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Building Late-Life Resilience to Prevent Elder Abuse: A Randomized Controlled Pilot Study of the EMPOWER Program, Arizona, 2019-2021 (ICPSR 38332)

Released/updated on: 2023-08-14
Geographic coverage: United States, Arizona
Time period: 2017-01-01--2021-12-31

Over the past two decades, as the proportion of older Americans has increased, so too have instances of elder abuse, including physical, emotional, and sexual abuse; financial exploitation; and caregiver neglect. The most recent national survey estimates show at least 1 in 10 community-residing older adults experience elder abuse each year, which translates to over 7 million Americans annually. Rates of abuse are magnified for older adults with the least financial and social resources, including those with low incomes, living in isolated rural communities, and facing structural barriers such as systemic racism. Emerging research on the COVID-19 pandemic prompts even greater concern for elder abuse: the virus has disproportionately affected older adults, resulting in increased social isolation, physical health impairment, and exposure to COVID-related fraud.

Recognizing the urgent need to develop and rigorously evaluate programs aimed at preventing elder abuse, the US Department of Justice's National Institute of Justice funded a demonstration from 2017 to 2021 during which researchers from the Urban Institute and practitioners at the Phoenix-based Area Agency on Aging, Region One ("the Area Agency") co-developed an elder abuse prevention program in Maricopa County, Arizona, which Urban's team then evaluated through a randomized controlled pilot study. This multiphase demonstration included an initial planning phase and a subsequent pilot study, which is the focus of this report.

The EMPOWER: Building Late-Life Resilience program is a 12-week in-home intervention, with one-hour weekly visits designed to empower community-residing older adults with the resiliency and resources to lead safe and healthy lives throughout the aging process. EMPOWER provides one-on-one assessments, client-centered prevention education, and needs-responsive life skills training embedded in a series of cognitive reframing conversations with an experienced facilitator. The program has eight modules, each of which culminates in an action plan focused on strengthening a client's internal assets and identifying sources of positive social support. Caseworkers facilitate motivational discussions centered on clients' self-identified goals and action planning, with the aim of optimizing clients' home safety, physical health, social connectedness, and emotional and financial well-being.

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Euro-Barometer 30: Immigrants and Out-Groups in Western Europe, October-November 1988 (ICPSR 9321)

Released/updated on: 2017-03-27
Geographic coverage: Europe, United Kingdom, Portugal, Global, Spain, Greece, Netherlands, Belgium, Luxembourg, Ireland, Denmark, Italy, France, Germany
Time period: 1988-10-01--1988-11-01
This round of Euro-Barometer surveys investigated life satisfaction, union membership, smoking habits, knowledge and views regarding cancer, views on the importance of NATO and certain national problems, attitudes toward democracy and individual liberties, attitudes toward immigrants and out-groups (i.e., people of another nationality, race, religion, culture, or social class), and knowledge of and attitudes toward European Community institutions and policies, including the Common Agricultural Policy and the creation of a single European market in 1992. Respondents also were asked to name current topics and events most important for them and to state whether or not certain causes such as the protection of wildlife and the promotion of world peace were worth taking risks and making sacrifices for. Questions on political party preferences asked respondents which party they felt the closest to, how they voted in their country's last general election, how they would vote if a general election were held tomorrow, and how they planned to vote in the June 1989 elections for the European Parliament. The survey also gauged respondents' perceptions of the general attitude of each country's political parties toward the European Community. The inquiry into out-groups asked respondents to identify groups that came to mind when they thought of people of another nationality, race, religion, culture, or social class. Respondents were asked if they counted any out-group members among their friends and if any of these persons worked at their place of employment or lived in their neighborhood. Additional questions asked respondents if they were disturbed by the presence of these out-groups and if they thought that these groups exploited social welfare benefits, increased unemployment, contributed to delinquency and violence, affected property prices, or reduced the level of education in schools. In West Germany, France, Great Britain, and the Netherlands, respondents were queried about their attitudes and feelings toward specific out-groups: Southern Europeans, North Africans, Turks, Black Africans, Asians, Southeast Asians, West Indians, Jews, Surinamers, and Northern Europeans. The section on cancer queried respondents about their knowledge of the causes of cancer and medical recommendations for its early detection and prevention, and asked respondents if they followed or intended to follow those recommendations. Additional information gathered includes family income, home ownership, number of persons and children under 15 residing in the home, size of locality, region of residence, occupation of the head of household, and the respondent's age, sex, occupation, education, religion, religiosity, subjective social class standing, and left-right political self-placement.
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Stroke Recovery in Underserved Populations 2005-2006 [United States] (ICPSR 36422)

Released/updated on: 2016-05-03
Geographic coverage: United States
Time period: 2005-01-01--2006-01-01

The Stroke Recovery in Underserved Populations 2005-2006 study was created to address the National Institute on Aging (NIA) Request For Application entitled "Research on Mind-Body Interactions and Health" (RFA OD-03-008). It addressed the NIA interest in "the impact of optimism, happiness, or a positive attitude on well-being and health; and social functioning and health." The study examined how positive emotion (e.g., joy, gratitude, love, contentment) and social networks independently and interactively contribute to recovery of functional status after stroke within two underserved groups. The specific study aims were to:

  1. Examine recovery of functional status (motor and cognitive function), for White, African American and Hispanic persons with stroke discharged from rehabilitation facilities
  2. Examine the contributions of positive emotion and social networks on recovery of functional status (motor and cognitive function), for White, African American, and Hispanic persons with stroke discharged from rehabilitation facilities; and
  3. Examine the interaction between positive emotion and social networks on recovery of functional status (motor and cognitive function) for White, African American, and Hispanic persons with stroke discharged from rehabilitation facilities.

The data were collected by the IT Health Track at four time points: at admission and discharge from rehabilitation facility, and 80-180 days and 365-425 days after discharge. These data emphasize recovery of motor and cognitive functional status, positive emotion, and social networks

The dataset contains 226 variables and 1219 cases from 11 rehabilitation facilities across the United States.

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