Patient and Caregiver Goals for Dementia Care
To elicit patient-centered goals for dementia care, this qualitative study relies on focus groups of people with early-stage dementia and dementia caregivers.
The publications below were produced through research projects in the RAND Center for the Study of Aging.
To elicit patient-centered goals for dementia care, this qualitative study relies on focus groups of people with early-stage dementia and dementia caregivers.
This paper explores the utility of two prominent psychological variables - cognitive ability and personality - as predictors, while also substantially expanding the detail with which retirement pathways can be characterized.
The higher risk of dementia among U.S. rural adults compared with their urban peers highlight the importance of public health planning for more rapidly aging rural communities.
Fundamental changes are needed in the way we identify, assess, and support family caregivers of seriously ill relatives.
RAND analysts tested performance measures of health-related quality of life to validate the Patient-Reported Outcomes Measurement Information System 29-item (PROMIS-29) profile instrument in a geriatric population and to develop a better understanding of the practical use of patient-reported outcome–based performance measures in a geriatric population, especially people with multiple chronic conditions.
The results of this study provide unique information on individuals' responses to a Social Security reform that would implement a 30 percent cut in benefits.
Despite a 2005 CMS mandate that all nursing home residents be offered the influenza and pneumococcal vaccinations, racial/ethnic disparities persist.
By following individuals over many years as they progress to advanced old age, we estimated how many days individuals will spend in nursing homes and how much they will spend out-of-pocket.
We assess the extent to which personality traits are directly associated with labor force transitions at older ages and moderate the effect of non-monetary job characteristics on retirement decisions.
The Minimum Data Set can help to identify trends in nursing home infections but nursing homes vary in how they define and track infections.
Simulation of means testing benefit schemes showing beneficial effects on poverty and income inequality. Validated with data from a field experiment in Yucatan, Mexico, the simulations provide a good forecast of observed effects in the experiment.
In this report, RAND researchers describe elements of a research blueprint to inform future efforts to improve support for military and veteran caregivers. To construct this blueprint, researchers inventoried research and gathered stakeholder input. The report highlights the need for more studies that examine how military and veteran caregiver needs evolve over time, how programs are working, and how caregiving affects specific subgroups.
Hispanics, and particularly foreign-born Mexican Americans, have been shown to fare better across a range of health outcomes than might be expected given the generally higher levels of socioeconomic disadvantage in this population, a phenomena termed the "Hispanic Paradox". Previous research on social disparities in cognitive aging, however, has been unable to address both race/ethnicity and nativity (REN) in a nationally-representative sample of US adults leaving unanswered questions about potentially "paradoxical" advantages of Mexican ethnic-origins and the role of nativity, socioeconomic status (SES), and enclave residence.
To examine factors associated with isolation precaution use in nursing home (NH) residents with multidrug-resistant organism (MDRO) infection.
Investigates how households locate contributions across tax deferred savings accounts that are nominally held in one spouse's name and how these decisions may impact accumulated assets.
Uses Health and Retirement Study survey data matched to Social Security administrative data to study how households integrate Social Security benefits into their general retirement income plans.
Entrepreneurship among older adults is on the rise, especially in households with greater access to income from interest, dividends, and capital gains.
Researchers found little difference in the quality of nursing home care provided to Medicare enrollees in managed care and those enrolled in traditional fee-for-service nursing homes.
Following California's 2012 bill to enact major reforms to the state workers' compensation system, RAND researchers assess trends in earnings loss and permanent partial disability benefits between 2005 and 2012, including analysis of the Great Recession's impact on outcomes for injured workers, and examine how the reforms might affect injury compensation going forward.
This evidence review found that palliative care improves outcomes for cancer, dementia, congestive heart failure, and chronic obstructive pulmonary disease.
A key component for estimating the optimal size and structure of disability insurance (DI) programs is the elasticity of DI claiming with respect to benefit generosity.
Investigates the prevalence and patterns of risk behaviors as well as of mental health, perceptions of the risks of such behaviors, and the factors increasing vulnerability to as well as protection from engagement in them.
This article reviews a non-contributory pension program introduced in Mexico in 2007 that has since expanded greatly.
Study of health effects of financial inclusion, particularly ownership of a bank account of older minorities, with focus on Hispanics.
The purpose of this article is to review contemporary theoretical and conceptual perspectives on aging well and describe indicators of aging well that reflect key concepts and perspectives as assessed in the Women's Health Initiative.