Digital Commons Network^™

Perceptions Of Chronic Disease Among Older African Americans: A Qualitative Analysis, Karon Phillips, Charles Rogers, Adrienne Morgan

Journal of Health Disparities Research and Practice

Research has documented that African Americans suffer disproportionately from chronic diseases when compared to the general population. Yet, limited research examines older African Americans’ perceptions about having chronic diseases. Accordingly, the first aim of the study provided insight into this disparity with the intent of revealing how older African Americans feel about their overall health, and how much they understand about their individual chronic disease(s). The second aim was to gather information about strategies and coping mechanisms older African Americans use to manage their chronic diseases. The purpose of this aim was to determine if any of the strategies they …

Adult Day Service Providers: Untapped Potential For Care Coordination, Nicole Ruggiano, Ellen L. Brown, Karen L. Fortuna

Nursing & Health Sciences Research Journal

Adult Day Services (ADS) have become increasingly available for community-dwelling older adults who are often experiencing multiple chronic conditions and/or dementia. ADS providers spend a significant amount of time with their clients and offer the opportunity for a wealth of clinical information that can be used by primary care providers and specialists for decision-making about patient care. There are also opportunities for hospitals to coordinate care transitions with ADS providers by involving them with discharge planning with appropriate patients who require post-hospital care. However, ADS providers are often viewed as social service providers, and there is little known about the …

Ethical Issues In Conducting Community-Based Participatory Research: A Narrative Review Of The Literature, Crystal Kwan Ms., Christine A. Walsh

The Qualitative Report

Community-based participatory research (CBPR) is a methodology increasingly used within the social sciences. CBPR is an umbrella term that encompasses a variety of research methodologies, including participatory research, participatory action research, feminist participatory research, action research, and collaborative inquiry. At its core, they share five key attributes: (i) community as a unit of identity; (ii) an approach for the vulnerable and marginalized; (iii) collaboration and equal partnership throughout the entire research process; (iv) an emergent, flexible, and iterative process; and (v) the research process is geared toward social action. While there is no shortage of literature that highlights the benefits …

Putting The Patient Back In Patient Care: Health Decision-Making From The Patient’S Perspective, Bill R. Garris, Amy J. Weber

The Qualitative Report

This research explored health decision-making processes among people recently diagnosed with type 2 diabetes. Our analysis suggested that diagnosis with type 2 was followed by a period of intense emotional and cognitive disequilibrium. Subsequently, the informants were observed to proceed to health decision-making which was affected by three separate and interrelated factors: knowledge, self-efficacy, and purpose. Knowledge included cognitive or factual components and emotional elements. Knowledge influenced the degree of upset or disequilibrium the patient experienced, and affected a second category, agency: the informants’ confidence in their ability to enact lifestyle changes. The third factor, purpose, summarized the personal and …

Early Detection Of Mild Cognitive Impairment In Elderly Through Iot: Preliminary Findings, Hwee-Xian Tan, Hwee-Pink Tan

Research Collection School Of Computing and Information Systems

Mild Cognitive Impairment (MCI) results in the gradual decline in a person’s cognitive abilities, and subsequently an increased risk of developing dementia. Although there is no cure for dementia, timely medical and clinical interventions can be administered to elderly who have been diagnosed with MCI, to decelerate the process of further cognitive decline and prolong the duration that they enjoy quality of life. In this paper, we present our preliminary findings of early detection of MCI in elderly who are living in the community, through the use of Internet of Things (IoT) devices for continuous, unobtrusive sensing. Multimodal sensors are …

Technologies For Ageing-In-Place: The Singapore Context, Nadee Goonawardene, Pius Lee, Hwee Xian Tan, Alvin C. Valera, Hwee-Pink Tan

Research Collection School Of Computing and Information Systems

The number of elderly citizens aged 65 and above in Singapore, is expected to double from 440,000in 2015, to 900,000 by 2030. Along with this “Silver Tsunami” is the upward trend of the numberof elderly who are living alone — which is estimated to increase from 35,000 in 2012 to 83,000 by2030. These exclude elderly who are alone at home when their family members are working.Elderly who are staying alone are at higher risk of social isolation and tend to have poorer accessto healthcare. In addition, the general elderly population is typically more susceptible to deteriorating health conditions, which can …

Dreaming Of Eden: A Sociological Inquiry Into Sacred Selves And Public Places, Donald J. Ebel

Sociology Department Publications

A diverse literature from several different disciplines addresses the issues of identity, settings and spirituality. This paper focuses upon drawing these traditions together in order to understand the relationship from a more holistic perspective, and to discern to what degree the three domains interact in a sociological sense. Several hypotheses are tested to discover if setting influences the salience of people’s spiritual identity or the levels of their spiritual transcendence, as well as whether or not age, controlling for other factors, explains or influences these two aspects of spiritual expression. Findings indicate that neither setting nor age significantly influence identity …

''It’S A Win-Win Situation” – Intergenerational Learning In Preschool And Elder Care Settings: An Irish Perspective, Carmel Gallagher, Anne Fitzpatrick

Articles

This paper explores the level and sustainability of intergenerational practice in early years and elder care settings in Ireland. The paper is based on a small-scale research study involving interviews with sta in ve organizations and builds on ndings from previous research conducted for the TOY project (http://www.toyproject.net). The paper examines the pedagogies involved as well as the community context of intergenerational practice in early years and elder care settings. The ndings highlight that sustainable intergenerational practice is facilitated by strong pedagogies that support active and relational learning across the life course and by being embedded in robust community networks.

Smart Cities And Urban Management, Singapore Management University

Research Collection Office of Research

In this booklet, read about SMU’s research and initiatives related to smart cities and urban management, and how we strive to make meaningful impact on business, government and society for Singapore and beyond.

Contents:

Liveability and quality of life

• Community participation through mobile crowdsourcing
• Smarter, healthier eating with Food AI
• Data-driven community eldercare platform for sustainable ageing-in-place
• A date with AI
• Smart mobility accessibility for barrier-free access
• Food security

Optimisation and resource management

• Collaborative urban delivery optimisation
• Seat occupancy detection through capacitance sensing
• Large-scale crowd simulation based on real-world data
• Gaining insights through Wi-Fi technology
• Taxi driver guidance system
• Efficiency …

Making A University Community More Dementia Friendly Through Participation In An Intergenerational Choir, Phyllis Braudy Harris, Cynthia A. Caporella

2018 Faculty Bibliography

A dementia friendly community is one that is informed about dementia, respectful and inclusive of people with dementia and their families, provides support, promotes empowerment, and fosters quality of life. This study presents data from four cohorts of undergraduate college students and people with dementia and their family members, using an intergenerational choir as the process through which to begin to create a dementia friendly community. This was accomplished by breaking down the stereotypes and misunderstandings that young adults have about people with dementia, thus allowing their commonalities and the strengths of the people living with dementia to become more …

A New Measure For End Of Life Planning, Preparation, And Preferences In Huntington Disease: Hdqlife End Of Life Planning, Noelle E Carlozzi, E A Hahn, S A Frank, J S Perlmutter, N D Downing, M K Mccormack, S Barton, M A Nance, S G Schilling, Hdqlife Site Investigators And Coordinators

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Huntington disease is a fatal inherited neurodegenerative disease. Because the end result of Huntington disease is death due to Huntington disease-related causes, there is a need for better understanding and caring for individuals at their end of life.

AIM: The purpose of this study was to develop a new measure to evaluate end of life planning.

DESIGN: We conducted qualitative focus groups, solicited expert input, and completed a literature review to develop a 16-item measure to evaluate important aspects of end of life planning for Huntington disease. Item response theory and differential item functioning analyses were utilized to examine …

Making A University Community More Dementia Friendly Through Participation In An Intergenerational Choir., Phyllis Braudy Harris, Cynthia A. Caporella

2018 Faculty Bibliography

A dementia friendly community is one that is informed about dementia, respectful and inclusive of people with dementia and their families, provides support, promotes empowerment, and fosters quality of life. This study presents data from four cohorts of undergraduate college students and people with dementia and their family members, using an intergenerational choir as the process through which to begin to create a dementia friendly community. This was accomplished by breaking down the stereotypes and misunderstandings that young adults have about people with dementia, thus allowing their commonalities and the strengths of the people living with dementia to become more …

Mapping Quality Of Life In Nebraska: Population Distribution By Race, Ethnicity, And Age, Sarah Taylor, Maria Rosario T. De Guzman, Grant Daily, Rodrigo Cantarero, Soo-Young Hong, Aileen S. Garcia, Jeong-Kyun Choi, Yan Xia

Mapping Quality of Life in Nebraska

KEY POINTS

This section details key points from the data on racial, ethnic, and age groups across Nebraska.

RACIAL AND ETHNIC MINORITIES IN NEBRASKA

• The proportions of Nebraska’s racial and ethnic minority populations tend to be smaller by 4% (i.e., Asian) to 8% (i.e., Black or African American, Hispanic/Latino) than those of the US, except for the Hawaiian and Pacific Islander and American Indian and Alaska Native populations (i.e., smaller only by 0.1% to 0.2%).

• Nebraska’s urban areas, which comprise 73.1% of the Nebraska population, have higher numbers of racial and ethnic minorities than suburban or rural areas. …

The Effects Of A Cognitive Training Program For Cognitively Intact Older Adults, Caroline Kinskey

All Graduate Theses, Dissertations, and Other Capstone Projects

Cognitive training is a term used to describe programs that provide guided practice on tasks requiring different cognitive abilities such as memory or language. It is assumed that regular practice will improve or maintain functioning in a particular cognitive domain (e.g., memory) and those results will generalize beyond the context of training. Results have been mixed in the existing literature that has evaluated the potential benefits of cognitive training on cognitive and emotional functioning in cognitively intact older adults. This study investigated the effectiveness of a cognitive training program for older adults with no to very minimal cognitive decline. Nine …

Differences In The Perceptions Of Gerotranscendence Between Certified Nursing Assistants And Older Adults, Amanda Perera

All Graduate Theses, Dissertations, and Other Capstone Projects

Many theories of aging have been proposed within the field of gerontology to explain both psychological and social changes that occur during the aging process. One of the theories is the theory of gerotranscendence, which explains that as individuals age they develop a new perspective on life that allows the aging individual to shift their conceptualization of the world, from a materialistic and rational view to a more transcendent and universal view. Previous research suggests that some behaviors associated with gerotranscendence have been misinterpreted as pathological. The purpose of this current study was to examine whether there are significant differences …

Bullying In Senior Living Facilities: Resident Perspectives, Kathryn Ira

All Graduate Theses, Dissertations, and Other Capstone Projects

Research associated with resident-to-resident bullying in senior living facilities (i.e., senior bullying), has been growing in recent years due to anecdotal stories in the popular press. Few studies, however, have assessed resident-to-resident bullying from the perspective of residents. Therefore, the purpose of the current study was to better understand the phenomenon of senior bullying as observed by residents in senior living facilities. Nineteen individuals residing in senior living facilities were interviewed about their observations and opinions related to senior bullying at their facility. Results indicated that 52.9% of residents had observed senior bullying at least once. Verbal and social bullying …

Envisioning A Watertown For All Ages, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

Watertown for All Ages is a group of residents working to improve the livability of Watertown for residents of all ages and abilities. They work closely with the Watertown Council on Aging/Senior Center. The Watertown Council on Aging/Senior Center provides a variety of social, health, educational, recreational, advocacy, and support programs designed to help Watertown’s older adults age well in the community. Services provided to seniors living in the community range from transportation support to nutrition services and social services, along with a range of programs and activities meant to enhance well-being and quality of life. Similar to many Councils …

Biological Factors In The Stem Gender Gap, Yamina Nater-Otero

Theses, Dissertations and Culminating Projects

The Gender gap in STEM is a long-term problem that has only recently been addressed. Research has just begun to delve into why so few women pursue university degrees in the STEM fields and even less enter the STEM workforce. This research will examine the evolutionary factors which contributed to the gender gap, such as offspring investment, greater investment in male offspring, and female risk aversion. Despite the fact that there are plenty of modern advances which should compensate for these factors, there are societal stigmas against women in the STEM workplace which allow the gender gap to continue. Societal …

Using Person-Centered Scheduling With Geriatric Patients To Reduce Anxiety With Telepsychiatry, Jody Long, Patricia A. Wilkerson, Evi Taylor, John Hall, Christopher Peters

Research, Publications & Creative Work

This study explored using person-centered scheduling with telepsychiatry for rural community geriatric patients. Quantitative research approaches were used to determine the level of satisfaction participants experienced with person-centered scheduling and geriatric telepsychiatry. Quantitative data were collected by using the Zung Self-Rating Anxiety Scale (SAS) before scheduling the first appointment and to assess the intervention’s effectiveness after the telepsychiatry session. Person-centered telepsychiatry scheduling decreased geriatric patients’ anxiety as evidenced by Zung SAS scores. Conclusion: Older adult patients saw telepsychiatry as a viable means of treatment. Future research with geriatrics from different regions is needed. Implications and future directions include exploring patient …

Repetitive Questioning Ii, Ronald C. Hamdy, Amber Kinser, A. Depelteau, J. V. Lewis, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

ETSU Faculty Works

Repetitive questioning is a major problem for caregivers, particularly taxing if they are unable to recognize and understand the reasons why their loved one keeps asking the same question over and over again. Caregivers may be tempted to believe that the patient does not even try to remember the answer given or is just getting obnoxious. This is incorrect. Repetitive questioning is due to the underlying disease: The patient’s short term memory is impaired and he is unable to register, encode, retain and retrieve the answer. If he is concerned about a particular topic, he will keep asking the same …

Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

ETSU Faculty Works

Insomnia is a common problem in older people, especially in patients with mild cognitive impairment (MCI) whose circadian rhythm is often compromised. Insomnia exerts such a toll on caregivers that it is frequently the primary reason for seeking to institutionalize their loved ones. Three different types of insomnia are recognized: sleep-onset or initial insomnia, sleep maintenance or middle insomnia, and early morning awakening or late insomnia. Nocturnal hypoglycemia, as a cause of middle insomnia, is the main focus of this case study. Other types of insomnia are also briefly reviewed. The management of insomnia is then discussed including sleep hygiene, …

Impulsive, Disinhibited Behavior—Dining In A Restaurant, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen

ETSU Faculty Works

Dining in a restaurant with a loved one who has dementia can be an ordeal, especially if the expectations of the caregiver do not match those of the patient and the restaurant environment is not suitable for patients with dementia. The size of the dining area, lighting, background music or noise, décor of the room, number of customers, variety of the items on the menu, number of plates and cutlery on the table, in addition to flowers, candles, and other decorations on the table are all potent distractors. There are so many stimuli; the patient can be overwhelmed with information …

Visual Hallucinations And Paranoid Delusions, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen, J. Culp

ETSU Faculty Works

Visual well-formed hallucinations, fluctuations in the level of cognition, and alertness and extrapyramidal signs are core features of dementia with Lewy bodies. Some patients realize that what they are seeing or hearing are just hallucinations and learn to accept them. Others, however experience these hallucinations as quite real and cannot be dissuaded from the firm belief that they are. In fact, efforts to dissuade them often serve only to confirm the often associated paranoid delusions and this may lead to a catastrophic ending. Hence, it is best not to contradict the patient. Instead, attempts should be made to distract the …

Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp

ETSU Faculty Works

Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the …

Agnosia Interferes With Daily Hygiene In Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Jennifer E. Culp, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

ETSU Faculty Works

Patients with dementia, particularly Alzheimer’s disease, may not recognize that their clothes are dirty. They may see the food stains and discoloration of the clothes and yet because of their agnosia are unable to integrate these observations and deduce that their clothes are dirty and need to be changed. They will, therefore, resist attempts to get them to change clothes, especially if these clothes happen to be their favorite ones. This often causes caregivers to become frustrated, especially, if it represents a change in the patient’s previous habits of only wearing clean clothes. In this case study, we present a …

Fronto-Temporal Dementia, Diabetes Mellitus And Excessive Eating, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen

ETSU Faculty Works

Diabetes mellitus is common among older people. Hypoglycemia is a sign of poorly controlled diabetes mellitus and may lead to irritability, agitation, anxiety, hunger, and an excessive food intake, which in turn may make the control of diabetes more difficult. Excessive, inappropriate food intake is also a sign of Fronto-Temporal Dementia (behavioral variant: bvFTD). In this case study, we describe the events leading to an altercation that developed between an older diabetic patient with bvFTD and the staff in an Assisted Living Facility. His first dose of insulin was given early that morning while he was still asleep. He, subsequently, …

Repetitive Questioning Exasperates Caregivers, Ronald C. Hamdy, J. V. Lewis, Rebecca Copeland, Audrey Depelteau, Amber Kinser, Tracey Kendall-Wilson, Kathleen Whalen

ETSU Faculty Works

Repetitive questioning is due to an impaired episodic memory and is a frequent, often presenting, problem in patients with Alzheimer’s disease (amnestic type). It is due to the patients’ difficulties learning new information, retaining it, and recalling it, and is often aggravated by a poor attention span and easy distractibility. A number of factors may trigger and maintain repetitive questioning. Caregivers should try to identify and address these triggers. In the case discussion presented, it is due to the patient’s concerns about her and her family’s safety triggered by watching a particularly violent movie aired on TV. What went wrong …

Erratum: A Comprehensive Analysis Of Morbidity Life Expectancies Among Older Hispanic Subgroups In The United States: Variation By Nativity And Country Of Origin (Table 3 & Figure 2), Marc A. Garcia, Catherine Garcia, Chi-Tsun Chiu, Mukaila Raji, Kyriakos S. Markides

Department of Sociology: Faculty Publications

No abstract provided.

Age Of Migration And The Incidence Of Cognitive Impairment: A Cohort Study Of Elder Mexican-Americans, Marc A. Garcia, Adriana M. Reyes, Brian Downer, Joseph L. Saenz, Rafael A. Samper-Ternent, Mukaila Raji

Department of Sociology: Faculty Publications

Background and Objectives: To explore nativity and age of migration differentials in the incidence of cognitive impairment among older Mexican-Americans. Research Design and Methods: We employ maximum-likelihood discrete time hazard models to estimate risk ratios of cognitive impairment in a sample of 2,708 Mexican-Americans 65 and older who were cognitively healthy at baseline over a follow-up period of up to 20 years. Results: Late-life immigrant women have a 46% higher risk of cognitive impairment compared to U.S.-born Mexican- American women. Conversely, midlife immigrant men have a 29% lower risk of cognitive impairment compared to U.S.- born Mexican-American men. The incidence …

The Role Of Education In The Association Between Race/Ethnicity/Nativity, Cognitive Impairment, And Dementia Among Older Adults In The United States, Marc A. Garcia, Joseph Saenz, Brian Downer, Rebeca Wong

Department of Sociology: Faculty Publications

BACKGROUND—Older Black and Hispanic adults are more likely to be cognitively impaired than older White adults. Disadvantages in educational achievement for minority and immigrant populations may contribute to disparities in cognitive impairment.

OBJECTIVE—Examine the role of education in racial/ethnic and nativity differences in cognitive impairment/no dementia (CIND) and dementia among older US adults.

METHODS—Data comes from the 2012 Health and Retirement Study. A total of 19,099 participants aged ≥50 were included in the analysis. Participants were categorized as having normal cognition, CIND, or dementia based on the Telephone Interview for Cognitive Status (TICS) or questions from a proxy interview. We …