Social Work Commons^™

Acculturative Stress And Quality Of Life Among Older Korean Immigrants: Do Religiosity And Resilience Matter?, Sunghwan Cho

Theses and Dissertations

The impact of acculturative stress on the quality of life among older adults has been widely acknowledged in previous literature. However, few studies have explored the role of religiosity and resilience in this relationship among older Korean immigrants. This dissertation explores the relationships between acculturative stress, religiosity, resilience, and quality of life among 300 older adults aged 65 years and over who live in an ethnic Korean enclave of Queens, New York. The study employs path analysis and multiple regression analyses to test hypothesized relationships among these variables.

The key findings of the study are as follows: (1) higher acculturative …

In-Home Support Services Provider Training Needs, Em Bowman Fowler

Capstone Projects and Master's Theses

Aging and Adult Services of Monterey County offers support to an umbrella of county agencies that assist older adults and people with disabilities including Public Authority and In-Home Support Services (IHSS). Public Authority manages a registry of providers who work for IHSS recipients. The providers often encountered issues that required immediate answers. Many of the questions were simple but took up much of the Public Authority staff’s time to return every message. By creating instructional videos and posting them on the Aging and Adult Services website, providers had instant access to the solution to their issues. The videos received feedback …

Determinants Of Caregiver Burden Among Informal Caregivers Looking After Older Adults With Alzheimer's Disease In Saudi Arabia., Sultan Ali Shubair

Electronic Theses and Dissertations

Caregiver burden in Alzheimer’s Disease (AD) is a significant factor in the deterioration of caregivers’ physical and mental health. Moreover, increased caregiver burden has been associated with the decline in quality of life and the reduced quality of care for the care recipient. However, the level of caregiver burden perceived by informal caregivers of care recipients with AD can be varied with the impact of different factors related to the caregiver, care recipient, and caregiving process. Identifying factors associated with caregiver burden and exploring factors that account for variation in caregiver burden are vital to prevent adverse outcomes of caregiver …

Exploring Gaps In Understanding And Responding To Ageism: A Conceptual Model, Psychosocial Health, And Racialized Ageism, Andrew T. Steward

Electronic Theses and Dissertations

Ageism is an insidious, prevalent social justice issue which has harmful effects on the health of older adults. This dissertation includes three manuscripts which explore gaps in understanding and responding to ageism through three distinct methodological approaches. Two primary gaps are addressed in the three manuscripts: 1) conceptualizing and testing activities or interventions to reduce internalized ageism and enhance psychosocial health for older adults, and 2) exploring the intersectionality of ageism with racism.

The first manuscript draws from stereotype embodiment theory and theories of successful and productive aging to detail a conceptual model of interventions which may reduce internalized ageism …

The Impact Of Mindfulness On Communication With Health Care Providers For Older Adult Quilters, Mary Peyton Cauthorn Gill

Walden Dissertations and Doctoral Studies

AbstractActive aging plays a pivotal role in countering the effects of multimorbidities and enhancing mental and physical well-being of individuals. Prior research supports the benefits of mindfulness, a key component of active aging, in enhancing older adults’ physical and mental health, but the effect of mindfulness on older adults’ communication with medical social workers and other health care providers has not been studied. The purpose of this phenomenological qualitative study was to gain a better understanding of how older quiltmakers experienced mindfulness and how this affected their communication with their health care providers. The study, which drew from empowerment theory, …

Exploring The Contextual Factors And Decision-Making Process Of Risky Sexual Behavior Among Homeless Adults In Louisville, Kentucky., Sarah C. Van Heiden

Electronic Theses and Dissertations

Homelessness is a complex public health issue; individuals who experience homelessness are said to engage in risky sexual behaviors at an increased rate and experience a higher prevalence of sexually transmitted infection (STI). While the sexual behaviors of homeless adolescents are commonly studied, little is known about the sexual behaviors of the growing population of older adults, or how they make decisions to engage in sex. Three aims guided this research: 1) to describe the sexual behaviors and sexual decision-making process of homeless older adults, 2) to examine how homeless older adults evaluate the outcomes associated with engaging in risky …

Effectiveness Of Services And Interventions Provided To The Older Adult Population, Michelle Maldonado

Electronic Theses, Projects, and Dissertations

The older adult population is set to increase enormously in the United States. With a larger older adult population, there will also be an increased demand for services. This study worked to identify the effectiveness of mental health services being provided to older adults. Given that service providers are often provided minimal resources, providing efficient services assists with purposefully allocating resources. The study used the post positivist paradigm. The researcher developed a set of questions and conducted phone interviews with mental health service providers of older adults. After transcription, qualitative data analysis was completed to identify meaningful connections. The data …

Mental Health Issues Among The Elderly Population, Katrina Johnson, Mi Young Son

Electronic Theses, Projects, and Dissertations

The aging population has experienced a steady growth over the past several decades not only in the United States but also worldwide. This growth comes with increased needs for mental health services. The American Psychological Association (2019) estimated that the number of senior citizens in the United States with mental health and behavioral problems could reach 15 million in 2030. This study explored social workers’ perceptions of the apparatus of mental health services that target older adults. Using a snowball sampling, this study drew nine social workers, mostly Asian-Americans (N = 9). The findings generated four major themes, which were …

Modeling Cumulative Risk During The Covid-19 Pandemic: Psychosocial And Socioeconomic Factors For Older Minority Adults, James F. Osborne Iv

LSU Master's Theses

Continued response to the sum consequences of the COVID-19 pandemic has disparately affected the physical and mental health of older minority adults in the United States. SARS-CoV-2 created an acute epidemiological crisis of public health coinciding with a chronic pandemic of accentuated psychosocial stress. Biological and socio-economic risk of morbidity and mortality follow a demographic gradient of subjectively constructed social status that disproportionally threatens older adults and minority racial/ethnic communities. Pathways to increased socio-economic and psychosocial vulnerability are multifactorial and complex. Factors of race, socio-economic status, gender, and age, each contribute to individualized profiles of vulnerability to risk exposure.

The …

Bridging The Generation Gap In The Lgbt+ Community Through Advocacy, Melanie Moore

Honors Projects

HEALTH is a program designed to meet the needs of LGBT+ older adults by connecting them with volunteers of LGBT+ nonprofit organizations. Through HEALTH, LGBT+ youth and older adults can form connections that can extend beyond the structure of the program. By connecting younger volunteers with older adults, HEALTH can help grow the social capital of the LGBT+ community. Fostering friendly relationships between people of all ages can influence the progress of LGBT+ rights moving forward by combining the experience of the elders with the technological and social capabilities of the youth.

Acculturation And Depression Among Older U.S. Immigrants: A Systematic Review, Sunghwan Cho

Master of Social Work Clinical Research Papers

This systematic review examines how acculturation affects depressive symptoms of older U.S. immigrants. Upon through review of the present literature, five articles were identified as meeting inclusion criteria and analyzed based on the ecological theory. Common themes identified throughout the reviewed studies include enhancing family support, community support, and cultural contexts. Results of this review conclude the micro and meso system such as family and social network supports help older adult immigrants interact with the mainstream American culture, which leads to a reduction of depressive symptoms of older adult immigrants. Also, the review identified that it is helpful for service …

Neighbors Helping Neighbors: Co-Housing Options For Older Adults To Age In Place, Kasey Meyer

Master of Social Work Clinical Research Papers

This study explored a housing model called co-housing, giving attention to its potential to help older adults successfully age in place. The focus of this research primarily focused on housing and the obstacles that prevent older adults from remaining in their own home as they age. The population of older adults in the United States will continue to increase and older adults are often faced with a shortage of available options. The co-housing model consists of individual homes or apartments located around a shared outdoor space. Members within the community share responsibility for everyday activities and upkeep to property, reducing …

Challenges And Opportunities In Accessing Geriatric Mental Health Services In Rural Minnesota, Kassara Kneeland

Master of Social Work Clinical Research Papers

America’s aging population is increasing and mental illness among older adults continues to go under-diagnosed and under-treated. The purpose of this research was to collect data and information on the resources available to older adults living with mental illness in rural Minnesota. This research was informed primarily by the text Rural Mental Health: Issues, Policies, and Best Practices (2012). A survey was conducted utilizing both quantitative and qualitative questions developed by the researcher. The survey was distributed to 153 recipients in 14 counties surrounding Central Minnesota, with an 11% total response rate. Respondents were primarily county-affiliated, identified as social workers …

“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 …

Self-Care Practices Among Geriatric Social Workers, Melissa Lozito

Walden Dissertations and Doctoral Studies

Within the social work profession, there is a lack of understanding about self-care practices of social workers working with older adults. This lack of knowledge is a concern for the profession because as the older adult population continues to grow, so will the need for social workers to address their needs. Using action research, a focus group of 7 female social workers working with older adults in the Pacific Northwest discussed the research questions related to their use of self-care practices and identifying strategies to increase the use of self-care. Self-compassion theory enhanced understanding the relationship between social workers' experiences …

Social Work Practice With Older Adults, Carley Yvonne Vailu'u

Walden Dissertations and Doctoral Studies

Social workers working for adult protective services (APS) face many clinical challenges to ensure the safety and well-being of older adult clients. APS social workers often interact with older adults who engage in self-neglecting behaviors that compromise their ability to function in a healthy and independent manner. The purpose of this research study was to explore challenges in direct social work practice to identify how APS services can be improved when working with the older adult population, particularly individuals who engage in hoarding behaviors. Using action research methodology, 2 focus groups were conducted to explore the experiences and knowledge of …

A Later Life Without Children In China : A Cross-Sectional Examination Of Moderators And Mediators Of The Effects Of Childlessness On The Well-Being Of Elders, Junrong Shi

Legacy Theses & Dissertations (2009 - 2024)

Adult children played a primary role in support and caregiving for the fast-growing older population in China because of the core value of “filial piety” and underdeveloped formal services in the country. However, an increasing amount of Chinese people will end up with having no children in their later years, either nonparental or no children survived. It is important to understand that how the absence of children affects the health and well-being of older adults to better serve this growing vulnerable population. Limited previous studies focused on the childless older people in China, and little is known about the mechanisms …

Identifying And Mitigating Caregiver Burnout: The Role Of Adult Day Social Workers, Annika Grafstrom

Master of Social Work Clinical Research Papers

This qualitative research study will explore the role of adult day social workers in identifying and mitigating caregiver burnout. To collect data for this study, eight semi-structured interviews with adult day social workers were completed to analyze their experience with caregivers, their role in recognizing burnout and their response to caregivers experiencing burnout. A grounded theory methodology approach will be used to analyze data. This method will use an open-coding process that will lead to selective coding, which will assist in identifying and validating themes and concepts from the participant’s responses to interview questions. The findings from this study indicate …

Mind, Body, & Spirit : An Ecological Community-Based Approach To Healthy Aging, Emily Widra

Theses, Dissertations, and Projects

Based on the biopsychosocial approach of the ecological theory of aging, the present study examined the health status and social engagement of participants in an osteoporosis-prevention exercise class for adults over the age of 65 in two counties in Western Massachusetts. A self-rated health survey was developed and administered in each of the Healthy Bones & Balance classes with 226 responses in total.

Participants in this study had higher self-rated health scores than have been found in a national epidemiological study. In particular, participants who live alone were engaging in more social activities – at senior centers and places of …

Risks And Health Consequences Of Forgoing, Delaying, Or Having Trouble Accessing Needed Health Care Among Medicare Beneficiaries, Angelitta M. Spells

Open Access Dissertations

Medicare provides health care coverage for approximately 93% of non-institutionalized older adults. Compared to uninsured adults, Medicare beneficiaries have greater access to needed healthcare including preventative care. However, disparities in accessing needed health care still exist among Medicare beneficiaries. Prior research has described barriers to accessing needed health care among older Medicare beneficiaries, such as transportation and health system characteristics, but little is known about prevalence, risks, or health consequences of older Medicare beneficiaries delaying, forgoing, or having trouble accessing needed health care. The three studies included in this dissertation followed a nationally representative sample of older Medicare beneficiaries to …

Effects Of Attachment Style, Coping Strategy, Social Support And Spirituality On Parental Grief Among Older Chinese Parents : Structural Equation Modeling., Yongqiang Zheng

Electronic Theses and Dissertations

Most modern grief theories and clinical working models are constructed in the context of Western culture, and the effectiveness or explanatory power of those theories and models have not been fully tested in other cultures, especially through a more complex interactive model. The current study focuses on the role of attachment style, coping strategy, social support and spirituality on older bereaved parents’ grief. It also explores if differences in age, gender, causes of the child’s death, time since the death have a differential effect on parental grief. The purpose of this study was to test the main factors effectively mediating …

The Online Dating Preferences Of Chinese American Older Adults, Lin Jiang

Electronic Theses and Dissertations

In recently years, there has been a dramatic increase in the use of online dating websites among adults over age 50. Nevertheless, samples collected in existing literature are mainly centered on White/Caucasian Americans. Furthermore, the only theoretical guide has been sexual strategies theory. This study fills the gap by using sexual strategies theory and acculturation theory to test Chinese American older adults dating preferences.

The sexual strategies theory discusses how males and females use different mating strategies in short-term and long-term contexts. Acculturation theory describes changes in which individuals or groups adopt another culture when it makes contact with their …

Psychometric Extension Of The Memory For Names Test, Heather Chance Foil

LSU Master's Theses

The purpose of this study was to re-evaluate the psychometric properties of the Memory for Names (Mem4Names) test among a sample of older adults without cognitive impairment. Mem4Names is a test of famous face recognition that was shown to be a reliable and valid measure of semantic memory in older adults both with and without cognitive impairment (Brouillette et al., 2011). The current study re-examined the psychometric properties of the Mem4Names test among 133 volunteers at Pennington Biomedical Research Center’s Institute for Dementia Research and Prevention. The study confirmed previously reported calculations of the test’s reliability by calculating Cronbach’s alpha …

The Experience Of Same-Sex Partner Loss Among People Age 55 And Older, Courtney Woodburn

Theses, Dissertations, and Projects

The purpose of this exploratory study was to gain a deeper understanding of how people ages 55 and older experience the death of a same-sex partner. Recruitment occurred using snowball sampling primarily through a social organization for older gay men, resulting in a homogenous convenience sample. The study used semi-structured in-person, phone, and Skype interviews with 12 gay men to gather qualitative data about their experience of losing a same-sex partner at the age of 55 or older. Areas of inquiry within the interview included participants’ emotional experience of grief, social supports, meaning making and coping strategies, and practical matters …

Wisdom In The Trees : A Research Project On How Elders Living In The Treehouse Community Together With Foster Children And Their Families Continue Or Expand The Quality Of Meaning Making In Their Everyday Lives, Elizabeth Hinze

Theses, Dissertations, and Projects

This qualitative study examined the oldest members of The Treehouse Community in western Massachusetts which is an intentional intergenerational community. Within this study 10 older adults living in the community participated in either a community held event or one-on-one interviews describing their felt life experiences before and after moving to Treehouse. Most of the participants made it clear that they did not show up at Treehouse looking for something to occupy their time. Rather this model which supports foster families and their children through an intergenerational lens corresponds with their life work, whether it be they had worked in child …

Aging In Place: Perceptions Of Older Adults On Low Income Housing Waitlists, Angela L. Lavery

Electronic Theses and Dissertations

Many American older adults with low incomes wait years for affordable housing or housing assistance. Insight is needed on the concerns of older adults who need to move but cannot. In addition, within the study of aging in place, there is a paucity of research regarding older adults with low incomes. The purpose of this study was to explore the perceptions and experiences of aging in place from the perspective of older adults with low incomes, and to understand the process in making the decision to move to agesegregated housing. The purpose incorporated an examination of potential oppressive factors that …

Alcohol Use And The Older Adult: Addressing Older Adults’ Perceptions, Megan R. Grisso

Electronic Theses, Projects, and Dissertations

In order to create more efficient, useful alcohol treatment and intervention methods tailored specifically for the older population, it is important to understand the reasons that older adults perceive that they consume alcohol. For this reason, this study explored older adults’ perceptions regarding why they use alcohol. Older adults, age 60 and older, were surveyed through questionnaires completed at senior community centers within San Bernardino County. This was a mixed method design that used qualitative and quantitative analysis for the purpose of exploring the most frequently reported reasons for why older adults use alcohol. The main finding of the study …

Perceptions Of Depression In Older Adults, Kasey D. Weber

Master of Social Work Clinical Research Papers

According to the US Department of Commerce estimates, the older adult population will more than double by 2050, to 80 million (US Department of Commerce, 1995). Depression is very common among the older generation with 6.5 million diagnosed cases out of 35 million individuals aged 65 and above (NAMI, n.d). Many of these older adults with depression suffer from stigmas, both internal and external. The objective of this systematic literature review was to synthesize the information available on stigma related to older adults with depression. The databases SocINDEX, Social Work Abstracts, Pubmed, and were systematically searched (2010 to date). The …

The Culture Change Movement Among Nursing Homes: Social Workers/Health Care Professionals Perspective, Emily Nesbitt

Master of Social Work Clinical Research Papers

The purpose of this study was to examine the experience of social workers and other health care professionals that are working in facilities that are or have implemented the Culture Change Movement (CCM) and to determine its impact on older adults and those working with them. This qualitative research study examines social workers and other health care professionals’ perspectives on the implementation of the CCM in nursing home settings. Six licensed social workers and two registered nurses were interviewed for this study from various surrounding nursing homes that are or have implemented the CCM. A semi-structured interview was conducted with …

The Effect Of Playback Theatre On Managing Elderly Bullying In Senior Communities, Jennifer E. Rooney

Master of Social Work Clinical Research Papers

This qualitative research project explores the long established social problem of bullying among the expanding population of adults over 65. One of the main goals is to identify effective interventions in addressing the problem, specifically Playback Theatre. Grounded theory was implemented in data analysis. The social work theory of Person in Environment (PIE) and Systems Theory were used as the theoretical framework for formulating questions and interpreting answers. Seven professionals working in assisted living and senior public housing were questioned regarding their observations and experiences of elderly bullying within their facilities. Data analysis occurred within a three-month period. The main …