Publications

Our research is important to us and so are the people who use it. So we want to make our publications easy to find. You can search our publications using the search function below or sort them by topic by selecting a category on the left. Feel free to contact us if you're having difficulty locating a report and we'd be happy to assist you (Scripps@MiamiOH.edu).

205 publications found.

A New Group of Medicaid Nursing Home Residents: The Unexpected Trend of those under age 65 Using Nursing Homes in Ohio

11/09/2017

A New Group of Medicaid Nursing Home Residents: The Unexpected Trend of those under age 65 Using Nursing Homes in Ohio

  • Long-Term Care Decision Making
  • Long-Term Care Policy and Financing
  • Mental Health

Ohio Guardianship, Guardians, and the Courts: Findings from a Survey of Adult Guardianship in Ohio

08/28/2017

This report highlights findings from a survey of the guardianship practices of Ohio’s probate courts.

  • Aging and Developmental Disabilities
  • Care Management
  • Families/Caregiving
  • Long-Term Care Decision Making

Implementation of the 2016 Ohio Nursing Home and Residential Care Facility Family Satisfaction Surveys

08/18/2017

This report summarizes the implementation process and results from the 2016 Family Satisfaction Surveys conducted in Ohio nursing homes and residential care facilities. Psychometric properties of the instruments and survey tools and materials are included.

  • Long-Term Care - Other
  • Research Methods

Policy Does Matter: Continued Progress in Providing Long-Term Services and Supports for Ohio's Older Population

08/17/2017

Policy Does Matter: Continued Progress in Providing Long-Term Services and Supports for Ohio's Older Population

  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other

Using National Data to Examine the Quality of Care in Ohio's Skilled Nursing Facilities

05/08/2017

This study compares the quality of Ohio's skilled nursing facilities to the nation overall. Findings show that Ohio facilities had fewer inspection deficiencies, slightly lower direct care staffing rates, and on average lower quality outcomes on resident care.

  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing

The Caregiver Toolbox: Evaluation of a Workshop for Informal Caregivers

12/15/2016

This report is an evaluation of a face-to-face group workshop designed for informal caregivers of older adults provided by the Central Ohio Area Agency on Aging.

  • Case Studies/ Qualitative Research
  • Families/Caregiving

Multiple chronic conditions and hospitalizations among recipients of long-term services and supports

12/15/2016

Among older adults receiving long-term services and supports (LTSS), debilitating hospitalizations is a pervasive clinical and research problem. Multiple chronic conditions (MCCs) are prevalent in LTSS recipients. However, the combination of MCCs and diseases associated with hospitalizations of LTSS recipients is unclear. The purpose of this analysis was to determine the association between classes of MCCs in newly enrolled LTSS recipients and the number of hospitalizations over a 1-year period...

  • Chronic Illness/ Disability
  • Home and Community Based Services
  • Long-Term Care - Other

Activities in dementia care: A comparative assessment of activity types

12/06/2016

This exploratory study compares the impact of five activity types on the well-being of institutionalized people with dementia: the intergenerational art program Opening Minds through Art, art and music therapies, creative activities, non-creative activities, and no activities at all. We validated the Scripps Modified Greater Cincinnati Chapter Well-Being Observational Tool, and used that instrument to systematically observe N?=?67 people with dementia as they participated in different activity...

  • Arts and Aging
  • Long-Term Care - Other

"Calm, satisfied, comforting": The experience and meaning of rabbit-assisted activities for older adults

11/28/2016

Animal-assisted activity programs are commonly used in long-term care facilities to enhance the well-being of older residents. Although research suggests that older adults benefit from these programs, little is known about the experience from the perspective of older adults themselves. In this qualitative study, we used direct observation and in-depth interviews to gain an understanding of the experience of participating in a unique rabbit-assisted activity program delivered in a Midwestern...

  • Long-Term Care Facilities
  • Products/Design/Planning for an Aging Society

The Residential Long-Term Care Role in Health Care Transitions

11/11/2016

The objective of the current study is to describe the activities long-term care facilities are undertaking to reduce hospital admissions and readmissions by working to improve health care transitions. The data were collected via an online survey from 888 nursing facilities (NFs) and 527 residential care facilities (RCFs) that completed the care integration module of the Ohio Biennial Survey of Long-Term Care. Questions focused on partnerships, current work, type of care model, and perceived...

  • Long-Term Care Facilities

The Residential Long-Term Care Role in Health Care Transitions

11/11/2016

The objective of the current study is to describe the activities long-term care facilities are undertaking to reduce hospital admissions and readmissions by working to improve health care transitions. The data were collected via an online survey from 888 nursing facilities (NFs) and 527 residential care facilities (RCFs) that completed the care integration module of the Ohio Biennial Survey of Long-Term Care. Questions focused on partnerships, current work, type of care model, and perceived...

  • Long-Term Care Facilities

Expanding Self Direction and Its Impact on Quality

10/18/2016

The premise of this paper is that self-direction has impacted service and system design and approaches to quality. Admittedly, the system still strives to improve, but it has made major advances over the past two decades, and some of these important changes we believe were inspired by the development and expansion of self-direction.Public Policy Aging Report, 26 (4), 138-142. doi:https://doi.org/10.1093/ppar/prw022Publication available online, subscription may be required.

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Unpaid Caregivers: Growing Demand and Limited Supply

09/26/2016

Several recent studies indicate that the supply of informal caregivers is declining and this change in potential support could have major policy implications.

  • Demographics
  • Families/Caregiving
  • Long-Term Care Policy and Financing
  • Workforce Issues

Obesity prevention practices and policies in childcare settings enrolled and not enrolled in the child and adult care food program

09/26/2016

Objectives The United States Department of Agriculture’s Child and Adult Care Food Program (CACFP) provides meals and snacks to low-income children in child care. This study compared nutrition and physical activity practices and policies as well as the overall nutrition and physical activity environments in a sample of CACFP and non-CACFP child care settings. CACFP participation was not associated with written policies or physical activity practices. Conclusions for Practice There is room for...

  • Legal/ Advocacy

Serving an Increasing Older Population with Severe Disability: Serious Challenges Await Ohio Over the Next Twenty Years

09/26/2016

Ohio faces a demographic and financing challenge as its population ages in the next 20 years. The number of people age 60 and older with a severe disability is projected to increase by 60% while the overall population growth will be at two percent.

  • Demographics
  • Long-Term Care Policy and Financing

NACCHO's baseline assessment of disability inclusion within local health departments

09/26/2016

People with disabilities can greatly benefit from inclusive health promotion and educational activities already being implemented by local health departments (LHDs), which can help reduce their risk and minimize the severity of secondary conditions. The inclusiveness of programs and services offered by LHDs has yet to be studied; therefore, the National Association of County & City Health Officials (NACCHO) decided to conduct a baseline assessment to better understand LHD administrators’...

  • Aging and Developmental Disabilities
  • Education
  • Health/Physical Activity
  • Legal/ Advocacy

How Does Medicaid Reimbursement Impact Nursing Home Quality? The Effects of Small Anticipatory Changes

09/01/2016

In 2006, Ohio changed its Medicaid reimbursement methodology for nursing homes (NHs) to promote more efficient staffing levels. This study examines the impacts of this policy change on quality. We examine resident outcomes constructed from the Minimum Data Set, deficiency citations, staffing levels, and satisfaction scores for residents and families as measures of quality. Nursing homes in the group receiving increased reimbursement showed an increase in nursing and nursing aide staffing levels....

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Changes over time in emotional status among older adults new to receiving long-term services and supports

09/01/2016

This article examines the natural history of changes in emotional status as measured through emotional well-being and depressive symptoms over a two-year period among older adults new to long-term services and supports (LTSS). In-person interviews were conducted with 470 older adults within sixty days of entry into LTSS and then quarterly through twenty-four months. Multivariate generalized estimating equation models indicate improvements in emotional status, with depressive symptoms decreasing...

  • Long-Term Care - Other
  • Psychology of Aging

Perceptions of mental illness in rural Nepal: Dimensions of stigma and their social origin

08/15/2016

The signs and symptoms of mental illness, especially serious mental illness, are universally associated with stigma and discriminatory behavior. For these reasons, it is crucial that we understand the complex structure of stigma and its possible origins so that effective public policy and anti-stigma programs can be designed. We use data from a sample of 365 households in a small village in Nepal to empirically determine the range of stigmatic reactions (dimensionality and attributions of...

  • Mental Health

The ‘other’ in ourselves: Exploring the educational power of the humanities and arts

08/02/2016

Foreword of The "Other" in Ourselves: Exploring the Educational Power of the Humanities and Arts.Gerontology & Geriatrics Education, 37(3), 229-231. doi: 10.1080/02701960.2016.1214481Publication available online, subscription may be required.

  • Arts and Aging
  • Education

Marital quality, marital dissolution, and mortality risk during the later life course

07/25/2016

This study examines the relationship between later-life marital quality, marital dissolution, and mortality using discrete-time event history models with data from nine waves (1992–2008) of the Health and Retirement Study (n = 7388). Results show marital status is more important for men's mortality risk than women's, whereas marital quality is more important for women's survival than men's. Being widowed or divorced more than two years raises mortality risk for men, but later-life marital...

  • Demographics

Healthy Aging in the Context of Educational Disadvantage: The Role of "Ordinary Magic"

07/20/2016

The objective of this study is to examine the correlates of healthy aging in the context of educational disadvantage and the extent to which identified correlates are shared with the wider, more educationally advantaged population. Among educationally disadvantaged adults, demographic characteristics (e.g., age), health practices (e.g., physical activity), and the presence of health conditions were independently correlated with healthy aging. With few exceptions, correlates of healthy aging were...

  • Demographics
  • Education
  • Health/Physical Activity

Unemployment, reemployment, and health insurance status among older worker in the flexible labor market

07/04/2016

As employment becomes more precarious, and spells of displacement become more common across the labor market, many individuals are forced to make decisions about the speed at which they seek reemployment and the types of employment they will seek. Using repeated cross-sectional data from various years of the Displaced Worker Supplement of the Current Population Survey, we examine the degree to which employer-provided health insurance and organizational provision of advanced layoff warning helped...

  • Workforce Issues

The Influence of the Transportation Environment on Driving Reduction and Cessation

06/24/2016

Driving is by far the most common mode of transportation in the United States, but driving ability is known to decline as people experience age-related functional declines. Some older adults respond to such declines by self-limiting their driving to situations with a low perceived risk of crashing, and many people eventually stop driving completely. Previous research has largely focused on individual and interpersonal predictors of driving reduction and cessation (DRC). The purpose of this study...

  • Aging Network

Ohio's Nursing Home and Residential Care Facility Satisfaction: Survey Testing and Development for Residents and Families

04/30/2016

This report describes a project to update consumer surveys for residents and families in Ohio's nursing homes and residential care facilities. It also includes a newly created survey for families of residential care facility residents. Results include findings from focus groups, cognitive interviews, and a mailed pretest.

  • Long-Term Care Facilities
  • Research Methods

A Study of Adult Guardianship in Ohio: Preliminary Results

02/22/2016

This research brief is a description of findings from interviews with key informants from the first phase of a study entitled: “Adult Guardianship in Ohio: Promising Practices.” These findings led to the development of a survey about adult guardianship practices in Ohio's probate courts. The report highlights the challenges courts face and strategies they use to effectively manage those challenges. Finally, we highlight some promising practices that the courts have put in place to meet the...

  • Aging and Developmental Disabilities
  • Legal/ Advocacy
  • Mental Health

Measuring Positive Attitudes toward Persons with Dementia: A Validation of the Allophilia Scale

02/17/2016

Efforts to combat ageism typically focus on negative attitudes toward members of an out-group. Changing attitudes also requires assessment and enhancement of positive attitudes. This study examined the psychometric properties of Allophilia scale when used to measure college students' positive attitudes toward persons with dementia. Data collected from 465 students were analyzed using confirmatory factor analysis and multigroup analysis by gender to assess the validity and reliability of the...

  • Psychology of Aging

Honoring nursing home resident preferences for recreational activities to advance person-centered care

02/16/2016

Nursing homes are embracing person-centered care, an approach that emphasizes “knowing the person” and honoring each individual’s preferences. As providers shift toward person-centered care, they need timely, efficient tools and methods to gauge whether they are meeting consumer preferences and to identify areas in need of improvement. The Preference Match Tracker is a new tool that measures alignment between resident preferences and recreational activities. The Preference Match Tracker...

  • Care Management
  • Long-Term Care Facilities

Healthcare preferences of nursing home residents: Perceived barriers and situational dependencies

02/01/2016

While much research has examined end of life care preferences of nursing home (NH) residents, little work has examined resident preferences for everyday healthcare. The present study conducted interviews with 255 residents recruited from 35 NHs. Content analysis identified barriers (hindrances to the fulfillment of resident preferences) and situational dependencies (what would make residents change their mind about the importance of these preferences) associated with preferences for utilizing...

  • Care Management
  • Mental Health

Opening Minds through Art For One (OMA41): Direct Care Workers and Volunteers as Creative Arts Facilitators of Older Adults

01/30/2016

This brief describes the pilot implementation and evaluation of OMA For One (OMA41). OMA41 is an adaptation of Opening Minds through Art (OMA), a visual arts program for elders with cognitive impairments. OMA41 is conducted one on one, rather than in a group setting and uses direct care workers or volunteers as facilitators.

  • Aging and Developmental Disabilities
  • Arts and Aging
  • Families/Caregiving
  • Home and Community Based Services
  • Long-Term Care - Other

Factors associated with changes in perceived quality of life among elderly recipients of long-term services and supports

01/01/2016

The objective is to advance knowledge about changes in multiple dimensions of health related quality of life (HRQoL) among older adults receiving long-term services and supports (LTSS) over time and across settings. Findings advance knowledge regarding what is arguably the most important outcome of elderly LTSS recipients: quality of life. Understanding associations between multiple HRQoL domains and quality of life over time and directly from LTSS recipients represents a critical step in...

  • Home and Community Based Services
  • Long-Term Care Facilities

Are Ohio's Nursing Homes Ready for an Emergency?

12/22/2015

Study Identifies Strengths, Leads to Strategies for Improvement in Ohio Nursing Home Disaster PlanningOn any given day in Ohio's nursing homes, there are nearly 78,000 residents with physical or cognitive impairments. This means that nursing homes may be vulnerable during emergencies that require either evacuation or necessitate sheltering in place. A module regarding preparedness and planning in Ohio nursing homes was included in the 2013 Biennial Long-term Care Survey administered by the...

  • Aging Network
  • Long-Term Care Facilities

Association of neuropsychiatric syndromes with global clinical deterioration in Alzheimer’s disease patients

12/17/2015

Data on the relationship between behavioral disturbances in Alzheimer's disease (AD) and global clinical deterioration is still controversial. The purpose of this study was to explore potential correlations of neuropsychiatric syndromes with global clinical deterioration in patients with AD, with particular consideration on severity levels of dementia. To analyze the association of neuropsychiatric syndromes with the Global Deterioration Scale (GDS), considering the total sample and patients...

  • Chronic Illness/ Disability
  • Mental Health

We can't provide season tickets to the opera": Staff perceptions of providing preference based person centered care.

10/23/2015

Knowledge of a nursing home resident's everyday living preferences provides the foundation for ongoing individualized care planning. The purpose of this study is to identify nursing home (NH) staff perceptions of facilitators and barriers to learning about and meeting residents’ preferences and reasons why staff feel residents change their minds about preferences. Focus group sessions and interviews were conducted with 36 NH staff members working in a facility that has been actively assessing...

  • Care Management

Workforce Development in the United States: Facilitating Opportunities to Work at Older Ages

10/17/2015

Shifts in the age structure of the U.S. labor force, combined with the increased labor force participation rates (LFPRs) among older adults, require policies and programs that encourage and support employment at older ages. To further understand the enrollment, experiences, and outcomes for older workers enrolled in employment and training programs, the article analyzed data from the participants in the Senior Community Service Employment Program (SCSEP), and the Program for the International...

  • Business/Economics of Aging
  • Education
  • Workforce Issues

Global Population Aging and Labor Force Implications:  Working Longer, Learning Longer

10/12/2015

Countries around the world, both more and less developed, are experiencing shifts in age structure. Delaying retirement and increasing labor force participation at older ages could increase gross domestic product while also benefiting national wealth and public debt. We visually illustrate key indicators that demonstrate the implications of population aging and why continued work at older ages is important to the economic future for many countries.Public Policy & Aging Report, 25(4),...

  • Business/Economics of Aging
  • Education
  • Global Aging
  • Workforce Issues

Factors Associated with Changes in Perceived Quality of Life Among Elderly Recipients of Long-Term Services and Supports

09/26/2015

The study is based on a prospective, observational, longitudinal cohort design, with 470 older adults from nursing homes, assisted living facilities and community as participants. Single-item quality-of-life measure assessed every 3 months over 2 years. Health related quality of life (HRQoL) domains of emotional status, functional status, and social support were measured using standardized instruments. Findings advance knowledge regarding what is arguably the most important outcome of elderly...

  • Home and Community Based Services
  • Long-Term Care - Other
  • Research Methods

Implementation of the 2014 Ohio Nursing Home Family Satisfaction Survey

09/22/2015

In 2014 the Scripps Gerontology Center conducted the 7th biennial Ohio Nursing Home Family Satisfaction Survey under a contract with the Ohio Dept. of Aging.  This year the survey had 947 facilities--the same number as in 2012--representing 98% of Ohio's nursing homes and 23, 639 families.  Information about the survey process, psychometric analyses of the survey, and recommendations for future implementation are included.Full Report (471.0Kb)

  • Long-Term Care Facilities
  • Research Methods

The Role of the Family in Nursing Homes: Recommendations to Increase Family Satisfaction with Care

09/22/2015

Families are important consumers of long-term care services who are likely to remain involved in the care of their resident loved one after placement.  The aims of this brief report are (1) to increase the understanding of the role of family members in long-term care facilities in Ohio, (2) to examine the resident, family member, and facility characteristics that are associated with higher family satisfaction, and (3) to propose strategies to improve family satisfaction.Research Brief (225.7Kb)

  • Long-Term Care Facilities
  • Long-Term Care - Other

Challenges for the Workforce Development of Older Workers in Brazil

09/15/2015

Alongside reforms to its social security system, it is argued that older workers in Brazil should be encouraged to remain longer in the labor force and postpone retirement while being productive. A lack of educational attainment is a major challenge for Brazil. The examination of workforce policies in Brazil reveals a fragmented system for workforce development without specific funding for older worker programs.Public Policy & Aging Report, 25(4), 136-138. doi:10.1093/ppar/prv019Publication...

  • Business/Economics of Aging
  • Education
  • Global Aging
  • Workforce Issues

Neighborhood Assistants Pilot:A Program Evaluation of Person-Centered Staffing

07/28/2015

The purpose of this study was to pilot test and evaluate an innovative staffing approach called the Neighborhood Assistant (NA) at the Francis E. Parker Memorial Home.

  • Case Studies/ Qualitative Research
  • Long-Term Care Decision Making
  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing
  • Workforce Issues

Chronic illness and generativity in late life: A case study

07/25/2015

This article presents a narrative-based case study about chronic illness and genetic uncertainty and their relationship to generativity throughout the life course. Our focus is a woman who experienced vision loss early in life and interpreted its impact on her generativity through present-day biographical rescripting. This article contributes an understanding of childlessness as observed through the lenses of chronic illness, autonomy, and generativity. We conclude that a history of chronic...

  • Case Studies/ Qualitative Research
  • Chronic Illness/ Disability

A global examination of policies and practices for lifelong learning

07/21/2015

Continuous learning over the life course is necessary to successfully compete in a knowledge-based global economy. While a wide range of individual and community factors play a role in whether older workers receive skills training and remain in the labor force, national policies and practices are also likely to have an influence. This nation-level study used OECD data to identify associations between participation in lifelong learning activities and outcomes such as labor force participation at...

  • Business/Economics of Aging
  • Education
  • Global Aging
  • Workforce Issues

Gender differences in trajectories of physical activity among older Americans with diabetes

07/17/2015

The primary objective of this study was to examine gender differences in engagement in physical activity over time among older U.S. adults with diabetes. Using data from the Health and Retirement Study, we investigated physical activity between 2004 and 2010 among 1,857 adults aged 65 years and above with diabetes. The women in this cohort of older Americans started and remained less active than their male counterparts. Investigations covering a larger portion of the life course and those...

  • Chronic Illness/ Disability
  • Demographics
  • Health/Physical Activity

Predictors of adult education program satisfaction in urban community-dwelling older adults

07/16/2015

Lifelong learning is receiving greater attention due to population aging in modern societies. Lifelong learning benefits individuals by supporting their physical, psychological, social, and economic well-being. However, older adults generally have lower motivation for learning than younger adults, and facilitating long-term participation in learning activities is still challenging. Results from proportional odds ordinal logistic regression analysis demonstrated that gender, number of household...

  • Education
  • Long-Term Care Facilities

Quantitative Physical Activity of Children and Adolescents in a Rural Population from Eastern Nepal

07/16/2015

We evaluated physical activity of children and adolescents aged 6 to 18 years from the Jirel population of eastern Nepal. 399 Participants wore an Actical omnidirectional accelerometer for one week as part of their annual visit to the Jiri Growth Study. Children are more active on non-school days and adolescents are more active during the school week. Jirel children do not exhibit the reduction in physical activity that most Western populations experience during the transition from childhood to...

  • Demographics
  • Global Aging
  • Health/Physical Activity

Identifying naturally occurring retirement communities: A spatial analysis

06/23/2015

Guided by the concept of “aging in place” and potential policy implications, the study analyzed naturally occurring retirement communities (NORCs; 40% or greater house owners and renters aged 65 years and older) and whether there were spatiotemporal patterns in Ohio between 2000 and 2010. Locating NORCs could aid governments to create “aging in place” sensitive policies to address issues of independence, social care, health care, volunteerism, and community participation.Journals of...

  • Aging Network
  • Care Management
  • Home and Community Based Services

The Road to Balance: Two Decades of Progress in Providing Long-Term Services and Supports for Ohio's Older Population

06/15/2015

This report documents two decades of progress in delivering long-term services in Ohio. In 1992, more than nine of the 10 older people in Ohio supported by Medicaid were in nursing homes. Today, the ratio is approaching 50/50. This study, now in its 22nd year, is designed to provide Ohio policy makers, providers and consumers with the information needed to make good decisions in an effort to ensure that Ohio has an efficient and effective long-term services and supports systemFull Report (PDF -...

  • Aging Network
  • Families/Caregiving
  • Home and Community Based Services
  • Long-Term Care Decision Making
  • Long-Term Care Facilities
  • Long-Term Care - Other

How Does Medicaid Reimbursement Impact the Quality of Ohio Nursing Homes?

05/20/2015

Study examines the changes in Medicaid nursing home reimbursement between 2007 and 2012 as Ohio moved to a "new price system". Findings showed that the quality of Ohio nursing homes did not change as a result of the system reimbursement changes.

  • Long-Term Care Policy and Financing

2014 Title VI Survey Results

05/20/2015

This research record highlights the findings from a national survey of the Title VI Organizations (TO). Findings highlight TOs' connection to the larger tribal infrastructure, key features and services of the TO programs, innovative care delivery, elder abuse prevention and intervention, expanding services and sustainability, and training and technical assistance needs.

  • Aging Network
  • Home and Community Based Services

Long-term services and supports (LTSS): A growing challenge for an aging America

04/29/2015

Because most Americans do not plan for the likelihood that we will need formal assistance because of a disability, many end up using the public assistance Medicaid program as the safety net for LTSS. The breadth and depth of issues surrounding LTSS, the number of individuals and families that will need LTSS both now and in the future, and the implications that this system will have on private and public resources suggests that the White House Conference on Aging, the Public, the Administration,...

  • Legal/ Advocacy
  • Long-Term Care Policy and Financing

“Make me feel at ease and at home” Differential care preferences of nursing home residents

04/15/2015

Assessing and honoring older adults’ preferences is a fundamental step in providing person-centered care in long-term care facilities. Researchers and practitioners have begun to develop measures to assess nursing home (NH) residents’ everyday preferences. However, little is known about how residents interpret and conceptualize their preferences and what specific clinical response may be needed to balance health and safety concerns with preferences. Results contribute to an emergent body of...

  • Care Management
  • Long-Term Care Facilities

Axial Quantitative Ultrasound Assessment of Pediatric Bone Quality in Eastern Nepal

04/11/2015

This study presents quantitative ultrasonography (QUS) bone quality data for an underrepresented, south Asian pediatric population from Nepal. Data were collected as part of a longitudinal study of growth and development. This study offers normative data and documents the effect of stunting, wasting, and underweight on the bone properties measured by QUS.Osteoporosis International, 26(9), 2319–2328. doi:10.1007/s00198-015-3115-0Publication available online, subscription may be required.

  • Global Aging
  • Health/Physical Activity

Agency and mental health: A transition to adulthood paradox

03/02/2015

This study utilizes nationally representative survey data from the National Longitudinal Study of Adolescent to Adult Health (N = 13,592) to develop an empirical conception of the traditional treatment of health agency focused on two social psychological constructs of ‘‘subjective vitality’’ and a forward-looking orientation (‘‘optimism’’). Adolescents with higher health-based agency early in the transition to adulthood have significantly higher status attainment (occupational...

  • Mental Health
  • Research Methods

Adult Education and Training Programs for Older Adults in the U.S.: National Results and Cross-National Comparisons Using PIAAC Data

02/18/2015

Skill upgrades over the lifecourse are increasingly important in a knowledged-based global economy. This study examined the relationship between participation in adult education programs and labor market outcomes for adults aged 45-65.Full Report (PDF) (1.557Mb)

  • Workforce Issues

Describing and Assessing Leadership for Person-Centered Care: Final Project Report

01/22/2015

This report provides brief highlights from a study of leadership in nursing homes with a person-centered or traditional approach to care.PDF(214.5Kb)

  • Long-Term Care Decision Making

Initial exploration of newly implemented public health policy using Geographic Information Systems: the case of a U.S. Silver Alert program

12/01/2014

Public health policies are designed for specific subsets of the population. We assert that utilization patterns can be effectively assessed using geographic information systems (GIS). This paper uses the Silver Alert program, a recently implemented public health policy, as a case for how and why GIS can be used to examine utilization patterns. Design. The paper uses visualized data and spatial statistics to assess utilization patterns and mission adherence. Results show disproportionate...

  • Case Studies/ Qualitative Research
  • Health/Physical Activity
  • Legal/ Advocacy

Generativity in elderly Oblate Sisters of Providence

10/28/2014

This paper explored how generativity and well-being merged in a group of childless older women: African and Hispanic Roman Catholic Religious Sisters, linking two minority identity characteristics. Findings highlight that research gains from a phenomenological understanding of how religious faith promotes generative cognitions and emotions. Findings also reveal that the experiences of a subculture in society—African-American elderly women religious—add to theories and definitions of...

  • Case Studies/ Qualitative Research
  • Demographics

A public health approach to the challenges of an aging society

10/17/2014

Public Health for an Aging Society is the successor to Public Health and Aging, published in 1997. In brief, this 456-page volume offers readers an overview of key aging-related topics and the steps that public health can, does, and should take to address the challenges of our aging population.The Gerontologist, 54 (6). doi: 10.1093/geront/gnu099Publication available online, subscription may be required.

  • Aging and Developmental Disabilities

Public beliefs and knowledge about risk and protective factors for Alzheimer's disease

10/01/2014

The purpose of this study was to assess public beliefs and knowledge about risk and protective factors for Alzheimer's disease (AD). A brief survey module was added to the Health and Retirement Study, a longstanding national panel study of the U.S. population over the age of 50. Respondents were 1641 adults. Most indicated interest in learning their AD risk, with 29.4% expressing active worry. Many failed to recognize that medications to prevent AD are not available (39.1%) or that having an...

  • Chronic Illness/ Disability
  • Education

The consistency of self-reported preferences for everyday living: Implications for person centered care delivery

10/01/2014

Preferences are the expression of an individual's basic psychosocial needs and are related to care outcomes. The current study tested the consistency of 87 individuals' everyday preferences over 1 week, comparing responses of nursing home residents (n = 37; mean age = 82) and university students (n = 50; mean age = 20). Participants completed the Preferences for Everyday Living Inventory at baseline and 5 to 7 days later. Preference consistency was calculated three ways: (a) correlations (range...

  • Care Management
  • Chronic Illness/ Disability

The role of community colleges in career transitions for older workers

09/25/2014

An aging workforce, combined with the negative effects of the recent economic downturn, has increased the importance of identifying strategies to encourage working at older ages. The present study examined community college involvement in outreach and support programs for older displaced workers. This involved interviews with 27 key informants at 14 community colleges to gain an understanding of the role community colleges play in linking older students to credential or certificate programs....

  • Business/Economics of Aging
  • Education
  • Workforce Issues

New toolkit to measure quality of person-centered care: Development and pilot evaluation with nursing home communities

09/15/2014

The purpose of this article is to report on the development of the concept and measurement of preference congruence among NH residents (phase 1), its refinement into a set of quality indicators by Advancing Excellence in America's Nursing Homes (phase 2), and its pilot evaluation in a sample of 12 early adopting NHs prior to national rollout (phase 3). The recommended toolkit for providers to use to measure PCC consists of (1) interview materials for 16 personal care and activity preferences...

  • Care Management
  • Research Methods

Long-Term Care Management Turns 40: What We Know and What We Don’t

09/02/2014

This article focuses on care management with older people experiencing chronic disability. Care management, including a systematic assessment, arrangement and coordination of services, and monitoring the quality of the consumer experiences, has become a core element of the home and community-based delivery system. In addition, private care management has developed for individuals and families who have the necessary income to purchase their own services, but who still need assistance in...

  • Care Management
  • Chronic Illness/ Disability
  • Home and Community Based Services
  • Long-Term Care Decision Making

Successful aging, Gerontological theory, and neoliberalism: A qualitative critique

08/26/2014

This article is a critique of the successful aging (SA) paradigm as described in the Rowe and Kahn book, Successful Aging (1998). The article shows how the implicit social theory developed in the book, in a manner similar to neoliberalism, elevates the individual as the main source of any changes that must accompany the SA paradigm and the focus on SA as individual action does not provide for those older adults who do not or will not age “successfully.” This, we conclude, implicitly sets up...

  • Case Studies/ Qualitative Research
  • Research Methods

“It makes me feel like myself”: Person-centered versus traditional visual arts activities for people with dementia

07/21/2014

During February 2010 and April 2011, video data on people with dementia were collected during a person-centered and intergenerational arts activity program called Opening Minds through Art (OMA) at three different long-term care facilities in Ohio. A modified version of the Greater Cincinnati Chapter Well-Being Observation Tool was used to code the intensity and frequency of observed domains of well-being and ill-being. Paired-sample t-tests comparing OMA vs. traditional visual arts activities...

  • Arts and Aging
  • Chronic Illness/ Disability
  • Long-Term Care - Other
  • Mental Health

What the Paradox of Change Means for the Future of Aging Services

07/17/2014

The aging services sector must foster and embrace change, evolving to meet the demands of our modern world, lest it go the way of companies like Kodak and Blockbuster-neither of which anticipated or adapted to changes in the marketplace. But when organizations change, it must be with the right strategy. If the aging services sector evolves in the wrong way, generations will feel the impact. It must ask the right questions, be clear about where it needs to go and what the issues are, innovate,...

  • Aging Network
  • Business/Economics of Aging
  • Education
  • Legal/ Advocacy

The evolution, innovation, and future of Area Agencies on Aging

07/01/2014

More than 600 area agencies on aging (AAA) provide locally responsive, coordinated services for older adults living in every community in the United States. But they face more competition for resources and steeper increases in numbers of constituents than ever before. AAAs are addressing these challenges by expanding the types of consumer groups they serve, working with a wider range of partner organizations, establishing new connections with medical communities, creating business plans, and...

  • Business/Economics of Aging
  • Home and Community Based Services

Identifying naturally occurring retirement communities: A spatial analysis

06/23/2014

Guided by the concept of "aging in place" and potential policy implications, the study analyzed naturally occurring retirement communities (NORCs; 40% or greater house owners and renters aged 65 years and older) and whether there were spatiotemporal patterns in Ohio between 2000 and 2010. Data were derived from the 2000 and 2010 census tracts. Geovisualization was used to visually examine the distribution of NORCs in 2000 and 2010. Global Moran's I was used to quantify the spatial distribution...

  • Care Management
  • Legal/ Advocacy

The Nursing Home Five Star Rating: How does it compare to resident and family views of care?

05/21/2014

In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented a five-star rating system of nursing homes in the United States. These star ratings have been widely publicized both by CMS and the national and state media. Although the components of the star rating system take into account various dimensions of quality, satisfaction of nursing home residents and their families is not taken into consideration. The current study compares the CMS star rating system to nursing home...

  • Care Management
  • Long-Term Care Facilities

‘It depends’: Reasons why nursing home residents change their minds about care preferences

05/09/2014

This study aims to understand and describe nursing home residents’ perspectives on why the importance of their preferences may change in daily care. Secondary data analyses of cognitive interviews with 39 cognitively capable nursing home residents regarding their importance of preferences for everyday living were completed. Findings indicate that nursing home residents’ preferences may change in importance or fulfillment in relation to personal or environmental circumstances. In order to...

  • Care Management
  • Demographics

Ohio's Nursing Homes and Residential Care Facilities in the Economic Downturn: How Have They Adjusted?

04/30/2014

Long-term care facilities have been impacted by the economic downturn and other changes in the long-term care system. This research brief describes strategies most often implemented by Ohio's nursing homes and residential care facilities to enhance economic prospects.Research Brief -  (PDF 425KB)

  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing

Extending the framework of generativity through research: A qualitative Study

04/16/2014

This study defines 4 foci of generativity (people, groups, things, and activities) and 4 spheres of generativity (historical, familial, individual, and relational) based in American culture and with which older informants could easily identify. The approach outlined here also discusses a form of generativity oriented to the past in which relationships with persons in senior generations form a kind of generative action since they are involved in caring for the origins of the self and hence of...

  • Case Studies/ Qualitative Research
  • Research Methods

Application of the model of allostasis to older women’s relocation to senior housing

04/16/2014

Adjustment to senior housing entails significant lifestyle changes and is a stressful process. The adaptation process is dynamic and has yet to be studied using the conceptual model of allostasis. This article presents exemplars of women whose profiles represent three allostatic states: successful adaptation (homeostasis), ongoing adaptation (allostasis), and maladaptation (allostatic load). Coping abilities, perceptions of stressors, and cortisol measures provide a detailed picture of the...

  • Care Management
  • Case Studies/ Qualitative Research

Using Art to Overcome Cognitive Barriers

01/04/2014

OMA operates programs at eight other locations in southwestern Ohio, including long-term-care communities and adult-day centers serving about 125 elders and 200 volunteers a year in small-group sessions that take place weekly during the academic year. Because the arts can tap into parts of the brain that tend to be less affected by dementia, there has been a growing interest in recent years in exploring the ways the arts can be used to help reach and engage people with cognitive loss. A number...

  • Arts and Aging
  • Case Studies/ Qualitative Research

County Reports: AAA 5

01/01/2014

Counties: Ashland, Crawford, Huron, Knox, Marion, Morrow, Richland, Seneca, and WyandotThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA5 combined reportIndividual County...

  • Demographics

County Reports: AAA 10b

01/01/2014

Counties: Portage, Stark, Summit, and WayneThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA10b combined reportIndividual County ReportsPortage County65+ Report (1990-2010)...

  • Demographics

County Reports: AAA 10a

01/01/2014

Counties:  Cuyahoga, Geauga, Lake, Lorain, and MedinaThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA10a combined reportIndividual County ReportsCuyahoga County65+ Report (1990-2010)...

  • Demographics

County Reports: AAA 8

01/01/2014

Counties: Athens, Hocking, Meigs, Monroe, Morgan, Noble, Perry, and WashingtonThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA8 combined reportIndividual County ReportsAthens County65+...

  • Demographics

County Reports: AAA 11

01/01/2014

Counties: Ashtabula, Columbiana, Mahoning, and TrumbullThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA11 combined reportIndividual County ReportsAshtabula County65+ Report (1990-2010)...

  • Demographics

County Reports: AAA 3

01/01/2014

Counties: Allen, Auglaize, Hancock, Hardin, Mercer, Putnam, and Van WertThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA3 combined reportIndividual County ReportsAllen County65+ Report...

  • Demographics

County Reports: AAA 6

01/01/2014

Counties: Delaware, Fairfield, Fayette, Franklin, Licking, Madison, Pickaway, and UnionThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA6 combined reportIndividual County...

  • Demographics

County Reports: AAA 1

01/01/2014

Counties: Butler, Clermont, Clinton, Hamilton, and WarrenThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA1 combined reportIndividual County ReportsButler County65+ Report (1990-2010)...

  • Demographics

County Reports: AAA 4

01/01/2014

Counties: Difiance, Erie, Fulton, Henry, Lucas, Ottawa, Paulding, Sandusky, Williams, and WoodThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA4 combined reportIndividual County...

  • Demographics

County Reports: AAA 2

01/01/2014

Counties: Champaign, Clark, Darke, Greene, Logan, Miami, Montgomery, Preble, and ShelbyThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA2 combined reportIndividual County...

  • Demographics

County Reports: AAA 7

01/01/2014

Counties: Adams, Brown, Gallia, Highland, Jackson, Lawrence, Pike, Ross, Scioto, and VintonThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA7 combined reportIndividual County...

  • Demographics

County Reports: AAA 9

01/01/2014

Counties: Belmont, Carroll, Coshocton, Guernsey, Harrison, Holmes, Jefferson, and MuskingumThe reports below include population data, tables, and charts for the state of Ohio, the combined AAA, and individual listed counties.Back to mapOhioOhio's 60+ reportArea Agency Combined 65+ ReportThis report provides data on the on the 65+ population and changes from 1990-2010 in age increments for all counties within the specified Area Agency.Download AAA9 combined reportIndividual County...

  • Demographics

The National Aging Network Survey 2013 Results

12/30/2013

The 2013 National Survey of Area Agencies on Aging builds on previous surveys to assess the evolving role of AAAs in the new health care delivery system. Findings from this survey highlight the changing population served by AAAs and how these agencies are building partnerships throughout the delivery system to better meet the needs of consumers as well as the ways they are leveraging multiple funding sources in order to provide more services to a larger consumer base.Full Report (PDF 1.1MB)

  • Aging Network

Does cohort matter in the association between education, health literacy and health in the USA?

11/06/2013

Growing empirical evidence supports the generally positive relationship between education, health literacy and health outcomes. However, little is known about cohort in this relationship. This study examined the role of cohort defined by 10-year age period in the association between educational attainment, health literacy and self-rated health. The data were obtained from the 2003 National Assessment of Adult Literacy survey restricted file. Focusing on nationally representative...

  • Education
  • Health/Physical Activity

The Role of Relevancy and Social Suffering in “Generativity” Among Older Post-Soviet Women Immigrants

11/01/2013

This paper examines generativity, social suffering, and culture change in a sample of 16 women aged 65 years or older who emigrated from the former Soviet Union. Key concerns with generativity are identity, which can be strongly rooted in one’s original cultural formation, and a stable life course, which is what ideally enables generative impulses to be cultivated in later life. To better understand how early social suffering may affect later life generativity, we conducted two 90-min...

  • Case Studies/ Qualitative Research

Effective strategies for educating older workers at community colleges

10/25/2013

An aging workforce combined with concerns about the long-term viability of social welfare programs has increased the importance of identifying strategies to encourage working at older ages. The present study examined community college involvement in educational programs for older workers. This involved interviews and site visits at 14 community colleges to gain an understanding of the role community colleges play in linking older students to credential or certificate programs. Effective...

  • Education
  • Workforce Issues

The Hundred-Year-Old Man Who Climbed out the Window and Disappeared [book review]

10/18/2013

This review brings to your attention current and/or award-winning novels that offer aging perspectives, and we hope you will consider their value for learning about aging. The invited reviewers include several well-regarded gerontologists with humanistic leanings, a cultural critic focusing on aging in comparative literature, and a geriatrician who writes an acclaimed blog on aging and health. Gerontologist, 53 (6), 1060-1070. doi: https://doi.org/10.1093/geront/gnt116Publication available...

  • Aging Network

Everyone’s Talking About It, But Does It Work?

10/16/2013

In response to increasing Medicaid expenditures and consumer preferences, states are reforming their long-term care systems to provide more community-based services. One popular reform is renewed efforts to prevent unnecessary long-term nursing home placement (diversion) and to provide nursing home residents an opportunity to return to the community (transition). This research tracked outcomes for consumers and evaluated the implementation of the new program. An agency-level process analysis...

  • Business/Economics of Aging
  • Home and Community Based Services
  • Long-Term Care Decision Making

Influence of Late Life Stressors on the Decisions of Older Women to Relocate into Congregate Senior Housing

10/01/2013

The primary aim of this study is to elucidate the push-pull factors associated with moving into congregate senior housing. The secondary aim is to investigate the decision-making processes and stresses associated with moving into a congregate living environment. Interviews were conducted with 26 women who were new residents in congregate senior housing. Relocation, as expected, was considered to be stressful although individual differences were found among perceptions of relocation stresses....

  • Long-Term Care Facilities
  • Psychology of Aging

Remembering the person in person-centered residential dementia care

09/15/2013

Although person-centered care is aimed at tailoring care to the biological, behavioral, biographical, and social needs of an individual, there is often little discussion about exactly who is the person in person-centered care. Instead, "person" is often reduced to the biographical details assembled from family and staff. This article suggests ways for making sure that the entire person is considered, using the case story of R.H., a woman with dementia whose concept of her own person differed...

  • Chronic Illness/ Disability
  • Families/Caregiving

Maps of Ohio's 85+ population by county 1990-2050

09/01/2013

Maps of Ohio displaying the change in the 85 and older population beginning with 1990 and projected through 2050.85+ Maps | jpeg (4.5MB .zip file)85+ Maps | PDF (2MB .zip file)

  • Demographics

Introductive Case Study: “My Health is Excellent but I’m Dying”

09/01/2013

The article presents an introductive case study discussing an 89-year old woman's experience with aging, particularly commenting on her individual perceptions of the meaning of successful aging. She addresses her serious health concerns, as well as notes the distinction between psychological health and physical health. Other topics explored include the impact of medical conditions on the woman's ability to live normally, her focus on being alive and having something to live for, and the...

  • Aging and Developmental Disabilities
  • Case Studies/ Qualitative Research
  • Religion/Spirituality

Generative acts of people with dementia in a long-term care setting

08/14/2013

Although generativity is used as a central cultural construct within life course theory to illustrate how older persons create interpersonal ties, it is also tied to key concepts in social exchange theory since generative acts can provide a way for achieving more equity in intergenerational power relationships. Without opportunities for older adults to invest themselves in younger generations, they may no longer feel needed within their family or community. In this article, we discuss the...

  • Case Studies/ Qualitative Research
  • Chronic Illness/ Disability
  • Families/Caregiving

Maybe Elephants Can Dance: Two Decades of Progress in Delivering Long-Term Services and Supports in Ohio

07/31/2013

This longitudinal study, initiated by the General Assembly in 1993 and continuously funded by the Ohio Department of Aging, tracks how long-term utilization has changed over the past two decades in the state of Ohio.Full Report (PDF 1.5MB)Research Brief (PDF 442KB)

  • Long-Term Care Policy and Financing

Integrated Care and the Aging Network: The Next Frontier or the End of an Era?

07/01/2013

The strong push to integrate Medicare and Medicaid services has been driven by the federal government through the Centers for Medicare & Medicaid Services, and by states, in response to two major system concerns: quality and cost. But nationwide system change has been slow and inconsistent. This article lays out the many issues that have come forward as the aging services industry experiences this change. Much about how healthcare is delivered in our nation is yet to be determined: the...

  • Aging Network
  • Business/Economics of Aging
  • Legal/ Advocacy
  • Long-Term Care Policy and Financing

Leveraging Resources between the Senior Community Service Employment Program and the Long-Term Care Ombudsman Program

06/28/2013

The project sought to determine the role the Senior Community Service Employment Program (SCSEP) might play in supporting the Long-Term Care Ombudsman program in their expanded role in the HOME Choice transitions program. This report describes potential responsibilities of the SCSEP program participant and suggested training to carry out those duties. Full Report (PDF 1.8MB)

  • Home and Community Based Services
  • Long-Term Care - Other
  • Workforce Issues

The Brazilian version of the Neuropsychiatric Inventory-Clinician rating scale (NPI-C): reliability and validity in dementia

06/14/2013

Patients with dementia may be unable to describe their symptoms, and caregivers frequently suffer emotional burden that can interfere with judgment of the patient's behavior. The Neuropsychiatric Inventory-Clinician rating scale (NPI-C) was therefore developed as a comprehensive and versatile instrument to assess and accurately measure neuropsychiatric symptoms (NPS) in dementia, thereby using information from caregiver and patient interviews, and any other relevant available data. The present...

  • Chronic Illness/ Disability
  • Families/Caregiving
  • Global Aging

"Shall I compare thee to a dose of donepezil?": cultural arts interventions in dementia care research

06/07/2013

The cultural arts have gained attention for their potential to generate social and behavioral changes in people with dementia. Although individual cultural arts intervention studies have reported positive outcomes, most are excluded from systematic reviews because of methodological weakness. We reviewed findings from 27 systematic and integrative reviews of pharmacologic, psychosocial, and cultural arts interventions to identify promising outcomes as well as limitations in current approaches....

  • Arts and Aging
  • Mental Health

The association of diabetes complications with physical activity in a representative sample of older adults in the United States

05/23/2013

Most adults with diabetes do not engage in the level of physical activity recommended for optimal disease management. Diabetes complications are not generally considered a clinical contraindication to exercise. No prior national studies have examined the associations of these complications with physical activity. Multiple logistic regression was used to examine the association between diabetes complications and the odds of meeting physical activity guidelines…A borderline significant...

  • Chronic Illness/ Disability
  • Health/Physical Activity

Analyzing state-based Silver Alert programs: the case of North Carolina

04/16/2013

Recent discussions about securing the autonomy and safety of older people in a cost-effective way have culminated in the establishment of "Silver Alert" media-alert policies in more than half of US states over the past 5 years. Despite a policy focus on older adults and individuals with cognitive impairment, activation of Silver Alerts in a county was not related to the proportion of the population 65 years of age or older or to the prevalence of poor mental health in the county. Additionally,...

  • Case Studies/ Qualitative Research
  • Mental Health

Childless Elders in Assisted Living: Findings from the Maryland Assisted Living Study

04/10/2013

We compared data drawn from a random sample of 399 current assisted living (AL) residents and a subsample of 222 newly admitted residents for two groups: childless AL residents and AL residents with children. The percentage of childless AL residents (26%) in our study was slightly higher than US population estimates of childless persons age 65 and over (20%). In the overall sample, the two groups differed significantly by age, race and women’s years of education. The childless group was...

  • Demographics
  • Families/Caregiving
  • Long-Term Care - Other

International Approaches to Long-term Services and Supports

04/02/2013

For older adults who may experience significant disability from injury or disease, the daily activities present challenges that may require ongoing assistance from family members, friends, or a formal care service provider. Longterm services and supports enable those who need continual help because of physical, cognitive, or developmental disabilities to accomplish the necessary tasks of daily living.Generations, Spring 2013, pgs. 59-65.Publication available online, subscription may be required.

  • Global Aging
  • Long-Term Care Policy and Financing

Delivering Long-Term Services to Ohio Elders: Good Progress, But Challenges Await

03/30/2013

*An earlier version of this report contained an error. This error has been corrected and a new report was posted on 07/16/2013.Research Brief (PDF 450KB)

  • Long-Term Care Policy and Financing

Think Globally, Act Locally: The Maturing of a Worldwide Science and Practice of Aging

03/28/2013

This article answers the question, “Why should we care about global aging?” with a look at the first half century (1945-2000) in the study of aging, and then delineates the reasons why studying global aging is crucial: to be educated and potentially share solutions; on a personal level because our aging is directly tied to others through worldwide economics and politics; and to head off distrust between countries.Generations, 6-11(6).Publication available online, subscription may be...

  • Education
  • Global Aging
  • Legal/ Advocacy

Implementation of the 2012 Ohio Nursing Home Family Satisfaction Survey

03/01/2013

In 2012, the Scripps Gerontology Center conducted the sixth biennial Ohio Nursing Home Family Satisfaction Survey under a contract to the Ohio Department of Aging. The 2012 survey had the largest number of facilities participating at 99% and over 27,000 family and friends responding. Numerous changes were implemented, most importantly a process that no longer requires nursing homes to distribute surveys to family members.The report includes information about the survey process, psychometric...

  • Long-Term Care - Other

Common Sense for Caring Organizations: Results from a Study of High-Performing Home Care Agencies and Nursing Homes

02/28/2013

While most daily care and assistance for Ohio’s older population is provided by family and friends, paid direct care workers such as nurses and home care aides provide much of the formal assistance in the daily lives of Ohio’s frail elders. These care workers are the lowest paid and least trained workers in Ohio’s long-term care workforce. A new study by Scripps Gerontology Center at Miami University identified the best practices and strategies for supporting direct care workers by...

  • Workforce Issues

Application of the model of allostasis to older women's relocation to senior housing

01/30/2013

Adjustment to senior housing entails significant lifestyle changes and is a stressful process. The adaptation process is dynamic and has yet to be studied using the conceptual model of allostasis. This article presents exemplars of women whose profiles represent three allostatic states: successful adaptation (homeostasis), ongoing adaptation (allostasis), and maladaptation (allostatic load).Coping abilities, perceptions of stressors, and cortisol measures provide a detailed picture of the...

  • Case Studies/ Qualitative Research
  • Psychology of Aging

Bridging the Aging Network and Medical Community Survey: Care Transitions from Hospital to Home

12/30/2012

The survey was designed to provide descriptive information about the connections between the Aging Network and the health care community. This research brief provides key findings from the survey for the 103 AAAs involved in care transitions from hospital to home.*If you downloaded the report prior to 5/16/2014, the previous version of this report contained an error in Figure 2.Full Report (PDF 719KB)

  • Aging Network

An international comparison of the Ohio department of aging-resident satisfaction survey: applicability in a U.S. and Canadian sample

11/29/2012

The majority of resident satisfaction surveys available for use in assisted living settings have been developed in the United States; however, empirical assessment of their measurement properties remains limited and sporadic, as does knowledge regarding their applicability for use in settings outside of the United States. This study further examines the psychometric properties of the Ohio Department of Aging-Resident Satisfaction Survey (ODA-RSS) and explores its applicability within a sample of...

  • Global Aging
  • Psychology of Aging

Evaluation of Ohio's Program of All Inclusive Care for the Elderly (PACE)

10/08/2012

In 2011, the Ohio Legislature asked the Scripps Gerontology Center to evaluate Ohio's two PACE sites and make recommendations for further expansion.Full Report (PDF 1.4MB)Research Brief (PDF 334KB)

  • Long-Term Care Policy and Financing

Bridging the Aging Network and Medical Community: Survey Results

08/31/2012

Older adults often need a full complement of services and supports to help them live independently while maintaining their physical or mental health. Recent federal and state initiatives such as the Affordable Care Act (ACA) have expanded the opportunities for Area Agencies on Aging (AAA) to be partners in acute care and health care system coordination.With a grant from the Administration on Aging (AoA), the National Association of Area Agencies on Aging (n4a) partnered with the Scripps...

  • Aging Network

Population Pyramids of Ohio by County 2010-2050

05/30/2012

To download individual county population pyramids (2010-2050) click the link below. This link will take you to a directory. Click on county name of interest, right-click files you wish to download and select "save link as".Download county population pyramids

  • Demographics

Maps of Ohio's 60+ population by county 1990-2050

05/21/2012

Maps displaying the change in Ohio's 60 and older population in 1990 and projected through 2050.60 plus maps (PDF - .zip)60 plus maps (jpeg - .zip)

  • Demographics

Programs to Locate Missing and Critically Wandering Elders: A Critical Review and a Call for Multiphasic Evaluation

05/07/2012

As America ages, greater numbers of older adults will be living with Alzheimer’s disease or a related dementia, leading to increased incidence of wandering. Currently there are several initiatives to assist older adults who go missing. We describe and critically examine three prominent and widespread programs: Safe Return, Project Lifesaver, and Silver Alert. Despite their emergence, there has been little research on their effectiveness. More fundamentally, the nature and scope of the missing...

  • Chronic Illness/ Disability
  • Education

Providing Data to Improve Ohio's Long-Term Services and Supports System (First three indicators)

04/01/2012

his project tracks Ohio’s progress toward a more balanced system of long-term care services and support. The study, funded by the Ohio Department of Job and family Services, began in 2010 and will be updated annually. The current web based report covers the period of 2005 to 2010 and is limited to Medicaid Expenditures. Future plans call for including other sources of long-term care services and supports funding and other indicators of a balanced system.Full...

Aging in Ohio: Population Age 65+ 2000 and 2010 by County

03/05/2012

The number of residents age 65 and older in Ohio’s Delaware County has increased by 83% from the year 2000 to 2010 according to information being released this week by Scripps Gerontology Center at Miami University. This change is part of a broader dramatic aging story taking place across all of Ohio’s eighty-eight counties. Delaware County represents the most substantial aging over this period; Ohio’s total population age 65 and older grew by 7.6%. Washington County is also in a unique...

  • Demographics

2011 Title VI Native American Programs Survey Results

03/01/2012

Summary of a survey conducted in 2011 of Title VI (Native American Organizations) to assess role of Title VI programs in offering services and supports to the elders in their communities. Over 80% of Title VI programs responded. Results describe demographic structure and characteristics, services provided and programs offered to ensure elders can age with independence in their homes and communities.*Note: An updated version of this document was made available on April 7, 2014. Figure 2 was...

  • Aging Network
  • Home and Community Based Services

Ohio Long-Term Services and Supports Factbook

01/16/2012

This factbook provides a broad overview of Ohio's system of long-term services and supports. Numerous charts provide descriptions of those who use services, kinds of services, payment systems and other topics. It is designed to be reference and resource guide.Factbook (PDF 6MB)

  • Long-Term Care - Other

Ohio's 60+ Population by County

10/01/2011

Three maps of Ohio showing the proportion of the over-60 population in each county at 3 points in time: 2000, 2010, and 2020. Printable as an 11 x 17 document.*Map (PDF 4.9MB)

  • Demographics

Ohio CCRCs in the Economic Downturn

09/01/2011

This report examines how the economic downturn affected consumer opinions about choosing a Continuing Care Retirement Community (CCRC) and how the CCRCs in Ohio made adjustments in response to declining numbers of prospective residents. This brief report includes survey results from one-hundred sixty-five Ohio CCRCs surveyed in 2010.Full Report (PDF 630KB)

  • Business/Economics of Aging

Nursing Home Transition & Diversion

08/01/2011

AAAs provide a number of services that help individuals at risk for institutional care to remain in the community and to transition back to the community when long-term care facility placement is no longer necessary or desirable. This research brief provides key findings from the survey as they relate to nursing home transition and diversion.Full Report (PDF 350KB)

  • Aging Network

Self-Directed Services

08/01/2011

Inherent in the principle of ‘enabling individuals to remain in their own homes’ is providing services with a self-directed option. Self-directed services and programs allow clients to choose, manage, and dismiss their workers. This research brief provides key findings from the survey as they relate to providing services and programs that are self-directed.Full Report (PDF 370KB)

  • Aging Network

Private Pay

08/01/2011

Building systems for private pay continues to be an area of potential growth in business planning and outreach for the network. However, the network appears to be in a period of transition regarding this potential area of development. This research brief provides key findings from the survey regarding AAA development of systems and services for private pay clients.Full Report (PDF 370KB)

  • Aging Network

Enhancing the SCSEP Network: Collaborations, Innovations, and Promising Practices

06/30/2011

Using a mixed methods approach, this study sought to identify innovative and promising practices in providing employment and training services to older workers. Given current economic and demographic realities, understanding the effectiveness of employment and training programs for older workers is crucial.Full Report (PDF 799KB)

  • Business/Economics of Aging
  • Workforce Issues

AAA 2010 Research Record

06/08/2011

This report discusses the evolving role of the aging network in a balanced long-term care system based on the results of the 2010 National Aging Network Survey.Research Record (PDF 14.6MB)

  • Aging Network

Coming of Age: Tracking the Progress and Challenges of Delivering Long-Term Services and Supports in Ohio

06/07/2011

In a 16 year tracking of utilization trends for institutional and home and community-based services, we learned that Ohio has made considerable change in its approach to delivering and funding long-term care services. The main finding revealed that now more than four in ten older people with severe disability on Medicaid received assistance in a non-institutional setting.Full Report (PDF 523KB)Research Brief (PDF 2.7MB)

  • Home and Community Based Services
  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other

Right Place, Right Time, Right Care: An Evaluation of Ohio's Nursing Home Diversion and Transition

06/01/2011

In 2010 the Ohio General Assembly asked the Ohio Department of Aging to develop and implement a nursing home diversion and transition initiative. Research showed that 3800 Ohioans were diverted or transitioned during the project period and the majority were residing in the community six months later.Full Report (PDF 870KB)Research Brief (PDF 870KB)

  • Aging Network
  • Care Management
  • Home and Community Based Services

The Impact of a Gerontology Course and a Service-Learning Program on College Students’ Attitudes Toward People With Dementia

04/26/2011

We examined the effects of a gerontology course and an intergenerational service-learning project for people with dementia (PWD) on three dimensions of students’ attitudes including attitudes toward older people, community service for older people, and working with PWD. Data consisted of a combination of pretest/posttest survey and review of journals that students maintained during the service-learning project. Results indicated that students who completed the gerontology course, and those who...

  • Chronic Illness/ Disability
  • Education

Ohio's Aging Network Efforts to Enhance Nursing Home Diversion and Transition

04/01/2011

This brief report provides preliminary results from an evaluation of Ohio's diversion and transition demonstration program.Research Brief (PDF 5MB)

  • Aging Network
  • Home and Community Based Services

Implementation of the 2010 Ohio Nursing Home Family Satisfaction Survey: Final Report

03/01/2011

In 2010, the Scripps Gerontology Center conducted the fifth biennial Ohio Nursing Home Family Satisfaction Survey under a contract to the Ohio Department of Aging. This year the survey had the largest number of family response ever, with 97% of facilities participating and nearly 30,000 involved family and friends responding. An online version of the family survey was also made available for the first time. The report includes information about the survey process, psychometric analysis of the...

  • Long-Term Care Facilities

Criminal Offenders in Ohio Nursing Homes: Facility Practices, Prevalance, Problems

01/30/2011

This brief report presents findings from the 2009 Ohio Biennial Survey of Nursing Facilities. Nursing home respondents answered a brief series of questions about practices related to prospective residents with criminal backgrounds and current residents with violent or sex offender backgrounds.Research Brief (PDF 609KB)

  • Long-Term Care - Other

Locally Funded Services for the Older Population: A Description of Senior-Service Property-Tax Levies in Ohio

01/01/2011

*If you downloaded the full report "Locally Funded Services for the Older Population: A Description of Senior-Service Property-Tax Levies in Ohio" prior to March 13 at 1:30 p.m. THERE WAS AN ERROR IN TABLE 1: Carrol County's 'Per Capita' levy amount should have been $24 not $245. The error has been corrected and you may download it below by clicking "Download Full Report (PDF 28 pages)".Updated 07/09/2012: Full report corrected to show the levy passage date in Washington county as 2001.Full...

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

GenerAges: Generations As They Age

01/01/2011

At the Scripps Gerontology Center, we are focused on work that makes a difference in the lives of aging individuals, their families and their communities. For the GenerAges project, we set out to compile a list of the historical events and life circumstances that came together to shape the lives of individuals turning 100, 85, and 65 years old in 2011. The resulting pages provides a snapshot of each of these groups, capturing the meaningful social changes and major events that have affected...

  • Education

A Review of Ohio's Nursing Home Certificate of Need Program: Implications for Practice and Policy

12/01/2010

One of the critical questions states like Ohio face as they plan for an aging population involves estimates about the optimum number of nursing homes that will be needed in the future. Using a novel geographic information systems (GIS) approach, this report reviews Ohio's nursing home certificate of need (CON) and provides recommendations for state policy makers and the nursing home industry about the CON legislation.Research Brief (PDF 7.1MB)

  • Long-Term Care Policy and Financing

AAA Caregiving Survey Results

06/30/2010

AAA Caregiving Survey Results summarizes the results of a mini survey of the nations 629 Area Agencies on Aging (AAA) on the support they provide to family caregivers. Over 57% of AAAs responded to the survey and the results highlight the characteristics of AAA caregiving programs, services offered, numbers of caregivers enrolled in AAA programs and the training and technical assistance needs of the AAAs.Research Record (PDF 600KB)n4a Report (PDF 400KB)

  • Aging Network
  • Home and Community Based Services

Nursing Home Use in Ohio: Who Stays, Who Pays?

06/11/2010

This research brief follows a cohort of nursing home residents over a three-year period-- beginning with their first ever admission to a nursing home --in order to determine their stay patterns and changes in their payment source during the study period. Findings from this study suggest that irrespective of who pays for the nursing home care, almost six out of ten admissions led to a discharge within three months. The discharge patterns continue such that only one in every three and one in every...

Opening Minds Through Art (OMA) at Colonial: Berkeley Square and Westover

06/09/2010

This report covers activity from the start of implementation to the end of the first OMA term in May 2010. It includes a description of the details of OMA activities at Colonial, and summaries of quantitative and qualitative evaluations that assess the impact of the OMA program.Full Report (PDF 773KB)

  • Arts and Aging
  • Education
  • Long-Term Care - Other

2009 Title VI Survey Results

05/30/2010

The survey was designed to access the role of Title VI Native American programs in  offering services and supports to the elders in their communities. In particular the survey explored how Title VI programs view their roles in the following areas: 1) Person-Centered Access to Information, 2) Evidence-Based Disease Prevention and Health Promotion, and 3) Enhanced Nursing Home Diversion Services.Survey Results (PDF 869KB)

  • Aging Network
  • Home and Community Based Services

AAA Workforce Survey Report

02/28/2010

This brief survey was designed to describe the capacity of the current AAA workforce and the activities undertaken by AAAs to build their future workforce capacity to meet the needs and service demands of older adults and caregivers within the Aging Services Network.Full Report (PDF 969KB) Survey Report (PDF 2.2MB)

  • Aging Network

Enriching Now with Then: Connecting Nursing Home Residents and Nursing Home Staff Through Oral History

01/26/2010

This study was funded in part by the Ohio Long-Term Care Research Project through the support of the Ohio Board of Regents. We are grateful to AARP Ohio for their contribution toward report production.Full Report (PDF 9MB)Research Brief (PDF 527.8KB)

  • Case Studies/ Qualitative Research
  • Long-Term Care Facilities

Disability in Ohio: Managing The Projected Need for Long-Term Services and Supports

01/18/2010

This report examines Ohio's projected long-term care needs and its implications for the state budget. In an effort to contain Medicaid long-term care expenditures several ways that demand for services and supports could be reduced or redirected to home and community based care examined.Full Report (PDF 284KB)Research Brief (PDF 378KB)

  • Business/Economics of Aging
  • Long-Term Care Policy and Financing

Pandemic Influenza Preparedness in Licensed Nursing Homes and Residential Care Facilities in Ohio

12/09/2009

The purpose of this study was to determine the extent of influenza pandemic preparedness in nursing homes and other residential care facilities in Ohio. The majority of nursing homes and other residential care facilities are planning for pandemic influenza and are positioned to deal with it if necessary.Research Brief (PDF 419KB)

  • Long-Term Care Facilities

Technology in Ohio Nursing Homes: A Report on the State of the Art

07/15/2009

This report examines the use of information technology in Ohio nursing homes. Key findings indicate that despite the known benefits that information technology holds for resident care, fewer than half of Ohio's nursing homes are making even moderate use of that technology.Research Brief (PDF 1MB)

  • Long-Term Care Facilities

Disability in Ohio: Long-Term Care Providers and Programs

06/28/2009

To obtain information concerning the cost and to order printed copies of the full report, contact Scripps Gerontology Center at: 513/529-2914 or scripps@miamioh.edu. 

  • Aging and Developmental Disabilities
  • Home and Community Based Services
  • Long-Term Care Facilities
  • Long-Term Care - Other

An Assessment of Long-Term Care Service and Support Needs and Utilization in the TriHealth SeniorLink Region and Concordia Care Region

06/04/2009

These reports project the potential needs for long-term care services and supports in the two regions of the state of Ohio where the two Programs for All-inclusive Care for theElderly(PACE) operate. An examination of the current availability of providers and programs in each region, their utilization patterns and the characteristics of the consumers that they serve is the focal point of this study. Each PACE site operates in a region with a unique population; a comparison of the characteristics...

  • Long-Term Care Facilities
  • Long-Term Care - Other

Area Agencies on Aging: Advancing Access for Home and Community Based Services 2008 Area Agencies on Aging Survey

06/02/2009

The 2008 survey of Area Agencies on Aging was conducted by the National Association of Area Agencies on Aging (n4a) and Scripps Gerontology Center at Miami University under a grant from the U.S. Administration on Aging focused on assessing and building the capacity of the Aging Services Network to meet the challenges and opportunities posed by our nation’s rapidly aging population.Full Report (PDF 2.8MB)

  • Aging Network

Providing Long-Term Services and Supports to an Aging Ohio: Progress and Challenges

05/03/2009

This report details trends in Ohio long-term care service utilization over 14 years. It also provides information about the characteristics of those in different settings such as PASSPORT, nursing homes, and residential care facilities. Recommendations for Ohio’s long-term care system are included.Full Report (PDF 250KB)Research Brief (PDF 325KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other

An Evaluation of the Assisted Living Medicaid Waiver Program

03/26/2009

This research project evaluates the state’s experiences in the implementation of the Ohio Assisted Living Medicaid Waiver Program. We present a profile of assisted living waiver participants and review the state’s enrollment tracking process. Further, we present findings on the satisfaction of waiver participants, analyses of the program’s Medicaid costs and overall program design, issues faced in the implementation of the program based on a qualitative assessment with potential residents...

  • Long-Term Care Facilities

Consumer Direction in Ohio: Findings From Two Demonstration Projects

03/22/2009

This report provides findings from evaluations of two consumer-directed home care programs. Results suggest consumer direction provides a good alternative to agency-managed home care services. (Funded by the Ohio Long-Term Care ResearchProject.)Full Report (PDF 177KB)Research Brief (PDF 107KB)

  • Home and Community Based Services

Emergency Readiness and Response: Area Agencies on Aging Survey

03/09/2009

The 2008 survey on Emergency Readiness and Response was conducted by the National Association of Area Agencies on Aging (n4a) and Scripps Gerontology Center at Miami University under a grant from the U.S. Administration on Aging.Full Report (PDF 3MB)

  • Aging Network

Implementation of the 2008 Ohio Nursing Home Family Satisfaction Survey: Final Report

03/02/2009

Refinements to the survey instrument showed continued high reliability of domain areas and the instrument as a whole. Changes in instructions to families, and a number of processes were changed this year that resulted in fewer family and facility calls requesting assistance from the toll-free hotline. Comparisons of 2006 and 2008 responses show some significant improvements statewide, with more items showing statewide averages of 90 and above.The family satisfaction survey is one important...

  • Long-Term Care Facilities
  • Research Methods

Aging and Long-Term Care Issues in Ohio

02/02/2009

This summary report focuses on aging and disability in Ohio as well as on utilization and Medicaid costs of long-term care for older Ohioans.Brief Report (PDF 500KB)

  • Demographics
  • Long-Term Care Policy and Financing

Disability in Ohio: Long-Term Care Providers and Programs

01/28/2009

This report describes the range of options used in Ohio’s long-term care system. For each provider or program, we report the eligibility requirements, consumer characteristics, capacity, utilization rate, average monthly cost of care, and major payers for services. The programs and providers include Medicaid waiver programs, nursing facilities, adult day service providers, residential care or assisted living facilities, intermediate care facilities for persons with mental retardation, and...

  • Aging and Developmental Disabilities
  • Home and Community Based Services
  • Long-Term Care Facilities
  • Long-Term Care - Other

Worker Injuries and Safety Equipment in Ohio Nursing Homes

11/16/2008

A survey of nursing homes was conducted in 2006 to evaluate a number of facility-specific characteristics including worker injury rates. The nursing home worker injury rate was 6.6 per 100 workers with higher injury rates observed in larger facilities, homes that were part of chains and homes with a higher proportion of wheelchair bound residents. A broad range of patient-transfer safety equipment was observed to be in use; however, the presence of these devices were not predictive of lower...

  • Long-Term Care Facilities

Livable Communities: Helping Older Ohioans Live Independent and Fulfilling Lives

09/08/2008

This report defines the concept and components of livable communities and several variations, including universal design and green spaces. (Funded as part of a grant from the Ohio General Assembly, through the Ohio Board of Regents to the Ohio Long-Term Care Research Project.)Research Brief (PDF 792KB)

  • Products/Design/Planning for an Aging Society

Ohio's Aging Workforce: Opportunities & Challenges for Ohio's Employers

08/25/2008

This report focuses on anticipated age-related changes in Ohio's workforce and the effect those changes might have on employers, employees, and society. In addition to a literature review, Ohioans and their reasons for continuing to work are featured. (Funded as part of a grant from the Ohio General Assembly, through the Ohio Board of Regents to the Ohio Long-Term Care Research Project.)Full Report (PDF 1.3MB)

  • Business/Economics of Aging
  • Demographics

Images of Ohio Centenarians: An Exploratory Study

08/10/2008

This study was funded in part by the Ohio Long-Term Care Research Project through the support of the Ohio Board of Regents. We are grateful to AARP Ohio for their contribution toward report production.Full Report (PDF 2.5MB)Research Brief (PDF 261KB)

  • Case Studies/ Qualitative Research

Enhancing the Performance of Local Long-Term Care Ombudsman Programs in Ohio Chartbook

06/17/2008

This is a state-level case-study of the performance of local Long-Term Care Ombudsman Programs in Ohio. In surveying all of the local program directors in Ohio, along with a group of key informants, we identify major strengths and challenges the program is likely to face in the future. Funding and staffing emerge as prominent issues, particularly in determining the longer-term educational and advocay roles these programs ideally fulfill.This study was funded by the Cleveland Foundation.Chartbook...

  • Education
  • Long-Term Care Facilities

National Association of Area Agencies on Aging 2007 Aging Network Survey Reports

04/30/2008

With a grant from the Administration on Aging (AoA), the National Association of Area Agencies on Aging (n4a) partnered with Scripps Gerontology Center to conduct the 2007 Aging Network Survey of all Area Agencies on Aging and Title VI Native American programs in the nation. The survey was designed to assess AAA and Title VI involvement in services and programs consistent with AoA’s Choices for Independence.Summary Report (PDF 404KB)Title VI Summary Report (PDF 405KB)Access to Long-Term Care...

  • Aging Network

Disability in Ohio: Current and Future Demand for Services

04/20/2008

In an effort to project the size of Ohio’s Medicaid long-term care expenditures between now and the year 2020, this report first projected the size of the population with severe physical and/or cognitive, intellectual and/or developmental, and mental illness disabilities. Then, assuming different rates of medical and long-term care inflations the author projected both the total Medicaid and Medicaid long-term care expenditures.Full Report (PDF 582KB)Research Brief (PDF 350KB)

  • Business/Economics of Aging
  • Demographics
  • Long-Term Care Policy and Financing

Consumer Directed Services

04/15/2008

With a grant from the Administration on Aging (AoA), the National Association of Area Agencies on Aging (n4a) partnered with Scripps Gerontology Center to conducted the 2007 Aging Network Survey of all Area Agencies on Aging and Title VI Native American programs in the nation. The survey was designed to assess AAA and Title VI involvement in services and programs consistent with AoA’s Choices for Independence. As part of the 2006 reauthorization of the Older Americans Act (OAA), this...

  • Home and Community Based Services

Access to Long-Term Care Services

04/02/2008

Enabling consumers to remain in their own homes through the provision of home and community-based long-term care; Empowering consumers to stay active and healthy through disease prevention and health promotion services; Streamlining access to home and community-based services; and Enhancing organizational capacity of the aging network for home and community-based long-term care systems. This research brief provides key findings from the assessment as they relate to four topics: Current Status...

  • Long-Term Care - Other

Evolution of the Aging Network: Modernization and Long-Term Care Initiatives

03/11/2008

This article examines how the aging network has evolved since its inception, mandated by the Older Americans Act of 1965. It explores the broadened mission of the network and the progress being made to modernize long-term care. The article also includes findings from a national survey of area agencies on aging (conducted through a partnership between the National Association of Area Agencies on Aging and the Scripps Gerontology Center) that help describe the nature of the aging network and its...

  • Aging Network
  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Developing Specifications for the Competitive Bidding of Intake, Assessment & Case Management Services

03/10/2008

This report provides information about the elements of case management, intake, and assessment programs that are often specified in current standards or bid specifications. Observation of current practices, a literature review, and key informant interviews were used to develop recommendations for the Council on Aging of Southwestern Ohio to develop bid specifications for the Butler County ESP.Full Report (PDF 194KB)

  • Care Management
  • Home and Community Based Services

2007 Ohio Residential Care Facility Resident Satisfaction Survey: Instrument Refinements

03/02/2008

This report describes psychometric testing and other evaluation of the 2007 Ohio Residential Care Resident Satisfaction Survey. Recommendations include removal of items to shorten the survey and refinement of other items.Full Report (PDF 165KB)

  • Long-Term Care Facilities
  • Research Methods

Ohio's PASSPORT Providers

09/16/2007

This report provides findings from a mailed survey of providers of adult day, home-delivered meals, personal care, and transportation services. Results show that those who provide the best pay and benefits for staff also have the lowest proportion of PASSPORT clients.Research Brief (PDF 406KB)

  • Home and Community Based Services

PASSPORT Consumer Eligibility

06/21/2007

This report examined the PASSPORT population for nursing home level of care and Medicaid financial eligibility. In addition, factors impacting length of stay in PASSPORT and transfer to nursing home are explored.Full Report (PDF 355KB)Research Brief (PDF 100KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other

Evaluation of Ohio's Assisted Living Medicaid Waiver Program: Assessment and Service Plan Development Process

06/17/2007

This report is one among four that represents an evaluation of Ohio’s Assisted Living Medicaid Waiver program. This part of the evaluation assessed how well the program performed in developing and delivering services. Specifically, the evaluation addressed the effectiveness of the service plan process in preserving the consumers’ independence, privacy, and choice. It also looked at the factors that lead to service tier change in the first 90 days after enrollment and those that result in a...

  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing

Evaluation of Ohio's Assisted Living Medicaid Waiver Program: Report on Program Costs

06/14/2007

This report is one among four that represents an evaluation of Ohio's Assisted Living Medicaid Waiver program. This report examines the costs and characteristics of those individuals who enrolled in the assisted living waiver program during its initial implementation. Assisted living resident characteristics (demographic and functional) are compared to Medicaid nursing home residents and PASSPORT enrollees. The costs of assisted living residents are compared to nursing home residents in the same...

  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing

Evaluation of Ohio's Assisted Living Medicaid Waiver Program: Final Summary Report

06/14/2007

This study evaluated the performance of Ohio’s Assisted Living Medicaid Waiver program during its initial implementation period; it is one report among four. Enrollment in the program was slower than originally anticipated; during that initial implementation 134 participants were enrolled. Findings: Assisted living waiver residents on average report higher levels of disability compared to PASSPORT participants, but are not as impaired as nursing home residents. Participants report high levels...

  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing

Evaluation of Ohio's Assisted Living Medicaid Waiver Program: Consumer Access and Satisfaction

06/14/2007

This report is one among four that represents an evaluation of Ohio's Assisted Living Medicaid Waiver program. This part provides a profile of individuals who enrolled in the Assisted Living Waiver Program. Data on the demographic and functional health of residents and their satisfaction with services are presented for those who enrolled during the initial implementation period. The report also presents information on those who were found to be eligible, but chose not to enroll and those who...

  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing

PASSPORT Assessment and Services

06/08/2007

The purpose of our evaluation component was to determine the effectiveness of the PASSPORT assessment process in ensuring that PASSPORT consumers are supported in making informed choices about long-term care; and whether the service plans developed for enrolled PASSPORT consumers are based on the assessed needs of and the informed choices made by the consumer.Full Report (PDF 158KB)Research Brief (PDF 125KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Program Evaluation of PASSPORT: Ohio's Home and Community-Based Medicaid Waiver

05/15/2007

The goal for the evaluation of the PASSPORT program was to determine whether the program is providing efficient and cost-neutral services as an alternative to facility-based long-term care, and to assess the extent to which the program complies with the assurances Ohio agreed to in its waiver application. Although findings and recommendations are discussed briefly in this report, they are covered in greater detail in the six topical reports that support this document. See the following reports:...

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

PASSPORT Cost Neutrality

05/10/2007

This report explores the costs of caring for a person age 60 and older in the community (through PASSPORT) versus caring for a person age 60 and older in a nursing home. Medicaid costs and all other public program costs are taken into consideration in this study.Full Report (PDF 286KB)Research Brief (PDF 103KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other

PASSPORT Evaluation: Accountability for Finances, Compliance, and Fairness

05/09/2007

This research is an evaluation of the mechanisms and processes in place to assure that PASSPORT funds are managed properly and procurements are undertaken in a fair and open manner.Full Report (PDF 147KB)Research Brief (PDF 304KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

PASSPORT Quality Assurance and Quality Management

05/09/2007

This report addresses findings related to the quality standards of the PASSPORT program. Although all evaluation components address aspects of quality assurance and improvement, this study addressed issues regarding the safety and welfare of program participants and the congruence of the PASSPORT program with the CMS Home and Community-Based Service Quality Framework. Findings show that there are numerous structures and processes in place to safeguard program participants. In addition, a strong...

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

Providing Quality Home and Community-Based Services Through PASSPORT

05/02/2007

This report is part of a larger evaluation of Ohio's PASSPORT Program. It examines issues of provider tenure, provider certification, and provider quality assurance. Data were collected in focus groups, interviews, and a mailed survey.Full Report (PDF 1.3MB)Research Brief (PDF 409KB)

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

The Changing Face of Long-Term Care: Ohio's Experience 1993-2005

04/07/2007

This report details trends in Ohio long-term care service utilization over 12 years. It also provides information about the characteristics of those in different settings such as PASSPORT, nursing homes, and residential care facilities.Full Report (PDF 127KB)

  • Long-Term Care Facilities
  • Research Methods

Implementation of the 2006 Ohio Nursing Home Family Satisfaction Survey

03/18/2007

Refinements to the survey instrument showed continued high reliability of domain areas and the instrument as a whole. Changes in instructions to families, and a number of processes were changed this year that resulted in fewer family and facility calls requesting assistance from the toll-free hotline operated by the Margaret Blenkner Research Institute at Benjamin Rose.Comparisons of 2001 and 2006 responses show some significant improvements statewide, with more items showing statewide averages...

  • Long-Term Care Facilities
  • Research Methods

Development and Testing of a Resident Satisfaction Survey for Ohio's Residential Care Facilities

03/01/2007

This report describes the development and pretesting of a resident satisfaction instrument for residents in Ohio's 540 residential care facilities. Development activities included focus roups and cognitive interviews with residents. The pretest included a written survey followed by a retest interview for a subgroup of residents. Interviews with administrators also examined the feasibility of implementing a statewide satisfaction survey in residential care. A final instrument as well as...

  • Research Methods

Case Managers' Perspectives on Consumer Direction

09/13/2006

From S.R. Kunkel & V. Wellin (Eds.)(2006). Consumer Voice and Choice in Long-Term Care© Reproduced with permission of Springer Publishing Company, LLC, New York, NY 10036Full Report (PDF 54KB)

  • Care Management

Assessing the Quality of Caregiver Support Services

08/02/2006

The project emphasizes that the essential components of an outcome-focused quality monitoring system differ markedly from more traditional systems that lend themselves to more easily measured structural information, such as: licensure, hours of in-service training, and number of service units delivered. While structural and process-oriented information is necessary, it is not sufficient. A solid quality system for caregiver-support services must focus on the caregivers themselves.To obtain...

  • Families/Caregiving
  • Quality Assurance

Ohio Long-Term Care Factbook

06/16/2006

This research was funded by a grant from the State of Ohio through the Ohio Long-Term Care Research Project.Factbook (PDF 3MB)

  • Long-Term Care - Other

Nursing home use in Ohio: Who stays, who pays?

02/03/2006

This study also indicates that the discharge rate was higher among Medicare and private pay residents compared to Medicaid residents. By the end of the first year, one-third of those residents who were initially private payers and who were still in a nursing home came to rely on Medicaid to pay for their care. The proportion of residents switching to Medicaid increased to over one-half by the end of second year and to two-thirds by the end of the third year. However, this proportion at the end...

  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing

Training case managers to administer the Service Adequacy & Satisfaction Instrument (SASI)

08/03/2005

This manual was developed to train case managers to administer the Service Adequacy and Satisfaction Instrument (SASI). Includes instrument specific guidelines as well as general information about conducting face-to-face interviews with older adults.Manual (PDF 564KB)

  • Research Methods

Educating caregivers about caregiving: An evaluation of the Council on Aging Learning Advantages Program for Informal Caregivers

06/18/2005

This report describes the evaluation of the Council on Aging Learning Advantages program; a training program for informal caregivers. Nurse trainers conducted individualized training tailored to fit the circumstances of caregivers and care recipients. Results showed that training resulted in decreased caregiver burden, improved caregiver self-esteem and competence, and objective knowledge of caregiving issues, among other improvements. Program materials could be easily adapted for use in other...

  • Families/Caregiving

An overview of Ohio's In-Home Service Program for Older People (PASSPORT)

05/11/2005

This research presents an overview of Ohio's Medicaid waiver program, known as PASSPORT, which serves Ohioans who are 60 years and older, who are chronically disabled, and who meet the eligibility criteria for nursing home care.

  • Home and Community Based Services
  • Long-Term Care Policy and Financing

How Supplemental Security Income works

05/05/2005

Reprinted with permission from Generations, vol. 29, no. 1, pp 27-29, Spring 2005. Copyright© 2005 American Society on Aging, San Francisco, California. www.asaging.org.Full Report (PDF 61KB)

  • Personal Income/Financing

Real choices: A caregiver respite strategy for the state of Ohio

05/04/2005

Based on our findings we propose a four component family-based respite strategy. The four components of the proposed PASSPORT respite strategy are: (1) Defacto Respite; (2) Defacto Respite Plus; (3) Institutionalize Respite Strategy; and (4) Real Choices. Defacto respite has already been incorporated into PASSPORT. The three additional components introduce a family-based approach to service plan development, flexibility, and consumer-direction culminating in “Real Choices”. As we see it,...

  • Families/Caregiving

Long-term care utilization in Ohio 1993-2003

05/04/2005

This study was funded by the Ohio Department of Aging and the Ohio Long-Term Care Research Project through the Ohio Board of Regents.Research Brief (PDF 68KB)

  • Long-Term Care Facilities

The HIPAA privacy rule and long-term care: A quick guide for researchers

05/02/2005

This research was funded as part of a grant from the Ohio General Assembly, through the Ohio Board of Regents to the Ohio Long-Term Care Research Project.Pamphlet (PDF 399KB)

  • Research Methods

Profiles of Choices consumers

03/18/2005

Profiles of Choices Consumers describes the demographics of consumers who choose to enroll in the Choices program

  • Home and Community Based Services

Situating stress: Lessons from lay discourses on diabetes

03/09/2005

In response to the serious toll diabetes takes on health and resources, researchers increasingly are examining physical and psychological pathways that affect and are affected by diabetes, including stress.

  • Health/Physical Activity

A review of nursing home resident characteristics in Ohio: Tracking changes from 1994-2004

03/05/2005

This briefing paper presents the profile of Ohio nursing home residents in both 2004 and 1994, and describes trends over the past decade.

  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing

Preventing Osteoporosis

07/01/2004

This brochure provides a comprehensive set of information about preventing osteoporosis and its complications. It is easy to read, up-to-date and offers contact information for additional resources. It would be useful to health and long-term care professionals who educate older adults about osteoporosis.This research was funded as part of a grant from the Ohio General Assembly, through the Ohio Board of Regents to the Ohio Long-Term Care Research Project.Print directions: The pages of this...

  • Health/Physical Activity

Profile and Projections of Ohio's 60+ Population: A State Study

05/25/2004

During the next 20 years, the national population, as well as the population in Ohio, will grow older. In anticipation of this impending change, we have created this series of reports to help Ohio area agencies on aging, service providers, and other organizations that are not directly involved in aging services to better plan for the needs of the aging population. The purpose of this report is to provide the profile of the older population (60+) in Ohio and to project the number of older people...

  • Demographics

In search of "personal care:" Challenges to identity support in residential care for elders with cognitive illness

05/12/2004

This article is based on a multi-year ethnographic case study of a residential care facility. (Published in Journal of Aging Studies, vol. 18, no.3, [August]: 275-295).

  • Families/Caregiving

A Guide to Quality in Consumer Directed Services

05/09/2004

This guide is designed to provide states and programs involved in consumer directed services with a practical handbook on ensuring and improving the quality of services.

  • Quality Assurance

For Love and Money: Paying Family Caregivers

02/25/2004

In this paper we discuss the dilemmas, debates, assumptions, and evidence regarding publicly paid family caregiving,an option that is becoming increasingly available with the growth of consumer direction.

  • Families/Caregiving

Profiles and Projections of Ohio's 60+ Population: County-by-County

Projections and profiles of Ohio's 88 counties based on 2000 census data.

  • Demographics