@misc{bearon_2014, title={30 lessons for living: Tried and true advice from the wisest Americans}, volume={54}, number={2}, journal={Gerontologist}, author={Bearon, L.}, year={2014}, pages={327–329} } @article{rejeski_brubaker_goff_bearon_mcclelland_perri_ambrosius_2011, title={Translating Weight Loss and Physical Activity Programs Into the Community to Preserve Mobility in Older, Obese Adults in Poor Cardiovascular Health}, volume={171}, ISSN={["1538-3679"]}, DOI={10.1001/archinternmed.2010.522}, abstractNote={BACKGROUND Limitations in mobility are common among older adults with cardiovascular and cardiometabolic disorders and have profound effects on health and well-being. With the growing population of older adults in the United States, effective and scalable public health approaches are needed to address this problem. Our goal was to determine the effects of a physical activity and weight loss intervention on 18-month change in mobility among overweight or obese older adults in poor cardiovascular health. METHODS The study design was a translational, randomized controlled trial of physical activity (PA) and weight loss (WL) on mobility in overweight or obese older adults with cardiovascular disease (CVD) or at risk for CVD. The study was conducted within the community infrastructure of Cooperative Extension Centers. Participants were randomized to 1 of 3 interventions: PA, WL + PA, or a successful aging (SA) education control arm. The primary outcome was time to complete a 400-m walk in seconds (400MWT). RESULTS A significant treatment effect (P = .002) and follow-up testing revealed that the WL + PA group improved their 400MWT (adjusted mean [SE], 323.3 [3.7] seconds) compared with both PA (336.3 [3.9] seconds; P = .02) and SA (341.3 [3.9] seconds; P < .001). Participants with poorer mobility at baseline benefited the most (P < .001). CONCLUSION Existing community infrastructures can be effective in delivering lifestyle interventions to enhance mobility in older adults in poor cardiovascular health with deficits in mobility; attention should be given to intervening on both weight and sedentary behavior since weight loss is critical to long-term improvement in mobility. TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT00119795.}, number={10}, journal={ARCHIVES OF INTERNAL MEDICINE}, author={Rejeski, W. Jack and Brubaker, Peter H. and Goff, David C., Jr. and Bearon, Lucille B. and McClelland, Jacquelyn W. and Perri, Michael G. and Ambrosius, Walter T.}, year={2011}, month={May}, pages={880–886} } @article{rejeski_mihalko_ambrosius_bearon_mcclelland_2011, title={Weight Loss and Self-Regulatory Eating Efficacy in Older Adults: The Cooperative Lifestyle Intervention Program}, volume={66}, ISSN={["1758-5368"]}, DOI={10.1093/geronb/gbq104}, abstractNote={Objectives. Using the weight efficacy lifestyle questionnaire (WEL), we examined whether a group-mediated intervention for weight loss among older, obese adults resulted in changes in self-regulatory self-efficacy for eating behavior and whether these changes mediated weight loss. Methods. This was a randomized controlled design, and 288 older adults received 1 of 3 treatments for 6 months: physical activity only (PA), weight loss + physical activity (WL + PA), or a successful aging (SA) health education program. The WEL was administered prior to randomization and again at the 6-month follow-up visit. Results. A significant treatment effect was observed for the WEL, F (2,249) = 15.11, p < .0001, partial eta2 = .11, showing that improvement occurred only in the WL + PA group as compared with PA and SA. Changes in WEL scores partially mediated the effects of the WL + PA intervention on weight loss. Discussion. These results illustrate that WL + PA can be effective in improving older adults’ self-efficacy for the self-regulation of eating behavior and that these changes are prospectively related to the amount of weight loss. Further research is warranted on an expanded concept of self-efficacy as well as controlled experimental studies on eating behavior in older adults.}, number={3}, journal={JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES}, author={Rejeski, W. Jack and Mihalko, Shannon L. and Ambrosius, Walter T. and Bearon, Lucille B. and McClelland, Jacquelyn W.}, year={2011}, month={May}, pages={279–286} } @article{waites_bearon_2007, title={Cross-Professional Partnerships: Innovation in Continuing Education for Social Workers and Extension Educators}, volume={33}, ISSN={0360-1277 1521-0472}, url={http://dx.doi.org/10.1080/03601270701569051}, DOI={10.1080/03601270701569051}, abstractNote={There is a need to train professionals across disciplines to work collaboratively on program development and implementation to address the caregiving issues prevalent in our aging society. The North Carolina State University Departments of Social Work and Family and Consumer Sciences provided a training opportunity for social workers and county extension educators. The goals of the “Institute” were to provide a continuing education program that cultivated partnerships to develop and implement innovative local programming for older adults and their families. The program was also intended to increase the partnership capacity in the involved counties. This paper describes and evaluates the continuing education program and the potential of this training model for community partnership-building in the service of elders and families.}, number={10}, journal={Educational Gerontology}, publisher={Informa UK Limited}, author={Waites, Cheryl and Bearon, Lucille}, year={2007}, month={Sep}, pages={833–853} } @article{mitchell_fraser_bearon_2007, title={Preventing food-borne illness in food service establishments: Broadening the framework for intervention and research on safe food handling behaviors}, volume={17}, ISSN={["0960-3123"]}, DOI={10.1080/09603120601124371}, abstractNote={Abstract Unsafe food handling practices in food service establishments are a major contributor to the transmission of food-borne illness. However, current worker education and training interventions demonstrate only modest success in changing food service worker behavior. We argue for more ecologically-oriented interventions that address both individual and contextual factors that influence safe food handling behaviors. We describe potential predisposing influences (e.g. knowledge, beliefs concerning risk of food-borne illness, perceived control, self-efficacy), enabling influences (e.g. intensity and quality of training, work pressure and pace, safety procedures and protocols, appropriate equipment) and reinforcing influences (e.g. management enforcement of policies, incentives for safe food handling, job stress and organizational justice) on worker behavior. Efforts to change food service workers' behaviors are more likely to be effective if they pay greater attention to the ecological context, address multiple influences on worker behavior, and view workers as partners in preventing food-borne illness in food service establishments.}, number={1}, journal={INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH}, author={Mitchell, Roger E. and Fraser, Angela M. and Bearon, Lucille B.}, year={2007}, month={Feb}, pages={9–24} } @article{mcclelland_irving_mitchell_bearon_webber_2002, title={Extending the reach of nutrition education for older adults: Feasibility of a Train-the-Trainer approach in congregate nutrition sites}, volume={34}, ISSN={["1878-2620"]}, DOI={10.1016/S1499-4046(06)60311-4}, abstractNote={Low-income older adults are difficult to reach with nutrition education. This study examines the feasibility of a Train-the-Trainer approach using congregate nutrition site (CNS) managers to deliver nutrition education. The study suggests that CNS managers were receptive to the role of trainer, CNS participants were satisfied with this method, and the acceptability of managers as trainers did not vary with participants' levels of risk of malnutrition. Although the sample size (53 participants and 4 managers) and convenience sampling method limit generalizability, the promising results suggest the potential benefits of this method and the need for further study.}, journal={JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR}, author={McClelland, JW and Irving, LM and Mitchell, RE and Bearon, LB and Webber, KH}, year={2002}, pages={S48–S52} } @article{mcclelland_bearon_velazquez_fraser_reid_mustian_2002, title={Profiling rural southern congregate nutrition site participants: Implications for designing effective nutrition education programs}, volume={22}, ISBN={0163-9366}, DOI={10.1300/j052v22n02_05}, abstractNote={Abstract A high degree of risk of malnutrition exists among low-income older adults, especially those attending congregate nutrition sites. Recognizing this, nutrition education programming is offered on a regular basis; however, levels of malnutrition risk persist at a high rate. The current study focuses on the diversity of this audience and the premise that nutrition education appropriately targeted more specifically to this audience would bring about behavior change and affect risk of malnutrition. Therefore, the current study identified the risk factors for and level of risk of malnutrition in a southern rural congregate nutrition site participant population and determined that subsets of this population are at greater risk of malnutrition than the whole. Socio-demographic characteristics were found to vary with behavioral risk factors for malnutrition. This study should be of particular interest to educators who wish to develop effective nutrition education programming by targeting older adults more specifically.}, number={2}, journal={Journal of Nutrition for the Elderly}, author={McClelland, J. W. and Bearon, L. B. and Velazquez, S. and Fraser, A. M. and Reid, H. M. and Mustian, R. D.}, year={2002}, pages={57} } @article{mcclelland_bearon_fraser_mustian_velazquez_2001, title={Reaching older adults with nutrition education: Lessons learned during the partners in wellness pilot project}, volume={21}, ISBN={0163-9366}, DOI={10.1300/j052v21n02_05}, abstractNote={Abstract Older Americans are at increased risk for malnutrition. Yet, health promotion efforts often fail to reach them. Studies suggest that existing channels (e.g., organized sites/systems such as churches, clubs, or schools) might be used to reach a hard-to-reach audience with information. Partners in Wellness: A Pilot Program Using a Holistic Approach to Improve the Nutritional Status of Older Adults at Congregate Nutrition Sitesused congregate nutrition sites as channels to deliver nutrition education programming to decrease the risk of malnutrition among food-stamp eligible or food-stamp recipient older adults. This paper identifies issues, both facilitating factors and barriers, in designing and conducting effective educational programming for older adults.}, number={2}, journal={Journal of Nutrition for the Elderly}, author={McClelland, J. W. and Bearon, L. B. and Fraser, A. M. and Mustian, R. D. and Velazquez, S.}, year={2001}, pages={59} } @article{bearon_crowley_chandler_robbins_studenski_2000, title={Personal functional goals: A new approach to assessing patient-centered outcomes}, volume={19}, ISSN={["0733-4648"]}, DOI={10.1177/073346480001900305}, abstractNote={ One dilemma in outcomes research is finding measures that show the impact of an intervention on participants' quality of life, especially in areas most salient to participants. The authors describe the development and testing of a method for eliciting information about personal functional goals from older adults entering an exercise program and assessing progress after completion of the program. The authors' Personal Functional Goals (PFG) Checklist and Interview Protocol is a 45-item checklist of goals for health, daily living, and general well-being. Testing on older adult, community-dwelling participants in controlled exercise intervention studies confirmed the ease of administration and provided preliminary evidence of reliability and validity, including responsiveness to change. Thus, the PFG shows promise for measuring health-related quality of life in terms of individual concerns and is suitable for application in clinical and research settings. }, number={3}, journal={JOURNAL OF APPLIED GERONTOLOGY}, author={Bearon, LB and Crowley, GM and Chandler, J and Robbins, MS and Studenski, S}, year={2000}, month={Sep}, pages={326–344} } @article{bearon_1998, title={Societal mechanisms for maintaining competence in old age}, volume={27}, ISSN={["0094-3061"]}, DOI={10.2307/2655176}, number={3}, journal={CONTEMPORARY SOCIOLOGY-A JOURNAL OF REVIEWS}, author={Bearon, L}, year={1998}, month={May}, pages={253–254} }