Digital Commons Network^™

Gene-Environment Interactions In Cardiovascular Aging: Volunteering, Polygenic Risk, And Biomarker Change In European And African Ancestry Populations, Seoyoun Kim, Byeongju Ryu, Erin Ware, Koichiro Shiba, Cal J. Halvorsen

Brown School Faculty Publications

Volunteering has been associated with better cardiovascular health, but whether this association varies by genetic susceptibility to cardiovascular disease remains unclear. This study examined associations between volunteering and cardiovascular biomarkers, assessed associations between biomarker-specific polygenic scores (PGSs) and these outcomes, and tested whether polygenic risk moderated volunteering–biomarker associations among U.S. adults aged 51 years and older.

Sedentary Behaviors And Functional Disability Among Chinese Older Adults (2008–2018): Evidence Including Mahjong, Yen-Han Lee, Yen-Chang Chang, Minzhi Ye, Cai Xu

School of Social Work Faculty Publications

Purpose: This study examined how different types of sedentary behavior relate to changes in functional disability, measured by activities of daily living (ADL) and instrumental activities of daily living (IADL), among Chinese older adults.

Major findings: Using data from 17,939 participants in four waves (2008–2018) of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), sedentary behavior was categorized into four types: none, playing mahjong only, combining these with other sedentary activities, and other activities alone (e.g., reading and watching TV). Cox two-state regression models estimated the hazard of transitioning in ADL and IADL disability. Engaging in sedentary behaviors was generally …

Vietnamese Grandparents' Caregiving Experiences For Grandchildren Impacted By Hiv/Aids: An Ethnographic Study, Lesley M. Harris, Nguyen D. Thang, Linh Thuy Nguyen

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This ethnographic study explores the caregiving experiences of grandparents in northern Vietnam who are raising grandchildren impacted by HIV/AIDS. Specifically, what is the process of skipped-generation caregiving in families affected by HIV/AIDS in Vietnam? Data were collected between 2009 and 2011 through participant observation and in-depth interviews with 26 grandparent caregivers and eight key informants. Informed by the Caregiving Career framework as a sensitizing concept and using constructivist grounded theory analytic strategies, the study identifies four interconnected caregiving phases shaped by cultural expectations, stigma, and intergenerational disruption. Through fieldwork and analysis, we found that grandparents drew from previous and current …

From Strangers To Family: Fostering Resilience Through Social Support In Grandmothers Raising Grandchildren, Nancy Mendoza

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Grandparents often unexpectedly assume the role of caregiver with little support. Supporting these caregivers is critical for their health and well-being and that of their grandchildren. This study examines how family-like relationships formed during the GC+ intervention, increasing social support and resilience among grandparent caregivers. Four grandmothers, raising a total of five grandsons, participated in a focus group six months post-intervention. Grandmothers were asked to share their opinions and thoughts regarding the intervention. Using the Convoy Model and Resilience Theory, researchers conducted a deductive content analysis of participants’ perspectives on close family-like relationships cultivated during the intervention. Findings suggest close …

Older Adults' Caregiving Expectations For The Future, Smita Ekka Dewan, Derek Tice-Brown, Janna C. Heyman, Henry J. Davis, Colette Phipps, Joanne Mcmahon, Laura Sutter, Ye Feng, Jacqueline Heyde

Publications and Research

The purpose of this cross-sectional study was to explore older adults' perception of caregiver stress and their anticipation of becoming a caregiver (N = 723). Bivariate analyses revealed that perceived caregiving stress was higher among older adults who were females, White/Non-Hispanics, with chronic health conditions, who had experienced prior physical and financial caregiving burdens and was lower among those with just a high school degree. Multivariate analyses revealed that perceived caregiving stress levels remained higher only for those with past experience with physical caregiving, those with chronic health conditions, older females and White/Non-Hispanic older adults. The overall model was …

The Most Age-Diverse Society In Our Country's History, Cal J. Halvorsen, Logan Fox, Tim B. Zielonko

Harvey A. Friedman Center for Aging

The public narrative is that the United States population is getting older. This is, indeed, true. We have more people over age 50 than we have ever had in our country—both in total numbers and in the share of the population. The numbers of older people will continue to grow, all the way up until the projections stop at the year 2100. Many have asked, “What will we do with all of these older people?”

Medical Social Workers’ Knowledge Of Alzheimer’S Disease Screening And Treatment In Primary Care Settings, Amy Davis Cook

Walden Dissertations and Doctoral Studies

No abstract provided.

A Qualitative Study Of Gratitude Practice Among Won Buddhist Older Adults And Implications For Gerontological Social Work, Sungsim Lee

Dissertations

Although gratitude has been widely studied in social science, existing scholarship has largely relied on Western worldviews and quantitative research frameworks, limiting understanding of lived gratitude experiences within diverse spiritual and cultural contexts, including Eastern spiritual traditions. In Won Buddhism, originating in South Korea, gratitude holds a central place in spiritual life and is understood as an essential practice. This qualitative study explores the views of Won Buddhist older adult practitioners regarding their experiences, benefits, and challenges of engaging in spiritually grounded gratitude practice. Semi-structured interviews were conducted with 23 practitioners aged 65 and older from English-speaking Won Buddhist communities. …

Community Programs That Build Connection, Jihye Baek, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

Social connection is a fundamental human need and a critical driver of individual health and well-being. When older adults maintain stable, supportive relationships, they experience significantly better physical, mental, and cognitive health outcomes. In response to growing evidence of its public health impact, the World Health Organization (WHO) designated social connection as a global public health priority, and the U.S. Surgeon General issued an Advisory calling for action to address the loneliness epidemic.

Beyond The Generations: Building A High-Quality Workplace For An Age-Diverse Workforce, Cal J. Halvorsen, Bruna C. Lopez, Erika Sabbath

Brown School Faculty Publications

At a time when the U.S. is more age diverse than ever before, Americans are extending their careers for financial stability, social connection, and purpose. This article provides a brief background on the history of aging and work, from the late 1800s to present, illustrating the influence that public and organizational policies, as well as personal needs and interests, have on labor force participation. It then provides examples for how employers can create better workplaces for people of all ages, concluding with the case for why more age-inclusive workplaces lead to better results for employees, their families, and their employers.

Analyzing The Impact: Foster Grandparent Program, Shanetta Weatherspoon, Miyue Chen, Monica Pereda

The Scholarship Without Borders Journal

The Foster Grandparent Program (FGP) is a multigenerational approach to community volunteerism. The study uses intergenerational solidarity to conceptualize the impact of the FGP. The study aims to examine the impact of two dimensions by analyzing data from the Assignment Assessment Forms and the New General Self-Efficacy Scale. Paired t-tests were conducted to determine whether there is a difference in the mentees’ behavior pre- and post-intervention over four years and by way of three priority areas. Results indicated that the FGP has an impact on both the mentees and volunteers. Findings suggest that the program’s activities are the vehicle for …

Companionships, Transportation, And Health Among Members Of A Hispanic Senior Center: A Sociometric Social Network Dataset, Rebecca Mauldin Phd, Msw, Vismaya Prakasan Msis, Akshay Thakare Msis, Rupal Parekh Phd

Social Networks for Social Good Collection-Archive

This dataset contains survey and social network data from 42 members of a predominantly Puerto Rican senior center in Hartford, Connecticut. It includes two linked components (1) participant-level information on demographics, health, mobility, and transportation, and (2) a sociometric network of companionship ties among members. The data are designed for use in social network analysis and research on aging, mobility, and social relationships. These data can be used to explore questions such as how companionship ties are structured among older adults in a community setting; whether individuals with similar characteristics (e.g., age, gender, health status) are more likely to form …

Reducing Vulnerability To Burnout Among Family Caregivers, Stephen J. Alvarado

Capstone Projects and Master's Theses

Family caregivers experience high levels of burnout and stress, which can negatively affect their well-being and the quality of care they provide. This capstone project was implemented at Health Projects Center in Salinas within the Del Mar Caregiver Resource Center program. Del Mar Caregiver Resource Center serves a diverse community of family caregivers, predominantly Caucasian, Hispanic, and Latino individuals caring for loved ones with a neurodegenerative disease like Alzheimer’s or memory impairment. The purpose of this project was to improve caregivers’ knowledge, confidence, awareness, and intention regarding self-care strategies to reduce their vulnerability to burnout related to caregiving. The project …

Barriers To Healthcare In Lgbtq+ Baby Boomers, Kellie Jones, Alexandra Lomeli, Bryant Vargas

Electronic Theses, Projects, and Dissertations

LGBTQ+ Baby Boomers have experienced decades of discrimination, societal suppression, and exclusion from equitable healthcare. Despite advancement in recent years, healthcare disparities persist, and past experiences of discrimination may contribute to present-day barriers in accessing quality care. Existing research often neglects the intersectionality of aging, sexual orientation, and identity, leaving a gap in understanding the long-term effects of historical trauma on healthcare access for this population.

This quantitative study seeks to answer the question: How does the historical trauma experienced by the LGBTQ+ Baby Boomer population impact the healthcare barriers they face? This study proposes to examine the relationship of …

Building Resilience: How Protective Factors Mitigate Acculturative Stress In The Latinx Immigrant Community, Andres I. Delgado, Jamie Tierrablanca

Electronic Theses, Projects, and Dissertations

This literature underscores the vital role of protective factors in reducing

acculturative stress among Latinx immigrants. Key factors such as social

support, religious affiliation, familism, and physical activity help contribute to

mitigating the negative effects of acculturation. The Latinx community can

significantly benefit from integrative, culturally responsive interventions informed

by social work frameworks such as ecosystems theory and critical race theory

(CRT) as they are essential in addressing the mental health needs of this

population. Despite existing research, gaps remain in understanding the full

scope of the Latinx immigrant experience, suggesting a need for further

exploration. The expected findings will …

Creative Engagement For Community Through The Life-Span, D. Nicole English, Pelgy Vaz

SACAD: Scholarly Activities

Creative Engagement for Community Through the Life-Span

Creative Engagement includes crafts, cultural practices, expressive arts, and activities that bring people together. Having access to such activities enables people to develop healthy habits, social interactions, and build community that can sustain one throughout the lifespan. On-going research indicates that Creative Engagement Activities, and the Communities of Practice that build around them, benefit people throughout the life-span, but become particularly important to older adults, by building resilience and social connections, in the face of inevitable life losses.

https://youtu.be/r3JS5YP-MnM

Navigating Care And Self-Care: Understanding Latina Caregivers’ Prioritization And Engagement In Self-Care Practices, Denise A. Longoria, John M. Gonzalez, Romeo Escobar, Nelda Rodriguez

School of Social Work Faculty Publications

Introduction: Latina caregivers face significant physical and mental health risks due to the demands of caregiving. The decision to become a caregiver is often influenced by various factors including cultural values such as familismo and marianismo. It is essential that caregivers recognize the importance of self-care to prevent burnout. Without self-care, caregivers face an increased risk of stress, which can negatively affect physical and emotional health.

Methods: A qualitative approach using focus groups to explore Latina caregivers’ understanding and engagement in self-care.

Results: Findings suggested that participants understand the need for self-care; however, family and cultural needs were prioritized. When …

How Do Social Isolation And Loneliness Vary By Age?, Jihye Baek, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

Social isolation and loneliness, which are experienced by many older adults, can negatively impact health and well-being. Although often used interchangeably, social isolation is defined as an objective lack of social ties (e.g., number of close family members or friends) and loneliness as an internal sense of disconnection (e.g., feeling alone even when surrounded by others). Because social relationships, health, and life circumstances change as we age, patterns of social isolation and loneliness may differ by age group. Therefore, this research brief asks, How do patterns of social isolation and loneliness differ across age groups among community-dwelling older adults? 

Stressors And Challenges Faced By Mexican American Caregivers Of Family Members With Alzheimer’S Disease, Romeo Escobar, Denise Longoria, John M. Gonzalez, Nelda Rodriguez

School of Social Work Faculty Publications

Mexican American caregivers of individuals with Alzheimer’s Disease face unique stressors and challenges, which may be influenced by cultural, socioeconomic, and systemic factors. This population often assumes caregiving responsibilities based on strong cultural values of familismo which emphasizes family duty and collective care. However, this commitment can lead to increased emotional strain, mental health concerns, financial and physical strain, particularly when caregivers have limited access to healthcare resources, financial support, or respite. Language barriers and a lack of culturally competent healthcare services can further exacerbate stress, making it difficult to navigate the complex healthcare system. The purpose of this study …

The Impact Of Digital Reverse Mentoring On Older Adults' Digital Literacy: Mediating Roles Of Self-Perceptions Of Aging And Self-Efficacy, Jierong Hu, Minzhi Ye, Haotian Wan, Wengian Leong

School of Social Work Faculty Publications

Background and Objectives: Digital literacy is critical for older adults to maintain social connections, access information, and support overall mental well-being. However, many older adults struggle with using digital devices. Guided by the self-fulfilling prophecy theory, this study investigates how digital reverse mentoring (DRM), referring to younger individuals assisting older adults in learning and using digital technology, is associated with digital literacy, with self-perceptions of aging and self-efficacy as mediators.

Research Design and Methods: A cross-sectional study was conducted with 402 community-dwelling older adults aged 60+ in Macao, China. Control variables include gender, age, education, income, self-rated health, and home …

Exploring Juvenile Justice System Social Workers’ Dual Role Conflicts, Tayler Janet Deggendorfer

Walden Dissertations and Doctoral Studies

Social workers working within the juvenile justice system face challenges in managing dual roles of providing social support for clients in a punitive environment of incarceration. The problem that was explored in this study is the ethical and practical dilemmas of dual roles for social workers—specifically the potential for burnout and mental health injury for social workers who work within the parameters of both roles. The purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of a selected criterion sample of social workers. The study was framed by Goffman’s role theory. Oral narrative data were collected …

Community Resources For Older Adults With Age-Related Disabilities And Chronic Conditions: A Scoping Review, Oejin Shin, Sojung Park, Soobin Park, Sarah Sunghye Kang, Sunghei Han, Eunsun Kwon, Seoyeon Ahn, Borin Kim

Faculty Publications - Social Work

Community resources are essential for supporting older adults with disabilities and chronic conditions, yet how these resources are conceptualized and evaluated across the empirical literature remains unclear. This scoping review synthesizes U.S.-based research on community resources for older adults with age-related disabilities and chronic conditions, guided by the PAGER framework. Following PRISMA-ScR guidelines, we searched MEDLINE, PsycINFO, CINAHL, and Web of Science, ultimately including 21 peer-reviewed studies. Findings reveal four primary resource domains: healthcare-based services, home- and community-based services (HCBS), behavioral health supports, and environmental or structural resources. Accessibility and utilization emerged as the most consistently examined dimensions, while quality …

End-Of-Life Resources And Place Of Death By Community-Based Housing Type, Sojung Park, Borin Kim, Oejin Shin, Jihye Baek, Byeongju Ryu

Faculty Publications - Social Work

As chronic conditions dominate mortality trends, the place of death has emerged as a key marker of end-of-life (EoL) care quality. Although many older adults wish to die at home, structural barriers often lead to institutional deaths, especially among socioeconomically disadvantaged groups. This study investigates how housing types, defined by economic status, affordability, and congregate features, affect place of death in older adults. Drawing on National Health and Aging Trends Study data (N = 3,145), we examine links between housing type, EoL resource access, unmet needs, and death location. Residents of Subsidized Senior Housing (SSH) report more formal support yet …

Does The Impact Of Volunteering On Health Differ By Wealth? [Research In Brief: Volunteering], Seoyoun Kim, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

Volunteering among older adults has many potential health benefits; however, older adults with more wealth are also more likely to volunteer in the first place, raising the question of whether they are the ones reaping the most benefits. This study asked two questions: (1) Does formal volunteering improve self-reported health and reduce depressive symptoms in older adults? (2) Does the impact of volunteering on these outcomes differ between older adults in the lowest and highest wealth quintiles?

Retirement As A Psychosocial Transition: A Social Determinants Of Mental Health Framework For Counseling Practice, Janelle L. Jones, Lauren Robins, Melanie Calhoun, Aaliyah Bond-Richardson, Latesha S. Holloman, Zoe N. Stuckey

Adultspan Journal

Retirement is commonly framed as a normative and voluntary developmental milestone; however, access to a psychologically healthy retirement is unevenly shaped by social, economic, and structural conditions. This conceptual article applies a social determinants of mental health (SDMH) framework to retirement, conceptualizing it as a complex psychosocial transition involving identity change, shifts in purpose and meaning, relational adjustment, and emotional variability. Drawing on interdisciplinary scholarship, the manuscript examines how socioeconomic status, race and ethnicity, gendered work histories, caregiving responsibilities, health status, and access to benefits influence both the ability to retire and the experience of retirement itself. Particular attention is …

Association Between Caregiver Status And Physical And Mental Health Among National Senior Games Athletes, Chibuzo Uchechukwu Victor Obasi

Graduate Research Theses & Dissertations

As the population ages, more people rely on informal caregivers, which puts many older adults at risk for health problems. Caregiving can be meaningful and strengthen family bonds, but it often leads to more psychological stress, especially for older adults who also have their own health concerns. Research shows that regular physical activity can help older adults build resilience and improve their mental well-being. Still, we know little about the health of older caregivers who stay very active. This study examines the health effects of caregiving among members of the National Senior Games Association (NSGA), a group of highly active …

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 …

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 …

Preventing, Delaying, And Managing Chronic Disease, Michele Dinman, Logan Fox

Harvey A. Friedman Center for Aging

We are living longer. Today, men and women who reach age 65 will live another 17 to 20 years, on average. As the human body ages, normal biological changes increase vulnerability to illness, and the risk of developing disease increases. At the same time, advances in public health, medicine, and health care have reduced deaths from acute conditions, like infection and accidents, and have increased our chances of living longer into the human life span. Thus, we now have greater chances of developing one or more chronic diseases. Most (75%) adults in the U.S. live with at least one chronic …