Jennifer L Wolff
Dados Biográficos
| ID | 176920 |
|---|---|
| NOME | Jennifer L Wolff |
| PRENOMES | Jennifer L |
| SOBRENOME | Wolff |
| ASSINATURA | WOLFF J L |
| AFILIAÇÕES | Center on Aging and Health, Johns Hopkins University, Baltimore, Maryland |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAÇÕES | 66 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2002 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 3 |
Support for Care Economy Policies by Political Affiliation and Caregiving Responsibilities
The results of this cohort study suggest that, despite some differences by political affiliation, there is high support of policies to support the adult care economy, suggesting a policy window to advance legislation and executive action to address the care needs of aging populations and populations with disabilities
Subjective Cognitive Impairment (SCI) and Future Dementia Risk in the National Health and Aging Trends Study (NHATS) During 2012–2019
Background Subjective cognitive impairment (SCI), assessed in national surveys, offers potential for dementia monitoring and early detection. However, its causal link to dementia risk remains unclear. Objective To evaluate whether SCI causally affects dementia risk in U.S. older adults (≥65 years), considering mortality as a competing risk. Methods Using data from 1622 dementia-free older adults in the National Health and Aging Trends Study (NHAT…
Work as overload or enhancement for family caregivers of older adults
Objective: This study examines work and care patterns and their association with experienced well-being over the course of the day and tests a moderating effect of gender. Background: Many family and unpaid caregivers to older adults face dual responsibilities of work and caregiving. Yet little is known about how working caregivers sequence responsibilities through the day and their implications for well-being. Method: Sequence and cluster analys…
Associations Between Use of Paid Help and Care Experiences Among Medicare–Medicaid Enrolled Older Adults With and Without Dementia
Findings highlight the complexities of caring for dual-enrollees, particularly those with dementia, and emphasize the need to strengthen the delivery of paid care with considerations for the LTSS environment
Home and Neighborhood Context of Falls Among Black and White Older Americans
Objectives: To examine social and physical environmental fall-risk factors in a nationally representative sample of community-living older adults overall and by racial group. Methods: We used data from the 2015 and 2016 rounds of the National Health and Aging Trends Study ( n = 5581) linked to census tract measures from the American Community Survey. Recurrent falls are defined as 2+ self-reported falls over 12 months. Results: Older adults with …
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
Family Caregiver Training Needs and Medicare Home Health Visit Utilization
BACKGROUND: Medicare home health providers are now required to deliver family caregiver training, but potential consequences for service intensity are unknown. OBJECTIVE: The objective of this study was to assess how family caregiver training needs affect the number and type of home health visits received. DESIGN: Observational study using linked National Health and Aging Trends Study (NHATS), Outcomes and Assessment Information Set (OASIS), and …
Measurement Properties of the Capacity Instrument to Assess Perceived Communication With the Health Care Team Among Care Partners of Patients With Cognitive Impairment
BACKGROUND: The CAregiver Perceptions About CommunIcaTion with Clinical Team members (CAPACITY) instrument measures how care partners perceive themselves to be supported by the patient's health care team and their experiences communicating with the team. OBJECTIVES: The objective of this study was to assess the measurement properties (ie, structural validity of the construct and internal consistency) of the CAPACITY instrument in care partners of…
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
The Epidemiology of Social Isolation
Social isolation is an important and potentially modifiable risk that affects a significant proportion of the older adult population
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…
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…
An exploration of patient and family engagement in routine primary care visits
BACKGROUND: Older adults are commonly accompanied to routine medical visits. Whether and how family companion behaviours relate to visit processes is poorly understood. OBJECTIVE: To examine family companion behaviours in relation to older adults' medical visit processes. DESIGN AND PARTICIPANTS: Observational study of 78 accompanied primary care patients ages 65 and older. MAIN OUTCOME MEASURES: Medical visit communication (coded using RIAS), pa…
Perceived Mental Health Status of Drug Users with HIV
Adapting Hypertension Self-Management Interventions to Enhance Their Sustained Effectiveness Among Urban African Americans
African Americans suffer disproportionately poor hypertension control despite the availability of efficacious interventions. Using principles of community-based participatory research and implementation science, we adapted established hypertension self-management interventions to enhance interventions' cultural relevance and potential for sustained effectiveness among urban African Americans. We obtained input from patients and their family membe…
Healthcare Task Difficulty Among Older Adults With Multimorbidity
BACKGROUND: Applying disease-specific guidelines to people with multimorbidity may result in complex regimens that impose treatment burden. OBJECTIVES: To describe and validate a measure of healthcare task difficulty (HCTD) in a sample of older adults with multimorbidity. RESEARCH DESIGN: Cross-sectional and longitudinal secondary data analysis. SUBJECTS: Multimorbid adults aged 65 years or older from primary care clinics. MEASURES: We generated …
Who Participates in Chronic Disease Self-management (CDSM) Programs? Differences Between Participants and Nonparticipants in a Population of Multimorbid Older Adults
BACKGROUND: Self-care management is recognized as a key component of care for multimorbid older adults; however, the characteristics of those most likely to participate in Chronic Disease Self-Management (CDSM) programs and strategies to maximize participation in such programs are unknown. OBJECTIVES: To identify individual factors associated with attending CDSM programs in a sample of multimorbid older adults. RESEARCH DESIGN: Participants in th…
Family presence in routine medical visits
Clinical Complexity in Middle-Aged and Older Adults With Diabetes
BACKGROUND: Some patients with diabetes may have health status characteristics that could make diabetes self-management (DSM) difficult and lead to inadequate glycemic control, or limit the benefit of some diabetes management interventions. OBJECTIVE: To investigate how many older and middle-aged adults with diabetes have such health status characteristics. DESIGN: Secondary data analysis of a nationally representative health interview survey, th…
Physician Evaluation and Management of Medicare Home Health Patients
OBJECTIVE: The Medicare home health benefit is predicated on physician referral and involvement. In this study, we investigated (1) the frequency and (2) implications of home health patients' evaluation and management by community physicians. METHODS: The 2005 and 2006 Medicare 5% Standard Analytic Files were linked to the Outcome and Assessment Information Set to examine physician visits among 74,462 fee-for service Medicare beneficiaries with a…
Medicare Home Health Patients’ Transitions Through Acute And Post-Acute Care Settings
OBJECTIVES: To describe Medicare beneficiaries' transitions through home health care within the context of other acute and post-acute services, and to examine agreement between administrative claims and Outcome and Assessment Information Set (OASIS) measures of health services use. DATA SOURCES: The 2004 Chronic Condition Data Warehouse, including the Medicare 5% standard analytic file and OASIS. Study participants were 66,510 Medicare beneficiar…
Patient Characteristics and End-of-Life Health Care Utilization Among Medicare Beneficiaries in 1989 and 1999
OBJECTIVE: To evaluate the association of institutional residence and chronic disability with end-of-life Medicare utilization in 1989 and 1999. RESEARCH DESIGN: Retrospective study of nationally representative survey data linked to Medicare claims. SUBJECTS: Medicare beneficiaries who completed the National Long-Term Care Survey in 1989 or 1999 and died within 1 year. MEASURES: Medicare utilization [hospital, hospice, and skilled nursing facilit…
Depression Among Recipients of Informal Care
Perceived quality of informal care arrangements has a bearing on the psychological health of care recipients. Individuals in more reciprocal relationships and in relationships where they felt respected and valued were less likely to be depressed than their counterparts
Prevalence, Expenditures, and Complications of Multiple Chronic Conditions in the Elderly
BACKGROUND: The prevalence, health care expenditures, and hospitalization experiences are important considerations among elderly populations with multiple chronic conditions. METHODS: A cross-sectional analysis was conducted on a nationally random sample of 1 217 103 Medicare fee-for-service beneficiaries aged 65 and older living in the United States and enrolled in both Medicare Part A and Medicare Part B during 1999. Multiple logistic regressio…
The Epidemiology of Social Isolation
Social isolation is an important and potentially modifiable risk that affects a significant proportion of the older adult population
Depression Among Recipients of Informal Care
Perceived quality of informal care arrangements has a bearing on the psychological health of care recipients. Individuals in more reciprocal relationships and in relationships where they felt respected and valued were less likely to be depressed than their counterparts
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
Prevalence, Expenditures, and Complications of Multiple Chronic Conditions in the Elderly
BACKGROUND: The prevalence, health care expenditures, and hospitalization experiences are important considerations among elderly populations with multiple chronic conditions. METHODS: A cross-sectional analysis was conducted on a nationally random sample of 1 217 103 Medicare fee-for-service beneficiaries aged 65 and older living in the United States and enrolled in both Medicare Part A and Medicare Part B during 1999. Multiple logistic regressio…
Depression Among Recipients of Informal Care
Perceived quality of informal care arrangements has a bearing on the psychological health of care recipients. Individuals in more reciprocal relationships and in relationships where they felt respected and valued were less likely to be depressed than their counterparts
Patient Characteristics and End-of-Life Health Care Utilization Among Medicare Beneficiaries in 1989 and 1999
OBJECTIVE: To evaluate the association of institutional residence and chronic disability with end-of-life Medicare utilization in 1989 and 1999. RESEARCH DESIGN: Retrospective study of nationally representative survey data linked to Medicare claims. SUBJECTS: Medicare beneficiaries who completed the National Long-Term Care Survey in 1989 or 1999 and died within 1 year. MEASURES: Medicare utilization [hospital, hospice, and skilled nursing facilit…
Medicare Home Health Patients’ Transitions Through Acute And Post-Acute Care Settings
OBJECTIVES: To describe Medicare beneficiaries' transitions through home health care within the context of other acute and post-acute services, and to examine agreement between administrative claims and Outcome and Assessment Information Set (OASIS) measures of health services use. DATA SOURCES: The 2004 Chronic Condition Data Warehouse, including the Medicare 5% standard analytic file and OASIS. Study participants were 66,510 Medicare beneficiar…
Physician Evaluation and Management of Medicare Home Health Patients
OBJECTIVE: The Medicare home health benefit is predicated on physician referral and involvement. In this study, we investigated (1) the frequency and (2) implications of home health patients' evaluation and management by community physicians. METHODS: The 2005 and 2006 Medicare 5% Standard Analytic Files were linked to the Outcome and Assessment Information Set to examine physician visits among 74,462 fee-for service Medicare beneficiaries with a…
Clinical Complexity in Middle-Aged and Older Adults With Diabetes
BACKGROUND: Some patients with diabetes may have health status characteristics that could make diabetes self-management (DSM) difficult and lead to inadequate glycemic control, or limit the benefit of some diabetes management interventions. OBJECTIVE: To investigate how many older and middle-aged adults with diabetes have such health status characteristics. DESIGN: Secondary data analysis of a nationally representative health interview survey, th…
Family presence in routine medical visits
Who Participates in Chronic Disease Self-management (CDSM) Programs? Differences Between Participants and Nonparticipants in a Population of Multimorbid Older Adults
BACKGROUND: Self-care management is recognized as a key component of care for multimorbid older adults; however, the characteristics of those most likely to participate in Chronic Disease Self-Management (CDSM) programs and strategies to maximize participation in such programs are unknown. OBJECTIVES: To identify individual factors associated with attending CDSM programs in a sample of multimorbid older adults. RESEARCH DESIGN: Participants in th…
Perceived Mental Health Status of Drug Users with HIV
Adapting Hypertension Self-Management Interventions to Enhance Their Sustained Effectiveness Among Urban African Americans
African Americans suffer disproportionately poor hypertension control despite the availability of efficacious interventions. Using principles of community-based participatory research and implementation science, we adapted established hypertension self-management interventions to enhance interventions' cultural relevance and potential for sustained effectiveness among urban African Americans. We obtained input from patients and their family membe…
Healthcare Task Difficulty Among Older Adults With Multimorbidity
BACKGROUND: Applying disease-specific guidelines to people with multimorbidity may result in complex regimens that impose treatment burden. OBJECTIVES: To describe and validate a measure of healthcare task difficulty (HCTD) in a sample of older adults with multimorbidity. RESEARCH DESIGN: Cross-sectional and longitudinal secondary data analysis. SUBJECTS: Multimorbid adults aged 65 years or older from primary care clinics. MEASURES: We generated …
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…
An exploration of patient and family engagement in routine primary care visits
BACKGROUND: Older adults are commonly accompanied to routine medical visits. Whether and how family companion behaviours relate to visit processes is poorly understood. OBJECTIVE: To examine family companion behaviours in relation to older adults' medical visit processes. DESIGN AND PARTICIPANTS: Observational study of 78 accompanied primary care patients ages 65 and older. MAIN OUTCOME MEASURES: Medical visit communication (coded using RIAS), pa…
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…
The Epidemiology of Social Isolation
Social isolation is an important and potentially modifiable risk that affects a significant proportion of the older adult population
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
Measurement Properties of the Capacity Instrument to Assess Perceived Communication With the Health Care Team Among Care Partners of Patients With Cognitive Impairment
BACKGROUND: The CAregiver Perceptions About CommunIcaTion with Clinical Team members (CAPACITY) instrument measures how care partners perceive themselves to be supported by the patient's health care team and their experiences communicating with the team. OBJECTIVES: The objective of this study was to assess the measurement properties (ie, structural validity of the construct and internal consistency) of the CAPACITY instrument in care partners of…
Home and Neighborhood Context of Falls Among Black and White Older Americans
Objectives: To examine social and physical environmental fall-risk factors in a nationally representative sample of community-living older adults overall and by racial group. Methods: We used data from the 2015 and 2016 rounds of the National Health and Aging Trends Study ( n = 5581) linked to census tract measures from the American Community Survey. Recurrent falls are defined as 2+ self-reported falls over 12 months. Results: Older adults with …
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
Family Caregiver Training Needs and Medicare Home Health Visit Utilization
BACKGROUND: Medicare home health providers are now required to deliver family caregiver training, but potential consequences for service intensity are unknown. OBJECTIVE: The objective of this study was to assess how family caregiver training needs affect the number and type of home health visits received. DESIGN: Observational study using linked National Health and Aging Trends Study (NHATS), Outcomes and Assessment Information Set (OASIS), and …
Associations Between Use of Paid Help and Care Experiences Among Medicare–Medicaid Enrolled Older Adults With and Without Dementia
Findings highlight the complexities of caring for dual-enrollees, particularly those with dementia, and emphasize the need to strengthen the delivery of paid care with considerations for the LTSS environment
Work as overload or enhancement for family caregivers of older adults
Objective: This study examines work and care patterns and their association with experienced well-being over the course of the day and tests a moderating effect of gender. Background: Many family and unpaid caregivers to older adults face dual responsibilities of work and caregiving. Yet little is known about how working caregivers sequence responsibilities through the day and their implications for well-being. Method: Sequence and cluster analys…
Support for Care Economy Policies by Political Affiliation and Caregiving Responsibilities
The results of this cohort study suggest that, despite some differences by political affiliation, there is high support of policies to support the adult care economy, suggesting a policy window to advance legislation and executive action to address the care needs of aging populations and populations with disabilities
Subjective Cognitive Impairment (SCI) and Future Dementia Risk in the National Health and Aging Trends Study (NHATS) During 2012–2019
Background Subjective cognitive impairment (SCI), assessed in national surveys, offers potential for dementia monitoring and early detection. However, its causal link to dementia risk remains unclear. Objective To evaluate whether SCI causally affects dementia risk in U.S. older adults (≥65 years), considering mortality as a competing risk. Methods Using data from 1622 dementia-free older adults in the National Health and Aging Trends Study (NHAT…
Medicine (24 obras) · Gerontology (18 obras) · Geriatric Care and Nursing Homes (11 obras) · Psychology (11 obras) · Health care (10 obras) · Gerontology (9 obras) · Nursing (9 obras) · Disease (7 obras) · Health disparities and outcomes (7 obras) · Dementia (6 obras)