The need for evidence-based non-pharmacological community programs to improve care of older adults with dementia is self-evident, considering the sheer numbers of affected individuals; the emotional, physical, and financial toll on affected individuals and their caregivers; the impact on our health care system; and the growing availability of…

Purpose: To evaluate the impact of a multicomponent health promotion and disease self-management intervention on physical function and health care expenditures among Medicare beneficiaries. To determine if these outcomes vary by urban or rural residence. Design and Methods: We analyzed data from a 22-month randomized controlled trial of a health…

Examined the relationship of age and trust to perceived safety from crime among 891 rural residents from a statewide victim study. Trust was found to be a more important predictor of perceived safety than age, isolation, and income. Age had a direct, independent effect on perceived safety. (Author/NRB)

Examined demographic profiles of older wards and their guardians and adjudication process, as experienced by older persons placed in legal guardianship. Found that family members' petitions for guardianship were seldom challenged by older person and goal of most guardianship cases was to preserve older individual's estate. Suggests that state…

Purpose: This study assessed the extent of different types of abuse, repeated and multiple abuse experiences among women aged 60 and older, and their effects on the women's self-reported health. Design and Methods: A cross-sectional study of a clinical sample of 842 community-dwelling women aged 60 and older completed a telephone survey about type…

Empirical evidence of tax shelter usage is sparse. These data add weight to earlier concerns about whether tax incentives to save for retirement benefit upper-income groups more than middle- and lower-income groups and present the importance of different sources of income in providing retirement funds for this group. (Author/RC)

Purpose: The purpose of this project was to develop a reliable and valid family satisfaction instrument for use in Ohio's nursing homes. Design and Methods: Investigators worked with an advisory council to develop the survey. Purposive sampling techniques were largely used to select 12 small, medium, and large for-profit and proprietary facilities…

Ohio's initiative in geriatric education shows that the federal government need not be the initiator in charting new directions. Diversity of medical education and practice can be an asset. The Ohio model provides a replicable means of transition and holds great promise for other states. (Author)

Purpose: We estimated the effect of a voucher benefit on the demand for personal assistance by Medicare beneficiaries aged 65 years or older who had functional disabilities. Design and Methods: We performed a secondary data analysis on 645 Medicare beneficiaries from the Medicare Primary and Consumer-Directed Care Demonstration (a randomized…