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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 …

Assessing Neurocognitive Functioning Among Adults Ageing With And Without Hiv At The Kenyan Coast: Measurement Issues And Correlates, Patrick Nzivo Mwangala, Carophine Nasambu, Ryan Wagner, Mihaela Duta, Gaia Scerif, Charles Newton, Amina Abubakar

Institute for Human Development, East Africa

Background: Cognitive impairment is one of the most prevalent complications of HIV infection, with significant medical and functional impacts. However, valid, and reliable assessment tools are lacking for the newly emergent ageing population of people living with HIV (PLWH) in many parts of sub-Saharan Africa (SSA), including Kenya. Without these tools, critical intervention opportunities, e.g., psychoeducation, treatment and additional support, are missed. To bridge this gap in Kenya, we adapted the Oxford Cognitive Screen Plus (OCSPlus), a tablet-based cognitive assessment tool designed for low-literacy settings, with adults ageing with HIV ≥ 50 years and their uninfected peers. This study examines …

External Funding Bulletin July 1, 2024-June 30, 2025, Office Of Research And Creative Activity, University Of Nebraska At Omaha

Sponsored Programs Bulletins

No abstract provided.

Assessing Community Needs: Human Services For Adults In Millis And Medway, Caitlin E. Coyle, Michelle Ward, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report presents the results of a comprehensive evaluation of issues relating to aging in Millis and Medway. A needs assessment was undertaken in order to support planning on the part of the Towns of Millis and Medway, the Councils on Aging (COAs), and the communities as a whole. Results presented here focus on the characteristics and needs of Millis and Medway residents who are age 60 and older. While the primary goal of this report is to support COA planning, a secondary goal is to present information that will be useful to other Millis and Medway offices and organizations …

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 …

Being A Caregiver For A Friend Or Family Member, Nancy Morrow-Howell, Michele Dinman

Harvey A. Friedman Center for Aging

Informal caregivers give assistance to family and friends who have functional limitations that challenge self-care. Most often, caregivers assist younger adults living with a disability and older people with age- associated chronic conditions. Family caregivers are the backbone of our long-term care system in this country, delivering 80% of care. Caregiving is increasing as people live longer with more chronic conditions. Indeed, caregiving is the new norm in our older society. As Roselyn Carter said: "There are only four kinds of people in the world. Those who have been caregivers, those who are currently caregivers, those who will be caregivers, …

Lifelong Civic Engagement, Logan Fox, Emma Ward, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

Civic engagement can be broadly defined as the practice of service (volunteering or informal helping), advocacy, and political participation (voting). Older adults are a large and growing population that frequently engages in these civic activities.

In 2022, the Bureau of Labor Statistics reported that approximately one quarter of the 11 million daily volunteers in the U.S. were age 65 and older. Between 2018 and 2021, there was a 10% increase in volunteer hours filled by individuals over age 65. Research shows this trend will be mutually beneficial, improving the quality of life for older adults who are, in turn, positively …

Environmental Sanitation In Long-Term Care Facilities: A Focus On Regulations And Implementations, Ruwan Dissanayake Dissanayake Mudiyanselage

All Theses

Environmental sanitation is a fundamental component of infection prevention in long-term care facilities (LTCFs), where residents are at increased risk due to advanced age, underlying health conditions, and communal living arrangements. Despite its critical role, significant gaps remain in implementing environmental sanitation procedures and the regulatory frameworks that guide them.

This study combines two components: (1) an across-state regulatory review of environmental sanitation in LTCF regulations and (2) a cross-sectional survey assessing environmental sanitation characteristics of nursing homes (NHs) and assisted living facilities (ALFs) and Rural and Urban LTCF observation study in South Carolina (SC) . For the regulatory review …

Financial Well-Being Among Self-Employed Older Americans, Cal J. Halvorsen, Byeongju Ryu

Harvey A. Friedman Center for Aging

As people live longer, there has been growing attention in recent years on extending working lives. Although many older adults fully retire, those who continue to work often turn to self-employment—a broad category that includes entrepreneurs, small business owners, consultants, contractors, gig workers, and people who take on side jobs. Rates of self-employment rise sharply with age, with nearly 30 percent of employed adults in their 70s working for themselves—approximately twice the share of those in their 60s.

Living With Dementia In Kenya: Pathways To Care, Diagnosis And Management, Edna Bosire

Institute for Human Development, East Africa

Background: Sub-Saharan Africa (SSA) is experiencing a sharp rise in the size of theolder population; consequently, the incidence and prevalence of Alzheimer’s DiseaseRelated Dementias (AD/ADRD) is also expected to rise. There is limited research onAD/ADRD lived experiences have been conducted in SSA including Kenya. Our projectaimed to explore patient’s and caregivers lived experiences with Alzheimer’s disease inKenya.

Methods: This ethnographic study was conducted at the Aga Khan University hospital(AKUH), involving in-depth interviews with 21 health care providers, 26 patientswith mild cognitive impairment and 36 caregivers. We also conducted 10 homevisits and observations. Data were transcribed verbatim and thematically analysed.In what …

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 …

Cultural Adaptation Of An Innovative Reproductive Health Assessment Tool For Dementia Research In Africa: Insights From The Fember-Africa Study, Alice Moraa Ondieki, Anne Njogu, Cynthia I Sabel Smith, Edna Bosire, Karen Blackmon, Harrison Kaleli, Jasmit Shah, Rachel Maina, Sheila Waa, Chinedu Momoh

Brain and Mind Institute

Background: Dementia research accounts for only 0.1% of all research in Africa,making it the lowest among all low- and middle-income country (LMIC) regions. Thedevelopment and adaptation of biological and psychosocial measures in ethnicallyand culturally diverse populations remain limited but are essential for culturallyinformed research. This is particularly critical for examining sex- and gender-basedvulnerabilities to Alzheimer’s disease and related dementias (ADRD), including factorssuch as reproductive health and fertility.

Method: We conducted a thorough review of our clinical and health questionnaires forcultural relevance and sensitivity through a series (n = 3) of focus groups discussions.These focus groups included a diverse range of …

Vitality Tracking In Kenyan Adults Using Wearable Devices And Ecological Momentary Assessments, Karen Blackmon, Benard Alaka, Catherine Onyancha, Litha Musili, Raechel Kamau, Cyprian Mostert, Mansoor Saleh, Zul Merali, Chinedu Momoh, Thomas Thesen

Brain and Mind Institute

Background: Vitality is essential to healthy aging but is elusive to define and measure.Dynamic capture of fluctuations in vitality can uncover abnormal trajectories thatcould be a harbinger of frailty in older adults. Yet, these fluctuations are missed bystatic and/or sparse sampling strategies. To address the need for dynamic and high-density capture of vitality in older adults, we developed a passive sensing and activeprobing digital platform using wearable devices and smartphones. We deployed thisparadigm in older Kenyan adults and evaluated its potential for use in research on thedynamics of accelerated aging.

Method: Cognitively unimpaired (CU) Kenyan adults ≥ 35 years of …

Predicting Accelerated And Delayed Aging In Global Settings: Biobehavioral Age Gaps And The Role Of Global Exposomes, Hernan Hernandez, Hernando Santamaria-Garcia, Sebastian Moguilne, Agustina Legaz, Pavel Prado, Jhosmary Cuadros, Liset Gonzalez, Cyprian Mostert, Chinedu Momoh, Zul Merali

Brain and Mind Institute

Background: Global health challenges like aging and dementia are shaped bysocioeconomic disparities, environmental factors, and social determinants of health.We developed a behavioral age gap (BAG), measuring the difference between expectedbehavioral age and chronological age

Method: We utilized a cross-sectional sample (n = 161,981) comprising countriesfrom Latin America, Europe, Asia, and Africa. Behavioral age was estimated usinga Gradient Boosting Regressor with 10-fold cross-validation, incorporating multiplerisk factors (hypertension, diabetes, heart disease, female sex, visual impairment andhearing impairment) and protective factors (cognition, functional ability, education)associated with healthy aging. BAG was calculated as the difference between predictedand chronological age, and adjusted gaps were derived …

Climate Change And Population Aging, Anastasia Rhule, Michele Dinman, Natalie Galucia

Harvey A. Friedman Center for Aging

Glaciers are shrinking, river and lake ice is melting earlier, plant and animal habitat ranges are changing, and trees and flowers are blooming earlier. Additionally, longer and more severe heat waves are occurring. Droughts, wildfires, and extreme rainfall are happening at a faster rate than previously predicted by scientists.

Public Views Towards Lifespan, Healthspan, And Healthy Longevity Medicine In Singapore: A Qualitative Study From The Healthy Longevity (Helo) Initiatives, Belinda Wang, Anna Szucs, Elena Sandalova, Zhi Meng Lim, E. J. Horberg, Paul A. O’Keefe, Louis Island, Sonny Rosenthal, Andrea B. Maier

Research Collection College of Integrative Studies

Introduction: Healthy Longevity Medicine (HLM) offers a strategy to reduce the healthspan-lifespan gap, yet public perspectives remain unclear. This study refines the Healthy Longevity (HELO) framework through a qualitative exploration of public views towards lifespan, healthspan, and HLM.Methods: Individuals living in Singapore participated in semi-structured group or individual discussions to explore (a) their understanding of lifespan and healthspan, (b) motivational factors for health behaviours, and (c) their awareness of HLM. Sampling maximised variation across age, sex, and ethnicity. Data obtained through 13 discussions were analysed with a mixed, inductive-deductive approach employing the HELO framework.Results: Thirty-six participants (mean age = 49.4 …

“Better Than Any Medicine:” Understanding How Therapy Dogs Support Patients Presenting With Mental Health And Substance Use Concerns In An Emergency Department Setting, Alexandria R. Pavelich, Colleen A. Dell, James Stempien, Holly Mckenzie, Aimee Hozack, Jane Smith, Alexis Rowsell, Janet Gunderson, Elizabeth Pease

Patient Experience Journal

In Canada, emergency departments have a large number of patients with mental health and substance use concerns passing through their doors. Our research aim was to assess the impact that therapy dog visits may have for patients presenting with mental health and/or substance use concerns to an emergency department based in Saskatoon, Saskatchewan. Working alongside an active patient advisory group and community-based therapy dog program volunteers, our mixed method approach utilizing ethnography, surveys, and interviews showed that therapy dog visitation had a beneficial impact on both patients and staff, thus improving the overall patient experience. Our study displays how the …

Wellesley Council On Aging: Planning For The Future, Caitlin E. Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

Taking a community-engaged approach, this assessment sought to capture the voices, experiences, and aspirations of older adults living in our community. It is designed to support the COA in fulfilling its mission: acting as the community resource for older adults, their families, and caregivers; advocating for their interests; and offering social, educational, physical activity, transportation, and nutrition programs that promote health, independence, and meaningful engagement.

Specifically, this needs assessment aimed to: 1. Describe the demographic and social trends shaping Wellesley’s older adult population. 2. Identify older residents’ priorities, challenges, and unmet needs—spanning health and wellness, housing and mobility, social connection, …

Driving And Beyond, Michele Dinman, Nancy Morrow-Howell

Harvey A. Friedman Center for Aging

Transportation is a daily necessity in our lives, and many of us rely on driving our own automobile to get where we need to go. According to the Federal Highway Administration, in 2023 there were approximately 35 million licensed drivers aged 70 and older—fewer drivers than younger age groups and a group that drives fewer miles.

Living With Purpose, Michelle Dinman, Cal J. Halvorsen, Nancy Morrow-Howell

Harvey A. Friedman Center for Aging

Having purpose is good for all of us at any age. Patrick Hill, Professor of Psychological and Brain Sciences at WashU, defines purpose as the “notion that you have daily activities you find meaningful or engaging and that give you direction for your life [and] reasons to continue going.” In a major sense, purpose can be described as the why of living, instead of the how.

The Covid-19 Pandemic’S Effects On Older People, Michele Dinman, Morgan Van Vleck

Harvey A. Friedman Center for Aging

The COVID-19 pandemic has had wide ranging effects on people of all ages. In many respects, older people had the same experiences as younger people, but there were some aspects of the pandemic unique to the older population. While COVID-19 cases have been equal among different age groups, older people experienced a greater number of hospitalizations and deaths compared to younger people.

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 …

Living Longer, Working Longer, Michele Dinman, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

According to the Pew Research Center, nearly one-in-five Americans ages 65 and older (19%) were employed in 2023, a rate nearly twice that from 35 years ago. They’re also working more hours, on average, than in the recent past. In fact, more than three-in-five older workers (62%) work full time, an increase from the 47% working full time in 1987. Older workers today are also more educated and are more likely to be receiving employer-sponsored benefits, such as retirement savings plans and health insurance, than in earlier decades. While only 4% of the entire labor force was made up of …

Selective Sharing And Social Bonding: A Qualitative Study Of Online Health Information Behaviour Among Older Adults In Shanghai, Minzhi Ye, Yan Liu

School of Social Work Faculty Publications

The health information landscape has been revolutionised by the advent of social media, significantly affecting older adults’ access to and interaction with online health information. In this study, we examine how older adults interact with health information on social media. In total, 30 participants aged 60 years and older from Shanghai were interviewed, focusing on their health information-seeking behaviour, perceptions, and subsequent actions using a semi-structured, in-depth interview approach. Furthermore, in this study, we employed grounded theory to analyze the data, and the results revealed that older adults utilise a comprehensive cognitive process for evaluating health information. Information-sharing decisions among …

Taming The Chaos: Strategies For Streamlining Library Work In An Interruption-Driven World, Melanie S. Brasher, Amanda K. Izenstark

Public Services Faculty Presentations

Library workers often can’t follow the typical productivity advice doled out by productivity experts. In a job that is essentially managing ongoing interruptions with the added bonus of needing to describe what you’ve accomplished to numerous stakeholders, how can you keep track of what you do, what you need to do, and what you need to know? Join this session for some examples of frameworks and connect with others to tame the chaos that is modern library work. Due to the size of this topic, we will poll attendees live in order to choose the topics of greatest interest to …

Bridging Language Barriers In Data Analysis For Constructivist Grounded Theory Research: A Case Study In Chinese Context, Wenyu Li, Catherine Elliott O’Dare, Catherine Conlon

The Qualitative Report

Qualitative studies across diverse linguistic and cultural contexts are rising in global social settings. However, literature addressing the potential methodology challenges of conducting such research using constructivist grounded theory (CGT) remains limited. This paper, therefore, highlights potential challenges in the data analysis phase of cross-cultural research using CGT and suggests a three-phase language conversion strategy to minimize data loss while avoiding superficial analysis based on my Ph.D. research experience, where interviews are conducted in Chinese while the target language is English. Additionally, this paper reflects on the role of bilingual researchers in CGT cross-cultural studies, exploring how the bilingual research …

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 = …

Community-Based Food Program Limits In Reducing Older Adult Food Insecurity, Madonna Harrington Meyer, Colleen M. Heflin

Population Health Research Brief Series

Older adults who are grappling with food insecurity may enhance their food supply through community-based programs that provide free and subsidized food. This complicated system, categorized by group meal programs, home-delivered meals, and food provided to be eaten off-site, is complex, expensive, and may be difficult for older adults to use. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief describes three key limits of community-based food programs for older adults. First, the quantity and quality of community-based food programs vary markedly by where one lives. Second, the food may be of poor nutritional …

Cost Of Living For Older Adults (65+) In Mountain West Metropolitan Statistical Areas, 2024, Anirudh Polagani, Annie Vong, Mohit Pande, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

Demography

This fact sheet explores 2024 cost of living data for adults over the age of 65 in the largest metropolitan statistical areas (MSAs) across five Mountain West states: Arizona, Colorado, Nevada, New Mexico, and Utah. The data are sourced from the “Elder Index,” a dashboard that focuses on housing, healthcare, food, transportation, and miscellaneous expenses that collectively reflect the monthly expenses for those over the age of 65. This fact sheet focuses on five MSAs in the Mountain West: Phoenix-Mesa-Chandler, AZ; Denver-Aurora-Centennial, CO; Las Vegas-Henderson- North Las Vegas, NV; Albuquerque, NM; and Salt Lake City-Murray, UT.

Communities Of Practice: Aging, Emergency Management, And Churches In Rural Clackamas County, Oregon, Lukas Robert Aberle

Dissertations and Theses

As the population of the United States ages, questions arise of how to best care for older adults in daily life and emergency situations. This research looks at the daily activities of churches to see how they affect everyday and emergency care practices. As a collaboration with Clackamas County government, I researched the relationship between churches and care through participant observation and interviews during the summer of 2024 to understand congregations’ support for older members, the role of church congregations in emergency management, and the implications of the decline in religious participation alongside aging in the United States. I found …