Sociology Commons^™

Aging In Place In Marion: A Community Endeavor, Bernard A. Steinman, Hayley Gleason, Maryam Khaniyan, Ceara Somerville, Jan Mutchler

Gerontology Institute Publications

This report describes collaborative efforts undertaken by the Friends of the Marion Council on Aging (FMCOA) and the Center for Social and Demographic Research on Aging, within the McCormack Graduate School at the University of Massachusetts Boston (UMass Boston). Beginning in Fall 2014, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of the Town’s older resident population, and the priorities of other stakeholders in the Town, with respect to living and aging in Marion.

In the earliest phase of the project, we met several times with members of the FMCOA to discuss and …

Effects Of Video Enhancement In A Stated-Choice Experiment On Medical Decision Making, Susanne Hoffmann, Joachim Winter, Francis G. Caro, Alison Gottlieb

Gerontology Institute Publications

Background. The internet can be useful in administering stated-choice experiments to understand medical decision making and refine the content of patient decision aids. In internet-based stated-choice experiments, video and audio files can be used to provide information to respondents. Quality of data may or may not be affected.

Objectives. In a methodological experiment concerned with administration of a stated-choice experiment on the internet concerned with knee-replacement surgery, we compared the data quality obtained with video-enhanced and conventional text formats.

Methods. Members of the RAND Corporation’s American Life Panel and 50 years of age or older (n=1616) were randomly assigned to …

Aging In West County Communities: Coming Together To Age In Place, Bernard A. Steinman, Hayley Gleason, Ceara Somerville, Maryam Khaniyan, Jan Mutchler

Gerontology Institute Publications

This report describes collaborative efforts undertaken by the Towns of Ashfield, Buckland, and Shelburne Consortium of Councils on Aging (hereafter, The Consortium) and the Center for Social and Demographic Research on Aging, within the McCormack Graduate School at the University of Massachusetts Boston (hereafter, UMass Boston). Beginning in Fall 2014, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of older residents in communities in West Franklin County (hereafter, West County), and priorities of stakeholders who interact with older adults in various capacities.

Early in the project, researchers from UMass Boston communicated with stakeholders …

Understanding The Differences Between Defined Benefit Pension And Defined Contribution, Emily G. Brown Jd, Jeanne Medeiros Jd

Pension Action Center Publications

In recent years, more and more employers are offering employees defined contribution plans instead of defined benefit plans. Although, there has been a shift away from the defined benefit pension plan, it is important for employees to understand the difference and value of both pension plans.

Each type of pension plan has both advantages and disadvantages. What may appear as an advantage to one person might seem to be a disadvantage to another person. For example, a person who spends all or most of her career with a single employer will have very different concerns from someone who changes jobs …

Understanding The Specialized Language Of Retirement Plans, Emily G. Brown Jd, Jeanne Medeiros Jd

Pension Action Center Publications

Whether you are a participant in a defined benefit plan or a defined contribution plan, the realm of pension benefits can be tricky and confusing to navigate. Some of the terminology used might be unfamiliar to the average person. This glossary of common terms associated with retirement plans is meant to serve as a helpful resource for plan participants.

Fact Sheet: Cohort Differences In Parental Survival, Maximiliane E. Szinovacz

Gerontology Institute Publications

Increases in longevity and especially increased survival into very old age have implications not only for individuals’ own life course but also for that of their families. For example, if parents survive into very old age they will have more opportunities not only to become grandparents but also great-grandparents and to experience these family roles for a longer time period (the so-called “beanpole family”). From their adult children’s perspective, longer survival of parents also can mean that needs for companionship arising from one parent’s widow(er)hood will be postponed into their adult children’s later years, possibly after the child’s retirement. Similarly, …

Fact Sheet: Cohort Differences In Parents’ Illness And Nursing Home Use, Maximiliane E. Szinovacz

Gerontology Institute Publications

Surviving parents of the war baby and baby boom cohorts are now reaching very old age. Given their increased longevity and postponement of morbidity into very old age (see Fact Sheets on parental mortality and care needs), it is essential to estimate whether and to what extent these parents will require informal or formal care. Such care is typically most burdensome and costly if it involves long-lasting illness prior to death. Furthermore, Medicare and especially Medicaid expenditures will depend on whether or not these parents require nursing home care. To obtain some estimates of the prevalence of long-lasting illness and …

Fact Sheet: Cohort Differences In Parental Care Needs, Maximiliane E. Szinovacz, Linda C. Lieber

Gerontology Institute Publications

There has been considerable concern about the availability of informal and especially family care when the baby boom cohorts reach old age (Ryan and Smith et al., 2012). However, as care needs typically arise in late old age (age 70 or later), a more immediate issue is the care burden faced by the baby boomer cohorts themselves as their parents now reach late old age. To assess the potential care burden faced by baby boom adult children one first needs to assess their parents’ care needs. Such assessment is also essential as research shows that parental care needs do not …

Living And Aging In Newton: Now And In The Future, Bernard A. Steinman, Hayley Gleason, Ceara Somerville, Jan E. Mutchler, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston, Gerontology Institute, University Of Massachusetts Boston

Gerontology Institute Publications

This report describes collaborative efforts undertaken by the City of Newton Department of Senior Services, the Newton Council on Aging, The Senior Citizens Fund of Newton, Inc., and the Center for Social and Demographic Research on Aging, within the McCormack Graduate School at the University of Massachusetts Boston. Beginning in Fall 2013, these organizations partnered to conduct a needs assessment study to investigate the needs, interests, preferences, and opinions of the City’s older resident population, with respect to living and aging in Newton. The focus of this report is on two cohorts of Newton residents—those aged 50 to 59 (referred …

Social Networks, Decision Aids, And Patient Decisions Regarding Knee-Replacement Surgery, Francis G. Caro, Susanne Hoffmann, Alison Gottlieb, Iris Kesternich, Joachim Winter

Gerontology Institute Publications

Objective: Examine how information from social networks is associated with patient decisions in the presence of information from multiple professional sources including decision aids.

Methods: We conducted a stated-choice experiment in which respondents made recommendations for hypothetical patients about whether full knee-replacement surgery should be performed to treat knee osteoarthritis. In addition, we administered a background questionnaire in which we explicitly asked respondents about the experience of people in their social network with knee osteoarthritis and possible treatment options. We examined the manner in which respondents’ recommendations for vignette persons were associated with the experiences of members of …

Nursing Home Referrals Within The Veterans Health Administration: Variation By Site And Payment For Care, Edward Alan Miller, Stefanie Gidmark, Emily Gadbois, Marylou Guihan, Orna Intrator

Office of Community Partnerships Posters

Background: Veterans may receive Veterans Health Administration (VHA)-paid nursing home (NH) care in VHA Community Living Centers (CLCs), state veterans homes (SVHs), or community NHs; Veterans Affairs Medical Centers (VAMCs) must provide VHA-paid NH care to highly service connected (mandatory) Veterans; VAMCs have discretion to provide VHA-paid care to other Veterans, if resources allow. Study Objective: To examine how Veterans’ eligibility for different types of payment sources—VHA, Medicare, Medicaid, other—informs NH referral within the VHA.

Addressing The Supportive Transportation Challenges Of Community-Residing Older Adults, Nina M. Silverstein, Kristina M. Turk, Laura Adams, Holly Belanger, Linnea Burke, Stephen Jones, Lauren Lee, David Lopez, Keith Sherman, Lee Paradis, Erin O’Neill, Alycia Rao, Rachael Solano

Office of Community Partnerships Posters

The ability to get to where you want to go, when you want to go there is a key factor for aging-in-place in our communities. It is often taken for granted until that ability is compromised. The informal network of family and friends, if it exists, is not likely to be a sustainable transportation alternative for persons with cognitive impairment or for older adults with limitations that may not fit eligibility criteria for senior transportation services, where they exist. The purpose of this study was to investigate the potential of communities to address the specialized supportive mobility needs of community-residing …

Evaluating Needs Of Older Adults In Massachusetts Communities, Hayley P. Gleason, Caitlin Coyle, Bernard A. Steinman, Ceara R. Somerville, Jan Mutchler

Office of Community Partnerships Posters

Throughout Massachusetts, the ongoing demographic shift toward an older population has required most cities and towns to reevaluate the adequacy of services and programs for older adults. By 2030, the vast majority of municipalities in Massachusetts will have unprecedented proportions of people age 60 or over.

Pension Action Center, Pension Action Center, University Of Massachusetts Boston

Office of Community Partnerships Posters

The Pension Action Center, (PAC) strives to improve retirees’ and workers’ standard of living in retirement through individual case advocacy; referrals to appropriate programs and professionals; and issue analysis and reform of public policy. The center, which is part of the Gerontology Institute at UMass Boston, focuses on the experience of participants in retirement plans throughout its work. The PAC is a one-of-a-kind organization in New England that touches the lives of thousands of people.

Aging In Boston: Preparing Today For A Growing Tomorrow, Jan E. Mutchler, Bernard A. Steinman, Caitlin Coyle, Hayley Gleason, Jiyoung Lyu, Ceara Somerville

Gerontology Institute Publications

Boston’s population is becoming older than ever before. The oldest Baby Boomer is approaching 70 and reinventing what it means to be a “senior citizen.” Waves of Boomers will forge a new path into later life, creating a population of seniors that is larger and more long-lived than previous cohorts, and diverse in new ways. In 2010, more than 14% of Boston’s residents were 60 years or older, representing 88,000 older people. By 2030, projected increases in the older population will result in as many as 130,000 seniors residing in Boston. How will Boston accommodate its growing older population? What …

Healthy Eating And Savvy Saving: An Evaluation Of Action For Boston Community Development’S Food Dollars Program For Low-Income Elders, Ann Bookman, Susan M. Phillips

Gerontology Institute Publications

This report is an evaluation of an innovative community-based intervention – the Food Dollars Program. Funded by the AARP Foundation, this program was designed and delivered by Action for Boston Community Development (ABCD) and their Elder Services staff in order to promote healthy eating and reduce food and economic insecurity among low-income elders in Boston. The impetus for creating this program arose from the challenges many low-income individuals face in purchasing and consuming healthy foods from the five food groups as recommended by the US Department of Agriculture (USDA) in their ChooseMyPlate model of healthy eating. The Food Dollars curriculum …

Financial Security Scorecard: A State-By-State Analysis Of Economic Pressures Facing Future Retirees, Christian Weller, Nari Rhee, Carolyn Arcand

Public Policy and Public Affairs Faculty Publication Series

As Americans increasingly worry about their retirement prospects, states play an important and growing role in retirement security policy. States already manage long-term care programs for the elderly through Medicaid. Concerned about the impact of future elder poverty on state and local budgets and their local economies, a number of states are exploring the creation of low-cost and low-risk retirement savings plans for private sector workers who lack access to pensions or 401(k)s on the job. Some states have developed programs to help older workers find work.

This report presents the Financial Security Scorecard, designed to inform state-level stakeholders and …

Evaluation Of The Jewish Community Housing For The Elderly Memory Support Initiative, Joan Hyde

Gerontology Institute Publications

Jewish Community Housing for the Elderly (JCHE) is a large, multi-campus organization that houses and serves 1,500 residents (80 market rate and 1,420 low income). The average age is 80 years old, with one-third of residents 85 and older. Three quarters of the residents are not native English speakers. Through HUD and other funding, JCHE offers a range of supports to these residents, including translators, interpreters and staff with language and cultural competence, meals, transportation and, through their Service Coordinators, facilitation of resident access to government benefits, home care and other services.

According to the Alzheimer’s Association’s 2012 special report …

Putting Retirement At Risk: Has Financial Risk Exposure Grown More Quickly For Older Households Than Younger Ones?, Christian Weller, Sara Bernardo

Gerontology Institute Publications

Financial markets have been characterized by boom and bust cycles since the 1980s, while the responsibility for managing retirement wealth has increasingly shifted onto individual households at the same time. Policymakers and experts have expressed concern over rising risk exposure among older households, who appear to be increasingly exposed to the growing financial risks just as they near retirement. We consider household data from the Federal Reserve’s Survey of Consumer Finances from 1989 to 2010 to analyze the correlation between age and risk exposure. We test if older households’ risk exposure has indeed grown over time, if it has increased …

Massachusetts Healthy Aging Data Report: Community Profiles, Elizabeth Dugan, Frank Porell, Nina Silverstein, Ruth Palombo, Stacey Mann

Gerontology Institute Publications

The Massachusetts Healthy Aging Data Report: Community Profiles was created by researchers at the Gerontology Institute of the John W. McCormack Graduate School of Policy and Global Studies at the University of Massachusetts Boston and commissioned by the Tufts Health Plan Foundation.

In this report, we have created a custom profile of nearly 100 healthy aging indicators for every city and town in Massachusetts including the 16 neighborhoods of Boston (367 Community Profiles). Each Community Profile is designed to help community residents, agencies, providers, and governments understand the older adults who live in their cities and towns – their ages, …

Aging In Falmouth: Assessing Current And Future Needs Of Our Aging Population, Jan E. Mutchler, Bernard A. Steinman, Hayley Gleason, Caitlin E. Coyle

McCormack Graduate School Gerontology Faculty Publication Series

This report describes the collaborative efforts undertaken by the Town of Falmouth Council on Aging Senior Center and the Center for Social and Demographic Research on Aging, within the McCormack Graduate School at the University of Massachusetts Boston. Beginning in Spring 2013, these organizations joined to conduct a needs assessment to investigate the needs, interests, preferences and opinions of the Town’s older resident population, with respect to aging in Falmouth. The focus of this report is on two cohorts of Falmouth residents—those aged 45 to 59 (referred to as “Boomers”), and the cohort of individuals who are currently aged 60 …