A5016834398- Geriatric Care and Nursing Homes
- Aging and Gerontology Research
- Palliative Care and End-of-Life Issues
- Healthcare Decision-Making and Restraints
- Posttraumatic Stress Disorder Research
- Cancer survivorship and care
- Dementia and Cognitive Impairment Research
- Frailty in Older Adults
- Health and Well-being Studies
- Childhood Cancer Survivors' Quality of Life
- Health Systems, Economic Evaluations, Quality of Life
- Medical Malpractice and Liability Issues
- Healthcare professionals’ stress and burnout
- Health disparities and outcomes
- Health, psychology, and well-being
- Elder Abuse and Neglect
- Ethics in medical practice
- Migration, Health and Trauma
- Retirement, Disability, and Employment
- Patient Dignity and Privacy
- Grief, Bereavement, and Mental Health
- Chronic Disease Management Strategies
- Sleep and related disorders
- Psychiatric care and mental health services
- Patient-Provider Communication in Healthcare
VA Boston Healthcare System
2016-2025
Harvard University
2016-2025
Geriatric Research Education and Clinical Center
2017-2025
Boston University
2013-2024
Boston Medical Center
2011-2024
Veterans Health Administration
1996-2023
United States Department of Veterans Affairs
2017-2023
University School
2022
Strategic Insight (United States)
2022
National Center for PTSD
2017-2021
Objectives To identify a taxonomy of health‐related values that frame goals care older, multimorbid adults who recently faced cancer diagnosis and treatment. Design Qualitative analysis data from longitudinal cohort study survivors. Setting Cancer registries regional Department Veterans Affairs networks in New England southeast Texas. Participants Multimorbid completed interviews 12 months after head neck, colorectal, gastric, or esophageal treatment (N = 146). Measurements An...
The objective is to test the effectiveness of Partners in Dementia Care (PDC), a care-coordination program that integrates and improves access medical nonmedical services, while strengthening informal care network providing information, coaching, emotional support. PDC was delivered via partnership between Veterans Affairs (VA) Medical Centers (VAMCs) Alzheimer's Association chapters, for caregivers veterans with dementia living community receiving primary from VA. initial sample 486 508...
The purpose of this study was to compare adults with and without dementia on capacities consent treatment as assessed by three instruments.Eighty-eight older mild moderate were compared 88 matched controls four indices legal competency medical capacity instruments.Mean performance a standard understanding information impaired relative all instruments, it also for an appreciation one instrument reasoning two instruments. However, in categorical ratings, most within the normal range decisional...
A survey of 197 cognitive aging studies revealed infrequent use structured health assessments and random recruitment. In this study, a screening questionnarie developed to identify subjects with medical problems that might impair cognition was administered 315 adults aged 60 older who were recruited by digit dialing. On the basis self-reported problems, 35% excluded. Those excluded (p less than .001) tended be male but did not differ in education from those passed screening. Subjects decided...
<b>Objective: </b> To examine the contribution of neuropsychological test performance to treatment decision-making capacity in community volunteers with mild moderate dementia. <b>Methods: The authors recruited (44 men, 44 women) dementia from community. Subjects completed a battery 11 tests that assessed auditory and visual attention, logical memory, language, executive function. measure decision making capacity, administered Capacity Consent Treatment Interview, Hopemont Assessment...
As the proportion and sheer number of older adults in United States continues to increase, we need plan for their behavioral health care. Access accurate data about current workforce characteristics psychology can provide essential information inform planning. In this paper, present results American Psychological Association's Center Workforce Studies survey psychologists, with a focus on adults. Participants (N = 4,109) were doctoral psychologists identified through state licensing boards....
"Partners in Dementia Care" (PDC) tested the effectiveness of a care-coordination program integrating healthcare and community services supporting veterans with dementia their caregivers. Delivered via partnerships between Veterans Affairs medical centers Alzheimer's Association chapters, PDC targeted both patients caregivers, distinguishing it from many non-pharmacological interventions. Hypotheses posited would improve five veteran self-reported outcomes: 1) unmet need, 2) embarrassment...
Professional psychology faces an urgent crisis, which the following facts paint in stark relief. Adults over age 65 will rise to 20% of U.S. population next 15 years and already account for a third country's health care expenditures. Up 8 million older adults experience mental substance use conditions given year, yet most psychologists receive no training their assessment treatment. No more than estimated 4%, or 3,000, nationwide specialize geropsychology; ratio approaching 3,000 1. A small...
This study evaluated Veterans' motivation and perception of different components a novel physical therapy (PT) treatment aimed at increasing mobility, motivation, exercise adoption. Patient-satisfaction surveys were administered to middle-aged older Veterans (≥50 years old) with slow walking speed who completed the 8-week PT treatment. Mixed methods employed assess rating-based responses examine themes derived from open-ended responses. Twenty-three participants (mean age: 73 years, Short...
Abstract Background and Objectives Insomnia symptoms are more prevalent in older age may be impacted by negative perceptions of aging; however, research is needed. The present study characterizes the relationship between aging stereotypes clinical insomnia a nationally representative sample United States (U.S.) veterans. Research Design Methods Data were analyzed from 3,000 U.S. veterans (aged 60-99) who participated National Health Resilience Veterans Study (NHRVS). Multivariable regression...
Abstract Older veterans have an increased risk of lifetime trauma exposure compared to older civilians. Though few individuals develop posttraumatic stress disorder (PTSD), they may experience a reemergence symptoms or reengagement with past as age. This process be exacerbated while in skilled nursing settings. Trauma‐informed care (TIC) alleviate prevent the trauma; however, little is known about veterans’ trauma‐related experiences and needs facilities within Veterans Affairs Healthcare...
Advance care planning ideally includes communication about values between patients, family members, and providers. This study examined the utility of health assessment tools for older adults with without dementia. Adults aged 60 older, dementia, completed three tools—open-ended, forced-choice, rating scale questions—and named a preferred surrogate decision maker. Responses to forced-choice items were at 9-month retest. dementia appeared equally able respond meaningfully questions regarding...