Erin Bouldin

*Education: Postdoctoral Research Fellow, VA Center of Innovation for Veteran-Centered and Value-Driven Care, Seattle, 2014-2016 PhD, Epidemiology, University of Washington, 2011-2014 *Dissertation: Rural Residence, Dual System Healthcare Use, and Chronic Wound Utilization and Outcomes among Northwest Veterans MPH, Epidemiology, University of Florida, 2004-2006 BS, Food Science & Human Nutrition and Zoology, University of Florida, 1999-2003 American Public Health Association Society for Epidemiologic Research Gerontological Society of America Delta Omega Honorary Public Health Society *Research Interests: Broadly, I am interested in aging and disability from a public health perspective. Specifically, I work on assessing the prevalence and health impacts of informal caregiving, engaging informal caregivers in self-care for people with chronic disease, and understanding cognitive decline and its impacts on physical and social function among middle-aged and older adults.

There are 34 included publications by Erin Bouldin :

TitleDateViewsBrief Description
Acceptability Of Fitbit For Physical Activity Tracking Within Clinical Care Among Men With Prostate Cancer 2016 517 Prior research has not examined the acceptability of commercially available fitness tracking devices in men with prostate cancer, many of whom are at risk for conditions that physical activity could alleviate. We conducted an exploratory 3- week fiel...
Adult Food Security And The Relationship With Adverse Childhood Experiences Among Residents Of Appalachian North Carolina 2019 304 Introduction: The Appalachian region has worse health outcomes than the remainder of the United States. These disparities are often linked to the underlying social and environmental determinants of health. Adverse childhood experiences (ACEs) are ass...
Adult Informal Caregivers Reporting Financial Burden In Hawaii, Kansas, And Washington: Results From The 2007 Behavioral Risk Factor Surveillance System 2011 287 Given the unpaid nature of the work, informal caregiving can create a financial burden for caregivers. Little has been done to identify specific predictors of experiencing financial burden. This study investigated demographic and health factors compa...
Age Group Differences In Healthcare Access For People With Disabilities: Are Young Adults At Increased Risk? 2011 250 Purpose: The purpose of this study was to quantify and describe the population of young adults with disability in Florida and to assess correlates of healthcare access in this population in contrast with adults belonging to middle and older age group...
Associations Between Having An Informal Caregiver, Social Support, And Self-Care Among Low-Income Adults With Poorly Controlled Diabetes 2017 1536 Objective: To determine whether the presence of an informal caregiver and the patient’s level of social support are associated with better diabetes self-care among adults with poorly controlled diabetes. Methods: Cross-sectional study using baseline ...
Associations Between Physical Activity And Cognitive Functioning Among Middle-Aged And Older Adults 2016 343 Objectives: To describe aerobic physical activity among middle-aged and older adults by their self-reported cognitive decline and their receipt of informal care for declines in cognitive functioning and most common type of physical activity. Design: ...
Caregivers Of Older Adults With Cognitive Impairment 2009 292 Because of the growing number of caregivers and the awareness of related health and quality-of-life issues, caregiving has emerged as an important public health issue. We examined the characteristics and caregiving experiences of caregivers of people...
Characteristics And Health Of Caregivers And Care Recipients -- North Carolina, 2005 2007 396 Approximately 53.4 million caregivers in the United States provide an estimated $257--$389 billion worth of unpaid care annually to persons of all ages with disabilities and chronic illness (1,2). The health of caregivers and their ability to continu...
Characteristics And Well-Being Of Informal Caregivers: Results From A Nationally-Representative US Survey 2014 713 Given ongoing concerns about high levels of burden reported among some informal caregivers, the goal of this study was to characterize their socio-demographics, health, and well-being. Using cross-sectional data from a large nationally representative...
Chronic Lower Limb Wound Outcomes Among Rural And Urban Veterans 2015 1451 Purpose: Veterans in rural areas generally have lower health care utilization than veterans in urban areas but the impact of this difference on health outcomes has received little study. Chronic wounds provide a model for studying access to complex c...
Chronic Wound Care Utilization Among Veterans Using VHA And Medicare 2017 1345 Veterans who use the Veterans Health Administration (VHA) also may use Medicare coverage for treatment outside VHA. Using multiple health care systems introduces fragmentation and may increase utilization. The purpose of this study was to compare chr...
Cost As A Barrier To Dental Care Among People With Disabilities: A Report From The Florida Behavioral Risk Factor Surveillance System 2010 1137 Many individuals who have disabilities or complex health conditions do not have adequate access to comprehensive oral health care. An examination of the literature indicates a variety of contributing factors. This study reports on cost of care as a b...
The Cross-Sectional Association Between Severity Of Non-Cognitive Disability And Self-Reported Worsening Memory 2016 444 Background: Research has demonstrated a clear association between cognitive decline and non-cognitive disability; however, all of these studies focus on disability as a correlate or result of some level of cognitive impairment or dysfunction. The rel...
Demographic And Health Status Differences Among People Aged 45 Or Older With And Without Functional Difficulties Related To Increased Confusion Or Memory Loss, 2011 BRFSS 2015 340 We examined the demographic and health characteristics of people aged 45 years or older in 21 states with self-reported increased confusion or memory loss (ICML) (n = 10,583) by whether or not they also reported functional difficulties related to ICM...
Doubly Robust Testing And Estimation Of Model-Adjusted Effect-Measure Modification With Complex Survey Data 2013 385 Model-based standardization enables adjustment for confounding of a population-averaged exposure effect on an outcome. It requires either a model for the probability of the exposure conditional on the confounders (an exposure model) or a model for th...
The Economic Value Of Informal Caregiving For Persons With Dementia: Results From 38 States, The District Of Columbia, And Puerto Rico, 2015 And 2016 BRFSS 2018 417 Objectives. To estimate the economic value from a societal perspective of informal caregiving of persons with dementia in 38 states, the District of Columbia, and Puerto Rico. Methods. Using a cost replacement method and data from the 2015 and 2016 B...
Evidence-Based Chronic Ulcer Care And Lower Limb Outcomes Among Pacific Northwest Veterans 2015 410 Evidence-based ulcer care guidelines detail optimal components of care for treatment of ulcers of different etiologies. We investigated the impact of providing specific evidence-based ulcer treatment components on healing outcomes for lower limb ulce...
Falls Among Adult Patients Hospitalized In The United States: Prevalence And Trends 2013 1467 Objectives: The purpose of this study was to provide normative data on fall prevalence in U.S. hospitals by unit type and to determine the 27-month secular trend in falls before the implementation of the Centers for Medicare and Medicaid Service (CMS...
Increased Confusion And Memory Loss In Households, 2011 Behavioral Risk Factor Surveillance System 2015 267 Using data from the 2011 Behavioral Risk Factor Surveillance System (BRFSS), we examined households in 13 states (N = 81,012) in which the respondent or another adult household member experienced increased confusion or memory loss (ICML) in the prece...
The Intersection Of Public Health Data And Rehabilitation Practice 2008 417 It is anticipated that the number of older adults with impairments or limitations will increase from approximately 14 million today to more than 28 million in 2030. The intent of this article is to illustrate the place of public health and population...
The Journal Of The Blue Cross NC Institute For Health & Human Services: Volume 1 2021 5443 Welcome to our Inaugural Issue! The Blue Cross NC Institute for Health and Human Services (IHHS), housed administratively under the Beaver College of Health Sciences, is one of only two institutes at Appalachian State University. The Vision of the IH...
Lack Of Choice In Caregiving Decision And Caregiver Risk Of Stress, 2005 2010 288 An aspect of caregiving that has received little attention is the degree to which the choice to provide care affects a caregiver's emotional well-being. We compared a population-based sample of informal caregivers who reported having a choice in cari...
Language Performance Of Individuals At Risk For Mild Cognitive Impairment 2019 2809 Evidence exists that changes in language performance may be an early indicator of mild cognitive impairment (MCI), often a harbinger of dementing disease. The purpose of this study was the evaluation of language performance in individuals at risk for...
Lower-Limb Amputation And Body Weight Changes In Men 2015 391 Little is known about the relationship between lower-limb amputation (LLA) and subsequent changes in body weight. We conducted a retrospective cohort study using clinical and administrative databases to identify and follow weight changes in 759 males...
Maintaining Employment Among Caregivers Of Individuals On A Medicaid Waitlist For Services 2012 362 Many individuals with developmental or intellectual and other disabilities are on waitlists to receive supportive services through state Medicaid waiver programs. Being waitlisted can place considerable burden on the ability of a caregiver to maintai...
Medicare-VHA Dual Use Is Associated With Poorer Chronic Wound Healing 2016 1222 Veterans who use Veterans Health Affairs (VHA) have the option of enrolling in and obtaining care from other non-VA sources. Dual system use may improve care by increasing options or it may result in poorer outcomes because of fragmented care. Our ob...
Physical Activity Among Veterans And Nonveterans With Diabetes 2012 1141 Engaging in regular physical activity (PA), with or without a corresponding decrease in weight, is associated with improved health outcomes. The purpose of this study was to quantify the extent to which PA differed between veterans and nonveterans an...
Prevalence And Domains Of Disability Within And Outside Appalachian North Carolina: 2013–2016 Behavioral Risk Factor Surveillance System 2019 1707 Background: The health and social conditions of the Appalachian region generally are poorer than in the US overall, and this gap is widening, suggesting disability may be higher in Appalachia. Objective: To describe the prevalence of disability overa...
Subjective Cognitive Decline Among Adults Aged = 45 Years — United States, 2015–2016 2018 267 Subjective cognitive decline (SCD) is a form of impairment in which more frequent or worsening confusion or memory loss can affect the ability to care for oneself. Among adults aged =45 years, 11.2% reported SCD, including 10.4% of adults aged 45–54 ...
Sustainable Aging: Building An Age-Friendly Rural Community 2021 538 The practice of successful and sustainable aging recognizes that communities must be intentional in efforts to positively affect the lives of older people. The primary aim of this article is to present one approach to sustainability in aging: the con...
Testing And Estimating Model-Adjusted Effect-Measure Modification Using Marginal Structural Models And Complex Survey Data 2010 313 Recently, it has been shown how to estimate model-adjusted risks, risk differences, and risk ratios from complex survey data based on risk averaging and SUDAAN (Research Triangle Institute, Research Triangle Park, North Carolina). The authors present...
This Is Your New Normal: A Qualitative Study Of Barriers And Facilitators To Physical Activity In Veterans With Lower Extremity Loss 2017 982 Background: Regular physical activity (PA) is essential for aging well with a disability, preventing the onset or worsening of chronic conditions, functional loss, and maintaining or improving quality of life, yet PA levels are low in those with disa...
Visitability Surveillance, Prevalence, And Correlates In Florida 2015 1315 A primary means of social connection is visiting friends and families in their homes. Visitability is designing houses in a way that enables people to visit others' homes regardless of physical limitations or use of mobility assistive devices. The go...
Weight Loss Intention, Dietary Behaviors, And Barriers To Dietary Change In Veterans With Lower Extremity Amputations 2015 374 Obesity is thought to be highly prevalent in persons with lower extremity amputations (LEAs) and can impair physical and social functioning. The aim of this study was to determine the prevalence of weight loss intention, weight loss strategies, dieta...