbance; however, to the authors' knowledge, the mechanisms by which ADT may affect sleep are not well understood. The current study compared objective and subjective sleep disturbance in ADT recipients and controls and examined whether sleep disturbance in ADT recipients is attributable to the influence of ADT on hot flashes and nocturia.

Methods: Patients with prostate cancer were assessed before or within 1 month after the initiation of ADT as well as 6 months and 12 months later (78 patients). Patients with prostate cancer were …

The Role Of Assisted Living Capacity On Nursing Home Financial Performance, Justin Lord, Ganisher Davlyatov, Kali S. Thomas, Kathryn Hyer, Robert Weech-Maldonado

Aging Studies Faculty Publications

The rapid growth of the assisted living industry has coincided with decreased levels of nursing home occupancy and financial performance. The purpose of this article is to examine the relationships among assisted living capacity, nursing home occupancy, and nursing home financial performance. In addition, we explore whether the relationship between assisted living capacity and nursing home financial performance is mediated by nursing home occupancy. This research utilized publicly available secondary data, for the state of Florida from 2003 through 2015. General descriptive statistics were used to assess the relationships among financial performance, assisted living capacity, and occupancy. To explore the …

Influence Of Dynamic Neuromuscular Stabilization Approach On Maximum Kayak Paddling Force, Pavel Davidek, Ross Andel, Alena Kobesova

Aging Studies Faculty Publications

The purpose of this study was to examine the effect of Dynamic Neuromuscular Stabilization (DNS) exercise on maximum paddling force (PF) and self-reported pain perception in the shoulder girdle area in flatwater kayakers. Twenty male flatwater kayakers from a local club (age = 21.9 ± 2.4 years, body height = 185.1 ± 7.9 cm, body mass = 83.9 ± 9.1 kg) were randomly assigned to the intervention or control groups. During the 6-week study, subjects from both groups performed standard off-season training. Additionally, the intervention group engaged in a DNS-based core stabilization exercise program (quadruped exercise, side sitting exercise, sitting …

Men Lacking A Caregiver Have Greater Risk Of Long‐Term Nursing Home Placement After Stroke, Justin Blackburn, Karen C. Albright, William E. Haley, Virginia J. Howard, David L. Roth, Monika M. Safford, Meredith L. Kilgore

Aging Studies Faculty Publications

Background/Objectives: Social support can prevent or delay long‐term nursing home placement (NHP ). The purpose of our study was to understand how the availability of a caregiver can affect NHP after ischemic stroke and how this affects different subgroups differently.

Design: Nested cohort study.

Setting: Nationally based RE asons for Geographic and Racial Differences in Stroke (REGARDS ) study.

Participants: Stroke survivors aged 65 to 100 (256 men, 304 women).

Measurements: Data were from Medicare claims from January 2003 to December 2013 and REGARDS baseline interviews conducted from January 2003 to October 2007. Caregiver support was measured by asking, “If …

Culture Change In Nursing Homes: What Is The Role Of Nursing Home Resources?, Latarsha Chisholm, Ning J. Zhang, Kathryn Hyer, Rohit Pradhan, Lynn Unruh, Feng-Chang Lin

Aging Studies Faculty Publications

Quality of care has been a long-standing issue in US nursing homes. The culture change movement attempts to transition nursing homes from health care institutions to person-centered homes. While the adoption of culture change has been spreading across nursing homes, barriers to adoption persist. Nursing homes that disproportionately serve minority residents may have additional challenges implementing culture change compared with other facilities due to limited financial and staffing resources. The objective of this study was to examine how nursing home characteristics are associated with culture change adoption in Central Florida nursing homes. This cross-sectional study included 81 directors of nursing …

The Influence Of Professional Identity, Job Satisfaction, And Work Engagement On Turnover Intention Among Township Health Inspectors In China, Wenjie Zhang, Hongdao Meng, Shujuan Yang, Danping Liu

Aging Studies Faculty Publications

Health inspectors are part of the public health workforce in China, and its shortage has been identified as an urgent priority that should be addressed. Turnover is one of the main contributors to the shortage problem. This research assessed the influence of professional identity, job satisfaction and work engagement on turnover intention of township health inspectors and explored the intermediary effect of job satisfaction and work engagement between professional identity and turnover intention among township health inspectors in China. Data were collected from 2426 township health inspectors in Sichuan Province, China. We used structural equation modeling (SEM) to test the …

Anxiety And Depression In Spanish-Speaking Latina Cancer Patients Prior To Starting Chemotherapy, Morgan S. Lee, Dinorah Martinez Tyson, Brian D. Gonzalez, Brent J. Small, Suzanne C. Lechner, Michael H. Antoni, Andrea Vinard, Madeline Krause, Cathy Meade, Paul B. Jacobsen

Aging Studies Faculty Publications

Objective: Anxiety and depression can substantially impact the life of a cancer patient, but literature on emotional distress in the Hispanic cancer population is sparse. Additionally, the influence of psychosocial variables including age, acculturation, and spiritual well‐being on emotional distress in this population remains unclear. The purpose of the present report was to assess the prevalence of anxiety and depression in Spanish‐speaking Latina cancer patients preparing to begin chemotherapy and to explore the predictors and correlates of these outcomes.

Methods: Participants were 198 Spanish‐speaking Latina cancer patients who completed measures of anxiety, depression, acculturation, and spiritual well‐being prior to starting …