Digital Commons Network^™

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

Journal of Community Engagement and Higher Education

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

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

Journal of Community Engagement and Higher Education

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

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

Journal of Community Engagement and Higher Education

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

Engaging The Somali Diaspora: A Case Study Of One Agency’S Community Programming Approach, Farhia Abdi

The Journal of Social Encounters

This case study investigates how a local community agency engages with the Somali diaspora to design and implement culturally responsive services, such as the Settlement and Integration Program. It also explores the potential of fostering meaningful dialogue with community members to inform the development of culturally sensitive programming. The research question guiding this study was developed by findings from previous research, which highlighted the significance of community engagement, sustained dialogue, and the necessity for agencies to design clearly defined programs. These programs should prioritize active participation from community members in both the creation and implementation of tailored initiatives.

Budget Tradeoffs Shape Food Insecurity Among U.S. Older Adults, Madonna Harrington Meyer, Colleen M. Heflin

Population Health Research Brief Series

For low-income older adults, it may be difficult to meet basic needs on a fixed monthly income. Stretching resources can be difficult, especially if unexpected expenses arise, leading many older adults to face difficult budget tradeoffs. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes how budget tradeoffs between food and other essential expenses—housing, utilities, medical care, transportation, and personal and cleaning supplies—shape food insecurity among older adults.

Policy Recommendations To Reduce Old Age Food Insecurity In The United States, Colleen M. Heflin, Madonna Harrington Meyer

Center for Policy Research

In 2023, 7.4 million adults ages 60 and over in the United States were food insecure. As the number of older people at risk of food insecurity in the U.S. continues to rise, effective policy responses are critical. The current policy responses to old age food insecurity are complex, costly, and not nearly effective enough.

Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes five policy recommendations to improve food insecurity among U.S. older adults. The authors recommend measuring food security in multidimensional ways, treating food insecurity as a health issue, adopting SNAP …

How Is Food Insecurity Measured In The United States And What Share Of Older Adults Are Food Insecure?, Colleen M. Heflin, Madonna Harrington Meyer

Population Health Research Brief Series

The U.S. Department of Agriculture measures food insecurity based on whether households had problems affording food during the last twelve months. Based on the current definition, in 2023 9.2% of households with adults ages 60 and older were food insecure. But there are many problems with the existing definition for accurately capturing food insecurity among older adults.

Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes those limitations, noting that existing measures do not account for barriers that are common among older adults, such as mobility, physical distance, and transportation barriers.

Identifying Barriers And Place-Based Solutions To Physical Activity For Older Adults In East Tennessee, Lydia Hoskins, Jodi Southerland

Journal of Appalachian Health

Introduction: Older adults in East Tennessee (TN), the fastest growing demographic, face significant health challenges, with 44% reporting four or more chronic conditions. The state ranks 45th in physical inactivity among older adults, exacerbating chronic disease risks, fall-related injuries, and mental health issues. Urban-rural disparities in East TN further complicate efforts to promote active living, particularly for rural residents.

Purpose: This qualitative study explored socioecological barriers and solutions to increase physical activity (PA).

Methods: In April 2024, two focus group were conducted in East TN, with a total of 11 participants composed of six community partners and five older adults. …

Evaluation Of Mobility And Functional Balance In Elderly Individuals With Type 2 Diabetes Based On Selected Kinematic Variables, Osama Abdel Fattah, Khaled Atiyat, Thamer Al-Manaseer

Jordan Journal of Applied Science-Humanities Series

This study aims to evaluate the kinematic indicators in the Timed Up and Go (TUG) test and the level of functional balance in the study sample according to the Berg Balance Scale. Additionally, it examines the relationship between BMI and the duration of diabetes with the values of kinematic indicators in the study sample in the TUG test and the level of functional balance on the Berg Balance Scale. Furthermore, it explores the relationship between the values of the kinematic indicators in the TUG test and the level of functional balance. To achieve this, the researchers employed a descriptive approach …

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

Dissertations, Theses, and Capstone Projects

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

Ageism In Employment, Aaron Li, Natalie Galucia, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

The World Health Organization defines ageism as stereotypes, prejudice, and discrimination directed at individuals based on their age. As people remain in the labor force longer, they are increasingly exposed to ageist attitudes and discrimination. Ageism often manifests through negative assumptions about older workers’ abilities, adaptability, and value in the workplace. Older workers are frequently perceived as less competent, resistant to new technology, inflexible, or physically and mentally less capable.

How Do Self-Employment Rates Change Across The Lifespan?, Cal J. Halvorsen, Bruna C. Lopez

Harvey A. Friedman Center for Aging

People pursue self-employment for a variety of reasons, including autonomy, the ability to pursue their own goals, and income. Yet for many older people who are not yet eligible for Social Security retirement benefits, which can begin at age 62, or Medicare, the U.S. health insurance program that generally begins at age 65, self-employment is also associated with less health insurance and retirement savings program coverage. 1,2 3,4

This research brief asks, What is the proportion of Americans who are self-employed, and how do these rates change throughout the life course?

Older Adults And Financial Exploitation, Aaron Li, Natalie Galucia, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

The National Adult Protective Services Association defines elder financial exploitation as misuse, mishandling, or exploitation of an older adult’s property, possession, or assets. These actions often occur without consent and are typically carried out through false pretense, undue influence, coercion, or manipulation.

Supporting Employed Informal Caregivers, Michele Dinman, Natalie Galucia, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

More than 53 million Americans are informal caregivers. These family members, friends, and acquaintances provide social, medical, transportation, and other support to individuals because of illness or disability without getting paid. Additionally, at least 2 million grandparents, not counting other kinship caregivers, provide care for children who cannot remain with their parents.1

Mental Health Challenges In Later Life, Sophie Mauk, Michele Dinman, Natalie Galucia, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

Although older adults are less likely to be diagnosed with mental health challenges than younger adults, Americans over the age of 65 have experienced the greatest growth in new diagnoses — an increase of 57% between 2019 and 2023. By 2023, about 1 in 7 adults age 51 and older had received mental health diagnoses, including major depressive, generalized anxiety, adjustment, bipolar, and mood disorders. However, older adults are less likely to receive treatment than younger people. At the same time, older adults may also misuse substances such as alcohol, tobacco, cannabis, and prescription and nonprescription medications. Americans age 75 …

Age & Dementia Friendly Bellingham: Assessment Of Community Needs And Ideas For Action, Caitlin E. Coyle, Katherine Burnes, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

In 2022 a steering committee of three Bellingham residents involved in the COA/Senior Center served as a catalyst in helping Bellingham attain the designation of Age and Dementia Friendly. A Task Force including an impressive mix of individuals from town government, schools, local organizations and older residents was formed to help Bellingham set and implement annual goals of activities designed to make Bellingham a good place to grow older for all residents.

This report describes research undertaken by the Center for Social and Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston on behalf of …

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

Research Collection School of Social Sciences

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

(Wp 2025-05) Expanding Black Reparations With Human And Social Capital Investments, John B. Davis

Economics Working Papers

Disadvantaged social groups in the US suffered disproportionately in the covid pandemic and Great Recession, worsening high levels of inequality associated with their post-1980 declining intergenerational income mobility. For black Americans this reflects the long history of racial discrimination beginning with slavery. Reparations paid to descendants of enslaved individuals to eliminate the black-white wealth gap is a step toward addressing this history. A further needed step is to build predominantly black communities human and social capital through public investments in community health care centers (CHCs) and historically black colleges and universities (HBCUs). There is considerable evidence that investments in early …

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

Research Collection School of Social Sciences

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

The Gendered Role Of Friendships For Advanced Care Planning And Health In Later Life, Zee Kee Emily Lim

Graduate Doctoral Dissertations

Friendship is becoming more pertinent to older adults because they are increasingly living with fewer family ties in later life due to changing social and demographic trends (Fiori et al., 2020; Verdery et al., 2019). However, friendships are not as extensively studied as compared to family relationships (Blieszner et al., 2019). Thus, additional research is needed to better understand the influence of friendships on health and health behaviors in later life.

This dissertation includes three studies that focus on the association between friendship and loneliness, advanced care planning, and cognitive function, examining the role of gender in these three studies, …

Ectopic Adipose Tissue In Subsistence Populations With Minimal Coronary Disease, Large Left Atria, And Very Low Rates Of Atrial Fibrillation, Randall C. Thompson, Benjamin C. Trumble, Daniel K. Cummings, Angela D. Neunuebel, Paul L. Hooper, Samuel Wann, Adel H. Allam, Frances Neunuebel, Benjamin D. Gans, Samantha I. King, Edmond Seabright, Caleb E. Finch, Margaret Gatz, Kenneth Buetow, Michael I. Miyamoto, Guido P. Lombardi, M. Linda Sutherland, James D. Sutherland, Christopher J. Ward, Madeleine J. Lee, Ashna Mahadev, Daniel Eid Rodriguez, David E. Michalik, Chris J. Rowan, Tianyu Cao, Jonathan Stieglitz, Cameron M. Quick, Gregory S. Thomas, Jagat Narula, Damini Dey, Michael Gurven, Hillard Kaplan

ESI Publications

Background

Methods

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

Theses and Dissertations

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

Senior Living: Filling The Gap, Katy J. Johnson

The Interactive Journal of Global Leadership and Learning

This white paper explores how colleges and universities can help address the housing crisis for Americans aged 65 and older by integrating seniors into college campuses. This approach not only helps to fill dormitories but also provides students with valuable work experience. The paper examines three key issues: the Silver Tsunami (the growing senior population), declining enrollment leading to campus housing vacancies, and the financial burden of higher education. By advocating for intergenerational living, the proposal offers an innovative solution that benefits seniors, students, and universities.

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

Theses and Dissertations

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

Is Therapeutic Lying Ethically Justifiable If It Leads To Improved Care?, Deborah Murphy

Journal of Social Care

Problem statement

Although therapeutic lying is used extensively as an intervention in dementia care, its use is ethically controversial, firstly, because lying is usually viewed negatively, and secondly, because people with dementia are an especially vulnerable cohort. It is claimed that therapeutic lying improves wellbeing and supports a person-centred approach to dementia care.

Research Question

Is lying to people with dementia ethically justifiable if it leads to improved care?

Aim

To investigate whether care can be improved using therapeutic lies, to explore the ongoing ethical debate around its justification and to examine whether therapeutic lies support person-centred interventions.

Method

This …

“Literally Made Me Cry”: The Impact Of Course Material Costs On University Of Kentucky Students, Stephen Krueger

Library Reports and White Papers

The Student Course Materials Cost Survey was administered September 16 – October 6, 2024. It was open to current students at the University of Kentucky (UK). The goals were to help UK Libraries better understand how the cost of course materials affects students at UK and to provide a snapshot of student spending across the university. The questions were based on similar research done at other institutions in Virginia (Virginia Course Materials Survey, 2021) and Florida (2022 Student Textbook and Instructional Materials Survey, 2022). Other work based on those surveys includes the 2023 Illinois Course Materials Survey (CARLI, 2023) and …

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

Masters Theses & Specialist Projects

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

“Self-Compassion Has To Be The Heartbeat Of How I Move Through Life”: A Mixed Methods Study Of Family Caregiver Emotional Well-Being, Sarah O. Rasby

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Often referred to as “hidden patients,” family caregivers endure numerous physical, emotional, psychological, and social hardships due to the demands of caregiving, which often results in their own needs going unmet. With the projected 61.3 million of the baby boomer generation entering the long-term care phase by 2029 along with a mass shortage of professional caregivers post-pandemic, more and more family members are expected to fill in for the role of care without sufficient access to support services (Pollard & Scommegna, 2014; Smith & Chang, 2016). An exploratory, mixed-methods study using a three-group intervention design was utilized to investigate the …

Perceived Obligations Of Older Partners In Living-Apart Together Relationships, Allison M. Martin

Human Development and Family Sciences Undergraduate Honors Theses

Older and middle-aged adults are increasingly in Living-Apart-Together (LAT) relationships characterized by committed romantic relationships without marriage and cohabitation. Because of assumptions that older adults will receive family caregiving as they grow older and need caregiving, it is not clear how people are likely to perceive obligations to provide caregiving assistance. As adults move into old age and incidence rates of Alzheimer’s Disease or Related Dementia (ADRD) increase, questions about the availability of family members to provide needed assistance are complicated by LAT relationships. The purpose of this study was to examine perceived obligations to provide assistance to older adults …

Association Between Social Participation And Nonmotor Symptoms Of Parkinson's Disease, Zackary B. Zanotelli

Electronic Theses, Projects, and Dissertations

Research has shown that social participation can aid in slowing cognitive decline and is associated with cognitive functioning in older adults. Being that Parkinson’s Disease (PD) is a neurodegenerative disorder primarily known for its motor and cognitive symptoms, it is worth evaluating social participation in patients with Parkinson’s Disease. The aim of this project is to determine whether social participation is associated with more favorable trajectories of neuropsychiatric symptoms among patients afflicted with Parkinson’s Disease. More specifically, this project will seek to examine how specific social activities may be uniquely associated with cognitive decline.

Participants (N = 8,389) who were …