Digital Commons Network^™

Social Engagement, Social Networks, And Well-Being Of Older Adults By Gender And Marital Status, Rachel Wen Yi Ngu, Yi Wen Tan, Yan Er Tan, Wei Tin Hiah

ROSA Research Briefs

In this research brief, we explore the differences in well-being, social engagement, and social networks amongst groups of married and unmarried male and female older adults and discuss potential policy implications. Our study found that single older adult men fared significantly worse than their married counterparts and single older adult women across different aspects of social well-being, such as social engagement and social support. While this emphasizes the need for increased community efforts to engage men, especially single men, in social activities, specific outreach efforts may be required to better understand their needs and how community programmes can address them.

Risk Factors For Post-Discharge Adverse Outcomes Following Hospitalization Among Older Adults Diagnosed With Elder Mistreatment, Monique R Pappadis, Leila Wood, Allen Haas, Jordan Westra, Yong-Fang Kuo, Charles P Mouton

Faculty, Staff and Student Publications

Using 100% Medicare data files, this study explored whether primary elder mistreatment (EM) diagnosis, EM type, and facility type were associated with 3-year mortality and 1-year unplanned hospital readmission among older patients diagnosed with EM with hospital discharge from 10/01/2015 through 12/31/2018 (n = 11,023). We also examined outcome differences between older patients diagnosed with EM and matched non-EM patient controls. Neglect by others was the most common EM diagnosis. Three-year mortality was 56.7% and one-year readmission rate was 53.8%. Compared to matched non-EM patient controls, older EM patients were at an increased risk of mortality and readmission. Among …

Profiles Of Activity Engagement And Depression Trajectories As Covid-19 Restrictions Were Relaxed, Jonathan L. Chia, Andree Hartanto, William Tov

Research Collection School of Social Sciences

Given elevated depression rates since the onset of the pandemic and potential downstream implications, this research examined the association between activity engagement and depression among middle-aged and older adults postlockdown. This study aimed to (a) identify activity engagement profiles among middle-aged and older adults, (b) understand factors associated with profile memberships, and (c) compare depression trajectories across profiles as COVID-19 restrictions eased over 16 months in Singapore. This longitudinal study involved 6,568 middle-aged and older adults. Latent growth analysis was first conducted to obtain estimates of depression trajectories for each individual. Latent profile analysis was then conducted to identify different …

Enhancing Sell-Type Home Reversion Products For Retirement Financing, Koon Shing Kwong, Jing Rong Goh, Ting Lin Collin Chua

Research Collection School Of Economics

Loan-type reverse mortgage plans and sell-type home reversion plans for retirement financing are two well-known equity release plans that entitle homeowners not only to release cash from their properties but also to allow them to age in place. Recently, a new hybrid equity release plan was proposed to incorporate the home reversion plan’s features with an option of staying in the property for a fixed period without being subject to survival. This additional option provides flexibility to homeowners to better meet their retirement financial and personal needs by reducing the financial uncertainty of home reversion products. In this article, we …

Poor Oral Health Is Associated With Inflammation, Aortic Valve Calcification, And Brain Volume Among Forager-Farmers, Benjamin C. Trumble, Matthew Schwartz, Andrew T. Ozga, Gary T. Schwartz, Christopher M. Stojanowski, Carrie L. Jenkins, Thomas Kraft, Angela R. Garcia, Daniel K. Cummings, Paul L. Hooper, Daniel Eid Rodriguez, Kenneth Buetow, Bret Beheim, Andrei Irimia, Gregory S. Thomas, Randall C. Thompson, Horus Team, Margaret Gatz, Jonathan Stieglitz, Caleb E. Finch, Michael Gurven, Hillard Kaplan

ESI Publications

Poor oral health is associated with cardiovascular disease and dementia. Potential pathways include sepsis from oral bacteria, systemic inflammation, and nutritional deficiencies. However, in post-industrialized populations, links between oral health and chronic disease may be confounded because the lower socioeconomic exposome (poor diet, pollution, low physical activity) often entails insufficient dental care. We assessed tooth loss, caries, and damaged teeth, in relation to cardiovascular and brain aging among the Tsimane, a subsistence population living a relatively traditional forager-horticulturalist lifestyle with poor dental health, but minimal cardiovascular disease and dementia. Dental health was assessed by a physician in 739 participants aged …

Pain Limits Family Caregivers’ Daily Activities, Shelbie G. Turner, Karl A. Pillemer, Jamie Robinson, M. Cary Reid

Population Health Research Brief Series

Family caregivers are the main providers of home care to older adults, especially as the prevalence of Alzheimer’s disease and related dementia rises. Caregiving can take a toll on caregivers’ physical and mental health, which impacts both their own well-being and their care recipients’ health outcomes. This brief summarizes findings from a study that used data from the 2017 National Study on Caregiving (NSOC) to estimate the prevalence of arthritis and activity-limiting pain among 1,930 family caregivers to older adults. Over half of all caregivers reported bothersome pain in the previous month, 24% of whom had pain that limited their …

Why Is Food Insecurity High Among U.S. Grandparents Who Are Caring For Grandchildren?, Madonna Harrington Meyer, Anna Delapaz

Population Health Research Brief Series

One in four grandparent-headed families report food insecurity, compared to one in seven among all families with children. Generally, the more care grandparents provide for their grandchildren, the more likely they are to be food insecure. This brief summarizes finding from interviews conducted in 2021 with U.S. adults ages 60 and older who are caring for their grandchildren. The authors summarize the factors contributing to food insecurity among grandparents and call for better policies to assist food-insecure grandparents providing care for their grandchildren as they grapple with inadequate funds, burdensome food assistance programs, inadequate transportation, shortages of fresh foods, and …

Identifying Barriers To Mental Health Services Utilization For Black Youth In The United States: A Qualitative Study, Emily Stein, Matthew Hutnyan, Neely Myers

SMU Journal of Undergraduate Research

Mental health in Black communities and racial/ethnic disparities in mental health service utilization remain growing concerns. Evidence suggests that psychotic disorders may be more prevalent among Black individuals than white individuals and the Black community faces barriers to care that can negatively influence outcomes. To better understand these barriers, we interviewed mental healthcare providers (n = 11) and Black young adults with first-person experience of psychosis (n = 13) about the experiences of minority young adults with mental health treatment. We analyzed interview transcripts and, consistent with constructivist grounded theory methods, identified iterative patterns across individuals about barriers to care. …

Lifespace Patterns Of College Students High And Low In Personal Intelligence, John D. Mayer

UNH Personality Lab

Personal intelligence (PI) refers to the capacity to accurately reason about personality in oneself and other people. We hypothesize that people who are higher in personal intelligence differ from others in their relationships and behaviors. We conducted a series of theoretically-guided studies to examine how PI is associated with a person’s self-reported activities, interactions, situations, and group memberships: their lifespace. In two archival and three new studies of college students (Ns = 385, 358, 1186, 416, 696, respectively) we first identified 15 short, factor-based scales describing aspects of college students’ lifespace that are potentially relevant to personal intelligence. …

Graying Incarcerated Persons And Education Programs In Nigerian Correctional Centre, Ijeoma B. Uche Phd, Agnes E. Okafor Phd, Okala A. Uche Phd *Corresponding Author

Journal of Prison Education Research

Correctional education programs are rehabilitation programs designed for incarcerated persons in Nigerian correctional institutions. However, getting the graying incarcerated persons to participate in education programs becomes quite challenging. This study investigates graying incarcerated persons and education programs in one correctional centre. Data were collected qualitatively from fifteen (15) incarcerated individuals aged 60 years and above using semi-structured interviews. Thematic analysis was employed in analyzing the data generated for the study. Findings show that there are no available education programs for graying incarcerated individuals. The study also revealed that designing education programs in such a way that it will accommodate the …

The Impact Of Interaction Time And Verbal Engagement With Personal Voice Assistants On Alleviating Loneliness Among Older Adults: An Exploratory Study, Changmin Yan, Kate Johnson, Valerie Jones

College of Journalism and Mass Communications: Faculty Publications

Background: Loneliness in older adults is a critical issue that negatively affects their well-being. The potential of personal voice assistant (PVA) devices like Amazon’s Alexa Echo in reducing loneliness is an emerging area of interest, but it remains under-researched. Objective: this study aims to investigate the effect of interaction time and verbal engagement with PVA devices on reducing loneliness among older adults living alone. Method: In this experiment, individuals aged 75 and older (n = 15), living alone, were provided with Amazon Alexa Echo devices. They were instructed to interact with the device at least five times a day …

Perceptions Of Competence Development In The Field Of Gerontology And Dementia, Janice Braxton

Walden Dissertations and Doctoral Studies

No abstract provided.

Cognitive Functioning Among U.S. Older Adults Differs By Gender And Urbanicity, Elizabeth Lawrence, Samantha John, Tirth Bhatta

Population Health Research Brief Series

There are no widely accessible and effective medical therapies to prevent or treat Alzheimer’s disease and related dementias for the U.S. older adult population, making prevention of cognitive decline particularly important. Many social factors shape cognitive functioning, leading to disparities in cognitive functioning across groups and geographic areas. This data slice uses data from the Health Retirement Study to describe how cognitive functioning among adults ages 50+ differed by gender and across urban, suburban, and ex-urban areas in the U.S. from 1999-2016. The results show that cognitive functioning was higher among women than men, but these gender differences varied by …

Systemic Racism And Covid-19: Vulnerabilities With The U.S. Social Safety Net For Immigrants And People Of Color, Adam M. Butz, Jason E. Kehrberg

Journal of Public Management & Social Policy

America has a mythologized reputation as an accommodative “melting pot” nation that welcomes individuals from all races and countries seeking improved quality of life and reduced material hardship. However, our U.S. social welfare system is more broadly characterized as underdeveloped, restrictive, and exclusionary, especially toward immigrants and people of color. Public health benefits (e.g., Medicaid), food assistance programs (e.g., SNAP), rental assistance (e.g., HCV/Section 8), and cash assistance (e.g., TANF) are oftentimes restricted for immigrants and racial minorities, making them more vulnerable to material hardship and more exposed to pandemic conditions under COVID-19. Moreover, these welfare restrictions are oftentimes rooted …

Age-Related Delay In Reduced Accessibility Of Refreshed Items, Julie A. Higgins, Matthew R. Johnson, Marcia K. Johnson

Department of Psychology: Faculty Publications

Previously we demonstrated that in young adults briefly thinking of (i.e., refreshing) a just-seen word impairs immediate (100ms delay) perceptual processing of the word, relative to words seen but not refreshed. We suggested that such reflective-induced inhibition biases attention towards new information. Here, we investigated whether reduced accessibility of refreshed targets dissipates with a longer delay, and whether older adults would show a smaller and/or delayed effect, versus young adults. Young and older adult participants saw two words, followed by a cue to refresh one. After either a 100ms or 500ms delay, participants read a word that was the …

Dukungan Sosial Dari Orang Tua Asuh Kepada Anak Berhadapan Dengan Hukum Dalam Proses Rehabilitasi Sosial, Muhamad Rizky Hidayat, Annisah Annisah, Dwi Amalia Chandra Sekar

Jurnal Ilmu Kesejahteraan Sosial

The social rehabilitation process in which children face legal conflict is not easy, especially when they are far from their families. This article aims to examine the forms and benefits of social support from foster parents to Children in Conflict with the Law (ABH) who are undergoing the process of social rehabilitation. Descriptive qualitative research was conducted at the Social Rehabilitation Center for Children who Need Special Protection (BRSAMPK). This research was conducted in March-July 2021. Data collection was carried out through in-depth interviews with 13 informants, consisting of children in conflict with the law, heads of social services and …

The Intersection Of Family Environment, Personality Development, And Life Satisfaction, Ché Malik Ashé

Theses and Dissertations

This study explores the interplay between family environment, parental bonding, personality traits, personality dysfunction, and life satisfaction among college undergraduates. Participants were comprised of college undergraduates (N = 736; 79% female) and we obtained measures of big five personality dimensions, parental bonding, family environment, personality dysfunction, and life satisfaction. Findings indicate that emotional stability is the strongest predictor of life satisfaction, while negative affect is strongly correlated with personality dysfunction. Paternal bonding and family environment were particularly influential in shaping personality traits, which in turn impacted life satisfaction. Additionally, personality dysfunction traits show a stronger correlation to parental care than …

The Effect Of The Gocomm Educational Intervention On Physician Distress Surrounding Goc Conversations Using The Physician Distress Inventory (Pdi), Thomas Anthony Bozzo

Theses and Dissertations

End-of-life (EOL) care refers to the medical, emotional, and practical support provided to individuals who are nearing the end of their lives. Goals of care (GOC) discussions involve physician exploration of patient beliefs and values, though they do not need to be primarily focused on end-of-life health-care decisions. Engaging in EOL/GOC conversations has been linked to increased quality of life, decreased healthcare costs, and more frequently receiving care in line with patient preferences. Barriers to these discussions occurring exist at both the clinician-level (e.g., inadequate communications training) and the patient-level (e.g., heightened death anxiety). This study aimed to determine if …

Progression Magazine, 2023-2024, Coastal Carolina University

Progression Magazine

Magazine of the Gupta College of Science at Coastal Carolina University.

Strategies For Integrating Aging And Older Adulthood Into Counselor Training, Matthew C. Fullen, Jordan Westcott, Kailey Bradley, Natese R. Dockery, Jungeun Lee, Rumbidzai Mushunje, Afroze N. Shaikh

Adultspan Journal

Following recent changes to Medicare mental health law, counselors will have expanded opportunities to work with older adults. Historically, there has been a dearth of counselor training dedicated to counseling older adults, necessitating greater attention to understanding and applying best practices for preparing counselors to serve older adult clients. Looking to professions that have a longer history of serving older adults, specifically gerontology, social work, and geropsychology, we describe approaches to training counselors to work with older adults that may prove helpful for the counseling profession.

A Multidisciplinary Approach To Identify Postoperative Delirium In Geriatric Patients Using A Brain Health Screening Tool, Ashlyn Mccartney

Graduate Theses, Dissertations, and Problem Reports (ETD)

Postoperative delirium (POD) is a common occurrence, effecting nearly 61% of the surgical population recovering from anesthesia. POD increases risk of morbidity and mortality leading to prolonged hospital length of stay by 0.8 to 7.3 days and increased costs by $1,551 to $23,698 (Masharaf et al., 2022; Sethi, 2021). An academic medical center in northern West Virginia (WV) lacks a structured practice/protocol to identify high risk patients and assess POD. An evidence-based solution was developed based on the PICO question: Does a multidisciplinary approach to perianesthetic care utilizing a brain health screening tool, compared to lack of a screening tool, …

Subjective Cognitive Decline: Examining The Contributions Of Adverse Childhood Experiences And Social Determinants Of Health, Amber Victoria Rusch

Graduate Theses, Dissertations, and Problem Reports (ETD)

Subjective cognitive decline is one’s awareness of their own consistent memory loss or confusion that interrupts their day-to-day activities (CDC, 2022; Roehr et al., 2017). Several risk factors for subjective cognitive decline, such as demographic social determinants of health (SDOH) and adverse childhood experiences (ACEs) have been identified through previous research (Alzheimer’s Association, 2016; Dening & Sandilyan, 2015); however, less is known about the interaction between demographic SDOH and ACEs on subjective cognitive decline. The current study sought to examine how demographic SDOH (i.e., age, sex, race, and education) (research question 1) and ACEs (i.e., physical abuse, sexual abuse, and …

Generations Growing Together: Intergenerational Learning As A Pedagogical Strategy In Early Childhood Education And Care Services. A Handbook For Practitioners And Trainers, Anne Fitzpatrick

Books/Book chapters

Despite being the oldest form of learning, IGL has declined steadily over time due to wide-ranging social, cultural, economic and demographic changes. Children in the Western world are growing up in smaller, geographically dispersed family circles and, consequently, have fewer opportunities to interact with different age groups and to see themselves as part of a multigenerational society. Older people are living longer, yet are frequently separated from their families by distance, migration and family breakdown and, more recently, by COVID-19. Additionally, with the increasing attendance at age-segregated services, including preschools and care homes, traditional places and opportunities for age groups …

Can Workers And Their Families Live On A Living Wage?, Sandra Wexler, Soobin Kim, Rafael J. Engel, Jihee Woo, Jeff Shook

The Journal of Sociology & Social Welfare

Many lower-wage workers’ earnings are insufficient to cover expenses such as food, housing, medical care, or transportation. While there are efforts to raise the federal and state minimum wage levels, including proposals to raise the minimum wage to $15, an alternative approach is to offer a living wage, that is a wage sufficient to meet these basic needs. We explored whether incomes above a basic needs budget threshold reduced or eliminated material hardships using a sample of 232 unionized lower-wage hospital workers. We collected data using an online survey. Basic needs budget thresholds were obtained from the MIT Living Wage …

Getting To Disability Justice: A Critical Conceptual Review Of Disability Models In U.S. Social Work, Kathryn M. Wright

The Journal of Sociology & Social Welfare

In 1983, scholar Mike Oliver coined the term the “social model of disability.” While the medical model presents disability as an inherent, immutable, and pathological defect, the social model suggests that disability emerges from external and social barriers (Oliver, 1983). Little research within social work has engaged with sociocultural paradigms of disability and how they might impact social work practice. American social workers generally approach disability as a biological category and an obvious deficit. This paper draws attention to the need to analyze the category of disability through social and cultural lenses in social work research and practice. Via a …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Fp-24-17 Older Adults Living With An Adult Roommate Or Sibling, 2022, Jaden Loo, Krista K. Westrick-Payne

National Center for Family and Marriage Research Family Profiles

Since the mid-1960s, the living arrangements of older adults (those aged 50 and above) have shifted significantly. Today, most older adults either live alone, with a spouse, or with a partner (Ausubel, 2020; Vespa, 2017). Although the proportion of older adults living with a spouse remains stable (Vespa, 2017), a declining share of older adults lives alone (Stepler, 2020) and an increasing share are in multigenerational households (Washington, Gryn, Anderson, & Kreider, 2023). However, less is known about other living arrangements, such as living with roommates (home sharing) or siblings. Previous research by the NCFMR revealed an increase in the …

A Causal Discovery Exploration Of Determinants Of Social Isolation, Barry Nuqoba, Kenneth Choo, Yi Wen Tan, William Tov

ROSA Research Briefs

In this report, we explore the potential causes of social isolation among older adults in Singapore using causal discovery. We found an inferred causal relationship between perceived helpfulness and social isolation, where older adults who perceived themselves as helpful were less likely to perceive themselves as socially isolated. Our study also found that perceived isolation and loneliness may be distinct concepts among older adults in Singapore, with loneliness being more likely to precede social isolation. Policy recommendations include promoting a sense of helpfulness through programs such as volunteering to reduce social isolation.

Empowering Caregivers In The Prevention Of Clinical Delirium For At Risk Older Adults Boarding In The Emergency Department Setting, Danielle Brewer

DNP Projects

Background: Emergency Department (ED) overcrowding is a global healthcare crisis documented in the literature for more than a decade, impacting patient outcomes and resource availability. While awaiting delayed transfer to an inpatient room, older adults in the ED remain vulnerable to developing acute delirium. Boarding potentiates the risk for worsening health outcomes, which are further compounded by delirium. Scarcity of resources and time constraints delay delirium detection and increase risk for down-stream hospital-acquired complications, higher cost, and prolonged length of stay. Current ED models do not prioritize caregiver partnership or involvement in delirium-conscious care, which is a holistic approach to …

A Qualitative Analysis Of Community-Dwelling Older Adults’ Perspectives Of Elderspeak, Katelynn Shimanski

All Graduate Theses, Dissertations, and Other Capstone Projects

Compared to other forms of discrimination, ageism, and specific forms of ageism such as elderspeak are understudied. Despite the fact that the majority of older adults are community-dwelling, much of the existing literature on elderspeak focuses on caregiver perceptions on elderspeak occurring in assisted living facilities and nursing homes. The present study analyzed community dwelling older adult’s perceptions of elderspeak using their personal examples of experiences of elderspeak. Results indicated that the majority of participants had negative perceptions of elderspeak that would likely not be influenced by changes in contextual factors such as setting, relationship to the speaker, and gender …