Dr. Ann L. Gruber-Baldini

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University of Maryland at Baltimore
Medicine
Epidemiology & Preventive Medicine
Gerontology
Associate ProfessorAppointed: 1994
Professional Headshot of Ann L. Gruber-Baldini

Mailing Address

Department of Epidemiology & Preventive Medicine
660 West Redwood St., HH213
University of Maryland School of Medicine
Baltimore, Maryland 21201
United States

Contact Information

Phone: (410) 706-2444
Fax: (410) 706-4433
abaldin@epi.umaryland.edu
http://medschool.umaryland.edu/epidemiology/agruber.asp

Qualifications

Ph.D., Pennsylvania State University, Human Development and Family Studies, 1991.
M.S., Pennsylvania State University, Human Development and Family Studies, 1989.
B.A., Bucknell University, Psychology & Sociology, 1985.

Expertise and Research Interests

Interests/Expertise:
Gerontology; Aging; Elderly; Epidemiology of Aging; Cognition; Cognitive Funtioning; Dementia; Alzheimer's Disease; Long-term Care; Nursing Homes; Assisted Living; Behavioral Problems; Delirium; Hip Fracture; Chronic Disease Conditions; Minimum Data Set; Rehabilitation; Longitudinal Methods; Data Management; SAS Programming.

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 conditions on physical and cognitive outcomes. Both her doctoral and postdoctoral research have involved longitudinal studies that examined the influence of chronic disease conditions on cognitive and physical functioning over time. She has worked as a project director and analyst/statistician for studies on nursing home residents with dementia (including the University of Maryland Long-Term Care Project), as a research analyst for The Baltimore Hip Studies, and as lead analyst for the Collaborative Studies of Long-term Care. She was recently 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 also been the Principal Investigator of a pilot study that examined the cognitive functioning of hip fracture patients in the hospital and has a grant under review to continue this work. She is currently working on issues related to health outcomes of nursing home residents with dementia and examining treatment of residents with dementia in residential care/assisted living facilities. She is also examining measurement issues in long-term care, including measurement of dementia among nursing home residents and the utility of the Minimum Data Set for research use.

Other Expertise

Dr. Gruber-Baldini serves as the webmaster for the Department of Epidemiology and Preventive Medicine: http://medschool.umaryland.edu/departments/epidemiology/

She has extensive experience in data analyses using SAS, STATA, and SPSS.

Dr. Gruber-Baldini has also worked on a number of longitudinal studies, including the Seattle Longitudinal Study, the Baltimore Longitudinal Study of Aging, the Baltimore Hip Studies, the University of Maryland Long-term Care Studies, and the Collaborative Studies of Long-term Care.

Future Research

Dr. Gruber-Baldini is interested in expanding her research on cognition and hip fracture to examine the relationship between cognitive functioning and physiologic/metabolic changes after hip fracture.

She is also interested in cognition in male hip fracture patients and in the role of cognition in rehabilitation outcomes.

Keywords

COS Keywords:

Alzheimer's Disease, Dementia, Epidemiology, Gerontology, Nursing Homes.

Additional Terms:

Assisted Living, Behavioral Problems, Cognitive Functioning, Delirium, Hip Fracture, Long-term Care, Longitudinal Methods, Rehabilitation.

Memberships

American Geriatrics Society
American Psychological Association
Gerontological Society of America
Maryland Gerontological Association

Honors and Awards

1991-1993, Post-Doctoral Traineeship, National Institute on Aging, Pennsylvania State University
1989-1991, Pre-Doctoral Traineeship, National Institute on Aging, Pennsylvania State University
1984-1985, Dean's List, Bucknell University
1981-1985, Mr. and Mrs. Edwin Youse Scholarship,
1981-1985, Ann Darlington Memorial Scholarship,

Previous Positions

1998-2005, Assistant Professor, University of Maryland at Baltimore, Medicine, Epidemiology and Preventive Medicine, Gerontology
1995-1998, Research Associate (Faculty), University of Maryland at Baltimore, Medicine, Epidemiology and Preventive Medicine, Gerontology
1994-1995, Research Data Analyst /Post-doctoral Fellow, University of Maryland at Baltimore, Medicine, Epidemiology and Preventive Medicine, Gerontology
1993-1994, Research Associate, Hebrew Home of Greater Washington, Research Institute
1991-1993, NIA Post-doctoral Trainee, University of Michigan, Units/Centers/Institutes/Programs, Institute of Gerontology
1989-1991, NIA Pre-doctoral Trainee, Pennsylvania State University, Human Development & Family Studies

Funding Received

  • National Institute on Aging: Aged with Dementia: Facility Effects on Health Outcomes (Co-investigator/Senior Data Analyst; PI: Sheryl Itkin Zimmerman), Direct: $350,000, Sept 1993 to Feb 1999.
  • UMB Women's Health Group: Rehabilitation of Cognitively-Impaired Hip Fracture Patients (PI), $10,000, Sep 1, 2002 to Jan 30, 2004.
  • Alzheimer's Association: Quality Dementia-Sensitive Care in Assisted Living (Co-investigator/PI on subcontract; PI: S. Zimmerman), Subcontract: $70,301, Sep 1, 2000 to Aug 31, 2002.
  • UMAB Claude Pepper OAIC P60AG12583: Cognitive Functioning of Hip Fracture Patients in the Hospital: Components, Predictors, Trajectories, Outcomes, and Implications for Intervention (PI), $15,000, Oct 1, 1995 to Sep 31, 1996.
  • National Institute on Aging: Medical and Functional Outcomes of Residential Care (Co-investigator/Senior Data Analyst; PI: Sheryl Zimmerman), Direct: $1,379,639, July 1996 to Jan 2002.
  • National Institute on Aging: Epidemiology of Dementia in Aged Nursing Home Admissions (Co-investigator/Senior Analyst; PI: Jay Magaziner), $3,052,487, Feb 1995 to Sep 2001.
  • National Institute on Aging: Epidemiology of Dementia in Aged Nursing Home Admissions [competing continuation to examine cost issues] (Co-investigator/Senior Analyst; PI: Jay Magaziner), Direct: $1,747,768, April, 2001 to March, 2004.
  • National Institutes of Health (NIH): End-of-life Care in Residential Care and Nursing Homes (Co-investigator/Senior Analyst; PI: Sheryl Zimmerman), Apr 2001 to Mar 2004.
  • Pfizer/AGS Foundation for Health in Aging: Outcomes of Infections in Nursing Home Residents With and Without Hospital Transfer: Understanding Institutional Relations Between Nursing Homes and Hospitals (Role: Coinvestigator, PI on UMB subcontract; P.I.: Kenneth Boockvar), $130,000, 7/02 to 6/04.
  • AHRQ: DEcIDE Task Order: Methods for studying dementia treatment and outcomes in observational databases (PI); Project dates 9/30/05-7/31/06., Total Costs: $150,00, 2005 to 2006.
  • National Institute on Aging: Sequelae of Hip Fracture in Men: An Epidemiologic Study (R01 AG009901; Role on Project: Co-Investigator/Cognitive Psychologist; P.I.: Jay Magaziner/Marc Hochberg), , 2005 to 2009.
  • National Institute on Aging: Nursing Home Comorbid Depression Care Management Intervention (R21 AG027029; Role on Project: Co-Investigator; P.I.: Charlene Quinn), , 2005 to 2007.
  • AHRQ: Testing a Restorative Care Nursing Program (Role: Co-Ovestigator/Analyst; PI:B. Resnick), $421,330, 12/01/02 to 11/30/07.
  • NIA: Research Training in the Epidemiology of Aging (Role: Co-Investigator/Mentor; P.I.: J. Magaziner), $1,465,245, 04/01/03 to 03/31/08.
  • AARP Andrus Foundation: Reliability & Validity Testing of a Medication Management Instrument for Older Adults (Role: CoInvestogator/Analyst; PI D. Orwig), $90,909, 03/01/00 to 02/28/02.

Publications

  • Stuart B, Gruber-Baldini AL, Fahlman C, Quinn CC, Burton L, Zuckerman IH, Hebel JR, Zimmerman S, Singhal PK, Magaziner J (Aug 2005) Medicare cost differences between nursing home patients admitted with and without dementia, The Gerontologist, 45 (4), 505-15
  • Zimmerman S, Sloane PD, Eckert JK, Gruber-Baldini AL, Morgan LA, Hebel JR, Magaziner J, Stearns SC, Chen CK (Jul 2005) How good is assisted living? Findings and implications from an outcomes study, The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 60 (4), S195-204
  • Boockvar KS, Gruber-Baldini AL, Burton L, Zimmerman S, May C, Magaziner J (Apr 2005) Outcomes of infection in nursing home residents with and without early hospital transfer, Journal of the American Geriatrics Society, 53 (4), 590-6
  • Hill-Westmoreland EE, Gruber-Baldini AL (Feb 2005) Falls documentation in nursing homes: agreement between the minimum data set and chart abstractions of medical and nursing documentation, Journal of the American Geriatrics Society, 53 (2), 268-73
  • Gruber-Baldini AL, Boustani M, Sloane PD, Zimmerman S (Oct 2004) Behavioral symptoms in residential care/assisted living facilities: prevalence, risk factors, and medication management, Journal of the American Geriatrics Society, 52 (10), 1610-7
  • Sloane PD, Gruber-Baldini AL, Zimmerman S, Roth M, Watson L, Boustani M, Magaziner J, Hebel JR (Oct 2004) Medication undertreatment in assisted living settings, Archives of Internal Medicine, 164 (18), 2031-7
  • Baumgarten M, Margolis D, van Doorn C, Gruber-Baldini AL, Hebel JR, Zimmerman S, Magaziner J (Aug 2004) Black/White differences in pressure ulcer incidence in nursing home residents, Journal of the American Geriatrics Society, 52 (8), 1293-8
  • Yasuda N, Zimmerman S, Hawkes WG, Gruber-Baldini AL, Hebel JR, Magaziner J (Jul 2004) 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
  • Morgan LA, Eckert JK, Gruber-Baldini AL, Zimmerman S (2004) Policy and research issues for small assisted living facilities, Journal of Aging & Social Policy, 16 (4), 1-16
  • Resnick B, Simpson M, Bercovitz A, Galik E, Gruber-Baldini A, Zimmerman S, Magaziner J (Sep-Oct 2004) Testing of the Res-Care Pilot Intervention: Impact on nursing assistants, Geriatric Nursing (new York, N.y.), 25 (5), 292-7
  • Fenton J, Raskin A, Gruber-Baldini AL, Menon AS, Zimmerman S, Kaup B, Loreck D, Ruskin PE, Magaziner J (May-Jun 2004) Some predictors of psychiatric consultation in nursing home residents, The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry, 12 (3), 297-304
  • Watson LC, Garrett JM, Sloane PD, Gruber-Baldini AL, Zimmerman S, Depression in assisted living: results from a four-state study, The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry., 11(5), 534-42, 2003 Abstract
  • Gruber-Baldini AL, Zimmerman S, Morrison RS, Grattan LM, Hebel JR, Dolan MM, 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), 1227-36, September 2003 Abstract
  • van Doorn C, Gruber-Baldini AL, Zimmerman S, Hebel JR, Port CL, Baumgarten M, Quinn CC, Taler G, May C, Magaziner J, Epidemiology of Dementia in Nursing Homes Research Group, Dementia as a risk factor for falls and fall injuries among nursing home residents, Journal of the American Geriatrics Society, 51(9), 1213-8, September 2003 Abstract
  • 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 Spec No 2, 107-17, April 2003 Abstract
  • Heeren O, Borin L, Raskin A, Gruber-Baldini AL, Menon AS, Kaup B, Loreck D, Ruskin PE, Zimmerman S, Magaziner J, Association of depression with agitation in elderly nursing home residents, Journal of Geriatric Psychiatry and Neurology, 16(1), 4-7, March 2003
  • Port CL, 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), 52-6, 2003 Abstract
  • Zimmerman, S., Scott, A.C., Park, N.S., Hall, S.A., Wetherby, M.M., Gruber-Baldini, A.L., & Morgan, L.A., Social engagement and its relationship to service provision in residential care/assisted living, Social Work Research, 27(1), 6-18, 2003
  • Baumgarten, M., Margolis, D., Gruber-Baldini, A. L., Zimmerman, S., German, P., Hebel, J.R., & Magaziner, J., Pressure ulcers and the transition to nursing home, Advances in Skin and Wound Care, in press, 2003
  • Zimmerman S, Gruber-Baldini AL, Hebel JR, Sloane PD, Magaziner J, Nursing home facility risk factors for infection and hospitalization: importance of registered nurse turnover, administration, and social factors, Journal of the American Geriatrics Society, 50(12), 1987-95, December 2002 Abstract
  • 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, C.L., Gruber-Baldini, A.L., Burton, L., Baumgarten, M., Hebel, J.R., Zimmerman, S., & Magaziner, J., Factors associated with continued family contact following admission to a nursing home, The Gerontologist, 41(5), 589-596, October 2001
  • Burton, L.C., German, P.S., Gruber-Baldini, A.L., Hebel, J.R., Zimmerman, S.I., & Magaziner, J., Medical care for nursing home residents: Differences by dementia status, Journal of the American Geriatrics Society, 49(2), 142-147, 2001
  • Morgan, L.A., Gruber-Baldini, A.L., & 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, in press, 2001
  • Menon, A.S., Gruber-Baldini, A.L., Hebel, J.R., 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
  • Gruber-Baldini, A.L., Zimmerman, S.I., 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, December 2000
  • Magaziner, J., German, P.S., Zimmerman, S.I., Burton, L., Hebel, J.R., Gruber-Baldini, A.L., 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, December 2000
  • Weintraub, D., Raskin, A., Ruskin, P.E., Gruber-Baldini, A.L., Zimmerman, S.I., Hebel, J.R., German, P., & Magaziner, J., The effect of race on dementia status: A profile of admissions to nursing homes, Psychiatric Services, 51(10), 1259-1264, October 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, September 2000 Abstract
  • 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, September 1997 Abstract
  • 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, February 1996 Abstract
  • 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, January 1996 Abstract
  • 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, January 1996 Abstract
  • Cohen-Mansfield, J., Lipson, S., Gruber-Baldini, A.L., 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, July 1995 Abstract
  • 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, June 1994 Abstract
  • 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 Abstract
  • Schaie, K.W., Plomin, R., Willis, S.L., Gruber-Baldini, A.L., 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, 183-198, 1993
  • Bayen, U., Gruber-Baldini, A.L., & Schaie, K.W., Parent-child and sibling relationships in later adulthood: predictors of contact frequency and perceived closeness, Resources in Education, ED344112, September 1992

Profile Details

Last Verified: 2/2/2006

COS Expertise ID #835194
Reference this profile directly: http://myprofile.cos.com/gruber-baldini