Digital Commons Network^™

Town Of Needham: Center At The Heights Planning Study, Caitlin Coyle

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 and the Institute for Human Centered Design (IHCD), on behalf of the Town of Needham’s Department of Health & Human Services. The purpose of this study is to identify the aspects of the programming and environment that can be adjusted to ensure that, according to the Mission of the Needham Council on Aging, a “welcoming, inclusive, and secure” environment is maintained for Needham residents.

This study was conducted over the course of 10 weeks (April …

The Influence Of Medicare Insurance Type – Traditional Fee-For-Service V. Medicare Advantage – On Rehospitalizations For Patients With Heart Failure In Skilled Nursing Facilities, Andrea Elizabeth Lane Daddato

Graduate Doctoral Dissertations

Heart failure (HF) is a leading cause of rehospitalizations for Medicare beneficiaries from skilled nursing facilities (SNFs). This research sought to determine if HF patients’ insurance type (Medicare Fee-for-Service (FFS) vs. Medicare Advantage (MA)) influences their risk for readmission within 30 days of hospital discharge to a SNF. This research is particularly timely in light of new penalties under the Protecting Access to Medicare Act SNF Value-Based Purchasing (SNF-VBP) program directed at SNFs for 30-day rehospitalizations. Previous literature finds FFS beneficiaries with HF in SNF at greater risk for rehospitalization compared to MA members. This research contributes to the literature …

Hanson Council On Aging Needs Assessment, Jan Mutchler, Nidya Velasco Roldan, Ceara Somerville, Beth Rouleau, Rebecca Mailman

Center for Social and Demographic Research on Aging Publications

Growth in the number of older Hanson residents is expected over the coming decade. Preparing for this demographic shift invites reflection about the extent to which features of the community and characteristics of municipal services meet older residents’ needs and interests, and making plans to improve alignment where appropriate. In support of this planning process, the Town of Hanson and the Center for Social and Demographic Research on Aging at the University of Massachusetts Boston partnered to conduct a study to investigate the needs, interests, preferences, and opinions of the Town’s residents age 50 and older. During this assessment, multiple …

Live Peabody: An Age-Friendly Action Plan, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

The vision of the Live Peabody Initiative is to inspire change in the City of Peabody so that residents of all ages and abilities can thrive. The success of this initiative is dependent on the involvement of a dedicated and passionate group of residents and stakeholders that will proactively spearhead this age-friendly effort. These individuals will actively collaborate with civic, business and non-profit organizations as well as state and local government officials to heighten awareness of the age-friendly movement and implementation of the action items outlines in this report—all to spur positive change for the City of Peabody. This report …

The Role Of The Environmental Context In Advance Care Planning Among Older Adults, Brittany E. Gaines

Graduate Doctoral Dissertations

Research has focused on various individual characteristics associated with advance care planning (ACP), but little is known about how the environment context is associated with ACP. This study examined the role of environmental characteristics in ACP by addressing three key aims: 1) examine the independent effects of environmental factors on ACP, 2) assess the moderating effects of environmental factors on the associations between ACP and individual household income and educational attainment, and 3) conduct a longitudinal examination of ACP and environmental characteristics. I combined individual ACP information from the 2004 and 2011 waves of the Wisconsin Longitudinal Study with county …

Lexington For All Ages: A Community Needs Assessment, Sue Berger, Jan Mutchler, Nidya Velasco Roldán, Ceara Somerville, Rebecca Mailman, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

The Lexington for All Ages initiative is meant to ensure that Lexington is and remains a place where older adults can comfortably and safely age in place. 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 Lexington Department of Human Services, to investigate the needs, interests, preferences, and opinions of Lexington’s residents age 50 and older. Structured around livability principles embedded in the World Health Organization’s Age-Friendly Community framework, the Lexington for All Ages initiative considers physical infrastructure as well …

Living Below The Line: Economic Insecurity And Older Americans, Insecurity In The States 2019, Jan Mutchler, Yang Li, Nidya Velasco Roldán

Center for Social and Demographic Research on Aging Publications

New estimates from the 2019 Elder Index^TM suggest that half of older adults living alone, and 23% of older adults living in two-elder households, lack the financial resources required to pay for basic needs. The Gerontology Institute compares the 2019 household incomes for adults age 65 and above living in one- and two-person households to the 2019 Elder Index for each state and Washington, DC to calculate Elder Economic Insecurity Rates (EEIRs), the percentage of independent older adults age 65 or older living in households with annual incomes that do not support economic security. The EEIRs allow state and …

Living Below The Line: Economic Insecurity And Older Americans, Insecurity In Massachusetts 2019, Jan Mutchler, Yang Li, Nidya Velasco Roldán

Center for Social and Demographic Research on Aging Publications

New estimates from the 2019 Elder Index^TM reveal that in Massachusetts, more than six out of ten older adults living alone, and three out of ten living in two-person households, cannot afford the basic necessities of life such as food, housing, and health care. The Gerontology Institute compares household incomes for adults age 65 and above living in one- and two-person households to the 2019 Elder Index for Massachusetts to calculate Elder Economic Insecurity Rates (EEIRs), the percentage of independent older adults age 65 or older living in households with annual incomes that do not support economic security. The …

Swampscott For All Ages: A Community Needs Assessment, Caitlin Coyle, Jan Mutchler, Nidya Velasco, Sue Berger, Rebecca Mailman

Center for Social and Demographic Research on Aging Publications

By the year 2030, 35% of Swampscott residents will be age 60 and older. In response to this demographic shift as well as in response to the desire of most residents to remain living in their community, the resident leaders of Swampscott, with support of the Town, have embarked on the journey to become a more age friendly community. They call themselves the Swampscott for All Ages Committee. The Swampscott for All Ages initiative is meant to ensure that Swampscott is and remains a place where older adults can comfortably and safely age in place. It is a resident-led committee …

Developing Age-Friendly Communities: Evidence From Multiple Case Studies, Patricia A. Oh

Graduate Doctoral Dissertations

Population aging brings opportunities and challenges for local community and economic development. One policy solution that has been adopted by 325+ jurisdictions in the United States is joining the AARP Network of Age-Friendly States and Communities or the WHO Global Network of Age-Friendly States and Communities. Although the age-friendly movement is gaining momentum in the US, few studies have looked at what influences municipal decision-making about joining a network or making age-friendly changes. The purpose of this multiple case study was to explore what influences municipal decision-making about joining a formal age-friendly network and how communities mobilize the resources at …

To Adopt Or Not To Adopt: Factors Impacting States’ Pursuit And Implementation Of Aca’S Home And Community-Based Programs, Lisa Kalimon Beauregard

Graduate Doctoral Dissertations

The Patient Protection and Affordable Care Act (ACA) sought to improve the United States’ long-term services and supports (LTSS) system by expanding home and community-based services (HCBS). The ACA contained several optional Medicaid HCBS opportunities for states, including the Balancing Incentive Program, the 1915(k) Community First Choice personal care benefit, and the revised 1915(i) state plan benefit. This research examined these HCBS provisions to explain what factors determine whether states participate in the ACA’s new HCBS programs and, after adoption, what factors facilitate or impede implementation of these programs. To answer these questions, this study used a mixed methods research …

Aging In The Town Of Weston: A Community Needs Assessment, Sue Berger, Caitlin Coyle, Jan Mutchler, Nidya Velasco

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 Weston Council on Aging, to investigate the needs, interests, preferences, and opinions of Weston’s population of residents who are age 55 and older. The contents of this report are meant to inform the Weston Council on Aging, and organizations that work with and on behalf of older residents of Weston, for the purposes of planning and coordination of services, but also to build awareness about issues facing the Town of Weston. …

Livable Sudbury: A Community Needs Assessment, Caitlin Coyle, Jan Mutchler, Sue Berger, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

The Livable Sudbury Initiative is based on a distinctive framework meant to ensure that Sudbury is and remains an all-age and dementia-friendly place in which to live, work, and play. Structured around livability principles embedded in the Age-Friendly Community framework, the Livable Sudbury Initiative is designed to intersect with and inform other ongoing efforts, including development of the Sudbury Master Plan and a 14-town collaborative effort of the Minuteman Advisory Group on Interlocal Coordination (MAGIC) to advance regional age-friendly planning. The Sudbury framework considers physical infrastructure as well as social and service environments as it seeks to strengthen livability for …

Easthampton Council On Aging Planning Study, Caitlin Coyle, Jan Mutchler, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report describes collaborative efforts undertaken by the City of Easthampton Council on Aging (ECOA) and the Center for Social and Demographic Research on Aging (CSDRA), within the Gerontology Institute at the McCormack Graduate School, University of Massachusetts Boston. Beginning in Fall 2017, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of the City’s residents age 55 and older. During this assessment, multiple approaches were utilized to compile information that could be used to plan and implement current and future services. We examined data from the U.S. Census Bureau and from projections generated …

A Comprehensive Database Of Senior Centers In Massachusetts, Jan E. Mutchler, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report was produced by the Center for Social and Demographic Research on Aging (CSDRA), a research unit within the Gerontology Institute at UMass Boston, in partnership with the Massachusetts Association of Councils on Aging (MCOA).

The goal of this project is to develop and distribute a comprehensive database that will contribute to successfully meeting the shared goals of MCOA and EOEA. It will facilitate clearer explanations about what COAs do, supporting more effective advocacy efforts on the part of MCOA and stronger reporting by EOEA. It will be a resource for MCOA staff, helping member COAs identify relevant models …

Wenham Connects: An Age And Dementia Friendly Needs Assessment, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

Wenham is a small residential community of approximately 5,000 residents located about 22 miles north of Boston. Public transit access to downtown Boston located in the neighboring town of Hamilton provides access to employment and recreational activities outside of the town’s boundaries. In addition, Wenham is home to abundant green space (e.g., wetland systems and Wenham Lake) that provide residents with opportunities to enjoy the natural beauty of the area. The Wenham Council on Aging (COA)is a municipal department designed to serve the needs of Wenham’s residents age 60 and older. It is responsible for advocating on behalf of Wenham’s …

Older Workers In Boston: An Age-Friendly Perspective, Jan Mutchler, Brittany Gaines, Ping Xu, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

As this report makes clear, work challenges experienced by older people are not uncommon in Boston. Retraining and upgrading skills are required for some people to retain or secure employment. For those who have not participated in job search for some time, support with job seeking strategies may be necessary. Programs that also offer socioemotional support are helpful to some older job-seekers. Yet while training and job search support is an important part of the solution, these are not the only targets of intervention required. Employers need to be educated about successful strategies that will help them to retain their …

Marshfield Council On Aging Planning Study, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

This report describes collaborative efforts undertaken by the Town of Marshfield Council on Aging (COA) and the Center for Social and Demographic Research on Aging (CSDRA), within the Gerontology Institute at the McCormack Graduate School, University of Massachusetts Boston. Beginning in Fall 2017, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of the Town’s residents age 50+, and also of participants at the Marshfield COA/Senior Center. During this assessment, several approaches were utilized to compile information that could be used to plan and implement current and future services. We examined data from the …

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.

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 …

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 community needs.

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 recreational activities …

Envisioning A Watertown For All Ages, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

Watertown for All Ages is a group of residents working to improve the livability of Watertown for residents of all ages and abilities. They work closely with the Watertown Council on Aging/Senior Center. The Watertown Council on Aging/Senior Center provides a variety of social, health, educational, recreational, advocacy, and support programs designed to help Watertown’s older adults age well in the community. Services provided to seniors living in the community range from transportation support to nutrition services and social services, along with a range of programs and activities meant to enhance well-being and quality of life. Similar to many Councils …

Age & Dementia Friendly Cape Ann: A Regional Needs Assessment, Caitlin Coyle

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 SeniorCare, Inc. (hereafter referred to as SeniorCare), to learn about the age- and dementia-friendliness of the region of Cape Ann, including the Massachusetts municipalities of Essex, Gloucester, Manchester-by-the-Sea, and Rockport. The contents of this report are intended to inform SeniorCare for the purposes of planning and implementing the Age & Dementia Friendly Cape Ann (ADFCA) Initiative. The ADFCA Initiative builds on ten Areas of Focus, which are essential components of a livable …

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 residents, …

Intergenerational Financial Exchange And Cognitive Well-Being Among Older Adults In China, Ping Xu

Graduate Doctoral Dissertations

Although cognitive loss is part of normal aging, it has unfavorable consequences for older individuals, their family, as well as society. The prevalence of mild cognition impairment is expected to go up in China. How to maintain normal cognition for a longer period of time and to delay impair process is an emerging concern for older Chinese adults. Unlike Western countries, China lacks of formal support system. Intergenerational support between older parents and adult children is a predominant resource when they are in need. This study examines how intergenerational financial exchanges between older parents and their adult children is related …

Aging In Reading, Massachusetts: A Community Needs Assessment, Caitlin Coyle, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

This report describes collaborative efforts undertaken by the Town of Reading’s Elder and Human Services Division and the Center for Social and Demographic Research on Aging, within the Gerontology Institute at the McCormack Graduate School, University of Massachusetts Boston. During Spring 2017, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of the Town’s older resident population, with respect to living and aging in Reading.

Understanding The Role Of Driver, Vehicle, Environment, And Policy Factors In Crash Injury Severity Among Older Adults In The United States, Chae Man Lee

Graduate Doctoral Dissertations

Driving is related to quality of life and health outcomes. Older drivers involved in car crashes have a higher risk of experiencing a severe injury or fatality. Understanding factors related to injury severity may identify points of intervention to promote road safety. The purpose of this study is to investigate how individual characteristics, vehicle elements, environmental elements, and driving licensing policy are associated with level of injury severity from no injury to fatal injury resulting from car crashes. Furthermore, this dissertation research utilizes the Geographic Information System (GIS) process to visualize the location of crashes and to identify the hot …

Multiple Roles In Later Life: Role Enhancement And Conflict And Their Effects On Psychological Well-Being, Emma D. Quach

Graduate Doctoral Dissertations

Holding both work and family roles can be a central experience for men and women, young or old. Yet, to date, the bulk of knowledge on holding roles in both domains is specific to young adults, a critical gap as conditions warrant longer work life. This inquiry thus focused on older working men and women (over 50 years of age) with at least one family role (spouse, parent of adult children, caregiver to an aging parent, or grandparent). With survey data from the Health and Retirement Study in 2010 and 2012, latent profile analysis, path analyses, and regressions were conducted …

My Company Is Freezing The Pension Plan: What Does This Mean?, Pension Action Center, Gerontology Institute, University Of Massachusetts Boston

Pension Action Center Publications

As employers move away from traditional defined benefit pension plans in favor of defined contribution 401(k) plans, the number of frozen pension plans is rapidly increasing. While most companies would like to rid themselves of their pension plan liabilities, more often than not, employers deem it too costly to terminate their existing plans and pay out all accrued benefits to participants and beneficiaries. As a result, instead of terminating their existing pension plans, many employers are electing to “freeze” their plans. Pension plans may be frozen using a “hard freeze” or a “soft freeze”. While both types of plan freezes …