Abstract:
:Policy research into the service needs of persons with dementia had its origin looking at challenges confronting caregivers-extended hours of instrumental task assistance, social isolation, fatigue, depression-and how public policy might support informal care-giving while saving public expenditures from nursing home care. This paper, drawing on the experience of the Medicare Alzheimer's Disease Demonstration and other work, provides suggestions for extending care and financing considerations to include health care use and the medical management of chronic health conditions. Basic research is needed to document current use and risk factors, as is experimentation with clinical and other interventions designed to achieve desired quality of care and cost outcomes. This section of the paper will be of direct interest to both US and international readers. The second half of the paper reviews the US state role in regulating and financing nursing homes, home and community-based care, and residential care. All these sectors have high rates of staff turnover, staff shortages, and concerns with quality of care. The international community and US states provide naturally occurring opportunities for delivery system experimentation and innovation. Research taking advantage of these opportunities could greatly inform public policy.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Newcomer RJ,Fox PJ,Harrington CAdoi
10.1080/713649997subject
Has Abstractpub_date
2001-05-01 00:00:00pages
124-137issue
sup1eissn
1360-7863issn
1364-6915journal_volume
5pub_type
杂志文章abstract:OBJECTIVES:With the process of population aging and urbanization, a vast amount of studies have confirmed the increasing urban-rural cognition gaps, while less is known about the extent to which cognition gaps can be explained by urban-rural difference and urbanization status. This study aimed to examine the role of ur...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2021.1872490
更新日期:2021-01-20 00:00:00
abstract:OBJECTIVES:To document the reliability, construct and nomological validity of the perceived Social Stigmatisation (STIG) scale in the older adult population. DESIGN:Cross-sectional survey. SETTING:Primary medical health services clinics. PARTICIPANTS:Probabilistic sample of older adults aged 65 years and over waitin...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.944092
更新日期:2015-01-01 00:00:00
abstract::Background and objectives: We explore the internal and external resources that older adults use to negotiate adversity and related to later life. We investigated the experiences older adults had with adversity and explored the factors that promote and protect resilience and the how these factors shaped the process of ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1594162
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:To investigate the characteristics of the caregiving experience according to age at onset of dementia to adapt support programs. METHOD:Fifty-seven spouse caregivers of persons with early-onset dementia (PEOD) and 93 spouse caregivers of persons with late-onset dementia (PLOD) participated. The characterist...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1339777
更新日期:2018-09-01 00:00:00
abstract::The purpose of this study was to determine how health impairment, socioeconomic status, and social support relate to life satisfaction in later life. Using data from a sample of 320 older adults from The Georgia Centenarian Study, we constructed a structural model of life satisfaction. LISREL analysis was performed to...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860600638388
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Identification of risk factors for the loss of meaning in life among older adults is needed. In this article, we test hypotheses derived from the Interpersonal Theory of Suicide concerning the role of perceptions that one is a burden on others as a risk factor for lower meaning in life. METHODS:A prospectiv...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2012.657156
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:Demonstrations of the effectiveness of interventions requires evidence that the model can be implemented with fidelity. Caregiving interventions that are tailored to the individual or family require flexibility, which adds some challenges to the assessment of fidelity. This paper outlines the components nece...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1647134
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:Existing research indicates that early life trauma increases the likelihood of depression in later life. This includes children who survived the Nazi Holocaust living in Israel today. For this study, we set out to examine whether early life trauma affects both levels of depression symptomatology and the rela...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1286458
更新日期:2018-05-01 00:00:00
abstract::This paper reviews the proposals from the Lord Chancellor's Department for new Mental Incapacity law for England and Wales as they may impact on older people with dementia. Various concerns and issues are raised, particularly from the perspective of health care professionals, and the focus is the interface between suc...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860120080279
更新日期:2001-11-01 00:00:00
abstract::Objective: This study set out to empirically identify joint health trajectories in individuals of advanced age. Predictors of subgroup allocation were investigated to identify the impact of psychological characteristics, stress, and socio-demographic variables on more favorable aging trajectories.Method: The sample co...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1584787
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:Care managers and professional caregivers of home care services are sometimes unaware of the psychosocial approaches to the challenging behaviour of dementia. Therefore, we developed a Behaviour Analytics & Support Enhancement (BASE) programme. We investigated the effects of the programme on the attitudes to...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1332160
更新日期:2018-08-01 00:00:00
abstract::Objectives: Humans often hold structured generalizations about themselves, which include attributes of qualities or characteristics they consider as important to their personal self-definitions. In this regard, holding one's age as an important defining personal category (high age awareness) was demonstrated to be con...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1566815
更新日期:2020-06-01 00:00:00
abstract::International policy initiatives have highlighted the need to include older lesbian, gay, bisexual and transgender (LGBT) issues in the provision of appropriate health and social care. However, empirical studies in the area remain sparse. The aim of this study was to investigate the experiences and needs of LGBT peopl...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2012.751583
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:Illness representations shape responses to illness experienced by the self or by others. The illness representations held by family members of those with long-term conditions such as dementia influence their understanding of what is happening to the person and how they respond and provide support. The aim of...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1128882
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES:The primary objective of this work is to report the observed changes in psychological well-being in a sample of long-term medically hospitalized patients, after attending a cognitive stimulation program. The secondary aim is to determine if the observed changes were related to previous cognitive level. METH...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1099033
更新日期:2017-01-01 00:00:00
abstract::Objectives: Hong Kong - Vigilance and Memory Test (HK-VMT) is developed to distinguish early cognitive impairment in the pre-symptomatic phase from normal cognitive ageing in older adults. The objectives were to validate HK-VMT to differentiate mild cognitive impairment (MCI) and healthy control (HC), and to explore t...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1523878
更新日期:2020-01-01 00:00:00
abstract::Objective: Older rural adults face a higher burden of Alzheimer's disease (AD) and delayed detection. This risk is heightened in rural populations that are ethnically diverse. Patients and providers are often hesitant to participate in screening, partially due to gaps in knowledge of the current science. The purpose o...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1584880
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:To validate a measure of social exclusion for older people based on one already in use for the general population. METHODS:A random sample of 2281 older adults (age ranged from 65 to 89; mean age = 74.9; 52.6% females) were successfully interviewed face-to-face at their homes. The structured questionnaire i...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1330870
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Few studies have measured the impact of dementia-related fear on daily functioning, despite its clinical relevance. Our aim was to determine the relationship between fear-avoidance of memory loss, perceived memory failures and self-reported quality of life in a community based sample of older adults using a ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1856780
更新日期:2020-12-09 00:00:00
abstract:OBJECTIVE:The intent of this exploratory qualitative study was to examine African American Baptist clergy's pastoral care to older congregants with mental disorders. Critical Race Theory was the guiding framework in this study. METHOD:A purposive sample of 18 African American clergy participated in one-on-one intervie...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1364343
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:The aim of the present study was to investigate the association between trait gratitude and loneliness in a Dutch population sample of adults over 40 years. In addition, the mediating role of psychological flexibility and engaged living between trait gratitude and loneliness was assessed. METHOD:A total sam...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1673309
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:The purpose of this quasi-experimental study was to evaluate the effectiveness of a videoconference intervention program in improving nursing home residents' social support, loneliness, and depressive status. METHODS:Fourteen nursing homes were selected from various areas of Taiwan by purposive sampling. El...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2010.501057
更新日期:2010-11-01 00:00:00
abstract::Many publications on dementia start by outlining the current estimated number of people with dementia and how that figure is going to double (in Western societies) or even quadruple (in developing countries) in the coming decades as a result of increasing life expectancy (in itself a good development). Dementia is the...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1783514
更新日期:2020-06-26 00:00:00
abstract:OBJECTIVE:Evidence points to an association between social and leisure activity (SLA) engagement and cognitive outcomes, but the mechanisms underlying this link remain unknown. We aimed to investigate three potential mechanisms: Vascular function, Perceived Stress, and Cognitive Reserve. METHODS:With data from 8163 ad...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1233935
更新日期:2018-01-01 00:00:00
abstract::This study describes what general practitioners (GPs) tell persons who appear to have dementia and their caregivers after assessment and to estimate the number of (in)correct disclosures and their determinants. In a prospective observational study 64 GPs were instructed to use the Dutch national dementia guideline on ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500310468
更新日期:2006-03-01 00:00:00
abstract::The present paper discusses recruitment of older African-Americans for a psycho-physiological study using the matching model of recruitment proposed by Levkoff, Levy, and Weitzman (2000). The hallmark of the model by Levkoff et al. is that there must be a match between research and minority communities' perspectives i...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607860500409781
更新日期:2006-05-01 00:00:00
abstract::Suicide rates are higher among older adults than any other age group and suicidal ideation is one of the best predictors of completed suicide in older adults. Despite this, few studies have evaluated predictors of suicidal ideation and other correlates of death by suicide (e.g. hopelessness) among older adults. Even f...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860801936714
更新日期:2008-01-01 00:00:00
abstract::Objectives: Preventing the onset of depression among older people in Japan requires clarifying the social determinants of depression by using longitudinal data, while also taking biological and psychological factors into account. Identification of such determinants may enable more active intervention through social po...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1496225
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:This study examined the relationship between the use of the Internet and the mental health status of older care-givers in Australia. METHODS:It utilized data obtained from a national health survey of a stratified random sample from the total population of people with disability, aged 60 years or older and ca...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802607306
更新日期:2009-07-01 00:00:00
abstract::Objectives: Retirement is not only an important later-life transition for the retiring individual, but also for his or her life partner. This study aims to improve our understanding of the partner's adjustment to the retirement of the older worker, by paying attention to the multidimensional nature of adjustment, and ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1501661
更新日期:2019-11-01 00:00:00