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A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a …

Strategies And Substance Treatment: Perceptions Of Older Adults 60 And Over, Kim Malveo Jones

Electronic Theses, Projects, and Dissertations

The purpose of this study was to gather the perceive strategies and substance treatment needs of adults 60 and over. To examine what recovery treatment models and strategies could be most effective for the age-related complex needs of the 60 and over population who are at risk for substance misuse, use or abuse. In the coming years, there will be a substantial increase in the numbers of older adults with substance misuse and abuse problems. Even though one in five individuals who experience substance abuse are older adults many clinicians remain ill equipped to serve older clientele, and particularly those …

Understanding The Role Of Driver, Vehicle, Environment, And Policy Factors In Crash Injury Severity Among Older Adults In The United States, Chae Man Lee

Graduate Doctoral Dissertations

Driving is related to quality of life and health outcomes. Older drivers involved in car crashes have a higher risk of experiencing a severe injury or fatality. Understanding factors related to injury severity may identify points of intervention to promote road safety. The purpose of this study is to investigate how individual characteristics, vehicle elements, environmental elements, and driving licensing policy are associated with level of injury severity from no injury to fatal injury resulting from car crashes. Furthermore, this dissertation research utilizes the Geographic Information System (GIS) process to visualize the location of crashes and to identify the hot …

Multiple Roles In Later Life: Role Enhancement And Conflict And Their Effects On Psychological Well-Being, Emma D. Quach

Graduate Doctoral Dissertations

Holding both work and family roles can be a central experience for men and women, young or old. Yet, to date, the bulk of knowledge on holding roles in both domains is specific to young adults, a critical gap as conditions warrant longer work life. This inquiry thus focused on older working men and women (over 50 years of age) with at least one family role (spouse, parent of adult children, caregiver to an aging parent, or grandparent). With survey data from the Health and Retirement Study in 2010 and 2012, latent profile analysis, path analyses, and regressions were conducted …

End Of Life Care For The Incarcerated, Codie Robinson

Dialogue & Nexus

As the prison population ages, a new need has come to light – caring for those who are in the final stage of life. This paper will examine the current end of life services provided to those in prison throughout the United States. After a general awareness of the system is presented, a more complete discussion of end of life care for prisoners will be considered, in light of ethics, social justice, and the Christian perspective. The two care options presented, hospice care and compassionate release, are observed through these lenses. In order to make a decision on how to …

A Preliminary Investigation Of Empirically Based And Spiritually Based Marital Enrichment Programs, Laura Jacobi

The Qualitative Report

Similarities and differences of two empirically based marital enrichment programs, Prevention and Relationship Enhancement Program (PREP) and Couple Communication (CC), and two spiritually based marital enrichment programs, Couples’ Temperament Workshop and Heirs Together were examined. Using published literature and observation, foundations, goals, content, and outcomes were considered. Programs contained similar goals and content, with core curriculum surrounding communication skills and conflict management. Although outcome information is unavailable upon the spiritually based programs, it is possible that these programs may be as effective as empirically based programs validated through research considering the similarities in core curriculum; however, research is needed to …

The Roles Of Race And Empathy On Contagious Yawning, Daroon M. Jalil

Senior Honors Projects, 2010-2019

Social Psychologists often consider race to be a marker of in-group or out-group status. When looking at race, implicit bias can take forms that are more subtle than outwards racism. Two research questions were asked in this study to better understand the psychology behind racial issues. The first question was if the number of contagious yawns (CY) a person experiences depends on the race of the stimuli being viewed. Contagiously yawning more to in-group members is a phenomena seen in chimpanzees, but has not been studied in humans in a racial context. Black and white males and females were recruited …

Primetimes Newsletter, Spring 2017, Office Of Lifespan Studies

PrimeTimes Newsletter

PrimeTimes is the newsletter of the Office of Lifespan Studies in the College of Science at Coastal Carolina University.

The Emotional Cost Of Caring: Compassion Fatigue Experienced By Nurse Staff On An Inpatient Geriatric Behavioral Health Unit, Susan Annette Campbell

Theses and Dissertations from 2017

Purpose: Research studies on the prevalence of compassion fatigue (CF) in nursing have been conducted in various clinical settings. There has been limited empirical research conducted on nurses working within the geriatric behavioral health setting, which can present increased nursing challenges related to the chronic health problems of aging coupled with acute behavioral health crises. The purpose of this quantitative, descriptive research study was to identify the prevalence of CF in RN and LPN staff within an inpatient geriatric behavioral health unit setting in two comparably sized hospitals. Design/Methods: An electronic survey design (consisting of demographics and the ProQOL v. …

Functional Limitation And Depressive Symptomatology: Considering Perceived Stigma And Discrimination Within A Stress And Coping Framework, Robyn Lewis Brown

Sociology Faculty Publications

This study examines whether perceived stigma and discrimination moderate the associations between functional limitation, psychosocial coping resources, and depressive symptoms among people with physical disabilities. Using two waves of data from a large community study including a representative sample of persons with physical disabilities (N = 417), an SEM-based moderated mediation analysis was performed. Mediation tests demonstrate that mastery significantly mediates the association between functional limitation and depressive symptoms over the study period. Moderated mediation tests reveal that the linkage between functional limitation and mastery varies as a function of perceived stigma and experiences of major discrimination and day-to-day discrimination, …

The Role Of Social Location In Coping With Caregiving, Jacqueline Ragin

UNLV Theses, Dissertations, Professional Papers, and Capstones

A salient concern stemming from population aging is the expected rise in demand for informal family caregivers for diseases impacting the elderly, including dementia (MMMI 2010; NIA and WHO 2011). Studies of caregiver well-being often problematize the sociodemographic caregivers (e.g. gender, marital status) while caregiver intervention studies typically focus on the program itself (Gallagher-Thompson et al., 2008; Rabinowitz et al., 2006; Shulz et al., 2003). In this dissertation I unite these two bodies of caregiver research and examine how the sociodemographic characteristics of participants in a caregiver intervention program relate to the program’s effectiveness. I use secondary data from the …

Relative Effects Of Sleep Hygiene Behavior And Physical Exercise On Sleep Quality, Austin Dopp

Undergraduate Honors Capstone Projects

Numerous studies have shown the relationship between sleep and overall health. A common measure of sleep is sleep quality which has been shown to be influenced by a variety of factors such as physical activity, diet, stress, social engagement, cognitive stimulating, and sleep hygiene behaviors. Data was analyzed from a previous study to determine whether trying to change one’s sleep would improve sleep quality and if this was more effective than physical exercise. A group of 104 individuals, randomized to the treatment group, were asked to log their daily activities, via smartphone app, within these six behavioral domains for six …

Older Adults And Mobile Technology: Factors That Enhance And Inhibit Utilization In The Context Of Behavioral Health, Alexis Kuerbis, Adina Mulliken, Frederick Muench, Alison A. Moore, Daniel Gardner

Publications and Research

While numbers and proportions of older adults with behavioral health issues are expected to substantially increase, there is also a widening gap in available services for older adults. Mobile health interventions (mhealth) are a way to address existing barriers to treatment, provide frontline assessment and increase access to services for older adults. Due to perpetuated stereotypes, many assume that older adults do not utilize mobile technology nor will they accept a mHealth intervention. The purpose of this paper is to synthesize contemporary literature from information technology and healthcare regarding: (1) current mobile technology utilization by older adults, particularly in regards …

Exercise After Retirement: The Secret To Productive Aging, Taradita Subiantoro, Erin Kaseda, Tyler C. Graff, Kristina Hall, Maren Wright Voss, Jerry Bounsanga, Lori L. Wadsworth, Man Hung, Wendy C. Birmingham

FHSS Mentored Research Conference

In this study, we interviewed and surveyed participants and attendees of the Huntsman Senior World Games in order to determine factors associated with successful aging post retirement on older adults who are highly active compared to average older adults in physical and psychological well-being.

Decreasing Social Isolation Through An Intergenerational Social Engagement Program, Jacqueline Kendona

Doctor of Occupational Therapy Capstone Projects

Social isolation is the absence of meaningful contact with others. Older adults who perceived themselves as socially isolated are at risk of negative health outcomes. A person’s psychological wellbeing can be improved through engaging in meaningful leisure activities.

The Intergenerational Social Engagement Program, or the ISEP, was developed to connect older adults and high school students to help decrease social isolation in older adults. The ISEP incorporates concepts from the Canadian Model of Occupational Performance and is intended for implementation in senior living communities. The program is to be led by an occupational therapist. Occupational therapy practitioners have an understanding …

Oregon Community-Based Care Survey: Assisted Living, Residential Care, And Memory Care, Paula C. Carder, Ozcan Tunalilar, Sheryl Dejoy Elliott, Sarah Dys, Margaret B. Neal

Institute on Aging Publications

In Oregon, community-based care (CBC) communities include assisted living (AL), residential care (RC), and memory care (MC) communities. These settings provide residential, personal care, and health-related services, primarily to older adults. As the population of Oregonians aged 65 and older is estimated to increase from 16 percent in 2015 to nearly 23 percent in 20501, the availability of CBC settings will continue to be an important source of long-term services and supports.

This report provides an in-depth look at Oregon’s CBC settings. Because no central dataset of CBC services, staff, and residents is available, as opposed to nursing facilities, information …

Efficacy Of A Mobile Application For Improving Gait Performance In Community-Dwelling Older Adults, Dustin Glenn Falls

Masters Theses & Specialist Projects

The United States is a rapidly aging nation. Older adults have higher rates of falls than any other age group. One in four older adults fall each year. Many of these falls are associated with sedentary lifestyles and decreased muscular strength effecting balance and gait performance. Physical activity (exercise) can reduce the risk of falls among older adults, yet adherence remains low. Exergames can increase adherence to interventions that promote health and physical activity. Social engagement can increase self-efficacy and motivation to exercise. By design, the Bingocize® health promotion mobile application (app) increases social engagement, while providing a multi-factorial fall …

A Medical Student Foray Into The Depths Of Public Health: An Exploratory Investigation Toward A Community Dashboard Characterizing The Experiences Of Frailty In Order To Guide Improvement, An Harmanli, Danielle Fahoome, Burton Masem, Ellen Massey, Beverly Lunsford, Joanne Lynn, Elizabeth Cobbs

GW Research Days 2016 - 2020

While it is known that there are many shortcomings in the care of the elderly, their rate and impact on the community and the elderly themselves is not well understood. In exploring the possibilities for using existing data and available informants, a dashboard could be created that would enable a geographic community to understand the experience of living with disabilities in old age, to prioritize problems, and to test improvements.

The methods included a literature review to understand what and how easily information could be accessed, gathered, and presented. In regards to literature on data collection, CMS claims data, MDS, …

Csf Protein Changes Associated With Hippocampal Sclerosis Risk Gene Variants Highlight Impact Of Grn/Pgrn, David W. Fardo, Yuriko Katsumata, John S. K. Kauwe, Yuetiva Deming, Oscar Harari, Carlos Cruchaga, Alzheimer’S Disease Neuroimaging Initiative, Peter T. Nelson

Sanders-Brown Center on Aging Faculty Publications

Objective—Hippocampal sclerosis of aging (HS-Aging) is a common cause of dementia in older adults. We tested the variability in cerebrospinal fluid (CSF) proteins associated with previously identified HS-Aging risk single nucleotide polymorphisms (SNPs).

Methods—Alzheimer’s Disease Neuroimaging Initiative cohort (ADNI; n=237) data, combining both multiplexed proteomics CSF and genotype data, were used to assess the association between CSF analytes and risk SNPs in four genes (SNPs): GRN (rs5848), TMEM106B (rs1990622), ABCC9 (rs704180), and KCNMB2 (rs9637454). For controls, non-HS-Aging SNPs in APOE (rs429358/rs7412) and MAPT (rs8070723) were also analyzed against Aβ1-42 and total tau CSF analytes.

Results—The GRN risk …

My Company Is Freezing The Pension Plan: What Does This Mean?, Pension Action Center, Gerontology Institute, University Of Massachusetts Boston

Pension Action Center Publications

As employers move away from traditional defined benefit pension plans in favor of defined contribution 401(k) plans, the number of frozen pension plans is rapidly increasing. While most companies would like to rid themselves of their pension plan liabilities, more often than not, employers deem it too costly to terminate their existing plans and pay out all accrued benefits to participants and beneficiaries. As a result, instead of terminating their existing pension plans, many employers are electing to “freeze” their plans. Pension plans may be frozen using a “hard freeze” or a “soft freeze”. While both types of plan freezes …

Lump Sum Vs Annuity Payments: Which Is Right For Me?, Pension Action Center, Gerontology Institute, University Of Massachusetts Boston

Pension Action Center Publications

As employers are looking to reduce pension plan liabilities, more and more participants are being given the option to receive a one-time lump sum payment from their pension plan in lieu of receiving monthly annuity payments for life. Deciding on which form of pension benefit to take is a very important decision that requires careful consideration. Unfortunately, there is no one-size-fits-all answer. While a lump sum may make sense for one person, it may be a serious mistake for another. And it is a decision that you will have to live with for the rest of your life. Anyone who …

Social Withdrawal And Psychological Well-Being In Later Life: Does Marital Status Matter?, Melanie Mei Serrao

Theses and Dissertations

Personality researchers have described dispositional traits to typically show stability over the life course and yet one such trait, shyness, has rarely been examined in later life. Shyness as a global trait has been linked negatively to multiple psychological indices of childhood well-being, including loneliness. Despite the fact that older adults may be already at risk for experiencing heightened loneliness, regret, or decreased fulfillment, research has not assessed these experiences in relation to personality in later life. In recent years, withdrawal research has begun to move past shyness as a global trait to examine the motivations behind socially withdrawn behavior. …

Late-Life Widowhood In Developing Southeast Asia: Comparative Perspectives From Myanmar, Thailand, And Vietnam, Bussarawan Puk Teerawichitchainan, John Knodel

Research Collection School of Social Sciences

We analyze recent aging surveys to examine the prevalence and correlates of widowhood among elderly in Myanmar, Thailand, and Vietnam and investigate how widowhood is associated with intergenerational support and old-age wellbeing. Widowhood is often associated with depressive symptoms, elevated mortality risk, and social-relationship changes. How one fares after spousal loss is nevertheless contingent on individual-level attributes, dyadic characteristics, and macro-social conditions. Thus, consequences likely vary across contexts. Most studies are conducted in western developed countries. Few existing Asia-focused research is primarily based on developed East Asia or China. Little is empirically known about the situation in non-western developing countries. …

Long-Term Care Needs In The Context Of Poverty And Population Aging: The Case Of Older Persons In Myanmar, Bussarawan Puk Teerawichitchainan, John Knodel

Research Collection School of Social Sciences

Myanmar is one of the poorest and least healthy Asian countries. Policy makers have only begun to discuss the implications of population aging for health system. There is no policy in place to provide long-term care (LTC). Family has been the mainstay of support for elderly with LTC needs. Myanmar’s demographic transitions will soon challenge the current form of family-caregiving for frail elderly. We analyze Myanmar’s first national aging survey to understand LTC needs and the roles that families play in LTC. We examine prevalence in older-aged disability. Subsequently, we assess the likelihood of receiving care and the composition of …

Oregon Community-Based Care Survey: Adult Foster Homes, Paula C. Carder, Sheryl Dejoy Elliott, Ozcan Tunalilar, Sarah Dys, Margaret B. Neal

Institute on Aging Publications

Adult foster homes (AFH) offer long-term services and supports to older adults and people with disabilities who wish to remain in the community but need assistance with personal care and health-related tasks. This report focuses on Oregon AFHs that are licensed to care for individuals aged 65 and older and younger adults with disabilities. Homes may be licensed for one to five residents and must be staffed 24-hours daily to respond to residents’ scheduled and unscheduled needs or requests.

This report provides an in-depth look at a sample of Oregon AFHs. Since no central dataset of AFH services, staff, and …

Grandparenting In Selected West African Countries: Implications For Health And Hygiene Behaviours In The Household, Joshua Oyeniyi Aransiola Dr, Akanni Ibukun Akinyemi Dr, Ambrose Akinlo Dr, Funmi Togonu-Bickesteeth Prof.

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This is a descriptive study of the health and hygiene behaviors of grandparents who are the primary caregivers of their grandchildren in four West African countries, Ghana, Liberia, Nigeria, and Sierra Leone. The article utilizes data from each country’s most recent Demographic and Health Survey (DHS). The study identified 20,841 households where grandparents were primary caregivers. As expected, most of these households are in Nigeria given their population exceeds the collective population of the other three West African countries. However, the number of grandfamilies in Ghana, Sierra Leone and Liberia is still worrisome for their population size. In each country, …

Grandparents Of The Community: Lakota Elders’ View Of Intergenerational Care, Mary Kate Dennis, Nancy J. Kepple, Joseph Brewer Ii

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This exploratory, qualitative study provides insight into the traditional concept of tiospaye (extended family and kinship to these relations) by Oglala Lakota elders in the modern context of the Pine Ridge Indian reservation in South Dakota. The authors reframe the modern implementation of these traditional practices of kinship as community grandparenting, in which the elders extend the role and responsibilities of grandparenting behaviors to all youths in the community. This study employed Indigenous methodologies, which allowed the 25 elders to share their stories in a culturally tailored, relational manner. The study uses thematic analysis to identify three themes associated …

Parenting A Second Time Around: The Strengths And Challenges Of Indigenous Grandparent Caregivers, Jessica Y. Hsieh, Kristen J. Mercer, Sarah A. Costa

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Background: There is a lack of knowledge and research of Indigenous grandparents rearing grandchildren. A burgeoning area of research, the literature only includes studies conducted from the year 2002 and onwards. In order to minimize the burdens that Indigenous grandparents encounter when assuming this role, a greater understanding of this population is crucial. This scoping review was undertaken in an attempt to gain insight into and generate awareness of this population, specifically concerning their needs and experiences. Methods: Sixteen databases were searched, including two medical databases and fourteen social science databases. A total of 92 titles and abstracts were independently …

Reducing Caregiver Burden: Fostering Healthy Aging And Social Support, Maria A. Rodriguez

USF Tampa Graduate Theses and Dissertations

Over 43.5 million Americans provide informal care to a fast-growing elderly population in the United States. Informal care allows care-recipients to remain functional members of society. However, research suggests that the demands of informal care can negatively impact the health of caregivers. For example, caregiver burden increases the risk for poor health in caregivers compared to non-caregivers. Caregiving research is on the rise, but the dynamics of informal care in active retirement communities remains widely unexplored. To provide adequate services to lessen caregiver burden and improve the Quality of Life (QoL) of informal caregivers, the various settings in which informal …

Adverse Events And Treatment Discontinuations Of Antimuscarinics For The Treatment Of Overactive Bladder In Older Adults: A Systematic Review And Meta-Analysis, Scott Martin Vouri, Clark D. Kebodeaux, Paul M. Stranges, Besu F. Teshome

Pharmacy Practice and Science Faculty Publications

Introduction

Antimuscarinics should be used with caution in older adults with overactive bladder (OAB) due to anticholinergic adverse events (AEs). Systematic reviews and meta-analyses (SRMAs) have analyzed safety-related outcomes but have not specified risk in the elderly, the population at highest risk for AEs. The aim of this review is to explore and evaluate AEs and treatment discontinuations in adults 65 or older taking antimuscarinics for OAB.

Methods

Keywords were searched in MEDLINE, EMBASE, SCOPUS, and Cochrane Central Register for Controlled Trials. Randomized controlled trials (RCTs) along with sub-analyses and pooled analyses that compared antimuscarinics to placebo or another antimuscarinic …