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Establishing And Validating Foundational Competencies In The Application Of Behavioral Gerontology Through Expert Consensus, Alexandra Doran

Dissertations

Behavioral gerontology continues to evolve and grow as an application of behavior analysis, but there remains a critical need to define competencies necessary for behavior analysts to provide ethical, effective care within their scope of competence. This study sought to establish and validate foundational competencies for Board Certified Behavior Analyst s® (BCBA s® ) working in this area. A mixed-methods design using three experiments was used. In Experiment 1, a review of discipline-specific competency frameworks and a job mapping process yielded a preliminary set of behavior-analytic competencies for behavioral gerontology. This produced a preliminary framework consisting of 142 competencies. Experiment …

Bridging The Gap: Critical Resources For Grandparent Caregivers And Their Grandchildren, Kathy Dial, Cara Tonn, Omotomilola Jegede, Cindy Kekeh, Loriena Yancura, Michele Kekeh

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

US population estimates indicate that approximately 2.5 million children live apart from both parents. Family relatives, often called kinship caregivers, care for 70% to 90% of these children, with grandparents making up the largest category (Radel et al., 2016). This study aimed to identify the most helpful resources and sources for grandparent caregivers to support the overall well-being of their families. Phone or Zoom interviews were conducted among a purposive sample of 24 grandparent caregivers from February to March 2022 to examine their initial experiences as caregivers, the current support services and resources they received, and other resources and services …

Vietnamese Grandparents' Caregiving Experiences For Grandchildren Impacted By Hiv/Aids: An Ethnographic Study, Lesley M. Harris, Nguyen D. Thang, Linh Thuy Nguyen

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This ethnographic study explores the caregiving experiences of grandparents in northern Vietnam who are raising grandchildren impacted by HIV/AIDS. Specifically, what is the process of skipped-generation caregiving in families affected by HIV/AIDS in Vietnam? Data were collected between 2009 and 2011 through participant observation and in-depth interviews with 26 grandparent caregivers and eight key informants. Informed by the Caregiving Career framework as a sensitizing concept and using constructivist grounded theory analytic strategies, the study identifies four interconnected caregiving phases shaped by cultural expectations, stigma, and intergenerational disruption. Through fieldwork and analysis, we found that grandparents drew from previous and current …

The Health And Well-Being Of Grandparents Who Report Major Responsibilities For Grandchildren: Perceived Physical Health, Depressive Affect, And Life Satisfaction, Tze-Li Hsu Phd, Patricia Drentea Phd

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This study examines how grandparents who report major responsibilities for their grandchildren experience perceived physical health, depressive affect, and life satisfaction compared to grandparents who do not report these responsibilities. Using data from the third wave of MIDUS (2013–2014), a nationally representative dataset focused on mid to later life (n = 1,819), we analyzed a sample of grandparents. Ordered logistic regression was used for perceived physical health, and ordinary least squares (OLS) regression was used for depressive symptoms and life satisfaction. Results indicate that grandparents with caregiving responsibilities are more likely to be women, non-White, and have lower incomes and …

From Strangers To Family: Fostering Resilience Through Social Support In Grandmothers Raising Grandchildren, Nancy Mendoza

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Grandparents often unexpectedly assume the role of caregiver with little support. Supporting these caregivers is critical for their health and well-being and that of their grandchildren. This study examines how family-like relationships formed during the GC+ intervention, increasing social support and resilience among grandparent caregivers. Four grandmothers, raising a total of five grandsons, participated in a focus group six months post-intervention. Grandmothers were asked to share their opinions and thoughts regarding the intervention. Using the Convoy Model and Resilience Theory, researchers conducted a deductive content analysis of participants’ perspectives on close family-like relationships cultivated during the intervention. Findings suggest close …

Complete Issue Vol. 8, Issue 2

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Complete Issue Vol. 8, Issue 2

The Impact Of Computer Training On Confidence And Occupational Participation In Community-Dwelling Older Adults, Alicia Jones, Joseph A. Scazzero, Rosanne Dizazzo-Miller

The Open Journal of Occupational Therapy

Background: It is fundamental to understand why older adults choose and use technology to fully understand how to meet the needs of an aging population in a technologically advanced society. This research aimed to design and implement a holistic technology training program for older adults that explores using a laptop beyond basic internet use.

Method: A pre-post mixed-method survey study took place at a local senior center. A classroom-style program was designed to deliver information and instruction using a digital device. An 11-item survey on attitudes toward technology using a 7-point Likert scale with qualitative responses was used to collect …

The Content Validity Of The Functional Cognition Index In Instrumental Activities Of Daily Living (Fci-Iadl) As A Screening Tool For Mild Cognitive Impairment (Mci) In Older Adults In Singapore, Namrata P. Sadarangani, Phyllis Simon

The Open Journal of Occupational Therapy

Background: Mild Cognitive Impairment (MCI) is a syndrome that is considered a transition phase between healthy cognitive aging and dementia. The person may have subjective memory complaints, substantiated by family or caregiver and/or impaired executive function, that lead to difficulties performing complex Instrumental Activities of Daily Living (IADLs). Our objective was to develop a tool to assess functional cognition in IADLs as a screen for MCI in older adults.

Method: A Qualtrics survey questionnaire was rated by 15 content experts on the relevance of the 22 test item questions to the cognitive domains being measured using a 4-point …

Exercise As A Non-Pharmacological Intervention For The Prevention And Delay Of Alzheimer’S Disease And Dementia, Eden Culver

Honors Theses

Alzheimer’s disease (AD) and related dementias are rapidly increasing public health concerns due to aging populations and rising life expectancy. Alzheimer’s disease is characterized by progressive neurodegeneration associated with amyloid-β plaques, tau neurofibrillary tangles, neuroinflammation, oxidative stress, and neuronal loss, leading to impairments in memory, cognition, and daily functioning. Because there is currently no cure for Alzheimer’s disease, identifying effective non-pharmacological prevention strategies is essential. This paper examines the role of physical exercise as a preventive and protective intervention for delaying the onset and progression of Alzheimer’s disease and dementia. Current research demonstrates that exercise supports brain health through several …

The Relationship Between Burnout, Resilience, And Locus Of Control In Occupational Therapy, Tabitha Gibbs, Miguel Garcia, Karen Menard, William O'Bannon

The Open Journal of Occupational Therapy

Background: Burnout in occupational therapists is characterized by emotional exhaustion, depersonalization, and diminished accomplishment.

Method: This non-experimental correlational study, guided by Rotter’s Locus of Control Theory and the attribution theory of motivation, analyzed the relationship between resilience, locus of control, and burnout among occupational therapists using the Brief Resilience Scale, the Internal-External Locus of Control Short Scale -4, and the Copenhagen Burnout Inventory. The sample of 83 participants was obtained via questionnaires sent to a convenience sample of occupational therapists with at least 6 months of work experience in any practice setting.

Results: The results of this study …

Creation And Implementation Of Nature And Sensory Based Therapy Programming To Support The Health And Well-Being Of Catholic Dominican Sisters, Sydney Payne

Capstone Projects

As the older generation ages, diseases such as dementia can cause sensory processing systems to be less efficient. When they become less efficient, it can create confusion and undermine one’s sense of safety (Champagne, 2018 pg 29-30). Engaging in sensory experiences provides support for these deficits while fostering participation in everyday life activities (Champagne, 2018 pg 30). This capstone project included a sensory garden (nature-based therapy) and associated multi-sensory activities. This was done through creation of nature and sensory-based programming, implementation of this programming one-on-one with sisters, two group sensory, dementia-friendly activities, and formation of a sustainability binder. Occupational therapy …

Implementation Of A Cardio Drumming Program To Promote Health And Wellbeing In Community-Dwelling Older Adults, Amanda Moyer

Capstone Projects

This doctoral capstone experience focused on implementation of a cardio drumming program at the Ecumenical Senior Center (ESC), a day center for older adults, in Kalamazoo Michigan. Cardio drumming is a unique way of exercise that combines drumming to upbeat music with an exercise ball, laundry basket, and drumsticks. Cardio drumming is low impact and can be adapted to many different abilities. This form of exercise can be done in a seated or standing position. The program began once a week for 30 minutes but soon increased to two times a week for 35 minutes and lasted 9 weeks due …

Investigating The Efficacy Of An Online Multigenerational Awareness Course For Occupational Therapy Students – A Pilot Study, Susan Blair, Barbara M. Doucet, Jerilyn Callen, Kirsten Davin, Shelby Hutchinson

The Open Journal of Occupational Therapy

In today’s multigenerational society, particularly in health care settings, thriving can be challenging because of generational differences. Occupational therapy educational programs (OTEPs) prepare students for work environments where three to four different generations may be present. This study examines the effectiveness of an online multigenerational awareness (MGA) course. The secondary objectives include increasing students’ knowledge of enhanced multigenerational collaboration and communication strategies in preparation for future clinical practice. A pilot group of eight participants from various university departments reviewed the course content and completed preenrollment and postenrollment surveys, providing feedback regarding the applicability and perceived usefulness of the multigenerational awareness …

An Interdisciplinary Functional Exercise Program For Individuals With Parkinson’S Disease: A Case Series, Lauren Turbeville, Caroline Adams, Amy Wedge, Kailey Smitherman, Kathrin Rothermich

The Open Journal of Occupational Therapy

Background: Traditional exercise programs are beneficial in managing Parkinson’s disease (PD). Little research exists on interdisciplinary, functional exercise programs designed and implemented by licensed therapists.

Method: Our case series presents the development, implementation, and results of an interdisciplinary functional exercise program for individuals with PD and the effects this program had on daily functioning and quality of life. Participants were recruited via flyers, email, and phone communication, and consented to data collection for our objectives. Participants attended two sessions per week for 8 weeks. Sessions addressed fine and gross motor skills, dexterity, cognition, functional strength, gait, balance, and …

Supporting Doctoral Research In Aging: From Exercise Barriers To Geropsychology Competencies, Alexandra Crites

Honors Theses

This thesis explored hands-on experiences supporting ongoing research in behavioral gerontology, addressing the growing need for individualized interventions, and improving professional training to meet the complex needs of aging populations. Through involvement in two primary studies—one examining exercise nonadherence in people with osteoarthritis (OA) and another developing competency standards for professionals entering geropsychology. I contributed to data analysis, research design, and the analysis of qualitative and quantitative literature. My work with Haley Hughes’ study included developing a comprehensive data table that mapped participant responses from focus groups and identifying nuanced themes related to barriers and facilitators for physical activity. For …

Occupational Therapy’S Role In Supporting Persons With Cognitive And Communication Impairment In Acute Hospital Settings, Molly Bathje, Carole Schwartz, Carly Ebert, Allison Harvey

The Open Journal of Occupational Therapy

It is estimated that 10.9% of adults in the United States live with a cognitive disability and 10% experience communication disorders. When hospitalized, people who have co-occurring cognitive and communication impairments (CCI) experience more hospital-related complications, longer lengths of stay, and higher risks for readmission and mortality. Co-occurring CCI refers to people who are hospitalized for a primary condition who also have a pre-existing or hospital acquired CCI.

Occupational therapists make important contributions to interprofessional care teams for persons with disabilities in hospital settings. This article explores the complexity of individual- and system-level factors contributing to poorer health outcomes for …

Nature-Based Activities And Educational Programming To Promote Health And Wellbeing In Community-Dwelling Older Adults, Madison E. Smith

Capstone Projects

This doctoral capstone experience (DCE) and project applied occupational therapy’s (OT) role in positive and healthy aging to the design and implementation of a nature-based activity and education program. Nature-based OT interventions for older adults are supported throughout scientific literature and are of continued importance to address ongoing mental and physical health challenges for the older adult population. This program took place at the Ecumenical Senior Center (ESC), a day center serving primarily underserved older adults in the Kalamazoo, Michigan area. Four interactive group sessions were implemented to explore the physical and mental health benefits of participating in nature activities. …

Enhancing Aging In Place: Client-Centered, Occupational Therapy Programs For Fall Prevention In Community-Dwelling Older Adults, Megan Oliver

Capstone Projects

This Doctoral Capstone Experience (DCE) focused on fall prevention and the promotion of safe aging in place for older adults through occupational therapy (OT)-based interventions. Conducted at WellWise Services Area Agency on Aging in Brooklyn, Michigan, the project identified a gap in fall prevention resources and OT interventions for community-dwelling older adults. The primary objectives were to develop and implement client-centered fall prevention programs to reduce fall risk, support aging in place, and create sustainable educational resources for staff. Project outcomes demonstrated significant improvements in participants’ safety and confidence within their home environments. No new falls were reported, and participants …

Behavioral Insights From Robotic Pet Interactions In Dementia Care, Hannah Lindstrom

Capstone Projects

Animal assisted therapy has become a common holistic option to negate decreasing functional outcomes within the dementia population, though these pets often are high maintenance; therefore, robotic pets may be a viable solution. To use robotic pets in practice with individuals with dementia, we need to know the mechanisms behind human-robot interaction and common behaviors shown during this interaction. Therefore, the focus of this doctoral capstone experience was to conduct an observational study of behaviors dementia patients display when interacting with robotic pets. Objectives met during this doctoral capstone experience included recording participants behaviors in the presence of a robotic …

The Impact Of Reminiscent Kits In Reducing Behaviors In Individuals With Dementia, Moriah Holloway

Capstone Projects

This capstone project explored the use of reminiscent kits, including robotic companion pets and hyper-realistic baby dolls, as a non-pharmacological intervention to reduce behavioral symptoms in individuals with dementia. This topic is highly relevant to occupational therapy, as it supports engagement, emotional regulation, and quality of life through meaningful, person-centered activity. The project addressed a gap in accessible, individualized interventions that can be adapted across varying cognitive levels in dementia care. The objective was to design a functional program that could be implemented by staff, focusing on residents in both high-functioning and advanced stages of dementia. Interventions were tailored based …

Development Of A Service-Learning Implementation Guide; Development Of An Articulation Pathway For Occupational Therapy Assistants To Occupational Therapy Doctorate Program, Mikayla E. Eshbach

Capstone Projects

This paper explores two initiatives within the Occupational Therapy Department at Western Michigan University (WMU): the implementation of service-learning and the development of an articulation pathway for Occupational Therapy Assistants (OTAs) transitioning to the Doctorate in Occupational Therapy (OTD).

The first part emphasizes service-learning as a beneficial tool for preparing students for clinical roles while enriching communities. A needs assessment identified the need for a standardized framework for long-term community engagement, resulting in a service-learning implementation guide tailored to the department. This guide aims to enhance communication with the Office of Community Engaged Learning and increase faculty awareness of available …

Enhancing Dementia Care: Learning Modules And Simulations For Assisted Living Facility Staff And Dominican Sisters, Emma Cole

Capstone Projects

Many nursing homes and assisted living facilities do not provide their staff with specialized training in dementia care, which can lead to decreased confidence and comfort when working in memory care units (Smythe et al, 2016). This capstone project aimed to enhance dementia care by developing recorded PowerPoint learning modules, handouts, and in-person simulation experiences focused on dementia education. To better understand the needs, preferences, and daily experiences of individuals with dementia, time was spent directly engaging with residents through meaningful activities and personal interactions. These experiences informed the development of the educational materials and ensured they were rooted in …

Fit For Life: Improving Quality Of Life And Fall Prevention Through Group Fitness For Older Adults, Alison K. Plasman

Capstone Projects

The purpose of my doctoral capstone experience (DCE) was to create group fitness classes for older adults to address fall prevention and quality of life. While the primary focus of this DCE was program development, pre/post testing was administered to 11 participants who engaged in regular participation of the program over the course of 6 weeks. Overall, 100% of participants noticed improvements in both their fear of falling, and quality of life following the Fit for Life program. The exercise classes were multi-disciplinary and addressed balance, cardiovascular endurance, upper body strength, lower body strength and core training. Participants reported great …

Enhancing Independence Of Individuals Who Are Aging In Place Through Smart Home Technology, Grayden Hoekwater

Capstone Projects

This capstone project explores the use of Amazon Echo Shows and Alexa technology to enhance the independence of older adults and individuals with disabilities aging in place. The project was implemented at Disability Advocates of Kent County (DAKC), where occupational therapists were trained to conduct comprehensive home safety assessments while also assisting consumers with home modifications, equipment, resources, and funding options so they continue living independently in their own home. Pre- and post-surveys with 13 consumers at DAKC assessed the impact of the technology on daily functioning and independence. Results showed that 85% of participants reported increased independence in managing …

Building Blocks For New Kinship Partnerships And Coalitions, Kathy L. Dial, Daniel J. Koltz, Janet Salo, Erin Beasley

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Building successful kinship partnerships and coalitions requires intentional effort to establish trust, align goals, and foster inclusivity. These collaborations are essential for addressing the unique and evolving needs of kinship families, who often face limited access to resources due to the informal nature of many caregiving arrangements. Effective partnerships prioritize clear missions, open communication, and active engagement with stakeholders, particularly those with lived experiences such as kinship caregivers. Research demonstrates that coordinated efforts among organizations enhance resource availability, improve advocacy capabilities, and strengthen service delivery. By integrating diversity, equity, and inclusion principles, coalitions can ensure that diverse perspectives shape solutions …

Learning From Experience: What Is Successful Respite During And Post-Pandemic?, Jennifer A. Crittenden, Darlene Sansone, Kristina Brant, Jennifer Odum, Caitlin O'Brien, Lisa Mccormick

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

The COVID-19 pandemic had immediate and long-lasting impacts on both kinship families and the organizations that serve them. During the pandemic, as families navigated health challenges, economic consequences, and school and daycare closures, relatives as parents programs (RAPPs) were challenged to surmount staffing and programming hurdles to meet family needs. Despite the difficulties posed by the pandemic, RAPPs developed creative solutions to offer respite programming. Some of these programs continue to be used today, over four years after the start of the pandemic. This article describes the presentations and discussions that took place during a 90-minute workshop at the 2023 …

Comfort With Technology And Its Association With Depression Of Custodial Grandparents During The Covid-19 Pandemic, Sarah Pace, Yanfeng Xu, Theresa Harrison

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

During the COVID-19 pandemic, custodial grandparents faced heightened risks of depression due to increased social isolation and caregiving responsibilities. This study examines the association between comfort with technology and depression among custodial grandparents. Cross-sectional data were collected from 287 custodial grandparents across the United States between May 2021 and February 2022. Logistic regression analysis revealed that custodial grandparents’ higher comfort with technology was significantly associated with lower odds of depression (OR = 0.68, p < .001). Additionally, those who had reliable access to the internet had significantly lower odds of experiencing depression (OR = 0.78, p = .039). Furthermore, the need for telemental health services was associated with increased odds of depression (OR = 3.18, p = .003). These findings highlight …

What Lies Ahead? Future Directions For Grandparent Caregiving Research, Bert Hayslip

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Clearly, as a perusal of the literature will support, interest in the lives of grandparents raising grandchildren among practitioners and researchers has increased dramatically over the last decade. As we approach 50 years since the appearance of Meredith Minkler and her colleagues’ classic work on grandparent caregivers raising their grandchildren amid the crack cocaine epidemic, I take this opportunity at the 10th anniversary of GrandFamilies to reflect on what directions grandfamily research might take in the future.

Complete Issue Vol. 8, Issue 1

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Complete Issue Vol. 8, Issue 1 (10th Anniversary)

A Comparison Of Training Approaches On Skill Acquisition Among Direct Care Staff At An Adult Day Program, Sandra Wagner

Dissertations

Adults with intellectual and developmental disabilities (IDD) are often dependent on direct care staff to engage in daily activities, such as personal care, eating, and engaging in leisure activities. One way direct care staff can support adults with IDD to become more independent is by using prompting strategies. Often times, however, direct care staff have not been trained on how to use prompts to encourage independence. Current studies have demonstrated success in teaching direct care staff prompting strategies in personal care tasks (e.g., Engelman et al., 2002; Parsons et al., 1993) through behavioral skills training. Although the trainings produced an …