Digital Commons Network^™

Comfort With Technology And Its Association With Depression Of Custodial Grandparents During The Covid-19 Pandemic, Sarah Pace, Yanfeng Xu, Theresa Harrison

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

During the COVID-19 pandemic, custodial grandparents faced heightened risks of depression due to increased social isolation and caregiving responsibilities. This study examines the association between comfort with technology and depression among custodial grandparents. Cross-sectional data were collected from 287 custodial grandparents across the United States between May 2021 and February 2022. Logistic regression analysis revealed that custodial grandparents’ higher comfort with technology was significantly associated with lower odds of depression (OR = 0.68, p < .001). Additionally, those who had reliable access to the internet had significantly lower odds of experiencing depression (OR = 0.78, p = .039). Furthermore, the need for telemental health services was associated with increased odds of depression (OR = 3.18, p = .003). These findings highlight …

From Insight To Experience Mapping Experiential Approaches To Cultivating Self-Awareness In Undergraduate Social Work Curricula, Georgianna E. Goff

Social Work Theses - Archive

This scoping review examines the current state of experiential learning methodologies used to increase self-awareness among undergraduate social work students. While the Council on Social Work Education (CSWE) emphasizes self-awareness as a core professional competency, the literature reveals a notable lack of a standardized, field-wide definition and a reliance on fragmented pedagogical approaches. This Review systematically analyzed nine empirical studies, mapping the key characteristics, theoretical frameworks, and teaching methods. The findings indicate that most studies used qualitative or mixed-methods designs, with a majority relying on Kolb’s and Dewey’s experiential learning theories to bridge the gap between classroom theory and professional …

Developing The Rural Older Adult Dementia Prevention-Health Behaviors (Road-Hb) Questionnaire: A Mixed Methods Approach To Instrument Development, Jessica Cassidy

Social Work Dissertations - Archive

Older adults living in rural communities are at heightened risk of dementia; however, preventative strategies can reduce these risks. To facilitate dementia prevention efforts in rural communities, this methodological study developed the Rural Older Adults Dementia prevention–Health Behaviors questionnaire (ROAD-HB) by applying a lifespan approach to the Health Belief Model (HBM). The questionnaire contained three embedded instruments and was constructed following a stage development design involving item pool processes with community and expert review panels. Convergent mixed methods were used to assess the ROAD-HB’s validity, including a pretest in 36 older adults from two rural Northeast Texas counties and cognitive …

Burnout Among Nurses In The United States, Faheem Ohri

Social Work Dissertations - Archive

Burnout is an exhausted state of the body, mind, and emotions, characterized by feelings of “depersonalization and reduced personal accomplishment” resulting from prolonged and continuous occupational stress. Burnout among nurses in the United States (U.S.) is a growing concern with significant implications for healthcare professionals and patient outcomes. Nurse burnout compromises patient safety and workforce stability, but pre-pandemic national correlates remain understudied. This dissertation examined employment settings and demographic correlates of burnout among U.S. nurses using the National Sample Survey of Registered Nurses (NSSRN) secondary datasets. Compared inpatient burnout odds pre-/post-pandemic using national twin surveys. Jackknife complex survey logistic regression …

Exploring A Collective Grief Experience In The U.S.: Qualitative Findings From Older Parents Whose Only Child Has Died, Yongqiang Zheng, Leslie Wuest, Jeongah Kim, Rebecca Rodriguez

Faculty Publications - College of Social Work

Despite its profound physical and mental health impacts, research on the loss of an only child in later life among older U.S. adults remains scarce. This phenomenological qualitative study explores the lived experiences and meanings older bereaved parents attribute to their loss. Data from 24 participants were collected through written narratives guided by structured questions, and online focus groups. Inductive thematic analysis revealed 6 themes: the enduring intensity of grief, significant secondary losses, feelings of isolation and alienation, the role of social support in coping, and spirituality and religion’s influence on their journey. By amplifying these parents’ voices, the study …

Geographic Patterns Of Human Immunodeficiency Virus (Hiv) Risk Behaviors Among Older Adults: A Strategy For Identifying Space As A Risk Exposure, Laneshia R. Conner, Reuben Adatorwovor, Sarah Jane Robbins, Rujeko O. Machinga-Asaolu, Kathryn Showalter, Carrie B. Oser

Social Work Faculty Publications

Objectives: This study examined geographical patterns of HIV risk among adults aged 60 and older.

Methods: The 2019 Behavioral Risk Factor Surveillance System (BRFSS) weighted data was used to analyze self-reported participation in HIV risk behaviors among older adults (n = 62,852). Logistic regression models were used on a dichotomous HIV risk variable to map the distribution of HIV risk behaviors across both census regions and divisions.

Results: The weighted model revealed significance across regions. Across all regions, identifying as female, identifying as Hispanic, and reporting not having depression were protective from participating in HIV risk behaviors.

Discussion: The …

Factors Affecting The Joy Of Life In Old Age: A Scale Development Study, Yalçın Karagöz, Yusuf Karaşi̇n, Mustafa Filiz, Mehmet Ateş

Adultspan Journal

This study aims to introduce a measurement tool into the literature that can reveal the factors affecting the joy of life in older adulthood. Participants included 266 individuals aged 55 and over living in Izmir, Turkey. The process of developing the scale includes the following stages: problem identification, item pool creation, expert opinion, form shaping, pilot application, and finalizing the scale. The exploratory factor analysis revealed that the scale consists of 6 different dimensions, and the variance explained by these dimensions was found to be 65.184%. The acceptable values for the scale's fit indicators are as follows: χ²/df0.90, IFI > 0.90, …

Social Workers Addressing The Needs Of Visually Impaired Residents Of Nursing Homes And Assisted Living Facilities, Jessica S. Lampert

Social Work Theses - Archive

Objective: This qualitative study investigates social workers’ perception of their preparedness and confidence in their ability to address the needs of the population of visually impaired residents of nursing home and assisted living facilities. Methods: Semi-structured interviews were conducted with seven participants with experience in long term care, to explore how social workers viewed their work with visual impaired residents. Data were analyzed using the RaDaR method. Results: The following themes emerged from the data analysis: Challenges for Residents and Staff, the Importance of Experience, and Resources. Discussion: Participants indicated that they were currently confident in serving their …

Material, Health, And Social Vulnerability And Loneliness Among Older Adults: From The Welfare Regime Perspective, Ji Young Kang, Oejin Shin, Sojung Park, Jihye Baek, Minyoung Kwak

Faculty Publications - Social Work

Loneliness in later life is a significant global public health issue that negatively impacts well-being, life satisfaction, and mental health. This study investigates how material, health, and social vulnerabilities contribute to loneliness among older adults using a welfare regime framework. It examines the link between vulnerability and loneliness in the United States, Korea, Sweden, Spain, and Germany using the Health and Retirement Study (HRS) alongside its international sister studies, encompassing both Western and East Asian welfare states. Findings indicate that older adults in less generous welfare regimes experience higher levels of loneliness and material vulnerability. A multidimensional approach reveals that …

Oral Health In Long-Term Care Facilities: A Systematic Review, Eman Zaman

Honors Undergraduate Theses

Oral health in long-term care facilities (LTCFs) is becoming an increasing concern as the older population grows bigger. The oral hygiene of residents in nursing homes is deteriorating which may attribute to lack of education given to caregivers. A literature review was conducted using electronic databases such as PubMed, ProQuest, and PsychINFO to explore oral health in LTCFs and workforce’s roles in providing oral care. Findings across eight studies highlight the inadequate care residents are receiving due to several barriers resulting poor oral health outcomes. Oral health is not prioritized because caregivers are not educated on the consequences it may …

The Impact Of Age-Friendly Policy On New York State: How Executive Order-190 And Executive Order-23 Shape Community Development For All Ages, Trista Bercarich

West Chester University Graduate Theses, Dissertations, and Final Projects

The demographic shift toward an aging population has created an urgent need for policies that promote inclusive, livable communities for all ages. This quantitative study examined New York State’s implementation of Age-Friendly policy through Executive Order 190 (2018) and Executive Order 23 (2022), which collectively advance the integration of health, accessibility and community participation across state and local systems. Guided by environmental gerontology and psychology, aging in place and successful aging frameworks, this research utilized an adapted version of the AARP Livable Communities Survey to assess residents’ perceptions of livability with the eight AARP domains. The cross-sectional online survey (n …

How Does Social Capital Influence The Preferences For Aging In The Community? Based On The Study Toward Older Adults In Yuexiu District, Guangzhou City, Biyun Xiang

Electronic Theses & Dissertations (2024 - present)

This study examines how social capital influences older adults’ preferences for aging in the community, focusing on Yuexiu District, Guangzhou. Using a mixed-methods approach, the study explores family, structural, and cognitive dimensions of social capital.

Quantitative data were collected through 439 surveys, with 400 valid responses from adults aged 60 and above. Regression analysis identified key predictors of aging-in-community preferences, including family financial support, care commitment, activities with grandchildren, community trust, mutual help, and service satisfaction.

Qualitative data from 10 interviews with community service workers revealed six themes: (1) access to services like fitness and health screenings; (2) levels of …

The Empowerment Of Consumers With Disabilities: The Role Of Self-Esteem, Accessibility, And Access To Information, Megawati Simanjuntak, Fauzia Rahmi, Santi Utami Dewi

ASEAN Marketing Journal

Consumer empowerment in Indonesia remains relatively low, particularly for individuals with disabilities. This study investigates the roles of accessibility, self-esteem, and information access in empowering disabled consumers. A total of 100 participants with physical disabilities, aged 17 and older, were surveyed regarding their online and offline purchasing experiences. Data were collected via an online questionnaire and analyzed using SEM PLS. Results indicate that self-esteem and information accessibility significantly influence the empowerment of consumers with disabilities, with the Disabled Consumer Empowerment Index categorized as "not empowered." Notably, the knowledge dimension received the lowest scores based on a traffic-light system. These findings …

Managing The Cost Of Services For People With Disabilities: An International Approach. Part I: Poland, Dana Pugh, Jaroslaw Richard Romaniuk

Faculty Scholarship

Introduction: The cost of care for people with disabilities is rising, whereas all forms of support for them are decreasing. Countries and communities develop different ways to serve the disabled. We examined the comprehensive state of care from the perspective of cost management of services for individuals with disabilities in Poland. Method: This paper is based on a review of relevant international literature, with a special focus on the situation in Poland. A keyword search was completed in both Polish- and English-language databases. Results: In Poland, people with disabilities usually live with their families, and specialized services are offered outside …

'T-W-O': External Challenges And Coping Strategies Of Chinese Social Work Service Organisations During The Epidemic, Bin Xu, Bowen Mcbeath, Haobo Xi

School of Social Work Faculty Publications and Presentations

During the peak years of COVID-19, Chinese social work service organisations actively participated in the preventing and controlling of the pandemic. These organisations also faced external challenges that reflected changing public health policies, contractual and fiscal changes, and immense service needs. This paper describes the specific external challenges that a purposive sample of 11 Beijing-based social work service organisations experienced because of the pandemic, as well as the strategies they used to address them. We find that project and fiscal precarity were the greatest external risks faced by social service organisations. In order to mitigate these concerns, the organisations actively …

Navigating Menopause: Bridging The Gap Between Healthcare Practitioners And Black Women For Improved Clinical Support And Health Equity, Yejide Nelson-Glenn

MSW Capstone Conference

No abstract provided.

Exploring Gerotranscendence And End-Of-Life Choices: A Mixed-Methods Study On The Influence Of Health Literacy In Older Adults, Dyna C. Crease, Ashia Daniels

MSW Capstone Conference

No abstract provided.

Navigating Involuntary Care Home Closures: Professional Perspectives And Thematic Analysis Of Failures In Norfolk, Farah-Leila Mughal, Vikki Bunting, Jessica Ruth Austin

Journal of Social Care

The Care Quality Commission is responsible for regulating care homes across England to make sure that residents are respected and provided for. But what happens when they find a home who are not doing this? Little is known about commonalities in the main failings that preclude a care home’s closure after CQC intervention and little is known concerning the effects of closing down a home on healthcare professionals. To understand the common themes precluding care home closure and whether debriefing can aid healthcare professionals in dealing with the emotional challenges of care home closure. This study used thematic analysis to …

Negara Hukum Kesejahteraan Di Batas Pantai: Paradoks Perlindungan Negara Terhadap Masyarakat Pesisir Di Tengah Perubahan Iklim, Aji Baskoro

Jurnal Ilmu Kesejahteraan Sosial

Climate change poses significant challenges to vulnerable coastal communities in Indonesia. As a welfare state, the Indonesian government is expected to safeguard these vulnerable groups through policies that promote their welfare and sustainable livelihoods. However, current policies create a paradox. This article explores this paradox: on the one hand, Indonesia adheres to the welfare state principle, which demands that all government actions be grounded in law, ensuring public safety and welfare. On the other hand, the policies focus on exploiting natural resources, exacerbating the vulnerabilities of coastal communities, particularly in the face of climate change. The article employs a normative …

Late Life Cognitive Function Trajectory Among The Chinese Oldest-Old Population-A Machine Learning Approach, Jierong Hu, Minzhi Ye, Juan Xi

School of Social Work Faculty Publications

Informed by the biopsychosocial framework, our study uses the Chinese Longitudinal Healthy Longevity Survey (CLHLS) dataset to examine cognitive function trajectories among the oldest-old (80+). Employing K-means clustering, we identified two latent groups: High Stability (HS) and Low Stability (LS). The HS group maintained satisfactory cognitive function, while the LS group exhibited consistently low function. Lasso regression revealed predictive factors, including socioeconomic status, biological conditions, mental health, lifestyle, psychological, and behavioral factors. This data-driven approach sheds light on cognitive aging patterns and informs policies for healthy aging. Our study pioneers non-parametric machine learning methods in this context.

Providing End-Of-Life Counseling: A Narrative Inquiry, Carol Hecht, Sibyl West

Adultspan Journal

This qualitative study aimed to address the gap in the research related to end-of-life counseling by exploring the experiences of counselors working with clients at end of life. While counseling literature and education are lacking regarding end of life, many counselors will work alongside clients approaching death. The purpose of this study was twofold: (a) to better understand the nuanced experiences of counselors providing end-of-life counseling and (b) to explore the supports and preparations helpful for counselors to provide end-of-life counseling. A narrative approach, using the Listening Guide (Gilligan, 2015), was employed to analyze and present the stories of three …

Considerations Of Medicare Telehealth Services With Older Adults, Sonah Kho, Amanda Dediego

Adultspan Journal

The onset of the COVID-19 pandemic set in motion a rapid expansion of mental health services offered via telehealth. With this rapid expansion came the need to examine how policy and practice should be shaped in a future where telehealth is considered common in counseling practice. For counselors to understand how to support older adult clients in using telehealth services, they must understand telehealth policy. Following the eligibility of licensed counselors to participate in Medicare, counselors need to stay abreast of regulatory changes regarding restrictions and regulations on use of telehealth for mental and behavioral health services, including video and …

How Do Older Adults Define A Good Death? A Scoping Review, Ellen L. Csikai, Quentin R. Maynard

Midwest Social Sciences Journal

A scoping literature review of the concepts of ‘good death’ and ‘dying well’ among older adults was conducted. The purpose was to identify aspects that older adults specifically considered important in defining a ‘good death’. The search revealed five articles published between 2005 and 2019 that met inclusionary criteria for the review. Primary among the views of the older adults in these studies of a ‘good death’ was the desire to avoid being a burden to families; done so by dying pain-free/peacefully (preferably in sleep) and preparing in advance by involving family in decisions and funeral/estate planning. Family support throughout …

Comorbid Dementia And Cancer Therapy Decision-Making: A Scoping Review, Sean N. Halpin, Gabriel Alain, Aaron Seaman, Erin E. Stevens, Hui Zhao, Mackenzie E. Fowler, Qiuyang Zhang, Tamara Cadet, Minzhi Ye, Jessica L. Krok-Schoen

School of Social Work Faculty Publications

Comorbid dementia complicates cancer therapy decision-making in older adults. We aimed to synthesize the recent literature (< 5 >years) on the challenges associated with cancer therapy decision-making among older people living with dementia (PLWD) and their caregivers. Of the 20,763 references, 8767 had their title and abstract screened, and eight met the inclusion criteria. Six studies were qualitative, one study employed mixed methods, and one study was quasi-experimental. Most studies were conducted in the UK (89%) and reported homogeneity in race and geography. Breast (56%) and prostate (45%) were the most frequent reported cancers. Five studies (56%) reported multiple types of …

Promoting Cultural Humility, Belonging, And Inclusion To Improve Well-Being Among Direct Care Staff In Oregon Assisted Living, Residential Care, And Memory Care Communities, 2024, Jacklyn Kohon, Dani Himes, Laura Rodriguez, Sarah Dys, Paula Carder, Diana Jacoby, Madeline Fox

Institute on Aging Publications

The voices and experiences of those working and living in assisted living, residential care, and memory care (AL/RC) settings in Oregon are highlighted in this study to understand cultural humility, belonging, inclusion, and intersectional experiences related to sustaining the workforce and promoting quality care. This qualitative study collected data through individual and focus group interviews with a total of 68 people, including 25 direct care staff, voice memos or interviews with 9 former direct care staff, interviews with 9 administrators, interviews with 7 management representatives (owner/operators, human resources specialists, directors of operations, among other titles), and interviews with 18 current …

Climate And Extreme Weather Event Impacts On Administrators, Direct Care Staff, And Residents In Oregon Assisted Living, Residential Care, And Memory Care Communities, 2024, Dani Himes, Jacklyn Kohon, Madeline Fox, Laura Rodriguez, Sarah Dys, Diana Jacoby, Paula Carder

Institute on Aging Publications

This brief report on AL/RC staff and resident experiences with climate events highlights the voices of AL/RC direct care staff, former direct care staff, residents, administrators, and management representatives to promote well-being in these care settings. This study can inform Oregon’s efforts to support long-term care workforce readiness for future climate emergencies and inform future quantitative data collection on AL/RC and other long-term care workers, including those employed in home health agencies, nursing facilities, and adult foster homes.

Prevalence And Correlates Of Antipsychotic Medication Use In Oregon Assisted Living, Sarah Dys, Ozcan Tunalilar, Paula Carder

Institute on Aging Publications

Objective

Investigate how assisted living and residential care (AL/RC) and memory care (MC) contexts are associated with the 90-day prevalence of antipsychotic medication use (APU), considered a quality measure in long-term care.

Design

All licensed AL/RC settings in Oregon received an annual mailed questionnaire to provide aggregate resident demographics, health acuity, health service use, payment type, and organizational policies. Organizational measures were collected from state websites.

Methods

Random intercepts regression models were estimated to assess organizational and resident population characteristics associated with 90-day APU prevalence over 3 study waves (2017-2019).

Setting and Participants

We examine 932 observations in 463 AL/RC …

Recognizing Elder Abuse In Mongolia: Experiences Of Family Physicians, Ariunsanaa Bagaajav

Dissertations, Theses, and Capstone Projects

Elder abuse is a globally recognized social problem with serious consequences. The most recent meta-analysis estimates the prevalence of elder abuse at 17%. Studies conducted in Asian countries suggest prevalence rates higher than the global average. Social stressors including alcoholism, unemployment, and poverty related to economic transitions, many of which apply in Mongolia, are associated with elder abuse. International studies have found that health care providers play critical roles in detecting cases of elder abuse. Due to universal access to primary care in Mongolia, family physicians are uniquely positioned to interact with potential victims of elder abuse. However, the extent …

Emotion Regulation Strategies And Perceived Emotional Intelligence: The Effect Of Age., Iwanna Sepiadou

Adultspan Journal

The aim of this study was to investigate the relationship between perceived emotional intelligence and the reported use of cognitive reappraisal and expressive suppression. We also investigated the possible effects of age on the aforementioned variables. The total sample consisted of 379 people (158 men, 220 women, 1 unreported). Across participants, 273 were young (20-39 years old) and 106 were middle-aged (40-65 years old). We found statistically significant positive correlations between the dimensions of perceived emotional intelligence and the reported use of cognitive reappraisal and negative primarily correlations between the dimensions of perceived emotional intelligence and the reported use of …

Perspectives Of Stress And Coping Among Older, College-Educated African American Women, Jacquelyn Victoria Coats

Brown School Graduate Student Theses and Dissertations

Older African American women have excess rates of stress-associated chronic diseases. Yet, there is limited research exploring the intersectional position of older African American women to identify within-group differences in stress experiences. Specifically, stress and coping among college-educated women in later life has been largely overlooked. As trends show increasing rates of African American women attaining higher education, research investigating stress and coping among this group of high socio-economic status women is a valuable contribution to aging and public health. This study employed constructivist grounded theory methods guided by the Intersectional Life Course Perspective and the Transactional Model of Stress …