Alan M Jette
Biographic Data
| ID | 1728020 |
|---|---|
| NAME | Alan M Jette |
| GIVEN NAMES | Alan M |
| FAMILY NAME | Jette |
| SIGNATURE | JETTE A M |
| AFFILIATIONS | Boston University |
| ORCID | 0000-0002-2117-9973 |
| VERIFIED | Yes |
| TOTAL WORKS | 39 |
| TOTAL CITATIONS | 803 |
| AUTHOR COUNT | 39 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1979 |
| LATEST PUBLICATION YEAR | 2021 |
| H-INDEX | 11 |
Demographic and functional differences among social security disability claimants
Determining a transitional scoring link between PROMIS® pediatric and adult physical health measures
Development of the life impact burn recovery evaluation (Libre) profile
Improving measures of work-related physical functioning
Linkage between the PROMIS® pediatric and adult emotional distress measures
Validation of the Community Integration Questionnaire in the adult burn injury population
An examination of the PROMIS® pediatric instruments to assess mobility in children with cerebral palsy
An appreciation of Dr. Stephen M. Haley, PT, PhD, Fapta
Replenishing a computerized adaptive test of patient-reported daily activity functioning
Activity Outcome Measurement for Postacute Care
BACKGROUND: Efforts to evaluate the effectiveness of a broad range of postacute care services have been hindered by the lack of conceptually sound and comprehensive measures of outcomes. It is critical to determine a common underlying structure before employing current methods of item equating across outcome instruments for future item banking and computer-adaptive testing applications. OBJECTIVE: To investigate the factor structure, reliability,…
Reliability and validity of the Functional Status Questionnaire
The Home Care Satisfaction Measure
In the increasingly important area of home care, the HCSM is the first measure developed on the basis of the views of older consumers that also meets standard psychometric criteria. The HCSM provides a consumer-based indicator of quality and can be used to examine changes in satisfaction over time and differences among providers or within a single agency
Exercise--it's never too late
OBJECTIVES: This investigation determined whether an in-home resistance training program achieved health benefits in older adults with disabilities. METHODS: A randomized controlled trial compared the effects of assigning 215 older persons to either a home-based resistance exercise training group or a waiting list control group. Assessments were conducted at baseline and at 3 and 6 months following randomization. The program consisted of videotap…
Intensity and Correlates of Fear of Falling and Hurting Oneself in the Next Year
Fear of falling is highly prevalent and associated with restricted activity. To help inform design of interventions, the authors examined the correlates of this fear. Data came from baseline information on subjects in a community-based falls intervention study (N = 392). In a multivariate model, lower levels of fear of falling and hurting oneself in the next year were related to being younger, having higher levels of dysfunction, and having lower…
Fear of Falling and Activity Restriction
A new instrument was developed to assess the role of fear of falling in activity restriction. The instrument assesses fear of falling during performance of 11 activities, and gathers information about participation in these activities as well as the extent to which fear is a source of activity restriction. The instrument demonstrated good internal consistency reliability and showed convergent validity with other fear of falling measures. Concurre…
A Randomized, Controlled Trial of a Group Intervention to Reduce Fear of Falling and Associated Activity Restriction in Older Adults
A randomized, single-blind controlled trial was conducted to test the efficacy of a community-based group intervention to reduce fear of falling and associated restrictions in activity levels among older adults. A sample of 434 persons age 60+ years, who reported fear of falling and associated activity restriction, was recruited from 40 senior housing sites in the Boston metropolitan area. Data were collected at baseline, and at 6-week, 6-month, …
Disablement Outcomes in Geriatric Rehabilitation
Until recently, knowledge in the field of geriatric rehabilitation has been based largely on empirical findings. There is a need for greater conceptual clarity about major disablement outcomes to provide a foundation for future theoretical research. Disablement terms promulgated by the World Health Organization's (WHO) International Classification of Impairments Disabilities and Handicaps (ICIDH) are reviewed and compared with those of an alterna…
Consequences of Success
These cross-sectional data obtained from a probability sample of New England elders show that subjects who retained higher numbers of teeth have more periodontal disease and dental caries experience, and visit the dentist more frequently
Disentangling the Disablement Process
A model was proposed to assess the premise that functional limitations are an intermediary stage between risk factors (e.g., sex and frequency of walking a mile), pathology/impairments (e.g., musculoskeletal problems), and the onset and course of Instrumental Activities of Daily Living (IADL) disability. Analyses were based on two random subsamples (each with n = 524) of Longitudinal Study of Aging respondents who were nondisabled at baseline (19…
How Does Formal and Informal Community Care Affect Nursing Home Use
We examined the effects of informal and formal community care on the 6-year risk of nursing home use in a representative sample of disabled elders. Increased risk was associated with receiving formal community services and with caregiver burnout. There was a modest reduction in risk of using a nursing home among those receiving greater amounts of informal care. Elders with male caregivers were at over twice the risk of using a nursing home than t…
Understanding Dental Service Use by Older Adults
Perceived need and attitudes toward dental care are important influences on use of care. Older persons must be convinced of the importance of regular dental care
The Distribution of Root Caries in Community‐dwelling Elders in New England
An in-home examination of a probability sample of elders aged 70 and older living in the six New England states was conducted to estimate the prevalence and extent of root caries. Oral examinations were conducted by the visual-tactile method using a portable lamp, explorer, and a mouth mirror. Fifty-two percent of the study participants showed root caries experience and 22 percent had untreated root caries. In contrast to previous studies, this a…
How measurement techniques influence estimates of disability in older populations
The disablement process
The physical activity scale for the elderly (Pase)
The disablement process
Disentangling the Disablement Process
A model was proposed to assess the premise that functional limitations are an intermediary stage between risk factors (e.g., sex and frequency of walking a mile), pathology/impairments (e.g., musculoskeletal problems), and the onset and course of Instrumental Activities of Daily Living (IADL) disability. Analyses were based on two random subsamples (each with n = 524) of Longitudinal Study of Aging respondents who were nondisabled at baseline (19…
A prospective study of long-term care institutionalization among the aged
A statewide probability sample of 1,625 elders living in Massachusetts are studied prospectively to identify key determinants of long-term care (LTC) institutionalization. One-hundred forty-seven elders, 9 per cent of the original cohort, entered a LTC institution during the six-year investigation. Using logistic multiple regression, we examine the predictive power of 19 independent variables grouped into six categories: demographic characteristi…
How Does Formal and Informal Community Care Affect Nursing Home Use
We examined the effects of informal and formal community care on the 6-year risk of nursing home use in a representative sample of disabled elders. Increased risk was associated with receiving formal community services and with caregiver burnout. There was a modest reduction in risk of using a nursing home among those receiving greater amounts of informal care. Elders with male caregivers were at over twice the risk of using a nursing home than t…
How measurement techniques influence estimates of disability in older populations
Nutrition and health risks in the elderly
OBJECTIVES. The Nutrition Screening Initiative is a national collaborative effort committed to the identification and treatment of nutritional problems in older persons. METHODS. A 14-item checklist of characteristics associated with nutritional status was administered to a random sample of Medicare beneficiaries, aged 70 years and older, in New England. Regression analysis was used to derive item weights that would predict poor nutrient intakes …
The Framingham Disability Study
The Framingham Disability Study (FDS), a recent component of the Heart Disease Epidemiological Study in Framingham, Massachusetts, was designed to investigate the nature and magnitude of disability among non-institutionalized elderly. From September 1976 through November 1978, 2,654 individuals aged 55 to 84 years from the original Framingham cohort were interviewed in person or by telephone (94 per cent of the potential participant pool). The fi…
A Randomized, Controlled Trial of a Group Intervention to Reduce Fear of Falling and Associated Activity Restriction in Older Adults
A randomized, single-blind controlled trial was conducted to test the efficacy of a community-based group intervention to reduce fear of falling and associated restrictions in activity levels among older adults. A sample of 434 persons age 60+ years, who reported fear of falling and associated activity restriction, was recruited from 40 senior housing sites in the Boston metropolitan area. Data were collected at baseline, and at 6-week, 6-month, …
The Home Care Satisfaction Measure
In the increasingly important area of home care, the HCSM is the first measure developed on the basis of the views of older consumers that also meets standard psychometric criteria. The HCSM provides a consumer-based indicator of quality and can be used to examine changes in satisfaction over time and differences among providers or within a single agency
Fear of Falling and Activity Restriction
A new instrument was developed to assess the role of fear of falling in activity restriction. The instrument assesses fear of falling during performance of 11 activities, and gathers information about participation in these activities as well as the extent to which fear is a source of activity restriction. The instrument demonstrated good internal consistency reliability and showed convergent validity with other fear of falling measures. Concurre…
Personal health practices and mortality among the elderly
Research on young and middle-aged adults has demonstrated a correlation between certain personal health practices and reduced mortality. This investigation examines the generalizability of these findings to elders who have survived into their seventh and eighth decades. Using data from the Massachusetts Health Care Panel Study, we examined the association of physical activity, cigarette smoking, hours of sleep, alcohol consumption, and number of …
The Framingham Disability Study
The Framingham Disability Study (FDS), a recent component of the Heart Disease Epidemiological Study in Framingham, Massachusetts, was designed to investigate the nature and magnitude of disability among mon-institutionalized aging adults. From September 1976, through November 1978, 2,654 individuals aged 55 to 84 years from the original cohort were interviewed in person or by telephone (94 per cent of the potential participant pool). This paper …
Functional limitations and disability among elders in the Framingham Study
BACKGROUND. The measurement of physical disability as an indication of the impact of disease is commonly seen in research. However, these measures often do not clearly differentiate between functional limitations and daily performance of an activity. METHODS. We measured the differences between self-reported disability and observed functional limitations in six activities of daily living tasks among community-dwelling elders. The value of functio…
Stability of Informal Long-Term Care
Driven by projections of increasing needs for long-term care coupled with changing social trends, fear of family abandonment of caregiving has persisted. Data from two longitudinal studies confirm that informal caregivers are not withdrawing their help. Not only were family and friends the first source of assistance, but they also continued to be the primary source of care over 10 years. Further, although the majority of elders retained the same …
The Framingham Disability Study
The relation between coronary heart disease and disability was examined in 2,576 community-dwelling women and men ages 55-88 years. These Framingham Study participants were originally recruited in 1948-51 for an examination of cardiovascular disease. Twenty-seven years later, remaining members of the cohort were interviewed to ascertain physical abilities, and a score on a disability scale was assigned. Multivariate logistic analyses examined dis…
Exercise--it's never too late
OBJECTIVES: This investigation determined whether an in-home resistance training program achieved health benefits in older adults with disabilities. METHODS: A randomized controlled trial compared the effects of assigning 215 older persons to either a home-based resistance exercise training group or a waiting list control group. Assessments were conducted at baseline and at 3 and 6 months following randomization. The program consisted of videotap…
Using Age-Neutral Physical Activity Questionnaires in Research with the Elderly
We compared physical activity levels reported on an age-neutral questionnaire with physical activity estimates derived from a 3-day activity diary in 123 community-dwelling volunteers age 65-91 years. On average, the questionnaire data underestimated the amount of time spent in physical activity by approximately 2 hours and 45 minutes per day. The magnitude of the absolute reporting error was small for the most strenuous activity category (approx…
Intensity and Correlates of Fear of Falling and Hurting Oneself in the Next Year
Fear of falling is highly prevalent and associated with restricted activity. To help inform design of interventions, the authors examined the correlates of this fear. Data came from baseline information on subjects in a community-based falls intervention study (N = 392). In a multivariate model, lower levels of fear of falling and hurting oneself in the next year were related to being younger, having higher levels of dysfunction, and having lower…
Tobacco use
OBJECTIVES. Because the public health literature contains few analytic studies of modifiable behavioral risk factors for dental disease among older community-dwelling populations, the New England Elders Dental Study was undertaken as an epidemiologic study of the oral health status of a representative sample of older adults living within the six New England states. METHODS. Five dentists conducted comprehensive in-home oral health examinations on…
Psychosocial Determinants of Immunization Behavior in a Swine Influenza Campaign
A prospective design was used to study factors which predisposed individuals to receive vaccination in response to the anticipated outbreak of swine influenza in the fall and winter of 1976. Data were obtained from a telephone survey of 286 adults in Oakland County, Michigan. Predictor variables included Health Belief Model (HBM) variables as well as measures of behavioral intention, social influence, physician's advice, socioeconomic status and …
The Framingham Disability Study
The Framingham Disability Study (FDS), a recent component of the Heart Disease Epidemiological Study in Framingham, Massachusetts, was designed to investigate the nature and magnitude of disability among mon-institutionalized aging adults. From September 1976, through November 1978, 2,654 individuals aged 55 to 84 years from the original cohort were interviewed in person or by telephone (94 per cent of the potential participant pool). This paper …
The Framingham Disability Study
The Framingham Disability Study (FDS), a recent component of the Heart Disease Epidemiological Study in Framingham, Massachusetts, was designed to investigate the nature and magnitude of disability among non-institutionalized elderly. From September 1976 through November 1978, 2,654 individuals aged 55 to 84 years from the original Framingham cohort were interviewed in person or by telephone (94 per cent of the potential participant pool). The fi…
A prospective study of long-term care institutionalization among the aged
A statewide probability sample of 1,625 elders living in Massachusetts are studied prospectively to identify key determinants of long-term care (LTC) institutionalization. One-hundred forty-seven elders, 9 per cent of the original cohort, entered a LTC institution during the six-year investigation. Using logistic multiple regression, we examine the predictive power of 19 independent variables grouped into six categories: demographic characteristi…
Personal health practices and mortality among the elderly
Research on young and middle-aged adults has demonstrated a correlation between certain personal health practices and reduced mortality. This investigation examines the generalizability of these findings to elders who have survived into their seventh and eighth decades. Using data from the Massachusetts Health Care Panel Study, we examined the association of physical activity, cigarette smoking, hours of sleep, alcohol consumption, and number of …
The Validity of Self-reported Physician Utilization Measures
Respondents' reports of outpatient medical care use in the preceding year are compared with actual utilization. The authors examine the predictors of the discrepancy between reported and actual utilization as well as the extent to which reporting error biases models of utilization behavior. The average reporting error in this study is relatively small, but the impact of biased reporting on prediction models can be substantial
Branch and Jette Respond
mortality among their subjects sleeping less than seven hours or more than eight hours a night, significant in multivariate analyses restricted to subjects with good to excellent health.' Neverthe- less, a statistical association between short and long sleep and increased mortality does not prove causal relationship. Further research is needed to understand the mechanism of this as- sociation
Using Age-Neutral Physical Activity Questionnaires in Research with the Elderly
We compared physical activity levels reported on an age-neutral questionnaire with physical activity estimates derived from a 3-day activity diary in 123 community-dwelling volunteers age 65-91 years. On average, the questionnaire data underestimated the amount of time spent in physical activity by approximately 2 hours and 45 minutes per day. The magnitude of the absolute reporting error was small for the most strenuous activity category (approx…
The Framingham Disability Study
The relation between coronary heart disease and disability was examined in 2,576 community-dwelling women and men ages 55-88 years. These Framingham Study participants were originally recruited in 1948-51 for an examination of cardiovascular disease. Twenty-seven years later, remaining members of the cohort were interviewed to ascertain physical abilities, and a score on a disability scale was assigned. Multivariate logistic analyses examined dis…
Improving Dental Epidemiologic Data Collection with Computers
A computerized dental data recording system (DDRS) was developed for the New England Elder Dental Study to improve data quality and increase field staff efficiency. The DDRS displays video screens similar to traditional paper forms to record data on coronal and root caries, dentate and denture status, subacute bacterial endocarditis screening, gingival bleeding, calculus, and periodontal attachment level. DDRS provides facilities for date and exa…
Stability of Informal Long-Term Care
Driven by projections of increasing needs for long-term care coupled with changing social trends, fear of family abandonment of caregiving has persisted. Data from two longitudinal studies confirm that informal caregivers are not withdrawing their help. Not only were family and friends the first source of assistance, but they also continued to be the primary source of care over 10 years. Further, although the majority of elders retained the same …
Functional limitations and disability among elders in the Framingham Study
BACKGROUND. The measurement of physical disability as an indication of the impact of disease is commonly seen in research. However, these measures often do not clearly differentiate between functional limitations and daily performance of an activity. METHODS. We measured the differences between self-reported disability and observed functional limitations in six activities of daily living tasks among community-dwelling elders. The value of functio…
The physical activity scale for the elderly (Pase)
Tobacco use
OBJECTIVES. Because the public health literature contains few analytic studies of modifiable behavioral risk factors for dental disease among older community-dwelling populations, the New England Elders Dental Study was undertaken as an epidemiologic study of the oral health status of a representative sample of older adults living within the six New England states. METHODS. Five dentists conducted comprehensive in-home oral health examinations on…
Nutrition and health risks in the elderly
OBJECTIVES. The Nutrition Screening Initiative is a national collaborative effort committed to the identification and treatment of nutritional problems in older persons. METHODS. A 14-item checklist of characteristics associated with nutritional status was administered to a random sample of Medicare beneficiaries, aged 70 years and older, in New England. Regression analysis was used to derive item weights that would predict poor nutrient intakes …
Understanding Dental Service Use by Older Adults
Perceived need and attitudes toward dental care are important influences on use of care. Older persons must be convinced of the importance of regular dental care
The Distribution of Root Caries in Community‐dwelling Elders in New England
An in-home examination of a probability sample of elders aged 70 and older living in the six New England states was conducted to estimate the prevalence and extent of root caries. Oral examinations were conducted by the visual-tactile method using a portable lamp, explorer, and a mouth mirror. Fifty-two percent of the study participants showed root caries experience and 22 percent had untreated root caries. In contrast to previous studies, this a…
How measurement techniques influence estimates of disability in older populations
The disablement process
How Does Formal and Informal Community Care Affect Nursing Home Use
We examined the effects of informal and formal community care on the 6-year risk of nursing home use in a representative sample of disabled elders. Increased risk was associated with receiving formal community services and with caregiver burnout. There was a modest reduction in risk of using a nursing home among those receiving greater amounts of informal care. Elders with male caregivers were at over twice the risk of using a nursing home than t…
Consequences of Success
These cross-sectional data obtained from a probability sample of New England elders show that subjects who retained higher numbers of teeth have more periodontal disease and dental caries experience, and visit the dentist more frequently
Disentangling the Disablement Process
A model was proposed to assess the premise that functional limitations are an intermediary stage between risk factors (e.g., sex and frequency of walking a mile), pathology/impairments (e.g., musculoskeletal problems), and the onset and course of Instrumental Activities of Daily Living (IADL) disability. Analyses were based on two random subsamples (each with n = 524) of Longitudinal Study of Aging respondents who were nondisabled at baseline (19…
Disablement Outcomes in Geriatric Rehabilitation
Until recently, knowledge in the field of geriatric rehabilitation has been based largely on empirical findings. There is a need for greater conceptual clarity about major disablement outcomes to provide a foundation for future theoretical research. Disablement terms promulgated by the World Health Organization's (WHO) International Classification of Impairments Disabilities and Handicaps (ICIDH) are reviewed and compared with those of an alterna…
Intensity and Correlates of Fear of Falling and Hurting Oneself in the Next Year
Fear of falling is highly prevalent and associated with restricted activity. To help inform design of interventions, the authors examined the correlates of this fear. Data came from baseline information on subjects in a community-based falls intervention study (N = 392). In a multivariate model, lower levels of fear of falling and hurting oneself in the next year were related to being younger, having higher levels of dysfunction, and having lower…
Fear of Falling and Activity Restriction
A new instrument was developed to assess the role of fear of falling in activity restriction. The instrument assesses fear of falling during performance of 11 activities, and gathers information about participation in these activities as well as the extent to which fear is a source of activity restriction. The instrument demonstrated good internal consistency reliability and showed convergent validity with other fear of falling measures. Concurre…
Medicine (38 works) · Psychology (26 works) · Gerontology (25 works) · Gerontology (12 works) · Health disparities and outcomes (12 works) · Physical therapy (11 works) · Psychiatry (11 works) · Clinical Psychology (10 works) · Nursing (10 works) · Environmental health (9 works)