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Instructing Students How To Use Evidence-Based Technology Interventions With Older Adults, Michele L. Tilstra, Michelle L. Webb, Sandra E. Groger

Journal of Occupational Therapy Education

Current evidence supports the use of technology with older adults and the Accreditation Council for Occupational Therapy Education standards for entry-level occupational therapy programs mandate instruction on the use of technology to support occupational performance. The literature does not clearly define specific strategies to teach entry-level occupational therapy students how to implement technology interventions with older adults. The purpose of this paper is to provide OT educators with recommendations for teaching entry-level students to use evidence-based technology with older adults. The authors reviewed current literature. The recent evidence helped the authors define practical curriculum recommendations for instructing entry-level occupational therapy …

Experiences Of Formal Caregivers Providing Dementia Care To American Indians, Damon Grew Peter Syphers, C.J. Schumaker, Ronald P. Hudak

Journal of Sustainable Social Impact

Alzheimer’s disease (AD) is a significant public health concern for all elders in the United States. It is a particular concern for the American Indian (AI) population, which is one of the fastest aging populations in the United States and the smallest, most underrecognized, and most culturally diverse group in the country. A formal caregiver understanding of AD in the AI population is scarce. This phenomenological study was designed to discern what is known about AD in the AI population by exploring the cultural beliefs and experiences of formal caregivers who provide care for AI dementia patients. Specifically, this study …

Restrictive Ventilatory Patterns In Residents Of Continuing Care Retirement Communities, Christine R. Kovach, Murad H. Taani, Crystal-Rae Waltons, Sheryl Kelber, Irwin Margolis

College of Nursing Faculty Research and Publications

Restrictive ventilatory patterns (RVPs) in older adults may contribute to morbidity and decreased quality of life. The purpose of this study was to begin to understand (a) the number of older adults residing in Continuing Care Retirement Communities with RVPs, (b) factors associated with RVP, and (c) whether RVP is associated with ambulation level. This descriptive study was conducted at three sites. RVP was evident in 34 of the 65 participants (52%), and 33 (97%) of these were either moderate or severely restricted. Dementia, dyspnea, kyphosis, and lower muscle strength were significant predictors of RVP. Eighty percent of the nonambulatory …

Determinants Of Self-Efficacy Among Individuals Who Are Hard-Of-Hearing, Sergio Cuevas, Roy K. Chen, Chia Vang, Shawn P. Saladin

School of Rehabilitation Services & Counseling Faculty Publications

Self-efficacy plays an important role in their lives of the estimated 48 million Americans who report having some degree of hearing impairment, helping them navigate through a myriad of communication challenges. The purpose of the present study was to assess the levels of self-efficacy in this disability group by examining an array of social, psychological, spiritual, disability, and demographic variables. A total of 114 persons who identified as hard-of-hearing took part in an online survey. A hierarchical multiple regression analysis was performed to answer the research question. The proposed regression model explained 24.7% of variance in self-efficacy among individuals who …

Primary Care Models For Community-Dwelling Adults With Long-Term Conditions: A Scoping Review Protocol, Samantha Whiting, David Robertson, Katrina Bannigan

School of Health Professions

No abstract provided.

Graying Of U.S. Bankruptcy: Fallout From Life In A Risk Society, Deborah Thorne, Pamela Foohey, Robert M. Lawless, Katherine Porter

Scholarly Works

The social safety net for older Americans has been shrinking for the past couple decades. The risks associated with aging, reduced income, and increased healthcare costs, have been off-loaded onto older individuals. At the same time, older Americans are increasingly likely to file consumer bankruptcy, and their representation among those in bankruptcy has never been higher. Using data from the Consumer Bankruptcy Project, we find more than a two-fold increase in the rate at which older Americans (age 65 and over) file for bankruptcy and an almost five-fold increase in the percentage of older persons in the U.S. bankruptcy system. …

Attitudes And Barriers Affecting Hearing Aid Use In Hispanics Living In The U.S. Borderland Region, Loren Renee Sotelo

Open Access Theses & Dissertations

Hearing loss can affect a person's overall quality of life, and has been linked to depression and dementia in older adults (Brewster, Ciarleglio, Brown, Chen, Kim, Roose, Golub & Rutherford, 2018; Ciorba, Bianchini, Pelucchi, & Pastore, 2012). In the largest study to date of hearing loss among Hispanic adults residing in the U.S., researchers found that nearly 1 in 7 has hearing loss, which is close to the overall national average (National Institutes of Health, 2015). Currently, hearing aids are the primary/most effective treatment for an age-related hearing loss; Unfortunately, the adult uptake rates are low (Chien & Lin, 2012; …

A Comparative Study Of College Students’ Cultural Orientation, Aging Attitude, And Anxiety: Japan, China, And Usa., Hiroko Tomioka, Ginny Q. Zhan, Sharon M. Pearcey

Faculty Articles

The current study compared responses from young people on cultural orientation, aging attitudes, and aging anxiety in Japan, China, and the United States. A total of 1,136 college students (357 Japanese, 434 Chinese, and 345 American) filled out a questionnaire that included an IC Scale (Cultural Orientation Scale), Kogan’s Attitudes toward Old People Scale, and a modified Aging Anxiety Scale, in addition to demographic information. Cronbach’s alphas indicated satisfactory reliability on all three scales for the three groups. The results indicate that the Japanese were significantly more collectivistic than both the Chinese and American participants, but the three groups all …

The Experience And Perception Of Physiotherapists In Nigeria Re: Fall Prevention In Recurrent-Faller Older Adults, Perpetua Chinenye Obi, Henrietha Chibuzor Nwankwo, Diaemeta Emofe, Isreal Adandom, Michael E. Kalu

Internet Journal of Allied Health Sciences and Practice

Background: Effective fall prevention practices are essential for reducing falls among older adults. Rehabilitation professionals like physiotherapists are essential members of the fall prevention team, yet little is known about the experiences of physiotherapists practicing fall prevention in developing nations. Objective: To explore the experiences of physiotherapists in Nigeria who practice fall prevention among older adults. Method: We adopted a phenomenological approach to the traditional qualitative design in this study. We purposefully selected and conducted face-to-face interview with twelve physiotherapists who have treated at least one older adult who reported falling two or three times within last six months. Data …

Cognition, Repetitive Thought, And Systemic Inflammation In The Midlife In The United States Study, Elana M. Gloger

Theses and Dissertations--Psychology

Segerstrom et al. (2017) found that more repetitive thought (RT) was related to lower interleukin-6 (IL-6), in older adults at average IQ. This study aimed to replicate and extend this finding in midlife adults, with a daily measure of RT, and additional inflammatory biomarkers. 153 participants were drawn from the Midlife in the United States (MIDUS) Refresher project; ages 25-70 (M = 45.07, SD = 10.96), 50.3% female, and 83% Caucasian. Cognition was assessed via the Brief Test of Adult Cognition by Telephone, biological data via fasted blood draw, and RT data were collected as part of the National …

Religious Heterogamy, Marital Quality, And Paternal Engagement, Young-Il Kim, Isaak Swan

Faculty Publications - Department of Sociology

Using data from a nationally representative sample of married fathers of school-aged children, we examined the association between religious heterogamy of parents and fathers’ involvement in children’s lives. We further examined whether that association is mediated by marital quality and father–child religious discord. Results showed that greater religious heterogamy is associated with less interaction and more relational distance between fathers and children. Results also suggested that fathers’ reports of marital happiness play an important role in mediating the association between religious heterogamy and paternal engagement. We concluded that religious fathers are more involved in their children’s lives insofar as their …

The Effect Of Home Visit And Telephone Tracking Program On Knowledge, Caregiver Burden And Quality Of Life Among Dementia Caregivers Ratchaburi Province Thailand, Worarat Magteppong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Elders with dementia have serious behavioral problems and require extensive care from caregivers. This poses a significant problem for patients’ families. Multicomponent interventions have been reported to be more effective than interventions targeting one point of caregiver functioning. This study aims to examine the effect of a home visit and telephone tracking program on knowledge, caregiver burden, and quality of life among dementia caregivers. Methods: This study was a quasi-experimental with two group comparisons during November 2018 – July 2019. The participants of this study comprised 62 dementia caregivers (31 participants in intervention and 31 participants in control group) …

ความสัมพันธ์ระหว่างความผูกพันกับสัตว์เลี้ยงและความเหงาในวัยรุ่นโดยมีการสนับสนุนทางสังคมด้านอารมณ์เป็นตัวแปรส่งผ่าน, พนิดา จุลมณฑล

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยครั้งนี้มีวัตถุประสงค์เพื่อศึกษาความสัมพันธ์ระหว่างความผูกพันกับสัตว์เลี้ยงและความเหงาในวัยรุ่น โดยมีการสนับสนุนทางสังคมด้านอารมณ์จากครอบครัว จากเพื่อนในกลุ่มคนเลี้ยงสัตว์ และจากสัตว์เลี้ยงเป็นตัวแปรส่งผ่าน กลุ่มตัวอย่างเป็นวัยรุ่นที่มีอายุระหว่าง 14- 19 ปี (M = 16.9 ปี, SD = 1.54) ที่มีสัตว์เลี้ยงไม่ต่ำกว่า 6 เดือน อาศัยอยู่ในเขตพื้นที่กรุงเทพมหานครและปริมณฑล จำนวน 140 คน ใช้วิธีการคัดเลือกกลุ่มตัวอย่างแบบตามสะดวก (Convenience sampling) เก็บข้อมูลผ่านแบบสอบถามออนไลน์ วิเคราะห์ข้อมูลโดยใช้สถิติวิเคราะห์การถดถอยอย่างง่าย (Simple regression analysis) และวิเคราะห์การทดสอบตัวแปรส่งผ่าน (Mediation Analysis) โดยใช้โปรแกรม Process ผลการวิจัยพบว่า 1. ความผูกพันกับสัตว์เลี้ยงมีความสัมพันธ์ทางลบกับความเหงา ในวัยรุ่น อย่างมีนัยสำคัญทางสถิติ (ꞵ = -.182, p = .032) โดยความผูกพันกับสัตว์เลี้ยงสามารถอธิบายความแปรปรวนของความเหงาได้ร้อยละ 3.3 2. การสนับสนุนด้านอารมณ์จากครอบครัว จากเพื่อนในกลุ่มคนเลี้ยงสัตว์ และจากสัตว์เลี้ยงไม่เป็นตัวแปรส่งผ่านของความสัมพันธ์ระหว่างความผูกพันกับสัตว์เลี้ยงกับความเหงาในวัยรุ่น

ปัจจัยที่สัมพันธ์กับการสูงวัยอย่างประสบความสำเร็จของผู้สูงอายุตอนต้นและผู้สูงอายุตอนกลาง ที่อาศัยในกรุงเทพมหานคร, วิลาวัลย์ วาริชนันท์

Chulalongkorn University Theses and Dissertations (Chula ETD)

งานวิจัยนี้มีวัตถุประสงค์เพื่อศึกษาการสูงวัยอย่างประสบความสำเร็จในผู้สูงอายุตอนต้นและผู้สูงอายุตอนกลาง และศึกษาปัจจัยที่สัมพันธ์กับการสูงวัยอย่างประสบความสำเร็จ ประกอบด้วย การรับรู้เวลาที่เหลือในชีวิต ภาวะซึมเศร้า ความวิตกกังวล ความเครียด และจำนวนโรค ในผู้สูงอายุตอนต้นและผู้สูงอายุตอนกลาง กลุ่มตัวอย่างที่ใช้ในงานวิจัยครั้งนี้คือ ผู้สูงอายุตอนต้น ที่มีอายุ 60 – 69 ปี (M = 64.81 ปี, SD = 2.82 ปี) จำนวน 124 คนและผู้สูงอายุตอนกลางที่มีอายุ 70 -79 ปี (M = 73.62 ปี, SD = 2.81 ปี) จำนวน 90 คน ดำเนินการเก็บข้อมูลโดยการตอบผ่านแบบสอบถามและวิเคราะห์ทางสถิติโดยใช้ค่าสัมประสิทธิ์สหสัมพันธ์แบบเพียร์สันและการวิเคราะห์ถดถอยพหุ ผลการวิจัยพบว่า 1) การสูงวัยอย่างประสบความสำเร็จในผู้สูงอายุตอนต้นไม่แตกต่างจากผู้สูงอายุตอนกลาง 2) การรับรู้เวลาที่เหลือในชีวิต (β = .306, p < .001) และภาวะซึมเศร้า (β = -.453, p < .001) สามารถร่วมกันทำนายความแปรปรวนของการสูงวัยอย่างประสบความสำเร็จในผู้สูงอายุตอนต้นได้ร้อยละ 41.3 อย่างมีนัยสำคัญทางสถิติที่ระดับ .05 3) ภาวะซึมเศร้า (β = -184, p < .001) สามารถทำนายความแปรปรวนของการสูงวัยอย่างประสบความสำเร็จในผู้สูงอายุตอนกลางได้ร้อยละ 19.6 อย่างมีนัยสำคัญทางสถิติที่ระดับ .05 งานวิจัยนี้สามารถสรุปได้ว่า ผู้สูงอายุตอนต้นที่ไม่มีภาวะซึมเศร้าและมีการรับรู้เวลาที่เหลือในชีวิตมาก มีแนวโน้มจะเป็นผู้สูงวัยอย่างประสบความสำเร็จ และผู้สูงอายุตอนกลางที่ไม่มีภาวะซึมเศร้ามีแนวโน้มจะเป็นผู้สูงวัยอย่างประสบความสำเร็จ

Associations Between Social Determinants And Prosthesis Obtained In Bangkok Elders: 10 Years After Universal Coverage Policy Implementation, Chutimont Jindarojanakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

In these ten years, the number of elderly populations in Bangkok has increased every year and tooth loss is still a major oral problem in their daily life. The main treatment in solving this problem is to replace the edentulous ridge with a prosthesis. There are many factors that affect the elderly to obtain the prosthesis. For the financial aspect, the government has supported the elderly by three main supporting insurance systems. The aim of this study is to investigate the associations between social determinants and prosthesis obtained of the elderly in Bangkok, during 10 years after the implementation of …

Prevalence And Oral Health-Related Factors Associated With Mild Cognitive Impairment In Elderly Dental Patients At Faculty Of Dentistry, Chulalongkorn University, Panatcha Weerapol

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aims to assess the prevalence of Mild Cognitive Impairment (MCI) and its oral health-related factors in elderly dental patients at Geriatric dentistry clinic and Prosthodontic clinic of Faculty of Dentistry, Total 248 dental patients aged 60 years and above were recruit. Average age of participants was 68.68 years with 73.0 % female. Cognitive functions were assessed by Montreal Cognitive Assessment Thai version (MoCA-T). Individual data were obtained by self-reported interview. Oral examinations were evaluated by a dentist. The prevalence of MCI was found 29.4% in elderly dental patients and was higher than among general elders. Oral health-related factors …

แนวโน้มของภาวะเครียดและปัจจัยที่เกี่ยวข้องของผู้ดูแลผู้สูงอายุที่เข้ารับการรักษาในโรงพยาบาลจุฬาลงกรณ์ สภากาชาดไทย ด้วยการเจ็บป่วยเฉียบพลัน, รัตนาภรณ์ ชำนิศาสตร์

Chulalongkorn University Theses and Dissertations (Chula ETD)

วัตถุประสงค์ : เพื่อศึกษาความชุก แนวโน้ม และปัจจัยที่ส่งผลต่อความเครียดของผู้ดูแลผู้สูงอายุที่เข้ารับการรักษาในโรงพยาบาลจุฬาลงกรณ์ สภากาชาดไทยด้วยอาการเจ็บป่วยเฉียบพลัน วิธีการศึกษา : เป็นการศึกษาเชิงพรรณนา (Descriptive Studies) โดยเป็นการศึกษาแบบภาคตัดขวาง ณ จุดเวลาใดเวลาหนึ่ง (Cross sectional descriptive design) กลุ่มตัวอย่างคือผู้ดูแลผู้สูงอายุที่พาผู้สูงอายุเข้ารักษาตัว ณ หอผู้ป่วยอายุรกรรมทั่วไป โรงพยาบาลจุฬาลงกรณ์ สภากาชาดไทย ตั้งแต่วันที่ 30 สิงหาคม 2562 ถึงวันที่ 30 พฤษภาคม 2663 จำนวนทั้งสิ้น 100 คน โดยผู้วิจัยใช้เครื่องมือในการเก็บข้อมูล 2 ส่วน คือ 1) ผู้ดูแล ได้แก่ ข้อมูลทั่วไป, แบบประเมินภาวะเครียดในผู้ดูแล(Caregiver Strain Index: CSI), แบบวัดคุณภาพชีวิต (SF-36) 2) ผู้สูงอายุ ได้แก่ ข้อมูลทั่วไป แบบประเมินผู้สูงอายุตามความสามารถในการประกอบกิจวัตรประจำวัน (Barthel Activities of Daily Living: ADL) และวิเคราะห์ข้อมูลโดยสถิติเชิงพรรณนา หาความสัมพันธ์กับปัจจัยต่าง ๆ ด้วย สถิติ Chi-square, t-test, Fisher’s exact สถิติ Pearson’s Correlation และสถิติ Logistic regression analysis ผลการศึกษา : พบว่าผู้ดูแลผู้สูงอายุส่วนใหญ่มีระดับความเครียดปกติ โดยจากการเก็บทั้ง 3 ครั้ง พบว่าครั้งที่ครั้งที่ 1 พบจำนวนผู้ที่มีระดับความเครียดสูงกว่าปกติมากที่สุด (26 ราย) และมีค่าเฉลี่ยของคะแนนสูงสุด (4.72 คะแนน) ส่วนใหญ่มีระดับคุณภาพชีวิตที่ดีในทุกด้าน ปัจจัยที่เกี่ยวข้องกับระดับความเครียดของผู้ดูแล ได้แก่อายุของผู้ดูแล และความสัมพันธ์ระหว่างผู้ดูแลกับผู้สูงอายุ มีความสัมพันธ์กับความเครียดของผู้ดูแลอย่างมีนัยสำคัญทางสถิติที่ระดับ p < 0.05 โดยความสัมพันธ์แบบคนในครอบครัวมีคะแนนความเครียดสูงที่สุด เมื่อวิเคราะห์ความสัมพันธ์ระหว่างคะแนนรวมของแบบประเมินCSI แต่ละครั้ง กับคะแนนรวมของแบบประเมินSF-36 พบว่ามีความสัมพันธ์กันในทางลบอย่างมีนัยสำคัญทางสถิติ (p-value = <0.001) เช่นเดียวกับเมื่อศึกษาหาความสัมพันธ์ระหว่างแบบประเมินSF-36ของผู้ดูแลผู้สูงอายุในแต่ละด้านกับคะแนนความเครียดของผู้ดูแลผู้สูงอายุพบว่าคะแนนความเครียดของผู้ดูแล มีความสัมพันธ์ทางลบกับค่าคะแนนแบบประเมินSF-36เกือบทุกด้านอย่างมีนัยสำคัญทางสถิติ และจากการวิเคราะห์ปัจจัยทำนายคะแนนความเครียดของผู้ดูแลผู้สูงอายุระยะยาวที่มีนัยสำคัญทางสถิติ ได้แก่ คะแนนรวมของแบบประเมินSF-36 โดยมีค่าสัมประสิทธิ์การถดถอยเท่ากับ -0.088 (p-value <0.001) สรุปคือ ผู้ดูแลผู้สูงอายุส่วนใหญ่มีระดับความเครียดปกติและมีคุณภาพชีวิตที่ดี ปัจจัยที่ส่งผลต่อระดับความเครียดของผู้ดูแล คืออายุของผู้ดูแลและการที่ผู้ดูแลเป็นบุคคลในครอบครัว

Complementary Medicine Use And Health Literacy In Older Australians, Caroline A. Smith, Esther Chang, Gisselle Gallego

Medical Papers and Journal Articles

Objectives: To investigate whether complementary medicine (CAM) use is associated with health literacy levels and decision self-efficacy.

Design: A cross-sectional survey was distributed to men and women aged 65 years and older who participated in a randomised control trial (N = 153) in Sydney, Australia.

Results: One hundred and fifty-three people completed the survey of those 66% were females and the mean age was 76 years. Most participants used or were currently using CAM in the past 12 months (75%). The most common source of CAM information were GPs. Participants with higher levels of social support were found more likely …

Attitudes And Factors Involved In Decision-Making Around Complementary And Alternative Medicines (Cams) By Older Australians: A Qualitative Study, Gisselle Gallego, Saira Gugnani, Mike Armour, Caroline A. Smith, Esther Chang

Medical Papers and Journal Articles

Introduction: Recent evidence has indicated that older Australians are increasingly turning to complementary and alternative medicines (CAMs) to address a variety of health issues. This qualitative study aimed to explore the attitudes and factors involved in decision-making around CAMs by older Australians upon the completion of a CAM educational intervention.

Methods: Men and women aged over 65 years living in New South Wales, Australia were invited to participate in semi-structured interviews after taking part in a randomised control trial. Interviews were analysed using the framework approach.

Results: A total of 20 participants aged over 65 years were interviewed. Themes captured …

Reduced Bone Loss Is Associated With Reduced Mortality Risk In Subjects Exposed To Nitrogen Bisphosphonates: A Mediation Analysis, Dana Bliuc, Thach Tran, Tineke Van Geel, Jonathan D. Adachi, Claudie Berger, Joop Van Den Bergh, John A. Eisman, Piet Geusens, David Golzman, David A. Hanley, Robert Josse, Stephanie Kaiser, Christopher S. Kovacs, Lisa Langsetmo, Jerilynn C. Prior, Tuan V. Nguyen, Jaqueline R. Center, For The Camos Research Group

Medical Papers and Journal Articles

Bisphosphonates, potent anti-resorptive agents, have been found to be associated with mortality reduction. Accelerated bone loss is, in itself, an independent predictor of mortality risk, but the relationship between bisphosphonates, bone loss, and mortality is unknown. This study aimed to determine whether the association between bisphosphonates and mortality is mediated by a reduction in the rate of bone loss. Participants from the population‐based Canadian Multicentre Osteoporosis Study were followed prospectively between1996 and 2011. Comorbidities and lifestyle factors were collected at baseline and bone mineral density (BMD) at baseline and at years 3 (for those aged 40 to 60 years), 5, …

Patients’ And Caregivers’ Contested Perspectives On Spiritual Care For Those Affected By Advanced Illnesses: A Qualitative Descriptive Study, Clare O'Callaghan, Joanne Brooker, William De Silva, David Glenister, Adelaide Melia, Xavier Symons, David Kissane, Natasha Michael

Medical Papers and Journal Articles

Context; Spiritual care refers to practices and rituals addressing spiritual/religious concerns. It supports coping with loss and finding hope, meaning, and peace. Although integral to palliative care, its implementation is challenging.

Objective: To understand an Australian cohort of patients’ and caregivers’ perspectives about experiencing and optimizing spiritual care in the context of advanced illness.

Methods: Patients and caregivers of patients with #12 month prognosis were recruited from a broader spiritual study via criterion sampling and agreed to opt-in interviews. Participants from an Australian, metropolitan health service received a spiritual care definition and were interviewed. Transcripts were analyzed using qualitative description. …

Elevated Serum Homocysteine Levels Have Differential Gender-Specific Associations With Motor And Cognitive States In Parkinson’S Disease, Megan C. Bakeberg, Alexa Jefferson, Maddeson Riley, Michelle Byrnes, Soumya Ghosh, Frank L. Mastaglia, Malcom K. Horne, Sarah Mcgregor, Rick Stell, Jade Kenna, Sue Walters, Dana Hince, Ryan S. Anderton

Health Sciences Papers and Journal Articles

Background: Studies attempting to elucidate an association between homocysteine and symptom progression in Parkinson’s disease (PD) have had largely discrepant findings. This study aimed to investigate elevated serum homocysteine levels and symptom progression in a cohort of PD patients.

Methods: Serum homocysteine, folate, and vitamin B12 levels were measured in 205 people with PD and 78 age-matched healthy controls. People with Parkinson’s disease underwent a battery of clinical assessments to evaluate symptom severity, including motor (MDS-UPDRS) and cognitive (ACE-R) assessments. Multivariate generalized linear models were created, controlling for confounding variables, and were used to determine whether serum markers are associated …

National And Local Antibiotic Prescribing Trends And Prescribing Appropriateness In Older Adults, Fawaz M. Alotaibi

Theses and Dissertations

Background: Antibiotic overuse/misuse has been documented in several reports to increase the risk of Clostridioides difficile (C.diff) infection and antibiotic resistance. The older adult population is more prone to use antibiotic medications than any other age group due to decreased immune function, use of urinary catheters, ventilation during hospitalization and other factors. Antibiotic resistance and C.diff are major public health problems. However, studies examining the trends of antibiotic use and the association between the antibiotic use and negative health outcomes among older adults in the outpatient and emergency department settings are limited.

Objectives: The main objectives of this …

The Efficacy Of A Group Visual Art Bereavement Intervention With Older Adults, Rachel E. Weiskittle

Theses and Dissertations

Research on expressive art interventions for bereavement has burgeoned in recent years. Studies have supported their effectiveness in facilitating participants’ adjustment to loss (e.g., Rosner, Kruse, & Hagl, 2010; Uttley, 2015) and have revealed the frequency with which they are clinically implemented (Thompson & Neimeyer, 2014). Clinicians and recipients of expressive art interventions advocate for their helpfulness in grief processing (e.g., Gamino, 2015). Publications have highlighted particular visual art modules that facilitate adaptive adjustment to loss by providing avenues for self-expression, meaning making and continuing bonds with the deceased (Neimeyer, 2016), but few studies have quantitatively investigated whether they improve …

The Effect Of Change In Medi-Cal Dental Coverage On Dental Care Utilization Among Medi-Cal Beneficiaries, Min H. Zhang

Theses and Dissertations

One of the most important factors in accessing dental care is having dental insurance. For people with low incomes, Medicaid is the main source of health insurance. Medi-Cal is California’s Medicaid program. Adult dental services were mostly eliminated in Medi-Cal in 2009 due to the economic downturn and partially restored in 2014. The objective of this study is to evaluate the effect of change in Medi-Cal dental coverage, specifically the partial restoration of adult dental coverage in 2014, on dental care utilization among Medi-Cal beneficiaries. The partial restoration significantly increased the utilization rates in dental clinics from 2014 to 2017 …

"We're All Aging": A Discourse Analysis Of Older Adults Aging Experiences In Humboldt County, Kaitlyn Dawn Boyes

Cal Poly Humboldt theses and projects

Age is a ubiquitous concept. One minute we are counting down the days until our birthday and the next minute we are ignoring the fact our birthdays exist. Society’s aging population is rapidly growing and is expected to double nearly double by 2050, this increase in population has led to a shift in treatment and attitudes towards both those who are aging and aging itself. There is currently a gap in the literature on aging experiences coming from those experiencing it; rather those in medical professions often dictate these experiences. To help fill those gaps this thesis explores how older …

Cognitive And Affective Influences On Decision-Making Strategies And Outcomes, Michaela S. Reardon

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examines how factors such as emotion and planning abilities, determine decision-making strategies and outcomes. Consumer-based decision tasks are one way for researchers to measure the decision-making process and outcomes of individuals, while bringing an element of reality to the task through the utilization of decisions about everyday items that someone might purchase (e.g., a car, apartment, etc.). Using these types of tasks, researchers can measure the quality of a decision (e.g., did the participant come up with the best solution?), as well as the decision or search strategy. Previous research shows that cognitive factors are important when individuals …

A Video Decision Aid To Influence Advance Care Planning, Angela Petry

Graduate Theses, Dissertations, and Problem Reports (ETD)

The best mechanism to achieve successful advance care planning has yet to be identified. A randomized, controlled, experimental study was performed with a sample of 54 men and women who met inclusion criteria and were randomized into the intervention versus the control group in an outpatient clinical setting in rural West Virginia (WV) from December 2018 to March 2019. Participant mean age was 72.4 years. For those who chose to participate (n=42), the intervention group received the usual standard of care, which was a face to face advance care planning (ACP) discussion with the new intervention of a video decision …

The Turkish Version Of The Modified Falls Efficacy Scale: Reliability And Validity From The Viewpoint Of Balance, Ni̇lüfer Çeti̇şli̇ Korkmaz, Mehmet Duray, Esra Doğru Hüzmeli̇, Hande Şenol

Turkish Journal of Medical Sciences

Background/aim: The factors associated with fall-related self-efficacy should be addressed, especially in the elderly. The Modified Falls Efficacy Scale (MFES) is a simple instrument with good scaling properties and reliability. The aim of the present study was to determine the reliability and the validity of the Turkish version of the MFES from the viewpoint of balance.Materials and methods: In this study, 164 participants aged >65 years were included. The use of walking aids and assistive devices, history and frequency of falls in the previous year, living environment, and exercise habits were noted. Balance and risk of falling were assessed with …

Efficiency Of Pulsed Electromagnetic Fields On Pain, Disability, Anxiety, Depression, And Quality Of Life In Patients With Cervical Disc Herniation: A Randomized Controlled Study, Erkam Hattapoğlu, İbrahi̇m Batmaz, Banu Di̇lek, Mehmet Karakoç, Serda Em, Remzi̇ Çevi̇k

Turkish Journal of Medical Sciences

Background/aim: In this study, it was aimed to investigate the effects ofpulsed electromagnetic field(PEMF) therapy on pain, disability, psychological state, and quality of life in cervical disc herniation.Materials and methods: Patients were randomly divided into two groups, including Group 1, which received a therapy consisting of transcutaneous electrical nerve stimulation (TENS), hot pack (HP), and PEMF, and Group 2, which received a magnetic field (sham magnetic field) without current flow in addition to TENS and HP therapy. Pain was assessed by a visual analog scale (VAS, 0?10 cm). The other outcome measures were function (Neck Pain and Disability Scale), anxiety-depressive …