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Higher Quality At Lower Cost: Community Health Worker Interventions In The Health Care Innovation Awards, Caitlin Cross-Barnet, Sarah Ruiz, Megan Skillman, Rina Dhopeshwarkar, Rachel Singer, Rachel Carpenter, Suzanne Campanella, Maysoun Freij, Lynne Snyder, Erin Colligan 2018 NIDILRR

Higher Quality At Lower Cost: Community Health Worker Interventions In The Health Care Innovation Awards, Caitlin Cross-Barnet, Sarah Ruiz, Megan Skillman, Rina Dhopeshwarkar, Rachel Singer, Rachel Carpenter, Suzanne Campanella, Maysoun Freij, Lynne Snyder, Erin Colligan

Journal of Health Disparities Research and Practice

Background: Published evidence regarding cost savings, reduced utilization, and improved quality associated with employing community health workers (CHWs) is largely lacking. This paper presents findings from the Centers for Medicare & Medicaid Services Health Care Innovation Awards (HCIA), with a focus on six diverse programs that employ CHWs. We examine outcomes associated with programs incorporating CHWs into care teams for a broad age range of patients with various health issues such as cancer, asthma, and complex conditions.

Methods: This mixed-methods study used data from claims and site visits to assess the effectiveness of CHW programs. In difference-in-differences analyses of Medicare fee-for-service ...


Aging, Depression, Non-Communicable Diseases And Disabilities In South Africa, Manoj K. Pandey, Vani S. Kulkarni, Raghav Gaiha 2018 Australian National University

Aging, Depression, Non-Communicable Diseases And Disabilities In South Africa, Manoj K. Pandey, Vani S. Kulkarni, Raghav Gaiha

Population Center Working Papers (PSC/PARC)

This is the first study that offers a comprehensive analysis of depression among the old (60+ years) in South Africa. This study uses four waves of a panel survey of the South Africa National Income Dynamics Study (SA-NIDS) during 2008-2014. A state-of-art econometric methodology has been used to unravel the factors underlying depression among the old over the period 2008-2014. Depending on whether the dependent variable is binary (self-reported depression for ≥ 3 days in a week) or continuous (as in measures of overall depression and severe depression), we use random effects probit with Mundlak adjustment or simply random effects with ...


Aging In Bedford: A Community Needs Assessment, Caitlin Coyle, Rebecca Mailman, Jan Mutchler 2018 University of Massachusetts Boston

Aging In Bedford: A Community Needs Assessment, Caitlin Coyle, Rebecca Mailman, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Bedford Council on Aging (COA), to investigate the needs, interests, preferences, and opinions of Bedford’s population of residents who are age 55 and older. The contents of this report are meant to inform the Bedford COA, and other municipal entities, for the purposes of planning and coordination of services, but also to build awareness about issues facing the Town of Bedford’s senior residents.


Facilitators And Barriers To Older Adults Engaging In Physical Activities, Elisa Moore 2018 Western Oregon University

Facilitators And Barriers To Older Adults Engaging In Physical Activities, Elisa Moore

Academic Excellence Showcase Proceedings

No abstract provided.


Self-Employment In Later Life: Implications For Financial, Physical, And Mental Well-Being, Cal Halvorsen 2018 Washington University in St. Louis

Self-Employment In Later Life: Implications For Financial, Physical, And Mental Well-Being, Cal Halvorsen

Arts & Sciences Electronic Theses and Dissertations

More than one in five working Americans aged 50 and older are self-employed, yet scholarship that examines the relationships between self-employment and personal health and financial well-being is limited. Using data from six biennial waves of the Health and Retirement Study, a nationally-representative panel study of Americans past 50 years of age, this quasi-experimental dissertation documents the characteristics of self-employed older adults in comparison to wage-and-salary workers, as well as compares self-employed and wage-and-salary workers in later life on a set of financial well-being and personal health outcomes. This study incorporates inverse probability of treatment weighting (also referred to as ...


Aging In Beverly, Massachusetts: A Community Needs Assessment, Caitlin Coyle, Claire Wickersham, Jan Mutchler 2018 University of Massachusetts Boston

Aging In Beverly, Massachusetts: A Community Needs Assessment, Caitlin Coyle, Claire Wickersham, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Beverly Council on Aging and Senior Community Center (hereto referred to as the Beverly Senior Center), to investigate the needs, interests, preferences, and opinions of Beverly’s population of residents who are age 60 and older. The contents of this report are meant to inform the Beverly Senior Center, and organizations that work with and on behalf of older residents of Beverly, for the purposes of planning and coordination of services, but ...


Technology And The Marginalization Of Older Adults: How Politeness Theory And Stereotype Embodiment Interact In Older Adults' Technology Use, Keefe Watson 2018 Bowling Green State University

Technology And The Marginalization Of Older Adults: How Politeness Theory And Stereotype Embodiment Interact In Older Adults' Technology Use, Keefe Watson

Honors Projects

Marginalization of older adults is a long-time and pervasive fact of society. Technology use can make older adults feel less marginalized by connecting them socially, such as with communication technologies. However, older adults on average are less technology literate than younger adults; this can add to feelings of marginalization. In this study, I analyzed structured open-ended interviews and found unexpected instances of marginalization towards older adults related to technology; for example, older adults are most likely to withstand marginalized comments from their own adult children and family members. I applied politeness theory and the stereotype embodiment model to the coded ...


Grief Off-The-Clock: Supporting Hospice Professionals Through Personal Loss, Rachel A. Guimond 2018 Olivet Nazarene University

Grief Off-The-Clock: Supporting Hospice Professionals Through Personal Loss, Rachel A. Guimond

Scholar Week 2016 - present

Working with clients who die can have a major impact on the way professionals address their own grief. Daily exposure to the possibility of death alters the process of mourning and can leave professionals feeling disconnected from family and friends during times of grief. This presentation will look at the challenges that hospice workers, clergy members, social workers and other professionals face when they experience grief in their own lives. Evidence-based strategies for supporting professionals in their grief will also be explored.


Assessment For Mild Cognitive Impairment: Striving For Best Practice, Julie Leigh Dalmasso 2018 Western Michigan University

Assessment For Mild Cognitive Impairment: Striving For Best Practice, Julie Leigh Dalmasso

Dissertations

This dissertation is a series of three studies aimed at determining the best assessment practices for mild cognitive impairment (MCI) that can employed by speech-language pathologists (SLPs). The first study was non-experimental and descriptive examining whether three commonly used assessment instruments yielded similar categorical results. The data were analyzed to determine whether the Eight-Item Interview to Differentiate Aging and Dementia (AD8), the Mini-Mental State Examination (MMSE), and the Cognitive-Linguistic Quick Test (CLQT) identified the same participants from a neurotypical sample as having cognitive deficits. Very little agreement was found amongst the three tools.

Study two was modified to include two ...


Planning For An Age-Friendly Belmont, Jan Mutchler 2018 University of Massachusetts Boston

Planning For An Age-Friendly Belmont, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

Belmont is a primarily residential community of around 25,000 residents with a small commercial district. Public transit access to downtown Boston and neighboring Cambridge offers Belmont residents access to services, employment, and recreational activities outside of the town’s boundaries. With 22% of its population age 60 and older, Belmont is expecting to see an increase in the number of older residents in the coming years. Commissioned by the Belmont Council on Aging (COA), this report will serve to help the COA and Town to better understand Belmont’s current assets, potentials, and challenges and to plan for changing ...


Residential Settings And Healthcare Use Of The Rural "Oldest-Old" Medicare Population, Nathan Paluso MPH, Zachariah Croll, Deborah Thayer MBA, Jean A. Talbot PhD, MPH, Andrew F. Coburn PhD 2018 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center,

Residential Settings And Healthcare Use Of The Rural "Oldest-Old" Medicare Population, Nathan Paluso Mph, Zachariah Croll, Deborah Thayer Mba, Jean A. Talbot Phd, Mph, Andrew F. Coburn Phd

Long-term Care

The aging of the baby boom generation is projected to dramatically increase the population aged 65 and older in the coming decades. In particular, those aged 85 and older (the ‘oldest old’) are expanding at a faster rate than any other age group and by 2050 are expected to make up 4.5 percent of the population, compared to 1.9 percent in 2012. Faster growth in the percentage of older people (65+) in rural than in urban areas is likely to challenge the healthcare and long term services and supports (LTSS) capacity in many rural communities.

This study used ...


Livable Dedham: An Age-Friendly Action Plan, Livable Dedham Steering Committee, Center for Social and Demographic Research on Aging, University of Massachusetts Boston 2018 University of Massachusetts Boston

Livable Dedham: An Age-Friendly Action Plan, Livable Dedham Steering Committee, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston

Center for Social and Demographic Research on Aging Publications

The Town of Dedham was first settled in 1635 and became the county seat of Norfolk County in 1793. Dedham is situated southwest of Boston and the Town shares a border with Needham, Westwood, and Canton. Dedham encompasses over 10 square miles and has a population of over 25,000 residents, about one-quarter of which are age 60 and older1 (American Community Survey, 2016).

Despite Dedham’s urban location, the Town is rich with natural resources, including several state parks, hiking trails, and the Mother Brook. Although today the Mother Brook is known to residents for the variety of outdoor ...


Perceptions Of Chronic Disease Among Older African Americans: A Qualitative Analysis, Karon Phillips, Charles Rogers, Adrienne Morgan 2018 University of Maryland, Baltimore County

Perceptions Of Chronic Disease Among Older African Americans: A Qualitative Analysis, Karon Phillips, Charles Rogers, Adrienne Morgan

Journal of Health Disparities Research and Practice

Research has documented that African Americans suffer disproportionately from chronic diseases when compared to the general population. Yet, limited research examines older African Americans’ perceptions about having chronic diseases. Accordingly, the first aim of the study provided insight into this disparity with the intent of revealing how older African Americans feel about their overall health, and how much they understand about their individual chronic disease(s). The second aim was to gather information about strategies and coping mechanisms older African Americans use to manage their chronic diseases. The purpose of this aim was to determine if any of the strategies ...


Adult Day Service Providers: Untapped Potential For Care Coordination, Nicole Ruggiano, Ellen L. Brown, Karen L. Fortuna 2018 University of Alabama

Adult Day Service Providers: Untapped Potential For Care Coordination, Nicole Ruggiano, Ellen L. Brown, Karen L. Fortuna

Nursing & Health Sciences Research Journal

Adult Day Services (ADS) have become increasingly available for community-dwelling older adults who are often experiencing multiple chronic conditions and/or dementia. ADS providers spend a significant amount of time with their clients and offer the opportunity for a wealth of clinical information that can be used by primary care providers and specialists for decision-making about patient care. There are also opportunities for hospitals to coordinate care transitions with ADS providers by involving them with discharge planning with appropriate patients who require post-hospital care. However, ADS providers are often viewed as social service providers, and there is little known about ...


The Effects Of A Cognitive Training Program For Cognitively Intact Older Adults, Caroline Kinskey 2018 Minnesota State University, Mankato

The Effects Of A Cognitive Training Program For Cognitively Intact Older Adults, Caroline Kinskey

All Theses, Dissertations, and Other Capstone Projects

Cognitive training is a term used to describe programs that provide guided practice on tasks requiring different cognitive abilities such as memory or language. It is assumed that regular practice will improve or maintain functioning in a particular cognitive domain (e.g., memory) and those results will generalize beyond the context of training. Results have been mixed in the existing literature that has evaluated the potential benefits of cognitive training on cognitive and emotional functioning in cognitively intact older adults. This study investigated the effectiveness of a cognitive training program for older adults with no to very minimal cognitive decline ...


Aging On Nantucket: A Community Needs Assessment, Caitlin Coyle, Jan Mutchler 2018 University of Massachusetts Boston

Aging On Nantucket: A Community Needs Assessment, Caitlin Coyle, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

This report describes efforts undertaken by the Nantucket Center for Elder Affairs, Inc. (NCEA), in partnership with the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston. The purpose of these efforts was to investigate the needs, interests, preferences, and opinions of Nantucket’s older residents. The focus of this report is on the cohort of Nantucket’s residents age 60 and older. The contents of this report are intended to inform NCEA, the Saltmarsh Senior Center, the Council on Aging, the Town of Nantucket, and organizations that provide services to older ...


Differences In The Perceptions Of Gerotranscendence Between Certified Nursing Assistants And Older Adults, Amanda Perera 2018 Minnesota State University, Mankato

Differences In The Perceptions Of Gerotranscendence Between Certified Nursing Assistants And Older Adults, Amanda Perera

All Theses, Dissertations, and Other Capstone Projects

Many theories of aging have been proposed within the field of gerontology to explain both psychological and social changes that occur during the aging process. One of the theories is the theory of gerotranscendence, which explains that as individuals age they develop a new perspective on life that allows the aging individual to shift their conceptualization of the world, from a materialistic and rational view to a more transcendent and universal view. Previous research suggests that some behaviors associated with gerotranscendence have been misinterpreted as pathological. The purpose of this current study was to examine whether there are significant differences ...


Bullying In Senior Living Facilities: Resident Perspectives, Kathryn Ira 2018 Minnesota State University, Mankato

Bullying In Senior Living Facilities: Resident Perspectives, Kathryn Ira

All Theses, Dissertations, and Other Capstone Projects

Research associated with resident-to-resident bullying in senior living facilities (i.e., senior bullying), has been growing in recent years due to anecdotal stories in the popular press. Few studies, however, have assessed resident-to-resident bullying from the perspective of residents. Therefore, the purpose of the current study was to better understand the phenomenon of senior bullying as observed by residents in senior living facilities. Nineteen individuals residing in senior living facilities were interviewed about their observations and opinions related to senior bullying at their facility. Results indicated that 52.9% of residents had observed senior bullying at least once. Verbal and ...


"I'M Not Much One To Be Invisible": End-Of-Life Spiritual Care For Lgbtq Elders, Tyler Fair 2018 University of Colorado, Boulder

"I'M Not Much One To Be Invisible": End-Of-Life Spiritual Care For Lgbtq Elders, Tyler Fair

Undergraduate Honors Theses

People that experience the “intersectionality” of multiple forms of oppression feel the collective results of these discriminations in distinct ways. One perfect example of this is Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) elders: LGBTQ elders experience ageism differently than other elders and trans/homophobia in ways distinct from younger LGBTQ people.

The literature by and for end-of-life chaplains have not explored the experiences of LGBTQ elders. This gap in knowledge is particularly precarious given the large population of LGBTQ Baby Boomers entering and soon to enter into elder-oriented care like end-of-life (EOL) care. In order to better understand the ...


Aging Perceptions: Investigation Of Differences At Three Decades, Naomi Rose Meinertz 2018 Iowa State University

Aging Perceptions: Investigation Of Differences At Three Decades, Naomi Rose Meinertz

Graduate Theses and Dissertations

Ageism, the discrimination or prejudice towards an individual based on age, is understood as an individual and societal issue. Ageism and related negative age perceptions can have an impact on personal health and are influenced by societal shifts in ideologies, as well as individual experiences. Using the perspectives of bioecological and life course theories, we examined group differences in perspectives of the age of “old” for three distinct times of measurement (1974, 1981, & 1999/2000). The total sample included 6,765 respondents with 1,554 respondents from the 70s data set, 2,425 respondents from the 80s data set, and ...


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