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Raps Sheet, March 2021, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Remote Data Collection: How Broadband Connectivity Affected The Conversion Of Physical Performance Testing To The Remote Setting During Covid-19: A Research Assistant's Assessment, Ramyar Eslami

University Honors Theses

The GET FIT Prostate and Exercising Together trials conducted by Dr. Kerri Winters-Stone incorporate exercise intervention for cancer survivors during or after completing their therapy. Before the COVID-19 pandemic, the laboratory assessment of both studies was conducted in-person. However, the transition to remote assessment was required due to the safety precautions of COVID-19. Protocol outcomes for administering tests like the short physical performance battery (sPPB), which includes the 4m usual walk (4MW; m/s), chair stands (CS; sec), and standing balance measurements, were completed via a video conferencing interface called Cisco Webex.

Transitioning to remote testing determined the validity of remote …

Connecting Policy To Licensed Assisted Living Communities, Introducing Health Services Regulatory Analysis., Lindsey Smith, Paula Carder, Taylor Bucy, Jaclyn Winfree, Joan F. Brazier, Brian Kaskie, Kali S. Thomas

Institute on Aging Publications

To document dementia-relevant state assisted living regulations and their changes over time as they pertain to licensed care settings.

Assisted Living Communities That Accept Medicaid Are Not Subject To Federal Oversight, Lindsey Smith, Sarah Dys, Paula Carder

Institute on Aging Publications

We commend Mauldin et al. (2020) for their recent article titled “Supports and gaps in federal policy for addressing racial and ethnic disparities among long-term care facility residents,” which addresses opportunities to mitigate racial and ethnic disparities in long-term care (LTC) through federal policies. However, we would like to clarify a statement regarding federal oversight of assisted living (AL) communities made by the authors.

Survey Deficiencies As Quality Indicators In Oregon Assisted Living Communities, Ozcan Tunalilar, Sunny C. Lin, Paula C. Carder

Institute on Aging Publications

Background and Objectives License inspection data have commonly been used as a quality measure for nursing homes but has not yet been used to assess the quality of assisted living/residential care (AL/RC) communities. Drawing on resource dependency theory, we test the hypothesis that structural and environmental characteristics influence AL/RC quality as measured by deficiency citations (“deficiencies”) issued during license inspections.

Research Design and Methods Using data from 526 licensed AL/RC communities in Oregon that received a license inspection visit between 2008 and 2016, we examined the prevalence of deficiencies by type and year. We estimated regression models to identify structural …

Engaging Field And Faculty To Inform The Msw Curriculum, Amie Thurber, Susan Halverson

School of Social Work Faculty Publications and Presentations

The central purpose of this project is to assess the degree of alignment between the MSW curriculum and the needs of field partners, and, if applicable, to identify ways to enhance that alignment through upcoming curriculum revisions. This report draws on three sources of data: an electronic survey distributed in June 2020 to all people who served as field instructors and/or task supervisors (N: 135 respondents), interviews with a sample of 20 field instructors (N:20), and an electronic survey distributed in October 2020 by the MSW Program Director to all MSW instructors (N:38). Findings from this report are intended to …

2021 Community-Based Care: Resident And Community Characteristics Report On Assisted Living, Residential Care, And Memory Care Communities, Ozcan Tunalilar, Paula Carder, Sheryl Elliott, Jason Z. Kyler-Yano, Sarah Dys, Minju Kim, Diana Cater, Ellis Jourdan Hews

Institute on Aging Publications

This report summarizes findings from the 7th annual study of Oregon assisted living (AL) and residential care (RC) facilities, including memory care (MC) communities. The purpose of this report is to inform Oregon Department of Human Services (ODHS), providers, consumers, and other interested parties about this sector of long-term services and supports (LTSS) and ensure data-informed policy decisions. The report contains information about various resident and community characteristics, including capacity and supply, resident demographics and health services use, and community services, policies, fees, and staffing. These data were collected between winter 2020 and spring 2021. This report constitutes the first …

Evaluation Of The Livewell Method: Final Report, Paula Carder, Serena Hasworth, Diana Cater

Institute on Aging Publications

The LiveWell Method uses a practice-based framework to improve the quality of life for people living and working in long-term care settings, including assisted living and memory care. It is designed to improve teamwork, communication, and morale by helping staff organize, track, measure, and improve daily operations. This evaluation is informed by the LiveWell Method’s “bottom-up and top enabled” approach, which engages and empowers direct care staff and administrators to create a more democratic and transparent workplace. In addition, the evaluation included questions to assess LiveWell’s core values, such as creating care innovations, nurturing dignity, creating community, and honoring elders, …

Boolean Network Control With Ideals, Ian H. Dinwoodie

Mathematics and Statistics Faculty Publications and Presentations

A method is given for finding controls to transition an initial state x0 to a target set in deterministic or stochastic Boolean network control models. The algorithms use multivariate polynomial algebra. Examples illustrate the application.

Raps Sheet, January 2021, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Reconstructability Analysis Of The Predictors Of Physical Functioning Status In Older Americans By Race And Ethnicity, Amanuel Melekin, Martin Zwick

Complex Systems Faculty Publications and Presentations

This paper demonstrates the use of reconstructability analysis to examine race/ethnic differences in physical functioning status among older Americans. Reconstructability analysis is an information theory and graph theory method which has been successfully used in multivariate data modeling. The health and retirement study data from 2004 are used for this demonstration. Out of eighteen independent variables included, seven variables appeared in the best models selected. Uncertainty reductions in physical functioning status were substantial across the models but the magnitudes and predictive variables varied slightly by race/ethnicity. Examination of the model probability distributions indicated that composite independent variable states of overlapping …

Revisiting The Role Of Physicians In Assisted Living And Residential Care Settings, Sarah Dys, Lindsey Smith, Ozcan Tunalilar, Paula C. Carder

Institute on Aging Publications

As the United States population ages, a higher share of adults is likely to use long-term services and supports. This change increases physicians’ need for information about assisted living and residential care (AL/RC) settings, which provide supportive care and housing to older adults. Unlike skilled nursing facilities, states regulate AL/RC settings through varying licensure requirements enforced by state agencies, resulting in differences in the availability of medical and nursing services. Where some settings provide limited skilled nursing care, in others, residents rely on resident care coordinators, or their own physicians to oversee chronic conditions, medications, and treatments. The following narrative …

Public Housing With Services For Older Adults With Developmental Disabilities: Differences In Efficacy Among Asian And White Communities, Junghee Lee, William Donlan, Paula C. Carder, Leigh Grover, Insik Hwang, Younghwan Kim, Gretchen Luhr

School of Social Work Faculty Publications and Presentations

This study examined the efficacy of a culturally responsive housing with services model for Asian-American older adults and persons with developmental disabilities separately, and with both for an interaction effect. Study participants, including 278 Whites and 75 Asian Americans, lived in 10 properties of public housing with services in Portland, OR. All Asian-American participants (except four) were immigrants from China, Korea, and Vietnam, and were well connected through community-based health and social services that were delivered onsite and at a nearby center by staff members who were also immigrants from these three countries. Asian-American participants were older, very poor, with …

Raps Sheet, November 2020, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

The Role Of A Nurse In The End-Of-Life Experience Of People Who Don't Have Family, Laurynn E. Leonard

University Honors Theses

Childlessness is becoming more common and this has important implications for those at the end of life. Literature on hospice and care of people at the end of life is heavily focused on family. A major emphasis of end-of-life care is how to support family members, the family role in providing support, and the influence the family has on the patient. Little research, however, has been conducted to determine the difference in how hospice and palliative care can best be provided to those without a spouse, adult children, or siblings compared to those with family support. This research aims to …

Mitigating The Impact Of The Covid-19 Outbreak: A Review Of International Measures To Support Community-Based Care, Walter D. Dawson, Elizabeth C. Ashcroft, Klara Lorenz-Dant, Adelina Comas-Herrera

Institute on Aging Publications

Key findings

• Community-based care faces unique challenges during the COVID-19 pandemic compared to other parts of the long-term care continuum.
• Several countries have taken steps to prevent the spread of COVID-19 infections in community-based care including the closure of adult day centres and other service providers.
• Continuity of care is of upmost importance. A disruption of care and support could have serious negative impacts on individual health and well-being due to increased risk of loneliness and social isolation.
• The dispersed nature of community based care suggests that direct governmental action and oversight may be more difficult to provide than for …

State Variability In The Prevalence And Healthcare Utilization Of Assisted Living Residents With Dementia, Kali S. Thomas, Wenhan Zhang, Portia Y. Cornell, Lindsey Smith, Brian Kaskie, Paula C. Carder

Institute on Aging Publications

Objectives: Almost 1 million older and disabled adults who require long‐term care reside in assisted living (AL), approximately 40% of whom have a diagnosis of Alzheimer's disease and related dementias (ADRD). States vary in their regulations specific to dementia care that may influence the presence of residents with ADRD in AL and their outcomes. The objectives of this study were to describe the state variability in the prevalence of ADRD among Medicare beneficiaries residing in larger (25+ bed) ALs and their healthcare utilization.

Design: Retrospective observational national study.

Participants: National cohort of 293,336 Medicare fee‐for‐service enrollees residing in larger (25+ …

Brain Health Innovation Diplomacy: A Model Binding Diverse Disciplines To Manage The Promise And Perils Of Technological Innovation, Kylie Ternes, Vijeth Iyengar, Helen Lavretsky, Walter D. Dawson, Laura Booi, Agustin Ibanez, Ipsit Vahia, Charles Reynolds, Steven Dekosky, Jeffrey Cummings, Bruce Miller, Carla Perissinotto, Jeffrey Kaye, Harris A. Eyre

Institute on Aging Publications

Background: Brain health diplomacy aims to influence the global policy environment for brain health (i.e. dementia, depression, and other mind/brain disorders) and bridges the disciplines of global brain health, international affairs, management, law, and economics. Determinants of brain health include educational attainment, diet, access to health care, physical activity, social support, and environmental exposures, as well as chronic brain disorders and treatment. Global challenges associated with these determinants include large-scale conflicts and consequent mass migration, chemical contaminants, air quality, socioeconomic status, climate change, and global population aging. Given the rapidly advancing technological innovations impacting brain health, it is paramount to …

Bulletin: General Catalog Issue 2020-2021, Portland State University

Bulletin & Curriculum Change Documents

Volume 1 - Programs is available via the Download option, Volume 2 - Courses is available in the Additional Files below

The Politics Of Caregiving: Taking Stock Of State-Level Policies To Support Family Caregivers, Walter D. Dawson, Lauren Bangerter, Micheal Splaine

Institute on Aging Publications

The U.S. population is aging rapidly. The changing demographics offer several benefits and opportunities at local, national, and global levels (Kluge, Zagheni, Loichinger, & Vogt, 2014). Yet, living to an advanced age remains a significant risk factor for the need of care and support during one’s lifetime. Half of all adults 65 years of age and older will reach a point where they require a high level of support due to either physical or cognitive challenges (Tumlinson, Juring, & Alkema, 2016). At the same time, the number of older adults living with chronic disease (e.g., diabetes, …

Tracking Multimorbidity Changes In Diverse Racial/Ethnic Populations Over Time: Issues And Considerations, Ana R. Quiñones, Heather G. Allore, Anda Botoseneanu, Jason T. Newsom, Corey L. Nagel, David A. Dorr

OHSU-PSU School of Public Health Faculty Publications and Presentations

Multimorbidity is widely recognized as having adverse effects on health and wellbeing and may threaten the ability of older adults to live independently. Much of what is known about multimorbidity rests on research that has largely focused on one point in time, or from a static perspective. Given that there remains a lack of agreement in the field on how to standardize multimorbidity definitions and measurement, it is not surprising that analyzing and predicting multimorbidity development, progression over time, and its impact are still largely unaddressed. As a result, there are important gaps and challenges to measuring and studying multimorbidity …

Annual Wellness Visits And Influenza Vaccinations Among Older Adults In The Us, Terese Sara Hoj Jørgensen, Heather G. Allore, Miriam R. Elman, Corey L. Nagel, Mengran Zhang, Sheila Markwardt, Ana R. Quiñones

OHSU-PSU School of Public Health Faculty Publications and Presentations

Objectives

Investigate whether combinations of sociodemographic factors, chronic conditions, and other health indicators pose barriers for older adults to access Annual Wellness Visits (AWVs) and influenza vaccinations.

Methods

Data on 4999 individuals aged ≥65 years from the 2012 wave of the Health and Retirement Study linked with Medicare claims were analyzed. Conditional Inference Tree (CIT) and Random Forest (CIRF) analyses identified the most important predictors of AWVs and influenza vaccinations. Multivariable logistic regression (MLR) was used to quantify the associations.

Results

Two-year uptake was 22.8% for AWVs and 65.9% for influenza vaccinations. For AWVs, geographical region and wealth emerged as …

The Next Step: A Guide To Framing And Designing Permanent Supportive Housing For Caritas Housing, Julianne Reno, Ryan Dyar, N. Janine Gates, Joshua Ollinger, Hugo Hamblin-Agosto

Master of Urban and Regional Planning Workshop Projects

Caritas Housing of Oregon develops affordable housing for persons experiencing homelessness across the state. In January 2020, staff reached out to students in the Master of Urban and Regional Planning Program seeking planning assistance. Caritas wanted help planning for the needs of future residents and navigating what is frequently an emotionally-fraught and politically-charged development process. Upstream Planning worked with Caritas Housing to create resident-informed development criteria and design a framework for public communication. The Upstream Planning team created two documents, Development Criteria Guide and Public Communication Guide, that work towards the singular goal of helping Caritas develop permanent supportive housing …

Raps Sheet, November 2019, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

E-Grocery Home Delivery Impacts On Food Distribution, Access And Equity: A Portland Case Study, Miguel Figliozzi, Katherine Keeling

Civil and Environmental Engineering Faculty Publications and Presentations

The adoption of e-grocery home delivery (HD) has the potential to change social norms of acquiring household foods and sundries. This case study of Portland, OR reviews the new elements of distribution, inclusion, exclusion, and value created by the service of four major e-grocery businesses: Shipt, Instacart, Amazon Prime Now, and Walmart. These e-grocers are reviewed in terms of service areas, pricing, and inventory choice, as these are key factors on consumer experience. New distribution services are not confided or distributed around traditional industrial or wholesale land use areas. Coverage is extensive, in the Portland metropolitan statistical area, 94% of …

Hot Neoliberal Commodities Or Tools For Empowerment? A Badges Case Study And Conversation, Emily Ford, Jost Lottes, Betty Izumi, Dawn Richardson

Library Faculty and Staff Publications and Presentations

In Fall term of 2014, three instructors of Portland State University’s School of Community Health, in collaboration with the school’s subject librarian, deployed digital badges to certify information literacy and critical thinking outcomes in their classes. The badge curriculum, which was developed by mapping library learning outcomes to course learning outcomes, was designed to teach and assess students’ understanding of and skills acquisition in website evaluation, information formats, database searching, citing and plagiarism, and contributing knowledge to the information landscape. Badges were issued using Credly, and before and after the term, students were asked to provide feedback about their learning …

Raps Sheet, September 2019, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Webinar: Aging In Place: Improving Mobility For Older Adults, Alan Kenneth Delatorre, Ivis Garcia Zambrana, Ja Young Kim

TREC Webinar Series

Aging in place can simply be defined as staying in your home as you age; aging in place concerns include mobility, social activities, safety, accessibility, and long term supports and services in one’s neighborhood and society. In order to facilitate aging in place, organizations in Salt Lake County, Utah and the City of Portland, Oregon, provided home modifications to income-qualified older adults that intended to enable aging in place. Such modifications alter individuals’ life-space mobility – a concept recently used by gerontologists and that we introduced to planners – from within one’s home to the broader community. A unique methodological …

The Grandma Reporter Issue Two: Intimacy, Salty Xi Jie Ng

The Grandma Reporter

A collaborative project by Betty Canham, Crystal Sasaki, Ellen Gee, Erika Dedini, Jacqui Jackson, Maureen Phillips, Mildred Winters, Pamela Sky Jeanne, Roshani Thakore, Salty Xi Jie Ng, Sharon Cooper, Susan Green, Tammy B, and Valerie Wrede

The Grandma Reporter is a collaborative publication project on senior women's culture across the Earth. We are a space for intimate exchange about: style, isolation, and adventure; aging bodies, wrinkles, bunions, caregiving, and death; considering the struggles of growing old in a young, technology-focused world; swimming as a magical way to keep fit in spite of on-land mobility challenges; food, genes, and other things …

Training Needs Of Peer And Non-Peer Transition Service Providers: Results Of A National Survey, Pauline Jivanjee, Leigh Grover, Kristin Thorp, Brie Masselli, Johanna Bergan, Eileen Brennan

School of Social Work Faculty Publications and Presentations

Participatory action research processes guided a national online survey of service providers working with transition age youth with mental health challenges. The survey investigated transition service providers’ ratings of the importance of competencies and skills, self-assessed need for training in these competencies and skills, their preferred training modalities, and obstacles to engaging in training. The 254 participants identified trauma-informed care, understanding youth culture, promoting natural supports, and using culturally responsive practices as most important training needs. Age, years in current job, years in transition work, and race/ethnicity predicted training needs regarding some competencies and skills. Peer providers expressed preferences for …