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The Roger C. Lipitz Center for Integrated Health Care

Keyword: caregiving

Do Caregiving Factors Affect Hospitalization Risk Among Disabled Older Adults?

A study led by Halima Amjad and co-authors John MulcahyJudith KasperJulia Burgdorf, David Roth, Ken Covinsky, and Jennifer Wolff in the Journal of the American Geriatrics Society examined a nationally representative cohort of older adults with disabilities. Increased risk of hospitalization at 12 months was associated with having a primary caregiver who helped with healthcare tasks, reported physical strain, and provided more than 40 hours of care weekly. The findings suggest that hospitalization risk reduction strategies may benefit from understanding and addressing caregiving circumstances. Read more

Stress, Burden, and Well-Being in Dementia and Non-Dementia Caregivers: Insights from the Caregiving Transitions Study.

In a study led by Orla Sheehan and co-authors William Haley, Virginia Howard, Jin Huang, David Rhodes, and David Roth published in the Gerontologist found that dementia caregivers reported higher appraisals of stress and burden, and more depressive symptoms, but did not differ from non-dementia caregivers on mental and physical health quality of life. Clinical interventions and policy changes targeting highly burdened caregivers are needed to support them in allowing their care recipients to age in place at home. Read more

Association between treatment by Fraud and Abuse Perpetrators and Health Outcomes Among Medicare Beneficiaries

Study by Lauren Nicholas, Caroline Hanson, Jodi Segal, and Matthew Eisenberg examines the relationship between health outcomes of Medicare beneficiaries who are treated by healthcare providers with a record of fraud and abuse in their practice. Findings show higher likelihood of emergency hospitalization and mortality in adults who receive care from these perpetrators compared to other Medicare beneficiaries who receive care from healthcare providers without record of fraud and abuse. The worsened health outcomes among one group of Medicare beneficiaries in relationship to the standing of their healthcare provider has great implications on future work regarding both cost minimization and promoting healthier outcomes in the Medicare system. ...Read More

Change Over Time in Caregiving Networks for Older Adults With and Without Dementia

Article by Brenda Spillman, Vicki Freedman, Judith Kasper and Jennifer Wolff provides national estimates of caregiving networks for older adults with and without dementia and examine how these networks develop over time. Most prior research has focused on primary caregivers and rarely on change over time....Read More

Spousal Caregivers Are Caregiving Alone In The Last Years Of Life.

This nationally representative study of older adults in the US found that people frequently serve as the only caregiver for their spouse during the last years of life. The majority of spouses who provided care at home in the last years of life did not receive any support—paid or unpaid—for self-care or household tasks....Read More

Care Arrangements of Older Adults: What They Prefer, What They Have, and Implications for Quality of Life

Study by Dr. Judith Kasper, Dr. Jennifer Wolff & Maureen Skehan in The Gerontologist finds that overall, about 9 of 10 older persons view in-home care with caregivers and assisted living as the best care options....Read More

Does Caregiving Strain Increase as Patients with and without Dementia Approach the End of Life?

Family caregivers are critically important in dementia care. However, when demands exceed capacity, caregiving can impose role-related strain. A study finds that dementia caregivers report significantly higher strain than non-dementia caregivers, and this is even more pronounced for the caregiver near the end of the patient’s life....Read More

Pragmatic trial to Improve Communication for Primary Care Patients with ADRD: R61AG061882

Advance care planning (ACP) is a communication process that supports adults at any age or stage of health in understanding and sharing their personal values, life goals, and preferences regarding future medical care. A new study will refine and test an ACP intervention for older adults with Alzheimer’s Disease and Related Dementias through engagement of family....Read More

The Disproportionate Impact of Dementia on Family and Unpaid Caregiving to Older Adults

Judith D. Kasper, Vicki A. Freedman, Brenda C. Spillman and Jennifer L. Wolff 

The costs and consequences of dementia in the United States are large and will continue to increase in the coming years as the population ages and growing numbers of individuals attain very old age. ...Read More