Julie Robison, PhDProfessor of MedicineUConn Center on Aging
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- Overview
- Education & Training
- Teaching
- Committees & Organizations
- Research
- Research Opportunities
- Publications
- Presentations
I am a Professor in the UConn Health Center on Aging and the Editor-in-Chief of the Journal of Applied Gerontology. I teach and mentor graduate and undergraduate students, medical students, interns and fellows. My research aims to improve quality of life and quality of care for people who need long term services and supports (LTSS), and their families. My specific areas of expertise include effectiveness of LTSS for older adults and their families, designing evaluations of innovative LTSS designed to promote independent living, LTSS for individuals with dementia, and health disparities in the population needing LTSS. The results of my work have direct impact on the implementation of policies and programs that serve extremely vulnerable populations in Connecticut and nationally.
Degree | Institution | Major |
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BA | Georgetown University | Art History |
MA | Cornell University | Human Development & Family Studies |
PhD | Cornell University | Human Development & Family Studies |
Postdoc | Yale University School of Medicine | Epidemiology of Aging |
Post-Graduate Training
Training | Institution | Specialty |
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Postdoctoral | Yale University School of Medicine | Epidemiology of Aging |
Awards
Name of Award/Honor | Awarding Organization |
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Gordon Streib Academic Gerontologist Award | Southern Gerontological Society |
Fellow | Gerontological Society of America |
Service Award | Alzheimer's Resource Center |
Certificate of Appreciation | CT DSS/Money Follows the Person Steering Committee |
Pre-Dissertation Paper Award | Gerontological Society of America |
Graduate Fellowships, 1991-94 | Cornell University |
Phi Beta Kappa |
I teach and advise students in the UConn Public Health graduate program. Dr. Richard Fortinsky and I co-teach Public Health and Policy in an Aging Society during the spring semester.
I am a course director for the CICATS PreK Scholar Career Development Award Program, mentoring and instructing junior faculty as they develop K-award and other career development award proposals.
I teach an 8-session series on introductory statistics for Fellows in geriatrics and infectious disease. And I teach interns in their geriatrics rotation about Medicare & Medicaid Policy and Legal and Ethical Issues at the End of Life.
I evaluate pairs of medical and dental students presenting individual journal club sessions on current articles.
Name & Description | Category | Role | Type | Scope | Start Year | End Year |
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National Academies of Science, Engineering and Medicine, Board on Health Care Services | Professional/Scientific Organization | Board member | External | National | 2021 | 2024 |
Patrick and Catherine Weldon Donaghue Medical Research Foundation: Another Look grant program | Study Section | Chair | External | National | 2020 | |
Center on Aging Recruitment and Community Engagement Core | Other | Director | UConn Health | Regional | 2019 | |
Senior Appointments & Promotion Committee | Advisory Committee | secondary reviewer | UConn Health | University | 2019 | |
Journal of Applied Gerontology | Professional/Scientific Journal | Editor-in-Chief | External | International | 2017 | |
AcademyHealth Long-Term Services and Supports Interest Group | Professional/Scientific Organization | Chair | External | International | 2016 | 2017 |
Wallingford Public Library Board of Managers | Community Service | President | External | Local | 2016 | 2019 |
UConn Health Merit Appeals Committee | Community Service | Chair | UConn Health | University | 2015 | 2019 |
UConn Center on Aging Evaluation & Population Assessment Core | Other | Director | UConn Health | Regional | 2015 | |
AcademyHealth | Professional/Scientific Organization | Member | External | International | 2012 | |
AcademyHealth Long-Term Services and Supports Interest Group | Professional/Scientific Organization | Member | External | International | 2012 | |
Connecticut Task Force on Aging in Place | Advisory Committee | Governor's Appointee | External | State | 2012 | 2012 |
Wallingford Public Library Board of Managers | Community Service | Member | External | Local | 2009 | |
American Public Health Association | Professional/Scientific Organization | Member | External | International | 2009 | 2018 |
UConn Health Geriatrics Education Committee | Education Committee | Member | UConn Health | University | 2007 | |
Journal of Applied Gerontology Editorial Board | Editorial Board | Member | External | International | 2007 | |
Connecticut Money Follows the Person Rebalancing Demonstration Evaluation Committee | Research Committee | Chair | External | State | 2007 | |
Connecticut Long-Term Services and Supports Rebalancing Steering Committee | Advisory Committee | ex-officio member | External | State | 2006 | |
LiveWell Connecticut Board of Trustees | Professional/Scientific Organization | Secretary | External | National | 2000 | |
Foundation for Long Term Care Research Advisory Board (Albany, NY) | Advisory Committee | Member | External | Regional | 2000 | 2005 |
Gerontological Society of America | Professional/Scientific Organization | Fellow | External | International | 1992 |
Long-Term Services and Supports, Family Caregiving, Dementia, Depression
My research aims to improve quality of life and quality of care for people who need long term services and supports (LTSS), and their families. LTSS includes in-home, community-based, and institutional care provided by clinicians, paraprofessionals, and families to individuals with functional limitations and chronic illnesses who need assistance to perform routine daily activities such as bathing, dressing, preparing meals, and administering medications. I study how well LTSS funded by Medicaid, Medicare, and other public-sector sources affect health and well-being outcomes. My specific areas of expertise include effectiveness of LTSS for older adults and their families, designing evaluations of innovative LTSS designed to promote independent living, LTSS for individuals with dementia, and health disparities in the population needing LTSS. My work has been continuously funded since 1997 by a range of sources including federal agencies such as the Centers for Medicare and Medicaid Services (CMS) and the Administration on Community Living, Connecticut State Agencies and the State Legislature, medical research foundations, and the NIH. The results of my work have direct impact on the implementation of policies and programs that serve extremely vulnerable populations in Connecticut and nationally. I have served as Principal Investigator or Co-Principal Investigator on over 50 funded research studies and regularly present research findings in national and community forums.
I often have research opportunities for graduate and undergraduate students interested in aging and disability policy and aging families. Please contact me directly for current information.
Journal Articles
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Less Hospice Use and Shorter Hospice Lengths of Stay for Connecticut Medicaid Decedents with Short-Term and Long-Term Nursing Home Stays Compared with Decedents Remaining in Community Homes.
Journal of palliative medicine 2024 Dec;
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Racial and Ethnic Differences in Hospice Use Among Medicaid-Only and Dual-Eligible Decedents.
JAMA health forum 2023 Dec;4(12):e234240
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The Case for Conducting Pragmatic Dementia Care Trials in Medicaid Home and Community-Based Service Settings.
Journal of the American Medical Directors Association 2023 Dec;24(12):1918-1923
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Implementing the Care of Persons With Dementia in Their Environments (COPE) Intervention in Community-Based Programs: Acceptability and Perceived Benefit From Care Managers' and Interventionists' Perspectives.
The Gerontologist 2023 Jan;63(1):28-39
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Disclosure of Complementary and Alternative Medicine Use Among Older Adults: A Cross-Sectional Study.
Gerontology & geriatric medicine 2023 Jan;923337214231179839
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Association of race, ethnicity, education, and neighborhood context with dementia prevalence and cognitive impairment severity among older adults receiving Medicaid-funded home and community-based services.
American Journal of Geriatric Psychiatry 2022 Dec;
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Association of Race, Ethnicity, Education, and Neighborhood Context With Dementia Prevalence and Cognitive Impairment Severity Among Older Adults Receiving Medicaid-Funded Home and Community-Based Services.
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 2022 Dec;
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Associations of the skin, oral, and gut microbiome with aging, frailty and infection risk reservoirs in older adults
Nature Aging 2022 Dec;2941-955
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A Profile of Black and Latino Older Adults Receiving Care in Nursing Homes: 2011-2017.
Journal of the American Medical Directors Association 2022 Nov;23(11):1833-1837.e2
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So Glad to Be Home”: Money Follows the Person Participants’ Experiences After Transitioning out of Institutions
Journal of Disability Policy Studies 2022 Sep;33122-32
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Moving Back Into the Community: Obstacles for People With an Acquired Brain Injury or Physical Disability.
Journal of the American Medical Directors Association 2022 Aug;23(8):1396-1402
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Hispanic Caregivers of the Money Follows the Person Program in Connecticut: Satisfaction, Familism and Burden.
Hispanic Journal of Behavioral Sciences 2022 Jul;44(1):2-23
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Predictors of Frailty Change in Home and Community-Based Services Populations.
Journal of the American Medical Directors Association 2022 May;23(5):838-844
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Cost-Benefit Analysis of the COPE Program for Persons Living With Dementia: Toward a Payment Model.
Innovation in aging 2022 Jan;6(1):igab042
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A New Stage of the Caregiving Career: Informal Caregiving After Long-Term Institutionalization.
The Gerontologist 2021 Aug;61(8):1211-1220
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Community-Based Long-Term Care Has Lower COVID-19 Rates and Improved Outcomes Compared to Residential Settings.
Journal of the American Medical Directors Association 2021 Feb;22(2):259-260
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Outcomes Associated with Home and Community-based Service Use Among Older Adults following a Nursing Home Transition
Journal of Gerontological Social Work 2020 Nov;63(8):807-821
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Effectiveness of the Care of Persons with Dementia in their Environments (COPE) Intervention When Embedded in a Publicly-funded Home and Community-Based Service Program..
Innovation in Aging 2020 Oct;4(6):
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Clinical trial testing in-home multidisciplinary care management for older adults with cognitive vulnerability: Rationale and study design.
Contemporary clinical trials 2020 Mar;92105992
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Racial Differences in Choice and Control Among Older Adults: Results From Connecticut's Money Follows the Person Rebalancing Demonstration.
Journal of aging & social policy 2020 Feb;32(2):172-187
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Challenges to community transitions through Money Follows the Person.
Health Services Research 2020 Jan;55(3):357-366
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Progress and Policy Opportunities in Family Caregiver Assessment: Results From a National Survey.
Journal of Applied Gerontology 2019 Sep;733464817733104
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Differences in Living Arrangements Among Older Adults Transitioning Into the Community.
Journal of Applied Gerontology 2019 Apr;733464816687496
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Risk Factors for Falls Among Older Adults Following Transition From Nursing Home to the Community.
Medical care research and review : MCRR 2019 Jan;1077558717697012
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Evaluation of Outcomes for a Skilled Nursing Facility for Persons Who are Difficult to Place.
The journal of the American Academy of Psychiatry and the Law 2018 Jun;46(2):187-194
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Translation of the Care of Persons with Dementia in their Environments (COPE) intervention in a publicly-funded home care context: Rationale and research design.
Contemporary clinical trials 2016 Jul;49155-65
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Associations of eldercare and competing demands with health and work outcomes among manufacturing workers.
Community, Work & Family 2016 Jun;
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Experiences of Informal Caregivers of Older Adults Transitioned from Nursing Homes to the Community through the Money Follows the Person Demonstration.
Journal of aging & social policy 2016 May;2920-34
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Connecticut's 'Money Follows The Person' Yields Positive Results For Transitioning People Out Of Institutions.
Health Affairs (Project Hope) 2015 Oct;34(10):1628-36
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Medicare and Medicaid users speak out about their health care: the real, the ideal, and how to get there.
Population health management 2014 Sep;18(2):123-30
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The impact of benefits counseling and vocational rehabilitation on employment and earnings.
Journal of Rehabilitation 2014 Mar;
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Long-term supports and services planning for the future: implications from a statewide survey of Baby Boomers and older adults.
The Gerontologist 2013 Sep;54(2):297-313
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Are baby boomers who care for their older parents planning for their own future long-term care needs?
Journal of aging & social policy 2012 Jan;24(1):29-45
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Transition from home care to nursing home: unmet needs in a home- and community-based program for older adults.
Journal of aging & social policy 2012 Jan;24(3):251-70
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Community-based versus institutional supportive housing: Perceived quality of care, quality of life, emotional well-being, and social interaction.
Journal of Applied Gerontology 2011 Jan;30275-303
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Identifying the long term care needs of older and middle aged adults with mental illness.
International Review of Modern Sociology 2010 Jan;36143-168
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A broader view of family caregiving: effects of caregiving and caregiver conditions on depressive symptoms, health, work, and social isolation.
The journals of gerontology. Series B, Psychological sciences and social sciences 2009 Nov;64(6):788-98
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Mental health in senior housing: racial/ethnic patterns and correlates of major depressive disorder.
Aging & mental health 2009 Sep;13(5):659-73
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Individual decision making in the non-purchase of long-term care insurance.
The Gerontologist 2009 Aug;49(4):560-9
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Anxious depression among Puerto Rican and African-American older adults.
Aging & mental health 2009 Jan;13(1):118-26
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A facility specialist model for improving retention of nursing home staff: results from a randomized, controlled study.
The Gerontologist 2008 Jul;48 Spec No 1(SPEC. ISS. 1):80-9
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Efficacy of a geriatrics team intervention for residents in dementia-specific assisted living facilities: effect on unanticipated transitions.
Journal of the American Geriatrics Society 2008 Mar;56(3):523-8
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Factors associated with skilled nursing facility transfers in dementia-specific assisted living.
Alzheimer disease and associated disorders 2008 Jan;22(3):255-60
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Partners in caregiving in a special care environment: cooperative communication between staff and families on dementia units.
The Gerontologist 2007 Aug;47(4):504-15
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Ataques de nervios and psychiatric disorders in older Puerto Rican primary care patients
Journal of Cross-Cultural Psychology 2007 Jan;38(6):659-669
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Job satisfaction and intention to quit among nursing home nursing staff: Do special care units make a difference?
Journal of Applied Gerontology 2007 Jan;26(1):95-112
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Building interdisciplinary/intersectoral research partnerships for community-based mental health research with older minority adults.
American journal of community psychology 2006 Sep;38(1-2):79-93
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Should I stay or should I go? Moving plans of older adults.
Journal of Housing for the Elderly 2006 Jan;20(3):5-22
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Anxiety disorders in older Puerto Rican primary care patients.
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 2005 Feb;13(2):150-6
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Determinants of geropsychiatric inpatient length of stay.
The Psychiatric quarterly 2005 Jan;76(2):195-212
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Individual decisions regarding financing nursing home care: Psychosocial considerations
Journal of Aging Studies 2004 Jan;18(3):337-352
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Late-life anxiety disorders among Puerto Rican primary care patients: impact on well-being, functioning, and service utilization.
Journal of anxiety disorders 2004 Jan;18(6):841-58
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Depression in later-life Puerto Rican primary care patients: the role of illness, stress, social integration, and religiosity.
International psychogeriatrics / IPA 2003 Sep;15(3):239-51
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A cooperative communication intervention for nursing home staff and family members of residents.
The Gerontologist 2003 Apr;43 Spec No 2(2):96-106
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Screening for depression in middle-aged and older puerto rican primary care patients.
The journals of gerontology. Series A, Biological sciences and medical sciences 2002 May;57(5):M308-14
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Consumer and family caregiver views on assisted living
Southwest Journal on Aging 2002 Jan;
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Depression and substance use in a middle aged and older Puerto Rican population.
Journal of cross-cultural gerontology 2002 Jan;17(2):173-93
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Life-sustaining treatment and assisted death choices in depressed older patients.
Journal of the American Geriatrics Society 2001 Feb;49(2):153-61
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Medicaid estate planning: perceptions of morality and necessity.
The Gerontologist 2001 Feb;41(1):34-42
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Instability of attitudes about euthanasia and physician assisted suicide in depressed older hospitalized patients.
General hospital psychiatry 2001 Jan;23(6):326-32
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Late-life depression: A naturalistic study of inpatient treatment
Journal of Mental Health and Aging 2000 Mar;
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A life-course perspective on housing expectations and shifts in late midlife
Research on Aging 2000 Jan;22(5):499-532
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A population-based study of environmental hazards in the homes of older persons.
American journal of public health 1999 Apr;89(4):553-6
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Medicaid eligibility workers discuss Medicaid estate planning for nursing home care.
The Gerontologist 1999 Apr;39(2):201-8
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Mismatches between the home environment and physical capabilities among community-living older persons.
Journal of the American Geriatrics Society 1999 Jan;47(1):88-92
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Screening for dementia in the outpatient setting: the time and change test.
Journal of the American Geriatrics Society 1998 Dec;46(12):1506-11
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Medicaid estate planning: practices and perceptions of Medicaid workers, elder law attorneys, and certified financial planners.
The Gerontologist 1998 Aug;38(4):405-11
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The time and change test: a simple screening test for dementia.
The journals of gerontology. Series A, Biological sciences and medical sciences 1998 Jul;53(4):M281-6
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Importance of functional measures in predicting mortality among older hospitalized patients.
JAMA 1998 Apr;279(15):1187-93
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Difficulty and dependence: two components of the disability continuum among community-living older persons.
Annals of internal medicine 1998 Jan;128(2):96-101
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Predictors of recovery in activities of daily living among disabled older persons living in the community.
Journal of general internal medicine 1997 Dec;12(12):757-62
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Women's caregiving: changing profiles and pathways.
The journals of gerontology. Series B, Psychological sciences and social sciences 1995 Nov;50(6):S362-73
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Caregiving and women's well-being: a life course approach.
Journal of health and social behavior 1995 Sep;36(3):259-73
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Setting the White House Conference on Aging agenda: recommendations from an expert panel.
The Gerontologist 1995 Apr;35(2):258-61
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Women's work and caregiving roles: a life course approach.
Journal of gerontology 1994 Jul;49(4):S176-86
Editorials
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Frailty associated dysbiosis of human microbiotas in older adults in nursing homes.
Nature Aging 2022 Dec;2876-7
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2022 Year in Review
Journal of Applied Gerontology 2022 Dec;
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2021 Year in Review
Journal of Applied Gerontology 2021 Dec;
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2020 Year in Review
Journal of Applied Gerontology 2020 Dec;39(12):1271-73
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Practical Guidance for Recruiting Older Adults in Clinical Research: Building on Principles of Social Justice and Equity.
Journal of the American Geriatrics Society 2020 Oct;
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2019 Year in Review.
Journal of applied gerontology : the official journal of the Southern Gerontological Society 2019 Dec;38(12):1639-1642
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JAG July 2019 Special Issue Editorial Introduction: Intervention Studies in Applied Gerontology.
Journal of applied gerontology : the official journal of the Southern Gerontological Society 2019 Jul;38(7):907-909
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Family Caregivers Needed-No Training Provided.
JAMA internal medicine 2019 Apr;
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2018 Year in Review.
Journal of applied gerontology : the official journal of the Southern Gerontological Society 2018 Dec;37(12):1447-1449
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Health and Wellness for Older Adults: Primary Care and Prevention Services and Tools.
Journal of applied gerontology : the official journal of the Southern Gerontological Society 2018 Jul;37(7):815-816
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Innovative Interventions and Models for People Living With Dementia and Their Care Partners.
Journal of applied gerontology : the official journal of the Southern Gerontological Society 2018 May;37(5):543-544
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Perspectives and Insights From the Long-Term Services and Supports Workforce.
Journal of applied gerontology : the official journal of the Southern Gerontological Society 2018 Apr;37(4):395-396
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2017 Year in Review.
Journal of Applied Gerontology 2018 Jan;37(1):3-6
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Targeting Function at Home in Older Adults: How to Promote and Disseminate Promising Models of Care?
Journal of the American Geriatrics Society 2017 Nov;66433-435
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Introductory Editorial.
Journal of Applied Gerontology 2017 Nov;36(11):1291-1292
Reviews
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Intensifying individual, family, and caregiver stress: Health and social effects of economic crisis
Generations 2009 Jan;33(3):34-39
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Research issues related to individuals with intellectual disabilities.
Connecticut medicine 2004 Sep;68(8):525-9
Title or Abstract | Type | Sponsor/Event | Date/Year | Location |
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The Journal of Applied Gerontology: An International Perspective | Talk | Gerontological Society of America | 2023 | Tampa, FL |
Emergency Department Use among Older Adults Receiving Medicaid Home and Community-Based Services | Talk | Gerontological Society of America | 2023 | Tampa, FL |
Less Hospice Utilization Among Connecticut Medicaid Decedents With Nursing Home Stays Before Death | Talk | Gerontological Society of America | 2023 | Tampa, FL |
Predictors of Hospitalization and Emergency Department Use for Older Adults in a Medicaid HCBS Program | Poster | AcademyHealth | 2023 | Seattle, WA |
Existing Models: Money Follows the Person & Care for People with Dementia in their Environments (COPE) | Other | NASEM | 2022 | Washington, DC |
The Journal of Applied Gerontology: An International Perspective | Talk | Gerontological Society of America | 2022 | Indianapolis, IN |
Caregiver Subgroup Analyses from an Embedded Dementia Care Effectiveness Trial | Talk | Gerontological Society of America | 2022 | Indianapolis, IN |
Hospice Utilization among Medicaid-only and Dually Eligible Decedents in Connecticut | Talk | Gerontological Society of America | 2022 | Indianapolis, IN |
Journal of Applied Gerontology | Talk | Southern Gerontological Society | 2022 | Panama City Beach |
Journal of Applied Gerontology | Talk | Southern Gerontological Society | 2021 | virtual |
Journal of Applied Gerontology | Talk | Southern Gerontological Society | 2019 | Miramar Beach, FL |
Trends and Best Practices in Community-Based Long Term Services and Supports | Plenary Lecture | Agency on Aging of South Central Connecticut’s annual board mtg | 2019 | Orange, CT |
Exploring the effects of rural and urban living on loneliness and reinstitutionalization | Poster | GSA | 2019 | Austin, TX |
The Significant Role of Housing Coordination in Connecticut’s Money Follows the Person Program | Poster | GSA | 2019 | Austin, TX |
Does Rural-Urban Living Affect Health Service Utilization after Transitioning out of a Nursing Home? | Poster | AcademyHealth | 2019 | Washington, DC |
Connecticut’s Money Follows the Person: Exploring the Effect of Rural-Urban Living on Health Service Utilization. Authors: Ligus, K & Robison, J | Poster | Southern Gerontological Society Annual Meeting | 2019 | Miramar Beach, FL. |
Challenges to Transitioning back to the Community Faced by People with Acute Brain Injury or Physical Disabilities. Authors: Pacik, D. & Robison, J., Tolchin, D., & Fortinsky, R.H. | Poster | Association of Academic Physiatrists annual meeting | 2019 | Puerto Rico |
Does Rural-Urban Living Affect Health Service Utilization after Transitioning out of a Nursing Home? authors: Ligus, K. & Robison, J. | Poster | AcademyHealth Annual Research Meeting | 2019 | Washington, DC. |
The Journal of Applied Gerontology: An International Perspective. | Talk | GSA | 2019 | Austin, TX |
National Family Caregiver Support Program Process Evaluation: A Review of Program Operations | Talk | GSA | 2019 | Austin, TX |
Trends and Best Practices in Community-Based Long Term Services and Supports | Plenary Lecture | AARP Aging Roundtable and Resource Fair | 2019 | Hartford, CT |
A Conversation with the Editors of Journal of Applied Gerontology | Talk | Southern Gerontological Society | 2018 | Lake Lanier, GA |