Sociology Commons^™

Defining Dementia-Friendly Communities From The Perspective Of Those Affected, Iris Alexandra Wernher

Dissertations and Theses

More and more communities across the globe are pledging to become more "dementia friendly," yet many initiatives lack direction as to what this pledge might entail. The intent of this qualitative study, conducted in the metropolitan area of Portland and several other cities in Oregon, was to better understand how communities can increase their dementia friendliness – from the perspective of people living with dementia and their care partners. The study further aimed to clarify if and how age- and dementia-friendly efforts can be integrated.

Twenty-five community-dwelling individuals living with dementia and their 25 informal carers participated separately in semi-structured …

Testing The Ls/Cmi For Predictive Accuracy: Does Age Matter?, Sandra Stephanie Lawlor

Dissertations and Theses

The Level of Service/Case Management Inventory (LS/CMI) is one of the most widely used instruments for assessing recidivism risk and treatment needs in correctional settings. The predictive validity of the measure and its predecessor (LSI-R) has been established in meta-analytic studies and research finds that the scale's accuracy is largely independent of sex, race, and ethnicity. Whether the LS/CMI works equally well for different age groups remains in question. The current study assessed the predictive accuracy of the LS/CMI from a sample of 14,940 adults in custody (AIC) released from an Oregon prison between 2011 and 2017 for three age …

Antipsychotic Medication Administration In Oregon Assisted Living/Residential Care Settings: Analyzing An Action Situation, Sarah Dys

Dissertations and Theses

Antipsychotic medication use (APU) in assisted living and residential care (AL/RC) settings is an under-studied and controversial health policy issue. APU in older adults with dementia is associated with an increased risk of falls, hospitalizations, and early mortality. I operationalize the Institutional Analysis and Development Framework using a situational analysis approach, an extension of grounded theory methods, to explore the APU in Oregon AL/RC settings. Regulatory deficiency citations, Oregon AL/RC population data, and semi-structured interviews suggest that staff role clarity, organizational characteristics, and perceived agency influence decision-making around APU. AL/RC providers and caregivers are forced to simultaneously balance and prioritize …

Developing A Mixed-Methods Method To Model Elderly Health Technology Adoption With Fuzzy Cognitive Map, And Its Application In Adoption Of Remote Health Monitoring Technologies By Elderly Women, Noshad Rahimi

Dissertations and Theses

Providing healthcare to the ever-rising elderly population has become a severe challenge and a top priority. Emerging innovations in healthcare, such as remote health monitoring technologies, promise to provide a better quality of care and reduce the cost of healthcare. However, many elderly people reject healthcare innovations. This lack of adoption constitutes a big practical problem because it keeps the elderly from benefiting from technology advances. The phenomenon is even more pronounced among elderly women, who represent the majority of the elderly population.

A plethora of studies in the field of technology adoption resulted in sound, but highly generalized theories …

Sustainable, Affordable Housing For Older Adults: A Case Study Of Factors That Affect Development In Portland, Oregon, Alan Kenneth Delatorre

Dissertations and Theses

Portland, Oregon, is considered to be a leader in sustainable development. Government agencies, nonprofit organizations, and businesses have been innovators in policymaking and practice that is aimed at creating a more sustainable city. Despite population aging, little is known about how or whether planners and developers consider older persons in terms of sustainable development. Thus, this study examined the case of sustainable, affordable housing developed for low-income adults aged 55 and older. Interviews with 31 key informants were conducted in order to answer three research questions: What is the meaning of sustainable development in Portland, Oregon, as it pertains to …

The Duration Of Tinnitus In An Aging Population, Mary Engel

Dissertations and Theses

The purpose of the present study was to determine whether the perceived severity of chronic tinnitus in a geriatric population increased, decreased, or remained constant with the passage of time. A questionnaire was designed to ascertain the subjects' perceived severity at time of onset and the perceived severity of their current tinnitus. The subjects were asked to rate their past and present tinnitus severity according to how much it bothered them. They were also asked questions pertaining to noise exposure history, hearing aid use, and tinnitus sound parameters for purposes of comparison with other groups previously studied.

Reading Comprehension In Dementia Of The Alzheimer's Type : Factual Versus Inferential, Donna Jensen Graville

Dissertations and Theses

The purpose of this study was to investigate the reading comprehension abilities of those with mild and moderate dementia of the Alzheimer's type (DAT) and compare their performance to that of a sample of non-demented elderly. Thirty-eight male subjects were used, 20 non-demented elderly, nine mild DAT and nine moderate DAT. All were administered level B of the NRST. This test contains questions requiring three levels of inference: literal, translational, and high-level inference.

Adult Daughters As Caregivers To Elderly Parents : An Exploration Of The Care Relationship, Margaret Anne Reynolds

Dissertations and Theses

In this study, the nature of a current social problem is explored: the provision of services to elderly parents by their adult daughters - a part of the informal system of social support for the elderly. In particular, the influence of the caregiver's construction of old age on their assessment of parental autonomy is examined.

Life Satisfaction Of Elderly Parents And Parent-Child Relationships In Old Age, Tehchou Yeh

Dissertations and Theses

This thesis is designed to explore the nature of the relationship between elderly parents and their children and to investigate the association of that relationship with life satisfaction of the elderly parents. The examination of parents' life satisfaction is based on the activity theory of gerontology. The life satisfaction is measured by Adams's eighteen-item Life Satisfaction Index. The parent-child relationship is viewed from the standpoint of both the parents' expectations of their children and how the children fulfill these expectations. Filial discrepancies between parents' expectations and children's behavior are analyzed to fill a gap in the literature on behavioral and …

The Needs Of Older People As Seen By Themselves And Support Providers, Sarah Movius Schurr

Dissertations and Theses

This study compares perceptions of older people's needs from two vantage points: needs as seen by the older people themselves, and the needs of the elders as seen by their family support group. Two hypotheses were examined. The first hypothesis was that the elders and the support people would disagree on the needs of the elders. Secondly, the disagreement would be strongest on more abstract needs, like life satisfaction and contact with the opposite sex.

The Descriptive Function Of Language: Changes With Age And Pressure To Inform, Eve Susan Liebman

Dissertations and Theses

Currently language is viewed as a multi-dimensional construct, consisting of three interrelated components; content, form and function (Bloom and Lahey, 1978). In recent publications, language function has been referred to as pragmatics (Prutting, 1979). The essence of pragmatic theory is that language is used functionally in social contexts, to accomplish specific types of communication (Wood, 1981). One such communicative function is referred to as the informative function, which occurs when a speaker provides ideas and information to others, as in describing, naming and giving examples {Wood, 1981). It is not clear, however, when children become competent in making specific, clear …

Verbal Fluency Performance Of Normal Elderly Subjects, Molly Secrest

Dissertations and Theses

The purpose of this study was to measure the verbal fluency of normal gerontologic subjects and to determine the extent of association between verbal fluency score and level of education. Specifically, this investigation sought to determine means, ranges and standard deviations for three groups of subjects: those 61 to 69 years of age, those 70 to 79 years of age, and those 80 years of age and above. In addition, correlations between verbal fluency score, and age, sex, years of education, and order of stimulus presentation were computed.

Social Resources Of The Elderly As Correlates Of Life Satisfaction, Silvana Rigo Hale

Dissertations and Theses

This project has addressed the need for a new and effective theoretical framework in the field of social gerontology by proposing and applying exchange theory as a valid approach to the study of aging. This study specifically analyzed the relationships between life satisfaction and social resources, social contexts and change in order to measure and clarify the significance of the individual factors.

Self-Concepts Of Institutionalized And Community Residing Elderly, Diana L. White

Dissertations and Theses

This study explores the nature of the self-concept in old age. Specifically, the relationship between the self-concept and social relationships and self-concept and living situation (residence in a long term care or residence in one’s own home) are examined. The self-concept was measured by the Tennessee Self Concept Scale (TSCS) developed by William Fitts in 1965. Data was collected at two stages (over a two to three year period) from a study sample which consisted of twelve individuals who became institutionalized and twelve individuals who remained in their own homes.

Both quantitative and qualitative data analysis methods were used. Analysis …

Self-Esteem And The Elderly : An Exploratory Study Of A Residential Population In A Home For The Aged, Vernon E. Hoffer

Dissertations and Theses

The two primary purposes of this exploratory study were (1) to establish the theoretical tenability of focusing on the maintenance of self-esteem as a means for enhancing the quality of life in the institutionalized elderly, and (2) to identify factors related to self-esteem in a home for the aged sample.

Literature reviewed relative to the importance of self-esteem, its development, and its maintenance or change indicated that (1) self-esteem is related to personal satisfaction and effective social functioning: (2) self-esteem develops and is maintained or changed as a function of factors in an individual’s immediate interpersonal environment; and (3) institutionalization …

Personal Incidental Fund: A Study In Policy Making, Shirley Rackner

Dissertations and Theses

Originally, the focus of this project was to be a policy analysis and survey of the new procedures and regulations established by the state of Oregon for the protection and management of nursing home residents' Personal Incidental Funds (PIF). The analysis was to be divided into four phases, according to a pre-planned timetable. The last phase was to be a field survey of the policy's impact upon nursing homes and adult service workers. The timetable was synchronized with that of the Congregate Care Consultant from the Public Welfare Division's (PWD) Adult Services Unit, whose responsibility it was to develop and …

Role Exits Among The Aged, Nancy Whitelaw Mancini

Dissertations and Theses

The concept of role exit presented by Zena Smith Blau in her book, Old Age in a Changing Society, refers to the ongoing process of relinquishing previously enacted social roles; a process which is part of everyday life for men and women of all ages. However, Blau argues that role exits in later life are different from those in earlier stages of the life cycle because they tend to be terminal and involuntary. These factors, according to Blau, cause role exits in old age to negatively influence the individual's overall satisfaction with life.

This thesis examines the concept of …

Designing And Evaluating Workshop "Bridges": A Training Project To Upgrade Social Services In Long Term Care Facilities, Corrine C. Williams

Dissertations and Theses

Early in the fall of 1973, the Oregon Chapter of the National Association of Social Workers (NASW) decided to sponsor a statewide training project in cooperation with seven chapters in other Department of Health, Education and Welfare (DHEW) regions across the United States. These workshops were to comprise Stage I of a two-stage plan; they were to serve as demonstration projects. Their planning, implementation and evaluation were to be seriously reviewed and studied afterword in an attempt to devise a model, or models, for Stage II, when a great number of such workshops would be held across the nation. The …

An Analysis Of The Mental Health Services Available To The Elderly Within Oregon: Using Multnomah County As A Special Case Study Area, Joan Nadine Hoss

Dissertations and Theses

The purpose of this study was to identify the mental health services available to the elderly residents of Oregon, and to assess the effectiveness of these services in providing mental health treatment to elderly persons.

In order to reasonably narrow the scope of this study, the investigation of mental health services was limited primarily to those agencies which are publicly funded and controlled by state or local bodies. In addition, Multnomah County was selected as a case study area in order to further narrow the scope of the study. Multnomah County was selected because of the convenience of its geographical …

Some Correlates Of Morale Among Nursing Home Residents, Gail Olmsted Sydnor, Patricia Mears Wold

Dissertations and Theses

This is a study of twenty-six patients aged sixty years and over residing in a nursing care facility in Portland, Oregon in the fall of 1973, which explores the relationship of their morale and selected environmental and social factors.

There are three major aims of the study. The first is to measure variances in morale states as experienced and reported by the respondents. The second aim is to determine how a given set of factors correlate with the self-reported morale of each of the respondents. Selected for consideration are 1) attitudes: expectations upon entering the home and choice, comparison of …

Two Delivery System Contexts For The Elderly:The "Institutional" Approach And The "Community" Approach., Mary Sarita Freer

Dissertations and Theses

Theoretically every society has some institutional means which seeks to prevent and alleviate personal misfortune and illness "Institutions are standardized solutions to collective problems." The increasing population rate of older persons, many of whom suffer from chronic diseases and disabilities, does pose a collective problem for society. Formerly, the "institutional" approach developed to address the needs of chronic aging patients and society. Today the "community" approach, by which community service agencies whose goal is to help older adults remain independent of total institutional care by supplying supportive services, is achieving recognition .

This thesis is an exploratory study to assess …