Digital Commons Network^™

Why Person-Environment Fit Matters When Addressing Homelessness: An Intersectional Analysis Of King County, Washington’S Coordinated Entry System, Cori L. Cafaro

Theses and Dissertations from DePaul University

Coordinated Entry (CE) systems aim to address homelessness by allocating resources based on need and prioritizing the most vulnerable individuals. However, system success depends on appropriately matching people to housing. This study examined person-environment fit (P-E fit) and associated housing outcomes for single adults matched to permanent supportive housing through King County, Washington's CE for All system, with intersectionality as a secondary lens. This was a secondary analysis using Qualitative Content Analysis of interview and focus group transcripts from tenants (n = 18), staff (n = 27), and policy leaders (n = 11). Five dimensions of fit emerged as consequential …

The Interplay Between Loneliness, Cortisol, And Nk Cell Function: The Role Of Cortisol In Nk Cell Dysfunction, Abhinav Saurabh, Yvonne Baumer, Laurel G. Mendelsohn, Elizabeth M. Aquino Peterson, Dana Sadler, Shirley J. Lopez De Leon, Ayushi Dave, Andrew S. Baez, Lola R. Ortiz-Whittingham, Mario A. Pita, Manuel A. Cintron, Hannatu A. Tarfa, Sandy T. Reynolds, Shelby R. Hicks, Sonal Sharda, J. Eleanor Seo, Maria Lopez-Ocasio, Pradeep K. Dagur, Skyler A. Kuhn, Neelam R. Redekar, James F. Troendle, Ayanna L. Wells, Marie Marah, Katherine J. Tolentino, Michael J. Corley, Alika K. Maunakea, Lynnette K. Nieman, Marcus R. Andrews, Tiffany M. Powell-Wiley

Department of Biomedical and Translational Sciences Faculty Publications

Chronic psychosocial stressors contribute to cardiovascular disease (CVD) and related risk factors, particularly in under-resourced communities. Psychosocial stressors activate the hypothalamic-pituitary-adrenal (HPA) axis, leading to sustained cortisol action on immune cells. Natural killer (NK) cells are altered in distribution and function in cardio-metabolic diseases; however, pathways linking cortisol as a marker of chronic stress to NK cell dysfunction remain understudied. We recruited 186 African American women from the Step It Up Community-Engaged, Digital Health Physical Activity Intervention study and collected cortisol, NK cell measures, and psychosocial stress measures using validated questionnaires, including chronic stress and loneliness. Plasma cortisol levels were …

The Effectiveness Of Behavioral Skills Training In Improving Digital Fraud Identification Among Older Adults In Low-Income Housing, Catharine Mohar

Masters Essays

Older adults, particularly those residing in low income housing facilities, are increasingly targeted by digital scams via text and email. This study evaluated the effectiveness of Behavioral Skills Training (BST) in improving fraud identification skills among this vulnerable population. BST is a structured method involving instructions, modeling, rehearsal, and feedback. A checklist was utilized in individual BST sessions with five participants aged 60 or over living in a low-income senior residential facility in the Midwest of The United States. The intervention aimed to increase participants’ ability to accurately discriminate between legitimate and fraudulent digital communications. A single case design was …

The Role Of Ombudsman And Social Work Protecting Rights, Roni Alicia Werner

Selected Full-Text Master Theses Collection 2018-

This thesis examines the role of the Ombudsman as an independent and impartial mechanism for addressing complaints, resolving conflicts, and promoting accountability within organizations. It explores how ombudsmen function across institutional contexts—such as higher education, government, and corporate settings—to provide confidential, informal, and accessible pathways for dispute resolution.

The study analyzes key principles guiding Ombudsman practice, including neutrality, independence, confidentiality, and informality, and evaluates their effectiveness in fostering trust and organizational transparency. Through a review of relevant literature and case examples, the thesis highlights how Ombudsman offices contribute to early conflict resolution, reduce formal grievances, and support ethical decision-making.

Additionally, …

Socialization Interventions For Older Adults In Assisted Living Facilities: A Systematic Review, Anoop S. Muvva

Honors Undergraduate Theses

Older adults, defined as individuals over the age of 65, are a growing population in the United States, with projections estimating this group will reach approximately 80 million persons by 2050. Over 90% of older adults are diagnosed with a chronic condition, which can make it difficult to carry out the activities of daily living. As a result, some older adults reside in assisted living facilities, where dedicated staff provide daily support. However, issues in the delivery of care within these settings, including unmet socialization needs and complications among care staff, may contribute to social isolation. Programs designed to address …

Widowed And Wounded? Exploring The Health Impacts Of Adverse Childhood Experiences In Later Life Widowhood, Sierra Wickline

UNF Graduate Theses and Dissertations

Losing a spouse is considered one of the most stressful life events that disproportionately affect older individuals. Exposure to traumatic events at an early age can change the body’s response to subsequent stressors across the lifespan. These physical changes often impact people’s health. Utilizing data from the Health and Retirement Study, the current study aimed to investigate the link between: adverse childhood experiences (ACEs) and three indicators of health: inflammation (i.e., c-reactive protein [CRP], reflecting immune functioning), as well as self-reported depressive symptoms and physical health, among people who have lost a spouse. Participants included 97 widowed individuals aged 68 …

The Effects Of A Work-Strengths Affirmation Intervention On Death Anxiety, Begüm Orhan, Margaret M. Nauta

Faculty Publications – Psychology

Meaning Management Theory suggests that engaging with meaning-related resources helps individuals constructively regulate consciously experienced death anxiety. Consistent with that theory, we tested whether a single-session, online work-strengths affirmation intervention reduces college students’ (N = 201) death anxiety. Participants completed baseline measures of death anxiety, meaning in life, and self-esteem. One week later, they were randomly assigned to complete either a work-related strengths reflection exercise or a neutral writing task. We assessed outcomes immediately post-intervention and two weeks later. The intervention did not significantly reduce death anxiety in the full sample. Exploratory analyses showed small, immediate reductions among participants …

There’S Cardio And There’S Cardio: How Fitness And Sexual Attitudes Relate To Needs For Approval And Loneliness, Isaac Robertson

Honors College Theses

This study looked to collectively investigate the relationships of both fitness/sexual activity attitudes with a need for social approval, while also determining if biological sex could play a role in either of these relationships. Additionally, loneliness and mental well-being were examined with the aforementioned variables. Predominantly white (82.5%) females (75%) data were analyzed after completing an online survey (N = 40). Significant relationships were found between fitness attitudes and a need for social approval in women only (r (28) = -.50, p = .005) and between sexual activity attitudes and a need for social approval in men only (r (8) …

Journey Through, Cathan B. Tautfest

Graduate Student Portfolios, Professional Papers, and Capstone Projects

Journey Through is the Master's Portfolio for the University of Montana for Author Cathan Tautfest. This paper serves as the capstone graduation requirement for students of the School of Social Work. Over the final semester of the Master's program, this Portfolio was created, reviewed by committee, and defended before its publication. This Portfolio is a culmination of three years and thousands of hours to demonstrate mastery of the ten Social Work competencies, the elements of Social Work Practice, and critically reflect on time spent in the School of Social Work's Master's of Social Work (MSW) program. This Portfolio reflects on …

Quality Of Life And Mental Health: A Qualitative Exploration Of Perceived Factors That Impact Older Adults, Chasiti Herring

All-Inclusive List of Electronic Theses and Dissertations

Enhancing quality of life and well-being is a universal phenomenon across the lifespan. As the population ages, older adults are in great need of supportive services to enhance quality of life and their ability to manage their mental health. The purpose of this study is to examine the quality of life (QoL) of older adults. This study aimed to provide valuable research in the area of QoL through the exploration of perceived factors that impact the older adult population. This exploratory qualitative research study consisted of 10 older adult participants between the ages of 65 and 95. Research recruitment prioritized …

Community Perspectives On Factors Contributing To Resilience For Healthy Aging In Kenya, Linda Khakali, Everline Onchari, Maureen Ondire, Catherine Onyancha, Chinedu Momoh, Edna Bosire

Brain and Mind Institute

Background: The global elderly population is increasing and expected to double in thenext decade. Aging increases the likelihood of adversities, with resilience becomingan important aspect of healthy aging. Understanding how individuals conceptualizeresilience offers an opportunity to create contextually relevant interventions forpromoting healthy aging. This study aimed to explore adults’ perspectives on factorsinfluencing resilience in Kenya.

Method: Using qualitative methods, 36 adults aged 35 years and above werepurposively recruited from various communities in Nairobi County to participate ininterviews. We asked questions about their understanding of aging, adversity andresiliency. We also provided them with case scenarios of two individuals respondingdifferently to the …

Associations Between Perceived Stress And Glycemic Measures: Gender And Age As Moderators, Ming-Hong Tsai, Charlene Enhui Goh, Michelle H. Lee, Francine Seah, Maybritte Lim, Eveline Febriana, Jiahui Fu, Julie K. Yip, Philip Presham, Sue-Anne Ee Shiow Toh

Research Collection School of Social Sciences

Introduction Prediabetes presents an opportunity for early intervention. Growing evidence suggests that psychological stress may contribute to glucose dysregulation, but the findings are inconsistent. This study aimed to clarify the association between perceived stress and glycemic measures, by first testing gender as a moderator, and then examining age as a moderator within each gender group. Research design and methods We analyzed cross-sectional data from 470 diabetes-free adults in Singapore. Participants completed the 10-item Perceived Stress Scale, comprising two subscales: perceived helplessness and perceived self-efficacy. Glycemic measures included fasting plasma glucose, glycated hemoglobin, and 2-hour plasma glucose (2h-PG) following an oral …

Perceived Neighborhood Cohesion And Well-Being During The Covid-19 Pandemic In The U.S., Jennifer W. Robinette, Brooke Jenkins, Nicole-Marie Duran, David A. Frederick

Psychology Faculty Articles and Research

The U.S. entered a “second pandemic” characterized by depression and loneliness after the initial outbreak of COVID-19. These psychological consequences have driven researchers to identify protective factors during this crisis. The present study tested whether perceived neighborhood cohesion, or that neighbors trust and count on one another, related to fewer depressive symptoms and less loneliness as the pandemic unfolded. Two waves of data were collected online from the same adults in April and October, 2020 (N = 1,928). People who reported greater neighborhood cohesion had fewer depressive symptoms (b = −1.01, p <  0.001) and were less lonely (b = −0.20, p <  0.001), even when considering other pandemic-related risk factors. The association between cohesion and loneliness was even stronger 6 months into the pandemic (b = …

Proactive Aging: A New Aging Programming Framework For Cooperative Extension, Jeong Eun Lee, Eunbea Kim, Yulri Kim, Eva Kahana

Journal of Human Sciences and Extension

Traditional Extension programs for older adults often adopt a reactive approach, focusing on addressing age-related challenges after they arise. While these programs can be beneficial, a proactive aging model offers a more comprehensive and empowering approach. The concept of proactive aging, emphasizing preventative strategies for maintaining and improving wellbeing, has been well-established in the literature (Kahana et al., 2014). By adopting this model, Cooperative Extension can significantly enhance its services for older adults. This paper proposes innovative program ideas grounded in the proactive aging framework. Such programs are more engaging as they foster self-efficacy and empowerment, encouraging participants to actively …

Digital Learning And Healing: Impacts Of Ai In Art Therapy, Cassandra E. Buffington-Bates

Journal of Human Services: Training, Research, and Practice

Art therapy, a creative approach to mental and emotional healing, is evolving with digital technologies to improve accessibility and care. This paper explores how artificial intelligence (AI) enhances art therapy by fostering emotional intelligence, collaboration, and personalized interventions. It highlights AI’s potential to support therapy while addressing challenges like empathy, data privacy, and training gaps. Through a literature review, the study offers insights into integrating AI with human-centered practices, providing innovative solutions for emotional and cognitive well-being.

Paws And Effect: Canine Companionship And Outcomes In The Chronic Health Condition Hypermobile Ehlers-Danlos Syndrome, Kimberley C. Schenke, Joanna Foster, Danielle Stephens-Lewis

People and Animals: The International Journal of Research and Practice

Emerging research suggests canine companions may support the management of health conditions, yet evidence within complex, long-term conditions like hypermobile Ehlers-Danlos Syndrome (hEDS) remains limited. hEDS is a multifaceted condition often associated with social withdrawal. Thus, the current research provided a high-powered investigation into whether the nonjudgmental support of canine companions could improve health and well-being outcomes for individuals with hEDS. An online survey of 401 participants was utilized to compare differences in health and well-being among individuals with hEDS who have a canine companion to those who do not. Results revealed that participants with canine companions experienced fewer difficulties …

Do “Days Of Service” Meet Institutional Service-Learning Goals? A Case Study In Assessment Of The Mlk Day Of Service, Elizabeth B. Erbaugh, Jess Bonnan-White

Journal of Community Engagement and Higher Education

This study pilots a survey tool for assessing participant experiences in the MLK Day of Service at a public university. Student, faculty, staff, community volunteer, and community partner par-ticipants (N=344) reflected upon service, learning, and university-community connections as part of a multi-method evaluation process. Quantitative analysis of unidimensional and summed variables found significant variation by instructional site and participant affiliation. Such measures and instruments may clarify the role of Days of Service in advancing institutional ser-vice-learning goals.

Student Reflections On Service‐Learning: Cognitive, Affective, And Behavioral Lessons, Maria L. Claver, Lisa A. Lares, Lauren Gelgur

Journal of Community Engagement and Higher Education

Service-learning is an educational experience that allows students meaningful interaction with older adults. Students in a gerontology course completed service-learning and recorded their experiences in weekly journals. This study explored student-reported reflections, which indicated cognitive, affective, and behavioral lessons. Future research should include the perspectives of faculty members, agencies, and older adults; long-term influences of service; and approaches to facilitating service-learning for hybrid and online courses.

Bingocizetm: Successful Integration Of Intergenerational Service-Learning Into An Exercise Science Practicum Project, K. Jason Crandall

Journal of Community Engagement and Higher Education

Intergenerational service-learning was used to meet course learning outcomes for an exercise science practicum while increasing older adults’ physical activity participation. Five practicum students researched, planned, and executed a combination bingo and exercise program (BingocizeTM) twice per week (45-60 minutes sessions) at a low-income independent living facility located near campus. The results of the program were positive as evidenced by achievement of student learning outcomes and improvements in older adults’ overall well-being.

Community-Based Learning Experiences Of Graduate Education Students Within Applied Statistics And Science: Emerging Insights, Carla J. Thompson, Sandra B. Davis

Journal of Community Engagement and Higher Education

Integrating community-based learning in graduate education programs is an emerging trend in the United States. This study examined community engagement in graduate educational statistics and science education using four procedures: (1) defining a conceptual framework aligned with National Standards for Community Engagement; (2) examining 10 community-based learning applications from graduate education programs in statistics and science relative to standards; (3) determining specific emerging characteristics of community-based learning; and (4) providing insights for graduate education programs.

Mentoring Incarcerated Youth: A Community-Based Learning Experience, Mitzi Lowe, Nancy Nisbett

Journal of Community Engagement and Higher Education

Recognizing the importance of university and community partnerships to address social issues, a mentoring program was implemented on a juvenile justice campus (JJC). A collaborative effort between a regional Hispanic-serving university, the county probation department, and a non-profit agency resulted in the development and implementation of a mentoring program with incarcerated youth. Students assisted in the development and implementation of the mentoring program, which incorporated life skills development, violence prevention, financial planning, parenting groups, needs assessments, and meditation. Student perceptions of their experience were explored using qualitative research methods. Educational benefits, the importance of collaboration, and the relationship between self-efficacy …

A User-Friendly Guide To Intergenerational Service Learning, Denise C. Lewis, Desiree M. Seponski

Journal of Community Engagement and Higher Education

This article describes and provides a timeline for establishing an intergenerational service learning (ISL) program, the Friendly Visitors Program (FVP). The nationally recognized FVP has grown to about 100 students visiting approximately 200 elders each semester in more than 10 different facilities ranging from an adult day center to a small, rural assisted living facility. This article provides a timeline, textbooks, forms, and journal questions so that other scholars can replicate the FVP with ease.

Community-Based Learning And Social Capital: Exploring Student Attitudes And Perceptions Of Connectedness To Campus And Diverse Communities, August John Hoffman

Journal of Community Engagement and Higher Education

Community service activities, civic engagement, and volunteer services have been identified as key elements in improving how individuals relate and communicate with each other in society. Social capital also has been described as a highly useful form of social networking that empowers community members to collectively use each other as potential resources. The current study explored how participants from non-traditional backgrounds (i.e., ethnicity, culture, and age) completed a variety of interethnic community service activities. We hypothesized that increased exposure with members of diverse ethnic groups through community service activities would show reductions in ethnocentric attitudes and also show increases in …

Serve At Your Own Risk?: Service-Learning In The Promotion And Tenure Process, Jacquelyn B. Frank, Mark Malaby, Laura Raidonis Bates, Marcie Coulter-Kern, Sheron Fraser-Burgess, J. R. Jamison, Linda Stalker Prokopy, Nathan A. Schaumleffel

Journal of Community Engagement and Higher Education

Pre-tenure faculty integrating service-learning into their professional roles are often uncertain about its position in the faculty reward system. This study gathered data from administrators at five institutions of higher education in Indiana to learn if and how service-learning is credited toward tenure and promotion at their institutions. The results point to the need for junior faculty members and administrators to be cautious when implementing and evaluating service-learning initiatives.

Improving The Assessment Of Functional Ability In Older Adults, Aneela Rahman

Dissertations, Theses, and Capstone Projects

Deficits in instrumental activities of daily living (IADL) are a hallmark of dementia, and the unprecedented aging of the population strongly motivates early identification of older adults at-risk for functional decline. In 2015, the White House Conference on Aging emphasized the need to improve detection of diminished capacity across important areas of functioning. To date, there is very limited research on early IADL changes in cognitively unimpaired (CU) individuals and those with subjective cognitive decline (SCD) and mild cognitive impairment (MCI), who may be in early preclinical dementia stages. Additionally, little is known about how changes in functional brain networks …

Supporting Satisfaction, Satisfying Support: Bidirectional Associations Of Social Support And Life Satisfaction, Jonathan Louis Jie Sheng Chia, Andree Hartanto, William Tov

Research Collection School of Social Sciences

Existing literature has explored the impact of social support (SS) on life satisfaction (LS). However, the reciprocal relationship—that is, the influence of LS on SS—remains understudied, despite extant theoretical support. In addressing this gap, the present study employed bivariate latent growth modeling to examine bidirectional associations between SS and LS trajectories among 8,449 middle-aged and older adults in Singapore, over seven waves spanning almost 6 years. Results provided evidence supporting the notion of bidirectional associations. Specifically, baseline SS positively predicted subsequent changes in LS, and baseline LS positively predicted subsequent changes in SS. Findings underscore the potential for interventions and …

Prevalence Of Depression, Anxiety, Burden, Burnout, And Stress In Informal Caregivers: An Umbrella Review Of Meta-Analyses, Xun Ci Soh, Andree Hartanto, Naoki Ling, Mayr Reyes, Lester Sim, Nadyanna M. Majeed

Research Collection School of Social Sciences

Informal caregiving is a physically and emotionally taxing role that has a profound impact on caregivers’ emotional and mental well-being. Previous research has examined the mental health of caregivers and found elevated levels of depression, anxiety, burden, burnout, or stress. However, the global rates of the five mental health factors and/or outcomes (i.e., depression, anxiety, burden, burnout, and stress) among caregivers remain largely unclear. Therefore, this umbrella review examines the prevalence of these factors and/or outcomes, including various subgroup factors, such as gender, medical and/or psychological condition of the care recipient, region, and assessment tools. A systematic search was conducted …

Registered Nurses' Autism Knowledge And Preparedness To Care For Autistic Patients, Bronte Elisa Weissman

Theses and Dissertations

Autistic individuals frequently report negative experiences during healthcare interactions and numerous provider-level barriers to accessing quality care, including stereotyping, perceived lack of autism knowledge, challenges with communication, and insufficient accommodations. Reports of healthcare providers’ experiences caring for autistic patients in the U.S. have largely come from physicians, who endorse inadequate training, resources, and practical guidelines. Although patients spend far more time with nurses than other healthcare providers, registered nurses (RNs)’ perspectives on caring for autistic patients in the U.S. are largely unknown and autism-focused trainings for nurses are minimal. In the current study, a survey was nationally disseminated to a …

In Good Times & Bad: Measuring Ambivalence In Custodial Grandparents, Marin Gail Olson

Theses and Dissertations

Like other forms of caregivers, custodial grandparents experience both the joys and trials of raising their grandchildren. This culmination of positive and negative feelings is called “caregiver ambivalence." It has only recently been studied in relation to caregiver burden and wellness in the form of caregiver ambivalence theory (CAT). By collecting data from approximately 395 custodial grandparents via an online survey, the current study aimed to test if custodial grandparents’ feelings of burden influence their perceived well-being and if feelings of ambivalence mediate this relation. Implications of this research include identifying areas of strength and growth within custodial grandparents and …

Aging Is Not All Doom And Gloom: How Do Beliefs About Aging Moderate The Effects Of Mortality Salience On Ageism Attitudes?, Kristen Schwindt Edmondson

Masters Theses & Specialist Projects

The purpose of the study is to examine how young adults’ beliefs about aging moderate the effects of mortality salience on their ageism attitudes. Past research suggests that ageism is, in part, due to the presence of elderly people reminding people of their own aging process and mortality (Martens et al., 2004). Little is known, however, about how individuals’ beliefs about aging may moderate the impact of mortality salience on their attitudes toward aging. Some people tend to perceive aging-related changes as relatively fixed (i.e., essentialist belief), whereas others perceive them as relatively malleable (nonessentialist belief). Would a more malleable …