Digital Commons Network^™

Racial/Ethnic Differences In Multimorbidity Development And Chronic Disease Accumulation For Middle-Aged Adults, Ana R. Quiñones, Anda Botoseneanu, Sheila Markwardt, Corey L. Nagel, Jason T. Newsom, David A. Dorr, Heather G. Allore

Psychology Faculty Publications and Presentations

Multimorbidity–having two or more coexisting chronic conditions–is highly prevalent, costly, and disabling to older adults. Questions remain regarding chronic diseases accumulation over time and whether this differs by racial and ethnic background. Answering this knowledge gap, this study identifies differences in rates of chronic disease accumulation and multimorbidity development among non-Hispanic white, non-Hispanic black, and Hispanic study participants starting in middle-age and followed up to 16 years.

We analyzed data from the Health and Retirement Study (HRS), a biennial, ongoing, publicly- available, longitudinal nationally-representative study of middle-aged and older adults in the United States. We assessed the change in chronic …

Life-Space Mobility: How Transportation And Policy Can Support Aging In Place For Older Adults, Ivis Garcia Zambrana, Alan Kenneth Delatorre

TREC Project Briefs

Research on older adults frequently explores the notion of "aging in place"—providing older adults the opportunity to continue to live in their own homes and communities. However one’s ability to stay or leave, particularly in old age, often depends on the built environment. An accessible neighborhood that prioritizes mobility affords the ability to meet basic needs like goods, services, and social activities.

This life-space mobility is rarely applied in the field of urban planning and architecture. A NITC project led by Ivis Garcia Zambrana of the University of Utah and Alan DeLaTorre of Portland State University sought to operationalize this …

Life-Space Mobility And Aging In Place, Ivis Garcia Zambrana, Alan Kenneth Delatorre, Ja Young Kim, Julianne Reno, Keith Diaz Moore, Jordan Pieper, Jason Wheeler, Nicole Zinnanti, Brenda Jose

TREC Final Reports

Research on older adults explores the notion of “aging in place”—providing older adults the opportunity to continue to occupy familiar surroundings, to live in their own homes and communities. But oftentimes one’s ability to stay or leave, particularly in old age, depends on the built environment. Mobility is the ability to meet the basic needs to access goods, activities, services, and social interactions as they relate to quality of life. Thus, mobility is essential to older adults due to their limited, or gradually reducing, physical and cognitive abilities. In transportation research, mobility is often regarded in terms of travel behavior …

Rapid Serial Visual Presentation Interacts With Ambiguity During Sentence Comprehension, Sarah Key-Delyria, Todd Bodner, Lori J. P. Altmann

Psychology Faculty Publications and Presentations

Conventional opinion about using Rapid Serial Visual Presentation (RSVP) for examining sentence comprehension maintains that RSVP taxes working memory (WM), which probably affects sentence processing. However, most RSVP studies only infer the involvement of WM. Other cognitive resources, such as cognitive control or vocabulary may also impact sentence comprehension and interact with RSVP. Further, sentence ambiguity is predicted to interact with RSVP and cognitive resources to impact sentence comprehension. To test these relationships, participants read ambiguous and unambiguous sentences using RSVP and Whole-Sentence presentation, followed by comprehension questions that were targeted to the ambiguous region of the sentences. Presentation type …

Bulletin: General Catalog Issue 2019-2020, Portland State University

Bulletin & Curriculum Change Documents

Volume 1 - Programs is available via the Download option, Volume 2 - Courses is available in the Additional Files below

The Resident View In Nursing Homes, Diana L. White, Ozcan Tunalilar, Serena Hasworth, Jaclyn Winfree

Institute on Aging Publications

This article presents the Resident VIEW (Voicing Importance, Experience, and Well-Being), a measure designed to learn directly from long-term care residents the extent to which they experience support that matters most to them. The Resident VIEW contains 63 items across eight domains developed through cognitive interviews with residents in different types of residential settings (e.g., nursing homes, assisted living, and adult foster care). Residents rate items on both importance and their experience. In total, 258 nursing home residents living in 32 Oregon nursing homes were selected through a two-stage random sampling design and participated in the study. Results demonstrate that …

Cardiovascular Risk Factors Associated With Venous Thromboembolism, John Gregson, Stephen Kaptoge, Thomas Bolton, Lisa Pennells, Peter Willeit, Carlos J. Crespo, Multiple Additional Authors

OHSU-PSU School of Public Health Faculty Publications and Presentations

Importance It is uncertain to what extent established cardiovascular risk factors are associated with venous thromboembolism (VTE).

Objective To estimate the associations of major cardiovascular risk factors with VTE, ie, deep vein thrombosis and pulmonary embolism.

Design, Setting, and Participants This study included individual participant data mostly from essentially population-based cohort studies from the Emerging Risk Factors Collaboration (ERFC; 731 728 participants; 75 cohorts; years of baseline surveys, February 1960 to June 2008; latest date of follow-up, December 2015) and the UK Biobank (421 537 participants; years of baseline surveys, March 2006 to September 2010; latest date of follow-up, February …

Ideals, Big Varieties, And Dynamic Networks, Ian H. Dinwoodie

Mathematics and Statistics Faculty Publications and Presentations

The advantage of using algebraic geometry over enumeration for describing sets related to attractors in large dynamic networks from biology is advocated. Examples illustrate the gains.

Developing A Mixed-Methods Method To Model Elderly Health Technology Adoption With Fuzzy Cognitive Map, And Its Application In Adoption Of Remote Health Monitoring Technologies By Elderly Women, Noshad Rahimi

Dissertations and Theses

Providing healthcare to the ever-rising elderly population has become a severe challenge and a top priority. Emerging innovations in healthcare, such as remote health monitoring technologies, promise to provide a better quality of care and reduce the cost of healthcare. However, many elderly people reject healthcare innovations. This lack of adoption constitutes a big practical problem because it keeps the elderly from benefiting from technology advances. The phenomenon is even more pronounced among elderly women, who represent the majority of the elderly population.

A plethora of studies in the field of technology adoption resulted in sound, but highly generalized theories …

Enriching Clinical Learning Environments Through Partnerships: Academic And Practice Partnerships To Strengthen Care For Older Adults In Residential And Assisted Living Settings, Juliana Cartwright, Diana L. White

Institute on Aging Publications

This report was prepared by Oregon Health & Science University (OHSU) School of Nursing and the Institute on Aging at Portland State University to describe an academic-community partnership using the Enriching Clinical Learning Environments through Partnerships (ECLEPs) model. This two-year project was conducted with 34 students in the RN-BSN program in eight assisted living (AL) communities and ElderPlace, a PACE program serving residents in assisted living and other residential settings. Quality improvement was the focus of the project. Features of the ECLEPs model include:

• An intentional partnership between academic and clinical organizations
• Relationship-based; shared decision making
• Long-term commitment between partners …

Double- And Triple-Duty Caregiving Men: An Examination Of Subjective Stress And Perceived Schedule Control, Nicole Depasquale, Steven H. Zarit, Jacqueline Mogle, Phyllis Moen, Leslie B. Hammer, David M. Almeida

Psychology Faculty Publications and Presentations

Based on the stress process model of family caregiving, this study examined subjective stress appraisals and perceived schedule control among men employed in the long-term care industry (workplace-only caregivers) who concurrently occupied unpaid family caregiving roles for children (double-duty child caregivers), older adults (double-duty elder caregivers), and both children and older adults (triple-duty caregivers). Survey responses from 123 men working in nursing home facilities in the United States were analyzed using multiple linear regression models. Results indicated that workplace-only and double- and triple-duty caregivers’ appraised primary stress similarly. However, several differences emerged with respect to secondary role strains, specifically work–family …

Raps Sheet, November 2017, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Raps Sheet, October 2017, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Raps Sheet, May 2017, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

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 …

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 …

Association Of Depressive Symptomology And Psychological Trauma With Diabetes Control Among Older American Indian Women: Does Social Support Matter?, R. Turner Goins, Carolyn Noonan, Kelly Gonzales, Blythe Winchester, Vickie L. Bradley

OHSU-PSU School of Public Health Faculty Publications and Presentations

Aims—Among older American Indian women with type 2 diabetes (T2DM), we examined the association between mental health and T2DM control and if social support modifies the association.

Methods—Survey data were linked to T2DM medical record information. Mental health measures were the Center for Epidemiologic Studies – Depression Scale and the National Anxiety Disorders Screening Day instrument. T2DM control was all HbA1c values taken post mental health measures.

Results—There was not a significant association between depressive symptomatology and higher HbA1c although increased depressive symptomatology was associated with higher HbA1c values among participants with low social support. There was a significant association …

Design For An Aging Population, Trygve Faste, Kiersten Muenchinger

TREC Final Reports

Older Americans are increasing in numbers and addressing their needs through better public transportation design will improve their quality of life. This study sought to increase understanding of the obstacles faced by people with impairments in vision, hearing and/or mobility, which are common issues for older people, and generate physical product solutions. The research was conducted to conceptualize products, structures and services to reduce or eliminate these obstacles.

With a focus on the Eugene, OR, public bus system, elderly riders were surveyed and interviewed. Designers rode on buses noting what worked well and where problems arose. Five ride-along observations of …

Investigating The Psychological Effects Associated With Motor Neuron Degeneration In Persons Diagnosed With Als, Eloise Colwell Forrest

University Honors Theses

Investigation of the psychological effects of a terminal condition, wherein current care plans are primarily focused on physical rehabilitation and pain management, is crucial. Amyotrophic lateral sclerosis enacts irreversible damage to the body of those diagnosed, resulting in neurodegenerative processes that cause paralysis and eventually respiratory failure. There is no known cure or cause, which eliminates many traditional treatment avenues. Though the disease wreaks havoc on the muscular systems of the body there are no direct effects that degrade mental processing, leaving the individual experiencing the condition an aware witness to their own functional loss. Creating a multidisciplinary approach inclusion …

Underutilization Of Federal Benefits In Oregon: Programs And Strategies, Raúl Preciado Mendez

National Policy Consensus Center Publications

The report results demonstrate the dependence low-income Oregon families have on the six federal programs and the challenges families face when attempting to access federal resources. The barriers to access are often structural in that they are embedded in the procedures and structure of the program. Based on its analysis, the report presents a series of reforms and support activities that Oregon state agencies and nonprofits could adopt to improve family access for each program.

Bulletin: General Catalog Issue 2017-2018, Portland State University

Bulletin & Curriculum Change Documents

Volume 1 - Programs is available via the Download option, Volume 2- Courses is available in the Additional Files below

Computational Methods For Asynchronous Basins, Ian H. Dinwoodie

Mathematics and Statistics Faculty Publications and Presentations

For a Boolean network we consider asynchronous updates and define the exclusive asynchronous basin of attraction for any steady state or cyclic attractor. An algorithm based on commutative algebra is presented to compute the exclusive basin. Finally its use for targeting desirable attractors by selective intervention on network nodes is illustrated with two examples, one cell signalling network and one sensor network measuring human mobility.

People's Homes, Emily Fitzgerald, Molly Sherman

People's Homes

People’s Homes is a collaborative project that honors Portland’s longtime residents and investigates expanded notions of home. We have paired local artists with longtime residents to share their life stories and draw attention to the city’s quickly changing landscape. The artists and homeowners have worked together to create small-scale billboards that represent the elders’ experiences of home.

Produced by Emily Fitzgerald and Molly Sherman, collaborators include Lisa Jarrett, Michelle Swineheart, Patricia Vasquez, Travis Souza, Nolan Calisch and Nina Montenegro

Housing With Services, Paula C. Carder

Institute on Aging Publications

This report describes findings of an evaluation of the Housing with Services project in Portland, OR.

This evaluation was designed to assess the implementation process and impacts of a novel program of coordinated health and social services on behalf of over 1,400 residents of 11 affordable housing properties in Portland, Oregon. Affordable housing for older adults and persons with disabilities provides an important financial subsidy for persons with low incomes. To qualify for the affordable housing described in this report, individuals must have incomes of no more than $15,450 for a single person. In the U.S., over one million older …

An Inductive Ethnographic Study In Elderly Woman Technology Adoption And The Role Of Her Children, Noshad Rahimi, Antonie J, Jetter, Charles M. Weber

Engineering and Technology Management Faculty Publications and Presentations

Elderly woman strives to have a streamlined life surrounded by ease and familiarity. As she is aging, her desire for simplicity grows, her self-efficacy weakens, her prudency intensifies and her overall inclination toward status quo strengthens. As a result, she delays, or refuses, making any decision that might bring complexity and disrupt the continuity in her life, particularly new and unfamiliar technologies (which often bring complexity, before providing ease). Consequently, her technology adoption has a much lower rate than that of other demographics. To open the black box of elderly woman technology adoption process, this study focuses on the role …

Raps Sheet, May 2016, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Oregon Community-Based Care Survey 2016: Adult Foster Homes, Paula C. Carder, Jacklyn Nicole Kohon, Aubrey Limburg, Amanuel Zimam, Megan Rushkin, Margaret B. Neal

Institute on Aging Publications

This report describes adult foster homes in Oregon. An adult foster home (AFH) is a type of licensed community-based care (CBC) setting that provides residential, personal care, and health-related services, primarily to older adults. The study collected information from adult foster homes to achieve the following four main goals.

1. Describe adult foster home characteristics, including staffing types and levels, policies, and monthly charges and fees
2. Describe current residents’ health and social characteristics
3. Compare current results to prior Oregon surveys and to national studies of similar setting types to identify changes and possible trends
4. Compare setting types for differences that might …

Oregon Community-Based Care Survey: Assisted Living, Residential Care, And Memory Care, Paula C. Carder, Jacklyn Nicole Kohon, Aubrey Limburg, Amanuel Zimam, Megan Rushkin, Margaret B. Neal

Institute on Aging Publications

This report, prepared by the Institute on Aging (IOA) at Portland State University (PSU) in collaboration with the Oregon Department of Human Services, describes community-based care (CBC) settings that provide residential, personal care, and health-related services, primarily to older adults. The study collected information from assisted living, residential care, and memory care communities to achieve the following four main goals.

1. Describe assisted living, residential care, and memory care community characteristics, including staffing types and levels, policies, and monthly charges and fees
2. Describe current residents’ health and social characteristics
3. Compare current results to prior Oregon surveys and to national studies of …

Differential Health And Social Needs Of Older Adults Waitlisted For Public Housing Or Housing Choice Vouchers, Paula C. Carder, Gretchen Luhr, Jacklyn Nicole Kohon

Institute on Aging Publications

Affordable housing is an important form of income security for low-income older persons. This article describes characteristics of older persons waitlisted for either public housing or a housing choice voucher (HCV) (previously Section 8) in Portland, Oregon. 358 persons (32% response rate) completed a mailed survey with questions about demographics, health and housing status, food insecurity, and preference for housing with services. Findings indicate that many waitlisted older persons experienced homelessness or housing instability, poor health, high hospital use, and food insecurity. Public housing applicants were significantly more likely to report lower incomes, homelessness, and food insecurity than HCV applicants. …

The Case For Age-Friendly Communities, Margaret Neal, Alan Kenneth Delatorre

Institute on Aging Publications

The report was funded by Grantmakers In Aging, an organization dedicated to promoting and strengthening grantmaking for an aging society. The movement toward age-friendly communities is growing, with the key impetus being population aging. Beyond what individuals themselves can do to age optimally, the movement to create communities that are age friendly focuses on how the economic, physical, and social environments can be improved to address not only the needs but also maximize the assets of an aging population, for the benefit of all.