{"title":"Family Satisfaction With Residential Care Provision: A Multilevel Analysis","authors":"D. Dobbs, R. Montgomery","doi":"10.1177/0733464805279374","DOIUrl":"https://doi.org/10.1177/0733464805279374","url":null,"abstract":"The goal of this study was to assess the impact of staff commitment on outcomes of quality of care in residential care facilities in a sample of 260 family members of residents and 206 direct care staff from 24 residential care/assisted living (RC/AL) homes in Kansas. Quality of care was measured as family satisfaction, and individual- and facility-level predictors were used in the model. The significant predictors of family satisfaction were the family member’s age and relationship to elder. The findings suggest that both of these variables are tied to beliefs that family members have about their own responsibility for care, which may in turn influence their satisfaction with care. This hypothesis deserves further attention in future research. Also, the failure of this study to affirm an expected relationship between staff commitment and family satisfaction should prompt further research related to staff commitment and family satisfaction.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"203 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133212376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Getting the Message Out to Older Adults: Effective HIV Health Education Risk Reduction Publications","authors":"N. Orel, M. Spence, Jenessa C. Steele","doi":"10.1177/0733464805279155","DOIUrl":"https://doi.org/10.1177/0733464805279155","url":null,"abstract":"Printed publications on HIV/AIDS for an older adult population were obtained from state public health departments within the United States in a previous study that explored the availability of age-specific HIV/AIDS prevention materials. The current study examines whether the HIV health education/risk reduction information contained in these publications is applicable and appropriate to the prevention needs of older adults. Based on an extensive literature review, four major thematic recommendations for designing HIV/AIDS risk reduction print materials for older adults were used as a framework to evaluate the content of these print publications. The results indicate that the currently available publications do not meet all the criteria when assessed using the four thematic categories of recommendations. These findings suggest that greater attention must be given to developing and securing HIV prevention educational materials that adequately address societal attitudes, myths, and biases encountered by older adults.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129161108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eileen Wood, T. Willoughby, A. Rushing, Lisa Bechtel, Jessica Gilbert
{"title":"Use of Computer Input Devices by Older Adults","authors":"Eileen Wood, T. Willoughby, A. Rushing, Lisa Bechtel, Jessica Gilbert","doi":"10.1177/0733464805278378","DOIUrl":"https://doi.org/10.1177/0733464805278378","url":null,"abstract":"A sample of 85 seniors was given experience (10 trials) playing two computer tasks using four input devices (touch screen, enlarged mouse [EZ Ball], mouse, and touch pad). Performance measures assessed both accuracy and time to complete components of the game for these devices. As well, participants completed a survey where they evaluated each of the devices. Seniors also completed a series of measures assessing visual memory, visual perception, motor coordination, and motor dexterity. Overall, previous experience with computers had a significant impact on the type of device that yielded the highest accuracy and speed performance, with different devices yielding better performance for novices versus experienced computer users. Regression analyses indicated that the mouse was the most demanding device in terms of the cognitive and motor-demand measures. Discussion centers on the relative benefits and perceptions regarding these devices among senior populations.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128896078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychosocial Resources as Moderators of the Impact of Spousal Dementia Caregiving on Depression","authors":"K. Adams, K. Smyth, M. Mcclendon","doi":"10.1177/0733464805278812","DOIUrl":"https://doi.org/10.1177/0733464805278812","url":null,"abstract":"This study examines the relationship of personal mastery and perceived emotional support to depressive symptoms for spousal dementia caregivers (CGs) and noncaregiver (NCG) spouses. Although it is well known that caring for a spouse with dementia is stressful and that personal mastery and emotional support may reduce stress, the authors hypothesize that these resources are more important for reducing stress in the difficult situation of dementia care than in everyday life for older persons. In bivariate comparisons, CG levels of perceived support and mastery were lower and depression was higher than for NCGs. Consistent with prior research, a hierarchical multiple regression with combined data shows that CG status was a significant predictor of depressive symptoms. A significant interaction of CG status with personal mastery indicates greater impact of mastery on depression among CGs than among NCGs. This unique finding strongly supports interventions focusing on enhancement of mastery among spousal CGs.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130949236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Income Inequality Among Older Adults in Hong Kong: An Analysis of Change From 1981 to 2001","authors":"K. Chou, N. Chow","doi":"10.1177/0733464805278647","DOIUrl":"https://doi.org/10.1177/0733464805278647","url":null,"abstract":"This article examines the economic status and income inequality of the elderly population in Hong Kong based on data collected in population censuses. Specifically, the median income of elderly headed households in 1981, 1991, and 2001; the Gini coefficients and Lorenz curves for elderly headed and nonelderly headed households in 1981, 1991, and 2001; and the Gini coefficients and Lorenz curves for three age groups (i.e., aged 65 to 69, 70 to 74, and 75 and older) of the elderly headed households in 2001 were examined. The data show that although the economic status of elderly headed families improved substantially in the past two decades, income inequality remained at a high level during the same period of time. Findings indicate that public benefits for the aged population must be changed to be stronger in redistributive power so that income inequality in the elderly population can be improved through this measure.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125305352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Roff, D. Klemmack, M. Parker, H. Koenig, Patricia Sawyer-Baker, R. Allman
{"title":"Religiosity, Smoking, Exercise, and Obesity Among Southern, Community-Dwelling Older Adults","authors":"L. Roff, D. Klemmack, M. Parker, H. Koenig, Patricia Sawyer-Baker, R. Allman","doi":"10.1177/0733464805278132","DOIUrl":"https://doi.org/10.1177/0733464805278132","url":null,"abstract":"This study examined associations between organizational (OR), nonorganizational (NOR), and intrinsic religiosity (IR) and measures of cigarette smoking, exercise, and obesity among older adults, controlling for measures of sociodemographic characteristics and comorbidity. In-home interviews were conducted among a stratified, random sample of Medicare beneficiaries from five central Alabama counties (the University of Alabama at Birmingham Study of Aging). Balanced numbers of African American and White, female and male, and rural and urban participants were recruited for the study. OR and NOR were negatively related to lifetime cigarette smoking and OR was positively related to leisure-time physical activity, even when controlling for sociodemographic characteristics and comorbidity. No measure of religiosity was related to the likelihood of being obese, and IR did not predict smoking or exercise. The authors suggest that faith-based communities may be important resources for delivering health promotion programs for older adults.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133591874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality of Life Following Stroke: Negotiating Disability, Identity, and Resources","authors":"P. Clarke, S. Black","doi":"10.1177/0733464805277976","DOIUrl":"https://doi.org/10.1177/0733464805277976","url":null,"abstract":"Residual physical and cognitive impairments following a stroke can pose a significant threat to a survivor’s quality of life. Yet, there is not always a direct one-to-one correlation between functional disability and subjective quality of life. This research investigated the complexity of factors that influence quality of life after stroke, using qualitative interviews. Results indicate that a stroke has a significant impact on the quality of life of survivors, but some individuals find ways to adapt to their functional disabilities and report a high quality of life. Common elements of this process consist of reordering priorities to focus on those activities considered most salient to an individual’s identity; then drawing on existing resources, including health services and social supports, to maintain a customary activity, even in a modified form, retaining salient aspects of the individual’s identity and maintaining a sense of continuity in his or her life.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131446071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gender Differences in Social Adaptation to a Retirement Community: Longitudinal Changes and the Role of Mediated Communication","authors":"Vincent R. Waldron, R. Gitelson, D. Kelley","doi":"10.1177/0733464805277122","DOIUrl":"https://doi.org/10.1177/0733464805277122","url":null,"abstract":"Many American elders migrate to age-restricted planned communities in the Sun Belt. Women and men may react differently to these migrations. For women in particular, the use of mediated communication may preserve supportive relationships with distant persons. Men may be advantaged by relocation to planned communities with highly structured social environments. Results are reported from a 4-year longitudinal study of 255 migrants. During the study period, men reported gains in persons providing emotional support, practical assistance, advice, and help with illness. Women reported losses or no change. Consistent with previous work on long-distance relationships, women reported more e-mail contact with their children. For both sexes, the use of e-mail was positively correlated with perceived social support after 4 years of residency. For women, contact with distant friends was particularly associated with levels of emotional support. The role of mediated communication in compensating for negative relocation effects is discussed.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126392851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Harrington, S. Chapman, Elaine Miller, N. Miller, R. Newcomer
{"title":"Trends in the Supply of Long-Term-Care Facilities and Beds in the United States","authors":"C. Harrington, S. Chapman, Elaine Miller, N. Miller, R. Newcomer","doi":"10.1177/0733464805275366","DOIUrl":"https://doi.org/10.1177/0733464805275366","url":null,"abstract":"This article examined trends in the supply of institutional long-term-care facilities and beds in states and the United States. Using primary data collected from surveys of state officials, the authors found that licensed nursing home beds increased by 7%, residential care and assisted living beds increased by 97%, and intermediate care facility beds for the mentally retarded and developmentally disabled (ICF-MR/DD) declined by 27% between 1990 and 2002. The total growth in long-term-care beds per 10,000 population was 7.8% during the period, with wide variations in supply among states (ranging from 171 beds per 10,000 in Nebraska to 45.1 beds per 10,000 in Nevada in 2002). Nursing home bed growth may have slowed and ICF-MR/DD beds per population may have declined because of the growth in residential care and assisted living facilities and home and community-based services.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131887331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Illness Attitude Scales: Adaptation and Translation Into Spanish for Use With Older Adults","authors":"I. Bravo, Ondina Arrufat","doi":"10.1177/0733464805278133","DOIUrl":"https://doi.org/10.1177/0733464805278133","url":null,"abstract":"The Illness Attitude Scales (IAS) were simplified from a 5-point Likert-type scale to a yes-or-no format and translated into Spanish using Brislin’s method. Because of the linkage between hypochondriasis and depression, the new version was administered to immigrant, Hispanic, older adults suffering from major depressive disorder (MDD) (n= 21) and their controls (n = 21), and to non-Hispanic older adults with MDD (n = 32) and their controls (n = 32). Both versions of the IAS were equivalent and had adequate internal consistency. As hypothesized, Hispanic immigrants with MDD endorsed more hypochondriacal beliefs and were more concerned about the effect of their symptoms than controls. Non-Hispanics were more concerned about pain than controls. The two IAS simplified versions will be useful in the assessment of English- and Spanish-speaking older adults in both clinical and research settings.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"45 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134594765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}