Digital Commons Network^™

Personality Profile Of Rural-Dwelling Older Adults With Hoarding Disorder, Mary E. Dozier, Caitlyn A. Nix, Hilary L. Deshong

Journal of Public Health in the Deep South

Hoarding in late life represents a major barrier to aging in place, particularly for rural-dwelling older adults. One risk factor for hoarding disorder in late life may be underlying personality factors. However, there has not yet been an investigation of late life hoarding and possible maladaptive personality factors from the continuous five-factor model perspective in a sample of individuals diagnosed with hoarding disorder. Thus, we evaluated the five-factor personality profiles of older adults enrolled in treatment studies for hoarding disorder in rural Mississippi. Raw scores on the International Personality Item Pool-NEO-60 were converted into categories of Low (<1SD from …

Chronic Obstructive Pulmonary Disease Hot Spots In Mississippi, Taylor Jansen, Elizabeth Dugan

Journal of Public Health in the Deep South

Abstract

Introduction. Chronic obstructive pulmonary disease (COPD) is the sixth leading cause of death in the US and approximately 10% of people 65 years and older have COPD. This study examines the association of geographic-level risk factors with chronic obstructive pulmonary disease (COPD) prevalence using spatial-based analyses with the goal of identifying risk factors associated with county-level COPD and to identify communities at risk.

Methods. The study sample consisted of all N=82 counties in Mississippi and all data is reported at the county level. All measures were drawn from the 2023 Mississippi Healthy Aging Data Report. A hot spot …

The Mississippi Healthy Aging Data Report: Tools To Advance Health Equity, Elizabeth Dugan, Taylor Jansen, Chae Man Lee, Nina M. Silverstein, Yan-Jhu Su

Journal of Public Health in the Deep South

Introduction. This article describes the Mississippi Healthy Aging Data Report, which includes 125 indicators reported at the county and state level.

Methods. Data sources include the American Community Survey from the U.S. Census, the Behavioral Risk Factor Surveillance Survey, the Centers for Medicaid and Medicare Services, and other sources. Small-area estimation techniques are used to calculate age- and gender-adjusted county rates. Data visualizations illustrate health disparities.

Results. Mississippi is home to 663,581 people age 60 or older – 22% of the state’s total population. Approximately 12.9% of Medicare beneficiaries in Mississippi have Alzheimer’s disease or a related …

Association Of Self-Report Measures With Salivary Biomarkers In Post-Menopausal Women, Laree M. Hiser, Karen Arrant, Jung Hye S. Lee, Lei Zhang

Journal of Public Health in the Deep South

Background: Symptoms of menopause include inadequate sleep, depression, and anxiety. Studies of healthy aging frequently use self-report tools that are unverified by objective measures.

Purpose: To investigate the correlation between self-report measures of sleep or affect and salivary biomarkers in a small (n=32) sample of post-menopausal women.

Methods: Salivary cortisol and a-amylase were quantified by laboratory tests. Self-report data included hours of sleep and Patient-Reported Outcomes Measurement Information System (PROMIS^®) tools for sleep disturbance, anxiety, and depression. Correlation analyses were conducted between self-reported measures and biomarker concentrations.

Results: No statistically significant correlations were found between cortisol …

Exploring Leadership Characteristics And Their Effects On Sustaining Federally Qualified Health Centers, Eleace E. Sawyers

Walden Dissertations and Doctoral Studies

An argument can be made for the continued existence of Federally Qualified Health Centers (FQHCs) because of the level of importance of the service they provide to society. The problem addressed in this research is that despite the millions of people in need of affordable health care, the leaders of many FQHCs are fighting to keep facilities open amidst financial struggles. The purpose of this research was to identify leadership characteristics that promote FQHCs’ success by assessing effective leadership styles. This study applied a quantitative, descriptive non-experimental approach. Probability sampling was used to select the sample size and the Multifactor …

Recognizing And Engaging Mental Health Learnings Towards Aapi Older Adults: An Evaluation Of The City Of Fremont’S Mobile Integrated Assessment Team For Seniors Program, Kimberley Tsang

Master's Projects and Capstones

As the population of older adults ages 65 years and older continues to increase in the United States, health concerns within this population continue to grow, especially since mental health remains a concern as older adults experience feelings of emotional distress, anxiety, loneliness, and depression. Those who identify as Asian American Pacific Islanders (AAPI) are severely impacted, primarily due to the COVID-19 impacts and Asian Hate Campaigns. AAPI Older Adults have endured various hardships, including assimilating into Western cultures and cultural dissonance. Unfortunately, views on seeking mental health services to overcome negative emotions are looked down upon for Asian American …

Essays On Aging, Health, And Labor Market, Lanjie Wang

Dissertations and Theses Collection (Open Access)

This dissertation consists of four chapters on aging, health, and labor economics.

In the first chapter, we investigate the short-term impacts of unemployment on older workers in Singapore, a setting without public unemployment insurance. Using monthly panel data, we analyze dynamic impacts on income, spending, health, and subjective well-being over two years post-unemployment. We find substantial initial earnings losses with incomplete recovery, with income remaining 46.5% below pre-unemployment levels after 24 months. Despite this persistent income gap, consumption responses are modest and comparable to countries with strong social safety nets, suggesting robust self-insurance mechanisms. We observe increased retirement among married …

Aging In Hopkinton: A Community Needs Assessment, Sue Berger, Caitlin E. Coyle

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 Hopkinton. The goals of this project were to investigate the needs, interests, preferences, and opinions of Hopkinton residents age 55 or older by engaging the community regarding their experiences and needs relevant to Senior Services objective to identify and serve the needs of Hopkinton’s older residents. The contents of this report are meant to inform the Town of Hopkinton, Hopkinton Senior Services, and organizations that work with and …

Aging In Newton: A Community Needs Assessment, Claire Wickersham, Katherine Burnes, Shu Xu, Caitlin E. Coyle

Center for Social and Demographic Research on Aging Publications

This report presents the results of a comprehensive examination of issues relating to aging in Newton. A needs assessment was undertaken to support planning on the part of the City of Newton and the Department of Older Adult Services. Results presented here focus on the characteristics and needs of Newton residents who are aged 60 and older. Data was collected via key informant interviews, focus groups with residents and stakeholders and a mailed survey of residents aged 60 and older. Respondents to the community survey included 2,869 Newton residents, which resulted in a response rate of more than 50%. As …

Development Of A Thwarted Belonging Measure In Older Adults: An Application To Neighborhood Context And The Moderating Role Of Neuroticism, Jaclyn Elisa Keenoy

Theses, Dissertations and Culminating Projects

This research focuses on thwarted belonging (TB), its associations with the neighborhood contextual factors of social cohesion and physical disorder in older adults, and the moderating role of neuroticism. TB is a key component of the Interpersonal Psychological Theory of Suicide (IPTS) that has serious implications for health and well-being (Van Orden et al., 2012). Despite these implications, TB is less frequently investigated outside of the suicide literature. Thus, the first aim of this research was to create a valid measure of TB in a sample of 5,001 older adults using data from the Health and Retirement Study using a …

Retirement And Life Satisfaction Among Middle-Aged And Older Adults: A Piecewise Growth Mixture Analysis, Jonathan L. Chia, Andree Hartanto, William Tov

Research Collection School of Social Sciences

Retirement represents a significant life transition typically occurring in later adulthood, often accompanied by substantial lifestyle changes. Several theoretical frameworks suggest that these changes present both opportunities and challenges for well-being, and the extent to which individuals experience positive versus negative well-being outcomes may be influenced by various factors. To study such heterogeneity in retirement experiences, researchers have embraced person-centered methodologies. Yet, some previous studies have not robustly delineated retirement- from age-related changes in well-being, accounted for statistical uncertainties, or examined these diverse experiences outside of a Western context. These limitations preclude conclusions about the diverse experience of retirement. Using …

Political Constructions Of People Who Use Drugs In The Philippines: A Qualitative Content Analysis, Gideon Lasco

Development Studies Faculty Publications

Background

This paper examines the political constructions of people who use drugs in the Philippines throughout the presidency of Rodrigo Duterte (2016–2022), during which the government engaged in a ‘war on drugs’ and promoted a punitive drug regime.

Methods

Building on and drawing inspiration from the global drug policy scholarship that has looked at the ways in which drugs are framed and problematised in various domains, this study used qualitative content analysis to review 96 documents from national government agencies - including strategic action plans, directives, memorandums, guidelines, annual reports, and legislative measures.

Results

Foremost, the study finds that various …

The Role Of Cognitive Dysfunction In Late-Life Depression, Matthew Schurr

UNLV Theses, Dissertations, Professional Papers, and Capstones

Depression is one of the most common psychiatric concerns in older adults. Because of the intersection of biological, emotional, social, and cognitive factors that are at play in depression, symptoms are often heterogeneous in presence and severity. In combination with the expected changes in cognitive abilities as one ages, late-life depression can be additive to these changes. The higher risks of neurodegenerative processes and vascular events in later life can cause, magnify, or accelerate cognitive decline. As such, individuals with late-life depression often present with a complex array of problems that can impact cognition and functioning, and thus complicate the …

A Comparison Of Training Approaches On Skill Acquisition Among Direct Care Staff At An Adult Day Program, Sandra Wagner

Dissertations

Adults with intellectual and developmental disabilities (IDD) are often dependent on direct care staff to engage in daily activities, such as personal care, eating, and engaging in leisure activities. One way direct care staff can support adults with IDD to become more independent is by using prompting strategies. Often times, however, direct care staff have not been trained on how to use prompts to encourage independence. Current studies have demonstrated success in teaching direct care staff prompting strategies in personal care tasks (e.g., Engelman et al., 2002; Parsons et al., 1993) through behavioral skills training. Although the trainings produced an …

Neurocognitive Functioning In Adults With Trichotillomania: Predictors Of Treatment Response And Symptom Severity In A Randomized Control Trial, Kathryn E. Barber, Douglas W. Woods, Thilo Deckersbach, Christopher C. Bauer, Scott N. Compton, Michael P. Twohig, Emily J. Ricketts, Jordan Robinson, Stephen M. Saunders, Martin E. Franklin

Psychology Faculty Research and Publications

Trichotillomania (TTM) is associated with impairments in response inhibition and cognitive flexibility, but it is unclear how such impairments relate to treatment outcome. The present study examined pre-treatment response inhibition and cognitive flexibility as predictors of treatment outcome, change in these domains from pre-to post-treatment, and associations with TTM severity. Participants were drawn from a randomized controlled trial comparing acceptance-enhanced behavior therapy (AEBT) to psychoeducation and supportive therapy (PST) for TTM. Adults completed assessments at pre-treatment (n = 88) and following 12 weeks of treatment (n = 68). Response inhibition and cognitive flexibility were assessed using the Stop …

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.

Impacts Of Social Media Use On The Wellbeing Of Older Adults : Evidence From China During The Covid-19 Pandemic, Xuying Dong

Lingnan Theses (Doctoral degree)

Given the trend of increasing use of information and communication technologies among Chinese elder population, more attention should be drawn on the relationship between social media use and wellbeing of older adults. This research explores the social media use situation among older adults in mainland China as well as its influences on their wellbeing, and employs a mixed approach including quantitative questionnaire distributed via WeChat social media platform and qualitative interview among Chinese older adults who are over 60 years of age in Jingzhou, Hubei Province. Generally speaking, social media use can improve the wellbeing of Chinese older adults, more …

Aging As Online Faculty: Attitudes Toward Work And Retirement, Lee Stadtlander, Amy Sickel

Journal of Educational Research and Practice

Aging, an often-neglected aspect of diversity in universities, is an important issue, as the rate of people working who are 75 and older is growing faster than the rate for any other age group. The present sequential explanatory mixed-method study explored 129 older online faculty’s attitudes and opinions on work and retirement in an online survey and in 13 faculty interviews. Data were examined cross-sectionally to assess differences by decade: 50s, 60s, and 70s and above. The results indicated that while older faculty were collecting some form of retirement payment, money was not a primary motivator for working. These individuals …

An Examination Of Sport Retirement Through Concept Analysis Of Occupational Retirement, Andrea Cota Powell, Patti J. Berg, Andrew C. Pickett, Moses N. Ikiugu, Whitney Lucas Molitor

Journal of Athlete Development and Experience

Occupational retirement is a major life transition that involves extensive planning, preparation, and coping strategies. Concept analysis was completed to explore adaptation to occupational retirement as a way to further understand sport retirement. Thirty-nine occupational-related articles were included in the final analysis. The primary antecedent to occupational retirement is financial stability, followed by age and family life. Antecedents to sport retirement include graduation, exhaustion of NCAA eligibility, and possibly injury. The antecedents are unique to each type of retirement, but the consequences are similar. Retirees of both types often experience feeling of loss, grief, depression, and identity crisis while adjusting …

Using An Evidence-Based Practice Nurse Recognition Practice To Improve Job Satisfaction, Hali Bianchi

Student Scholarly Projects

Practice Problem: The project targeted low job satisfaction and high nurse turnover in a Central Florida bone marrow transplant unit, impacting patient care and costs.

PICOT: (P) For registered nurses (RNs) on the bone marrow transplant unit, (I) does implementing an evidence-based practice employee recognition program (C) compared to no employee recognition program, (O) lead to an increase in job satisfaction (T) over 10 weeks?

Evidence: The evidence supported the effectiveness of meaningful recognition programs, such as personalized verbal acknowledgment from leadership, in boosting job satisfaction among nurses.

Intervention: The intervention involved nurse managers using a weekly employee recognition …

The Impact Of Social-Structural Factors On The Health Of Migrating Older People In China : Testing The Buffering Effect Of Social Capital And Social Integration, Anqi Chen

Lingnan Theses (MPhil & PhD)

While older adult migration in China has received significant attention, the related health research and the pivotal role of social relations have been underexplored. This study, grounded in the theory of the relationship between social capital and health, as well as the social integration theory of migration, examines the associations between social relations and health inequalities under the social structure of Chinese society including socio-economic status, hukou and urban/rural residence.

Methodology: Using data from the China Health and Retirement Longitudinal Study (CHARLS) 2018 survey, three health outcomes are physical function, cognitive function, and mental health. The sample consists of 3,137 …

How Can America Support The Health Of Its Diverse Aging Population?, Catherine García, Lauren L. Brown, Marc A. Garcia

Population Health Research Brief Series

By 2030, one in five Americans will be 65 or older. Rapid population aging in the United States is unfolding alongside a parallel trend of rising racial and ethnic diversity. In the coming decades, African American, Native American, Asian, Native Hawaiian and Pacific Islander, Hispanic/Latino, and multiracial groups are projected to experience significant growth in their proportions of adults who survive past age 65. Despite improvements in health and gains in longevity in recent decades, minorized groups continue to experience significant barriers to healthy aging. This brief provides an overview of the social determinants of healthy aging, provides recommendations for …

Framing The Path To Fitness: Age Differences In Response To Framed Exercise Messages, Iliya Sherif, David B. Taullahu, Alyssa R. Minton, Joseph A. Mikels

DePaul Discoveries

Physical activity is one of the most protective health behaviors one can engage in, yet 75% of active adults in the US, meaning those who exercise regularly, fall short of the recommended levels of physical activity, with an even greater percentage of older adults living inactive lives, meaning they exercise minimally and engage in prolonged sedentary behavior (CDC, 2019). The goal of the current study was to explore different types of message framing targeted at encouraging older and younger adults to exercise. We recruited older adults (n = 184; Mage = 69.45 years, age range: 65- 80 years) and younger …

America Is Unprepared To Meet The Needs Of Its Growing Older Adult Population, Sierra Kaplan

Population Health Research Brief Series

In 2030, nearly 73 million Americans will be aged 65 years or older. As Americans continue to have fewer children than in the past, the number of older adults will outnumber children. Thus, fewer young adults will be around to support and care for the older adult population. Coupled with COVID-19 pandemic-driven disruptions to the healthcare industry, America’s health and aging care system is unprepared to support its large and growing older adult population. Over time, we will see increased health care scarcity and inequality in the distribution of elder care services, especially with continued healthcare worker shortages and drastic …

Social Structural Differences In Qualitative Perspectives On Well-Being, Jennifer Morozink Boylan, Monica Adams, Julia K. Boehm

Psychology Faculty Articles and Research

Well-being (WB) is associated with healthier and longer lives, more social connections, and workplace success. However, assessment of WB is primarily based on self-report measures. This mixed-methods research examined how diverse adults described the sources of their WB and whether such views differed by education, race, and gender. Data came from midlife and older adults from the Midlife in the United States Study who responded to the question “What do you do to make your life go well?” (N = 2,118; 54% some college or less; 19% Black). We used directed content analysis to develop a codebook comprising 20 …

Medicare Drug Price Negotiation Program Draft Guidance, Fred Ledley M.D., Edward Zhou Pharmd, Paula Chaves Da Silva Ph.D.

CISI Publication

This comment focuses on Section 50.1, provisions 1 & 3 of the draft guidance regarding the negotiation of a “maximum fair price” under the Inflation Reduction Act (IRA), research and development (R&D) costs of the primary manufacturer, and prior federal financial support for novel therapeutic discovery and development. Specifically, we argue that a negotiated, “maximum fair price” must consider both public sector (federal) and private sector (manufacturer) investments and provide returns to both commensurate with the scale and risk of their investments. This comment addresses three issues and makes specific recommendations regarding each:

1. In negotiating a “maximum fair price,” both …

Report On Findings From Household Needs Study, Paulin T. Straughan, Mathew Mathews

ROSA Research Briefs

The Household Needs Study (HNS) aimed to capture public perspectives on essential items and activities that are deemed necessary for a normal life in Singapore and to understand the extent to which Singaporeans are able to access these items and activities. To do so, the study adopted the Living Standards Approach (Saunders, Naidoo & Wong, 2022), which purports that individuals experience relative deprivation and/or social exclusion if they do not have access to items and activities that are deemed to be essential by society. In this study, a survey was conducted with a nationally representative sample of around 4,000 respondents …

Bracketed Assessments In Behavioral Gerontology: Evaluating Preference With Present And Absent Stimuli, Flavia Eduarda Del Castillo Troche

Theses and Dissertations

The present study evaluated the use of bracketed assessments to assess the activity preference of three individuals with dementia. The study proposed an alternative method to traditional stimulus preference assessments, to bridge the gap in behavior analytical literature within behavioral gerontology. Thus, bracketed assessments were conducted using two presentation methods, verbal plus visual presentation and verbal-only presentation. Results suggested that while participants showed consistency within low preferred activity selection in the bracketed assessment, variability was observed among participants’ preferences for high and moderate preferred activities. Both presentation methods yield similar selection results for one participant, however, the other two participants …