Judith D Kasper
Biographic Data
| ID | 167563 |
|---|---|
| NAME | Judith D Kasper |
| GIVEN NAMES | Judith D |
| FAMILY NAME | Kasper |
| SIGNATURE | KASPER J D |
| AFFILIATIONS | Johns Hopkins University |
| VERIFIED | No |
| TOTAL WORKS | 39 |
| TOTAL CITATIONS | 137 |
| AUTHOR COUNT | 39 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1976 |
| LATEST PUBLICATION YEAR | 2021 |
| H-INDEX | 9 |
Incident Care Trajectories for Older Adults With and Without Dementia
Information on how family caregiving is likely to evolve over time in terms of care hours may help older adults with and without dementia, the family members, friends, and paid individuals who care for them, as well as their health care providers assess and plan for future care needs
Changes in Older Adults’ Social Contact During the Covid-19 Pandemic
The pandemic revealed the importance of ensuring that communication technologies to maintain social ties are available to and usable by older adults, particularly for those living in residential care settings
Comparing Survey-Based Frailty Assessment to Medicare Claims in Predicting Health Outcomes and Utilization in Medicare Beneficiaries
Objectives: To assess two models for the prediction of health utilization and functions using standardized in-person assessments of frailty and administrative claims-based geriatric risk measures among Medicare fee-for-service beneficiaries aged 65 years and above. Methods: Outcomes of hospitalizations, death, and functional help were investigated for participants in the 2011 National Health and Aging Trends Study. For each outcome, multivariable…
Change Over Time in Caregiving Networks for Older Adults With and Without Dementia
Findings lend support to the need for caregiver training on managing multiple task domains and-for dementia caregivers in particular-task-sharing skills. More generally, the design of new approaches to better support older adults and their caregivers should consider the complexity, heterogeneity, and change over time in caregiving networks
Short-Term Changes in the Prevalence of Probable Dementia: An Analysis of the 2011–2015 National Health and Aging Trends Study
Given the role of age and educational composition in short-term declines, the United States is likely to continue to experience short-term declines in dementia prevalence. However, persistently high rates among minority groups, especially of Hispanic origin, are concerning, and, barring new treatments, long-run trends may reverse course
A National Profile of Family and Unpaid Caregivers Who Assist Older Adults With Health Care Activities
IMPORTANCE: Family and unpaid caregivers commonly help older adults who are at high risk for poorly coordinated care. OBJECTIVE: To examine how caregivers' involvement in older adults' health care activities relates to caregiving responsibilities, supportive services use, and caregiving-related effects. DESIGN, SETTING, AND PARTICIPANTS: A total of 1739 family and unpaid caregivers of 1171 community-dwelling older adults with disabilities who par…
Measuring Physical Capacity: An Assessment of a Composite Measure Using Self-Report and Performance-Based Items
Self-report and performance measures have different strengths on the physical capacity spectrum. IRT provides a means of combining these different measurement approaches for analyses of physical capacity across a broad range of functioning in later life
Successful Aging Through Successful Accommodation With Assistive Devices
A focus on facilitating successful accommodation among those who experience declines in capacity may be an effective means of promoting participation and wellbeing in later life
The Disproportionate Impact Of Dementia On Family And Unpaid Caregiving To Older Adults
The number of US adults ages sixty-five and older who are living with dementia is substantial and expected to grow, raising concerns about the demands that will be placed on family members and other unpaid caregivers. We used data from the 2011 National Health and Aging Trends Study and its companion study, the National Study of Caregiving, to investigate the role of dementia in caregiving. We found that among family and unpaid caregivers to olde…
Harmonizing Measures of Cognitive Performance Across International Surveys of Aging Using Item Response Theory
IRT offers a feasible strategy for harmonizing cognitive performance measures across other surveys and for other multi-item constructs of interest in studies of aging. Practical implications depend on sample distribution and the difficulty mix of in-common and survey-specific items
Findings From the 1st Round of the National Health and Aging Trends Study (NHATS): Introduction to a Special Issue
Association Between Insomnia Symptoms and Functional Status in U.S. Older Adults
Among older adults, insomnia symptoms are associated with a greater odds of limitation in household activities and of restricted participation in valued activities. Insomnia interventions may improve functioning and quality of life among elders
Behavioral Adaptation and Late-Life Disability: A New Spectrum for Assessing Public Health Impacts
Objectives. To inform public health efforts to promote independent functioning among older adults, we have provided new national estimates of late-life disability that explicitly recognize behavioral adaptations. Methods. We analyzed the 2011 National Health and Aging Trends Study, a study of Medicare enrollees aged 65 years and older (n = 8077). For 7 mobility and self-care activities we identified 5 hierarchical stages—fully able, successful ac…
Opportunities for Studying Relationships Between Mobility and Health in Older Populations
In their article, Satariano et al. discuss the public health implications of modes of mobility and health in older populations.1 The authors highlight implications for practice and policy, and call for a longitudinal cohort study of mobility patterns that would provide comprehensive measures of age-related health and function as well as detailed information on mobility including walking, driving, and passenger transport. We applaud the call for r…
Measurement Equivalence in ADL and Iadl Difficulty Across International Surveys of Aging: Findings From the HRS, SHARE, and Elsa
Testing and adjusting for DIF is one means of minimizing measurement error in cross-national survey comparisons. IRT methods were used to evaluate potential measurement bias in disability comparisons across three international surveys of aging. The analysis also suggested DIF was mitigated for scales including both ADL and IADL and that summary indexes (counts of limitations) likely underestimate mean disability in these international populations
Stability and Changes in Living Arrangements: Relationship to Nursing Home Admission and Timing of Placement
Results suggest that stability of living arrangements in and of itself is not protective against institutionalization. Having options that allow one to change living arrangements over time in response to changing needs for assistance is of importance if the goal is to avoid institutional care or extend community residence prior to entry
Welfare Receipt Trajectories of African-American Women Followed for 30 Years
Family Caregiver Skills in Medication Management for Hospice Patients: A Qualitative Study to Define a Construct
The proposed construct of medication management skills in hospice will help guide future development of training interventions and clinical assessment tools
Living Arrangements During Childrearing Years and Later Health of African American Mothers
Using longitudinal data from the Woodlawn Project (N=680), this study examined how patterns of living arrangements among a community cohort of African American mothers were associated with later physical and emotional health. We identified eight patterns of stability and transition in living arrangements during the childrearing years. Health outcomes include SF-36 Physical Functioning, SF-36 Bodily Pain, depressed mood, and anxious mood. Specific…
Effects of Poverty and Family Stress Over Three Decades on the Functional Status of Older African American Women
Despite similar earlier life circumstances and health, there was substantial heterogeneity in functioning in early old age. Long-term poverty and family stress were strongly associated with being low functioning. Early poverty and transient family problems did not have lasting health effects, underscoring the plasticity of human development and the importance of interventions that can alter life course trajectories
Relationship of race and poverty to lower extremity function and decline: Findings from the women's health and aging study
Predictors of Voluntary Disenrollment From Medicare Managed Care
BACKGROUND: Prior research on selection bias in Medicare plans has demonstrated favorable enrollment of healthier beneficiaries, resulting in plan overpayment. However, total selection bias depends not only on who enrolls, but also on who disenrolls. Few studies examine selectivity in disenrollment; it is unclear how those who leave plans differ from those who remain. OBJECTIVE: The examination of health status and plan characteristics as potenti…
Caregivers of Frail Elders: Updating a National Profile
PURPOSE: Family caregivers comprise the backbone of long-term-care provision in the United States, yet little is known about how the composition and experience of family caregiving has changed over time. DESIGN AND METHODS: Data are drawn from the 1989 and 1999 National Long-Term Care Survey and Informal Caregiver Survey to develop nationally representative profiles of disabled older adults and their primary informal caregivers at two points in t…
Unmet Long-Term Care Needs: An Analysis of Medicare-Medicaid Dual Eligibles
People who are dually eligible for Medicare and Medicaid are the focus of fiscal struggles between federal and state governments. Drawing on a survey of community-based elderly "dual eligibles," this paper examines how well their medical and long-term care needs are being met under the current combination of Medicare and Medicaid policies. While few people report difficulty getting medical care, 58% of people needing long-term care (help with act…
Pragmatic and Internal Validity Issues in Sampling in Caregiver Studies: A Comparison of Population-Based, Registry-Based, and Ancillary Studies
Regardless of sampling frame, standard task-based inclusion criteria to define caregivers may enhance validity
Severity of Upper and Lower Extremity Functional Limitation: Scale Development and Validation With Self-Report and Performance-Based Measures of Physical Function
These scales, constructed from commonly used self-report measures of function, provide discrete measures of upper and lower functional limitation. Because these scales are distinct from measures of disability and impairment, their use should facilitate increased understanding of the disablement process
Change Over Time in Caregiving Networks for Older Adults With and Without Dementia
Findings lend support to the need for caregiver training on managing multiple task domains and-for dementia caregivers in particular-task-sharing skills. More generally, the design of new approaches to better support older adults and their caregivers should consider the complexity, heterogeneity, and change over time in caregiving networks
Effects of Poverty and Family Stress Over Three Decades on the Functional Status of Older African American Women
Despite similar earlier life circumstances and health, there was substantial heterogeneity in functioning in early old age. Long-term poverty and family stress were strongly associated with being low functioning. Early poverty and transient family problems did not have lasting health effects, underscoring the plasticity of human development and the importance of interventions that can alter life course trajectories
Changes in Older Adults’ Social Contact During the Covid-19 Pandemic
The pandemic revealed the importance of ensuring that communication technologies to maintain social ties are available to and usable by older adults, particularly for those living in residential care settings
Family Roles, Structure, and Stressors in Relation to Sex Differences in Obtaining Psychotropic Drugs
Gail Lee Cafferata, Judith Kasper, Amy Bernstein, Family Roles, Structure, and Stressors in Relation to Sex Differences in Obtaining Psychotropic Drugs, Journal of Health and Social Behavior, Vol. 24, No. 2 (Jun., 1983), pp. 132-143
Relationship of race and poverty to lower extremity function and decline: Findings from the women's health and aging study
Physical Disability and Social Interaction: Factors Associated with Low Social Contact and Home Confinement in Disabled Older Women (The Women's Health and Aging Study)
Physical disability is not necessarily socially disabling, as many of the most severely disabled in our study had at least daily social interaction. Improvements in social interaction appear possible through more effective management of certain health conditions and attention to potential sociocultural barriers
Measurement Equivalence in ADL and Iadl Difficulty Across International Surveys of Aging: Findings From the HRS, SHARE, and Elsa
Testing and adjusting for DIF is one means of minimizing measurement error in cross-national survey comparisons. IRT methods were used to evaluate potential measurement bias in disability comparisons across three international surveys of aging. The analysis also suggested DIF was mitigated for scales including both ADL and IADL and that summary indexes (counts of limitations) likely underestimate mean disability in these international populations
Black/White Differences in the Relationship between MMSE Scores and Disability: The Women's Health and Aging Study
The purpose of this article is to examine Black/White differences among older women in the relationship between physical functional difficulties and variations in cognitive status, measured within the low to high normal range of the Mini-Mental State Examination (MMSE). We studied 3,585 women with MMSE scores of 18 and above from a population-based random sample of 3,841 community-dwelling women aged 65 and older living in East Baltimore, Marylan…
Short-Term Changes in the Prevalence of Probable Dementia: An Analysis of the 2011–2015 National Health and Aging Trends Study
Given the role of age and educational composition in short-term declines, the United States is likely to continue to experience short-term declines in dementia prevalence. However, persistently high rates among minority groups, especially of Hispanic origin, are concerning, and, barring new treatments, long-run trends may reverse course
Stability and Changes in Living Arrangements: Relationship to Nursing Home Admission and Timing of Placement
Results suggest that stability of living arrangements in and of itself is not protective against institutionalization. Having options that allow one to change living arrangements over time in response to changing needs for assistance is of importance if the goal is to avoid institutional care or extend community residence prior to entry
Welfare Receipt Trajectories of African-American Women Followed for 30 Years
Successful Aging Through Successful Accommodation With Assistive Devices
A focus on facilitating successful accommodation among those who experience declines in capacity may be an effective means of promoting participation and wellbeing in later life
Behavioral Adaptation and Late-Life Disability: A New Spectrum for Assessing Public Health Impacts
Objectives. To inform public health efforts to promote independent functioning among older adults, we have provided new national estimates of late-life disability that explicitly recognize behavioral adaptations. Methods. We analyzed the 2011 National Health and Aging Trends Study, a study of Medicare enrollees aged 65 years and older (n = 8077). For 7 mobility and self-care activities we identified 5 hierarchical stages—fully able, successful ac…
Family Caregiver Skills in Medication Management for Hospice Patients: A Qualitative Study to Define a Construct
The proposed construct of medication management skills in hospice will help guide future development of training interventions and clinical assessment tools
Measuring Physical Capacity: An Assessment of a Composite Measure Using Self-Report and Performance-Based Items
Self-report and performance measures have different strengths on the physical capacity spectrum. IRT provides a means of combining these different measurement approaches for analyses of physical capacity across a broad range of functioning in later life
Association Between Insomnia Symptoms and Functional Status in U.S. Older Adults
Among older adults, insomnia symptoms are associated with a greater odds of limitation in household activities and of restricted participation in valued activities. Insomnia interventions may improve functioning and quality of life among elders
Living Arrangements During Childrearing Years and Later Health of African American Mothers
Using longitudinal data from the Woodlawn Project (N=680), this study examined how patterns of living arrangements among a community cohort of African American mothers were associated with later physical and emotional health. We identified eight patterns of stability and transition in living arrangements during the childrearing years. Health outcomes include SF-36 Physical Functioning, SF-36 Bodily Pain, depressed mood, and anxious mood. Specific…
Pragmatic and Internal Validity Issues in Sampling in Caregiver Studies: A Comparison of Population-Based, Registry-Based, and Ancillary Studies
Regardless of sampling frame, standard task-based inclusion criteria to define caregivers may enhance validity
Satisfaction With Support Given and Its Association With Subsequent Health Status
Our results demonstrate that level of satisfaction with support given to family or friends or the community is associated with future health of the older person
The Effect of Measurement Error on Differences in Hospital Expenditures
Differences in expenditures for medical care among various subgroups in the population according to age, income, residence, and ethnicity have important public policy implications. However, few efforts have been made to assess the extent to which these apparent differences among subgroups observed in social surveys may be influenced by measurement error. This paper provides a framework for examining the impact of various kinds of error including …
Total Survey Error
Family Roles, Structure, and Stressors in Relation to Sex Differences in Obtaining Psychotropic Drugs
Gail Lee Cafferata, Judith Kasper, Amy Bernstein, Family Roles, Structure, and Stressors in Relation to Sex Differences in Obtaining Psychotropic Drugs, Journal of Health and Social Behavior, Vol. 24, No. 2 (Jun., 1983), pp. 132-143
Family Structure and Children??s Use of Ambulatory Physician Services
The purpose of this article is to examine children's use of ambulatory physician services in relation to three dimensions of family life: maternal employment, single-parent versus two-parent households, and the presence of a nuclear or extended family. Data from the National Medical Care Expenditure Survey show that maternal employment has no relationship to children's experience of disability days, and although children of mothers employed full-…
The Importance of Type of Usual Source of Care for Children??s Physician Access and Expenditures
Despite the overall improvement in access to medical care for low-income people, differences in access to care by income levels remain for children. One reason may be the types of places low-income children often go for care. This paper examines the importance of type of usual source of care-physician's office versus hospital outpatient/emergency room sites and the potential mitigating influence of a specific physician as caregiver at these sites…
Sociological gains and losses: The case of the national health care use and expenditure surveys
Biased Selection and Regression toward the Mean in Three Medicare HMO Demonstrations: A Survival Analysis of Enrollees and Disenrollees
Mortality of aged Medicare enrollees in three demonstration health maintenance organizations (HMOs) was compared with that of three cohorts of local fee-for-service (FFS) beneficiaries as a measure of group differences in health status. Mortality of the HMO and FFS cohorts was tracked via life-table analysis for 6 years after enrollment to measure the persistence of health status differences existing at enrollment. After adjustment for age, sex, …
Satisfaction with Medical Care among Elderly People in Fee-for-Service Care and an HMO
This study investigates satisfaction with care among elderly Medicare beneficiaries enrolled in a health maintenance organization (HMO) and beneficiaries in fee-for-service (FFS) care in the same geographic area. Satisfaction with two dimensions of care, access/quality and costs, are examined, to investigate differences in enrollee/FFS evaluation of these dimensions of care as well as predictors of satisfaction with care. In addition, satisfactio…
Caregiver Role Appraisal and Caregiver Tasks as Factors in Ending Caregiving
This study focuses on factors related to why people with primary responsibility for providing care to ADL-impaired elderly persons ended their caregiving roles. Data are from the 1982 National Long-Term Care Survey and the Informal Caregiver Survey. Variables reflecting characteristics of care recipients and caregivers, caregiver role responsibilities, and appraisal of the caregiver role are investigated. Of particular interest is the influence o…
Physical Disability and Social Interaction: Factors Associated with Low Social Contact and Home Confinement in Disabled Older Women (The Women's Health and Aging Study)
Physical disability is not necessarily socially disabling, as many of the most severely disabled in our study had at least daily social interaction. Improvements in social interaction appear possible through more effective management of certain health conditions and attention to potential sociocultural barriers
Black/White Differences in the Relationship between MMSE Scores and Disability: The Women's Health and Aging Study
The purpose of this article is to examine Black/White differences among older women in the relationship between physical functional difficulties and variations in cognitive status, measured within the low to high normal range of the Mini-Mental State Examination (MMSE). We studied 3,585 women with MMSE scores of 18 and above from a population-based random sample of 3,841 community-dwelling women aged 65 and older living in East Baltimore, Marylan…
Severity of Upper and Lower Extremity Functional Limitation: Scale Development and Validation With Self-Report and Performance-Based Measures of Physical Function
These scales, constructed from commonly used self-report measures of function, provide discrete measures of upper and lower functional limitation. Because these scales are distinct from measures of disability and impairment, their use should facilitate increased understanding of the disablement process
Satisfaction With Support Given and Its Association With Subsequent Health Status
Our results demonstrate that level of satisfaction with support given to family or friends or the community is associated with future health of the older person
Im Buch stabt das Trauma. Verschränkungen zwischen Freud und Perec
Pragmatic and Internal Validity Issues in Sampling in Caregiver Studies: A Comparison of Population-Based, Registry-Based, and Ancillary Studies
Regardless of sampling frame, standard task-based inclusion criteria to define caregivers may enhance validity
Unmet Long-Term Care Needs: An Analysis of Medicare-Medicaid Dual Eligibles
People who are dually eligible for Medicare and Medicaid are the focus of fiscal struggles between federal and state governments. Drawing on a survey of community-based elderly "dual eligibles," this paper examines how well their medical and long-term care needs are being met under the current combination of Medicare and Medicaid policies. While few people report difficulty getting medical care, 58% of people needing long-term care (help with act…
Caregivers of Frail Elders: Updating a National Profile
PURPOSE: Family caregivers comprise the backbone of long-term-care provision in the United States, yet little is known about how the composition and experience of family caregiving has changed over time. DESIGN AND METHODS: Data are drawn from the 1989 and 1999 National Long-Term Care Survey and Informal Caregiver Survey to develop nationally representative profiles of disabled older adults and their primary informal caregivers at two points in t…
Predictors of Voluntary Disenrollment From Medicare Managed Care
BACKGROUND: Prior research on selection bias in Medicare plans has demonstrated favorable enrollment of healthier beneficiaries, resulting in plan overpayment. However, total selection bias depends not only on who enrolls, but also on who disenrolls. Few studies examine selectivity in disenrollment; it is unclear how those who leave plans differ from those who remain. OBJECTIVE: The examination of health status and plan characteristics as potenti…
Effects of Poverty and Family Stress Over Three Decades on the Functional Status of Older African American Women
Despite similar earlier life circumstances and health, there was substantial heterogeneity in functioning in early old age. Long-term poverty and family stress were strongly associated with being low functioning. Early poverty and transient family problems did not have lasting health effects, underscoring the plasticity of human development and the importance of interventions that can alter life course trajectories
Relationship of race and poverty to lower extremity function and decline: Findings from the women's health and aging study
Welfare Receipt Trajectories of African-American Women Followed for 30 Years
Family Caregiver Skills in Medication Management for Hospice Patients: A Qualitative Study to Define a Construct
The proposed construct of medication management skills in hospice will help guide future development of training interventions and clinical assessment tools
Living Arrangements During Childrearing Years and Later Health of African American Mothers
Using longitudinal data from the Woodlawn Project (N=680), this study examined how patterns of living arrangements among a community cohort of African American mothers were associated with later physical and emotional health. We identified eight patterns of stability and transition in living arrangements during the childrearing years. Health outcomes include SF-36 Physical Functioning, SF-36 Bodily Pain, depressed mood, and anxious mood. Specific…
Stability and Changes in Living Arrangements: Relationship to Nursing Home Admission and Timing of Placement
Results suggest that stability of living arrangements in and of itself is not protective against institutionalization. Having options that allow one to change living arrangements over time in response to changing needs for assistance is of importance if the goal is to avoid institutional care or extend community residence prior to entry
Measurement Equivalence in ADL and Iadl Difficulty Across International Surveys of Aging: Findings From the HRS, SHARE, and Elsa
Testing and adjusting for DIF is one means of minimizing measurement error in cross-national survey comparisons. IRT methods were used to evaluate potential measurement bias in disability comparisons across three international surveys of aging. The analysis also suggested DIF was mitigated for scales including both ADL and IADL and that summary indexes (counts of limitations) likely underestimate mean disability in these international populations
Medicine (33 works) · Psychology (30 works) · Gerontology (22 works) · Health disparities and outcomes (16 works) · Geriatric Care and Nursing Homes (13 works) · Health care (10 works) · Nursing (10 works) · Intergenerational Family Dynamics and Caregiving (9 works) · Political science (9 works) · Environmental health (8 works)