Gerontology Commons^™

Promising Little Things To Strengthen Social Connections, Caitlin Coyle, Setarreh Massihzadegan

Center for Social and Demographic Research on Aging Publications

Unlike “best practices”, promising practices only require the successful implementation of a program or activity and some level of information that suggests a positive outcome for participants. One key advantage of using promising practices is that they can be adapted and there is flexibility in implementation styles and environments. As well, starting with a promising practice can help solve community problems, and save the trouble of reinventing the wheel. If someone has already found an effective way to resolve an issue or advance the cause, it makes sense to use it. The intention of this document is to alert those …

Psychological Sense Of Community Among Older Adults In Puerto Rico Two Years After Hurricane María, Thomas D. Buckley

Theses and Dissertations

Hurricane María devastated Puerto Rico in 2017 and resulted in adverse long-term outcomes. Psychological sense of community (PSOC) may serve as a protective factor against the effects of Hurricane María for older adults in Puerto Rico. Using a three-paper format, this dissertation draws on a resilience framework and theories of PSOC and the Ecological Theory of Aging to examine the role of PSOC among older adults in Puerto Rico two years after Hurricane María.

Paper one is a scoping review of the concept of PSOC in research with community dwelling older adults. I begin by presenting findings on study characteristics …

Survey Deficiencies As Quality Indicators In Oregon Assisted Living Communities, Ozcan Tunalilar, Sunny C. Lin, Paula C. Carder

Institute on Aging Publications

Background and Objectives License inspection data have commonly been used as a quality measure for nursing homes but has not yet been used to assess the quality of assisted living/residential care (AL/RC) communities. Drawing on resource dependency theory, we test the hypothesis that structural and environmental characteristics influence AL/RC quality as measured by deficiency citations (“deficiencies”) issued during license inspections.

Research Design and Methods Using data from 526 licensed AL/RC communities in Oregon that received a license inspection visit between 2008 and 2016, we examined the prevalence of deficiencies by type and year. We estimated regression models to identify structural …

Literature Review: Improving End-Of-Life Care And Creating A Good Death, Erna Smlatic

Honors Program Theses

The need for quality end-of-life care has increased drastically around the world in the last few centuries due to a surge in life expectancy. As people are living much longer, they are developing and succumbing to chronic progressive diseases which can significantly decrease quality of life. But what exactly does it mean to care for the aging population who are nearing death? Defining quality care at the end-of-life is important but also differs for individuals based on a variety of factors including age, culture, and life experiences. End-of-life care does not come as “one size fits all” and it challenges …

Addressing The Needs Of African American Grandparents: An Intersectionality Perspective, Dorothy Smith-Ruiz, Kendra Jason

The Journal of Sociology & Social Welfare

This study seeks to demonstrate the intersecting structural and compounding challenges African American custodial grandparents experience collectively, rather than as separate non-competing factors, which has been modeled in prior studies. Using a mixed-method research design, the study explored the challenges faced by African American and white custodial grandparents. These challenges included difficulties attaining different types of support, respite care, and programs for teens and special needs grandchildren. Results showed that caregiving challenges among African Americans were more pervasive than their White counterparts. These findings have significant implications for the development of intervention programs for custodial African American grandmothers and their …

Performance-Based Iadl Evaluation Of Older Adults With Cognitive Impairment Within A Smart Home: A Feasibility Study, Iris Rawtaer, Khalid Abdul Jabbar, Xiao Liu, Thit Thit Htat Ying, Anh Thuy Giang, Philip Lin Kiat Yap, Rachel Chin Yee Cheong, Hwee-Pink Tan, Pius Lee Wei Qi, Shiou Liang Wee, Tze Pin Ng

Research Collection School Of Computing and Information Systems

Introduction Mild cognitive impairment (MCI) is characterized by subtle deficits that functional assessment via informant-report measures may not detect. Sensors can potentially detect deficits in everyday functioning in MCI. This study aims to establish feasibility and acceptability of using sensors in a smart home for performance-based assessments of two instrumental activities of daily living (IADLs). Methods Thirty-five older adults (>65 years) performed two IADL tasks in a smart home laboratory equipped with sensors and a web camera. Participants' cognitive states were determined using published criteria including measures of global cognition and comprehensive neuropsychological test batteries. Selected subtasks of the …

Socio-Ecological Predictors Of Social Connection Among Older Adults, Georganna Amateau

Theses and Dissertations

Decades of research has established an unequivocal link between states of social connection and health status. Lack of social connection, whether construed as social isolation or loneliness, negatively influences health and is highly associated with cardiovascular disease, high blood pressure, fall risk, and premature death. Despite extensive research on social isolation and loneliness, evidence relative to the broader construct of social connection suffers. Few studies inform practice standards for community-based organizations. This study aimed to develop a multidimensional, continuous composite variable of social connection and use the composite variable to examine predictors with a socio-ecological lens.

A secondary data analysis …

Caregiver Knowledge And Perceptions Of Dementia-Specific Nutritional Approaches, Danielle Freitag

All Graduate Theses, Dissertations, and Other Capstone Projects

Dementia is a syndrome that affects millions worldwide. The syndrome can cause great distress not only for the diagnosed individual but also for the family and friends who provide care. It is known that many caregivers for people with dementia face difficulties in planning and preparing meals, feeding, and making nutritional decisions for their loved ones. Several diets have been shown to assist with dementia-related symptoms pre and post diagnosis. However, what is unknown is whether caregivers are aware of the benefits of these diets and what the barriers are to implementing them into their nutrition regime. This study surveyed …

Loneliness, Sense Of Control, And Risk Of Dementia In Healthy Older Adults: A Moderated Mediation Analysis, Hwajin Yang, Germaine Tng, Wee Qin Ng, Sujin Yang

Research Collection School of Social Sciences

Objectives: Despite the rising prevalence of dementia, little research has been conducted to identify modifiable psychological factors that alleviate the risk of dementia in older adults and the underlying mechanisms. Given that loneliness is, in part, concomitant with a weakened sense of control, we examined whether sense of control would mediate the relation between loneliness and dementia risk. Further, considering that working -memory capacity is a critical cognitive resource that serves as a buffer against age-related cognitive decline, we examined a second-order moderated mediational model whereby working-memory capacity moderates the relation between control beliefs and dementia risk in older adults. …

Analyzing The Use Of A Montessori-Based Activity & Its Effect On Engagement & Affect In Persons With Dementia: A Replication Study, Emilee J. Andersen

All Graduate Theses, Dissertations, and Other Capstone Projects

Activities are an essential element in institutionalized settings for persons with dementia. Challenges are faced, however, when developing and implementing stimulating and meaningful activities for this population. Over the past two decades, Montessori-based activities (MBAs) have been investigated as a means for meeting the needs of persons with dementia residing in long-term care facilities. MBAs were developed to enhance the quality of life for individuals experiencing dementia through maximization of engaging and meaningful activities. The purpose of the current study was to expand on the empirical literature related to the use of MBAs for persons with dementia by replication of …

Understanding Resident-To-Resident Conflicts In Long Term Care Settings From The Perspective Of Administrative Staff, John F. Walker

All Graduate Theses, Dissertations, and Other Capstone Projects

Assisted living facilities are expanding in response to the growing population of older adults in the United States. Assisted living facilities offer a wide array of services including memory care. Research has shown that a majority of assisted living facilities have residents with cognitive impairments living along with non-cognitively impaired individuals (i.e., mixed populations). Little is known about the conflicts that may arise between cognitively and non-cognitively impaired residents in a mixed population. The present study hoped to better understand what conflicts occur, how direct care staff are trained to handle these conflicts, from the perspective of assisted living facility …

Resident Centered Behavioral Health: A Program Evaluation, Anna Olinger

All Graduate Theses, Dissertations, and Other Capstone Projects

Behavioral health concerns, such as depression and behavioral symptoms, impact older adults at significant rates. These concerns impact an individual’s quality of life, health status, and mortality. When behavioral health concerns cannot be effectively managed in the community by the individual or their caregivers, a skilled-nursing facility is often the next step. Unfortunately, those caring for older adults in these settings have not always had access to the training they need to care for individuals with depression or behavioral symptoms. The Resident Centered Behavioral Health program set out to change this. The program implemented an interactive, behavioral health training program …

Cellphone Laws And Teens' Calling While Driving: Analysis Of Repeated Cross-Sectional Surveys In 2013, 2015, 2017, And 2019, Li Li, Caitlin N. Pope, Rebecca R. Andridge, Julie K. Bower, Guoqing Hu, Motao Zhu

Graduate Center for Gerontology Faculty Publications

BACKGROUND: Distracted driving among teens is a public health and safety concern. Most states in the U.S. have sought to restrict cellphone use while driving by enacting laws. This study examines the difference in prevalence of self-reported calling while driving (CWD) between states with different cellphone bans.

METHODS: Demographics and CWD data were extracted from state Youth Risk Behavior Surveys (YRBS) from 14 states in 2013, 2015, 2017, and 2019. The state YRBS is conducted every 2 years with a representative sample of 9th through 12th grade students attending public school. States were grouped by type of cellphone law(s): no …

Staying Connected: The Importance Of Social Integration On The Well-Being Of Older Adults, Paulin T. Straughan, Vincent Chua, Stephen Hoskins, Frosch Quek

ROSA Research Briefs

It has been about a year since COVID-19 first emerged and reshaped the daily lives of people around the globe, including Singaporeans. Since moving past the circuit breaker in June, Singapore has gradually re-opened and relaxed its restrictions in different phases. As Singapore prepares for Phase 3- the final and least restrictive phase, it is important to examine how Singaporeans have coped and responded with the circuit breaker (7 April 2020) and its gradual easing of restriction in Phase 1 (2nd June 2020) and Phase 2 (19 June 2020), and identify the groups which have fallen through the gaps in …

Baby Boomers In Technology-Rich Environments: Using Piaac To Study The Association Of Workplace Learning With Technology Competency, Julie M. Galliart

Graduate Theses and Dissertations

A skill gap in Problem Solving in Technology-Rich Environments (PS-TRE) between U.S. Baby Boomers and younger generations has been documented in previous studies using the Programme for the International Assessment of Adult Competencies (PIAAC) Survey of Adult Skills (Rampey et al., 2016). Bringing this generation of workers up to speed in this competency area is important because older workers are a growing segment of the U.S. workforce with 13 million employees expected to be age 65 or older by 2024 (Toossi & Torpey, 2017). Workplace learning may be a solution, but few studies in adult learning document outcomes of training …

Prediction Of Nocturia In Live Alone Elderly Using Unobtrusive In-Home Sensors, Barry Nuqoba, Hwee-Pink Tan

Research Collection School Of Computing and Information Systems

Nocturia, or the need to void (or urinate) one or more times in the middle of night time sleeping, represents a significant economic burden for individuals and healthcare systems. Although it can be diagnosed in the hospital, most people tend to regard nocturia as a usual event, resulting in underreported diagnosis and treatment. Data from self-reporting via a voiding diary may be irregular and subjective especially among the elderly due to memory problems. This study aims to detect the presence of nocturia through passive in-home monitoring to inform intervention (e.g., seeking diagnosis and treatment) to improve the physical and mental …

Aging Strong For All: Examining Aging Equity In The City Of Boston, Jan Mutchler, Caitlin Coyle, Nidya Velasco Roldán, Paul Watanabe, Cedric Woods, Lorna Rivera, Quito Swan, Elena Stone, Laurie Nsiah-Jefferson

Center for Social and Demographic Research on Aging Publications

The experience of being and becoming older differs substantially based on one’s race, ethnicity, and gender. In the City of Boston, it has never been more critical to strategically pursue greater equity in the aging experience of residents. According to data from the US Census Bureau, the number of Boston residents aged 60 or older increased by more than a third just since 2010 and persons of color now make up half of Boston’s older adults. As well, stakeholders share a growing recognition of the powerful ways in which inequity, racism and discrimination shape health outcomes and the aging experience, …

Dietary Regulation Of Successful Aging, Aubree L. Hawley

Graduate Theses and Dissertations

The current growth of the older population is unprecedented in U.S. history. Chronic disease and functional limitation commonly develop prior to old age, leading to prolonged physical disability and decreased well-being. The development of chronic disease and loss of independence is associated with lean body mass (LBM) loss and fat mass gain beginning in middle age. Therefore, it is important to identify modifiable factors to mitigate deleterious shifts in body composition to promote successful aging (SA). The concept of SA is associated with longevity, the absence of disease and disability, and subjective components of well-being, however, an operational definition has …

The Gap Remains: Social Security Benefits Continue To Fall Short Of Covering Basic Cost Of Living For Older Americans, 2015-2020, Jan Mutchler, Yang Li

Center for Social and Demographic Research on Aging Publications

Older Americans rely heavily on Social Security to support an independent lifestyle. Recent estimates suggest that among adults aged 65 years or older, more than half rely on Social Security for at least 50% of their family income, while nearly a quarter depend on Social Security for 90% or more of their family income.

Despite this substantial reliance on Social Security among older adults, Social Security benefits fall short of what is required to cover a basic cost of living across the United States, according to new estimates based on the Elder Index, a county-by-county measure of the income older …

New Cultures Of Care? The Spatio-Temporal Modalities Of Home-Based Smart Eldercare Technologies In Singapore, Orlando Woods, Lily Kong

Research Collection School of Social Sciences

Increasingly, technology-enabled strategies of eldercare are being developed and deployed to minimize the socio-economic costs of ageing. As part of this shift, home-based ‘smart’ technologies have been embraced as a way of enabling ageing-in-place. Smart technologies flatten space and time, and can increase the reach of caregivers. In this sense, they foreground the emergence of new cultures of care. Through an empirical focus on the triallists of smart eldercare technologies living in a public housing estate in Singapore, this paper considers the ways in which new cultures of care are being formed and negotiated in response to the encroachment of …