Ann  L Gruber-Baldini
 

Ann L Gruber-Baldini Ph.D.

Academic Title: Associate Professor
Primary Appointment: Epidemiology and Preventive Medicine
Additional Title(s): Director of Statistical and Data Analysis Group, Division of Gerontology
abaldin@epi.umaryland.edu
Location: HH 213
Phone: (410) 706-2444
Phone: (410) 706-4433

Personal History

* Post-doctoral Fellow - University of Michigan, Institute of Gerontology, 1991-1993
* Ph.D. - Pennsylvania State University, Human Development & Family Studies, 1989-1991
* M.S. - Pennsylvania State University, Human Development & Family Studies, 1985-1989
* B.A. - Bucknell University, Psychology & Sociology, 1981-1985

Research Interests

Dr. Gruber-Baldini’s research interests are in gerontology, cognitive functioning and the impact of chronic conditions on functioning. She has worked on projects examining functioning in both community-dwelling and institutionalized elderly. Her research has examined the impact of chronic disease on physical and cognitive outcomes. Both her doctoral (on the Seattle Longitudinal Study) and postdoctoral (on the Baltimore Longitudinal Study of Aging) research has involved longitudinal studies that examined the influence of chronic disease conditions on cognitive and physical functioning over time. She has worked as a co-investigator and senior data analyst for many longitudinal studies, including the Baltimore Hip Studies, the University of Maryland Long-Term Care Project, and the Collaborative Studies of Long-term Care. Dr. Gruber-Baldini also collaborates with the University of Maryland Parkinson’s Disease and Movement Disorders Center, looking at the longitudinal impact of PD and related conditions on functioning and quality of life.

Dr. Gruber-Baldini is currently investigating the interaction of cognition (including dementia and delirium) and health in both hospitals and long-term care settings. She was awarded a Task Order to study treatment and outcomes of dementia by AHRQ as part of the DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) Network.

She has been the Principal Investigator of a pilot study that examined the cognitive functioning of hip fracture patients in the hospital using neuropsychological measures. She currently is the PI of a NHLBI-funded grant to look at delirium outcomes in an ongoing study of blood transfusion protocols in hip fractures (FOCUS). She is also working on issues related to health outcomes of nursing home and assisted living residents with dementia and on potential interventions for persons with dementia after hip fracture.

Dr. Gruber-Baldini serves as the Director of the Statistical Analyses and Data Management Group within the Division of Gerontology. She has extensive experience in SAS, STATA, and SPSS analyses packages and in the data management of longitudinal studies. She is chair of the DEPM computer committee. In addition, she is heavily involved in the Gerontology Doctoral Program, where she serves as chair of the comprehensive examination committee and teaches a core course on Psychology of Aging.

Publications

Resnick B, Galik E, Petzer-Aboff I, Rogers V, & Gruber-Baldini AL. Testing the Reliability and Validity of Self-efficacy and Outcome Expectations of Restorative Care performed by Nursing Assistants, in press, Journal of Nursing Care Quality
Stearns SC, Park J, Zimmerman S, Gruber-Baldini AL, Konrad TR, & Sloane PD. Determinants and Effects of Nurse Staffing Intensity and Skill Mix in Residential Care/Assisted Living Settings, in press, The Gerontologist
Kaup B, Loreck D, Gruber-Baldini AL, German P, Menon AS, Zimmerman S, Burton L, & Magaziner J.  Depression and its Relationship to Function and Medical Status, by Dementia Status, in Nursing Home Admissions, 2007, American Journal of Geriatric Psychiatry, 15(5):438-442. PMID: 17463194.
Resnick B, Gruber-Baldini AL, Aboff I, Galik E, Custis Buie V, Russ K, & Zimmerman S.  Reliability and Validity of The Evaluation to Sign Consent Measure, 2007, The Gerontologist, 47(1), 69-77. PMID: 17327542
Orwig D, Brandt N, & Gruber-Baldini AL. Medication Management Assessment for Older Adults in the Community, 2006, The Gerontologist, 46(5),661-8. PMID: 17050757.

Shulman LM, Pretzer-Aboff I, Anderson KE, Stevenson R, Vaughan CG, Gruber-Baldini AL, Reich SG, & Weiner WJ. Subjective report versus objective measurement of activities of daily living in Parkinson s Disease. Movement Disorders, 2006, Movement Disorders, 21(6), 794-799. PMID: 16482533.

Zuckerman IH, Hernandez JJ, Gruber-Baldini AL, Hebel JR, Stuart B, Zimmerman S, & Magaziner J. Dementia and Potentially Inappropriate Prescribing Before and After Nursing Home Admission. American Journal Geriatric Pharmacotherapy,  2005, 3(4), 246-254. PMID: 16503320.

Park NS, Zimmerman S, Sloane PD, Gruber-Baldini AL, & Eckert JK. Empirical typologies of residential care/assisted living care. The Gerontologist, 2006,46(2), 238-248. PMID: 16581888.

Resnick B, Simpson M, Galik E, Bercovitz A, Gruber-Baldini AL, Zimmerman S, & Magaziner J. Making a Difference: Nursing Assistants’ Perspectives of Restorative Care Nursing. Rehabilitation Nursing, 2006, Rehabilitation Nursing, 31(2), 78-86. PMID: 16526526.

Resnick B, Simpson M, Bercovitz A, Galik E, Gruber-Baldini AL, Zimmerman S, & Magaziner J. Pilot testing of the Restorative Care Intervention: Impact on residents. Journal of Gerontological Nursing, 2006, Journal of Gerontological Nursing, 32(3):39-47. PMID: 16544456.

Zimmerman S, Mitchell CM, Chen C, Morgan LA, Gruber-Baldini AL, Sloane PS, Eckert K, & Munn J. An observation of assisted living environments: Space use and behavior. Journal of Gerontological Social Work, in press.

Bercovitz A, Gruber-Baldini AL, Burton L, & Hebel JR. Health Care Utilization of Nursing Home Residents: Comparison Between Decedents and Survivors. Journal of the American Geriatrics Society, 2005, 53(12), 2069-2075.

Magaziner, J., Zimmerman, S., Gruber-Baldini AL, van Doorn C, Hebel JR, German P, Burton L, Taler G, May C, Quinn CC, Port CL, & Baumgarten M, for the Epidemiology of Dementia in Nursing Homes Research Group. Mortality and adverse health events during the two years following nursing home entry in newly-admitted nursing home residents with and without dementia. Journal of the American Geriatrics Society, 2005, 53(11), 1858-66.

Gruber-Baldini AL, Zimmerman S, Boustani M, Watson L, Williams CS, & Reed PS. Characteristics associated with depression in long-term care residents with dementia. The Gerontologist, 2005 Oct; 45 Suppl 1:50-55.

Boustani M, Zimmerman S, Williams CS, Gruber-Baldini AL, Watson L, Sloane PD, & Reed PS. Characteristics associated with behavioral symptoms in long-term care residents with dementia. The Gerontologist, 2005 Oct;45 Suppl 1:56-61.

Sloane PD, Zimmerman S, Gruber-Baldini AL, Hebel JR, Magaziner J, & Konrad TR. Health and functional outcomes and health care utilization of persons with dementia in assisted living: Comparison with nursing homes. The Gerontologist, 2005, 45 Suppl 1:124-134.

Stuart B, Gruber-Baldini AL, Fahlman C, Quinn CC, Burton L, Zuckerman IH, Hebel JR, Zimmerman S, Singhal PK,& Magaziner J. Medicare cost differences between nursing home patients admitted with and without dementia. The Gerontologist, 2005 Aug;45(4):505-15.

Zimmerman S, Sloane PD, Eckert JK, Gruber-Baldini AL, Morgan LA, Hebel JR, Magaziner J, Stearns SC, & Chen CK. How good is assisted living? Findings and implications from an outcomes study. Journal of Gerontology: Social Sciences, Jul;60(4):S195-204, 2005.

Hill-Westmoreland EE, & Gruber-Baldini AL. Falls documentation in nursing homes: Agreement of the Minimum Data Set with chart abstractions of medical and nursing documentation. Journal of the American Geriatrics Society, 53(2): 268-73, 2005.

Boockvar K, Gruber-Baldini AL, Burton L, Zimmerman S, & Magaziner J. Outcomes of infection in nursing home residents with and without early hospital transfer. Journal of the American Geriatrics Society, 53(4), 590-6, 2005.

Gruber-Baldini AL, Boustani M, Sloane PD, & Zimmerman S. Behavioral symptoms in Residential Care/Assisted Living (RC/AL) facilities: Prevalence and potential risk factors. Journal of the American Geriatrics Society, 52(10):1610-7, 2004.

Morgan LA, Eckert JK, Gruber-Baldini AL, & Zimmerman S. Policy and research issues for small assisted living facilities. Journal of Aging and Social Policy, 16(4): 1-16, 2004.

Baumgarten M, Margolis D, van Doorn C, Gruber-Baldini AL, Hebel JR, Zimmerman S, & Magaziner J. Black/White differences in pressure ulcer incidence in nursing home residents. Journal of the American Geriatrics Society, 52(8):1293-8, 2004.

Sloane PD, Gruber-Baldini AL, Zimmerman S, Roth M, Watson L, Boustani M, Magaziner J, & Hebel JR. Medication undertreatment in assisted living. Archives of Internal Medicine, 164(18): 2031-2037, 2004.

Resnick B, Simpson M, Bercovitz A, Galik E, Gruber-Baldini AL, Zimmerman S, & Magaziner J. Testing of the Res-Care Pilot Intervention: Impact on nursing assistants. Geriatric Nursing, 25(5): 292-7, 2004.

Yasuda N, Zimmerman S, Hawkes WG, Gruber-Baldini AL, Hebel JR, & Magaziner J. Concordance of proxy perceived change and measured change in multiple domains of function in older persons. Journal of the American Geriatrics Society, 52(7), 1157-62, 2004.

Fenton J, Raskin A, Gruber-Baldini AL, Menon AS, Zimmerman S, Kaup B, Loreck D, Ruskin P, & Magaziner J. Some predictors of psychiatric consultation in nursing home residents. American Journal of Geriatric Psychiatry, 12(3): 297-304, 2004.

Gruber-Baldini AL, Zimmerman S, Morrison RS, Grattan LM, Dolan M, Hebel JR, Hawkes W, & Magaziner J. Cognitive impairment in hip fracture patients: Timing of detection and longitudinal follow-up. Journal of the American Geriatrics Society, 51(9): 1227-1236, 2003.

van Doorn C, Gruber-Baldini AL, Zimmerman S, Hebel JR, Port C, Baumgarten M, Quinn C, Taler G, May C, & Magaziner J. Dementia as a risk factor for falls and fall injuries among nursing home residents. Journal of the American Geriatrics Society, 51(9): 1213-1218, 2003.

Baumgarten M, Margolis D, Gruber-Baldini AL, Zimmerman S, German P, Hebel JR, & Magaziner J. Pressure ulcers and the transition to nursing home. Advances in Skin and Wound Care, 16: 299-304 2003.

Watson L, Garrett J, Sloane PS, Gruber-Baldini AL, & Zimmerman S. Are residents of assisted living depressed? Results from a four-state study. American Journal of Geriatric Psychiatry, 11(5): 534-42, 2003.

Zimmerman S, Gruber-Baldini AL, Sloane PD, Eckert JK, Hebel JR, Morgan LA, Stearns SC, Wildfire J, Magaziner J, Chen C, & Konrad TR. Assisted living and nursing homes: Apples and oranges? The Gerontologist, 43 (S2): 107-117, 2003.

Zimmerman S, Scott AC, Park NS, Hall SA, Wetherby MM, Gruber-Baldini AL, & Morgan LA. Social engagement and its relationship to service provision in residential care/assisted living. Social Work Research, 27(1): 6-18, 2003.

Port C, Hebel JR, Gruber-Baldini AL, Baumgarten M, Burton L, Zimmerman S, & Magaziner J. Measuring the frequency of contact between nursing home residents and their family and friends. Nursing Research, 52(1): 52-56, 2003.

Heeren O, Borin L, Raskin A, Gruber-Baldini AL, Menon S, Kaup B, Loreck D, Ruskin P, Zimmerman S, & Magaziner J. The association of depression with agitation in elderly nursing home residents. Journal of Geriatric Psychiatry & Neurology, 16(1):4-7, 2003.

Zimmerman S, Gruber-Baldini AL, Hebel JR, Sloane PD, & Magaziner J. Nursing home facility risk factors for infection: Importance of RN turnover, administration and social factors. Journal of the American Geriatrics Society, 50(12): 1987-1995, Dec. 2002.

Sloane PD, Zimmerman S, Gruber-Baldini AL, & Barba BE. Plants, animals, and children in long-term care: How common are they? Do they affect clinical outcomes? Alzheimer’s Care Quarterly.3(1): 12-18, 2002.

Port CL, Gruber-Baldini, AL, Burton L, Baumgarten M, Hebel JR, Zimmerman S, & Magaziner J. Factors associated with continued family contact following admission to a nursing home. The Gerontologist. 41(5): 589-596, Oct 2001.

Menon AS, Gruber-Baldini, AL, Hebel JR, Kaup B, Loreck D, German P, & Magaziner J. Relationship between aggressive behaviors and depression among nursing home residents with dementia. International Journal of Geriatric Psychiatry. 16(1): 139-146, Jan 2001.

Burton LC, German PS, Gruber-Baldini AL, Hebel JR, Zimmerman SI, & Magaziner J. Medical care for nursing home residents: Differences by dementia status. Journal of the American Geriatrics Society. 49(2): 142-147, 2001.

Morgan LA, Gruber-Baldini AL, & Magaziner J. Resident Characteristics. In S. Zimmerman, P.D. Sloane, & J.K. Eckert (Eds.), Assisted Living: Needs, Practices, and Policies in Residential Care for the Elderly. JHU Press. 2001.

Gruber-Baldini AL, Zimmerman SI, Mortimore E, & Magaziner J. The validity of the Minimum Data Set in measuring the cognitive impairment of persons admitted to nursing homes. Journal of the American Geriatrics Society. 48(12): 1601-1606, Dec 2000.

Magaziner J, German PS, Zimmerman SI, Burton L, Hebel JR, Gruber-Baldini AL, May C, & Kittner S. The prevalence of dementia in a statewide sample of new nursing home admissions age 65 and older: Diagnosis by expert panel. The Gerontologist. 40(6): 663-672, Dec 2000.

Weintraub D, Raskin A, Ruskin PE, Gruber-Baldini AL, Zimmerman SI, Hebel JR, German P, & Magaziner J. The effect of race on dementia status: A profile of admissions to nursing homes. Psychiatric Services. 51(10): 1259-1264, Oct 2000.

Dolan MM, Hawkes WG, Zimmerman SI, Morrison RS, Gruber-Baldini AL, Hebel JR, & Magaziner J. Delirium on hospital admission in aged hip fracture patients: Prediction of mortality and 2-year functional outcomes. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences. 55(9): M527-34, Sep 2000.

Zimmerman SI, Smith HD, Gruber-Baldini AL, Fox K, Hebel JR, & Magaziner J. Short-term persistent depression following hip fracture: A risk factor and target to increase resiliency in the aged. Social Work Research. 23(3): 187-196, 1999.

Magaziner J, Zimmerman SI, Gruber-Baldini AL, Hebel JR, & Fox KM. Proxy reporting in five areas of functional status. Comparison with self-reports and observations of performance. American Journal of Epidemiology. 146(5): 418-28, Sep 1997.

Zimmerman SI, Sloane PD, Gruber-Baldini AL, Calkins M, Leon J, Magaziner J, & Hebel JR. The philosophy of special care in Alzheimer’s special care units. Journal of Mental Health and Aging. 3(2): 169-181, 1997.

Magaziner J, Bassett SS, Hebel JR, & Gruber-Baldini A. Use of proxies to measure health and functional status in epidemiologic studies of community-dwelling women aged 65 years and older. American Journal of Epidemiology. 143(3): 283-92, Feb 1996.

Cohen-Mansfield J, Gruber-Baldini AL, Culpepper WJ 2nd, & Werner P. Longitudinal changes in cognitive functioning in adult day care participants. Journal of Geriatric Psychiatry and Neurology. 9(1): 30-8, Jan 1996.

Verbrugge LM, Gruber-Baldini AL, & Fozard JL. Age differences and age changes in activities: Baltimore Longitudinal Study of Aging. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences. 51(1): S30-41, Jan 1996.

Cohen-Mansfield J, Lipson S, Gruber-Baldini AL, Farley J, & Woosley R. Longitudinal prescribing patterns of psychotropic drugs in nursing home residents. Experimental and Clinical Psychopharmacology. 4(2): 224-233, 1996.

Gruber-Baldini AL, Schaie KW, & Willis SL. Similarity in married couples: A longitudinal study of mental abilities and rigidity-flexibility. Journal of Personality and Social Psychology. 69(1): 191-203, Jul 1995.

Verbrugge LM, Reoma JM, & Gruber-Baldini AL. Short-term dynamics of disability and well-being. Journal of Health and Social Behavior. 35(2): 97-117, Jun 1994.

Schaie KW, Plomin R, Willis SL, Gruber-Baldini A, & Dutta R. Natural cohorts: family similarity in adult cognition. Nebraska Symposium On Motivation. 39: 205-43, 1993.

Schaie KW, Plomin R, Willis SL, Gruber-Baldini AL, Dutta R, & Bayen U. Family similarity in adult intellectual development. In J.J.F. Scroots (Ed.), Aging, health, and competence: The next generation of longitudinal research. pp. 183-198, 1993.




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