Social and Behavioral Sciences Commons^™

Screening Techniques : Clinicians' Views And Approaches To Assessing Alcohol And Substance Use In Older Adults, Erin M. Conlan

Theses, Dissertations, and Projects

This qualitative study examined how New York State licensed clinicians approach the initial assessment and ongoing treatment of older adults (55+) identified to be struggling with alcohol or substance misuse issues. The research questions specifically asked: Do clinicians assess for alcohol and substance misuse in the older adult patients they serve? What are the mediating factors within this assessment and treatment process? This study was initiated in an exploratory fashion because of the limited amount of research available which investigates the relationship between clinicians' attitudes and approaches to this work with the rapidly growing older adult populations they serve. Given …

The National Elder Economic Security Standard Index, Gerontology Institute, University Of Massachusetts Boston

Gerontology Institute Publications

The Elder Economic Security Standard Index (Elder Index) is a new tool for use by policy makers, older adults, family caregivers, service providers, aging advocates, and the public at large. Developed by the Gerontology Institute at the University of Massachusetts Boston and Wider Opportunities for Women (WOW), the Elder Index is a measure of income that older adults require to maintain their independence in the community and meet their daily costs of living, including affordable and appropriate housing and health care. The development and use of the Elder Index promotes a measure of income that respects the autonomy goals of …

Eating Behaviors Of Older Adults Participating In Government-Sponsored Programs With Different Demographic Backgrounds, Yeon Bai, Shahla M. Wunderlich, Joseph Brusca, Johnson-Austin Marti, Michelle O'Malley

Department of Nutrition and Food Studies Scholarship and Creative Works

The purpose of this study was to determine the food behaviors of nutritionally high-risk seniors as a function of their racial background, gender, marital status, and education level. A total of 69 seniors were identified to be at high nutritional risk using the Nutrition Screening Initiative (NSI) checklist. A supplemental questionnaire (SQ) was created to examine the risk factors in relation to the participant’s demographic background. Key results indicated that Asians practiced healthy food behaviors and women were more likely to eat alone (p≤0.05). Married participants (90.9%) were most likely to consume 2 meals or more each day. College educated …

The Service Use Index: A Tool For Examining Rural/Urban Differences, Rosemary K. Chapin Ph.D., Beth Anne Baca Msw, Skye N. Leedahl Ma, Roxanne Rachlin Mhsa, Xanthippe Wedel Bs, Mary K. Zimmerman Phd

Contemporary Rural Social Work Journal

Development of tools for identifying and tracking differences in older adult service utilization by race, ethnicity, income, and geographic area is vital in the face of current demographic and economic changes in rural areas, particularly in areas experiencing rapid demographic changes. In this conceptual article, we explain how to calculate a service use index that compares service utilization of a specific group of older adults to that of the entire older adult population. We then illustrate its usefulness with a case example using geographic information systems (GIS). This unique approach can be utilized to understand differences across fields of practice, …

Long Term Care Insurance Beyond The Class Program, Amy Restorick Roberts, David B. Miller, Merl C. "Terry" Hokenstad Jr.

The Journal of Sociology & Social Welfare

The Community Living Assistance and Supports (CLASS) program, created under the Patient Protection and Affordable Care Act, established a federally-administered, voluntary insurance program that allows for working adults to purchase insurance to cover the cost of long term support services. The CLASS program is the first step towards moving away from a welfare-based system, improving consumer choice, and creating a stable funding source for long term care needs. Enrollees in the CLASS program who meet benefit eligibility requirements and need care assistance will receive a cash benefit to pay for supportive services such as home health care, adult day services, …

Health-Related Quality Of Life And Future Care Planning Among Older Adults: Exploring The Role Of Hope As A Moderator, Jodi L. Southerland

Electronic Theses and Dissertations

Older adults have an increased risk for illness and disease, factors that can lead to functional impairment and intensify the need for reliance on supportive services. Planning for long-term care needs is a vital component of healthy aging and continued autonomy. Yet, many older adults fail to make plans in advance, perhaps due to differences in personal characteristics.

The moderating effects of trait hope on the relationship between health-related quality of life (HRQoL) and preparation for future care needs (PFCN) was studied in a sample of 65 older adult primary care patients (<65 years) in western New York. Participants completed a questionnaire on 5 dimensions of PFCN (awareness of risk, information gathering, decisions about care preferences, concrete planning, and active avoidance). In addition, data were collected on five HRQoL domains (physical function, physical role function, emotional role function, social function, and bodily pain) and trait hope. Moderated multiple regression was used to test the moderator hypothesis controlling for personal characteristics. Post-hoc probing was used to further examine significant interactions.

At the bivariate level, social functioning, physical …

Evaluation Of Lift Up Your Voice! Advocacy Training For Older Adults And Their Caregivers: Executive Summary, Alison Gottlieb, Nina M. Silverstein, Kelli Barton

Gerontology Institute Publications

The Lift Up Your Voice! (LUYV) training, a component of Community Catalyst’s effort to support the Campaign for Better Care (CBC), is designed to mobilize grassroots advocacy structures of vulnerable older adults by directly engaging and empowering older adults and their caregivers. The goal of the evaluation is to assess the effectiveness LUYV in recruiting potential advocates, educating them about the health care reform, empowering them via advocacy skills training, and engaging them in state-based CBC activities.

Measures Of Social Cognition In The Laboratory And Real World: Towards Temporal Dynamics Of Implicit Other-Regard, Danielle Tucci

Scripps Senior Theses

Social cognition is a fundamental aspect of human experience that enables us to have relationships with and understanding of other people. Social relationships have been shown to mitigate cognitive decline in old age and benefit cognitive functioning, and the social interaction on which these relationships rely requires an extensive network of cognitive processes, and by extension neural systems, that have not, as of yet, been widely studied in older adults. Nor has the function of these systems been tied to social relationships in the real world. Here, I will compare self-reports of real-world quality and extent of social networks with …

A Perspective Of Aging From The Prose Of Age Specific Birthday Cards, Lori Halbur

Master of Social Work Clinical Research Papers

With a growing number of older people in the United States, it is important for social workers to acknowledge that ageism exists in our society and continue to research, study and understand the influences that contribute to it. Media outlets are one source that has been found to have an influence on people’s perceptions about older adults. A qualitative study was carried out to determine if the messages in age specific greeting cards that are produced specifically for individuals age 60 and older portray more positive or negative perceptions about aging or older individuals. The non-probability, convenience sample for this …

Nursing Home Caregivers' Attitudes Regarding Sexual Behavior Of Nursing Home Residents: A Cross Sectional Survey, Teresa Madsen

Master of Social Work Clinical Research Papers

Sexual needs do not disappear as a person ages. It is possible for older adults to maintain their desired level of sexual activity if the environment is accepting and accommodating for the adults’ needs. Those who are institutionalized in nursing homes often have fewer opportunities to meet their needs than those who are not. The purpose of this project was to explore nursing home caregivers’ attitudes toward sexual behavior in their residents and thus assist in identifying areas for further education and educational programming that will allow residents to lead full and happy lives and meet the needs of the …

Aging And Weight-Ratio Estimation, Jessica Marie Holmin

Masters Theses & Specialist Projects

Many researchers have explored the way younger people perceive weight ratios using a variety of methodologies; however, very few researchers have used a more direct ratio estimation procedure, in which participants estimate an actual ratio between two or more weights. Of the few researchers who have used a direct method, the participants who were recruited were invariably younger adults. To date, there has been no research performed to examine how older adults perceive weight-ratios, using direct estimation or any other technique. Past research has provided evidence that older adults have more difficulty than younger adults in perceiving small differences in …

Assessment Of Pneumonia In Older Adults: Effect Of Functional Status, Lona Mody, Rongjun Sun, Suzanne F. Bradley

Rongjun Sun

OBJECTIVES: Evaluate the effect of preadmission functional status on severity of pneumonia, length of hospital stay (LOS), and all-cause 30-day and 1-year mortality of adults aged 60 and older and to understand the effect of pneumonia on short-term functional impairment. DESIGN: Prospective cohort study. SETTING: University hospital. PARTICIPANTS: One hundred twelve patients with radiograph-proven pneumonia (mean age 74.6) were enrolled. MEASUREMENTS: Functional status and comorbidities were assessed using the Functional Autonomy Measurement System (SMAF) and Charlson Comorbidity Index. Clinical information was used to calculate the Pneumonia Prognostic Index (PPI). RESULTS: Eighty-four (75%) patients were functionally independent (FI) before admission, with …

Community-Acquired Pneumonia In Older Veterans: Does The Pneumonia Prognosis Index Help?, Lona Mody, Rongjun Sun, Suzanne Bradley

Rongjun Sun

OBJECTIVES: Mortality rates from pneumonia increase steadily with age. Recently, a disease severity model (the Pneumonia Prognosis Index (PPI)) has been developed to predict mortality from community-acquired pneumonia (CAP). PPI ranks severity of pneumonia from 1 to 5, with 5 being most severe. This retrospective study utilizes the PPI to address the prognosis of CAP in older adults. DESIGN: Retrospective review of medical charts. SETTING: Department of Veterans Affairs Medical Center. PARTICIPANTS: All adults aged 60 and older admitted to a Veterans Affairs Medical Center with CAP between January 1 and December 31, 1998. MEASUREMENTS: PPI was calculated using subjects' …

Social Workers’ Ideas On Health Promotion Among Older Adults, Kaylee Olson

Master of Social Work Clinical Research Papers

The purpose of this study was to explore the role and experience of social workers who provide services to older adults in the community. With the unprecedented demographic shift and multitude of challenges, problems and barriers traditionally associated with aging, a paradigm shift from a problem-based focus to one that emphasizes health promotion is gaining visibility. This shift in focus is relevant for social workers who work with older adults in a variety of social service settings. Eight licensed social workers working in community-based agencies were interviewed to include social workers' voices with a focus on how they utilize the …

Perceived Need Of Mental Health Care Identified Residents, Administrators, And Direct Care Staff Of An Assisted Living Facility , Clarissa Nicole Gayer

Doctor of Psychology (PsyD)

No abstract provided.

Age And Premorbid Intelligence Suppress Complaint-Performance Congruency In Raw Score Measures Of Memory, Matthew Merema, Craig Speelman, Elizabeth Kaczmarek, Jonathan Foster

Research outputs 2012

Background: We aimed to examine the role of age and premorbid intelligence (IQ) in suppressing the relationship between subjective memory complaints (SMCs) and raw score memory performance. Methods: We used a community sample of older adults aged 66"90 years (N = 121) to test whether the inclusion of age and a premorbid IQ measure in multiple regression analyses increased semipartial correlations of raw score memory performance in predicting SMCs. Rank contrast correlations were also carried out to observe how age and premorbid IQ are related to complaint"performance congruency. Measures utilized in the study included the Memory Functioning Questionnaire (for SMCs), …

College Students' Knowledge, Attitudes, And Beliefs About Older Adults, Allison Boyd, Kimberly Scarborough

DISCOVERY: Georgia State Honors College Undergraduate Research Journal

Introduction: As the Baby Boomer generation continues to age, the number of older adults requiring healthcare and other aging related services will increase. As a result, healthcare workers will need to be prepared to work with a diverse older population.

Purpose: The purpose of this study was to examine college students’ knowledge, attitudes, and beliefs about older adults (≥ 65 years of age). Specifically, we compared knowledge, attitudes, and beliefs among nursing, respiratory therapy, nutrition, social work, and non-healthcare majors.

Method: A non-random sample of 119 college students enrolled in healthcare programs (i.e. Nursing, Nutrition, Respiratory Therapy, and Social Work) …

Multisite Recruitment And Data Collection Among Older Adults : Exploring Methods To Conserve Human And Financial Resources., Valerie Lander Mccarthy, Karen Cassidy

Faculty Scholarship

The purpose of this article is to describe strategies that were effective in recruitment and data collection among older adults in 3 quantitative studies while decreasing costs in terms of time and money. Factors effective in reducing use of investigators' time and expenses included limiting exclusion of data because of abnormal Mini-Cog scores by careful initial screening and avoiding repeated reminders or follow-up, collecting data in small groups, collapsing consent, dementia screening, and data collection into single sessions, as well as accommodating for sensory and literacy deficits. The cross-sectional, descriptive studies were conducted among community-dwelling older adults attending senior citizen …

Interpersonal Psychotherapy For Depressed Retirees: Developing And Testing A Clinical Treatment Manual, Sue G. Miller

Theses: Doctorates and Masters

Most workers adjust well to retirement, but some experience depression due to poor adjustment. No evidence-based treatments were identified that targeted the developmental needs of this complex transition. In phase 1, a treatment manual (IPT-RM) was developed. The manual comprised an adaptation of Interpersonal Psychotherapy. In phase 2, a pilot study was conducted to determine the treatment’s feasibility. A series of non-experimental AB singlecase studies was conducted with nine retirees. All research participants’ depressive symptoms receded into the non-depressed range by the end of the study. The IPT-RM treatment manual was developed to a Stage 1 level, which incorporated peer-reviewed …

Examining A Brief Suicide Screening Tool In Older Adults Engaging In Risky Alcohol Use, Scott R. Braithwaite, Jessica D. Ribeiro, Jon J. Peaff, Thomas E. Joiner

Faculty Publications

Alcohol misuse increases risk of suicidal behavior in older adults. TheDepressive Symptom Inventory-Suicidality Subscale (DSI-SS; Metalsky & Joiner,1997) and its relation to suicide attempt history was examined to see if it differedfor older adults as a function of their alcohol use. Structural equation modelingwas used in a sample (N= 1,061) of older adult outpatients to examine the scale’smeasurement invariance and population heterogeneity and its relation to suicideattempt history. Analyses supported the equivalence of the DSI-SS in risky andnonrisky drinkers. The DSI-SS significantly predicted past suicide attempts. Find-ings support the viability of the DSI-SS as suicide screening tool for older adults.