Digital Commons Network^™

Independent Living Outcomes Evaluation Project, Craig J. Padgett

All Graduate Theses, Dissertations, and Other Capstone Projects

This project developed specific examples of skills and resources for three example categories of ILST and developed recommendations for enhancing the creation of goals. It was important to develop indicators into a tiered structure for reinforcing those skills and resources into knowledge through an added educational component. Methodology was developed and necessary instrumentation and processes were designed for implementation. And, an informed consent was designed for any organization providing Independent Living Skills Training (ILST).

Long-Term Care Ombudsman Training, Texas Silver Haired Legislature Foundation, Texas Silver-Haired Legislature

Texas Silver-Haired Legislature

Training agendas, manuals, and other information on long-term care ombudsman training, 2010.

Ciri-Ciri Wacana Penjaga Di Rumah Warga Emas., Yaw Yee Peng

Student Works (2010-2019)

This study looks at the features of the discourse in a home for elderly residents. It also determines if the care-takers use elderspeak while communicating with the residents and determines the features of elderspeak in the discourse of the care-takers. The respondents consist of 12 care-takers and 23 elderly residents. Audio-recordings, observation and field notes were the instruments used for data collection and this was for a duration of 270 hours. The analysis shows that elderspeak exists in the discourse of the care-takers. The features of elderspeak included ‘questions structures’, ‘repetitions’, ‘limited vocabulary’, ‘simple syntax’ and ‘patronizing code’. It was …

An Examination Of The Relationship Between Family And U.S. Latinos’ Physical Health, Georgiana Bostean

Sociology Faculty Articles and Research

Latinos, especially immigrant Latinos, have lower mortality rates and some better health outcomes than U.S.-born Latinos and whites, a situation called the Latino Paradox. One explanation for the advantage is that Latinos’ family orientation protects health. However, because few large-scale studies examine Latinos’ family relationships by nativity, the extent to which family factors contribute to Latinos’ health outcomes is unclear. Additionally, while a large literature focuses on family cohesion, fewer studies address both cohesion and conflict, which may be particularly important among immigrants, whose migration and adaptation experiences can strain family relations. This study examines the relationship between family context …

The Elder Economic Security Initiative™ Program: The Elder Economic Security Standard™ Index For West Virginia, Gerontology Institute, University Of Massachusetts Boston, Wider Opportunities For Women

Gerontology Institute Publications

This report addresses income adequacy for West Virginia’s older adults using the WOW-GI national Elder Economic Security Standard Index (Elder Index) methodology. The Elder Index benchmarks basic costs of living for elder households and illustrates how costs of living vary geographically and are based on the characteristics of elder households, including household size, home ownership or renter status, and health status. The costs are based on market costs for basic needs of elder households and do not assume any public or private supports.

The Elder Economic Security Initiative™ Program: The Elder Economic Security Standard™ Index For New Mexico, Gerontology Institute, University Of Massachusetts Boston, Wider Opportunities For Women

Gerontology Institute Publications

This report addresses income adequacy for New Mexico’s older adults using the WOW-GI National Elder Economic Security Standard Index (Elder Index) methodology. The Elder Index benchmarks basic costs of living for elder households and illustrates how costs of living vary geographically and are based on the characteristics of elder households, including household size, home ownership or renter status and health status. The costs are based on market costs for basic needs of elder households and do not assume any public or private supports.

Spirituality And Ageing : A Qualitative Study Of Religiosity Of Chinese Older Persons In Hong Kong, Yuk Ha Wong

Lingnan Theses

The life expectancy of Chinese people in Hong Kong is increasing and is amongst the longest in the world. However, many people, especially older persons may experience chronic ill-health and, less detectable, many may also be experiencing alienation, loneliness, meaninglessness and fear of death. Spirituality and spiritual care, which focus on the healing of the soul and quest for meaning, are important to many people as they age and face the prospect of death, and therefore they may have existential anxieties. A holistic healthcare approach, which views humans as bio-psycho-social-spiritual beings, stresses the importance of spirituality to people’s health and …

Aging And Sexual Orientation: A 25-Year Review Of The Literature, Anna M. Muraco, Karen I. Fredriksen-Goldsen

Sociology Faculty Works

In a review of 58 articles published between 1984 and 2008, this article synthesizes the recent state of social research on older lesbian, gay male, and bisexual adults in order to summarize existing knowledge about these groups, to guide future research on aging, and to identify the substantive issues affecting their lives. Based on a life-course perspective, the primary research domains identified include the interplay of lives and historical times and linked and interdependent lives. After reviewing the literature in each of these areas, the article presents an examination of the strengths and limitations of the body of knowledge and …

Assessing Gaps In Services For Geriatric Patients With Mental Health Needs, Angela Nelson

All Graduate Theses, Dissertations, and Other Capstone Projects

Older adults in southwest Minnesota have limited options regarding mental health services. Sanford Tracy Medical Center and Sanford Westbrook Medical Center sought to identify the needs of this population so they can better serve their patients. The following research questions were asked: Do local service providers feel gaps in services exist for older adults experiencing mental health needs in the rural southwestern Minnesota communities of Tracy and Westbrook and the surrounding areas? Do area service providers feel that geriatric patients would benefit from a mental health intervention implemented within the primary healthcare setting? A survey of area geriatric service providers …

The Latina/O Mental Health Paradox Or Racial/Ethnic Disparities? Depression Among New Immigrants To The U.S, Sandra Iveth Ramirez

Open Access Theses & Dissertations

The Latino/a Mental Health Paradox states that the foreign-born immigrants have better mental health outcomes when compared with native-born groups of various ethno-racial backgrounds, with the gap in mental stress minimizing overtime. The objective of this study is to examine whether Latina/os immigrants suffer an ethno-racial disparity in mental health or if they have favorable mental health outcomes as predicted by the Paradox. Expanding on the Latina/o Mental Health Paradox, rather than comparing Latina/o immigrants with native-born, this study will compare depression among recently legalized Latina/os with recent legalized European immigrants.

Parental Timing And Depressive Symptoms In Early Adulthood, Christina D. Falci, Jeylan Mortimer, Harmonijoie Noel

Department of Sociology: Faculty Publications

Using data from a panel of 459 women, we find that early parents (birth) report higher levels of depressive symptoms in young adulthood (roughly age 29) compared to later parents (first birth in their 20s) or nonparents. Early parenting is also associated with more stressors and fewer resources in young adulthood. As young adults, early parents have lower educational attainment, less secure employment and a weaker sense of personal control; they also experience greater financial strain and more traumatic life events than later and nonparents. By the end of their 20s, early parents are also more likely to be single …

Social Relationships And Mortality Risk: A Meta-Analytic Review, Julianne Holt-Lunstad

Faculty Publications

Background

The quality and quantity of individuals' social relationships has been linked not only to mental health but also to both morbidity and mortality.

Objectives

This meta-analytic review was conducted to determine the extent to which social relationships influence risk for mortality, which aspects of social relationships are most highly predictive, and which factors may moderate the risk.

Data Extraction

Data were extracted on several participant characteristics, including cause of mortality, initial health status, and pre-existing health conditions, as well as on study characteristics, including length of follow-up and type of assessment of social relationships.

Results

Across 148 studies (308,849 …

Using Literary Ethnography As A Form Of Qualitative Document Synthesis To Explore The Maltreatment Of Vulnerable Populations: An Examination Of Verbal Neglect And Abuse In Nursing Homes, Jason S. Ulsperger

The Qualitative Report

Studying vulnerable populations can be highly problematic. This is especially true when they are located in institutional settings. When gatekeepers block access and a researcher wants to examine a delicate topic, one ethical, feasible way to paint an interpretive picture of everyday life involves the use of a literary ethnography. With data on the verbal neglect and abuse of elders in United States nursing homes, this paper details the six-stages of a literary ethnography. It includes a discussion of identifying sources, reading and interpreting the documents, identifying textual themes, classifying themes, developing a set of analytic constructs, and re-reading documents …

Older People With Complex Health Needs Desire For Change: A Qualitative Study, Diane Jorgensen, David R. Thoman, Matthew Parsons

The Qualitative Report

As a sub study of another study we examined older people with complex health and disability support needs' desire for change. The aim was to compare this across different ages, residence, and gender. Semi-structured interviews were held with 129 participants and the data were analyzed using a General Inductive Approach. Six themes emerged, Health, No Change, Personal Changes, Family, Housing, and Services. The two most popular themes were a desire for health changes and to have no change. Health professionals might note that older people in their 80s with significant health and disability impairments have a decrease in both the …

Primetimes Newsletter, Winter 2009-2010, 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.

Primetimes Newsletter, Winter 2009, 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.

Elderly Participation And Empowerment : Experiences Of Sage, Kam Lee Lam, Sau Lai, Teresa Lee

APIAS Monograph 專題論文

The Hong Kong Society for the Age (SAGE) established in 1977 is one of the well-known Non-Government Organizations (NGOs) in responding to the rapid growing elderly population and the welfare needs of the senior in Hong Kong. Its services include Care and Attention Home, Elderly Hostels, Elderly Centres, Day Care Centres, Home Care Service. etc. The mission of SAGE is to ensure the elderly to have dignity and reasonable comfort in their old age. In 2008, SAGE aims to provide distinctive services to the elderly, i.e. elderly participation and empowerment (Homepage of Sage: http://www.sage.org.hk/eng/ideal.htm). This paper focuses how Sage …

Effects Of Caregiver Burden And Satisfaction On Affect Of Older End-Stage Renal Disease Patients And Their Spouses, Maureen Wilson-Genderson, Rachel A Pruchno, Francine P Cartwright

Rowan-Virtua School of Osteopathic Medicine Departmental Research

We examined the extent to which a 2-factor model of affect explains how the burdens and satisfactions experienced by caregivers influence their own well-being and that of the spouses for whom they provide care. Using data from 315 older patients with end-stage renal disease and their spouses, we extended tests of Lawton et al.'s (1991) 2-factor model both longitudinally and dyadically. Multilevel modeling analyses partially support the 2-factor model. Consistent with the model, mean caregiver burden has a stronger effect on both caregiver and patient negative affect than does mean caregiver satisfaction. Contrary to the model, mean caregiver satisfaction has …

Research Brief No. 2 - Models Of Earning And Caring: Trends, Determinants And Implications, Roderic Beaujot, Zenaida Ravanera, Jianye Liu

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Families in Canada have undergone changes regarding the ways in which they earn a living and care for each other. Data taken from Statistics Canada time use surveys of 1986, 1992, 1998, and 2005 show changes in the average number of hours of paid and unpaid work completed by men and women.

Service-Learning Model At Lingnan University : Development Strategies And Outcome Assessment, Cheung Ming, Alfred Chan, K. M., William Lee, Hok Ka, Carol Ma

OSL Journal / Paper Series 論文

Background: The Service-Learning and Research Scheme (SLRS) is the showcase of Lingnan’s Service-Learning model, which is the manifestation of Lingnan University’s Liberal Arts education and mission “Education for Service”. The scheme was a pilot project, from 2004 to 2005, which led to the development of a Universitywide protocol for Service-Learning at Lingnan University.
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Aims: This paper highlights the processes and the strategies of incorporating Service-Learning into courses, based on the experiences in Lingnan University. Implementation and evaluation models are suggested to provide a framework for other interested parties to apply Service-Learning in their learning and teaching.
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香港視障長者生活質素調査 : 應用手冊, The Hong Kong Society For The Blind 香港盲人輔導會, Asia-Pacific Institute Of Ageing Studies, Lingnan University 嶺南大學亞太老年學研究中心

Manual & Guide 手冊及指引

隨著社會的發展，社會大眾對生活的要求亦日益提高。人們並不滿足於基本的生活程度，而是追求舒適的生活環境，高質素的服務，對身體狀況亦更加關注。

在90年代中期開始，香港的學者開始研究「生活質素」這個課題，並發展出一些適合香港使用的「生活質素」量度工具。社會上不同群體對生活質素的界定及期望，可能和一般市民有所不同，要量度以致改善他們的生活質素，便需要特定的量度工具。

香港盲人輔導會於2008年委託嶺南大學亞太老年學研究中心設計了一份有關視障長者生活質素的問卷，並成功訪問了580位55歲以上分別居住在社區及院舍的長者，以便了解他們的生活質素。

是次研究的目標為：

1. 從香港視障長者的角度出發，發展一套量化及可量度視障長者生活質素的工具；

2. 為香港視障長者的生活質素提供一個研究上的參考基數；

3. 以視障長者生活質素量度工具作日後服務管理，為服務提供方向性的指引，並成為本地視障長者服務發展的參考。

本應用手冊將會以深入淺出的方法，向大家闡述如何利用這份「視障長者生活質素調查問卷」評估服務成效及作服務管理。

The Development Of 'Hong Kong Quality Of Life For The Visually Impaired Elderly Scale' (Hkqolvies) : Research Report, The Hong Kong Society For The Blind, Asia-Pacific Institute Of Ageing Studies, Lingnan University

APIAS Research Report 研究報告

The project is a pioneer study that focuses on the development of a set of indicators for measuring the quality of life of the visually impaired elders in Hong Kong with the cooperation of Hong Kong Society for the Blind (HKSB). The study simulated the procedures for the development of WHOQoL and have developed and validated the new scale that contains a total of 43 items which grouped into 6 domains, namely, Health, Subjective Well-being, Family and Community Support, Living Condition, Finance and Interpersonal Relationship.

The study also marked the first taking of HKQoLVIES, which will serve as the benchmark …

Poster Introductions Iii--Aging With Long-Term Physical Impairment: The Significance Of Social Support, Rebecca Casey, Sharon Dale Stone

Health over the Life Course Conference (2009)

As the population ages more people are reaching old age having lived with a long-term physical impairment. This vulnerable group of people has specific needs that are often different from those of someone who reaches old age without a pre-existing physical impairment. This paper focuses on the significance of social support in ameliorating the aging experience when living with long-term physical impairment. It is based on a qualitative study of the aging experiences of eight men and women living in Ontario, Canada who were between the ages of 50 and 68 and had lived with their physical impairment for more …

Seeing The Forest Through The Trees: A Review Of Gibson And Brown’S Working With Qualitative Data, Jacquelyn Browne

The Qualitative Report

In their 2008 book, Working with Qualitative Data, Gibson and Brown introduce their readers to the notion that qualitative data analysis is more of an on-going process integral to the overall qualitative research process than a set of techniques or tools. In making this assertion, the authors help their audience connect analysis with theory, design, and final qualitative research report

Research Brief No. 1 - Social Inclusion Of The Oldest-Old: Toward Supportive Housing Policies, Judy Lynn Richards, Susan Sverdrup-Phillips, Jiangqin Du, Heather Maddocks, Heather Spiegel, Jennifer Brooks

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Although most seniors aged 85+ live relatively independently in the community, research on this age group tends to focus on the negative aspects of aging. This study looks instead at seniors aged 85 and older who are living well and semi-independently in their communities with the help of an informal care provider. The study aims to identify the mechanisms that allow them to live with dignity and autonomy in their own homes and remain socially included in their communities. We conducted in-depth, semi-structured interviews with 16 individuals aged 85 to 94 years and their primary informal support-persons in Southwestern Ontario, …

Intergeneration Perception Toward Happiness In Elderly Life, Yue, Natale Cheung, Chi Wai, Jackie Chan

APIAS Monograph 專題論文

According to the latest statistics released by the Census and Statistics Department, the Hong Kong population aged 65 and over was 829,300 at the end of 2004. The number of persons aged 65 or older is projected to increase by 17.9% to 978,000, representing 13.2% of population in 2013. This increase in the number and proportion of elderly will intensify the challenges of ageing, which will put further pressure on the government and the society at large. In response to Hong Kong's rapid aging population and in line with the concept of active and successful ageing, the question of how …

Knowledge, Attitudes, And Job Satisfaction In Long-Term Care: A Comparison Between Licensed Nurses And Nursing Assistants, Lynne Almand

Graduate Theses

Knowledge, attitudes, and job satisfaction of long-term care workers were examined to determine if a relationship existed between these factors and if differences existed between licensed nurses and nursing assistants. Participants included 36 nurses and 60 assistants from five nursing homes in the Midland/Odessa area. Results indicated that nurses had significantly more positive attitudes toward (t(94) = -5.72, p<.05) and increased knowledge of older adults (t(94) = 2.71, p<.05) than assistants. In addition, more positive attitudes were significantly associated with more knowledge of the elderly (r(96) = -0.36, p<.05) as well as increased levels of job satisfaction (r(96) = -0.53, p<.05).

Depressive Symptoms And Marital Satisfaction In The Context Of Chronic Disease: A Longitudinal Dyadic Analysis, Rachel Pruchno, Maureen Wilson-Genderson, Francine P Cartwright

Rowan-Virtua School of Osteopathic Medicine Departmental Research

These analyses examined the longitudinal relationships between depressive symptoms and marital satisfaction over a 2-year period as experienced by 315 patients with end-stage renal disease and their spouses. Using multilevel modeling, the authors examined both individual and cross-partner effects of depressive symptoms and marital satisfaction on patients and spouses, testing bidirectional causality. Results indicate that mean and time-varying depressive symptoms of both patients and spouses were associated with their own marital satisfaction. Although mean marital satisfaction was associated with own depressive symptoms for both patients and spouses, time-varying marital satisfaction did not affect depressive symptoms for either patients or spouses. …

Assessing Stakeholder Opinions Of Medical Review Of Impaired Drivers And Fitness To Drive: Recommendations For Massachusetts, Nina M. Silverstein, Kelli Barton

Gerontology Institute Publications

Driving is the main mode of travel for Americans age 65 and older, and although older adults are generally found to be safe drivers, aging often brings about functional limitations and an increase in medications that can impede safe driving and fitness to drive (Rosenbloom, 2003; Kissinger, 2008; Adler & Silverstein, 2008). Effective licensing policies and Medical Advisory Board practices are critical components in identifying medically at-risk drivers and may even have a role in the transition to alternative transportation options; yet, states vary greatly in their approach to licensing and renewal practices and in the utilization, composition, and function …

State Experiences With Affordable Housing Plus Services: Report To Seniors And Persons With Disabilities, On The Move, Paula C. Carder, Erika Zoller

Institute on Aging Publications

Housing developers, providers, policy makers, and advocates, increasingly recognize that for some groups of individuals, access to affordable housing alone is "not enough." That is, some individuals require more than shelter. Examples include individuals who have chronic health conditions (e.g., HIV/AIDS), those with physical or cognitive limitations (e.g., persons with developmental disabilities, adults with physical disabilities), and those who have a combination of health conditions or who cannot thrive in traditional housing (e.g., persons who have been homeless, individuals with chronic mental illness). Increasingly, housing providers, social service agencies, advocates, states, and federal agencies have recognized the need to combine …