Digital Commons Network^™

An Interprofessional Collaborative Approach To Fall Prevention Education, Lisa Prince-Clark

Walden Dissertations and Doctoral Studies

Hospital falls among medical-surgical inpatients are a safety concern. Inpatient falls that lead to significant injuries may be reduced by fall intervention education, which can lead to the preparedness of the patient and care providers. Orlando's deliberative nursing process theory and the plan-do-check-act model were applied to address the project practice-focused question that explored whether the education of staff nurses on fall prevention interventions would reduce the incidence of falls during a 2-month period. The purpose of the project was to implement and evaluate nursing staff education on the Morse fall scale, an evidence-based fall-prevention intervention. Evaluation of staff nurse …

Social Integration And The Mental Health Needs Of Lgbtq Asylum Seekers In North America, Samara Danielle Fox

Yale Medicine Thesis Digital Library

This study examined the mental health burden of LGBTQ asylum seekers and associated psychosocial risk factors with a focus on barriers to social integration. This study also characterized LGBTQ asylum seekers’ interest in interventions aimed at alleviating mental distress and social isolation. Respondents (n = 308) completed an online survey which included the Refugee Health Screener (RHS-15), the NIH loneliness scale, and an adapted scale of sexual identity disclosure. Most respondents (80.20%) screened positive for mental distress. Loneliness (OR = 1.14, 95% CI = 1.09, 1.19) and LGBTQ identity disclosure (OR = 3.46, 95% CI = 1.01, 12.02) were associated …

Mortgage Loans And Financial Security Among Middle-Aged And Older Americans, Qun Zhang

Theses and Dissertations--Family Sciences

Mortgage loan debt is prevalent among middle-aged and older Americans. With higher average outstanding balances, many people are unlikely to pay off their mortgage debt by retirement. Meanwhile, as people age, health shocks are more likely to occur. Medical expenses may compete with mortgage payments and relate to financial insecurity in later years. In order to alleviate financial strain during times of financial hardship, senior homeowners may find reverse mortgage the solution they are looking for. Targeting American adults age 50 and older, this dissertation investigates mortgage loan debt and financial security using panel data from the Health and Retirement …

Advancing The Field Of Human Services: Lgbt Competencies, Narketta Sparkman-Key, Nicola Meade, Ne'shaun Bordern

Counseling & Human Services Faculty Publications

Ethical Standards for Human Services Professionals and Generic Human Services Professional Competencies adopted by the National Organization for Human Services do not include language or competencies specific to lesbian, gay, bisexual and transgender (LGBT) communities. Without a specific ethical code and/or competency outlined by the field, human services practitioners do not have clear guidelines for their work with these populations. Additionally, researchers lack a way to formally measure professionals’ abilities with these populations. This leaves potential for these historically marginalized populations to continue to be in a vulnerable position. To address these needs, authors reviewed established competencies in other helping …

Training Satisfaction Of Behavioral Health Providers Treating Older Adult Substance Use, Claudia Lpc Crosse-Wynn

Walden Dissertations and Doctoral Studies

Substance use disorders among the baby boomer generation are steadily increasing, but knowledge and training satisfaction regarding older adult substance use disorders among behavioral health providers (BHPs) has not been explored. Using the Kirkpatrick evaluation model, this quantitative study involved an examination of the knowledge and training satisfaction of four behavioral provider groups: addiction counselors, licensed professional counselors, marriage and family therapists/social workers, and psychologists. Each participant (N = 154) completed a demographic questionnaire, satisfaction questionnaire, and the Alcohol and Older Adult Questionnaire to measure knowledge level on older adult substance use disorders. The results showed that licensed professional counselors …

Experiences And Attitudes Of Older Homeless Women Toward Healthcare Access, Mary Ann Mueller

Walden Dissertations and Doctoral Studies

Homelessness among older women is a growing problem in many metropolitan areas of the United States. Researchers have indicated that health issues and problems accessing basic care are connected. Older homeless women face increased health issues, multiple challenges related to accessing basic care, and low incomes which put them at higher risk of becoming homeless, staying homeless, and delaying medical treatment. The homeless who lack fulfillment of social support and timely medical care are considered repetitive users of the emergency department and hospital stays. The purpose of this phenomenological study was to explore the experiences and beliefs of older homeless …

African American Sibling Relationships When Caring For An Alzheimer’S Parent, Cynthia M. Smith

Walden Dissertations and Doctoral Studies

Alzheimer’s disease (AD) is the most commonly occurring form of dementia that affects African Americans at 2 to 3 times higher rate than other ethnic or racial groups in the United States. As the number of older African Americans with AD grows rapidly so will the need for daily supports; therefore, informal caregivers, such as an adult offspring, often assume the role of filial caregiver. Focusing on the unique patterns of caregiving among African Americans, this generic qualitative study may help explain the adult offspring’s perspective on sibling relationships as they function in the role of primary filial caregiver. Equity …

The Role Of Mtdna Mutation And Mitochondrial Dysfunction On The Aging Process, Starr Pericles

Honors College Theses

No abstract provided.

Incapacitating Errors: Sentencing And The Science Of Change, M. Eve Hanan

Scholarly Works

Despite widespread support for shifting sentencing policy from “tough on crime” to “smart on crime,” reflected in legislation like the federal First Step Act, the scope of criminal justice reform has been limited. We continue to engage in practices that permanently incapacitate people while carving out only limited niches of sentencing reform for special groups like first-time nonviolent offenders and adolescents. We cannot, however, be “smart on crime” without a theory of punishment that supports second chances for the broadest range of people convicted of crimes.

This Article posits that the cultural belief that adults do not change poses a …

Linking Communicative Interaction To Cognitive Functioning: Implications For Older Adults, Denise Calhoun

Theses and Dissertations

As the percentage of older adults within the U.S. steadily increases, long-term care options are being impacted with growing numbers of seniors to provide for. The reality of these elevated numbers have sparked an interest in researchers to conduct studies on human development, plasticity in the brain, and training and intervention programs in search for ways to halt or lessen the cognitive and communicative decline, in older adults. As an alternative path to help older adults maintain quality of life, this study proposes to examine the link between communicative interaction and cognitive functioning to educate family members and healthcare providers …

Disability Transitions And Health Expectancies Among Elderly People Aged 65 Years And Over In China: A Nationwide Longitudinal Study, Chengbei Hou, Yuan Ma, Xinghua Yang, Lixin Tao, Deqiang Zheng, Xiangtong Liu, Xia Li, Wei Wang, Xianghua Fang, Xiuhua Guo

Research outputs 2014 to 2021

Disability has become a critical issue among elderly populations, yet limited large-scale research related to this issue has been conducted in China, an aging society. This study explored sex and urban-rural differences in disability transitions and life expectancies among older adults in China. Data were collected from the Chinese Longitudinal Health Longevity Survey (CLHLS), which enrolled people aged 65 and older and was conducted in randomly selected counties and cities across 22 provinces in China. Disability was diagnosed based on basic activities of daily living (BADLs) and instrumental activities of daily living (IADLs). Several individual characteristics were assessed, including sociodemographic …

Using Drawings To Understand Perceptions Of Civic Engagement Across Disciplines: ‘Seeing Is Understanding’, Sharon Feeney, John Hogan

Articles

In this article, we wish to investigate if disciplinary differences exist among students when considering the topic of civic engagement. We use freehand drawing to create a learning environment in the classroom wherein students can seek to develop meaningful associations with civic engagement. The drawings examined here, produced by three different class groups, provide insights into how young adults perceive their society and their place in it, and thus communicate their understanding of civic engagement. Freehand drawing, in bypassing cognitive verbal processing routes, leads students to produce clearer and more holistic images. It allows them to put into visuals a …

The Last Hope: How Starting Over Could Save Private Long-Term Care Insurance, Jalayne J. Arias

Health Matrix: The Journal of Law-Medicine

No abstract provided.

The Effect Of Mild Cognitive Impairment On Anxiety In Older Adults In American And Ukraine, Eleanor Ryan

Senior Honors Theses and Projects

With the growing population of elderly individuals throughout the world, the study of their emotional distress is ever poignant to society. This is especially true when these individuals have cognitive impairment. The research, in regards to Eastern European individuals, is lacking. To gain a better understanding of this understudied population, elderly people with Mild Cognitive impairment (MCI) from both Ukraine and the United States were studied. It was found that the anxiety rates of the Ukrainian MCI group were significantly higher than both the United States MCI group and the Ukraine control (p = 0.004). Purpose The purpose of this …

Using Leisure As A Therapeutic Activity To Enhance Health, Well-Being, And Quality Of Life Among Long Term Care Residents, Olivia Mayasich, Alexis Tyce

Occupational Therapy Capstones

Purpose The purpose of this scholarly project is to address health, well-being, and quality of life with the use of leisure activities as modalities with residents in long term care (LTC) facilities.

Methodology The results of a thorough literature review supported the need for a program to address leisure participation in residents in LTC facilities. An abundance of literature supporting participation in leisure to enhance health, well-being, and quality of life emerged from the literature review, revealing an obvious gap between literature and practice. The information gathered in the literature review helped guide the development of a program manual to …

College Of Dental Medicine 2019, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Implicit Attitudes Of Asian American Older Adults Toward Aging, Anita Ho

Scripps Senior Theses

Greenwald, McGhee, and Schwartz (1998) developed the Implicit Association Test (IAT), a measure of mental associations between target pairs and positive or negative attributes. Highly associative categories yield faster responses than the reverse mental associations, which is thought to reflect implicit attitudes toward stereotypes. The present study investigated the effect of ethnic group on one’s implicit attitudes toward aging and gender stereotypes by comparing two groups of older adults, Asian Americans and Caucasian Americans, that likely hold different culture values. Past qualitative studies have established the existence of mental health stigma in Asian American populations, including negative Asian American perceptions …

2019-2020 Course Catalog, University Of Montana--Missoula. Office Of The Registrar

University of Montana Course Catalogs, 1895-2024

An annual catalog of courses and course descriptions offered at the University of Montana.

A Longitudinal Examination Of The Impact Of Major Life Events On Physical Activity, Elizabeth Richards, Patricia A. Thomas, Anna K. Forster, Zachary Hass

School of Nursing Faculty Publications

Background: Despite promotion of physical activity guidelines, less than one third of U.S. adults are sufficiently active and an even larger number of older adults fail to meet guidelines. To address this major public health issue, it is essential to broadly consider determinants of physical activity. Aims: This study explores how physical activity behavior is impacted by the experience of major life events and considers the stress experienced due to these events across the life course. Methods: Nationally representative panel data from the American’s Changing Lives survey (1986-2012) was used to analyze a growth model with age-based trajectories to examine …

Initiation Of A Health Promotion Program In Chronic Disease Self-Management For Senior Center Participants, Suzanne E. Slovak

Doctor of Nursing Practice (DNP)

Background: Chronic conditions within the aging population have continued to rise causing a significant impact in the clinical setting for both patient care and health outcomes with the increased use of health care services and repeat hospitalizations. This project attempts to determine the effectiveness of health promotion education in the increasing of health promotion knowledge, positive behavioral changes and chronic disease self-management implementation for individuals within the senior center atmosphere. Methods: The design utilized a quantitative, empirical method. The population focus included older adults at a local senior center, ages 60-85 who actively attended the senior center and had access …

Anger From Within: The Role Of Emotions In Disengagement From Violent Extremism, Peter Simi, Steven Windisch, Daniel Harris, Gina Ligon

Sociology Faculty Articles and Research

There is growing recognition about the similarities between generic criminality and violent extremism. Using data derived from a unique set of in-depth life history interviews with 40 former U.S. white supremacists, as well as previous studies of criminal desistance, we examine the emotional valence that characterizes actors' descriptions of the disengagement process. More specifically, results suggest that negative emotions (i.e., anger and frustration) directed toward the extremist group and oneself function as a catalyst for disengagement. Negative emotions become a source of motivation in re-evaluating the relative importance of the group as it relates to the individual. Ultimately, the reevaluation …

Validity Of The Falls Risk For Older People In The Community (Frop‑Com) Tool To Predict Falls And Fall Injuries For Older People Presenting To The Emergency Department After Falling, Marlon Mascarenhas, Keith D. Hill, Anna Barker, Elissa Burton

Health Sciences Papers and Journal Articles

The aims of this study were to (1) externally validate the accuracy of the Falls Risk for Older People in the Community (FROP-Com) falls risk assessment tool in predicting falls and (2) undertake initial validation of the accuracy of the FROPCom to predict injurious falls (requiring medical attention) in people aged ≥ 60 years presenting to emergency departments (EDs) after falling. Two hundred and thirteen participants (mean age = 72.4 years; 59.2% women) were recruited (control group of a randomised controlled trial). A FROP-Com assessment was completed at a home visit within 2 weeks of ED discharge. Data on falls …

The Peer Experience For Older People Encouraging Other Older People To Engage In Resistance Training: A Qualitative Study, Elissa Burton

Health Sciences Papers and Journal Articles

Resistance training (RT) can maintain and improve physical and mental health in 2 older adults, but this population has low levels of participation in RT. Linking older people 3 already participating in RT (i.e. peers) with those who have not may promote and maintain 4 adherence to RT participation. This qualitative study explored the experience of peers in 5 encouraging participation in RT among older community-dwelling adults. Data were collected 6 using focus groups, researcher observations, and semi-structured interviews. Thematic 7 analysis was conducted. Older people (n=8) who had engaged in RT for at least two months 8 prior to …

Evolution Of Occupational Therapy Practice: Life History Of Dr. Barbara L. Kornblau, Jd, Otr/L, Faota, Daspe, Ccm, Cdms, Cpe, Abby Wavra, Kelsey Sherry

Oral History Student Papers

This paper is a summary of an interview completed with Dr. Barbara L. Kornblau. Barbara is a licensed occupational therapist and lawyer who was interviewed by two occupational therapy students at the University of North Dakota as a part of a larger life history qualitative study that included 30 total participants. This study was done to gather an understanding of her experience in occupational therapy (OT). The interview was semi-structured and lasted approximately 90 minutes, followed by a transcription and data analysis used to organize the information into twelve codes and six emerging themes. This single interview is a part …

When Does The Positivity Effect Emerge? : Age-Related Emotional Biases At Encoding And Retrieval, Hannah Wolfe

Honors Theses

The Socioemotional Selectivity Theory (SST) posits that as their future time perspective shrinks, older adults tend to be more motivated by emotionally meaningful goals and therefore experience what is called the “positivity effect” with age (Carstensen, 2006). The positivity effect had been studied in both attention biases (Isaacowitz et al., 2006a) and memory biases (Kensinger, 2008), with older adults dwelling longer on and better remembering the positive stimuli over the negative. Yet, few studies have measured emotional biases at both the encoding and retrieval phases, which is why this study uses eye-tracking to determine whether any biases in gaze patterns …

Biological Risk Profiles Among Latino Subgroups In The Health And Retirement Study, Catherine García, Jennifer A. Ailshire

Department of Sociology: Faculty Publications

Background and Objectives: Latinos residing in the United States exhibit an increased risk for cardiovascular and meta- bolic diseases compared to non-Latino whites. This elevated risk contributes to a significantly higher prevalence of diabetes and hypertension among Latino adults. Examining biological risk profiles of older Latinos as a “pan-ethnic group” and by Latino subpopulations may help to explain the increased burden of disease in later life among this population. The objec- tive of this study is to document biological risk profiles among a nationally representative sample of older U.S. Latinos by nativity and country of origin.

Research Design and Methods: …

Culture And The Development Of Traditional Medicine In Africa, Rowland Edet, Oyedolapo Isaac Bello, Julianah Babajide

Department of Sociology: Faculty Publications

Traditional medicine has been the dominant healthcare system in Africa before westernization, civilization and colonialism. For people living in the rural areas, traditional medicine is easily available, accessible and affordable. The purpose of this paper is to examine how the cultural way of the life of Africans has contributed to the emergence and development of traditional therapeutic systems in the continent. By explaining the way Africans perceive illness and disease, this paper argues that various forms of healing were predicated on the sociocultural environment of the people. The paper therefore opts for concerted efforts in the development of traditional medicine …

Disability And The Immigrant Health Paradox: Gender And Timing Of Migration, Marc A. Garcia, Adriana M. Reyes, Sunshine Rote

Department of Sociology: Faculty Publications

Although research has documented better health and longer life expectancy among the foreign-born relative to their U.S.-born counterparts, the U.S. Mexican-origin immigrant population is diverse and the healthy immigrant effect likely varies by key structural and demographic factors such as gender, migration history, and duration in the United States. Using a life course framework, we use data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly (H-EPESE 1993–2013) which includes Mexican-American individuals aged 65 and older to assess the heterogeneity in the immigrant health advantage by age of migration and gender. We find that age of migration …

Racial/Ethnic And Nativity Differences In Cognitive Life Expectancies Among Older Adults In The United States, Marc A. Garcia, Brian Downer, Chi-Tsun Chiu, Joseph L. Saenz, Sunshine Rote, Rebeca Wong

Department of Sociology: Faculty Publications

Background and Objectives: To document racial/ethnic and nativity differences by gender in cognitive life expectancies among older adults in the United States.

Research Design and Methods: Sullivan-based life tables were used to estimate cognitively normal, cognitively impaired/ no dementia (CIND), and dementia life expectancies by gender for White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults 50 years and older in the Health and Retirement Study.

Results: Among women, the number of years spent living with dementia for Whites, Blacks, U.S.-born Hispanics, and foreign-born Hispanics was 1.6, 3.9, 4.7, and 6.0 years, respectively. For men, Whites lived 1.1 years with dementia …

Late Life Depressive Symptoms And Cognitive Function Among Older Mexican Adults: The Past And The Present, Joseph L. Saenz, Marc A. Garcia, Brian Downer

Department of Sociology: Faculty Publications

Objective: To evaluate associations between depression and individual cognitive domains and how changes in depressive symptoms relate to cognition three years later in the context of Mexico, a developing country experiencing rapid aging.

Method: Data comes from waves 3 (2012) and 4 (2015) of the Mexican Health and Aging Study (n=12,898, age 50+). Depression is ascertained using a modified Center for Epidemiologic Studies – Depression Scale. Cognition is assessed using verbal learning, verbal memory, visual scanning, verbal fluency, visuospatial ability, visual memory, and orientation tasks. Depressive symptoms and cognitive functioning were both measured in 2012 and 2015. Scores across cognitive …