Abstract

The purpose of this study is to follow a cohort of 1,330 Japanese Americans to assess factors relating to their decision to enter a nursing home should they become disabled. The use of assisted living programs as well as formal (paid) home care services will be evaluated as well. The study team will try to assess whether actual nursing home use is related to previously stated preferences and attitudes; if preferences and attitudes toward nursing home placement change over time; and how these preferences and attitudes compare to those held by non-minority elders. In addition to data on preferences and attitudes, a range of factors including cognition, family support structure, and physical health will also be assessed to see if they are related to nursing home utilization. Both quantitative and qualitative methodologies will be utilized to help answer these questions.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG011143-07
Application #
2732537
Study Section
Human Development and Aging Subcommittee 3 (HUD)
Project Start
1992-09-30
Project End
2001-06-30
Budget Start
1998-07-01
Budget End
1999-06-30
Support Year
7
Fiscal Year
1998
Total Cost
Indirect Cost

  Institution

Name
University of Washington
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
135646524
City
Seattle
State
WA
Country
United States
Zip Code
98195

  Publications

Young, Heather M; McCormick, Wayne M; Vitaliano, Peter P (2002) Attitudes toward community-based services among Japanese American families. Gerontologist 42:814-25
McCormick, Wayne C; Ohata, Cynthia Y; Uomoto, Jay et al. (2002) Similarities and differences in attitudes toward long-term care between Japanese Americans and Caucasian Americans. J Am Geriatr Soc 50:1149-55
Young, Heather M; McCormick, Wayne M; Vitaliano, Peter P (2002) Evolving values in community-based long-term care services for Japanese Americans. ANS Adv Nurs Sci 25:40-56
McCormick, W C; Hardy, J; Kukull, W A et al. (2001) Healthcare utilization and costs in managed care patients with Alzheimer's disease during the last few years of life. J Am Geriatr Soc 49:1156-60
Vaughn, G; Kiyasu, E; McCormick, W C (2000) Advance directive preferences among subpopulations of Asian nursing home residents in the Pacific Northwest. J Am Geriatr Soc 48:554-7
Rice, M M; Graves, A B; McCurry, S M et al. (2000) Postmenopausal estrogen and estrogen-progestin use and 2-year rate of cognitive change in a cohort of older Japanese American women: The Kame Project. Arch Intern Med 160:1641-9
Edland, S D; Graves, A B; McCormick, W C et al. (1999) Estimation and sample design in prevalence surveys of dementia. J Clin Epidemiol 52:399-403
Snowden, M; McCormick, W; Russo, J et al. (1999) Validity and responsiveness of the Minimum Data Set. J Am Geriatr Soc 47:1000-4
McCormick, W C; Uomoto, J; Young, H et al. (1996) Attitudes toward use of nursing homes and home care in older Japanese-Americans. J Am Geriatr Soc 44:769-77