Sharon L Tennstedt
Datos Biográficos
| ID | 175462 |
|---|---|
| NOMBRE | Sharon L Tennstedt |
| NOMBRES | Sharon L |
| APELLIDO | Tennstedt |
| FIRMA | TENNSTEDT S L |
| AFILIACIONES | New England Research Institutes |
| VERIFICADO | No |
| TOTAL DE OBRAS | 37 |
| TOTAL DE CITAS | 210 |
| TOTAL COMO AUTOR | 37 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1990 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2014 |
| ÍNDICE H | 9 |
Ten‐Year Effects of the Advanced Cognitive Training for Independent and Vital Elderly Cognitive Training Trial on Cognition and Everyday Functioning in Older Adults
OBJECTIVES: To determine the effects of cognitive training on cognitive abilities and everyday function over 10 years. DESIGN: Ten-year follow-up of a randomized, controlled single-blind trial (Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE)) with three intervention groups and a no-contact control group. SETTING: Six U.S. cities. PARTICIPANTS: A volunteer sample of 2,832 persons (mean baseline age 73.6; 26% African American…
The Active Study
In response to data indicating that persons over age 65 account for almost half of all days of care in short stay hospitals (Graves & Kozak, 1999), constitute the majority of residents of nursing homes (Strahan, 1997), and account for over 75% of required formal home-based care supports (Levit et al., 1997; Office, 1996), the National Institute on Aging and the National Institute for Nursing Research funded an initiative to test the effectiveness…
Relationship of Demographic and Health Factors to Cognition in Older Adults in the Active Study
Age, education, and race are consistently associated with cognitive performance in this sample of older community-dwelling adults. Diabetes, stroke, and suspected clinical depression had independent but weaker effects on cognition
The Active Cognitive Training Interventions and Trajectories of Performance Among Older Adults
Training can appear to accelerate age-related change, because change over time is coupled with loss of training gains. Our analysis is limited by follow-up that is short for precisely characterizing aging-related change
Talking With Others About Stigmatized Health Conditions
We investigated the influence of social ties on symptom management and help seeking, using urinary symptoms as a case study. Talking with others about these symptoms was common and both facilitated and hindered symptom management and help seeking. In some cases, talking with others resulted in gaining a sense of identification with others suffering the same symptoms, receiving assistance to ease the burden of symptoms, obtaining suggestions to he…
Moderating Perceptions of Bother Reports by Individuals Experiencing Lower Urinary Tract Symptoms
We compared reports of symptom bother for the same urinary symptoms to understand why symptom severity and bother do not correspond in a straightforward manner. We used a grounded theory approach to analyze qualitative data from 123 individual interviews and developed a conceptual framework, identifying three symptom perceptions that might moderate symptom bother: causal, relative, and uncertainty. Symptom bother was lower for respondents who vie…
The Active Cognitive Training Interventions and the Onset of and Recovery from Suspected Clinical Depression
We evaluated the effects of the 3 cognitive interventions fielded in the Advanced Cognitive Training for Independent and Vital Elderly study on 2 subsets of participants-1,606 without and 424 with suspected clinical depression at baseline. In the former group, only the speed of processing (vs. no-contact control) intervention had a significant effect, with its participants being 38% less likely to develop suspected clinical depression at 1 year (…
Does Cognitive Training Improve Internal Locus of Control Among Older Adults
Cognitive training that targets reasoning and speed of processing can improve the cognitive-specific sense of personal control over one's life in older adults
Long-term Effects of Cognitive Training on Everyday Functional Outcomes in Older Adults
CONTEXT: Cognitive training has been shown to improve cognitive abilities in older adults but the effects of cognitive training on everyday function have not been demonstrated. OBJECTIVE: To determine the effects of cognitive training on daily function and durability of training on cognitive abilities. DESIGN, SETTING, AND PARTICIPANTS: Five-year follow-up of a randomized controlled single-blind trial with 4 treatment groups. A volunteer sample o…
The Effects of the Active Cognitive Training Trial on Clinically Relevant Declines in Health-Related Quality of Life
Although all three intervention arms improved cognitive ability, only the speed-of-processing arm protected against extensive clinically relevant decline in HRQoL
Pragmatic and Internal Validity Issues in Sampling in Caregiver Studies
Regardless of sampling frame, standard task-based inclusion criteria to define caregivers may enhance validity
Employment and Caregiving
To more completely understand the challenges African American families face when combining employment commitments and informal caregiving responsibilities, the authors used data from a community sample of 119 African American elder-caregiver dyads. This article examines the nature of caregiving relationships and extent to which caregivers' employment statuses affect the hours of care provided. The authors concluded that employed caregivers do not…
Effects of Cognitive Training Interventions With Older Adults
CONTEXT: Cognitive function in older adults is related to independent living and need for care. However, few studies have addressed whether improving cognitive functions might have short- or long-term effects on activities related to living independently. OBJECTIVE: To evaluate whether 3 cognitive training interventions improve mental abilities and daily functioning in older, independent-living adults. DESIGN: Randomized, controlled, single-blind…
Service Utilization among Disabled Puerto Rican Elders and Their Caregivers
Language acculturation, although a commonly used measure of acculturation, may be of decreasing importance in explaining service utilization, as bilingual services become increasingly available. Practice implications are discussed
Active
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
Prevalence and Impact of Caregiving
Analyzing data from more than 1,500 family caregivers from the 1996 National Caregiver Survey, this study documents the ways in which dementia care is different from other types of family caregiving. Not only do dementia caregivers spend significantly more hours per week providing care than nondementia caregivers, they also report greater impacts in terms of employment complications, caregiver strain, mental and physical health problems, time for…
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…
The Relative Contribution of Ethnicity Versus Socioeconomic Status in Explaining Differences in Disability and Receipt of Informal Care
Data from a comparative study of 1975 African American, Puerto Rican, and non-Hispanic White persons age 60 and older in a large Northeastern city were used to investigate the relative contribution of ethnicity and socioeconomic status (SES) to explaining differences in the need for and receipt of informal care. It was hypothesized that differences in disability would be related largely to SES, whereas ethnicity would account for most of the diff…
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, …
Subject-Caregiver Response Comparability on Global Health and Functional Status Measures for African American, Puerto Rican, and Caucasian Elders and Their Primary Caregivers
Ethnic differences in response comparability and bias were evaluated for elderly African American, Puerto Rican, and non-Hispanic Caucasian elderly subjects with some degree of disability and their caregivers. Responses were compared for items assessing basic and instrumental activities of daily living, memory problems, confusion, and global health status. In general, for all ethnic groups, response comparability, based on kappa, was only poor to…
Puerto Rican Sons as Primary Caregivers of Elderly Parents
During the past decade the fields of gerontology and social work have paid close attention to Latino elders in the United States. This article reports on the findings of a study examining the needs of Puerto Rican elders in a New England city and the role of sons in the caregiving process. Sons as primary caregivers have not been addressed in depth in the literature. Recommendations are made for social workers working in gerontology to maximize o…
Making the best of it
The Everyday Impacts of Providing Informal Care to Dependent Elders and their Consequences for the Care Recipients
Longitudinal data were used to identify the relationship between different areas of negative impact and elder and caregiver characteristics. The extent and predictors of persistence and development of negative impact in different areas and the relationship between caregiving impact and subsequent caregiving patterns, including termination of care and institutionalization of the elder, were also examined. Caregiving exerted the greatest toll on a …
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…
The Relative Contribution of Ethnicity Versus Socioeconomic Status in Explaining Differences in Disability and Receipt of Informal Care
Data from a comparative study of 1975 African American, Puerto Rican, and non-Hispanic White persons age 60 and older in a large Northeastern city were used to investigate the relative contribution of ethnicity and socioeconomic status (SES) to explaining differences in the need for and receipt of informal care. It was hypothesized that differences in disability would be related largely to SES, whereas ethnicity would account for most of the diff…
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, …
Unmet need among disabled elders
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…
Making the best of it
Does Cognitive Training Improve Internal Locus of Control Among Older Adults
Cognitive training that targets reasoning and speed of processing can improve the cognitive-specific sense of personal control over one's life in older adults
Employment and Caregiving
To more completely understand the challenges African American families face when combining employment commitments and informal caregiving responsibilities, the authors used data from a community sample of 119 African American elder-caregiver dyads. This article examines the nature of caregiving relationships and extent to which caregivers' employment statuses affect the hours of care provided. The authors concluded that employed caregivers do not…
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 Active Cognitive Training Interventions and the Onset of and Recovery from Suspected Clinical Depression
We evaluated the effects of the 3 cognitive interventions fielded in the Advanced Cognitive Training for Independent and Vital Elderly study on 2 subsets of participants-1,606 without and 424 with suspected clinical depression at baseline. In the former group, only the speed of processing (vs. no-contact control) intervention had a significant effect, with its participants being 38% less likely to develop suspected clinical depression at 1 year (…
The Everyday Impacts of Providing Informal Care to Dependent Elders and their Consequences for the Care Recipients
Longitudinal data were used to identify the relationship between different areas of negative impact and elder and caregiver characteristics. The extent and predictors of persistence and development of negative impact in different areas and the relationship between caregiving impact and subsequent caregiving patterns, including termination of care and institutionalization of the elder, were also examined. Caregiving exerted the greatest toll on a …
Service Utilization among Disabled Puerto Rican Elders and Their Caregivers
Language acculturation, although a commonly used measure of acculturation, may be of decreasing importance in explaining service utilization, as bilingual services become increasingly available. Practice implications are discussed
Puerto Rican Sons as Primary Caregivers of Elderly Parents
During the past decade the fields of gerontology and social work have paid close attention to Latino elders in the United States. This article reports on the findings of a study examining the needs of Puerto Rican elders in a New England city and the role of sons in the caregiving process. Sons as primary caregivers have not been addressed in depth in the literature. Recommendations are made for social workers working in gerontology to maximize o…
How Important is Functional Status as a Predictor of Service Use by Older People
In studies of older people, it is often assumed that biophysical, or functional, status is the primary determinant of formal service use. This article reports baseline data from a longitudinal study of a community-based, linked random sample of frail elders (n = 635) and their informal caregivers (n = 429) to investigate the relative contribution of social circumstances to the use of community-based formal services. Elder respondents were categor…
The Effects of the Active Cognitive Training Trial on Clinically Relevant Declines in Health-Related Quality of Life
Although all three intervention arms improved cognitive ability, only the speed-of-processing arm protected against extensive clinically relevant decline in HRQoL
Talking With Others About Stigmatized Health Conditions
We investigated the influence of social ties on symptom management and help seeking, using urinary symptoms as a case study. Talking with others about these symptoms was common and both facilitated and hindered symptom management and help seeking. In some cases, talking with others resulted in gaining a sense of identification with others suffering the same symptoms, receiving assistance to ease the burden of symptoms, obtaining suggestions to he…
The Active Study
In response to data indicating that persons over age 65 account for almost half of all days of care in short stay hospitals (Graves & Kozak, 1999), constitute the majority of residents of nursing homes (Strahan, 1997), and account for over 75% of required formal home-based care supports (Levit et al., 1997; Office, 1996), the National Institute on Aging and the National Institute for Nursing Research funded an initiative to test the effectiveness…
Frailty and its consequences
Depression among Caregivers of Impaired Elders
Studies have reported that rates of depression among caregivers are higher than in the general population. However, these studies have been limited primarily to caregivers of cognitively impaired elders. Using the Center for Epidemiological Studies Depression (CES-D) Scale, this study investigated depression among caregivers for physically impaired elders. The authors found that one third of these caregivers reported depressive symptoms, a lower …
Subject-Caregiver Response Comparability on Global Health and Functional Status Measures for African American, Puerto Rican, and Caucasian Elders and Their Primary Caregivers
Ethnic differences in response comparability and bias were evaluated for elderly African American, Puerto Rican, and non-Hispanic Caucasian elderly subjects with some degree of disability and their caregivers. Responses were compared for items assessing basic and instrumental activities of daily living, memory problems, confusion, and global health status. In general, for all ethnic groups, response comparability, based on kappa, was only poor to…
Pragmatic and Internal Validity Issues in Sampling in Caregiver Studies
Regardless of sampling frame, standard task-based inclusion criteria to define caregivers may enhance validity
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…
Do Characteristics of Informal Caregivers Affect the Length of Hospital Stay for Frail Elders
Studies examining the length of hospital stay for the very old rarely include characteristics of the informal caregiver as potentially explanatory variables. This study expanded a frequently used conceptual model of health services use to include caregiving factors as enabling variables. Data were collected from a representative sample of frail elders who had been hospitalized in the previous 18 months (n = 181) and their primary informal caregiv…
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…
How Important is Functional Status as a Predictor of Service Use by Older People
In studies of older people, it is often assumed that biophysical, or functional, status is the primary determinant of formal service use. This article reports baseline data from a longitudinal study of a community-based, linked random sample of frail elders (n = 635) and their informal caregivers (n = 429) to investigate the relative contribution of social circumstances to the use of community-based formal services. Elder respondents were categor…
The Validity of Self‐reported Oral Health Status in the Elderly
The validity of self-reported number of teeth was assessed in a random sample of 50 individuals aged 70+ by comparing self-reports in a telephone interview with results of a subsequent in-home examination by a dentist. There were no significant differences between self-report and examination data, nor was there any systematic under- or over-counting of teeth as the actual number of teeth increased. These data support the validity of self-reported…
Depression among Caregivers of Impaired Elders
Studies have reported that rates of depression among caregivers are higher than in the general population. However, these studies have been limited primarily to caregivers of cognitively impaired elders. Using the Center for Epidemiological Studies Depression (CES-D) Scale, this study investigated depression among caregivers for physically impaired elders. The authors found that one third of these caregivers reported depressive symptoms, a lower …
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 …
Response comparability of family and staff proxies for nursing home residents
Response comparability on a wide variety of factual and judgmental information regarding nursing home residents was assessed for two proxy groups: family and staff. Family proxies had the most information. Family and staff proxies are not interchangeable. A general lack of response comparability suggests that proxies for nursing home residents should be selected in relation to the type of data needed and the time period of interest
Beneath the Surface of Coronal Caries
A cross-sectional study was conducted of the oral health status of a random sample of community dwelling elders, aged 70 and older, living within the six New England states. Four examining teams, each composed of a trained and calibrated dentist and a field technician, collected data during an in-home oral examination. The prevalence of carious, filled, recurrent decayed, and non-carious but failed restored coronal surfaces was recorded. For the …
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…
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
Do Characteristics of Informal Caregivers Affect the Length of Hospital Stay for Frail Elders
Studies examining the length of hospital stay for the very old rarely include characteristics of the informal caregiver as potentially explanatory variables. This study expanded a frequently used conceptual model of health services use to include caregiving factors as enabling variables. Data were collected from a representative sample of frail elders who had been hospitalized in the previous 18 months (n = 181) and their primary informal caregiv…
Frailty and its consequences
Unmet need among disabled elders
The Everyday Impacts of Providing Informal Care to Dependent Elders and their Consequences for the Care Recipients
Longitudinal data were used to identify the relationship between different areas of negative impact and elder and caregiver characteristics. The extent and predictors of persistence and development of negative impact in different areas and the relationship between caregiving impact and subsequent caregiving patterns, including termination of care and institutionalization of the elder, were also examined. Caregiving exerted the greatest toll on a …
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…
Making the best of it
Subject-Caregiver Response Comparability on Global Health and Functional Status Measures for African American, Puerto Rican, and Caucasian Elders and Their Primary Caregivers
Ethnic differences in response comparability and bias were evaluated for elderly African American, Puerto Rican, and non-Hispanic Caucasian elderly subjects with some degree of disability and their caregivers. Responses were compared for items assessing basic and instrumental activities of daily living, memory problems, confusion, and global health status. In general, for all ethnic groups, response comparability, based on kappa, was only poor to…
Puerto Rican Sons as Primary Caregivers of Elderly Parents
During the past decade the fields of gerontology and social work have paid close attention to Latino elders in the United States. This article reports on the findings of a study examining the needs of Puerto Rican elders in a New England city and the role of sons in the caregiving process. Sons as primary caregivers have not been addressed in depth in the literature. Recommendations are made for social workers working in gerontology to maximize o…
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…
The Relative Contribution of Ethnicity Versus Socioeconomic Status in Explaining Differences in Disability and Receipt of Informal Care
Data from a comparative study of 1975 African American, Puerto Rican, and non-Hispanic White persons age 60 and older in a large Northeastern city were used to investigate the relative contribution of ethnicity and socioeconomic status (SES) to explaining differences in the need for and receipt of informal care. It was hypothesized that differences in disability would be related largely to SES, whereas ethnicity would account for most of the diff…
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, …
Prevalence and Impact of Caregiving
Analyzing data from more than 1,500 family caregivers from the 1996 National Caregiver Survey, this study documents the ways in which dementia care is different from other types of family caregiving. Not only do dementia caregivers spend significantly more hours per week providing care than nondementia caregivers, they also report greater impacts in terms of employment complications, caregiver strain, mental and physical health problems, time for…
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
Active
Effects of Cognitive Training Interventions With Older Adults
CONTEXT: Cognitive function in older adults is related to independent living and need for care. However, few studies have addressed whether improving cognitive functions might have short- or long-term effects on activities related to living independently. OBJECTIVE: To evaluate whether 3 cognitive training interventions improve mental abilities and daily functioning in older, independent-living adults. DESIGN: Randomized, controlled, single-blind…
Service Utilization among Disabled Puerto Rican Elders and Their Caregivers
Language acculturation, although a commonly used measure of acculturation, may be of decreasing importance in explaining service utilization, as bilingual services become increasingly available. Practice implications are discussed
Medicine (36 obras) · Psychology (27 obras) · Gerontology (24 obras) · Psychiatry (19 obras) · Dementia and Cognitive Impairment Research (16 obras) · Geriatric Care and Nursing Homes (14 obras) · Intergenerational Family Dynamics and Caregiving (12 obras) · Cognition (11 obras) · Gerontology (11 obras) · Clinical Psychology (8 obras)