Health and well-being in later life

A MiCDA Research Signature Theme

Many MiCDA affiliates hold positions in the University of Michigan Medical School and School of Public Health, as well as the social sciences. They direct a wide range of projects on chronic physical conditions affecting the elderly, including diabetes, hypertension, and arthritis. Mental health, cognitive functioning and psychosocial support are also key topics that bridge the medical and social sciences. Trends in disability are a major policy concern that is addressed using national data collected at Michigan and elsewhere.

Social Relations, Aging and Health: Competing Theories and Emerging Complexities - Kabo Administrative Supplement (Antonucci)

Multimorbidity Patterns in Middle-Aged and Older Couples: Implications for Psychological Well-Being and Health Behaviors (Birditt)

Social networks and well-being in late life: An in depth examination of daily mechanisms (Birditt)

Understanding Implications of End-of-life Preferences to Optimize Advanced Care Planning Among Older Americans (Burke)

Optimizing Safe Medication Use in Older Adults via In-home Telepharmacy (Cigolle)

The Impact of Social Isolation on Receipt of Cataract Surgery in Older Adults (Ehrlich)

Identifying modifiable aspects of gene-by-environment interplay in later-life cognitive decline (Faul)

NIA Biomarker Network Telomere Pilot (Faul)

National Health and Aging Trends Study (Freedman)

Use of Psychotropic Medications Among Older Adults Receiving Hospice Care (R03) (Gerlach)

Cody Rouge CHW Demonstration Project (Heisler)

Improving diabetes outcomes and health disparities through a patient activation intervention addressing unmet resource needs (Heisler)

Incentives for Home and Community Based Care Under the Affordable Care Act: Implications for Supplemental Security Income Receipt (Helppie-McFall)

Digital Implementation Intervention Trials in Acute Lung Care (DIGITAL-C) Network Planning (Iwashyna)

Follow Up Neuropsychiatric & Cognitive Testing Intensive care Outcomes Nexus (FUNCTION) (Iwashyna)

Individual and community drivers of hospitalizations for older adults after natural disaster (Iwashyna)

Precision Medicine for Heart Failure: The Role of Genomics in the Efficacy and Racial Disparity of Cornerstone Pharmacotherapy (Jackson)

Racial inequalities in health throughout adulthood: The cumulative impact of neighborhood chemical and non-chemical stressors on epigenomic pathways (Kardia)

Changes in Periosteal and Endocortical Width Across the Menopausal Transition (Karvonen-Gutierrez)

Study of Women's Health Across the Nation (SWAN V): Michigan Site (Resubmission) (Karvonen-Gutierrez)

Using Subjective Well-Being Data to Monitor Changes in Health and Well-Being (Kimball)

Earlier Introductions to Palliative Care in Older Adults Undergoing High-Risk Surgery (Langa)

Earlier Introductions to Palliative Care in Older Adults Undergoing High-Risk Surgery (Langa)

Improving the Health of Low-SES Americans Approaching Retirement Under the Affordable Care Act (Langa)

The Effect of Inappropriate Use of Thyroid Hormone Replacement in Older Men (Papaleontiou K08 Resubmission) (Langa)

Mechanisms of Health Literacy and Information Accessibility in the Deaf (Mahmoudi)

Collaborative Care Implementation and Training Support (Maust)

Leveraging large-scale national data to understand, reduce, and prevent benzodiazepine-related harms among older adults (Maust)

Reducing Inappropriate Benzodiazepine Use among Older Adults (Maust)

University of Michigan Injury Prevention Center 2019-2024 (Maust)

Causes and Consequences of Healthcare Efficiency (Norton)

Understanding the effects of Medicare's home health Quality of Patient Care Star Ratings: patient choice and unintended consequences (Norton)

Understanding the relationship between Medicare's Readmission Reduction program and 30-day readmissions among patients in Michigan with private insurance (Norton)

Poverty Dynamics in the United States (Pfeffer)

Demographic and socioeconomic differences in polygenic risk of cardiovascular health in the Health and Retirement Study (Schmitz)

A Community Based Participatory Trial to Increase Stroke Treatment (Skolarus)

Couples' Health to Better Portray Individuals' Health, Trajectories, and Outcomes (Smith)

Enhancing Retrospective Life History Data in the Health and Retirement Study (Smith)

LongROAD Senior Driver Cohort Study Phase II: University of Michigan (Smith)

HRS Yrs 29-34 (Weir)

Toward Next Generation Data on Health and Life Changes at Older Ages (Weir)

Cognitive resilience to depressive symptoms in diverse older adults (Zahodne)

Psychosocial protective factors in cognitive and brain aging (Zahodne)

Chronic Disease

Recognition and treatment of obstructive sleep apnea among Medicare beneficiaries (Burke)

Inconsistencies in Chronic Disease Reports Over Time (Cigolle)

Does Incident Diagnosis of Age-Related Eye Disease Increase the Likelihood of Falls in Older Adults? (Ehrlich)

Michigan Center for Diabetes Translational Research (P30DK092926 Renewal) (Hayward)

Comparative Effectiveness of Adding Family Supporter Training and Engagement to a CHW-Led Intervention to Improve Behavioral Management of Multiple Risk Factors for Diabetes Complications (Heisler)

Improving glaucoma self-management with technology-supported counselors (Heisler)

Integrating Behavioral Economics and Self-Determination Theory to Advance Patient Engagement in Diabetes Prevention (Heisler)

Ongoing Diabetes Self-Management Support in Church-Based Settings (Heisler)

Optimization of a Multicomponent Diet Intervention in Type 2 Diabetes (Heisler)

Understanding the effects of the Oncology Care Model on cancer care for dual eligible patients (Heisler)

UPSTART: Using Peer Support to Aid Prevention of Diabetes (Heisler)

Michigan Center for Urban African American Aging Research (Jackson)

Michigan Center for Urban African American Aging Research (MCUAAAR) Diversity Supplement (J. Mitchell) (Jackson)

Michigan Center for Urban African American Aging Research (MCUAAAR) Diversity Supplement (R.Turner) (Jackson)

Analysis of Whole Genome Sequence and Hemostasis Phenotypes (Kardia)

SWAN Repository IV - CIDR (Kardia)

Using metabolomics to identify novel biomarkers for knee osteoarthritis risk (Karvonen-Gutierrez)

Models of hospital-acquired conditions and readmission: defining at-risk patients (Langa)

Optimizing Treatment of Older Adults with Hypertension: A Net Benefit Analysis of Falls Injury vs Cardiovascular Outcomes (Langa)

Personalizing COPD therapies by exploring heterogeneity of treatment effects (Langa)

Systematic Design of Meaningful Presentations of Medical Test Data for Patients (Langa)

Toward More Effective "Enhanced Recovery" Protocols for Major Surgery in Older Adults (Langa)

[18F]flubatine: a Novel Biomarker of Cholinergic a4ß2 Nicotinic Receptors and Cognition in Parkinson's Disease (Lustig)

University of Michigan Parkinson's Research Center of Excellence (UMPRCE): The Thalamus in Parkinson Disease (Lustig)

Improving Post-acute Care to Reduce Ethnic Stroke Disparities (Mehdipanah)

Population Health Measures: Assessment and Design (Mendes de Leon)

The impact of airborne particles and ozone on cognition, mobility, and health care spending at older ages: Evidence from a nationally-representative longitudinal cohort (Mendes de Leon)

Accountable care organizations and the diffusion of new surgical procedures (Norton)

Causes and Consequences of Health Care Efficiency (Norton)

Medical Consultants and the Value of Hospital Care (Norton)

Understanding optimal delivery systems for cancer care (Norton)

The prevalence, distribution and correlates of disability and comorbidity in the Native Hawaiian and Pacific Islander aging population: results of a population-based study (Panapasa)

Functional Resistance Training during Gait: A Novel Intervention to Improve Knee Function after ACL Reconstruction (Peterson)

Reach Out: Randomized Clinical Trial of Emergency Department-Initiated Hypertension Behavioral Intervention Connecting Multiple Health Systems (Skolarus)

A Social Epigenomic Approach to Health Disparities in Cardiovascular Risk Factors (Smith)

Enhancing Retrospective Life History Data in the Health and Retirement Study (Smith)

Chronic diseases and physical functioning: Development and validation of an ICD-coded multimorbidity index (Wei)

Cumulative and synergistic impact of chronic diseases on physical functioning in older adults: development and validation of a novel measure of multimorbidity (Wei)

Psychosocial and physiological mechanisms of cognitive performance in Type 2 diabetes mellitus (Zahodne)

Dementia and Cognitive Impairment

Alzheimer's Disease Risk and Ethnic Factors: The Case of Arab Americans (Ajrouch)

Measuring Alzheimer's Disease in Arabic-Speaking Populations (Ajrouch)

Michigan Center for Contextual Factors in Alzheimer's Disease (MCCFAD) (Ajrouch)

A Family Centered Approach to Dementia Caregiving in Cultural Context (Antonucci)

Attachment Behaviors in Parent Child Dyads Coping with Early Stage Alzheimer's Disease and Related Dementias (Birditt)

Daily Experiences among Black and White Dementia Caregivers: Implications for Well-being and Cardiovascular Health (Birditt)

Brain Attack Surveillance in Corpus Christi (BASIC) Project (Burke)

Geographic variation in neurologic care (Burke)

Assessing the influence of family care resources on care utilization and transitions for older adults with dementia (Choi)

Rural Older Adults with Cognitive Impairment and Chronic Disease: A Mixed Methods Study of Social and Health Factors in Their Care (Cigolle)

Cognitive Resilience and Community Context: Examining the role of Neighborhood Built and Social Environments for Slowing the Progression of Dementia among older Americans (Clarke)

Interplay of Genetic & Socioeconomic Predictors of Memory Decline in Older Adults (Faul)

Caregiving for Alzheimer's Disease and Related Dementias: Enhancing the National Study of Caregiving (NSOC) (Freedman)

Michigan Center on the Demography of Aging - TRENDS ADRD Suppl (Freedman)

Trends and Dynamics in Caregiving for Alzheimer's Disease and Related Dementias: Extending the National Study of Caregiving (Freedman)

ARMADA: Advancing Reliable Measurement in Alzheimer's Disease and cognitive Aging. Subcontract with Northwestern (Giordani)

The Predictors and Long-Term Trajectory of Poststroke Cognitive Decline (Giordani)

Extension of "Assessing and Improving Cognitive Measurement in the HRS" (Helppie-McFall)

Genetic studies of the impact of hematologic traits on cardiovascular disease - RESUB (Kardia)

Assessing the Interplay of Vision with Cognitive Functioning, Balance, and Falls in Middle-aged Women (Karvonen-Gutierrez)

Dementia Prevalence over Time: Proximate Causes and Consequences (Langa)

Harmonized Diagnostic Assessment of Dementia (DAD) for Longitudinal Aging Study of India (LASI) (Langa)

Health and Retirement Study (HRS) Neuroimaging Pilot Study (Langa)

HRS Yrs 29-34 HCAP (Langa)

Modifiable Protective and Risk Factors of Late-Life Cognitive Health and Dementia (Langa)

Training Geriatric Mental Health Services Researchers (T32) (Langa)

Style and Substance: Characterizing Dementia Caregiving Styles and Associated Biopsychosocial and Health Services Utilization Outcomes (Leggett)

Cholinergic genetic effects on health and cognition in older adults: Longitudinal analysis (Lustig)

Enhancing Michigan Workforce Capacity for Behavioral Dementia Care Using the DICE Approach (MiDICE) (Maust)

Enhancing Workforce Capacity for Behavioral Dementia Care Using the DICE Approach (Maust)

Patient, Caregiver, and Regional Drivers of Potentially Inappropriate Medical Care for Dementia: Building the Foundation for State Dementia Policy (Maust)

Preventable Hospitalization in Dementia: The Impact of Neuropsychiatric Symptoms (Maust)

Preventable Hospitalization in Dementia: The Impact of Neuropsychiatric Symptoms (K08) (Maust)

Unintended Effects of Antipsychotic Reduction in Nursing Homes (Maust)

WeCareAdvisor: A Web-Based Tool to Improve Quality of Life for Military Veterans with Dementia and Their Caregivers (AZ150087) (Maust)

Cognitive impairment in Mexican Americans: a population-based study (Mehdipanah)

Improving Post-acute Care to Reduce Ethnic Stroke Disparities (Mehdipanah)

Michigan Alzheimer's Disease Core Center (Paulson)

Couples Managing Early-Stage Dementia: Mutual Influences on Daily Stress, Self-Care, and Well-Being (K01) (Polenick)

Life Course Determinants of Epigenetic Age Acceleration and Subsequent Dementia (Schmitz)

The Cognitive Costs and Benefits of Social Technology use in Older Adulthood (Sharifian)

Survey Measures of Subjective Well-being: Age, Appraisal, and Cognition Effects (Smith)

Characterizing disparities in late-onset Alzheimer's disease risk through polygenic risk and epidemiologic factors in the Health and Retirement Survey (Ware)

Health and Retirement Study Yrs 23-28 (Weir)

Health and Retirement Study Yrs23-28: Year 25 Dementia Trends Admin Supplement (Weir)

Psychosocial and physiological mechanisms of cognitive performance in Type 2 diabetes mellitus (Zahodne)

Psychosocial protective factors in cognitive and brain aging (Zahodne)

Resilience mechanisms underlying racial/ethnic disparities in Alzheimer's disease (Zahodne)

School Quality and Racial Disparities in Alzheimer's Disease in Project Talent (Zahodne)

Social support and reading level in cognitive aging among African Americans and Hispanics (Supplement) (Zahodne)

Disability

PFI:BIC Cyber-Physical Service System for 3D-Printing of Adaptive Custom Orthoses (Antonucci)

Brain Attack Surveillance in Corpus Christi (BASIC) Project (Burke)

Urinary Incontinence Epidemiology and Careseeking (Bynum)

Home-based team transitional telecare to optimize mobility and physical activity in recently hospitalized older Veterans (Cigolle)

Muscle weakness among older adults: A silent epidemic (Clarke)

Outdoor Environmental Facilitators and Barriers of Stroke Survivors: Mobility and Functional Status (Clarke)

Socio-Environmental Factors Associated with Healthy Aging after Spinal Cord Injury (Clarke)

Addressing Low Vision due to Severe Peripheral Field Loss: Development and Validation of a Patient-Centered Outcome Measure (Ehrlich)

Validation of a Performance-Based Outcome Measure for Glaucoma in India (Ehrlich)

Vision Impairment, Participation and Subjective Wellbeing in Older Adults (Ehrlich)

National Health and Aging Trends Study (Freedman)

Recovery Or Disability? Trajectories After Pneumonia: Integrating 12 Months Of Frequent Patient-Reported Measures With EMR Data (Iwashyna)

SWAN Repository IV - CIDR (Kardia)

Assessing the Interplay of Vision with Cognitive Functioning, Balance, and Falls in Middle-aged Women (Karvonen-Gutierrez)

Using metabolomics to identify novel biomarkers for knee osteoarthritis risk (Karvonen-Gutierrez)

Decision Making for Cardiovascular Therapy in Adults with Mild Cognitive Impairment (Langa)

A Clinical Trial for the Surgical Treatment of Elderly Distal Radius Fractures (Mahmoudi)

Rehabilitation Research and Training Center (RRTC) on Promoting Healthy Aging for People with Long-Term Physical Disabilities (Mahmoudi)

University of Michigan Injury Center SUPP 16 (Maust)

Aging trajectories of chronic disease, psychological morbidity, and mortality in spinal cord injury. (Peterson)

Center for Large Data Research and Data Sharing in Rehabilitation (Pienta)

Demographic and socioeconomic differences in polygenic risk of cardiovascular health in the Health and Retirement Study (Schmitz)

Reducing Racial Disparities in Post-Stroke Disability in the Elderly (Skolarus)

Housing context and functional health among lower income older adults: The mediating role of social resources (Webster)

Cumulative and synergistic impact of chronic diseases on physical functioning in older adults: development and validation of a novel measure of multimorbidity (Wei)

Disparities

Social Relations, Aging and Health: Competing Theories and Emerging Complexities - Administrative Supplement (Antonucci)

Racial Disparities in Health: The Roles of Stress, Social Relations and the Cardiovascular System (Birditt)

Understanding Social Disparities in Health and Aging (Burgard)

Health Differences at Older Ages between U.S. and England - Role of Local Contextual Factors (Choi)

Built environments on stroke risk and stroke disparities in a national sample (Clarke)

Measurement Error in Population Health Inequity Research using Novel Biomeasures (Geronimus)

Michigan Center for Urban African American Aging (Jackson)

Michigan Center for Urban African American Aging Research-Bridge Funds (Jackson)

Rehabilitation Research and Training Center (RRTC) on Promoting Healthy Aging for People with Long-Term Physical Disabilities (Mahmoudi)

Examining the role of housing tenure and health on aging populations in the U.S. (Mehdipanah)

How do socioeconomic status, behaviors, and age interact to produce death risks? (Mehta)

Michigan Center for Integrative Approaches to Health Disparities (CIAHD) (Mendes de Leon)

The Burden of Disease and Functional Limitation for Ethnically Diverse Older Adults in the United States: Disability-Adjusted Life Years (Peterson)

Race/Ethnicity, DNA Methylation, and Disparities in Cardiovascular Mortality: NHANES 1999-2002 (Smith)

Resilience mechanisms underlying racial/ethnic disparities in Alzheimer's disease (Zahodne)

Life Course Determinants

Humility and Forgiveness: The Role of Social Relations among Three Ethnic Groups (Antonucci)

Planning Grant: I/UCRC for Complex Adaptive Systems for Society 2030 (Antonucci)

Social Relations, Aging and Health: Competing Theories and Emerging Complexities - Kabo Administrative Supplement (Antonucci)

The Social and Economic Dynamics of Optimism and Hopelessness over American Adulthood: Evidence from the Americans Changing Lives Study (1986-2011) (Clarke)

Vision Impairment, Participation and Subjective Wellbeing in Older Adults (Ehrlich)

UPSTART: Using Peer Support to Aid Prevention of Diabetes (Heisler)

How does health interface with living arrangements? (Liang)

Cognitive impairment in Mexican Americans: a population-based study (Mehdipanah)

Contribution of Behavioral Factors and Chronic Diseases to International Differences in Healthy Life Expectancy (Mehta)

Dynamic Social Network Structures in Aging: A Complex Systems Approach (Mendes de Leon)

The prevalence, distribution and correlates of disability and comorbidity in the Native Hawaiian and Pacific Islander aging population: results of a population-based study (Panapasa)

Multimorbidity Patterns in Aging Couples: Longitudinal Associations with Functional Disability (Polenick)

Mortality

Longitudinal and Intergenerational Determinants of Aging and Mortality (Bailey)

Biological Underpinnings of Socieconomic Differentials in Health and Mortality (Faul)

Michigan Center on the Demography of Aging--Visualizing Age Standardized Death Rates Supplement (Freedman)

Use of Psychotropic Medications Among Older Adults Receiving Hospice Care (R03) (Gerlach)

Demographic and socioeconomic differences in polygenic risk of cardiovascular health in the Health and Retirement Study (Schmitz)

Epigenetics of Arteriosclerosis in African American Hypertensive Sibships (Smith)

Other

Social Relations, Aging and Health: Competing Theories and Emerging Complexities (Antonucci)

Longitudinal Intergenerational Family Electronic Micro-Database (LIFE-M) (Bailey)

Strategies to Enhance Pneumonia Care via Intermediate Intensive Care (STEP-IN) (Iwashyna)

"Enhanced Recovery" Protocols and the Cost and Quality of Inpatient Surgery (Langa)

Attitudes and Self-related Beliefs about Aging: Impact on Health and Well-being (Smith)

Enhancing Retrospective Life History Data in the Health and Retirement Study (Smith)

Chronic diseases and physical functioning: development and validation of an ICD-coded multimorbidity index (Wei)