Wayne State University

Aim Higher


Drug Insurance, Medication Adherence and Subsequent Outcomes Among Seniors
Seniors Count!
Retrospective Analysis of Pre-Medicare Aged Patients (50-59) with Chronic Diseases
   to Evaluate the Health and Economic Costs of Medication Non-Adherence
Lifespan Investigation of Family, Health and Environment (LIFHE)

Drug Insurance, Medication Adherence and Subsequent Outcomes Among Seniors

Co-PI’s: Dr. Gail Jensen Summers (IOG) and Dr. Xiao Xu (University of Michigan)
Funder: Agency for Healthcare Research and Quality of the U.S. Dept. of Health and Human Service, $370,000

A two-year analysis of prescription drug regimens and their effects on health and health care costs.  
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Seniors Count!

PI: Dr. Thomas B. Jankowski in collaboration with Adult Well Being Services of Detroit

A two-year grant of $275,000 to gather, integrate and publish a compilation of the available demographic, economic, health and social data on older adults in Southeast Michigan. An additional research enhancement award of $25,000 was given to the project by the American House Foundation.
Visit Seniors Count!, Dr. Jankowski's demographics resource site and blog devoted to Southeast Michigan's growing aging population
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Retrospective Analysis of Pre-Medicare Aged Patients (50-59) with
Chronic Diseases to Evaluate the Health and Economic Costs of Medication Non-Adherence

PI: Gail Summers, PhD and Co-PI: Young Li
Funder: Novartis Pharmaceutical Corporation, 2010 - 2012, $124,704

This is a two-year award of $124,704 from Novartis Pharmaceutical Corporation to study the long-term effects on health and finances when patients do not take their prescribed medications. Dr. Summers will first analyze whether persons who have chronic diseases in their 50s -- too young to qualify for Medicare -- take their medications as prescribed. Next she will study what happens to their health and personal finances when they do not take their medications. "Little is know about whether older adults skip doses of medication when their insurance is limited," Dr. Summers said. "My goal is to conduct studies that can inform future government policy and also keep older adults healthy."
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Lifespan Investigation of Family, Health and Environment (LIFHE):
A Lifespan Alliance Collaboration between Merrill Palmer Skillman Institute and Institute of Gerontology

The LIFHE Core Administrative Team includes:

Peter Lichtenberg, PhD, Director of IOG/MPSI; John Hannigan, PhD, Deputy Director, MPSI, Cathy Lysack, PhD, Deputy Director, IOG; Marc Kruman, PhD, Director, Center for the Study of Citizenship & Chair of History, Lisa Ficker, PhD, LIFHE Project Director; Virginia Delaney-Black, MD, Associate Director, Children’s Research Center of Michigan; Bonnie Stanton, MD, Chair of Pediatrics; Teri Albrecht, PhD, Karmanos Cancer Institute

The LIFHE team interviewed 501 African Americans age 55 to 97 to understand senior activities, family relationships, attitudes, finances and health. Dr. Stewart Neufeld, a professor of mathematics and social science, oversaw questions related to finances, and Dr. Lysack contributed questions about mobility, home and environment. “Our survey was like taking a ‘snapshot’ of information about people’s lives to better understand their challenges and resources,” Dr. Ficker, LIFHE project director, says.

In urban areas, an estimated 9% of grandparents co-reside with their grandchildren but little research has been done on the quality of these relationships. Almost 80% of LIFHE interviewees had grandchildren and 77 of them lived in the same household with a grandchild or great-grandchild. A majority of grandparents in the survey shared meals with grandchildren, talked to them on the phone and visited them often. Significant numbers of grandparents also reported receiving help with household chores and with shopping from their adult grandchildren.

LIFHE’s financial results showed 50% of seniors were somewhat satisfied with their income; but 28% were not at all satisfied. Seventy percent reported lower income than before they retired and 45% had reduced money spent on extras (such as clothing or recreation) in order to make ends meet. A full 54% of people interviewed live alone and almost 20% provide caregiving services for family members, friends and neighbors.

The data collected by the LIFHE team is now available to other researchers investigating the health, finances and social engagement of older African Americans. “This will be a great resource for many types of research,” Dr. Lichtenberg explains. “Between our large Participant Resource Pool and the detailed data collected from LIFHE, we hope to empower researchers to answer pivotal questions about the urban aging experience.”
For more information visit: http://www.mpsi.wayne.edu/research/lifhe.php

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