- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- Health disparities and outcomes
- Frailty in Older Adults
- Balance, Gait, and Falls Prevention
- Stroke Rehabilitation and Recovery
- Context-Aware Activity Recognition Systems
- Wildlife Ecology and Conservation
- Sleep and related disorders
- Aging and Gerontology Research
- Ecology and Vegetation Dynamics Studies
- Cerebral Palsy and Movement Disorders
- Health and Wellbeing Research
- Intensive Care Unit Cognitive Disorders
- Migration, Aging, and Tourism Studies
- Healthcare Policy and Management
- Physical Activity and Health
- Patient Dignity and Privacy
- Ethics in medical practice
- Health Systems, Economic Evaluations, Quality of Life
- Birth, Development, and Health
- Nutrition and Health in Aging
- Innovations in Medical Education
- Amphibian and Reptile Biology
- Ethics in Business and Education
The University of Sydney
2024
Philadelphia VA Medical Center
2015-2023
University of Delaware
2017-2023
Coatesville Veterans Affairs Medical Center
2022
National Institute of Nursing Research
2021
West Chester University
2013-2017
Veterans Health Administration
2011-2017
James A. Haley Veterans' Hospital
2010-2015
The University of Queensland
2007-2015
Rehabilitation Research and Development Service
2015
Summary While various studies have evaluated the habitat requirements for wildlife in fragmented forest landscapes at multiple spatial scales, few considered whether there is regional variation most important factors. This a conundrum managers of any species with broad geographical range: to what extent should one region inform decisions another? We addressed this question using case study koala, Phascolarctos cinereus , three biogeographically different forested eastern Australia....
We used a life course approach to assess the ways in which childhood socioeconomic position may be associated with disability later life.We longitudinal data from nationally representative Health and Retirement Study (1998-2006) examine associations between parental education, paternal occupation, disabilities relating activities of daily living (ADLs) instrumental (IADLs).Respondents whose fathers had low levels education those were absent or died while they growing up at increased risk...
Abstract Thousands of health systems are now recognized as “Age‐Friendly Health Systems,” making this model one the most widely disseminated – and promising‐ models to redesign care delivery for older adults. Sustaining these gains will require demonstrating impact on outcomes We propose a new measurement more tightly link Age‐Friendly System transformation within each “M” (What Matters, Medications, Mobility, Mentation). evaluated measures based following characteristics: (1) conceptual...
Purpose. To examine the relationship between vigorous physical activity and dementia risk. Design. Prospective study design utilizing data from Health Retirement Study cognitive outcome Aging, Demographics, Memory Study. Setting. Community-based. Subjects. Adults age 71 over (N = 808) with 3 to 7 years of information prior dementia/no diagnosis. Measures. Physical was measured by participation in activities such as aerobics, sports, running, bicycling, heavy housework three or more times per...
Objectives.To prospectively examine the relationship between body weight, frailty, and disablement process.
<b><i>Background/Aims:</i></b> To examine the cognitive reserve hypothesis by comparing contribution of early childhood and life course factors related to functioning in a nationally representative sample older Americans. <b><i>Methods:</i></b> We examined prospective, national probability cohort study (Health Retirement Study; 1998-2010) adults (n = 8,833) contiguous 48 United States. The main outcome was 35-point composite memory (recall),...
Purpose: The purpose of this study was to examine racial/ethnic differences in the relationship between functional disability and use health care services a nationally representative sample older adults by using Andersen behavioral model utilization. Design Methods:The used 12 years longitudinal data from Health Retirement Study (1992–2004), community-dwelling than 50 1992 (N = 8,947). Nonlinear multilevel models self-reported service utilization (physician visits hospital admissions)...
Objectives. We compared risk for several medical illnesses between immigrant and US-born older Mexican Americans to determine the relationship functional health years of US residency among immigrants. Methods. Cross-sectional, multistage probability sample data 3050 aged 65 or from 5 southwestern states were analyzed. Self-rated health, illnesses, measures examined in multivariate regression models that included nativity as key predictors. Results. groups did not differ significantly....
<i>Objective:</i> The primary aim of this study is to examine the prevalence and antecedents missing incidents among community-dwelling persons with dementia. <i>Methods:</i> This prospective used mailed surveys telephone interviews. <i>Results:</i> having any incident was 0.46/year; overall for in 0.65/year. Missing had few occurred largely when dementia were performing everyday activities that they normally completed without incident....
Objectives. This study described activities that older people undertake to reduce the volume of their possessions in course a residential move smaller quarters, process with practical, cognitive, emotional, and social dimensions. Methods. Qualitative interviews were conducted members 30 households who had moved prior year. The disbandment period, typically lasting about 2 months, was particular focus interview. Results. suggested nine reasons why accumulated kept things, which now became...
The Jefferson Scale of Attitudes toward Physician–Nurse Collaboration (JSAPNC) was administered to 333 undergraduate nursing students. underlying factors, item-total score correlations and reliability the JSAPNC were examined. A significant correlation observed between scores Empathy (r = 0.38). It hypothesized that: (1) Women would higher than men on JSAPNC, (2) Scores increase as students progress in their education, (3) be for with work experiences health care, (4) those a level education...
Many of eastern Australia's woodland birds have declined in recent decades. Although historical landscape transformation ultimately underlies these declines, effective conservation action requires knowledge the relative importance current threats to birds. Through a literature review and analysis empirical data from seven regions, we investigated habitat structure, site context aggressive avian competitors (miners, Manorina spp.) for Australia. The revealed that factor which most...
The aim of this study is to describe the process staff and patient adoption compliance a real-time locating system (RTLS) across two health care settings present lessons learned. While previous work has examined technological feasib
Behavioral symptoms of dementia often present the greatest challenge for informal caregivers. One behavior, that is a constant concern caregivers, person with leaving designated area such their whereabouts become unknown to caregiver or missing incident. Based on an extensive literature review and published findings own research, members International Consortium Wandering Missing Incidents constructed preliminary incidents model. Examining evidence base, specific factors within each category...
Objective: To report the implementation/adoption of Safe Home Program to support caregivers persons with dementia in (1) ongoing surveillance, (2) provision care, (3) prevention injuries, and (4) improving home safety. Methods: For this demonstration project 4 assessment questionnaires (Safety Assessment Scale, Vigilance Peace Mind Sleep Disorders Inventory) were administered each dyad understand their technological needs. After identification installation appropriate technologies education...
Abstract Background Unmet care needs among older adults accelerate cognitive and functional decline increase medical harms, leading to poorer quality of life, more frequent hospitalizations, premature nursing home admission. The Department Veterans Affairs (VA) is invested in becoming an “Age-Friendly Health System” better address four tenets associated with reduced harm improved outcomes the 4 million aged 65 over receiving VA care. These focus on “4Ms” that are fundamental adults,...
<i>Background/Aims:</i> Inconsistencies in the relationship between depression and cognitive decline may exist because expected domains at risk have not been specified previous study designs. We aimed to examine depressive symptoms verbal episodic memory functioning over time. <i>Methods:</i> Data from a prospective cohort (Health Retirement Study; 1998–2004; n = 18,465), multistage national probability sample of older adults United States, were analyzed. Verbal...
Objective To determine whether a Real Time Locating System (RTLS) can be used to accurately detect fall and discuss the application of RTLS as detection system in home health care environments. Methods Phase I mannequin feasibility from three positional conditions of: standing, seated wheelchair, laying on bed. II human subject an ecologically valid simulation these conditions. Ten trials each were conducted across subjects. The observed time (the ‘gold standard’) was compared with tag...
To examine how the relationship between depressive symptoms and disability may vary by nativity status in later life.This nationally representative prospective study of community-dwelling adults age 51 years older Health Retirement Study (1998-2010) used hierarchical linear modeling to (Center for Epidemiological Symptoms Depression) (instrumental activities daily living [IADL]; [ADL]) (U.S.- vs. foreign-born), accounting changes social support, health behaviors, conditions.Depressive were...
Based in successful aging theory and terminal cognitive drop research, this paper investigates cerebrovascular burden (CVB), depressive symptoms, decline as threats to longevity. A subsample of stroke-free women over the age 80 was identified Health Retirement Survey (years 2000–2008). Mortality at 2, 6, 8 year intervals predicted using CVB (diabetes, heart disease, hypertension), symptoms (Center for Epidemiological Studies Depression Scale), (decline 1 standard deviation or more on...