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Promis Physical Function Scale Bookmarking And Validation, Luke Skerjanec, Amanda Tamanaha, Alex Wegner, Zane Wise, Jeff Houck

Student-Faculty Research - College of Physical Therapy

• Quick, valid and responsive outcome measure are critical for physical therapists

• The NIH’s Patient Reported Outcomes Measurement Information System (PROMIS) is a universal, 124 item, computer adapted system (CAT) that evaluates various health domains including physical function without a ceiling or floor effect.

• PROMIS demonstrates good convergent validity with the Health Assessment Questionnaire Disability Index (HAQ-DI) and Short-form 36 (SF-36) physical function subscale1 and also with ‘gold standard' International Knee Documentation Committee (IKDC) scale. PROMIS score can also predict poor outcomes at various follow-up lengths ranging from 3-52 weeks2.

• The modified physical performance test (mPPT) is …

The Effectiveness Of Environment Assessment Tools To Guide Refurbishment Of Australian Residential Aged Care Facilities: A Systematic Review, S Neylon, C Bulsara, A Hill

Health Sciences Papers and Journal Articles

Objective: To determine applicability of environment assessment tools in guiding minor refurbishments of Australian residential aged care facilities.

Method: Studies conducted in residential aged care settings using assessment tools which address the physical environment were eligible for inclusion in a systematic review. Given these studies are limited, tools which have not yet been utilised in research settings were also included. Tools were analysed using a critical appraisal screen.

Results: Forty-three publications met the inclusion criteria. Ten environment assessment tools were identified, of which four addressed all seven minor refurbishment domains of lighting, colour and contrast, sound, flooring, furniture, signage and …

2017-2018 Catalog, Governors State University

Catalogs

No abstract provided.

Race And Income Disparities In Disaster Preparedness In Old Age, Katherine M. Cox

Master's Theses and Capstones

Objective: Older adults are one of the most vulnerable populations impacted by disasters and communities continue to struggle addressing preparedness. This study investigated to what extent income status and race/ethnicity in old age interplayed with disaster preparedness.

Methods: Data came from the 2010 Health and Retirement Study, a nationally representative panel survey of older Americans over 51 years old. Our sample was restricted to respondents who participated in a special survey about disaster preparedness (N=1,705). Disaster preparedness was measured as a score, which includes 13 variables related to personal, household, program, and medical preparedness. Race/ethnicity was categorized by White, Black, …

Guide To The Office Of Institutional Research Records, University Of San Diego Office Of Institutional Research

University Records

The Office of Institutional Research records consist of documents and data compiled for national surveys and reports, accreditation, institutional analysis and planning. These are the records compiled to use in the University of San Diego Fact Books, federal and state accreditation mandates, and planning purposes for improving the institution. These records include data compiled for the American Association of University Professors (AAUP), the Association of Independent California Colleges and Universities (AICCU), the California Postsecondary Education Commission (CPEC), the Equal Employment Opportunity Commission (EEOC), the Integrated Postsecondary Education Data Systems (IPEDS), and the Higher Education General Information Survey (HEGIS). A large …

Patients With Dementia Are Easily Distracted, Ronald C. Hamdy, Amber Kinser, Audrey Depelteau, Tracey Kendall-Wilson, J. V. Lewis, Kathleen Whalen

ETSU Faculty Works

Mild cognitive impairment (MCI) is the middle ground between normal, age-appropriate memory impairment, and dementia. Whereas patients with MCI are able to cope with the memory deficit, those with dementia are not: Their memory impairment and other cognitive deficits are of sufficient magnitude to interfere with the patients’ ability to cope independently with daily activities. In both MCI and dementia, there is evidence of declining cognitive functions from a previously higher level of functioning. In both the conditions, there is also an evidence of dysfunction in one or more cognitive domains. There are two subtypes of MCI depending on whether …

Too Many Choices Confuse Patients With Dementia, Ronald C. Hamdy, J. V. Lewis, Amber Kinser, Audrey Depelteau, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

ETSU Faculty Works

Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.

Aging And Disability Among Hispanics In The United States: Current Knowledge And Future Directions, Marc A. Garcia, Brian Downer, Michael Crowe, Kyriakos S. Markides

Department of Sociology: Faculty Publications

Background and Objectives: Hispanics are the most rapidly aging minority population in the United States. Our objective is to provide a summary of current knowledge regarding disability among Hispanics, and to propose an agenda for future research.

Research Design and Methods: A literature review was conducted to identify major areas of research. A life course perspective and the Hispanic Paradox were used as frameworks for the literature review and for identifying future areas of research.

Results: Four research areas were identified: (1) Ethnic disparities in disability; (2) Heterogeneity of the U.S. older Hispanic population; (3) Risk factors for disability; and …

The Role Of Spirituality In The Reconstruction Of Identity In Older Women, Elin Hardenberg

Theses, Dissertations, and Projects

This study examines whether spirituality plays a role in how older women integrate changes in their identity as they age. The research questions guiding this study are: 1) how do women navigate changes in identity in older adulthood; and 2) what role does spirituality play in the reconstruction of a woman’s identity in older adulthood? Erikson’s stages of development are used as a framework for understanding where participants are in their developmental process. The study was conducted by interviewing six women between the ages of seventy and ninety who self-identified as having an opinion about their relationship to spirituality. It …

Loneliness, Meaning In Life, And Depressive Symptomology In College Students, Abigail Oehler

Honors Theses

The present study aimed to better understand the relationship between loneliness, meaning in life, and depressive symptoms in college students. Two-hundred and forty-seven participants, ages 18-37, completed self-report measures about their experience with depressive symptoms (Depression Anxiety Stress Scale), loneliness (UCLA Loneliness Scale- Version 3), and meaning in life (Meaning in Life Questionnaire). The following was hypothesized: 1) symptoms of depression, loneliness, and meaning in life will be significantly related; 2) meaning in life will mediate the relation between loneliness and depressive symptoms. Results demonstrated all constructs were associated as expected (ps<.001). Contrary to hypothesis, meaning in life did not mediate the relation between loneliness and depressive symptomatology. However, post hoc regression analysis illustrated that loneliness was the only unique predictor of depressive symptoms. This study suggests more research is warranted on understanding specific mechanisms relating loneliness to depressive symptoms in college students.

Development Of A Guideline For Hospice Staff, Patients, And Families On Appropriate Opioid Use, Trenika Alexander-Goreá

Walden Dissertations and Doctoral Studies

There is an identified problem with patients receiving suboptimal pain management at a hospice agency in the northwestern United States. At this agency, undertreatment of pain is prevalent. Evidence indicates that this may be a result of a lack of guidelines, education, and knowledge of appropriate prescribing. Known barriers to the correct prescription and administration of potent opioids in the hospice setting include prevailing beliefs, knowledge, skills, and attitudes, all of which can impact care negatively. Contextually, hospice principles mandate patient comfort and caregiver involvement in continuous quality improvement, which includes adequate and informed pain management. Moreover, hospice metrics demand …

The Dynamics Of Economic Status And Health Among Working-Age Adults In The United States, Abdulkarim Mohammad Meraya

Graduate Theses, Dissertations, and Problem Reports (ETD)

The relationship between economic status and health has been documented in the previous literature. Economic, sociological and epidemiological studies have indicated that higher economic status is associated with better physical and mental health. While these studies have made significant contributions in this area, a comprehensive evaluation of the relationships between economic indicators and health is still lacking. Most studies focused on a single measure of economic status or health. Further, most studies have focused on one-direction -- economic indicators affecting health; little is known about the effect of health improvement on gain in economic status. Furthermore, only a few studies …

Initial Findings Of A Medicare Annual Wellness Visit Program, Hesper B. Nowatzki

Walden Dissertations and Doctoral Studies

Despite the emphasis of benefits on preventive health, many older adults are not receiving the recommended age specific, evidence based screenings and vaccinations. The Medicare Annual Wellness Visit (AWV) is designed to address modifiable risk factors with aging adults and close gaps in care not captured in routine office visits. Although a free Medicare benefit to patients, and a reimbursable service to health care providers, participation in the AWV is low nationwide. The purpose of the project is to introduce an AWV program to a rural health clinic in Northwest Illinois that has a population consisting of over 25% of …

Perceptions Among Senior Consumers Regarding Stereotyping In Magazine Advertisements, Greg Milsom

Walden Dissertations and Doctoral Studies

Marketing decision makers often employ stereotypes in their advertising messages, but constant exposure to negative messages is offensive to older consumers and contributes toward ageism. The general problem is that many senior adults feel dissatisfied with advertising directed toward them and may not purchase products that they could otherwise enjoy. Based on the tenets of social identity theory, the purpose of this study was to explore the perceptions of a group of senior consumers toward the stereotypes used to portray older adult models featured in magazine advertisements by uncovering the factors that influence purchasing decisions and the stereotypes that are …

Evaluating The Impact Of A Smoking Cessation Program., Gideon Eke

Walden Dissertations and Doctoral Studies

Forty-six million individuals in the United States used tobacco products. People who use

tobacco products attempt numerous strategies before giving up smoking habit altogether. The goal of this project was to evaluate the impact of a tobacco cessation program by evaluating pre-and post-cessation program data, and hospital records of participants attending the hospital smoking cessation program over a 6-month period to ascertain the degree of reduction in tobacco use and hospitalization from smoking-related diseases. The population sample comprised of both men and women between the ages of 18 years and above. The project question addressed whether the smoking cessation program …

Preparing For Florida’S Older Adult Population Growth With User-Friendly Demographic Maps, Kathryn Hyer, George Macdonald, Kathy Black, Adrian N.S. Badana, Scott Patrick Murphy, William E. Haley

Florida Public Health Review

The older adult population of the United States is growing rapidly. For 40 years Florida has remained the state with the highest percentage of older adults and has experienced robust growth. It may be a model for other states that will witness an increase in their own older adult populations. This article provides links to publicly available, free interactive Web-based maps developed by the University of South Florida displaying colorful maps depicting projected older adult population growth in Florida from 2010 to 2040 at the county level, stratified by sex, race, and ethnicity, and with options for focusing on 65+ …

Co-Constructing Food Access Issues: Older Adults In A Rural Food Environment In West Virginia Develop A Photonarrative, Lauri Andress, Sunah Hallie

Faculty & Staff Scholarship

This photovoice study examined the hypothesis that photos and narratives produced by older adults would facilitate the co-construction of a shared narrative about the food access issues in a rural county in West Virginia. For older adults, living in rural areas, several factors decrease access to healthy, nutritious food relative to the general population of older adults. Methods: Qualitative data from interviews, written narratives, dialogues, and photos from older adults living in a rural county of West Virginia. Was collected. Using directed content analysis, transcripts of written data were broken down into meaningful quote segments. All written data and …

Periodontal Status And Quality Of Life: Impact Of Fear Of Pain And Dental Fear, Casey D. Wright, Daniel W. Mcneil, Cierra B. Edwards, Richard J. Crout, Katherine Neiswanger, John R. Shaffer, Mary L. Marzita

Faculty & Staff Scholarship

Background. Oral health-related quality of life (OHRQoL) is impacted by periodontal disease and orofacial pain. There is a limited research examining the impact of avoidance of care or physiological arousal related to the fear of pain response on periodontal-related OHRQoL. Methods. Data are from the Center for Oral Health Research in Appalachia family-based study focusing on 1,339 adults. Measures included a modified Periodontal Screening and Recording Index across sextants of dentition, dental fear survey, Fear of Pain Questionnaire-9, and Oral Health Impact Profile-14. Structural equation modeling was used to estimate the effects of periodontal disease screening indicators on OHRQoL including …

Place-In-Process In Colm Toíbín’S The Blackwater Lightship: Emotion, Self-Identity, And The Environment, Nancy Easterlin

English Faculty Publications

No abstract provided.

Cairing4carlisle: A Community Health Needs Assessment, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

Caring4Carlisle (C4C) is a community initiative aimed at addressing the social, emotional, spiritual and physical health of Carlisle residents. Community Health Network Areas (CHNAs) were created by the Massachusetts Department of Public Health in 1992. There are 27 CHNAs in the Commonwealth, and Carlisle belongs to CHNA 15. In July of 2016, Carlisle was awarded a planning grant ($20,000) from CHNA 15 to engage in a community needs assessment process with the intention of identifying priority community health needs to be addressed in Carlisle.

The Carlisle Board of Health served as the lead Town Department with the Gleason Public Library, …

Preventing Falls And Reducing Injury From Falls (4th Ed.), Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This best practice guideline (BPG) focuses on the prevention of falls and fall injuries in all adults at risk for falls -; including those living in the community -; who are receiving care from nurses or other health-care providers. Evidence reviewed for this guideline included studies conducted in three main health-care settings:

• community (including primary care and home care)
• hospital
• long-term care

For more information including supplementary documents and available translations, visit https://rnao.ca/bpg/guidelines/prevention-falls-and-fall-injuries

Understanding Partner Loss In Same-Sex Couples, Margaret E. Manges

Williams Honors College, Honors Research Projects

The goal of the present study is to examine the difficulties faced by sexual minorities who have lost their partners. More specifically, the impact of outness, relationship comfort, and social support on the bereavement process of same- and mixed-sex couples will be overviewed. The hypothesis of the present study is to examine whether social support, relationship comfort, and visibility mediate the relationship between sexual orientation and stress after the loss of a partner. In previous research, social support for the recently bereaved has been studied quite extensively; however, research has yet to examine sexual minorities and the specific hindrances this …

Forget-Me-Not, Daniel Barber-Cironi, Shawn Nicholson, Jake Kruse, Nicole Dent

Williams Honors College, Honors Research Projects

The purpose of Forget-Me-Not is to provide another level of care and comfort to those suffering from mild dementia, as well as provide further assistance for a friend, family member, or caretaker who may look after them. Research shows that timely reminders and persistent information can greatly improve the quality of life for those afflicted with mild dementia (Mokhtari et al.). Forget-Me-Not’s persistent display and wearable smart-bracelet offer a customizable and well connected system to provide these reminders. For the caretaker, a mobile application is provided in order to maintain the display and notify them of emergencies or critical events …

Dose-Response Association Between Acute Exercise Duration, Exercise Recovery And Cognitive Function, Elizabeth Ann Crush

Electronic Theses and Dissertations

Previous studies have shown moderate intensity exercise to be a desired intensity level to optimize cognitive function, however, this research has mostly been conducted among older adults despite the claim that cognitive function may start to decline in the early years (i.e., 20s). Another research gap within this population is our limited understanding of the effects of different exercise durations and recovery periods on cognitive function. Thus, the purpose of this study was to examine the effects of different exercise durations and recovery periods on cognition using a treadmill-based protocol. In a counterbalanced, cross-over randomized controlled design, 352 participants, ages …

Exploring The Impact Of A Training Programme On Acute Healthcare Professionals' Attitudes And Understanding Of Dementia, Orla Quirke

Theses

Acute healthcare professionals lack education and training in dementia care. This results in people with dementia having poorer outcomes when admitted to the acute healthcare setting. An overarching aim of The National Dementia Strategy (2014) is the provision of optimal care for people with dementia in all healthcare and community settings. In response to this, Dementia Elevator a national inter-professional suite of educational programmes were developed by Dublin City University and the Health Service Executive to help individuals, communities and health systems engage positively with people with dementia. This study aimed to evaluate the impact of a four-hour dementia training …

Detecting Agitation Onset In Individuals With Dementia Using Smart Phone Sensors, Christianne Fowler, Ajay Gupta, Kurt Maly, Karen Karlowicz, Maheedhar Gunnam, Rohila Gudipati, Mahesh Kukunooru, Rahul Rachamalla

Ellmer School of Nursing Faculty Publications

Individuals living with dementia (ILWD) often experience problematic agitated behaviors, this occurs in up to 80% of ILWD. These behaviors lead to stress for caregivers and increased frequency of institutionalization. There are many proven methods to intervene during agitated behavior outburst and the earlier these methods are used the better the results. Technology has been used successfully to monitor many aspects of health monitoring for older adults. Technology is now being investigated to evaluate the effectiveness of predicting the onset of problem behaviors, especially escalating agitation in ILWD. Off the shelf technology, smart watches and android phones, are being tested …

Determining Risk Of Falls In Community-Dwelling Older Adults: A Systematic Review And Meta-Analysis Using Posttest Probability, Michelle M. Lusardi, Stacy Fritz, Addie Middletown, Leslie Allison, Mariana Wingood, Emma Phillips, Michelle Criss, Sangita Verma, Jackie Osborne, Kevin Chui

All PTHMS Faculty Publications

BACKGROUND:

Falls and their consequences are significant concerns for older adults, caregivers, and health care providers. Identification of fall risk is crucial for appropriate referral to preventive interventions. Falls are multifactorial; no single measure is an accurate diagnostic tool. There is limited information on which history question, self-report measure, or performance-based measure, or combination of measures, best predicts future falls.

PURPOSE:

First, to evaluate the predictive ability of history questions, self-report measures, and performance-based measures for assessing fall risk of community-dwelling older adults by calculating and comparing posttest probability (PoTP) values for individual test/measures. Second, to evaluate usefulness of cumulative …

‘Why I Sent My Child Away’: Culturally Structured Motivations For Long-Distance Parenting, Deepa Srivastava, Maria Rosario De Guzman

Department of Child, Youth, and Family Studies: Faculty Publications

Although long-distance parenting is often depicted as a response to crisis (e.g., economic) or other stressful life events, it is sometimes undertaken in various culturally normative situations. This current study explores the motivations of South Asian Indian immigrant parents for sending their young children to India to live temporarily with their grandparents. This qualitative study involves in-depth interviews with first generation immigrant parents about their experiences and motivations for sending their children to India. Analysis of the data revealed five themes, namely, (a) contextual and daily challenges in caring for their children in the United States, (b) parents’ concern around …

Not Young Guns Anymore: Dementia And The Second Amendment, Fredrick E. Vars

Articles

No abstract provided.

2017-2018 Nursing Graduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2017-2018 Graduate Student Handbook for the Department of Nursing at Morehead State University.