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Social Vulnerability And The Prevalence Of Opioid Use Disorder Among Older Medicare Beneficiaries In U.S. Counties, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews, Carla Shoff

Department of Sociology: Faculty Publications

Objectives: Recent research has investigated the factors associated with the prevalence of opioid use disorder (OUD) among older adults (65+), which has rapidly increased in the past decade. However, little is known about the relationship between social vulnerability and the prevalence of OUD, and even less about whether the correlates of the prevalence of OUD vary across the social vulnerability spectrum. This study aims to fill these gaps. Methods: We assemble a county-level data set in the contiguous United States (U.S.) by merging 2021 Medicare claims with the CDC’s social vulnerability index and other covariates. Using the total number of …

Barriers To Mental Health Help-Seeking Among Older Adults With Chronic Diseases, Claire Adams, Eyal Gringart, Natalie Strobel

Research outputs 2022 to 2026

Objective: Older adults often delay seeking professional help, particularly for mental health problems. This is of great concern for older adults with chronic diseases, who are at risk of mental health declines. This study explored barriers to help-seeking among older adults with chronic diseases and identified factors that influence older adults’ perceptions of such barriers. Method: This was a cross-sectional study with 106 adults ≥ 65 years, diagnosed with cardiovascular disease, respiratory disease, and/or type 2 diabetes. Demographic variables and barriers to help-seeking were measured using self-report questionnaires. Results: The most common barriers to help-seeking were wondering whether the mental …

College Students And Beliefs In The American Dream: The Impact Of Race, Class, And Gender, Maggie E. Marlow

Honors College Theses

The concept of the American Dream and its promises of prosperity and social mobility, primarily through hard work, has been prevalent throughout modern U.S. history. However, what defines the American Dream has been arbitrary and varied, and research has shown that attitudes and beliefs surrounding the Dream have changed over time with shifts in the economic and political environments. The research for this thesis uses qualitative methods, specifically thematic analysis, to analyze 16 in-depth, one-on-one interviews to examine how students attending a predominantly white university in the Southeastern United States perceive the American Dream today while factoring in how those …

Parenting Style In Childhood And Attitudes Toward Caregiving In Adulthood: A Qualitative Study, Abby Baumbach, M. Courtney Hughes, Lily Derain, Yujun Liu

Faculty Articles, Papers, and Other Scholarship

This study aims to explore how relationships with parents during childhood can influence an individual’s attitude toward caregiving later in life. The qualitative data came from 47 respondents who care for adult loved ones, with a caregiver mean age of 46.7. The respondents reflected on their recent experience of providing care for their loved ones and how experiences with their caregivers growing up may have influenced their caregiving attitudes. Using a codebook thematic analysis, themes were generated linking childhood experiences to current attitudes toward caregiving. Themes included reciprocating good care, performing obligatory care, and stopping the generational transference of negative …

You've Got A Friend: Social Factors And Depressive Symptoms In Older Adults, Erika A. Fenstermacher

Graduate Theses, Dissertations, and Problem Reports (ETD)

Depression in late life has been associated with disability, lower quality of life, increased mortality, and increased risk of suicide (Fiske et al., 2009; Rodda et al., 2011). Research suggests that functional disability, which is often brought about by a medical condition, may precede depressive symptoms and may be a major factor for older adults developing depression (Ormel et al., 2002). Social support can be beneficial for both emotional and physical health (Fiori & Jager, 2021). Numerous studies found evidence that social networks, perceived and subjective social support, and satisfaction with support received moderated the relation between health problems and …

Social Determinants Of Health And Functional Disability At Mid- And Late-Life, Carly Pullen

Graduate Theses, Dissertations, and Problem Reports (ETD)

The number and proportion of older adults living in the U.S. and globally are increasing. Not only are more adults living longer (Rania et al., 2021), there is evidence that people are

entering late life with more functional disability than in previous generations (He & Larsen,

2014). Social determinants of health include demographic and environmental influences than can impact a range of health outcomes beyond more direct risk factors (Duran and Perez-Stable, 2019). Using data from 243,693 community-dwelling adults who completed the 2020 Behavioral Risk Factor Surveillance System survey, we tested the associations among social determinants of health (i.e., age, …

Technology Adoption Of Computer-Aided Instruction In Healthcare: A Structured Review, Queenie Kate Cabanilla, Frevy Teofilo-Orencia, Rentor Cafino, Armando T. Isla Jr., Jehan Grace Maglaya, Xavier-Lewis Palmer, Lucas Potter, Dave E. Marcial, Lemuel Clark Velasco

Electrical & Computer Engineering Faculty Publications

Computer-Aided Instruction (CAI) is one of the interactive teaching methods that electronically presents instructional resources and enhances learner performance. In health settings, using CAI is one of the important ways to improve learners' knowledge and usefulness in their healthcare specialization yet there is still a lack of research that offers a comprehensive synthesis of investigating into the adoption of CAI in healthcare. This research aims to provide a comprehensive review of related literatures on the enablers and barriers for technology adoption of CAI in healthcare. 31 journals were analyzed and revealed that several studies were utilizing the Unified Theory of …

Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall

Walden Dissertations and Doctoral Studies

The nursing home industry's lack of emotional intelligence (EI) can negatively impact patient satisfaction and performance. Nursing home leaders who lack strategies to apply EI training to increase job satisfaction, reduce employee turnover, and improve interpersonal skills risk financial loss and business failure. Grounded in the EI framework, the purpose of this multiple qualitative case study was to explore strategies nursing home leaders use to apply EI training to reduce employee turnover, increase job satisfaction, and improve interpersonal skills for performance improvement. The participants comprised four nursing home leaders from multiple nursing homes in Florida who implemented strategies to reduce …

Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale

Walden Dissertations and Doctoral Studies

AbstractOlder adults (ages 65 and older) are expected to increase in the United States by over 70 million by the year 2030. The older adult population requires specialized medical and mental health services to address the needs related to aging. Mental health clinicians trained to address these needs may help older adults to utilize mental health counseling. Self-awareness of attitudes, insight, and knowledge may be skills that affect the attitudes of mental health clinicians toward older adults. Previous research has found that mental health clinicians who engage in self-awareness during a counseling session may improve counseling competency; however, little research …

Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale

Walden Dissertations and Doctoral Studies

AbstractOlder adults (ages 65 and older) are expected to increase in the United States by over 70 million by the year 2030. The older adult population requires specialized medical and mental health services to address the needs related to aging. Mental health clinicians trained to address these needs may help older adults to utilize mental health counseling. Self-awareness of attitudes, insight, and knowledge may be skills that affect the attitudes of mental health clinicians toward older adults. Previous research has found that mental health clinicians who engage in self-awareness during a counseling session may improve counseling competency; however, little research …

Care Visits: Obligations, Opportunities And Constraints For Vietnamese Grandparent Visitors In Australia, Hien Thi Nguyen, Loretta Baldassar, Raelene Wilding

Research outputs 2022 to 2026

In examining the ageing-migration nexus from a Global South perspective, this paper explores the obligations, opportunities and constraints of caregiving performed by Vietnamese grandparent visitors during their sojourns in Australia. Employing a grounded theory approach and care circulation framework, we investigate how grandparent visitors and adult migrant children experience and understand care and ageing in contexts of mobility, including an analysis of how gender, age, socio-economic contexts and culture shape and affect their care norms and practices. The analysis emphasizes the critical contributions that Vietnamese grandparents make to the reproductive labour of their adult migrant children who often face challenges …

Accelerometer-Measured Latent Physical Activity Profiles And Neurocognition Among Middle-Aged And Older Hispanic/Latino Adults In The Hispanic Community Health Study/Study Of Latinos (Hchs/Sol)\, Priscilla M Vásquez, Wassim Tarraf, Albert Chai, Adit Doza, Daniela Sotres-Alvarez, Keith M Diaz, Zvinka Z Zlatar, Ramon A Durazo-Arvizu, Linda C Gallo, Mayra L Estrella, Elizabeth Vásquez, Kelly R Evenson, Tasneem Khambaty, Bharat Thyagarajan, Richard H Singer, Neil Schneiderman, Martha L Daviglus, Hector M González

Faculty, Staff and Student Publications

Objectives: Derive latent profiles of accelerometry-measured moderate-vigorous physical activity (MVPA) for Hispanic/Latino adults, examine associations between latent MVPA profiles and neurocognition, and describe profiles via self-reported MVPA.

Methods: Complex survey design methods were applied to cross-sectional data from 7,672 adults ages 45-74 years in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL; 2008-2011). MVPA was measured via hip-worn accelerometers. Latent profile analysis was applied to derive latent MVPA profiles (minutes/day of week). Neurocognition was assessed with the Brief-Spanish English Verbal Learning Test (B-SEVLT) Sum, B-SEVLT Recall, Controlled Oral Word Association Test (word fluency), and Digit Symbol Substitution (DSS) test. All …

An Exploration Of Service Needs And Preferences Of Dementia Caregivers In Kentucky, Heehyul Moon, Sunshine Rote, Allison Kacmar, Amy Kostelic, Bari Lewis

Family Sciences Faculty Publications

As Americans live longer, the prevalence of Alzheimer’s disease and related dementias will increase. Caregivers are critical to the care and life quality of people with dementia. Yet, dementia caregivers are at increased risk for health issues, social isolation, and financial challenges. To help educators with the University of Kentucky Cooperative Extension Service work with their local Alzheimer’s Association and the University of Louisville to better support dementia families, we explored caregiver needs and service utilization using an online survey. Our findings highlighted the need for counseling/support, care management skills, resource education, self-care strategies, and legal services. Extension Service Educators …

An Exploration Of Service Needs And Preferences Of Dementia Caregivers In Kentucky, Heehyul Moon, Sunshine Rote, Allison Kacmar, Amy Kostelic, Bari Lewis

Journal of Extension

As Americans live longer, the prevalence of Alzheimer’s disease and related dementias will increase. Caregivers are critical to the care and life quality of people with dementia. Yet, dementia caregivers are at increased risk for health issues, social isolation, and financial challenges. To help educators with the University of Kentucky Cooperative Extension Service work with their local Alzheimer’s Association and the University of Louisville to better support dementia families, we explored caregiver needs and service utilization using an online survey. Our findings highlighted the need for counseling/support, care management skills, resource education, self-care strategies, and legal services. Extension Service Educators …

Improving Access For Medicare Inpatient Psychiatric Patients: A Health Policy Analysis, Malinda B. Whitfield

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

The Medicare Inpatient Psychiatric Services (IPS) policy, originally developed in the 1960s and without any significant or meaningful updates since the 1980’s, is physician specific, does not reflect the current model of care for psychiatric inpatients, and is restrictive for psychiatric mental health nurse practitioner (PMHNP) practice. The policy is complex, consists of outdated regulations, and results in millions of dollars in compliance costs for Inpatient Psychiatric Facilities (IPFs) annually (NABH, 2019). Although clearly an important part of the inpatient psychiatric services team, PMHNPs are not identified or defined in the policy (Center for Medicare and Medicaid Services [CMS], 2019). …

Returning To Life Activities After Hematopoietic Cell Transplantation In Older Adults, Thuy T. Koll

Theses & Dissertations

The prevalence of hematopoietic cell transplant (HCT) among older adults with hematological malignancies has doubled over the last decade and continues to grow. HCT is an intense process that can impact functional status and health-related quality of life. The objective of this thesis is to describe the experience of returning to life activities after HCT in patients 60 years of age and older and the resources required to adapt and cope to limitations in physical, psychological, and cognitive function. Twenty English speaking adults 60 years and older with hematological malignancy three to twelve months post-HCT completed semi-structured interviews. Open-ended questions …

Using Wearable Sensors To Measure Goal Achievement In Older Veterans With Dementia, Jennifer Freytag, Ram Kinker Mishra, Richard L Street, Angela Catic, Lilian Dindo, Lea Kiefer, Bijan Najafi, Aanand D Naik

Faculty, Staff and Students Publications

Aligning treatment with patients’ self-determined goals and health priorities is challenging in dementia care. Wearable-based remote health monitoring may facilitate determining the active participation of individuals with dementia towards achieving the determined goals. The present study aimed to demonstrate the feasibility of using wearables to assess healthcare goals set by older adults with cognitive impairment. We present four specific cases that assess (1) the feasibility of using wearables to monitor healthcare goals, (2) differences in function after goal-setting visits, and (3) goal achievement. Older veterans (n = 17) with cognitive impairment completed self-report assessments of mobility, then had an …

The Relationship Between Servant-Leadership And Employee Resilience, Aaron D. Wilkinson, Mark Rennaker

International Journal of Servant-Leadership

Liu et al. (2019) wrote, “resilience has become increasingly important for individuals, organizations and society to flourish in the uncertain, risky, turbulent and ambiguous world we live in today.” Resilience enhances the functioning of individuals, teams, and organizations (Britt et al., 2016). Workplace stressors lead to outcomes antithetical to resilience, such as burnout (Lee & Ashforth, 1996), poor physical and mental health (Beasley et al., 2003; Holden et al., 2010), absenteeism (Väänänen et al., 2003), intention to turnover (Chiu et al., 2009; Deery et al., 2010), anxiety, and depression (Melchior et al., 2007). In contrast, Robertson et al.’s (2015) review …

Psychological Distress Mediates The Relationship Between Health And Satisfaction With Daily Marital Interactions: A Daily Diary Assessment, Stephanie L. Richardson

Theses and Dissertations

Literature has often connected the variables of physical health, mental health, and romantic relationship satisfaction or quality. However, there has yet been any evidence of a mediating relationship. The purpose of this study is to test for mediation of satisfaction with daily marital interactions on physical symptoms through psychological distress. The data is from the Life and Family Legacies Daily Experiences Study and includes 191 older couples over the course of 14 days. Multilevel dyadic models were estimated for both the same-day data as well as lagged data. Indirect effects between the variables were significant, but not for the lagged …

The Resident View In Community- Based Care Residential Settings, Diana L. White, Ozcan Tunalilar, Serena Hasworth, Jaclyn Winfree

Institute on Aging Publications

The Resident VIEW is a measure of person-centered care (PCC) from residents’ perspectives and was previously studied in nursing homes. The current study presents descriptive data for the Resident VIEW in community-based care settings including assisted living, residential care (AL/RC), and adult foster homes (AFH). Using a two-stage sampling design, we recruited 31 AL/RC and 119 AFH in Oregon and completed face-to-face structured interviews with 227 and 195 residents, respectively. Residents provided ratings for both the importance of and their experience with 66 items that tapped into PCC practices in eight domains. Results are provided for each item, many of …

Spiritual Intelligence And Personality, Jayne Ann Harder, Andrew S. I. D. Lang, Leighanne Locke, J. Bryan Osborne, Aleksandra Turtova, Enrique F. Valderrama-Araya, Stephen R. Wheat, Jan H. R. Wörner

Salubritas: International Journal of Spirit-Empowered Counseling

This study quantifies the relationship between measures of spiritual intelligence and personality traits. A random sample of 240 undergraduate students from a mid-sized private Christian university in the West South-Central United States were administered both the SISRI-24 survey instrument for spiritual intelligence as well as the Pathway U survey for HEXACO personality traits. Statistically significant positive correlations were found between critical existential thinking and openness to experience; personal meaning production and extraversion, agreeableness, and conscientiousness; transcendental awareness and extraversion, agreeableness, openness to experience, and conscientiousness; and conscious state expansion and extraversion, agreeableness, openness to experience, and conscientiousness. Statistically significant negative …

The Economics Of Altruism: An Exploration Of Self And Collective Identity, Catherine Krempasky

Honors Projects

There is a belief that students in college often pursue an undergraduate business degree due to the money that comes with the industry. Whereas students pursuing an undergraduate degree in health and human services are believed to be more altruistic, pursuing jobs such as social work, nursing, criminal justice, and other careers that give back to communities despite their often lower-than-average salaries. While this difference in altruism is a common belief, it has rarely been a proven one. Therefore, this study seeks to examine the difference in altruism between students from the Schmidthorst College of Business and the College of …

Age Differences In Preparing For, Responding To, And Recovering From The Covid-19 Pandemic: The Strengths Of Older Adults, Zhirui Chen

Social Work Dissertations - Archive

This dissertation consists of three independent articles, investigating the age differences in preparing for the continuation of COVID-19 pandemic, experiencing negative COVID-19 impacts across multiple domains, and psychologically recovering from cumulative disaster exposures during the COVID-19 pandemic, with an emphasis on the strengths of older adults. Data used were from the longitudinal research project “Vulnerability and Resilience to Disasters” conducted in Texas, Tennessee, and Alabama, USA. Multiple linear regressions from Article 1 (N = 450) showed that compared to those aged 65+, people aged 18-44 perceived a lower level of preparedness for the ongoing COVID-19; and there was no significant …

Community Engagement And Planning: Reading Center For Active Living (Recal), Ceara Somerville, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Reading. The goals of this project were to (1) engage the community and (2) investigate the needs, interests, preferences, and opinions of Reading residents regarding the possibility of a new community or senior center. The content of this report is meant to inform the Reading Center for Active Living Committee (ReCalc) on its mission to “explore the current and future needs of the community and initiate planning for …

Sexual Harassment In An Overlooked Occupation: Experiences Of Cna And The Influence Of Nurses, Audrey Pennington

Honors Theses

The prevalence of sexual harassment (SH) in health care facilities has been documented in previous research, but few studies have focused on Certified Nursing assistants (CNA; Burgess et al., 2018; Dean, 2020; Deery et al., 2011; Hibino et al., 2006). The purpose of this study is to explore SH that CNA experience from their patients and what influence supervising nurses may have in impacting the negative outcomes of SH. Participants (N = 95) were recruited to take an online survey through social media and snowball recruiting. The hypotheses of this study were not supported by the data, but results may …

A Pilot Study Exploring The Potential Of Improv In Strengthening Youth–Adult Partnerships, Stephanie Begun, Brigette Mayorga, Cam Bautista, Krysta Cooke, Travonne Edwards, Bryn King, Hamzat Olaosebikan, Rae-Ann Whyte

Journal of Youth Development

This study qualitatively explored the potential of improv for strengthening youth–adult partnerships. Seven members of a youth-adult research collaborative participated in a 2-hour professionally facilitated improv workshop. Participants provided insights about their experiences through a follow-up qualitative interview questionnaire. Participants indicated that improv assisted in dismantling power differentials that often exist in youth–adult partnership contexts, also noting that improv helped them to express their true selves more readily, along with helping them to see new and more “human” sides to their team members. Participants were enthusiastic about accessing further improv opportunities, noting that improv should be embedded into other youth–adult …

The Impact Of Having Foreign Domestic Workers On Informal Caregivers Of Persons With Dementia: Findings From A Multi-Method Research In Singapore, Qi Yuan, Yunjue Zhang, Ellaisha Samari, Anitha Jeyagurunathan, Tee Hng Tan, Fiona Devi, Peizhi Wang, Harish Magadi, Richard Goveas, Li Ling Ng, Mythily Subramaniam

Research Collection School of Social Sciences

Background: Informal caregivers of persons with dementia (PWDs) sometimes engage foreign domestic workers (FDWs) to support their caregiving journey. However, there has not been much research to establish if this is really beneficial. The current study aims to investigate whether engaging FDWs specifically for caregiving of PWDs truly moderates caregiver stress and to explore caregivers’ experiences of engaging FDWs. Methods: A multi-method study design with a quantitative and qualitative sub-study was adopted. For the quantitative sub-study, 282 informal caregivers of PWDs were recruited. Propensity score matching analysis was used. For the qualitative sub-study, 15 informal caregivers with FDWs were interviewed. …

Parents’ Knowledge, Attitudes, And Practices Of Childhood Obesity In Singapore, Paulin Tay Straughan, Chengwei Xu

Research Collection School of Social Sciences

The obesity pandemic is increasingly threatening Asian populations. This is especially so for children from higher-income countries, such as Singapore. Among the various driving factors of obesity, parents’ health knowledge, attitudes, and practices are underexplored. The present study uses a nationally representative sample of 1,491 responses from Singapore to investigate parental knowledge, attitudes, and practices (KAP) about childhood obesity. Latent class analysis (LCA) on parents’ responses to the KAP survey reveals four unique parenting patterns: the limited knowledge group, the group with negative attitudes, the best practice group, and the limited practice group. Children of families in the best practice …

An Exploration Into The Design Of A Portable Music Player For People With Alzheimer’S And Dementia, Jaxon V. Silva

Liberal Arts and Engineering Studies

An exploration into the design of a portable music player for people with Alzheimer's and dementia.

Aging In Middleton: A Community Needs Assessment, Sue Berger, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Middleton. The content of this report is meant to inform the Middleton Council on Aging (COA), and organizations that work with and on behalf of older residents of Middleton, for the purposes of planning and coordination of services. Through a process of community engagement and mixed method data collection, the goals of this project are twofold: 1) to inform the planning and design of the future senior center space …