E-Shien Chang
About
Biography
E-Shien (Iggy) Chang is a fifth-year doctoral candidate in the Department of Social and Behavior Sciences, Yale School of Public Health. Ms. Chang has a demonstrated interest in improving the evidence around social determinants of health among underserved older adults through the lens of social justice. Her research focuses on the intersection of elder abuse, family caregiving, and racial and ethnic minority health. Currently at Yale, her doctoral dissertation explores social and cultural risk factors for elder abuse at the individual, interpersonal, and structural levels. Prior to her doctoral studies, Ms. Chang served as the research manager for the PINE study, the largest population-based epidemiologic study on the etiology of elder abuse in the Chinese American community. To this end, she gained expertise in the design and implementation of culturally-tailored community-based interventions to raise awareness of elder abuse among immigrant communities. Ms. Chang earned her MA in Social Sciences from the University of Chicago and BA in Journalism from the National Chengchi University, Taiwan.
Research
Research at a Glance
Yale Co-Authors
Publications Timeline
Martin Slade, MPH, PhD
Sarah Lowe, PhD
Publications
2024
“What Does ‘Age-Friendly’ Mean to You?” The Role of Microaggressions in a Retirement and Assisted Living Community
Kilaberia T, Chang E, Padgett D, Lachs M, Rosen T. “What Does ‘Age-Friendly’ Mean to You?” The Role of Microaggressions in a Retirement and Assisted Living Community. The Gerontologist 2024, gnae140. PMID: 39404755, DOI: 10.1093/geront/gnae140.Peer-Reviewed Original ResearchCitationsConceptsAge-FriendlyAssisted living communitiesSocial relationshipsSocial isolationAge-friendly ecosystemOrganizational document analysisNegative social relationshipsSocial designLiving communitiesAge-friendlinessDesign factorsSemi-structured interviewsIdentity-relatedMultiple case studyResidential settingsMicroaggressionsCase studyDocument analysisResidents' perspectivesInfluences social isolationRetirementThematic examinationHealthcare needsDesignSub-themesEmergency department and hospital-based programs responding to elder mistreatment: developing consensus about an idea whose time has come
Bloemen E, Elman A, Tietz S, Shaw A, Lindberg D, Gottesman E, Hayes J, Baek D, Sullivan M, Yasui R, Pino C, McAuley J, Hancock D, Chang E, LoFaso V, Stern M, Rosen T. Emergency department and hospital-based programs responding to elder mistreatment: developing consensus about an idea whose time has come. Journal Of Elder Abuse & Neglect 2024, 36: 339-349. PMID: 39051637, PMCID: PMC11333158, DOI: 10.1080/08946566.2024.2384400.Peer-Reviewed Original ResearchEstimated Prevalence of Resident-to-Resident Aggression in Assisted Living
Pillemer K, Teresi J, Ramirez M, Eimicke J, Silver S, Boratgis G, Meador R, Schultz L, Kong J, Ocepek-Welikson K, Chang E, Lachs M. Estimated Prevalence of Resident-to-Resident Aggression in Assisted Living. JAMA Network Open 2024, 7: e249668. PMID: 38700860, PMCID: PMC11069077, DOI: 10.1001/jamanetworkopen.2024.9668.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsResident-to-resident aggressionAssisted living facilitiesLiving facilitiesResidents of assisted living facilitiesCase-finding strategiesObservational prevalence studyHospice careSample of facilitiesResident recordsMain OutcomesStaff reportsIncident reportsIntervention researchMixed-methodsResident reportsAssess prevalenceEstimated prevalencePrevalence studiesCross-sectionMembers' reportsPsychological harmProbability sampleResidentsPrevalenceAssisted livingPsychosocial Distress Among Certified Nursing Assistants in Long-Term Care During the COVID-19 Pandemic: A Social Ecological Model Informed Scoping Review
Plys E, Ahmad N, Wei A, Thompson R, Chang E, Locke J, Bell J, Vranceanu A, Lopez R. Psychosocial Distress Among Certified Nursing Assistants in Long-Term Care During the COVID-19 Pandemic: A Social Ecological Model Informed Scoping Review. Clinical Gerontologist 2024, 47: 760-777. PMID: 38622883, PMCID: PMC11473703, DOI: 10.1080/07317115.2024.2337137.Peer-Reviewed Original ResearchCitationsAltmetricConceptsLong-term care facilitiesSocial ecological modelPsychosocial distressNursing assistantsSocial-ecological model levelCertified nursing assistantsSynthesize qualitative dataLong-term careCOVID-19 pandemicPost-traumatic stressFacility cultureScoping reviewMeta-synthesisPsychosocial variablesCare facilitiesPerceived stressQualitative studyOccupational stressInclusion criteriaPrevalence ratesIntervention targetsQualitative dataDistressCOVID-19Suicidal thoughtsElder abuse geriatrics: describing an important new medical specialist
Bloemen E, Tietz S, Lindberg D, Hayes J, Lum H, Gottesman E, Elman A, Sullivan M, Pino C, McAuley J, Shaw A, Hancock D, Chang E, Yasui R, LoFaso V, Stern M, Rosen T. Elder abuse geriatrics: describing an important new medical specialist. Journal Of Elder Abuse & Neglect 2024, 36: 367-383. PMID: 38602348, PMCID: PMC11333173, DOI: 10.1080/08946566.2024.2339242.Peer-Reviewed Original ResearchCitationsAltmetricConceptsVictims of abuseForensic evaluationLaw enforcementChild abuse pediatricsElder abuseSpecialized trainingProtective servicesEthical roleAbuseElder mistreatmentEvaluation of cognitionScope of practiceEnforcementLawVictimsMedical specialtiesPracticeMistreatmentMedical specialistsAdvocacyNeglectScopeEmergency department settingCare coordinationProvidersED/hospital program contributions to community multi-disciplinary team meetings: Different models
Chang E, Bloemen E, Tietz S, Lindberg D, Elman A, Gottesman E, Baek D, Hancock D, LoFaso V, McAuley J, Sullivan M, Pino C, Rachmuth L, Rosen T. ED/hospital program contributions to community multi-disciplinary team meetings: Different models. Journal Of Elder Abuse & Neglect 2024, 36: 413-422. PMID: 38449107, PMCID: PMC11333175, DOI: 10.1080/08946566.2024.2324315.Peer-Reviewed Original ResearchCitationsConceptsMulti-disciplinary teamHospital-based healthcare professionalsElder mistreatmentResponse teamMulti-disciplinary team meetingsHealthcare professionalsCoordination servicesTeam meetingsEffective collaborationProfessionalsTeamProgram's roleHospitalPreventionProgram's contributionCommunityEM identificationMeetingEldersIntervention
2023
IDENTIFYING ACUTE PRECIPITANTS AND CONSEQUENCES OF RACIAL/ETHNIC CONFLICTS IN RESIDENT-TO-RESIDENT AGGRESSION
Chang E, Teresi J, Ramirez M, Eimicke J, Czaja S, Pillemer K, Lachs M, Rosen T. IDENTIFYING ACUTE PRECIPITANTS AND CONSEQUENCES OF RACIAL/ETHNIC CONFLICTS IN RESIDENT-TO-RESIDENT AGGRESSION. Innovation In Aging 2023, 7: 44-45. PMCID: PMC10735444, DOI: 10.1093/geroni/igad104.0147.Peer-Reviewed Original ResearchConceptsAcute precipitantsLong-term care populationLong-term care residentsStudy observation periodNew York State nursing homesResident aggressionState nursing homesCare populationCare residentsParent studyNursing homesCognitive impairmentCommunity settingsFacility levelPsychological distressObservation periodUnrecognized needsFrontline workersResidentsIDENTIFYING AND PREVENTING RESIDENT-TO-RESIDENT AGGRESSION IN LONG-TERM CARE: EMERGING GLOBAL PERSPECTIVES
Chang E, Mosqueda L. IDENTIFYING AND PREVENTING RESIDENT-TO-RESIDENT AGGRESSION IN LONG-TERM CARE: EMERGING GLOBAL PERSPECTIVES. Innovation In Aging 2023, 7: 44-44. PMCID: PMC10735503, DOI: 10.1093/geroni/igad104.0146.Peer-Reviewed Original ResearchConceptsLong-term careU.S. nursing home residentsNursing home safetyLong-term care facilitiesNursing home residentsEvidence-based preventionDementia care trainingQuality of careLong-term care servicesResident aggressionEnvironment risk factorsCohort studyRisk factorsHome residentsPrevalence studyDirect care workersCare facilitiesCare workersLatest evidenceCare servicesCare trainingOlder personsProgram reachTerm careCareESPO AND BEHAVIORAL AND SOCIAL SCIENCES SECTION SYMPOSIUM: BRIDGES TO ELDER JUSTICE: BUILDING COLLABORATIONS AND COALITIONS TO CATALYZE ELDER MISTREATMENT RESEARCH
Chang E, Hackett S. ESPO AND BEHAVIORAL AND SOCIAL SCIENCES SECTION SYMPOSIUM: BRIDGES TO ELDER JUSTICE: BUILDING COLLABORATIONS AND COALITIONS TO CATALYZE ELDER MISTREATMENT RESEARCH. Innovation In Aging 2023, 7: 128-129. PMCID: PMC10736068, DOI: 10.1093/geroni/igad104.0420.Peer-Reviewed Original ResearchConceptsHealth care systemOlder personsWidespread public health problemCare systemHealth care system stakeholdersVeterans Health AdministrationPublic health problemLong-term care providersRoutine careEmergency departmentCare providersClinical practiceHealth AdministrationHealth outcomesHealth problemsIntervention programsElder mistreatmentPractice partnershipsObservational researchSystem partnershipsAggression intervention programsHigh frequencyTranslational processBuilding collaborationPersonsALIGNING ASSESSMENTS AND MEASURES OF CAREGIVER NEGLECT WITH INTERVENTION DEVELOPMENT: NEW INSIGHTS AND DIRECTIONS
Chang E, Hancock D, Stevens A. ALIGNING ASSESSMENTS AND MEASURES OF CAREGIVER NEGLECT WITH INTERVENTION DEVELOPMENT: NEW INSIGHTS AND DIRECTIONS. Innovation In Aging 2023, 7: 137-138. PMCID: PMC10736332, DOI: 10.1093/geroni/igad104.0450.Peer-Reviewed Original ResearchConceptsFamily caregiversOlder personsIntervention developmentRisk of neglectCaregiver neglectDaily living needsAdvocacy expertsUnmet activitySignificant morbidityImpact of neglectDementia patientsPrevalence estimatesClinical settingProtective factorsDiverse family caregiversLife outcomesSeverity measuresPractice changeCaregiversCommon formRiskRecruitment strategiesCaregiving behaviorNeglect studiesOperational definition