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First Elderly Client In Therapy: Factors That Influence Student Interest In Geropsychology, Cristina E. M. Filippelli

Antioch University Dissertations & Theses

In the coming decades, the elderly population in United States (U.S) is expected to grow significantly (U.S. Bureau of the Census, 1996). Consequently, the number of older individuals seeking mental health services will be greater than at any other time in the history of the U.S. The field of clinical psychology, however, is unable to meet the mental health needs of the current elderly population, and this gap is expected to widen in coming years. There is an ongoing discussion within the field of professional psychology as to how to train more clinicians to work with the elderly population (Gatz …

Dementia Caregiving Outcomes: The Impact Of Caregiving Onset, Role Occupancy, And Care-Recipient Decline, Katherina Nikzad-Terhune

University of Kentucky Doctoral Dissertations

Dementia is characterized as a progressive loss of brain function that results in the deterioration of many cognitive and physical abilities. Alzheimer’s disease (AD) is the most common form of dementia, causing steady declines in memory, functional abilities, and mental functioning. With a projected increase of degenerative illnesses, such as AD, family caregiving for individuals with the disease is also steadily increasing. Caring for an individual with AD has been characterized as a “career,” and within this career are a number of key transitions, including the onset of caregiving. Preexisting caregiving research reveals a number of negative consequences for AD …

The Relationship Of Financial Performance, Quality Indicators, And The Role Of Nurse Executives In Virginia Nursing Homes, Jeany V. Murphy

Health Services Research Dissertations

Problem statement. The dynamic nature of the healthcare industry has triggered changes in nurse executive functions. The job has expanded into entrepreneurial roles to be able to provide the most cost effective services while maintaining good quality outcomes for the residents. The new responsibility requires a different set of knowledge and competencies that is usually achieved through advanced education. It is not known whether nurse executives in long term care in Virginia possess the skills to influence both the financial and quality outcomes of the facility.

Methods. This descriptive research study examined the relationship of the nurse executives' technical, human, …

Using The Ambulatory Phonation Monitor To Measure The Vocal Parameters Of Older People With And Without Parkinson's Disease, Danielle Marie Boudreaux

LSU Master's Theses

Our project was designed to determine if there was a difference in vocal parameters, including mean fundamental frequency, mean amplitude, and total phonation time, between individuals diagnosed with Parkinson’s disease (PD) and age-and gender-matched individuals without a diagnosis of any neurologic or neurodegenerative diseases (NO PD) using the Ambulatory Phonation Monitor (APM: KayPENTAX, Lincoln Park, New Jersey). The APM was designed to gather objective data in a naturalistic environment by having participants wear the device over the course of three 8-hour days. The APM measured total phonation time, mean amplitude, and mean fundamental frequency throughout that time. The participants wore …

Adequacy Of Diabetes Care For Older U.S. Rural Adults: A Cross-Sectional Population Based Study Using 2009 Brfss Data, M. Nawal Lutfiyya, Joel E. Mccullough, Lori Mitchell, L. Scott Dean, Martin S. Lipsky

Community Health Faculty Publications and Presentations

Background: In the U.S. diabetes prevalence estimates for adults ≥ 65 years exceed 20%. Rural communities have higher proportions of older individuals and health disparities associated with rural residency place rural communities at risk for a higher burden from diabetes. This study examined the adequacy of care received by older rural adults for their diabetes to determine if older rural adults differed in the receipt of adequate diabetes care when compared to their non-rural counterparts.

Methods: Cross-sectional data from the 2009 Behavioral Risk Factor Surveillance Survey were examined using bivariate and multivariate analytical techniques.

Results: Logistic regression analysis revealed that …

The Relationship Of Race And Social Integration On The Health Status Of Older Adults In An Urban City, Thomas T. Jordan

Dissertations, Theses, and Capstone Projects

Durkheim argues that an individual is more vulnerable to self-destruction the more s/he is detached from the collective. This dissertation will explore the relative impact of social integration on older adults who have transitioned into their new roles in the social structure in relationship to their physical (obesity) and psychological (stress) health status. Additionally, the dissertation examines how social integration varies in its impact from one racial group to another, and how such variations influence the health status of the older adults who are members of these groups.

This dissertation employs data from the Brookdale Center for Healthy Aging and …

Psychometric Properties Of A Measure Of Acceptance Of Long-Standing Health Problems, Patricia Mcdonald, Jaclene Zauszniewski, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Acceptance of chronic illness is important for health promotion and for improving the quality of life of elders with chronic conditions. Thus, a reliable and valid measure of acceptance is needed for this population. Currently available measures of acceptance do not focus specifically on accepting chronic conditions. This study of 176 elders with chronic conditions examined the psychometric properties of an adapted measure of acceptance—the Ideas About Long-Standing Health Problems (IALHP) questionnaire. Although the findings provided beginning evidence for internal reliability and construct validity to support its potential usefulness in elders, further scale development is recommended.

Psychometric Properties Of The Pressure To Move Scale In Relocated American Older Adults: Further Evaluation, Abir K. Bekhet, Jaclene Zauszniewski, Wagdy E. Nakhla

College of Nursing Faculty Research and Publications

The number of elders who relocate to retirement communities is increasing exponentially, and their ability to exercise free choice, personal control, and autonomy has been associated with relocation adjustment and positive outcomes in regard to physical, emotional, and social well-being. Although a measure of relocation controllability (the degree of personal control associated with the move) exists, there is limited evidence of its psychometric adequacy. This study tested the reliability and validity of the Pressure to Move Scale (PTMS). A convenience sample of 104 American elders who relocated to six Northeast Ohio retirement communities was recruited. Study participants completed the nine-item …

Measuring Use Of Resourcefulness Skills: Psychometric Testing Of A New Scale, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Highly resourceful individuals have been found better able to meet life's challenges and to experience more positive health outcomes. Although psychometrically sound measures of resourcefulness exist and resourcefulness training trials show that the intervention increases adaptive functioning and enhances quality of life, there is no direct measure of intervention fidelity. This study examined the reliability and validity of an 8-item Resourcefulness Skills Scale (RSS), which measures the frequency with which intervention recipients use specific resourcefulness skills. The RSS was found to have acceptable internal consistency (� = .78), criterion-related validity (�'s = .50 and .52 with other resourcefulness scales), and …

The Cultural Context Of Alzheimer’S Disease: The Impact Of Perception And Knowledge On Willingness To Seek Medcial [I.E., Medical] Help Among Ghanaian Immigrants In The United States., Olivia Owusu-Boakyewaah

Theses and Dissertations

This correlational study explored the knowledge, perceived seriousness, and willingness to seek medical help for Alzheimer’s Disease (AD) among Ghanaian Immigrants currently residing in the Unites States. Study participants were 163 Ghanaian Immigrants between the ages of 45 and 90, attending Ghanaian community churches in Virginia and Maryland. Significant results include a positive correlation between knowledge and perceived seriousness of the disease, perceived seriousness of the disease was negatively correlated with caregiving experience. These results as well as several seemingly counterintuitive findings are discussed in terms of the Health Disparities and Psychometric challenges. Specifically, these results points to the necessity …

The Effects Of Positive Cognitions On The Relationship Between Alienation And Resourcefulness In Nursing Students In Egypt, Abir K. Bekhet, Mervat Elguenidi, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

Alienation is a subjective state, a feeling of being a stranger, as if one were not one's normal self. It is also a sense of homelessness; a feeling of uneasiness or discomfort, which signifies the person's exclusion from social or cultural participation. Alienation can adversely affect healthy functioning of nursing students. Nursing students are the adolescents of today and the nurses of tomorrow who will deal with human behavior, and their psychological well-being will be important in managing their clients’ conditions. Healthy nursing students are likely to become healthy nurses who can then model and promote healthy lifestyles for their …

Orthostatic Postural Deficit In Subjects With Streptococcal Serology-Related Unclassified Arthritis Of The Lumbopelvis, Shao-Chi Lu, Liang-Cheng Chen, Shang-Lin Chiang, Tsung-Ying Li, Yau-Ren Tseng, Shin-Tsu Chang, Chen-Chung Dai

Rehabilitation Practice and Science

Titers of antistreptolysin-O (ASO) possess the diagnostic value in discriminating post-streptococcal reactive arthritis. Patients are labeled as ”unclassified arthritis” (UA) while hard to be classified as having a well-defined arthropathy. Posture is important to perform activities of daily living and its abnormality is a negative factor for trunk stability and balance. We hypothesized that an imbalance of the lumbopelvis due to sacroiliac joint disorder might produce a positional change. The purpose of this study was to determine whether there was a difference in postural sway during orthostatic standing in subjects with UA of the lumbopelvis and high ASO titers. All …

In Translation V.1:No.2 (2010:Fall), Matthew J. Cook

UCHC Articles - Research

Momentum Continues: Newly Formed CICATS IRB The newly established CICATS Institutional ReviewBoard (IRB), chaired by Julian Ford, PhD, is officially operational. Applications are currently being accepted for review of CICATS research studies and trials. The first convened meeting was held on November 18, 2010.

Research Navigation There are two new members of CICATS available to you in your research investigator corner — the Regulatory Analyst and the Investigator Advocate.

The Gateway Stacey Anderson, Operations Manager The Gateway serves as the primary point of contact for researchers seeking assistance, referral, services and resources. This “nerve center” promotes collaborative clinical and translational …

Middle Cerebral Artery Occlusion Model In Rodents: Methods And Potential Pitfalls, Fudong Liu, Louise D. Mccullough

UCHC Articles - Research

A variety of animal models have been developed for modeling ischemic stroke. The middle cerebral artery occlusion (MCAO) model has been utilized extensively, especially in rodents. While the MCAO model provides stroke researchers with an excellent platform to investigate the disease, controversial or even paradoxical results are occasionally seen in the literature utilizing this model. Various factors exert important effects on the outcome in this stroke model, including the age and sex of the animal examined. This paper discusses emerging information on the effects of age and sex on ischemic outcomes after MCAO, with an emphasis on mouse models of …

Chhs December/January E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Predicting College Student Classroom Performance With A Simple Metacomprehension Scale, Amber Lee Klein

Theses and Dissertations - UTB/UTPA

The present study investigated the relationship between college student metacomprehension and the error of predicted classroom performance. College student metacomprehension was evaluated using the Metacomprehension Scale (MCS) designed by Moore, Zabrucky, and Commander (1997a). Prior to an examination administered by a course instructor, covering course content, students predicted the percentage score he/she expected to achieve. The predicted score was subtracted from the obtained score generating an error score. It was hypothesized that error of predicted classroom performance is a function of student metacomprehension, as measured by the MCS. Results indicate the MCS was not a reliable indicator of student predicted …

Knowledge, Attitudes, And Practice Behaviors Of Oncology Advanced Practice Nurses Regarding Advanced Care Planning For Patients With Cancer., Guiyun Zhou, Dnp, Crnp, Aocns, Jill C Stoltzfus, Phd, Arlene D Houldin, Phd, Pmhcns-Bc, Susan M Parks, Md, Beth Ann Swan, Phd, Crnp, Faan

College of Nursing Faculty Papers & Presentations

Purpose/Objectives: To establish initial reliability and validity of a Web-based survey focused on oncology advanced practice nurses' (APNs') knowledge, attitudes, and practice behaviors regarding advanced care planning, and to obtain preliminary understanding of APNs' knowledge, attitudes, and practice behaviors and perceived barriers to advanced care planning.

Design: Descriptive, cross-sectional, pilot survey study.

Setting: The eastern United States.Sample: 300 oncology APNs.Methods: Guided by the Theory of Planned Behavior, a knowledge, attitudes, and practice behaviors survey was developed and reviewed for content validity. The survey was distributed to 300 APNs via e-mail and sent again to the 89 APNs who responded to …

Palliative Care: A Novel Solution To The Healthcare Crisis, R. Sean Morrison

Center for Policy Research

No abstract provided.

Implications Of Lifecourse Epidemiology For Research On Determinants Of Adult Disease, Sze Yan Liu, R N. Jones, M Maria Glymour

Department of Public Health Scholarship and Creative Works

Many diseases commonly associated with aging are now thought to have social and physiologic antecedents in early life. Understanding how the timing of exposure to early life risk factors influences later-life health may illuminate mechanisms driving adult health inequalities and identify possible points for effective interventions. Recognizing chronic diseases as developing across the lifecourse also has implications for the conduct of research on adult risk factors for disease. We review alternative conceptual models that describe how the timing of risk factor exposure relates to the development of disease. We propose some expansions of lifecourse models to improve their relevance for …

Interprofessional Geriatric Education: Team-Based Care For Chronic Conditions, Christine Hsieh, Chrstine A. Arenson, Tarae Waddell-Terry

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

The Eastern Pennsylvania-Delaware Geriatric Education Center (EPaD GEC) mission is to provide interprofessional geriatric education in Northeast and Southeast Pennsylvania and Delaware. EPaD GEC consortium members (Thomas Jefferson University (TJU), Christiana Care Health System (CCHS), Marywood University (MU) and Philadelphia Senior Center (PSC)) are committed to improving the health and quality of life of older adults and their caregivers by translating new evidence and innovative practice models into practical curricula and programs. One of our educational goals is to develop a structured curriculum on geriatric topics that can be integrated into the educational curricula of multiple health disciplines.

Download Entire Pdf Interprofessional Education And Care Newsletter, Vol. 1, No. 1, Winter 2009-2010

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Articles in the newsletter include:

Advanced Physical Diagnosis: An Innovative Interprofessional Approach for Teaching Clinical Skills to Senior Medical Students

An Innovative Interprofessional Course: Cultural Humility and Competence

Interprofessional Geriatric Education: Team-based Care for Chronic Conditions

Com Outlook Fall 2010, College Of Osteopathic Medicine

COM Outlook

No abstract provided.

Microfinance Dan Pemberdayaan: Suatu Upaya Penanganan Kemiskinan Yang Berkelanjutan, Bagus Aryo

Jurnal Ilmu Kesejahteraan Sosial

This study is aimed to answer the challenges faced by the microfinance sector in Indonesia in regards to poverty reduction. Besides economic deprivation, deprivation to access to economic activities such as isolation from reproduction of social capital, social network, family, and business network, are faced by the poor. Microfinance could be utilized as a tool to reduce poverty through social and financial intermediation process within. This study presented a case study of LKM Kube Sejahtera in Sleman, Yogyakarta that transformed the poor to become micro-entrepreneur through the financial and social intermediation process. The first process was a character building process …

Metode Pengembangan Aspek Moral, Kognitif, Dan Motorik Pada Murid Tk Yang Menerapkan Kurikulum Pendidikan Holistik Berbasis Karakter Dan Kurikulum Berbasis Kompetensi, Maya Ryandita

Jurnal Ilmu Kesejahteraan Sosial

The aim of this study is to describing how the moral, cognitive, and motoric aspects of development are carried out by the teacher through the implementation of different curriculum at 'X' Kindergarten and 'Y' Kindergarten, with qualitative methods and descriptive design. The result shows there are diversity of ways of development used by the teachers and there are advantages possessed X Kindergarten emphasis on the moral aspects of development, so allocate time specifically in that regard. Y' Kindergarten emphasis on the development of religious values and skills of reading, writing, and arithmetic, thus allocating more time and specific ways to …

Pengaruh Pertumbuhan Industri Kecil Terhadap Keberlanjutan Pembangunan Kota Depok, Sofyan Cholid

Jurnal Ilmu Kesejahteraan Sosial

Population growth along with standard of living and economic activity have affected the quality of the environment, such as quantity and quality of vehicles and Industries operating in the region. The imbalance between these three components, or emphasis on only one objective/component only resulted in failure in achieving sustainability in development. Considering the problems and constraints faced, as described in the previous section, this research examined the degree of sustainable development, and what will happen to Depok City in the future refers to existing pattern of development. This study used Sugeno-type Fuzzy Inference System with constant membership functions of the …

Studi Pelaksanaan Program Djarum Beasiswa Plus, Muhammad Iqbal

Jurnal Ilmu Kesejahteraan Sosial

The research discusses about the Social Capital Formation Among Djarum Scholars/ Beswan Djarum (The Study of Implementation of Djarum Beasiswa Plus Program). In order to explain the matter, the approach that is used is descriptive qualitative research design. The results showed that the formation of social capital is related to the activity which was followed by Beswan Djarum as a process of both formal and informal processes. The Informal and formal process can enhance and broaden interaction among Beswan Djarum and produces a variety of benefits.

Editor’S Farewell, Irvin Sam Schonfeld

Publications and Research

No abstract provided.

Conceptual And Methodological Issues Relevant To Cytokine And Inflammatory Marker Measurements In Clinical Research., Xin Zhoua, Maren S. Fragala, Janet E. Mcelhaney, George A. Kuchel

UCHC Articles - Research

PURPOSE OF REVIEW: To provide clinical investigators with an understanding of factors to consider when wishing to add cytokine and inflammatory marker measurements to their studies. RECENT FINDINGS: Inflammation involves complex and coordinated responses of the immune system to tissue damage. In the absence of tools to routinely assess inflammation within living tissues, measurements of humoral factors such as cytokines and other inflammatory mediators or markers can provide predictive clinical information and insights into disease mechanisms. Historically, enzyme-linked immunosorbent assays (ELISAs) became the gold standard, yet this approach of measuring a single protein in each sample limits the amount of …

Medical Education Digest, Vol. 12 No. 5 (September/October 2010), Nova Southeastern University

Medical Education Digest

No abstract provided.

Surrogate Screening Models For The Low Physical Activity Criterion Of Frailty, Sandrah P. Eckel, Karen Bandeen-Roche, Paulo H.M. Chaves, Linda P. Fried, Thomas A. Louis

Johns Hopkins University, Dept. of Biostatistics Working Papers

Background and Aims. Low physical activity, one of five criteria in a validated clinical phenotype of frailty, is assessed by a standardized questionnaire on up to 20 leisure time activities. Because of the time demanded to collect the interview data, it has been challenging to translate to studies other than the Cardiovascular Health Study (CHS), for which it was developed. Considering subsets of activities, we identified and evaluated streamlined surrogate assessment methods and compared them to one implemented in the Women’s Health and Aging Study (WHAS).

Methods. Using data on men and women ages 65 and older from the CHS, …