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Article ; Online: Profile of Caregiving Activities and Association With Physical Health Among Dementia Spousal Caregivers.

Cho, Jinmyoung / Sands, Laura P / Stevens, Alan B / Allore, Heather G / Horstman, Molly J

Innovation in aging

2024 Volume 8, Issue 3, Page(s) igae017

Abstract: Background and objectives: This study aims to identify patterns of caregiving intensity and assess associations between caregiving intensity and multidimensional physical health indicators and health behaviors among spousal caregivers of persons with ... ...

Abstract	Background and objectives: This study aims to identify patterns of caregiving intensity and assess associations between caregiving intensity and multidimensional physical health indicators and health behaviors among spousal caregivers of persons with Alzheimer's disease and related dementia. Research design and methods: Using data from 152 spousal caregivers aged 65 and older, the intensity of their caregiving experience was measured as the number and frequency of health- and medical-related helping activities for their care recipient. Multidimensional health indicators included self-reported fatigue, sleep disturbance, physical functioning, pain interference, general health, and the number of chronic conditions from the electronic health records. Self-reported health promotion behaviors were assessed as health responsibility, physical activity, nutrition, interpersonal relations, and stress management. Results: Two distinct caregiving intensity patterns, high-intensity (37.5%) and low-intensity (62.5%) caregiving, were identified with cluster analysis. Caregivers in the high-intensity caregiving cluster reported feeling more tired ( Discussion and implications: Future studies are needed to develop effective interventions to address caregiving intensity and its consequences on the health of spousal caregivers of persons with dementia.
Language	English
Publishing date	2024-02-15
Publishing country	England
Document type	Journal Article
ISSN	2399-5300
ISSN (online)	2399-5300
DOI	10.1093/geroni/igae017
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Analysis of Silver Alert Reporting System Activations for Missing Adults With Dementia in Texas, 2017 to 2022.

McDonald, Anthony D / Danesh, Valerie / Ray, John M / Stevens, Alan B

JAMA network open

2023 Volume 6, Issue 2, Page(s) e2255830

MeSH term(s)	Humans ; Adult ; Texas/epidemiology ; Dementia/epidemiology
Language	English
Publishing date	2023-02-01
Publishing country	United States
Document type	Journal Article
ISSN	2574-3805
ISSN (online)	2574-3805
DOI	10.1001/jamanetworkopen.2022.55830
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Article ; Online: Long-Term Care Market Trend and Patterns of Caregiving in the U.S.

Basu, Rashmita / Steiner, Adrienne C / Stevens, Alan B

Journal of aging & social policy

2021 Volume 34, Issue 1, Page(s) 20–37

Abstract: Informal care is a major source of long-term services and supports (LTSS) for older adults in the U.S. However, the increasing gap between available family caregivers and those needing LTSS in coming years warrants better understanding of the balance ... ...

Abstract	Informal care is a major source of long-term services and supports (LTSS) for older adults in the U.S. However, the increasing gap between available family caregivers and those needing LTSS in coming years warrants better understanding of the balance between informal and formal home or community-based LTSS to meet the growing demand. The current study aimed to 1) identify patterns of informal and formal LTSS use among community-dwelling individuals, and 2) examine if the supply of formal LTSS predicts the use of informal care. These aims were investigated by linking the market supply of formal LTSS at the state-level to the Health and Retirement Survey data (N = 7,781). Results provide important empirical evidence that patterns of informal and formal LTSS use among older adults are heterogeneous and market supply of formal home and community-based services (HCBS) significantly predicts the use of informal care. Most older adults rely on informal care in combination with some formal supports, suggesting that the two systems work in tandem to meet the growing needs of LTSS. This offers important implications for states allocating resources to meet the LTSS needs of older adults and individuals with disabilities since states play key roles in U.S. long-term care policies.
MeSH term(s)	Aged ; Caregivers ; Disabled Persons ; Home Care Services ; Humans ; Long-Term Care
Language	English
Publishing date	2021-05-21
Publishing country	England
Document type	Journal Article
ZDB-ID	1046396-3
ISSN	1545-0821 ; 0895-9420
ISSN (online)	1545-0821
ISSN	0895-9420
DOI	10.1080/08959420.2021.1926209
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Article ; Online: The impact of a nutrition counseling program on the use of hospital services for Meals on Wheels clients.

Cho, Jinmyoung / Marishak-Simon, Sherry / Smith, Donald R / Stevens, Alan B

Journal of prevention & intervention in the community

2021 Volume 51, Issue 3, Page(s) 225–237

Abstract: Home-delivered meals have shown considerable promise in overcoming nutritional challenges among homebound older adults facing food insecurity and the risk of diabetes, while nutrition counseling provides knowledge and skills for diabetes management. The ... ...

Abstract	Home-delivered meals have shown considerable promise in overcoming nutritional challenges among homebound older adults facing food insecurity and the risk of diabetes, while nutrition counseling provides knowledge and skills for diabetes management. The purpose of this study was to identify the impact of a program combining nutrition counseling with home-delivered meals by examining the use of hospital services 6 months before and after participating in the program. This study included 1009 clients who are at risk for diabetes and who received home-delivered meals and nutrition counseling via Meals on Wheels in Fort Worth, Texas. Hospital service data were extracted from a regional claims database. Generalized linear models were performed to examine changes in use of hospital services 6 months before and after program participation. The mean number of emergency department visits and hospitalizations decreased from 0.69 to 0.50 (
MeSH term(s)	Humans ; Aged ; Homebound Persons ; Hospitals ; Counseling ; Food Services
Language	English
Publishing date	2021-06-06
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1354884-0
ISSN	1540-7330 ; 1085-2352
ISSN (online)	1540-7330
ISSN	1085-2352
DOI	10.1080/10852352.2021.1930818
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Article ; Online: Peer-delivered motivational interviewing intervention for post-intensive care syndrome: A pilot of peer mentor training feasibility.

Danesh, Valerie / Boehm, Leanne M / Cuevas, Heather / Arroliga, Alejandro C / Stevens, Alan B

PM & R : the journal of injury, function, and rehabilitation

2022 Volume 15, Issue 6, Page(s) 805–807

MeSH term(s)	Humans ; Motivational Interviewing ; Mentors ; Feasibility Studies ; Critical Illness ; Pilot Projects
Language	English
Publishing date	2022-09-02
Publishing country	United States
Document type	Letter ; Research Support, N.I.H., Extramural
ZDB-ID	2608988-9
ISSN	1934-1563 ; 1934-1482
ISSN (online)	1934-1563
ISSN	1934-1482
DOI	10.1002/pmrj.12879
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Article: Impact of a transitional care program for heart failure patients at Baylor Scott & White Health: a pilot study.

Abraham, Sitara H / Beck, Heidi / Day, Jennifer / Brown, Grace / Eclavea-Phinney, Allyson / Barnes, Sunni A / Meyer, M Renee Umstattd / Hamilton, Christina N Bridges / Stevens, Alan B

Proceedings (Baylor University. Medical Center)

2024 Volume 37, Issue 2, Page(s) 212–217

Abstract: Heart failure is a chronic health condition characterized by complex symptom management and costly hospitalizations. Hospitalization for the treatment of heart failure symptoms is common; however, many hospitalizations are thought to be preventable with ... ...

Abstract	Heart failure is a chronic health condition characterized by complex symptom management and costly hospitalizations. Hospitalization for the treatment of heart failure symptoms is common; however, many hospitalizations are thought to be preventable with effective self-management. This study describes the small, pilot implementation of a new, interventional, self-management heart failure program, "Engagement in Heart Failure Care" (EHFC), developed to assist heart failure patients with the management of disease symptoms following discharge from an inpatient hospital stay. EHFC was designed to engage patients in managing their symptoms and coaching them in skills that enable them to access medical and supportive care services across community, clinic, and hospital settings to help address both their current and future needs. The results of this pilot study suggest that EHFC's coaching model may have positive benefits on key health and well-being indicators of the patients enrolled.
Language	English
Publishing date	2024-02-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2703932-8
ISSN	1525-3252 ; 0899-8280
ISSN (online)	1525-3252
ISSN	0899-8280
DOI	10.1080/08998280.2023.2299206
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Article ; Online: Exploring the Association of Metabolic Syndrome with In-Hospital Survival of Older Patients Hospitalized with COVID-19: Beyond Chronological Age.

Danesh, Valerie / Tellson, Alaina / Boehm, Leanne M / Stevens, Alan B / Ogola, Gerald O / Shrestha, Anisha / Cho, Jinmyoung / Jimenez, Edgar J / Arroliga, Alejandro C

Journal of general internal medicine

2024

Abstract: Background: Despite the variability and complexity of geriatric conditions, few COVID-19 reports of clinical characteristic prognostication provide data specific to oldest-old adults (over age 85), and instead generally report broadly as 65 and older.!## ...

Abstract	Background: Despite the variability and complexity of geriatric conditions, few COVID-19 reports of clinical characteristic prognostication provide data specific to oldest-old adults (over age 85), and instead generally report broadly as 65 and older. Objective: To examine metabolic syndrome criteria in adults across 25 hospitals with variation in chronological age. Design and participants: This cohort study examined 39,564 hospitalizations of patients aged 18 or older with COVID-19 who received inpatient care between March 13, 2020, and February 28, 2022. Exposure: ICU admission and/or in-hospital mortality. Main measures: Metabolic syndrome criteria and patient demographics were examined as risk factors. The main outcomes were admission to ICU and hospital mortality. Key results: Oldest old patients (≥ 85 years) hospitalized with COVID-19 accounted for 7.0% (2758/39,564) of all adult hospitalizations. They had shorter ICU length of stay, similar overall hospitalization duration, and higher rates of discharge destinations providing healthcare services (i.e., home health, skilled nursing facility) compared to independent care. Chronic conditions varied by age group, with lower proportions of diabetes and uncontrolled diabetes in the oldest-old cohort compared with young-old (65-74 years) and middle-old (75-84 years) groups. Evaluations of the effect of metabolic syndrome and patient demographics (i.e., age, sex, race) on ICU admission demonstrate minimal change in the magnitude of effect for metabolic syndrome on ICU admission across the different models. Conclusions: Metabolic syndrome measures are important individual predictors of COVID-19 outcomes. Building on prior examinations that metabolic syndrome is associated with death and ARDS across all ages, this analysis supports that metabolic syndrome criteria may be more relevant than chronological age as risk factors for poor outcomes attributed to COVID-19.
Language	English
Publishing date	2024-04-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	639008-0
ISSN	1525-1497 ; 0884-8734
ISSN (online)	1525-1497
ISSN	0884-8734
DOI	10.1007/s11606-024-08744-4
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Article ; Online: The community-based LIVE WELL Initiative: Improving the lives of older adults.

Stevens, Alan B / Cho, Jinmyoung / Thorud, Jennifer L / Abraham, Sitara / Ory, Marcia G / Smith, Donald R

Journal of prevention & intervention in the community

2021 Volume 51, Issue 3, Page(s) 205–224

Abstract: A collaborative partnership among community-based organizations (CBOs) could strengthen local services and enhance the capacity of a community to provide services as well as meet the diverse needs of older adults. The United Way of Tarrant County ... ...

Abstract	A collaborative partnership among community-based organizations (CBOs) could strengthen local services and enhance the capacity of a community to provide services as well as meet the diverse needs of older adults. The United Way of Tarrant County developed the LIVE WELL Initiative, partnering with six CBOs to provide nine evidence-based or evidence-informed health interventions to improve the health and lower healthcare costs of vulnerable individuals at risk for poor health. The nine programs include specific target areas, such as falls prevention, chronic disease self-management, medication management, and diabetes screening and education. A total of 63,102 clients, nearly 70% of whom were older adults, were served through the Initiative. Significant improvements in self-reported health status were observed among served clients. The percentage of clients reporting self-rated health as good, very good, and excellent increased from 47.5% at baseline to 61.1% at follow-up assessment. The mean healthy days improved from 16.9 days at baseline to 20.6 days at follow-up assessment. Additional improvements in program-specific outcomes demonstrated significant impacts of targeted intervention focus among served clients by program. The findings of this study emphasize that the impact of a collaborative partnership with multiple CBOs could promote health and well-being for older adults.
MeSH term(s)	Humans ; Aged ; Health Promotion ; Chronic Disease ; Self-Management
Language	English
Publishing date	2021-06-22
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	1354884-0
ISSN	1540-7330 ; 1085-2352
ISSN (online)	1540-7330
ISSN	1085-2352
DOI	10.1080/10852352.2021.1930821
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Article ; Online: Erratum to: Evaluation of REACH-TX: A Community-Based Approach to the REACH II Intervention.

Cho, Jinmyoung / Luk-Jones, Susanna / Smith, Donald R / Stevens, Alan B

Innovation in aging

2019 Volume 3, Issue 3, Page(s) igz041

Abstract: This corrects the article DOI: 10.1093/geroni/igz022.]. ...

Abstract	[This corrects the article DOI: 10.1093/geroni/igz022.].
Language	English
Publishing date	2019-11-14
Publishing country	England
Document type	Published Erratum
ISSN	2399-5300
ISSN (online)	2399-5300
DOI	10.1093/geroni/igz041
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Article ; Online: Evaluation of REACH-TX: A Community-Based Approach to the REACH II Intervention.

Cho, Jinmyoung / Luk-Jones, Susanna / Smith, Donald R / Stevens, Alan B

Innovation in aging

2019 Volume 3, Issue 3, Page(s) igz022

Abstract: Background and objectives: Family caregiving interventions have been proven efficacious at reducing dementia caregiver's stress and burden, yet translation of evidence-based interventions into community-based support service programs requires ... ...

Abstract	Background and objectives: Family caregiving interventions have been proven efficacious at reducing dementia caregiver's stress and burden, yet translation of evidence-based interventions into community-based support service programs requires modification to the original intervention protocol. In collaboration with community partners, the REACH-TX program was developed based on the REACH II (Resources for Enhancing Alzheimer's Caregiver Health) intervention. REACH-TX maintains the integrity of the multicomponent skill-based REACH II intervention but requires significantly fewer therapeutic contacts between the family caregiver and the dementia care specialist. This study presents an evaluation of REACH-TX implemented by the Alzheimer's Association North Central Texas Chapter. Research design and methods: REACH-TX was provided to 1,522 caregivers between November 2011 and December 2017. The number of therapeutic contacts scheduled for caregivers was determined by the Risk Appraisal Measure (RAM) and ranged from 1 to 23. The rate of follow-up data on outcome measures collected was 59.0% ( Results: Caregivers who completed the program showed significant improvements from baseline to 6 months on all five domains of quality of life, as evidenced by the follow-up data. Furthermore, caregivers who enrolled a second time in REACH-TX showed significant improvement in burden and social support scores. Discussion and implications: This evaluation of REACH-TX suggests that REACH II evidence-based intervention can be translated into a valuable and sustainable community-based service for family caregivers. Additional translational research is needed to overcome the challenges of conducting standardized outcome assessments of caregiving services.
Language	English
Publishing date	2019-08-23
Publishing country	England
Document type	Journal Article
ISSN	2399-5300
ISSN (online)	2399-5300
DOI	10.1093/geroni/igz022
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