Digital Commons Network^™

A Melting Pot Of Medications: Issues Regarding Over-Prescribing In Dementia Populations, Angela Gifford

UNO Student Research and Creative Activity Fair

Over-prescribing is an issue faced by many in the older population, but dementia patients statistically experience higher prescribing rates of potentially inappropriate medications compared to their peers. There are currently no FDA approved medications available for the direct treatment of dementia, but drug classes like anticholinergics and psychotropics are used for the management of behavioral symptoms associated with the disease. These drugs can cause negative side-effects in the dementia populations including gastrointestinal issues, neurological issues, increased hospitalizations, and increased mortality rates within this group. Most troubling, the benefits that are supposed to occur from taking these drugs have been show …

Adolescents' Attitudes And Intentions To Use A Smartphone App To Promote Safe Driving, Caitlin N. Pope, Emre Sezgin, Simon Lin, Nichole L. Morris, Motao Zhu

Graduate Center for Gerontology Faculty Publications

Purpose

Designing effective driving safety interventions is imperative as traffic crashes are the leading cause of injury and death for adolescents. Using concepts from the Integrated Behavioral Model, we investigated adolescents' attitudes and intentions towards engaging in safe driving practices and using smartphone-based driving safety technology.

Methods

Two-hundred and seven adolescents aged 14–18 (M = 16.1, SD = 0.8) completed a safe driving survey. A path model testing the associations between individual scores of attitudes, perceived norms, and perceived behavioral control with intentions controlling for demographic covariates was conducted.

Results

Greater intentions to drive safely was associated with greater …

Cognitive, Social, Emotional, And Subjective Health Benefits Of Computer Use In Adults: A 9-Year Longitudinal Study From The Midlife In The United States (Midus), Andree Hartanto, Jose C. Yong, Wei Xing (Zhuo Weixing) Toh, Sean Teck Hao Lee, Yue Qi Germaine Tng, William Tov

Research Collection School of Social Sciences

Computer use has been proposed to carry a host of benefits for cognitive function and socioemotional well-beingin older adults. However, the literature on computer use remains equivocal as extant research suffers from mixedfindings as well as methodological limitations, such as overreliance on cross-sectional designs, small samplesizes, and use of narrow criterions. The current studies (NStudy 1 ¼ 3,294, NStudy 2 ¼ 2,683) sought to address theselimitations through the use of a large-scale, nationally representative, and longitudinal dataset. We found thatfrequency of computer use—over a period of approximately 9 years—longitudinally predicted positive changesin executive functioning, hedonic well-being, eudaimonic well-being, sense of …

Developing Communities Of Practical Wisdom: An Exercise In The Synthesis Of Memory, Religion And Pragmatism In Religious Studies, Holly Nelson-Becker

Social Work: School of Social Work Faculty Publications and Other Works

There is an ancient tension between the values of being and doing, with, at various times, doing garnering the more important position. In truth, both are important and matter. There are reciprocity and rhythm in the cycle of being, learning, doing, and reflection where all dimensions inform the next. Hans Georg Gadamer (1982) wrote similarly that understanding, interpretation, and application were in relationship such that the individual components could not be separated. Religious Studies stands as a discipline at the juncture of both being and doing: awareness and appreciation for diverse cultural, spiritual, and value dimensions. It also poses …

「齡活大使」訓練手冊, 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

嶺南大學獲賽馬會慈善信託基金捐助，與本地另外三所老年學研究單位共同推行為期共五年半的「賽馬會齡活城市計劃」。嶺南大學團隊先後在新界及離島四個區域進行研究，採取「由下至上、地區為本」的模式，了解當區居民對「長者及年齡友善」程度的評價及改善社區設施與服務的意見，並協助區議會制定行動方案及加入「世界衞生組織全球長者及年齡友善城市及社區網絡」，使社區有策略地發展成「長者及年齡友善」社區。

同時，培訓社區人才亦是「長者及年齡友善」城市得以持續發展的重要因素。因此，嶺南大學團隊著手總結過去四年多在社區內推行「齡活大使」訓練的經驗，集合眾人之心得，彙編成冊，力求過去的點滴能對未來發展有所啟迪。感謝參與計劃之各大學團隊的合作，及社區單位及參加者的無私分享，才可促成本手冊面世，與社會人士分享。

Hanson Council On Aging Needs Assessment, Jan Mutchler, Nidya Velasco Roldan, Ceara Somerville, Beth Rouleau, Rebecca Mailman

Center for Social and Demographic Research on Aging Publications

Growth in the number of older Hanson residents is expected over the coming decade. Preparing for this demographic shift invites reflection about the extent to which features of the community and characteristics of municipal services meet older residents’ needs and interests, and making plans to improve alignment where appropriate. In support of this planning process, the Town of Hanson and the Center for Social and Demographic Research on Aging at the University of Massachusetts Boston partnered to conduct a study to investigate the needs, interests, preferences, and opinions of the Town’s residents age 50 and older. During this assessment, multiple …

Brain Health Innovation Diplomacy: A Model Binding Diverse Disciplines To Manage The Promise And Perils Of Technological Innovation, Kylie Ternes, Vijeth Iyengar, Helen Lavretsky, Walter D. Dawson, Laura Booi, Agustin Ibanez, Ipsit Vahia, Charles Reynolds, Steven Dekosky, Jeffrey Cummings, Bruce Miller, Carla Perissinotto, Jeffrey Kaye, Harris A. Eyre

Institute on Aging Publications

Background: Brain health diplomacy aims to influence the global policy environment for brain health (i.e. dementia, depression, and other mind/brain disorders) and bridges the disciplines of global brain health, international affairs, management, law, and economics. Determinants of brain health include educational attainment, diet, access to health care, physical activity, social support, and environmental exposures, as well as chronic brain disorders and treatment. Global challenges associated with these determinants include large-scale conflicts and consequent mass migration, chemical contaminants, air quality, socioeconomic status, climate change, and global population aging. Given the rapidly advancing technological innovations impacting brain health, it is paramount to …

Subverting The Logics Of "Smartness" In Singapore: Smart Eldercare And Parallel Regimes Of Sustainability, Orlando Woods

Research Collection School of Social Sciences

This paper argues that the divergent logics of “smartness” and “sustainability” can lead to parallel regimes of sustainability. Whilst sustainability is often used to justify the need for smart cities, smart cities are often undermined by the neoliberal logics of digital governance. Moreover, because the intersection of digital technologies and society is a negotiated one, smart solutions often fail to provide adequate solutions to social problems. This is especially true when smart solutions are used to augment or replace hitherto human-centred processes, like caregiving.Parallel regimes of sustainability are a response to these failures. Drawing onan analysis of a trial of …

Christine "Chris" Kyker Papers, 1946-2017, Chris Kyker

Center for Restoration Studies Archives, Manuscripts and Personal Papers Finding Aids

No abstract provided.

New York State’S Population Is Aging: Will Communities Be Ready?, Claire Pendergrast

Population Health Research Brief Series

The population is aging nation-wide, and New York State is no exception. 3.2 million New Yorkers (nearly one in six), are aged 65 and older, and the older adult population is growing faster than any other group in the state. This issue brief explains what it means to “age in place” and how New York State is responding to the large increase in older adults state wide.

Older Women Using Women's Magazines: The Construction Of Knowledgeable Selves, Dana Sawchuk, Mina Ly

Sociology Faculty Publications

Women’s magazines are widely read in Canada. The popularity of such magazines is significant because critical gerontologists, primarily drawing on content analyses of the magazines, often argue that these publications convey problematic messages about ageing. This article broaches the subject of women’s magazines and ageing from a different vantage point, that of the older woman reader herself. This audience-centred research draws on 21 semi-structured interviews with Canadian women over the age of 55. The study examines what older women say about the ageing-related content of women’s magazines, along with what they say about how, when, and why they read these …

Victim Silencing, Sexual Violence Culture, Social Healing: Inherited Collective Trauma Of World War Ii South Korean Military “Comfort Women”, Mijin Cho

VCU Phi Kappa Phi Award Winners

The unresolved reconciliation process for WWII South Korean military “comfort women” presents a case of nationally inherited collective trauma, in which South Koreans far removed in time and space from the historical tragedy feel its implications and obligations for reparations and social healing. In examining the South Korean comfort women redress movement and systemic concealment of WWII military sexual slavery, this study investigates a pattern of victim silencing, characterized by institutional patriarchy and ineffective government involvement, from 1945 to 2019. Following the South Korean government’s formal rejection of the 2015 agreement with Japan regarding a final and irreversible conclusion to …

Radiation Actions And Dimensions Of Radiation Safety Among U.S. Radiologic Technologists, Quentin T. Moore

Graduate Research Theses & Dissertations

Background: Radiation safety culture is a fundamental contributor to procedural justification, exam optimization, and dose-limiting practices in medical imaging. Multiple intrapersonal, interpersonal, institutional, community, and policy factors could influence the outcomes of radiation safety culture.

Purpose and Aims: The purpose of the study was to examine the determinants of radiation safety culture among U.S. radiologic technologists. The specific aims were to: 1) develop a survey instrument tailored to radiation actions and dimensions of radiation safety with a sequential use of multiple techniques; 2) examine determinants of radiation safety culture employing McLeroy’s socioecological model; 3) examine relationship between the determinants of …

Negotiating Informal And Formal Supportive Services Among Older Adults: An Analysis Of A Caring Culture At Hope Meadows, Derek Ruszkowski

Student Research – Stevenson Center

This case study examines discourses of living and volunteering at an intentional and intergenerational neighborhood in Rantoul, IL managed by a non-profit called Hope Meadows. This is accomplished through participant and non-participant observations and nine resident interviews. The research contributes to literature on community-level efforts serving to strengthen supportive relationships among neighbors by examining a population that is engaged in providing services to their fellow community residents and the non-profit organization in exchange for below-market rent. Additionally, the outcome contributes to literature on aging-in-place, sustaining volunteer programs dependent on committed residents, and challenges of an increasingly disproportionate aging population. Due …

An Investigation Into The Perceptions Of Elderspeak And How It Effects Mood Among An Assisted Living Population, Paige T. Shoutz

All Graduate Theses, Dissertations, and Other Capstone Projects

This study aimed to examine perceptions of ES and its effect on mood among older adults residing in assisted living facilities (ALFs). Residents (N=6) were exposed to two videos comprised of an interaction of a nursing assistant aiding an older adult resident during activities of daily living. One of the videos demonstrated neutral communication, whereas the other video demonstrated communication with elderspeak. A mood rating was obtained prior to and immediately following exposure to each of the videos. Participants also provided ratings of the nursing assistant, and completed a qualitative interview that gathered their opinions, perceptions, and perceived differences between …

Systematic Review Of Falls Among Older Individuals In The Long- Term Care Settings, Nonyelum Patience Odenigbo

Walden Dissertations and Doctoral Studies

Falls are common in the older population and can result in disability, increased dependence, or mortality. Falls have received increased attention in the literature as the most common cause of injuries among older individuals. The incidence of falls in the older population has a positive correlation with adverse health issues necessitating major lifestyle adjustments. The problem is magnified for older patients in long-term care settings where they are 3 times more susceptible to falls. The purpose of this project study was to conduct a systematic review of the literature to understand the impact and incidence of fall rates among older …

Improving Effective Pain Assessment And Management In Elderly Patients, Omotola A. Adebayo

Walden Dissertations and Doctoral Studies

Inadequate management of pain is common in the elderly, and the negative implications are often profound. Untreated pain has been associated with negative consequences such as depression, anxiety, sleep disruption, weight loss, and limitations in the performance of daily activities and functions. The purpose of this educational project was to improve the assessment and management of pain of elderly patients residing in long-term care facilities (LTCFs). The project question examined the effects of staff education on the nursing staff’s knowledge of pain assessment and management. Nonlicensed personnel are at the forefront of providing direct patient care in LTCFs. Knowles’s theory …

Will "Social Distancing" Lead To Future "Research Distancing": A Reflection On Covid-19 Impacts On Alzheimer's Disease Research, Shoshana H. Bardach, Allison K. Gibson, Elizabeth K. Rhodus, Gregory A. Jicha

Sanders-Brown Center on Aging Faculty Publications

Coronavirus disease 19 (COVID-19) has dramatically altered everyday life, including the field of Alzheimer's disease (AD) research. This perspective article explores some of the ways in which COVID-19 has already impacted the field, anticipates some of the long-lasting effects, and explores strategies for addressing current and future needs. Areas of impact include study integrity, regulatory and industry issues, and participant engagement. Proposed strategies for addressing these challenges include analytic methods to deal with large degrees of missing data and development of patient-centered, user-friendly, remote data collection tools and assessments. We also highlight the importance of maintaining participant well-being as a …

The Effects Of Cognitive Training On Behavioral Functioning In Persons With Dementia, Abigail J. Dye

All Graduate Theses, Dissertations, and Other Capstone Projects

Lack of engagement in pleasant activities and negative mood are two factors that decrease quality of life (QoL) for older adults with moderate to severe cognitive impairment. As enhancing QoL has become a primary treatment outcome for individuals with cognitive impairment, investigation into the ability of nonpharmacological interventions to increase engagement and positive mood has come to the forefront of research. Cognitive training is a nonpharmacological intervention that utilizes manualized techniques with the primary goal of enhancing different areas of cognitive function. Although the cognitive benefits of the programs have been widely investigated and established, the potential benefits that cognitive …

Victim Silencing, Sexual Violence Culture, Social Healing: Inherited Collective Trauma Of World War Ii South Korean Military “Comfort Women”, Mijin Cho

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

The unresolved reconciliation process for WWII South Korean military “comfort women” presents a case of nationally inherited collective trauma, in which South Koreans far removed in time and space from the historical tragedy feel its implications and obligations for reparations and social healing. In examining the South Korean comfort women redress movement and systemic concealment of WWII military sexual slavery, this study investigates a pattern of victim silencing, characterized by institutional patriarchy and ineffective government involvement, from 1945 to 2019. Following the South Korean government’s formal rejection of the 2015 agreement with Japan regarding a final and irreversible conclusion to …

Job Training And So Much More For Low-Income Older Adults: The Senior Community Service Employment Program, Cal J. Halvorsen, Olga Yulikova

Harvey A. Friedman Center for Aging

An important anti-poverty program for older Americans is facing a serious problem: The Senior Community Service Employment Program (SCSEP) was deemed “ineffective” by the Department of Labor. The department’s 2020 budget, in fact, proposes the program’s elimination. SCSEP, which places low-income adults aged 55 and older with multiple barriers to work in on-the-job training in nonprofit and public agencies while providing a modest stipend, has the goal of helping participants to transition into unsubsidized, gainful employment. Yet measures used to determine the program’s effectiveness focus solely on employment outcomes, ignoring important outcomes related to health and social engagement. This commentary …

Assessments Of Fit And Usability Of Work-Life Supports In The Context Of Diversity And Perceptions Of Fairness, Cal J. Halvorsen, Indrani Saran, Marcie Pitt-Catsouphes

Harvey A. Friedman Center for Aging

There is a robust literature that examines outcomes associated with work-life supports. Scholars have considered the “fit” between employee needs and the supports available while others have examined the “usability”—or the potential consequences of using—work-life supports. In this article, we suggest that “fit” and “usability” could be related to both employees’ own demographic, social, and cultural identities, as well as perceptions of fairness at the workplace. While scholars have focused on organizational justice and workplace fairness for quite some time, the context of diversity—in its many forms—has rarely been included in this conversation or has simply been added as a …

Older Workers In The Time Of Covid-19: The Senior Community Service Employment Program And Implications For Social Work, Cal J. Halvorsen, Olga Yulikova

Harvey A. Friedman Center for Aging

It has long been the goal of many gerontological social work scholars to increase the ability and opportunity for people to be engaged in paid and unpaid work throughout the life course. Yet the COVID-19 pandemic is revealing and exacerbating the financial insecurity of many older adults. In this paper, we review information related to older workers and how they might be affected by this pandemic and its aftermath, paying particular attention to the most socioeconomically and physically vulnerable older workers. We also offer first-hand experiences from our careers working with and conducting scholarship on older workers, paying particular attention …

How Self-Employed Older Adults Differ By Age: Evidence And Implications From The Health And Retirement Study, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

Background and Objectives

There has been increased attention in recent years on self-employment in later life, with about 1 in 5 workers past of the age of 50 working for themselves. This study aims to build upon previous documentation of the characteristics of self-employed older adults by estimating how these characteristics vary by age.

Research Design and Methods

Using 7 waves of the Health and Retirement Study with a sample of more than 16,000 working older adults, this study considers how the association between self-employment and sociodemographic characteristics; indicators of human, social, and financial capital; and risk tolerance differ between …

The Effects Of A Cognitive Training Program For Healthy Older Adults: A Program Evaluation Study, Jacklyn Gehling

All Graduate Theses, Dissertations, and Other Capstone Projects

As one ages, some degree of cognitive decline is expected. Despite this, declines in cognitive abilities and the possibility of developing dementia are common concerns among older adults. In response to these concerns, a variety of cognitive training programs have been developed that aim to improve or maintain cognitive functioning. Previous literature has shown mixed or limited findings on cognitive changes after implementation of cognitive training. This study evaluated the effectiveness of a cognitive training program designed for older adults with no to minimal cognitive decline. The current study included 19 participants who engaged in two, one-hour long cognitive training …

Comparison Of Nutrition Education Approaches On Fruit And Vegetable Intake In Older Adults, Noelle R. Blasch

Master's Theses and Doctoral Dissertations

Most Americans do not consume recommended intakes of fruits and vegetables (F/Vs). Hands-on nutrition education applies social cognitive theory as participants practice preparing F/Vs. This study compared a four-week hands-on nutrition education program (L+HO) with lecture only (L) in older adults with assessments at baseline and weeks four and eight. Twenty-three women over the age of 50 participated in either four, 90-minute weekly L+HO classes (n = 14) or four, 40-minute weekly L nutrition education classes (n = 9). Vegetable intake significantly increased at four weeks compared to baseline for both intervention groups. Vegetable intake increased at eight weeks compared …

Contextualizing The Covid-19 Era In Puerto Rico: Compounding Disasters And Parallel Pandemics, Catherine Garcia, Fernando I. Rivera, Marc A. Garcia, Giovani Burgos, María P. Aranda

Department of Sociology: Faculty Publications

Objectives: The COVID-19 outbreak has worsened the ongoing economic crisis in Puerto Rico by creating "parallel pandemics" that exacerbate socioeconomic and health inequalities experienced by its most vulnerable residents. Unfortunately, conditions on the island have been largely overlooked by national media outlets and the mainland U.S. population. Thus, this research report aims to draw attention to the disparate burden multiple and compounding disasters have on older island-dwelling Puerto Rican adults’ health and well-being.

Methods: We characterize the lived experiences of the older population in Puerto Rico by incorporating data from numerous sources and contextualizing the effects of compounding disasters, the …

Are Biological Consequences Of Childhood Exposures Detectable In Telomere Length Decades Later?, Blakelee R. Kemp, Kenneth F. Ferraro

Department of Sociology: Faculty Publications

Negative early-life exposures have been linked to a host of poor adult health outcomes, but are such early exposures associated with cellular senescence decades later? This study uses data from the Health and Retirement Study to examine the association between six childhood exposure domains (e.g., socioeconomic disadvantage, risky parental behavior) and a biomarker of aging, telomere length, among 4,935 respondents. Telomere length is obtained from DNA of cells found in saliva and is measured as the telomere repeat copy number to single gene copy number ratio (T/S). Men who as children were exposed to risky parental …

Barriers To Utilizing Resources For The Dementia Caregiver, Rebecca L. M. Shanafelt

All Graduate Theses, Dissertations, and Other Capstone Projects

The family caregiver of a person with dementia (PwD) provides valuable care and experiences negative health outcomes as a result. These negative health outcomes can be mitigated utilizing resources, however utilization rates remain low. While there is some research on barriers to accessing resources there is very little focused on caregivers of PwD. This study through semi-structured interviews with caregivers of PwD takes a deep look into the experience of first signs, diagnosis, and utilization of resources to better understand what those barriers might be. This study found that because of the healthcare structure caregivers do not learn about resources …

Holding The Therapeutic State At Bay? Balancing Autonomy And Protection In Singapore's Vulnerable Adults Act, Wing Cheong Chan

Research Collection Yong Pung How School Of Law

Abuse, exploitation and neglect of adults raise complex issues on the freedom of the individual to choose for themselves versus the powers of the State to intervene. The law has traditionally limited the scope of compulsory intervention to extreme situations only which can frustrate social workers who deal with such cases. On the other hand, it would be unacceptable to allow intervention simply because it is assessed to be in the adults’ best interests. A balance therefore has to be struck between autonomy and protection. This paper examines how Singapore’s Vulnerable Adults Act identifies the point for intervention and embodies …