Leah M. Janssen⎮Scripps Publications

Substance Use Disorders Among Older Ohioans - The Need for Policy Change

Nearly four million older Americans are struggling with substance use disorders (SUDs).

Heather L. Menne • Bailee Brekke

The National Survey of Area Agencies on Aging: 2022 Results

The web-based survey was launched in September 2022 to all 616 AAAs.

Robert J. Graham • Suzanne R. Kunkel • Isha Karmacharya

A Profile of Home and Community-Based Services in Ohio

The report tracks the changes in home care use in the state over the past 30 years.

Ian Matt Nelson • Robert A. Applebaum • Oksana Dikhtyar • John R. Bowblis

A Profile of Nursing Homes in Ohio

This study provides a comprehensive overview of the nursing home industry in Ohio.

Robert A. Applebaum • Ian Matt Nelson • Oksana Dikhtyar • Negar Nik Bakht • John R. Bowblis • MaKenna McClure

The Federal Proposed Standard for Nursing Home Staffing

In response to concerns about direct care staffing challenges in nursing homes across the nation, on September 6, 2023, the Centers for Medicare and Medicaid Services (CMS) proposed new federal rul...

Ian Matt Nelson • John R. Bowblis • Amy E. Elliot • Robert A. Applebaum

The AgeSmart Inventory: A Multifaceted Tool to Understand Age Bias

This paper describes the development of an inventory, created over four stages, designed to foster introspective and collaborative thinking about age-directed values.

Suzanne R. Kunkel • Lei Yu • Kate de Medeiros

Lifting the Veil: How Networks Form, Operate, Struggle, and Succeed

This qualitative study examines community-based organizations (CBOs) seeking to work with each other and to contract with health care entities to improve coordination, reduce fragmentation, and inc...

Suzanne R. Kunkel • Robert J. Graham • Abbe E. Lackmeyer (Abbe Linscott)

Current Workforce and Quality Challenges in New York State Nursing Homes

This study provides background information about the current workforce and quality challenges faced by New York’s nursing homes.

Robert A. Applebaum • John R. Bowblis

Greene County Council on Aging: 2021 Community Survey Findings

Read the survey results conducted to gain better understanding of the needs and interests of older Greene County residents. The Greene County Council on Aging partnered with the Scripps Gerontology...

Sara J. McLaughlin

Evaluation of Ohio’s MyCare Demonstration

Impact evaluation of Ohio's MyCare Program

Katherine M. Abbott • John R. Bowblis • Robert A. Applebaum • Jennifer Heston-Mullins (Jennifer L. Heston) • Ian Matt Nelson

Exploring the Criterion Validity of Pragmatic Person-Centered Care/Culture Change Measures

This study aims to assess the criterion validity of the Preferences for Everyday Living Inventory (PELI) Implementation Indicator with other culture change measures.

John R. Bowblis • Reese Moore • Jane Straker • Caroline Madrigal • Kimberly Van Haitsma • Miranda C. Kunkel • Katherine M. Abbott • Ian Matt Nelson

Presentation - Choosing Home Care Services

We aim to set up the right home care service for you or your loved one and hope to bring you peace of mind.

Quanhong Cho Qiu

Applying Agile Methodology to Reengineer the Delivery of Person-Centered Care in a Nursing Home: A Case Study

This study aims to assess the criterion validity of the Preferences for Everyday Living Inventory (PELI) Implementation Indicator with other culture change measures.

Caroline Madrigal • Katherine M. Abbott • Andrea Hulshult • Abby Spector • Allison R. Heid • Victoria Crumbie • Kimberly Van Haitsma • Alexandra Heppner • Karen Eshraghi

With a Little Help From My Friends and Family: Transportation and Caregiving Hours

This study explored how caregiver transportation assistance and care recipient driving frequency are associated with caregiving hours.

Jonathon M. Vivoda • Jiawei Cao • Athena Koumoutzis

Presentation - Resilience & Aging: How COVID-19 Informs How We Can Better Navigate Setbacks and Challenges That Come With Aging

In this presentation, Dr. Carr will describe the role of psychological resilience in shaping aging processes.

Dawn Carr

The Stability of Nursing Home Residents Ratings of Importance of Recreation Preferences Over One Year

This study examined mean differences in demographic and clinical characteristics of residents for preferences showing the change.

Michael J. Rovine • Caroline Madrigal • Kimberly Van Haitsma • Victoria Crumbie • Allison R. Heid • Karen Eshraghi • Katherine M. Abbott

If You Ask Them, They Will Support: A National Study of Local Initiatives Developed to Provide Social Care to Older Adults in the Community

Some communities across the nation are utilizing alternative funding sources to better support home and community-based services for older adults.

Pamela S. Mayberry • Athena Koumoutzis • Robert A. Applebaum • Jennifer Heston-Mullins (Jennifer L. Heston)

Experiences of Older Adults During the 2020 COVID-19 Pandemic in the United States: An Initial Exploration of Nationally Representative Data at the Intersection of Gender and Race

Little is known about the overall experiences and feelings of diverse older populations during the 2020 COVID-19 pandemic.

Abigail Helsinger • Takashi Yamashita • Wonmai Punksungka • Phyllis A. Cummins • Samuel Van Vleet

Understanding Nursing Home Complaints in Ohio

This study provides an initial look at the characteristics of Ohio nursing homes and their associated complaints.

Jane Straker • Katherine M. Abbott • Xiao Qui • Jenny Kwon • Robert A. Applebaum

Examining Face Validity of Visual Stimuli Used in Preference Assessments for Older Adults With Communication Impairments

Preference assessment is integral to person-centered treatment planning for older adults with communication impairments.

Vanessa L. Burshnic-Neal • Eleanor S. McConnell • Rachel H. Topper • Katherine M. Abbott • Kimberly Van Haitsma • Kelly Knollman-Porter

Determinants of COVID-19 testing among late middle-aged and older adults: applying the health belief model

The purpose of this study was to examine correlates of taking a COVID-19 test among late middle-aged and older adults using nationally representative data.

J. Scott Brown • Na Sun • Cassandra L. Hua • Xiao Qui

Presentation - Resilience & Aging: How COVID-19 Informs How We Can Better Navigate Setbacks and Challenges That Come With Aging

This presentation will explore the relationship between sleep and dementia and discuss ways that sleep issues can be identified by professional and family caregivers.

Julia Larimer

A Process Evaluation of Developing Older Adult Research Advisory Boards in Long Term Care Settings

Older adults residing in long-term care settings can contribute their lived experience to informing the development and implementation of programs, interventions, practices, and policies that affec...

Rachel Lessem • Darby J. Morhardt • Amy R. Eisenstein • Hailee M. Yoshizaki-Gibbons • Katherine M. Abbott • Erin McGaffigan • Jane Straker • Marc A. Cohen • Rebecca L. H. Berman

Presentation - Our Family Our Way: A New Resource for Caregiving Families

The Scripps Gerontology Center released Our Family, Our Way, a communication and care coordination resource developed to help families think and talk about caregiving.

Jennifer Heston-Mullins (Jennifer L. Heston)

Balancing Mission and Momentum

Area Agencies on Aging (AAAs) are entering a new phase marked by a heightened focus on social determinants of health.

Suzanne R. Kunkel

Validation of the Chinese version of the resident satisfaction in long-term care facilities

Accurate measurements of resident satisfaction in long-term care settings can provide administrators with valuable information to improve the quality of care.

Qiwei Li • Jane Straker • Xiaoli Li • Stan Ingman • Chi Zhang • Liam O`Neill

How do Area Agencies on Aging Build Partnerships with Health Care Organizations?

Partnerships between health care and social service organizations may contribute to lower health care use and spending.

Chris Rubeo • Leslie A. Curry • Jane Straker • Emily Cherlin • Traci L. Wilson • Amanda L. Brewster • Adeola Ayedun

A Rising Tide Lifts All Boats: Equitable Nursing Home Policy Through Implementation Science

Nursing home policies built around equity and person-centered care can transform the industry to allow all Americans access to quality care.

Kimberly Van Haitsma • Natalie Douglas • Katherine M. Abbott

Advancing Partnerships: Contracting Between Community-based Organizations and Health Care Entities

This report provides additional findings from the 2021 Request for Information (RFI) survey about the current characteristics of community-based organization (CBO) contracts with health care partners.

Robert J. Graham • Jane Straker • Suzanne R. Kunkel • Abbe E. Lackmeyer (Abbe Linscott)

"By the time she got sick it was just kind of too late": A qualitative study on advanced care planning among bereaved lesbian, gay, and bisexual older women

This study explores the experiences of bereaved lesbian, gay, and bisexual (LGB) older women to understand perspectives regarding advance care planning communication between clinicians, patients, a...

Kate de Medeiros • Leah M. Janssen • Valerie Flores (Valerie Kessler) • Susan Enguidanos

Individual learning accounts: A comparison of implemented and proposed initiatives

The Organisation for Economic Cooperation and Development (OECD) identified three models for funding adult... learning:

Phyllis A. Cummins • Takashi Yamashita • A. Katherine Harrington

All are not created equal: Assessing initial driving self-regulation behaviors among older adults

Mobility is closely tied to the ability to safely drive. In older adulthood, many people begin to avoid difficult driving situations, such as driving at night, during rush hour, on freeways, or in ...

Guohua Li • Nicole Zanier • David Strogatz • Vanya Jones • Lisa J. Molnar • Jacqui Smith • David W. Eby • Jennifer S. Zakrajsek • Carolyn DiGuiseppi • Linda V. Nyquist • Raymond Yung • Renée M. St Louis • Jonathon M. Vivoda

A north star for gerontology: Using the threshold concept framework to transform ageism education

This paper demonstrates the utility of the threshold concept framework for gerontologists by conceptualizing ageism as a threshold concept.

Leah M. Janssen • Jiawei Cao • Valerie Flores (Valerie Kessler)

Facility and family communication during the COVID-19 visit restriction: Early perspectives of family members

This study implemented an online survey of family members or friends of residents in long-term care facilities (LTCFs) from April 28 to June 19, 2020, using convenience sampling.

Mi Sun Choi • Jane Straker

An arts program to improve medical student attitudes towards persons with dementia

Arts-based activities may improve medical student attitudes toward persons living with dementia (PLWD) by facilitating relationships around remaining strengths, capacities, and personhood.

Elizabeth Like Lokon • Cheryl Dellasega • Yue Li • Daniel R. George

Presentation - Domestic and International Perspectives on Implementing Alternatives to Finance Lifelong Education

In this presentation, we share information on access to and participation in adult education and training (AET) and then share examples of alternative methods for funding AET...

Phyllis A. Cummins • Abigail Helsinger • Takashi Yamashita • Nytasia M. Hicks

Using Local Initiatives to Fund In-Home Services: Ohio Leads the Nation

As a result of limitations in federal and state funding for nonmedical supportive services, some communities across 15 states are utilizing local funding sources to support aging services for older...

Jennifer Heston-Mullins (Jennifer L. Heston) • Athena Koumoutzis • Robert A. Applebaum • Pamela S. Mayberry

Evaluating the implementation of a pragmatic person-centered communication tool for the nursing home setting: PAL Cards

The purpose of this quality improvement project was to evaluate the implementation of a person-centered communication tool in nursing homes (NH).

Kimberly Van Haitsma • Abby Hermesch • Alexandra Heppner • Nytasia M. Hicks • Katherine M. Abbott

"It's been a whole new world": Staff perceptions of implementing a person-centered communication intervention during the COVID-19 pandemic

The coronavirus disease 2019 (COVID-19) has challenged the way nursing homes deliver person-centered care (PCC).

Katherine M. Abbott • Miranda C. Kunkel • Alexandra Heppner • Megan Kelley • Kimberly Van Haitsma • Kamryn Kasler

Presentation - Literacy Skills, Educational Attainment, Nativity, and Motivation to Learn Among Middle-Aged Adults in the United States

As outlined in this presentation, limited literacy skills, lower educational attainment, and being an immigrant are potential barriers to motivation towards life-long learning among middle-aged adu...

Takashi Yamashita • Phyllis A. Cummins • Roberto J. Millar • Shalini Sahoo

The influence of hearing impairment on driving avoidance among a large cohort of older drivers

As people age, some of the commonly experienced psychomotor, visual, and cognitive declines can interfere with the ability to safely drive, often leading to situational avoidance of challenging dri...

Carolyn DiGuiseppi • Lidia P. Kostyniuk • Linda V. Nyquist • David Joseph LeBlanc • Nicole Zanier • Jacqui Smith • Renée M. St Louis • Jonathon M. Vivoda • David W. Eby • Scott E. Bogard • Lisa J. Molnar • Jennifer S. Zakrajsek • David Strogatz • Raymond Yung

Residential Care: An Emerging Sector of the Ohio System of Long-Term Services

This report utilized data from the Biennial Survey of Long-Term Care Facilities to show the expansive growth of residential care facilities and assisted living in Ohio over the last couple decades.

Jessica Yauk • Meghan Young • Ian Matt Nelson • Robert A. Applebaum • Jane Straker

Achieving population health impacts

Evidence-based health promotion programs can help older adults manage chronic conditions and address behavioral risk factors, and translating these interventions to population-scale impact depends ...

Suzanne R. Kunkel • Leslie A. Curry • Traci L. Wilson • Amanda L. Brewster

Opening Minds through Art: A preliminary study evaluating the effects of a creative-expression program on persons living with dementia and their primary care partners

For people living with dementia and their care partners, a decline in the ability to effectively communicate can cause significant distress.

Daniel R. George • Kate Levenberg • Elizabeth Like Lokon

The Older Adult Population of Greene County Ohio

This report provides a socio-demographic snapshot of the older adult population of Greene County, Ohio

Abigail Helsinger • Ian Matt Nelson

Barriers and facilitators for mid- and later-life community college students: The role of faculty

This qualitative study of students in mid- and later-life (MLL; age 40 and older) sought to address the role faculty play in facilitating student success and how institutions support faculty, espec...

Phyllis A. Cummins • Kathryn McGrew • Peter Riley Bahr • Annabelle Arbogast

Jobs at risk of automation in the USA: Implications for community colleges.

Advancing technologies such as artificial intelligence and robots are steadily replacing jobs in the USA. Continuous skill-upgrading and re-skilling are critical for workers to remain employable th...

Phyllis A. Cummins • Thomas J. Smith • Takashi Yamashita

Planning for driving retirement: The effect of driving perceptions, driving events, and assessment of driving alternatives

Most older adults will eventually stop driving, but few engage in planning for driving retirement.

Athena Koumoutzis • Jonathon M. Vivoda • Annie C. Harmon • Jiawei Cao • Ganesh M. Babulal

Marital quality, gender, and later-life depressive symptom trajectories

This study analyzed six waves of data (2006–2016) from the Health and Retirement Study (n = 4,342) to examine how marital quality is associated with depressive symptom trajectories among a gr...

Jennifer Roebuck Bulanda • Takashi Yamashita • J. Scott Brown

A practical guide for analyzing large-scale assessment data using Mplus: A case demonstration using the Program for International Assessment of Adult Competencies data

In order to promote the use of increasingly available large-scale assessment data in education and expand the scope of analytic capabilities among applied researchers, this study provides step-by-s...

Takashi Yamashita • Thomas J. Smith • Phyllis A. Cummins

Strengthening Ties: Contracting Between Community-Based Organizations and Health Care Entities

The Aging and Disability Business Institute (Business Institute), led by the National Association of Area Agencies on Aging (n4a), supports the business acumen of CBOs to enhance contracting with h...

Jane Straker • Traci L. Wilson • Suzanne R. Kunkel • Abbe E. Lackmeyer (Abbe Linscott)

Urban and rural differences in trajectories of depressive symptoms in later life in the United States

This study examines the relationship between urban residence and trajectories of depressive symptoms and investigates whether this relationship differs by social isolation and loneliness.

Xiao Qui • J. Scott Brown • Na Sun • Cassandra L. Hua

Family satisfaction: Differences between nursing homes and residential care facilities

This study compared differences in overall family satisfaction, specific satisfaction domains, and correlates of satisfaction between nursing homes (NHs) and residential care facilities (RCFs), usi...

Nytasia M. Hicks • Katherine Wood • Jonathon M. Vivoda • Nader Mehri

Local initiatives to fund services for older Americans: A growing option for states

This report is part of a series of promising practices and emerging innovations from the AARP Public Policy Institute 2020 LTSS State Scorecard.

Jennifer Heston-Mullins (Jennifer L. Heston) • Robert A. Applebaum

Presentation - Strategies to Engage Marginalized Adults in Education

Our section of the presentation focused on strategies to engage marginalized adults in education.

Abigail Helsinger • Samuel Van Vleet

Exploring cause of death as a factor in social convoy membership: The case of Pauline

Research integrating social convoy and continuing bonds frameworks suggests that deceased individuals can be included in convoys as connections may carry on after death.

Kate de Medeiros • M. Elise Radina • Sara E. Stemen

Presentation - Literacy, Numeracy, and Problem-Solving Skills in Technology-Rich Environment in the STEM-related Subbaccalaureate Programs in the U.S.

This video provides an introduction and overview of the IES-funded project Literacy, Numeracy, and Problem-Solving Skills in Technology-Rich Environment in the STEM-related Subbaccalaure...

Takashi Yamashita • Jenna Kramer • Phyllis A. Cummins • Abigail Helsinger • Rita Karam • Maia Punksungka

Childhood socioeconomic status and physical activity in later life: The role of perceived neighborhood social cohesion and wealth in adulthood

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Cassandra L. Hua • J. Scott Brown

Presentation - Barriers to Engage Low-Skilled Adults in Educational Opportunities: A Global Perspective

As outlined in this presentation, providing more support and opportunities for formal, non-formal, and informal learning can enhance continuing education and training participation of low-skilled o...

Meghan Young • Abigail Helsinger • Oksana Dikhtyar • Takashi Yamashita • Nytasia M. Hicks • Phyllis A. Cummins

Presentation - Practical Guidance in Identifying, Recruiting, and Interviewing International Key Informants in Adult Education Research

This presentation explains qualitative research strategies that have been successful in identifying, recruiting, and interviewing key informants from multiple countries.

Abigail Helsinger • Phyllis A. Cummins • Nytasia M. Hicks

Presentation - Equity in Adult Education: The Ohio Story

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Abigail Helsinger • Phyllis A. Cummins

Presentations - Job Training for Adults without Credentials: Models that Work

This video highlights segments of a presentation on opportunities for education and training for adults as well as barriers adult learners face when pursuing those opportunities.

Wendi Copeland • Abigail Helsinger • Phyllis A. Cummins • Takashi Yamashita

Presentation - Job Automation in the U.S. How are we Preparing?

This video highlights segments of a presentation on job automation and the role of community colleges in the context of workforce education.

Todd Roswarski • Phyllis A. Cummins • Takashi Yamashita • Abigail Helsinger

Presentation - Closing the Equity Gap: The Ohio Story

These videos highlight segments from a presentation delivered at the 2020 National Council for Workforce Education (NCWE) virtual conference.

Phyllis A. Cummins • Tiffany Hunter • Abigail Helsinger

What could be influencing older Ghanaians outpatient care utilization rate?

Ghana’s population is rapidly aging and there may be healthcare access and utilization issues. This study investigates some of the issues that may influence outpatient care utilization rate a...

Candidus C. Nwakasi • J. Scott Brown • Phillip Anyanwu

Problem solving in technology rich environments and cancer screening in later life

Routine cancer screening is widely recognized as an effective preventive strategy to reduce cancer mortality - the second leading cause of death in the US.

Shalini Sahoo • Takashi Yamashita • Roberto J. Millar • Phyllis A. Cummins

Organizational factors associated with retention of direct care workers: A comparison of nursing homes and assisted living facilities

Low retention of direct care workers (DCWs), either certified nursing assistants in nursing homes (NH) or personal care assistants in assisted living (AL), continues to be an unresolved problem.

Jane Straker • Robert A. Applebaum • John R. Bowblis • Katherine A. Kennedy

Intergenerational ambivalence and loneliness in later life

Previous work has explored the links between intergenerational ambivalence and other indicators of well‐being but has not examined loneliness.

J. Scott Brown • Cassandra L. Hua • Jennifer Roebuck Bulanda

End-of-Life Educational Needs of State Tested Nurse Aides in Ohio Long-Term Care Facilities

This research brief shares the findings of a qualitative research study that solicited the opinions of current State Tested Nurse Aides (STNAs), registered nurses (RNs), and licensed practical nurs...

Kimberly K. Ogle • Alex D'Errico-Bronston

Unmet and unimportant preferences among nursing home residents: What are key resident and facility indicators?

The Preferences Assessment Tool (PAT) in the Minimum Data Set (MDS) 3.0 assesses 16 resident preferences for daily routines and activities.

Odichinma Akosionu • Beth A. Virnig • Yunfei Duan • Jasjit S. Ahluwalia • Weiwen Ng • Joseph E. Gaugler • Mark Woodhouse • John R. Bowblis • Haitao Chu • Teyana T. Shippee

Facility-level factors associated with CNA turnover and retention: Lessons for the long-term services industry.

Certified nursing assistant (CNA) turnover and retention are critical aspects of facilities’ ability to provide cost-effective, high-quality person-centered care.

John R. Bowblis • Katherine A. Kennedy • Robert A. Applebaum

Local initiatives to fund services for older Americans: Community recognition of the importance of social care

Despite the growing proportion of older adults in the United States, federal and state funding for nonmedical supportive services remains limited.

Sara E. Stemen • Jennifer Heston-Mullins (Jennifer L. Heston) • Renusha Maharjan • Athena Koumoutzis • Pamela S. Mayberry • Robert A. Applebaum

Nursing home social work during COVID-19

This letter highlights a few of the many challenges facing nursing home social services workers and departments during COVID-19 and highlights the ways that researchers can support practice colleag...

Colleen Galambos • Nancy Kusmaul • Amy Restorick Roberts • Jennifer Heston-Mullins (Jennifer L. Heston) • Mercedes Bern-Klug

Medicaid nursing home policies and risk-adjusted rates of emergency department visits: Does rural location matter?

This is a test Medicaid nursing home (NH) reimbursement rates and bed-hold policies have been shown to be associated with hospitalization of urban NH residents, but their relationships with emergen...

Yue Li • John R. Bowblis • Thomas V. Caprio • Huiwen Xu • Orna Intrator

Changes over time in racial/ethnic differences in quality of life for nursing home residents: patterns within and between facilities

The purpose of this study was to investigate trends in racial/ethnic differences in nursing home (NH) residents’ quality of life (QoL) and assess these patterns within and between facilities.

Joseph E. Gaugler • Jasjit S. Ahluwalia • John R. Bowblis • Haitao Chu • Beth A. Virnig • Weiwen Ng • Mark Woodhouse • Yinfei Duan • Teyana T. Shippee • Odichinma Akosionu

Through the Montessori Looking-Glass: Barriers to Implementing a Montessori-Based Intervention

Montessori methods are used with individuals with dementia to create meaningful, inclusive, failure-free activities that enhance quality of life.

Kathleen M. Farfsing • Jennifer M. Kinney • Leah M. Janssen

Primary care competition and quality of care: Empirical evidence from Medicare

This paper explores the effects of primary care physician (PCP) practice competition on five distinct quality metrics directly tied to screening, follow-up care, and prescribing behavior under Medi...

Christopher Brunt • Joshua Hendrickson • John R. Bowblis

Policy does matter: Changing an unchangeable long-term services system

Because long-term services policy is largely driven by state decisions, this study examines the impact of state-level changes on Ohio's long-term services system.

Jane Straker • Katherine A. Kennedy • Robert A. Applebaum • Ian Matt Nelson

The family experience in long-term care during the COVID-19 visitation restriction

This report provides results from an online survey of families with residents in long-term care settings during the COVID-19 suspension of visiting to facilities.

Mi Sun Choi • Jane Straker

Prevalence of COVID-19 in Ohio Nursing Homes

This study examines the Prevalence of COVID-19 cases in Ohio nursing homes in the context of the Centers for Medicare and Medicaid Services (CMS) 5-star quality ratings.

John R. Bowblis • Robert A. Applebaum

Fast-track innovation: Area Agencies on Aging respond to the COVID-19 pandemic

Millions of older Americans depend on services provided by Area Agencies on Aging to support their nutritional, social, and health needs.

Traci L. Wilson • Amanda L. Brewster • Suzanne R. Kunkel • Marisa Scala-Foley

Does living in a higher proportion minority facility improve quality of life for racial/ethnic minority residents in nursing homes?

The proportion of racial/ethnic minority older adults in nursing homes (NHs) has increased dramatically and will surpass the proportion of white adults by 2030.

Teyana T. Shippee • John R. Bowblis • Weiwen Ng

COVID-19 pandemic: Exacerbating racial/ethnic disparities in long-term services and supports

What services are available and where racial and ethnic minorities receive long-term services and supports (LTSS) have resulted in a lower quality of care and life for racial/ethnic minority users.

Teyana T. Shippee • Weiwen Ng • John R. Bowblis

Quality concerns in nursing homes that serve large proportions of residents with serious mental illness

Nursing homes (NHs) are serving greater proportions of residents with serious mental illness (SMI), and it is unclear whether this affects NH quality.

John R. Bowblis • Kathryn Hyer • Dylan J. Jester

Knowledge and perception towards universal safety precautions during early phase of the COVID-19 outbreak in Nepal

The objective of the study was to assess the knowledge and perception of COVID-19 and relevant universal safety measures among the Nepalese population.

Naveen Shrestha • Dev Ram Sunuwar • Kshitij Karki • Saruna Ghimire • Devendra Raj Singh

Promising Practices in Adult Guardianship in Ohio

Contains research brief and five count reports.

Candidus C. Nwakasi • Amy Restorick Roberts • Gifty Ashirifi

The Association Between Preference Satisfaction and Satisfaction with Overall Care for Nursing Home Residents

The Centers for Medicare and Medicaid Services mandate the provision of person-centered care (PCC), but there is limited evidence on how PCC impacts nursing home (NH) residents’ care experien...

Katherine M. Abbott • Whitney L. Mills • Liza L. Behrens • Karen Eshraghi • Kimberly Van Haitsma • Jacqueline Mogle • Dennis Scanlon • Caroline Madrigal • Donna M. Fick

How accumulated wealth affects driving reduction and cessation

(DRC) are not equally experienced by all groups. Individual characteristics such as poor health, impaired vision, older age, and female gender are known to affect DRC.

Ryan Michael Walker • Jiawei Cao • Jonathon M. Vivoda • Athena Koumoutzis

Depression, functional disability, and accessing health care among older adults in Ghana and South Africa: A comparative study based on WHO Global Ageing and Adult Health (SAGE).

This study explored the association and variabilities between mild depression...

J. Scott Brown • Sree Subedi • Candidus C. Nwakasi • Esiaka Darlingtina

Linking health and social services through Area Agencies On Aging is associated with lower health care use and spending

Area Agencies on Aging are increasingly partnering with health care organizations to address the health-related social needs of older adults and contribute to multisector coalitions that promote co...

Amanda L. Brewster • Jennifer Frehn • Traci L. Wilson • Suzanne R. Kunkel • Diane Berish

Strategies employed by Ohio community colleges to improve labor market outcomes for older students

To remain competitive in the labor market, many middle-aged and older adults need to upgrade existing or learn new skills through occupational training and education.

Oksana Dikhtyar • Phyllis A. Cummins • Kathryn McGrew • Peter Riley Bahr

Trends, determinants and the implications of population aging in Iran

Fertility and mortality decline are major drivers of Iran's population aging.

Nader Mehri • Suzanne R. Kunkel • Mahmood Messkoub

Nursing home social services and post-acute care: Does more qualified staff improve behavioral symptoms and reduce antipsychotic drug use?

An increasing number of post-acute care patients are admitted to skilled nursing facilities (SNFs) with behavioral symptoms such as wandering and rejecting care, which can interfere with care and p...

Amy Restorick Roberts • John R. Bowblis • Austin C. Smith

Lucas County Adult Guardianship Assessment Report

In 2019, Scripps Gerontology Center was contracted by the Lucas County Guardianship Exploratory Committee to assess adult guardianship service needs in Lucas County, Ohio.

Elisabeth E. Fulton • Jennifer Heston-Mullins (Jennifer L. Heston) • Amy Restorick Roberts

Construction and validation of risk-adjusted rates of emergency department visits for long-stay nursing home residents

Long-stay nursing home (NH) residents are at high risk of having emergency department (ED) visits, but current knowledge regarding risk-adjusted ED rates is limited.

Orna Intrator • Huiwen Xu • Thomas V. Caprio • John R. Bowblis • Yue Li

Educational differences in trajectories and determinants of healthy ageing in midlife and older Americans

The purpose of this study is to advance knowledge of the influence of educational level on trajectories and determinants of healthy ageing in midlife and older Americans.

Sara J. McLaughlin • Seonjin Kim • Jiaan Zhang • Lydia W. Li

Maybe You Can Go Home Again: Ohio's Strategy to Provide Long-Term Services and Supports for a Growing Older Population

This report provides findings from a study of long-term services and supports utilization trends from 1993 to 2017.

Ian Matt Nelson • John R. Bowblis • Robert A. Applebaum • Jane Straker • A. Katherine Harrington

Quality of Care in Ohio's Skilled Nursing Facilities: How Are We Doing Compared to the Nation Overall?

This research brief compares the quality of Ohio's nursing homes to the nation over three time periods from 2013 to 2017.

John R. Bowblis • Robert A. Applebaum

A comparison of emergency preparedness policies by long-term care setting type in Ohio: Assisted living care settings lag behind nursing homes in key areas

Skilled nursing facilities (SNFs) have received regulatory attention in relation to their emergency preparedness.

Cassandra L. Hua • Ian Matt Nelson • Katherine A. Kennedy

Informal caregiving and all-cause mortality: A meta-analysis of longitudinal, population-based studies

This study investigated the effect of informal caregiving on all-cause mortality across 12 longitudinal population-based studies (seven United States; five international: United Kingdom, Northern I...

Jennifer M. Kinney • J. Scott Brown • Mahdie Rajabi Rostami • Nader Mehri

The relationships among roadway safety management practices, collision rates, and injury rates within company fleets

This study used data from 70 companies from a range of industries to assess the relationship between companies’ self-reported fleet safety management practices/policies and collision/injury m...

Stephanie G. Platt • Susan J. Gillies • Jonathon M. Vivoda

Community Colleges and Older Learners in Ohio Higher Education

This research brief provides age structure data for those enrolled at Ohio's community colleges and baccalaureate institutions.

Peter Riley Bahr • J. Scott Brown • Phyllis A. Cummins • Nader Mehri

Healthy aging in older Chinese Americans: Associations with immigrant experiences

This study examined the association between aspects of the immigrant experience—acculturation, neighborhood belonging, and perceived discrimination—and healthy aging in older Chinese Am...

Jiaan Zhang • Lydia W. Li • Sara J. McLaughlin

Dedicated Memory Care Units in Ohio's Long-Term Services Settings: Structure and Practices

This report provides information about memory care units in Ohio's nursing homes and residential care facilties.

Jane Straker • John R. Bowblis • Katherine A. Kennedy • A. Katherine Harrington

Healthy aging in China: Benchmarks and socio-structural correlates

The objectives of this investigation were to identify a valid and practical benchmark for the assessment of healthy aging in the Chinese population and examine its socio-structural correlates.

Jiaan Zhang • Sara J. McLaughlin • Yun Chen • Lydia W. Li • Suzanne S. X. Tham

Resident preferences and CNA empowerment: Testing validity and reliability of a culture change survey tool

Culture change (CC) is an innovation to improve nursing home resident quality of life. Inconsistencies in how CC is measured make the interpretation of findings inconclusive.

Anjali B. K. • Jane Straker • J. Scott Brown • Katherine M. Abbott

Associations between motivation to learn, basic skills, and adult education and training participation among older adults in the USA

This study examines the associations between the motivation to learn, basic skills, and organized adult education and training participation among the middle-aged and older adults in the USA.

Shalini Sahoo • Roberto J. Millar • Thomas J. Smith • Takashi Yamashita • Phyllis A. Cummins

Older adults' expectations about mortality, driving life, and years left without driving

This study investigated driving expectations among drivers age 65 and older, including sociodemographic and driving context predictors.

Gwendolyn Etter-Lewis • Kate de Medeiros

"Place" in the small stories of African American elders: A narrative case study

This study analyzed small stories from five African Americans to better understand “place” in the context of their lives.

Kate de Medeiros • Gwendolyn Etter-Lewis

A pilot qualitative study of dementia perceptions and experiences of Nigerian migrant caregivers

Since the workforce now comprises of a significant number of migrant healthcare workers, some of whom originate from developing countries like Nigeria, it is important to understand some sociocultu...

Catherine Hayes • Candidus C. Nwakasi • John Fulton • Amy Restorick Roberts

Book club experiences, engagement, and reading support use by people with aphasia

People with chronic aphasia often exhibit a decrease in social engagement and reading ability that negatively influences quality of life

Kelly Knollman-Porter • Samantha K. Julian

Effects of written, auditory and combined modalities on comprehension for people with aphasia

People with aphasia experience reading challenges affecting participation in daily activities.

Darbi R. Ruff • Karen Hux • Kelly Knollman-Porter • Brielle L. Hoagland • Jessica A. Brown • Sarah E. Wallace

Social lives and cliques in senior housing communities

This study examined residents’ perceptions of life in senior housing, social stigma, and cliques.

Ehirement Azugbene • Heidi H. Ewen • Kara B. Dassel • Amy Restorick Roberts • Jasleen Chahal

Occupational licensing of social services and nursing home quality: A regression discontinuity approach

This study examines the associations between the motivation to learn, basic skills, and organized adult education and training participation among the middle-aged and older adults in the USA.

John R. Bowblis • Austin C. Smith

Age-Friendly Oxford Community Needs Assessment: Report to the Age-Friendly Oxford Leadership Advisory Group

This report highlights findings from a community needs assessment survey of Oxford and Oxford Township residents age 50 and older.

Meghan Young • Usha Dhakal • Valerie Flores (Valerie Kessler) • Suzanne R. Kunkel

Driving status and religious service attendance among older Americans

This study investigated the relationship between driving status and religious service attendance among older Americans and how the perceived importance of religion influences the relationship.

Sara J. McLaughlin • Jonathon M. Vivoda • Cathleen M. Connell • Karen M. Brown

Ohio Person-Centered Staff Engagement Project Evaluation

This report describes the Person-Centered Staff Engagement Project, funded by Resident Rights funds to the Ohio Department of Aging from the Ohio Department of Medicaid.

Cheyenne Kinsella • Xiao Qui • Jane Straker

A preference-based model of care: An integrative theoretical model of the role of preferences in person-centered care

This article proposes a theoretical model of person-centered care (PCC).

Liza L. Behrens • Allison R. Heid • Lauren R. Bangerter • Annabelle Arbogast • Kimberly Van Haitsma • Caroline Madrigal • Katherine M. Abbott

"A bone of contention...": Perceived barriers and situational dependencies to food preferences of nursing home residents

This study investigated barriers to fulfilling food preferences from nursing home (NH) residents’ perspectives, and the reasons preferences changed (situational dependencies).

Amy Kotterman • Chelsea N. Goldstein • Katherine M. Abbott • Lauren R. Bangerter • Kimberly Van Haitsma

Aging and Disability Business Institute: Final evaluation report

The Aging and Disability Business Institute (Business Institute), led by the National Association for Area Agencies on Aging (n4a), was established in 2016 with a mission to build and strengthen pa...

Abbe E. Lackmeyer (Abbe Linscott) • Jane Straker • Traci L. Wilson • Suzanne R. Kunkel

Implementation of the 2018 Ohio Nursing Home and Residential Care Facility Family Satisfaction Surveys

In 2018, the Scripps Gerontology Center conducted the ninth biennial Ohio Nursing Home and the second Ohio Residential Care Facility Family Satisfaction Surveys under a contract to the Ohio Departm...

Barbra J. Brottman • Leah M. Janssen • Jane Straker • Meghan Young • Ian Matt Nelson • Sara E. Stemen

Building on the past, securing the future: Area agencies on aging and Older Americans Act reauthorization

The upcoming reauthorization of the Older Americans Act (OAA) is an opportunity to acknowledge the expanding priorities for that landmark legislation, along with the forward motion of Area Agencies...

Suzanne R. Kunkel

Care managing together: A review of the Aetna and Area Agency on Aging MyCare partnership in Ohio

This study was a first step in gaining a better understanding of the care management plan models used in the Ohio MyCare Demonstration, focusing on the Aetna unified care management model implement...

Luyna Ducay • Robert A. Applebaum • Jennifer Heston-Mullins (Jennifer L. Heston) • Ian Matt Nelson

An examination of PIAAC data for unemployed adults aged 45-74

This study used data from the 2014 Program for the International Assessment of Adult Competencies (PIAAC) National Supplement to examine U.S. adults ages 45-74 who are unemployed or not in the labo...

Takashi Yamashita • Phyllis A. Cummins • Annabelle Arbogast

The impact of long-term care ombudsman presence on nursing home survey deficiencies

This study examines whether deficiency outcomes from nursing home annual survey inspections vary with the presence of a long-term care ombudsman at the survey.

Josh Bornstein • John R. Bowblis • Diane Berish

Impact of social service staffing on nursing home quality and resident outcomes

Social service staff play a key role in nursing homes and are responsible for providing psychosocial services to residents and their families.

John R. Bowblis • Austin C. Smith • Amy Restorick Roberts

Association of health related quality of life domains with daytime sleepiness among elderly recipients of long-term services and supports

Excessive daytime sleepiness (EDS) is prevalent in older adults; however, data are lacking that examine EDS across living environments.

Mary D. Naylor • Karen B. Hirschman • Liming Huang • Katherine M. Abbott • Miranda V. McPhillips • Glenna S. Brewster • Barbara J. Riegel • Alexandra L. Hanlon

The impact of nursing home residents' characteristics on ratings of importance of autonomy preferences in daily care over time

This study examined the rate of change in reports of importance of 27 autonomy-related everyday preferences from the Preferences for Everyday Living Inventory over 3-months and the demographic and ...

Allison R. Heid • Kimberly Van Haitsma • Michael J. Rovine • Katherine M. Abbott • Morton Kleban

Exploring preference fulfillment among older adults receiving long-term care: Consistency of satisfaction ratings

This study sought to understand the consistency of ratings over a 3-day test-retest period for how satisfied long-term care recipients were with the fulfillment of important everyday preferences.

Eleanor Brnich • Karen Eshraghi • Kimberly Van Haitsma • Katherine M. Abbott • Allison R. Heid

Problem solving in technology rich environments and self-rated health among adults in the U.S.: An analysis of the Program for the International Assessment of Adult Competencies

Problem-solving skills in the context of technologically complex modern societies have become increasingly important to health management in later life.

Phyllis A. Cummins • Roberto J. Millar • Takashi Yamashita • Shalini Sahoo

Older adults' experiences with audiovisual virtual reality: Perceived usefulness and other factors influencing technology acceptance

This study explores how older adults respond to audiovisual virtual reality (VR) and perceive its usefulness to their lives.

Amy Restorick Roberts • M. Elise Radina • Bob De Schutter • Kelley Franks

Mapping core concepts of person-centered care in long-term services and supports

This study used an empirical concept mapping approach to identify core components of person-centered care (PCC) used in long-term services and supports (LTSS). The aim is to help providers and rese...

Kimberly Van Haitsma • Yin Liu • Ann Marie Kolanowski • Donna M. Fick • Harleah G. Buck • Katherine M. Abbott • Gwen McGhan • Liza L. Behrens • Allison R. Heid • Martina Roes • Abby Spector

Problem-solving skills of the U.S. workforce and preparedness for job automation

Automation and advanced technologies have increased the need for a better understanding of the skills necessary to have a globally competitive workforce.

Phyllis A. Cummins • Takashi Yamashita • Roberto J. Millar • Shalini Sahoo

Stark County Court Angel Program: An evaluation report

The Stark County Probate Court Angel Program is the first volunteer-based monitoring program by a probate court in Ohio and is designed to confirm the well-being of persons under guardianship.

Amy Restorick Roberts • Amy J. Daily

Assessing participant satisfaction and the impact of senior centers in rural Northwestern Ohio counties

This study assessed satisfaction among current senior center users in the Northwestern Ohio area and measured the impact that centers have on the lives of participants.

Valerie Flores (Valerie Kessler) • Luyna Ducay • Jonathon M. Vivoda

It is not your parents' long-term services system: Nursing homes in a changing world

The article argues that administrative and regulatory practices have not kept pace with the dramatic changes in how nursing homes are now being used in the long-term services system.

Robert A. Applebaum • Shahla Mehdizadeh • Diane Berish

The change in nursing home residents' preferences over time

This study examined the change in nursing home residents' (n = 255) preferences for everyday living over a 3-month period. Participants were recruited from 28 NHs in the suburbs of a major met...

Allison R. Heid • Morton Kleban • Kimberly Van Haitsma • Michael J. Rovine • Katherine M. Abbott

Mistrust in physicians does not explain black-white disparities in primary care and emergency department utilization: The importance of socialization during the Jim Crow era

Compared to whites, blacks under-utilize primary care and over-utilize emergency department services.

Cassandra L. Hua • Anthony R. Bardo • J. Scott Brown

Is the quality of nursing homes countercyclical? Evidence from 2001 through 2015

This study examines whether nursing homes (NHs) provide better quality when unemployment rates rise (countercyclical) and explores mechanisms contributing to the relationship between quality and un...

Sean Shenghsiu Huang • John R. Bowblis

Community-Based Organizations and Health Care Contracting: Building and Strengthening Partnerships

Community-based organizations (CBOs) such as Area Agencies on Aging and Centers for Independent Living are well-positioned within their communities to improve social determinants of health (housing...

Traci L. Wilson • Abbe E. Lackmeyer (Abbe Linscott) • Suzanne R. Kunkel • Jane Straker

Heterogeneity of older learners in higher education

This study uses data from the Integrated Postsecondary Education Data System (IPEDS) to examine enrollment trends by part-time and full-time status for students enrolled in Ohio’s public post...

Phyllis A. Cummins • Peter Riley Bahr • J. Scott Brown • Nader Mehri

Private equity ownership and nursing home quality: An instrumental variable approach

There is a concern that when private equity firms purchase nursing homes, they will lower quality of care in order to increase profits.

John R. Bowblis • Sean Shenghsiu Huang

Literacy, numeracy, and health information seeking among middle-aged and older adults in the United States

Partnerships between health care and social service organizations may contribute to lower health care use and spending.

Darren Liu • Takashi Yamashita • Anthony R. Bardo • Phyllis A. Cummins

Allophilia: Increasing college students' "liking" of older adults with dementia through arts-based intergenerational experiences

This study evaluates whether an arts-based intergenerational experience, Opening Minds through Art (OMA), increases positive attitudes or allophilia ("liking for the other"—in this ...

Yue Li • Elizabeth Like Lokon • Suzanne R. Kunkel

Workforce retention and wages in nursing homes: An analysis of managerial ownership

Healthcare providers can be managed by salaried managers or owner-managers that have a significant equity stake in their facility.

Sean Shenghsiu Huang • John R. Bowblis

Family satisfaction with nursing home care: Findings and implications from two state comparison

Most studies of family satisfaction are restricted to one state. This study compares the organizational and structural factors associated with higher family satisfaction in the states of Minnesota ...

John R. Bowblis • Amy Restorick Roberts • Teyana T. Shippee • Weiwen Ng

Narrative comprehension by people with aphasia given single versus combined modality presentation

People with aphasia experience comprehension impairments that hinder participation in daily activities.

Jessica A. Brown • Kelly Knollman-Porter • Sarah E. Wallace • Karen Hux

Functional status and adaptation: Measuring activities of daily living and device use in the national health and aging trends study

This study compared Dr. Sidney Katz's original dichotomous measure of dependence in performing activities of daily living (ADL) with the National Health and Aging Trends Study's (NHATS) b...

Shahla Mehdizadeh • Stephen Frochen

Evaluating Enhanced Service Coordination in Ohio's Housing for Low-Income Older Adults and People with Disabilities

This project was designed to evaluate the implementation and impact of Enhanced Service Coordination (ESC) in affordable housing for older adults and people with disabilities.

Ian Matt Nelson • Shahla Mehdizadeh • Kate de Medeiros • Cassandra L. Hua • Suzanne R. Kunkel

The principal-agent problem and owner-managers: An instrumental variables application to nursing home quality

This paper expands the literature on the heterogeneity among nursing home facilities by determining whether quality at for-profit nursing homes managed by owner-managers is different from those ope...

John R. Bowblis • Sean Shenghsiu Huang

Cost-effective adjustments to nursing home staffing to improve quality

This study holistically examines which type of nursing home staffing (nursing, social service, activities) yields better quality as measured by number of deficiencies and deficiency scores.

Amy Restorick Roberts • John R. Bowblis

Cleveland and Fort Lauderdale AgeWell Pilots Formative Evaluation Report: January 1, 2017-February 28, 2018

The AgeWell program trains and employs able older adults to provide companionship to chronically ill older adults in the community.

Paul Flashpohler • Jane Straker • Ian Matt Nelson • Gordan Hannah

A machine learning recommender system to tailor preference assessments to enhance person-centered care among nursing home residents

Nursing homes (NHs) using the Preferences for Everyday Living Inventory (PELI-NH) to assess important preferences and provide person-centered care find the number of items to be a barrier to using ...

Katherine M. Abbott • Nathan Martindale • Kimberly Van Haitsma • Alexandra Heppner • Gerald C. Gannod

E-hail (rideshare) knowledge, use, reliance, and future expectations among older adults

The goals of this study were to explore e-hail (e.g., Uber/Lyft) knowledge, use, reliance, and future expectations among older adults. Specifically, to identify factors that were related to e-hail,...

Brian J. Zikmund-Fisher • Annie C. Harmon • Ganesh M. Babulal • Jonathon M. Vivoda

Adult competencies and employment outcomes among older workers in the United States: An analysis of the Program for the International Assessment of Adult Competencies

A growing segment of the U.S. workforce—older workers—face challenges such as a greater chance of being unemployed for a longer period of time than younger workers and skill obsolescenc...

Phyllis A. Cummins • Roberto J. Millar • Takashi Yamashita • Annabelle Arbogast

The impact of nurse turnover on quality of care and mortality in nursing homes: Evidence from the great recession

This paper uses a sample of California nursing homes to causally identify whether higher staff turnover leads to worse quality.

Yaa Akosa Antwi • John R. Bowblis

Age-Friendly Oxford: A qualitative study conducted by the Miami University First Year Research Experience (FYRE) class of 2017-2018

In the 2017-2018 academic year, the Miami University First Year Research Experience (FYRE) class conducted a qualitative study to explore the perceptions of Oxford, Ohio as an age-friendly city.

Bobbie Hall • Blair Arnell • Tone Pryor • Cole Baker • Kate de Medeiros • Senjooti Roy • Aaron Davidson-Bey • Brooke Bennington • Sundeep Vaswani • Katie Graham • Cassandra Woodford

An examination of PIAAC data for unemployed adults aged 45-74

This study used data from the 2014 Program for the International Assessment of Adult Competencies (PIAAC) National Supplement to examine relationships among educational attainment, participation in...

Phyllis A. Cummins • Annabelle Arbogast • Takashi Yamashita

The effects of demographics, functioning, and perceptions on the relationship between self-reported and objective measures of driving exposure and patterns among older adults

This exploratory study examined: how strongly subjectively reported driving avoidance behaviors (commonly referred to as self-regulation) and exposure were related to their objectively measured cou...

Carolyn DiGuiseppi • Lisa J. Molnar • Scott E. Bogard • Thelma J. Mielenz • Michael J. Rovine • David W. Eby • J. S. Zakraksek • Jacqui Smith • Linda V. Nyquist • Renée M. St Louis • the LongROAD Research Team • David Strogatz • Lindsay Ryan • Raymond Yung • Guohua Li • David Joseph LeBlanc • Jonathon M. Vivoda • Nicole Zanier

Planning for a nondriving future: Behaviors and beliefs among drivers 53-92

Despite the reality of older adults living many years after driving cessation, few prepare for the eventuality; empirically, planning for a nondriving future has not been directly quantified or exp...

David B. Carr • Annie C. Harmon • Ganesh M. Babulal • Brian J. Zikmund-Fisher • Jonathon M. Vivoda

The impact of state nursing home bed relocation policy in Ohio

As Ohio's population aged and shifted across county lines, an imbalance in the supply of nursing home beds to 65+ population has occurred.

Ian Matt Nelson • Shahla Mehdizadeh • Cassandra L. Hua • Philip E. Sauer

Our Family, Our Way: A Family Communication and Care Coordination Guide for Aging Parents and their Adult Children

This report highlights the development, implementation, and evaluation of a guide designed to facilitate family communication about care and support.

Jennifer Heston-Mullins (Jennifer L. Heston) • Erin Kelly • Nytasia M. Hicks • Kathryn McGrew

"So we basically let them struggle": Student perceptions of challenges in intergenerational service-learning

This study documented the experiences of 19 students who were required to participate in at least 20 hours of intergenerational service-learning for an introductory gerontology course. Because an a...

Jennifer M. Kinney • Sarah J. Hahn • Jennifer Heston-Mullins (Jennifer L. Heston)

Fundamental causes in illness and health behavior: A cross-national comparison of young adults in the US and Nepal

This study compares the relationship between stress from the death of a parent and two indicators of well-being, substance use and mental health, in the United States and Nepal including difference...

Mark Tausig • Sree Subedi • J. Scott Brown • Kelina Basnyat • Janardan Subedi

Delivering Person-Centered Care: Important preferences for recipients of long-term services and supports

Although assessing individual consumer preferences is an important first step in providing person-centered care, the purpose of this study was to identify the top 10 shared preferences that are imp...

Rachel Klumpp • Katherine M. Abbott • Gerald C. Gannod • Jane Straker • Kimberly Van Haitsma • Kendall Leser

Cross-Sectoral Partnerships By Area Agencies On Aging: Associations With Health Care Use And Spending

Area Agencies on Aging (AAAs)—which coordinate social services for older adults in communities across the US—regularly address social determinants of health, sometimes in partnership wi...

Suzanne R. Kunkel • Leslie A. Curry • Jane Straker • Amanda L. Brewster

Community-Based Organizations and Health Care Contracting

In 2016, the National Association of Area Agencies on Aging (n4a) received a grant from The John A. Hartford Foundation to develop a National Aging and Disability Business Institute.

Jane Straker • Erin Kelly • Suzanne R. Kunkel • Abbe E. Lackmeyer (Abbe Linscott)

Participant Satisfaction and the Impact of Senior Center Services in Lucas County, Ohio

This study addressed satisfaction with services and impact of senior centers among center participants in Lucas County, Ohio.

Michelle M. McGuire • Jonathon M. Vivoda

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

Typically thought of as a long-term care option for older residents, the proportion of Ohio’s long-stay Medicaid nursing home residents under the age of 65 has tripled over the last 20 years.

Ian Matt Nelson • John R. Bowblis

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

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

Heather R. Reece • Amy Restorick Roberts

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

This report summarizes the implementation process and results from the 2016 Family Satisfaction Surveys conducted in Ohio nursing homes and residential care facilities.

Ryan Shanley • Jane Straker • Jyotsana Parajuli • Danielle Eynon-Black • Karl Chow • Ian Matt Nelson

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

Report tracks use long-term services and supports utilization trends from 1993 to 2015.

Shahla Mehdizadeh • Robert A. Applebaum • Jane Straker • Ian Matt Nelson

Family involvement in the nursing home and perceived resident quality of life

This study focuses on the relationship between family involvement and family perceptions of nursing home residents’ quality of life (QOL).

Karen J. Ishler • Amy Restorick Roberts

Managerial ownership in nursing homes: Staffing, quality, and financial performance

This paper uses facility-level data to determine whether staffing levels, quality, and financial performance is different among nursing homes operated as a nonprofit, a for-profit with an owner-man...

John R. Bowblis • Sean Shenghsiu Huang

Quality of life trajectories of older adults living in senior housing

Quality of life (QoL) in the face of declining health, mobility, and social losses is a central issue for older adults.

Kathryn Betts Adams • Amy Restorick Roberts

From rock-n-roll to rock-n-chair: Are the boomers financially ready for retirement?

Just like generations before them, the baby boomers are not one group, but many.

Robert A. Applebaum • Phyllis A. Cummins

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

This study compares the quality of Ohio's skilled nursing facilities to the nation overall.

Robert A. Applebaum • John R. Bowblis

Who hires social workers? Structural and contextual determinants of social service staffing in nursing homes

Although nurse staffing has been extensively studied within nursing homes (NHs), social services has received less attention.

John R. Bowblis • Amy Restorick Roberts

Using art in an intergenerational program to improve students attitudes toward people with dementia

This study explored the effects of participating in an intergenerational service learning program called Opening Mind through Arts (OMA) on college students’ attitudes toward people with deme...

Elizabeth Like Lokon • Yue Li • Jyotsana Parajuli

How does rurality influence the staffing of social service departments in nursing homes?

This paper examines how social service departments in nursing homes are staffed by rurality.

Amy Restorick Roberts • John R. Bowblis

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

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 ...

Katherine M. Abbott

The Caregiver Toolbox: Evaluation of a Workshop for Informal Caregivers

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.

Jane Straker • Jennifer Heston-Mullins (Jennifer L. Heston)

Activities in dementia care: A comparative assessment of activity types

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 m...

Yue Li • Philip E. Sauer • Elizabeth Like Lokon

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

Animal-assisted activity programs are commonly used in long-term care facilities to enhance the well-being of older residents.

Sara J. McLaughlin • Kate de Medeiros

The Residential Long-Term Care Role in Health Care Transitions

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.

Jane Straker • Robert A. Applebaum

Expanding Self Direction and Its Impact on Quality

The premise of this paper is that self-direction has impacted service and system design and approaches to quality.

Robert A. Applebaum

Unpaid Caregivers: Growing Demand and Limited Supply

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

Shahla Mehdizadeh

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

Ohio faces a demographic and financing challenge as its population ages in the next 20 years.

Shahla Mehdizadeh

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

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.

Kendall Leser

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

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 ris...

Kendall Leser

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

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 ...

Katherine M. Abbott

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

In 2006, Ohio changed its Medicaid reimbursement methodology for nursing homes (NHs) to promote more efficient staffing levels.

Robert A. Applebaum

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

The signs and symptoms of mental illness, especially serious mental illness, are universally associated with stigma and discriminatory behavior.

Janardan Subedi

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

Foreword of The "Other" in Ourselves: Exploring the Educational Power of the Humanities and Arts.

Kate de Medeiros

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

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 t...

J. Scott Brown • Takashi Yamashita

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

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 ed...

Sara J. McLaughlin

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

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 reempl...

J. Scott Brown

The Influence of the Transportation Environment on Driving Reduction and Cessation

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.

Jonathon M. Vivoda

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

This report describes a project to update consumer surveys for residents and families in Ohio's nursing homes and residential care facilities.

Kathryn McGrew • Jennifer Dibert • Candace Burch • AviElle Raymore • Jane Straker

A Study of Adult Guardianship in Ohio: Preliminary Results

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.”

Heather R. Reece • Amy Restorick Roberts

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

Efforts to combat ageism typically focus on negative attitudes toward members of an out-group.

J. Scott Brown • Takashi Yamashita • Jennifer M. Kinney

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

Nursing homes are embracing person-centered care, an approach that emphasizes “knowing the person” and honoring each individual’s preferences.

Katherine M. Abbott

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

While much research has examined end of life care preferences of nursing home (NH) residents, little work has examined resident preferences for everyday healthcare.

Katherine M. Abbott

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

This brief describes the pilot implementation and evaluation of OMA For One (OMA41).

Joan Fopma-Loy

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

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 an...

Katherine M. Abbott

Are Ohio's Nursing Homes Ready for an Emergency?

Study Identifies Strengths, Leads to Strategies for Improvement in Ohio Nursing Home Disaster Planning.

Cassandra L. Hua • Marc Molea • Ian Matt Nelson

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

Data on the relationship between behavioral disturbances in Alzheimer's disease (AD) and global clinical deterioration is still controversial.

Kate de Medeiros

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

Knowledge of a nursing home resident's everyday living preferences provides the foundation for ongoing individualized care planning.

Katherine M. Abbott

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

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...

Suzanne R. Kunkel • Phyllis A. Cummins

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

Countries around the world, both more and less developed, are experiencing shifts in age structure.

Phyllis A. Cummins • Suzanne R. Kunkel

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

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.

Katherine M. Abbott

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

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.

Jane Straker • Amy Restorick Roberts

Implementation of the 2014 Ohio Nursing Home Family Satisfaction Survey

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.

AviElle Raymore • Jane Straker • Karl Chow

Challenges for the Workforce Development of Older Workers in Brazil

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.

Phyllis A. Cummins

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

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.

Carol Burt • Lisa Slator • Katherine M. Abbott • Justine Sefcik

Chronic illness and generativity in late life: A case study

This article presents a narrative-based case study about chronic illness and genetic uncertainty and their relationship to generativity throughout the life course.

Kate de Medeiros

A global examination of policies and practices for lifelong learning

Continuous learning over the life course is necessary to successfully compete in a knowledge-based global economy.

Suzanne R. Kunkel • Phyllis A. Cummins

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

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.

Sara J. McLaughlin

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

Lifelong learning is receiving greater attention due to population aging in modern societies.

Takashi Yamashita • Jennifer M. Kinney

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

We evaluated physical activity of children and adolescents aged 6 to 18 years from the Jirel population of eastern Nepal.

Janardan Subedi

Identifying naturally occurring retirement communities: A spatial analysis

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 renter...

Takashi Yamashita • Jennifer M. Kinney

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

This report documents two decades of progress in delivering long-term services in Ohio.

Shahla Mehdizadeh • Robert A. Applebaum • Ian Matt Nelson • Jane Straker

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

Study examines the changes in Medicaid nursing home reimbursement between 2007 and 2012 as Ohio moved to a "new price system".

Robert A. Applebaum • John R. Bowblis

2014 Title VI Survey Results

This research record highlights the findings from a national survey of the Title VI Organizations (TO).

Heather R. Reece • Kathryn McGrew • Suzanne R. Kunkel • Jane Straker

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

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.

Robert A. Applebaum

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

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 meas...

Katherine M. Abbott

Axial Quantitative Ultrasound Assessment of Pediatric Bone Quality in Eastern Nepal

This study presents quantitative ultrasonography (QUS) bone quality data for an underrepresented, south Asian pediatric population from Nepal.

Janardan Subedi

Agency and mental health: A transition to adulthood paradox

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 treat...

J. Scott Brown

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

Skill upgrades over the lifecourse are increasingly important in a knowledged-based global economy.

Ryan Michael Walker • Phyllis A. Cummins • Suzanne R. Kunkel

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

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

Jane Straker • Heather R. Reece

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

Public health policies are designed for specific subsets of the population.

Dawn Carr • J. Scott Brown • Takashi Yamashita

Generativity in elderly Oblate Sisters of Providence

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.

Kate de Medeiros

A public health approach to the challenges of an aging society

Public Health for an Aging Society is the successor to Public Health and Aging, published in 1997.

Sara J. McLaughlin

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

Preferences are the expression of an individual's basic psychosocial needs and are related to care outcomes.

Katherine M. Abbott

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

The purpose of this study was to assess public beliefs and knowledge about risk and protective factors for Alzheimer's disease (AD).

Sara J. McLaughlin

The role of community colleges in career transitions for older workers

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.

Phyllis A. Cummins

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

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 ...

Katherine M. Abbott

Long-Term Care Management Turns 40: What We Know and What We Do Not

This article focuses on care management with older people experiencing chronic disability.

Robert A. Applebaum

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

This article is a critique of the successful aging (SA) paradigm as described in the Rowe and Kahn book, Successful Aging (1998).

Kate de Medeiros

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

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...

Elizabeth Like Lokon • Jennifer M. Kinney

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

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 o...

Robert A. Applebaum

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

More than 600 area agencies on aging (AAA) provide locally responsive, coordinated services for older adults living in every community in the United States.

Jane Straker • Suzanne R. Kunkel

Identifying naturally occurring retirement communities: A spatial analysis

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 ...

Takashi Yamashita • Jennifer M. Kinney

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

In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented a five-star rating system of nursing homes in the United States.

Robert A. Applebaum • Jane Straker

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

This study aims to understand and describe nursing home residents’ perspectives on why the importance of their preferences may change in daily care.

Katherine M. Abbott

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

Long-term care facilities have been impacted by the economic downturn and other changes in the long-term care system.

Phyllis A. Cummins • Jane Straker

Extending the framework of generativity through research: A qualitative Study

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 wit...

Kate de Medeiros

Application of the model of allostasis to older womens relocation to senior housing

Adjustment to senior housing entails significant lifestyle changes and is a stressful process.

Jennifer M. Kinney

Using Art to Overcome Cognitive Barriers

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 ses...

Elizabeth Like Lokon

County Reports: AAA 1