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  1. Article ; Online: A Tale of 2 Assessments: Concordance Across the Minimum Data Set and Preadmission Screening and Resident Review Assessments in Recording Mental Health Diagnoses.

    Bucy, Taylor I / Ghimire, Umesh / Woodhouse, Mark / Winkelman, Tyler N A / Shippee, Nathan / Shippee, Tetyana P

    Journal of the American Medical Directors Association

    2023  Volume 24, Issue 11, Page(s) 1633–1635

    MeSH term(s) Humans ; Mental Health ; Mental Disorders/diagnosis ; Nursing Homes
    Language English
    Publishing date 2023-06-29
    Publishing country United States
    Document type Letter ; Research Support, N.I.H., Extramural
    ZDB-ID 2171030-2
    ISSN 1538-9375 ; 1525-8610
    ISSN (online) 1538-9375
    ISSN 1525-8610
    DOI 10.1016/j.jamda.2023.05.029
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  2. Article ; Online: Remembering Robert Kane.

    Shippee, Tetyana P

    The journals of gerontology. Series B, Psychological sciences and social sciences

    2017  Volume 72, Issue 3, Page(s) 455–456

    MeSH term(s) Geriatrics/history ; History, 20th Century ; History, 21st Century ; Humans ; Long-Term Care/history ; Social Work/history ; United States
    Language English
    Publishing date 2017-04-14
    Publishing country United States
    Document type Historical Article ; Journal Article
    ZDB-ID 1223664-0
    ISSN 1758-5368 ; 1079-5014
    ISSN (online) 1758-5368
    ISSN 1079-5014
    DOI 10.1093/geronb/gbx041
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  3. Article ; Online: "It's about a Life Worth Living": Rosalie A. Kane, PhD, Pioneer of Quality of Life Measurement in Long-Term Care.

    Gaugler, Joseph E / Shippee, Tetyana P

    Journal of gerontological social work

    2020  Volume 64, Issue 1, Page(s) 52–59

    Abstract: This contribution to the special issue celebrating Dr. Kane's legacy in ... ...

    Abstract This contribution to the special issue celebrating Dr. Kane's legacy in the
    MeSH term(s) Geriatrics ; Humans ; Long-Term Care ; Quality of Life
    Language English
    Publishing date 2020-12-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 779365-0
    ISSN 1540-4048 ; 0163-4372
    ISSN (online) 1540-4048
    ISSN 0163-4372
    DOI 10.1080/01634372.2020.1864541
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  4. Article ; Online: Identifying Nursing Homes With Diverse Racial and Ethnic Resident Compositions: The Importance of Group Heterogeneity and Geographic Context.

    Bowblis, John R / Akosionu, Odichinma / Ng, Weiwen / Shippee, Tetyana P

    Medical care research and review : MCRR

    2022  Volume 80, Issue 2, Page(s) 175–186

    Abstract: Racial/ethnic composition of nursing home (NH) plays a particularly important role in NH quality. A key methodological issue is defining when an NH serves a low versus high proportion of racially/ethnically diverse residents. Using the Minimum Data Set ... ...

    Abstract Racial/ethnic composition of nursing home (NH) plays a particularly important role in NH quality. A key methodological issue is defining when an NH serves a low versus high proportion of racially/ethnically diverse residents. Using the Minimum Data Set from 2015 merged with Certification and Survey Provider Enhanced Reports, we calculated the racial/ethnic composition of U.S.-based NHs for Black or Hispanic residents specifically, and a general Black, Indigenous, and People of Color (BIPOC) grouping for long-stay residents. We examined different definitions of having a high racial/ethnic composition by varying percentile thresholds of composition, state-specific and national thresholds, and restricting composition to BIPOC residents as well as only Black and Hispanic residents. NHs with a high racial/ethnic composition have different facility characteristics than the average NH. Based on this, we make suggestions for how to identify NHs with diverse racial/ethnic resident compositions.
    MeSH term(s) Humans ; Healthcare Disparities ; Nursing Homes ; Racial Groups ; Skilled Nursing Facilities ; United States
    Language English
    Publishing date 2022-11-20
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1232314-7
    ISSN 1552-6801 ; 1077-5587
    ISSN (online) 1552-6801
    ISSN 1077-5587
    DOI 10.1177/10775587221134870
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  5. Article ; Online: Reported Unmet Hearing Aid Need in Older People With Dementia: The US National Core Indicators Survey.

    Urbanski, Dana P / Wolf, Jack M / Langworthy, Benjamin W / Parikh, Romil R / Jutkowitz, Eric / Shippee, Tetyana P

    Journal of the American Medical Directors Association

    2024  Volume 25, Issue 5, Page(s) 853–859

    Abstract: Objectives: Hearing aids have important health benefits for older adults with Alzheimer disease and related dementias (ADRD); however, hearing aid adoption in this group is low. This study aimed to determine where to target hearing aid interventions for ...

    Abstract Objectives: Hearing aids have important health benefits for older adults with Alzheimer disease and related dementias (ADRD); however, hearing aid adoption in this group is low. This study aimed to determine where to target hearing aid interventions for American long-term care recipients with ADRD by examining the association of ADRD and residence type with respondent-reported unmet hearing aid need.
    Design, setting, and participants: This cross-sectional study used data from the United States National Core Indicators-Aging and Disabilities survey (2015-2019) for long-term care recipients aged ≥65 years.
    Methods: We used multivariable logistic regression to model the likelihood of reporting unmet hearing aid need conditional on ADRD status and residence type (own/family house or apartment, residential care, or nursing facility/home), adjusting for sociodemographic factors and response type (self vs proxy).
    Results: Of the 25,492 respondents [median (IQR) age, 77 (71, 84) years; 7074 (27.8%) male], 5442 (21.4%) had ADRD and 3659 (14.4%) owned hearing aids. Residence types were 17,004 (66.8%) own/family house or apartment, 4966 (19.5%) residential care, and 3522 (13.8%) nursing home. Among non-hearing aid owners, ADRD [adjusted odds ratio (AOR) 0.90, 95% CI 0.80-1.0] and residence type were associated with respondent-reported unmet hearing aid need. Compared to the nursing home reference group, respondents in their own/family home (AOR 1.85, 95% CI 1.61-2.13) and residential care (AOR 1.30, 95% CI 1.10-1.53) were more likely to report unmet hearing aid need. This pattern was significantly more pronounced in people with ADRD than in those without, stemming from an interaction between ADRD and residence type.
    Conclusions and implications: American long-term care recipients with ADRD living in their own/family home are more likely to report unmet hearing aid need than those with ADRD in institutional and congregate settings. This information can inform the design and delivery of hearing interventions for older adults with ADRD.
    MeSH term(s) Humans ; Hearing Aids/statistics & numerical data ; Aged ; Male ; Female ; United States ; Cross-Sectional Studies ; Aged, 80 and over ; Dementia/therapy ; Hearing Loss/therapy ; Health Services Needs and Demand ; Surveys and Questionnaires ; Long-Term Care
    Language English
    Publishing date 2024-04-18
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2171030-2
    ISSN 1538-9375 ; 1525-8610
    ISSN (online) 1538-9375
    ISSN 1525-8610
    DOI 10.1016/j.jamda.2024.03.107
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  6. Article ; Online: Nursing Home Resident Preferences for Daily Care and Activities: A Latent Class Analysis of National Data.

    Duan, Yinfei / Ng, Weiwen / Bowblis, John R / Akosionu, Odichinma / Shippee, Tetyana P

    The Gerontologist

    2023  Volume 64, Issue 2

    Abstract: Background and objectives: Uncovering subgroups of nursing home residents sharing similar preference patterns is useful for developing systematic approaches to person-centered care. This study aimed to (i) identify preference patterns among long-stay ... ...

    Abstract Background and objectives: Uncovering subgroups of nursing home residents sharing similar preference patterns is useful for developing systematic approaches to person-centered care. This study aimed to (i) identify preference patterns among long-stay residents, and (ii) examine the associations of preference patterns with resident and facility characteristics.
    Research design and methods: This study was a national cross-sectional analysis of Minimum Data Set assessments in 2016. Using resident-rated importance for 16 preference items in the Preference Assessment Tool as indicators, we conducted latent class analysis to identify preference patterns and examined their associations with resident and facility characteristics.
    Results: We identified 4 preference patterns. The high salience group (43.5% of the sample) was the most likely to rate all preferences as important, whereas the low salience group (8.7%) was the least likely. The socially engaged (27.2%) and the socially independent groups (20.6%) featured high importance ratings on social/recreational activities and maintaining privacy/autonomy, respectively. The high salience group reported more favorable physical and sensory function than the other 3 groups and lived in facilities with higher staffing of activity staff. The low salience and socially independent groups reported a higher prevalence of depressive symptoms, whereas the low salience or socially engaged groups reported a higher prevalence of cognitive impairment. Preference patterns also varied by race/ethnicity and gender.
    Discussion and implications: Our study advanced the understanding of within-individual variations in preferences, and the role of individual and environmental factors in shaping preferences. The findings provided implications for providing person-centered care in NHs.
    MeSH term(s) Humans ; Nursing Homes ; Cross-Sectional Studies ; Latent Class Analysis ; Patient Preference ; Patient-Centered Care
    Language English
    Publishing date 2023-07-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 216760-8
    ISSN 1758-5341 ; 0016-9013
    ISSN (online) 1758-5341
    ISSN 0016-9013
    DOI 10.1093/geront/gnad089
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  7. Article ; Online: Functional Limitations and Access to Long-Term Services and Supports Among Sexual Minority Older Adults.

    Travers, Jasmine L / Shippee, Tetyana P / Flatt, Jason D / Caceres, Billy A

    Journal of applied gerontology : the official journal of the Southern Gerontological Society

    2022  Volume 41, Issue 9, Page(s) 2056–2062

    Abstract: ... p = 0.013). Among those who reported having ADL/IADL limitations (n = 803), there were no ... sexual identity differences in accessing help for ADL/IADL limitations (p = .901). Discussion ...

    Abstract Objective: Little is known about sexual minority (SM) older adults' activities of daily living (ADL) and instrumental activities of daily living (IADL) limitations and their subsequent access to long-term services and supports (LTSS). Methods: We analyzed cross-sectional data from the 2016 Health and Retirement Study limited to individuals ≥50 years old. Bivariate analyses were performed to examine 1) sexual identity differences in the prevalence of ADL/IADL limitations and 2) associations of sexual identity with having ADL/IADL limitations and having access to help with ADL/IADL limitations. Results: Our sample consisted of 3833 older adults, 6% (n = 213) were SM. Compared to heterosexual participants, bisexual older adults had greater reports of ADL/IADL limitations (20.9% vs. 35.9%, p = 0.013). Among those who reported having ADL/IADL limitations (n = 803), there were no sexual identity differences in accessing help for ADL/IADL limitations (p = .901). Discussion: Our findings contribute to the limited research on LTSS access among SM older adults.
    MeSH term(s) Activities of Daily Living ; Aged ; Cross-Sectional Studies ; Humans ; Prevalence ; Retirement ; Sexual and Gender Minorities
    Language English
    Publishing date 2022-05-10
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 155897-3
    ISSN 1552-4523 ; 0733-4648
    ISSN (online) 1552-4523
    ISSN 0733-4648
    DOI 10.1177/07334648221099006
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  8. Article ; Online: Age Differences in Determinants of Self-Rated Health among Recipients of Publicly Funded Home-and-Community-Based Services.

    Duan, Yinfei / Shippee, Tetyana P / Baker, Zachary G / Olsen Baker, Mary

    Journal of aging & social policy

    2021  Volume 35, Issue 3, Page(s) 374–392

    Abstract: This research examined determinants of self-rated health (SRH) of publicly funded home-and-community-based services (HCBS) recipients and tested if the effects of determinants differ between older recipients and younger recipients with disabilities. ... ...

    Abstract This research examined determinants of self-rated health (SRH) of publicly funded home-and-community-based services (HCBS) recipients and tested if the effects of determinants differ between older recipients and younger recipients with disabilities. Using Minnesota's data of 2015-2016 National Core Indicators - Aging and Disabilities survey (n = 3,426), this study revealed that functional status and community inclusion had both direct and indirect effects on SRH, with negative mood as a mediator. Community inclusion had a more pronounced effect on SRH in younger recipients than in older recipients. HCBS should address psychosocial needs and be tailored for recipients of different age groups.
    MeSH term(s) Humans ; Aged ; Home Care Services ; Community Health Services ; Medicaid ; Disabled Persons ; Surveys and Questionnaires
    Language English
    Publishing date 2021-05-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 1046396-3
    ISSN 1545-0821 ; 0895-9420
    ISSN (online) 1545-0821
    ISSN 0895-9420
    DOI 10.1080/08959420.2021.1930815
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  9. Article ; Online: Quality of Life Scores for Nursing Home Residents are Stable Over Time: Evidence from Minnesota.

    Ng, Weiwen / Bowblis, John R / Duan, Yinfei / Akosionu, Odichinma / Shippee, Tetyana P

    Journal of aging & social policy

    2022  Volume 34, Issue 5, Page(s) 755–768

    Abstract: Quality of life (QoL) is important to nursing home (NH) residents, yet QoL is only publicly reported in a few states, in part because of concerns regarding measure stability. This study used QoL data from Minnesota, one of the few states that collects ... ...

    Abstract Quality of life (QoL) is important to nursing home (NH) residents, yet QoL is only publicly reported in a few states, in part because of concerns regarding measure stability. This study used QoL data from Minnesota, one of the few states that collects the measures, to test the stability of QoL over time. To do so, we assessed responses from two resident cohorts who were surveyed in subsequent years (2012-2013 and 2014-2015). Stability was measured using intra-class correlation (ICC) obtained from hierarchical linear models. Overall QoL had ICCs of 0.604 and 0.614, respectively. Our findings show that person-reported QoL has adequate stability over a period of one year. Findings have implications for higher adoption of person-reported QoL measure in long-term care.
    MeSH term(s) Humans ; Long-Term Care ; Minnesota ; Nursing Homes ; Quality of Life ; Surveys and Questionnaires
    Language English
    Publishing date 2022-01-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 1046396-3
    ISSN 1545-0821 ; 0895-9420
    ISSN (online) 1545-0821
    ISSN 0895-9420
    DOI 10.1080/08959420.2021.2022949
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  10. Article ; Online: Does Living in a Higher Proportion Minority Facility Improve Quality of Life for Racial/Ethnic Minority Residents in Nursing Homes?

    Shippee, Tetyana P / Ng, Weiwen / Bowblis, John R

    Innovation in aging

    2020  Volume 4, Issue 3, Page(s) igaa014

    Abstract: Background and objectives: 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.Yet, little is known about minority groups' experiences related to ...

    Abstract Background and objectives: 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.Yet, little is known about minority groups' experiences related to the quality of life (QOL). QOL is a person-centered measure, capturing multiple aspects of well-being. NH quality has been commonly measured using clinical care indicators, but there is growing recognition for the need to include QOL. This study examines the role of individual race/ethnicity, facility racial/ethnic composition, and the interaction of both for NH resident QOL.
    Research design and methods: We used a unique state-level data set that includes self-reported QOL surveys with a random sample of long-stay Minnesota NH residents, using a multidimensional measure of QOL. These surveys were linked to resident clinical data from the Minimum Dataset 3.0 and facility-level characteristics. Minnesota is one of the two states in the nation that collects validated QOL measures, linked to data on resident and detailed facility characteristics. We used mixed-effects models, with random intercepts to model summary QOL score and individual domains.
    Results: We identified significant racial disparities in NH resident QOL. Minority residents report significantly lower QOL scores than white residents, and NHs with higher proportion minority residents have significantly lower QOL scores. Minority residents have significantly lower adjusted QOL than white residents, whether they are in low- or high-minority facilities, indicating a remaining gap in individual care needs.
    Discussion and implications: The findings highlight system-level racial disparities in NH residents QOL, with residents who live in high-proportion minority NHs facing the greatest threats to their QOL. Efforts need to focus on reducing racial/ethnic disparities in QOL, including potential public reporting (similar to quality of care) and resources and attention to provision of culturally sensitive care in NHs to address residents' unique needs.
    Language English
    Publishing date 2020-06-05
    Publishing country England
    Document type Journal Article
    ISSN 2399-5300
    ISSN (online) 2399-5300
    DOI 10.1093/geroni/igaa014
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