A5031732878- Dementia and Cognitive Impairment Research
- Elder Abuse and Neglect
- Health disparities and outcomes
- Geriatric Care and Nursing Homes
- Aging and Gerontology Research
- Health and Well-being Studies
- Stroke Rehabilitation and Recovery
- Homelessness and Social Issues
- Retirement, Disability, and Employment
- Financial Literacy, Pension, Retirement Analysis
- Frailty in Older Adults
- Intergenerational Family Dynamics and Caregiving
- Employment and Welfare Studies
- Grief, Bereavement, and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Aging, Elder Care, and Social Issues
- Ethics in Clinical Research
- Cardiac Health and Mental Health
- Health Policy Implementation Science
- Occupational Therapy Practice and Research
- Insurance and Financial Risk Management
- Intensive Care Unit Cognitive Disorders
- Palliative Care and End-of-Life Issues
- Healthcare Decision-Making and Restraints
- Telemedicine and Telehealth Implementation
Wayne State University
2016-2025
University of Michigan
2008-2023
University of Maryland, Baltimore
2022
Sana Klinikum Lichtenberg
2018
Nicolet Chartrand Knoll (Canada)
2018
University of California, Los Angeles
2015
University of Colorado Colorado Springs
2015
Temple University
2015
University of Nebraska at Omaha
2011-2014
Wayne State College
2013
Financial exploitation, and particularly thefts scams, are increasing at an alarming rate. In this study we (a) determined the national prevalence of older adults who report having been a victim fraud, (b) created population-based model for prediction (c) examined how fraud is experienced by most psychologically vulnerable adults. The studied were 4,400 participants in Health Retirement Study substudy, 2008 Leave Behind Questionnaire. across previous 5 years was 4.5%. Among measures...
Using cross sectional data Psychological vulnerability was identified as a correlate of older adults being defrauded. We extend that research by examining fraud prevalence using longitudinal from the Health and Retirement Study, to identify best predictors longitudinally across 4-year time frame. Whereas reported 5.0% in 5-year look-back period 2008, it increased 6.1% 2012. The rate new-incident only 4.3%. Being younger-old, having higher level education, more depression significantly...
Financial exploitation and financial capacity issues often overlap when a gerontologist assesses whether an older adult's decision is autonomous, capable choice. Our goal to describe new conceptual model for assessing decisions using principles of person-centered approaches introduce instrument, the Lichtenberg Decision Rating Scale (LFDRS). We created model, convened meetings experts from various disciplines critique provide input on content structure, selected final items. then videotaped...
Abstract Background and Objectives Social isolation is a risk factor for cognitive decline dementia. We conducted randomized controlled clinical trial (RCT) of enhanced social interactions, hypothesizing that conversational interactions can stimulate brain functions among socially isolated older adults without report topline results this multisite RCT (Internet-based engagement [I-CONECT]; NCT02871921). Research Design Methods The experimental group received cognitively stimulating...
Prior research indicates that physical health and social support have substantial influences on subjective well-being among older adults. However, little has examined the of coping style cognitive functioning This study investigated psychosocial predictors 129 adults, ages 65-89 years. Canonical correlation indicated was characterized by two dimensions: life satisfaction affective balance (happiness). The use emotion-focused strategies poor perceived were associated with diminished...
Although sexual interests in institutionalized elderly patients have long been recognized (Comfort, 1974; Wasow & Loeb, 1974), guidelines to help determine patients' competencies participate intimate relationships are not delineated the literature. This paper describes assessment technique used by an interdisciplinary staff on a coed Alzheimer's disease unit. Two case studies presented highlight how led treatment decisions.
Purpose of the study: An emerging strategy for increasing public participation in health research is volunteer registries. Using a community-based participatory framework, we describe recruitment processes and outcomes building registry older urban African Americans. The specific question examined retrospectively was: How does community outreach partnership between residents academic researchers Healthier Black Elders Center facilitate Americans registry? Design Methods: We adapted program...
Research in the past decade has documented that financial exploitation of older adults become a major problem and Psychology is only recently increasing its presence efforts to reduce exploitation.During same time period, been leader setting best practices for assessment diminished capacity culminating 2008 ABA/APA joint publication on handbook psychologists.Assessment decision making often cornerstone needed cases exploitation.This paper will examine intersection capacity; introduce new...
Sexuality and sexual needs in older adults remains a neglected area of clinical intervention, particularly so long-term care settings. Because medical rehabilitation beds present with significant frailties, often neurocognitive disorders, it makes difficult for occupational therapists other staff to evaluate the capacity an adult resident participate relationships. The current paper reviews literature on sexuality aging, examines some practices guidelines regarding expression care, presents...
Background. Depression and cognitive impairment are common in medically ill older adults. Few studies, however, have investigated the roles of both predicting mortality for
This study investigated whether symptoms of depression and cognitive dysfunction predicted all-cause mortality in long-term care (LTC) residents at 12 months after admission. Participants were 171 adults with a mean age 77 an urban LTC setting (51% African American 49% European American). The Geriatric Depression Scale the Dementia Rating Scale, Second Edition (DRS-2), administered upon admission, demographic variables Charlson Comorbidity Index also recorded. Cox regression analyses found...
Frailty is a common geriatric disorder associated with activities of daily living (ADL) impairment, hospitalization, and death. Phenomenological evidence suggests that late-life depression (Katz, 2004 ), particularly vascular depression, may be risk factor for frailty. This study tests hypothesis.We identified sample stroke-free women over the age 80 from Health Retirement Survey. The included 984 respondents in 2000 (incidence sample). Of these, 459 were non-frail at baseline still alive...
Sixty-seven (N = 67) urban African American older adults were divided into successful and nonsuccessful aging groups based on objective MacArthur (i.e., physical cognitive functioning) self-rated health criteria. Only 30% of the sample met criteria for compared to 63% who rated themselves as successful. Self-rated was best predicted by regular exercise, whereas demographic characteristics cognition. Reading ability mediated relationship between both education cognition objectively defined...
Purpose of the Study: In recent years, there has been an increasing focus on role safety culture in preventing costly adverse events, such as medication errors and falls, among nursing home residents. However, little is known regarding critical organizational determinants a positive homes. The aim this study was to identify climate predictors specific aspects staff-rated resident (RSC) sample Design Methods: Staff at 4 Michigan homes responded self-administered questionnaire measuring RSC....
This study examines preliminary evidence for the Lichtenberg Financial Decision Rating Scale (LFDRS), a new person-centered approach to assessing capacity make financial decisions, and its relationship self-reported cases of exploitation in 69 older African Americans. More than one third individuals reporting also had questionable decisional abilities. Overall, ability score current decision total were significantly associated with cognitive screening test scores, demonstrating good...
Abstract Background and Objectives Context can influence or overwhelm the intellectual cognitive aspects of financial decision making but has only recently received increased attention. The construct validity conceptual subscales from a decision-making scale was examined in context their relationship to exploitation. Research Design Methods Two hundred forty-two community-based participants were recruited into study. final sample contained 242 participants. Measures included demographic...
Based on previous empirical research financial stressors and resources using a prevention science framework, this pilot study examined the effect acceptability of three-session older adult exploitation intervention. Forty-five adults participated in study. Each participant completed three 30- to 45-minute sessions. The sessions included vulnerability, literacy, techniques used by scammers, choosing trusted advocate, creating inventory. At end each session, participants were asked how...
Abstract INTRODUCTION Older adults lose billions of dollars to financial exploitation (FE) annually. It has been described as a “burgeoning public health crisis” and “virtual epidemic.” This study evaluated conceptual framework investigating early memory loss personal behaviors their association with vulnerability. METHODS The used cross‐sectional design included 150 participants, t ‐tests chi‐squared tests being in bivariate analysis logistic multiple regressions multivariate analysis....
Abstract Depression is very common in patients with dementia but the relationship complex. regarded as a cause of excess disability persons and contributes to their functional decline. The assessment depression patients, however, has been difficult that validity self‐reported questioned. This study was done investigate whether by (using GDS) related abilities rated family caregiver IADL scale) above beyond demographic variables. conducted at Detroit Satellite Michigan Alzheimer's Disease...
This research examines differences in depressive symptomology among urban, rural off-reservation, and reservation-residing American Indians, age 55 years or older, of the eastern Great Lakes region. It analyzes measurement structure one commonly used depression scale, Center for Epidemiological Studies Depression Scale, tests alternative models full sample (N = 277) as well three residential strata. Findings show that a 12-item version developed by Liang et al. use with Mexican Americans...