Social and Behavioral Sciences Commons^™

Covid-19 And Fall Rates In Older Adults: Longitudinal Study On The Impact Of Covid-19 On Geriatric Fall Rates In A Care Facility, Britton Holman

Doctor of Psychology (PsyD)

Falls in the geriatric population are continuing to increase around the world. Along with this, COVID-19 caused significant distress and changes in many older adult populations living in care facilities. Our study used archival data to determine if an association existed between fall rates at a specific care facility before COVID-19, during COVID-19, and during an outbreak of COVID-19 at the facility. An analysis of variance and Bonferroni’s post-hoc analysis was conducted, which found falls tended to be lower during outbreaks at the facility compared to pre-COVID-19 times. Reasons for this finding may be due to restrictions on activities and …

“Older Adults And Their Experiences With Home Care And Assisted Living”, Faith Robinson

Thinking Matters Symposium Archive

As the state of Maine and the U.S. population at large continues to age, discussion about future care and living arrangements for older adults has become an increasingly relevant issue. Older adults are often faced with a range of options for housing, including staying in their home in their community while receiving home care services, or moving to an assisted living facility.

Currently a gap in the research exists as to the attitudes, perceptions, and lived experiences of the older adults themselves around these decisions, experiences, and the meaning of “home” in our older years. This study aims to provide …

Predictors Of Cognitive Function Among Cognitively Impaired Older African Americans Living In Congregate Residential Settings, Zyra Daffodil Apugan

Dissertations

The purpose of this secondary data analysis was to identify potential psychosocial predictors of cognition, including social support, depression, and functional activity, among older African Americans, ≥ 65 years, with a diagnosis of Alzheimer’s disease and living in congregate residential settings. Guided by the main effect model of social support, this study used existing data from the National Alzheimer’s Coordinating Center Uniform Data Set, an NIH-funded multicenter study. Results showed that on average, the participants (n=56) were 81.7 years of age with 13.8 years of education. All, but six, were married. Bivariate Pearson correlations indicate a moderately strong negative relationship …

Homelike Variables And Rates Of Depression Among Assisted Living Facility Residents, Courtney J. Wright

Master of Social Work Clinical Research Papers

There is an undeniable increase in the number of aging adults who are utilizing assisted living facilities to delay transitioning into nursing homes in order to receive care in their older years. There has also been in recent years a growing interest in the importance of recognizing and preventing depression and depressive-like symptoms in the aging population. A transition from a home environment where one has potentially spent the majority of their life brings about its own set of emotions and stressors. This may undoubtedly create a variety of concerns to become apparent by current and future facility residents and …

Assessing The Effect Of Relocation Control On Psychological Well-Being Of Assisted Living Residents, Young Sook Kim

Doctoral Dissertations

ABSTRACT

Recent evidence and prior research document that increasing numbers of older adults are experiencing relocation to an assisted living facility (ALF), and that involuntary ALF relocatees face a great risk of psychological distress because of the numerous stressors associated with this relocation. However, little empirical research has clearly investigated the interrelationship among major factors and their effects on the psychological well-being of AL residents: relocation control, mediators of stress (e.g., social support, self-reported health, and functional impairment) and psychological well-being.

This study had two aims: (a) to investigate the relationship between relocation control and psychological well-being (e.g., depression, …

Humor-Related Social Exchanges And Mental Health In Assisted Living Residents, Ann Elizabeth Mcqueen

Dissertations and Theses

Social contact is known to be vital for older adults' mental and physical health, but few studies of social interactions have taken place in long-term care settings. The current study investigated whether the psychological well-being of assisted living residents was influenced by factors associated with residents' social interactions involving humor. Specific aims of the present study were to develop and test a measure related to humor-related social exchanges, to examine how humor-related social exchanges affect residents' mental health, and to explore whether humor-related social exchanges mediated the effects of resident and facility characteristics on indices of mental health. One hundred …

Family Involvement Within Assisted Living: Care-Receivers' And Caregivers' Roles And Relationships, Rachel Vineet Solomon

Electronic Theses and Dissertations

Family systems providing informal care and support to their aging relatives, who were residing in assisted living systems and receiving formal care were central to this study. A broader understanding of family involvement, with respect to exploring both care-receiver and caregiver roles and relationships, within the regulatory and environmental context of assisted living was sought through a qualitative research process. This study employed a phenomenological approach to conduct in-depth interview sessions with eight pairs of participants, comprising elderly residents in five assisted living facilities and their respective caregiving family members, typically a daughter or son and, in one case, a …

Death And Dying In Assisted Living, Amanda M. White

Gerontology Theses

This study examined death and dying in assisted living (AL) and the various factors that influence these processes. The study is set in a 60-bed assisted living facility outside of Atlanta, Georgia. Data collection methods included participant observation and in-depth interviews with 28 residents and 6 staff. Data were analyzed using the grounded theory approach and focused on the 18 residents who were dying and/or died during the study period. Findings show that AL residents experience a variety of dying trajectories that vary in duration and shape; for the majority of residents, hospice is an important element in their death …

Administrators In Assisted Living: Who They Are And What They Do, Ailie M. Glover

Gerontology Theses

The assisted living industry is predicted to experience considerable growth due to the simultaneous aging of the baby boom generation and their subsequent need for long-term care. This study investigates individuals’ pathways to administration in assisted living and the ways in which assisted living administrators define and carry out their roles. The study contributes to the understanding of the knowledge, skills, and personal traits needed by those who assume these vital leadership roles in an industry poised to care for the bourgeoning population of older adults. The sample for this study is 44 administrators who work in a random sample …

Care Workers' Motivations For Employment In Long-Term Care, Assisted Living, And Particular Facilities: Reconciling Inconsistent Values, Michael James Lepore

Sociology Dissertations

Direct care worker turnover and shortages plague long-term care, weakening its quality, heightening costs for governments and employers, and cyclically breeding further turnover and shortages of workers. To address these issues, I investigate why direct care workers chose employment in long-term care (LTC), assisted living (AL) and specific AL facilities. Data come from a mixed-methods study of 45 AL facilities in Georgia, including interviews with 400 direct care workers. Findings include qualitative data analyzed using a grounded theory approach and descriptive quantitative data. Care workers’ motivations for employment in LTC, AL, and specific AL facilities reflect a split between moral …

Predictors Of Job Satisfaction Among Staff In Assisted Living, Guangya Liu

Sociology Theses

Using findings from a statewide study of satisfaction and retention of 294 direct-care staff in 39 assisted-living facilities (ALFs) in Georgia, this study examines the effect of sociodemographic, job, and attitudinal characteristics on overall job satisfaction and its various dimensions. The results show age has a negative effect on promotion satisfaction. Whites are more satisfied than non-whites with overall job, work, supervision, and pay. Urban workers are less satisfied with overall job, supervisor, coworker, promotion, and pay than their rural counterparts. Education negatively affects coworker satisfaction. Workers with children are less satisfied with supervisor relationships, and pay than childless persons. …