CSDE Research Areas:
I am a gerontologist who studies technology-based services intended to enable most-integrated housing and reduce vulnerabilities among older adults and people with disabilities. My primary area of research examines the ways in which diverse stakeholders interact with and assess the impact of these home care technologies, as well as how these technologies are integrated into state Medicaid and managed care programs. I have studied decision making about adoption, discontinuation, actual use, and resistance to explain how values of privacy, independence and risk management evolve along with technological innovation. In this work, I focus on ethnically diverse Medicaid and near-Medicaid eligible older adults, frontline care staff, home and community-based services (HCBS) program managers, and family members. My second and newer area of research concerns the direct care workforce, including the impact of nursing home culture change practices on staffing and retention and the use of monitoring technologies to detect or deter abuse in resident rooms.