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Transportation Barriers For Substance Abuse And Mental Health Outpatient Treatment Programs: A Scoping Review, Joseph David Harwerth

Social Work Theses - Archive

Purpose: The purpose of this manuscript is to help identify transportation barriers and facilitators that impact treatment initiation and continuation for clients with Substance Use Disorders (SUD) and/or mental health needs seeking outpatient services. The author also documented how these barriers were operationalized and measured while seeking to understand which populations have been most impacted by transportation barriers. Methods: The author conducted a scoping review and documented all of the relevant academic literature regarding transportation barriers and facilitators for individuals seeking outpatient treatment with SUDs and/or mental health concerns. Results: The author identified 28 studies. Some marginalized groups, such as …

Android Application To Alleviate Stress In Alzheimer Caregivers. An 'Invisible' Crisis: Addressing The Neglect Of Mental Health Burdens In Alzheimer's Caregivers, Chidochashe Pasipanodya

2020 Fall Honors Capstone Projects - Archive

Alzheimer's is a progressive disease characterized by a gradual loss in memory, thinking skills, and the ability to carry out simple tasks. As a result, patients require caregivers to play a critical role by managing household tasks, aiding in personal care, and performing medical procedures. Caregivers often balance family life and/or a career while averaging between 14- 34 hours weekly on patients. This develops into high levels of depression, anxiety, and low quality of life. Limited resources have left this demographic to suffer alone while bearing the burden of caring for a loved one. A mobile application was created to …

Healthcare Utilization Patterns Among Children With A History Of Child Protective Services Investigations, Jill Mcleigh, Christian Carr, Heidi Roman, Jessica Fults, Jennifer Reingle Gonzalez, Corron Sanders, Michiko Otsuki Clutter, Ray Tsai, Katelyn Jetelina

Health Status, Outcomes, and Literacy and Healthcare Utilization

Examine whether children with a prior child protective services (CPS) investigation had different healthcare utilization compared to children without a history of CPS investigations.

For questions about this study or others, please email [email protected]

childrens.com/fostercare

Engaging Nursing Students And Older Adults Through Service-Learning, Christine S. Gipson, Julie A. Delello, Rochell Mcwhorter

Human Resource Development Faculty Publications and Presentations

Purpose

The purpose of this study is to examine nursing students’ (n = 18) perceptions of interrelating with older adults to understand how such interactions might improve students’ levels of cultural competence and enhance their future nursing practice. Additionally, the study sought to contribute to a higher level of technological competency in older adults.

Design/methodology/approach

A basic qualitative study design (Merriam and Tisdell, 2016) was used to direct the data collection and analysis to achieve the aims of this study.

Findings

Four themes emerged from the data collected based on cultural knowledge, cultural skills, cultural desire and engaging in …

Calorie Restriction For Enhanced Longevity: The Role Of Novel Dietary Strategies In The Present Obesogenic Environment, James L. Dorling, Corby K. Martin, Leanne M. Redman

Clinical Research Faculty Publications

Calorie restriction (CR) is a potent modulator of longevity in multiple species. A growing body of evidence shows that sustained periods of CR without malnutrition improves risk factors involved in the pathophysiology of type 2 diabetes, cardiovascular diseases, cancer, and neurological disorders in humans. Innovative dietary strategies such as intermittent fasting and protein restriction have recently emerged as alternative approaches that improve markers of aging. Some of these newer strategies might provide benefits for healthy aging with little to no CR and therefore, compared to traditional CR, may be easier to follow. Further to providing an update of CR studies …

Long-Term Change In Physiological Markers And Cognitive Performance In Type 2 Diabetes: The Look Ahead Study, Owen T. Carmichael, Rebecca H. Neiberg, Gareth R. Dutton, Kathleen M. Hayden, Edward Horton, F. Xavier Pi-Sunyer, Karen C. Johnson, Stephen R. Rapp, Adam P. Spira, Mark A. Espeland

Clinical Research Faculty Publications

Context: The effects of physiological improvements on cognitive function among persons with type 2 diabetes mellitus (T2DM) are not fully understood. Objective: To determine whether improvements in physiological markers (body weight, blood sugar control, and physical activity) during intensive lifestyle intervention (ILI) are associated with enhancements in cognitive function in older adults with T2DM. Design: Multisite randomized controlled trial. Setting: Academic research centers. Patients or Other Participants: Participants were aged 45-76 years, with T2DM. Intervention: The Action for Health in Diabetes (Look AHEAD) study, a randomized, controlled clinical trial of ILI. Main Outcome Measure: Two to 3 cognitive assessments were …

Implementation Of Emergency Department Nurse Triage Sepsis Screening Protocol, Lynne E. Ward, Jennifer M. Heusinkvelt, Lacey J. Huber, Breann N. Miller, Azusa Ronhovde, Susan A. Barnason, Katie A. Kranau

General Submissions: Presentations (Oral and Poster)

Sepsis is a life-threatening condition associated with high morbidity and mortality rates resulting in the death of 270,000 Americans annually (CDC, 2018). Most patients diagnosed with sepsis are admitted through the ED. Unlike many other emergency conditions, the signs and symptoms of sepsis along with variances in patient presentations are often vague and subtle, making early identification and treatment a challenge. The purpose of this study was to evaluate the implementation of an ED nurse-led triage sepsis protocol.

Improving Health Care Accessibility Among Geriatric Patients In Rural Communities, Capriana Calvachi

Honors Projects

The following literature review and analysis compiles information regarding ways to improve rural geriatric healthcare accessibility through the use of interprofessional care and outreach. I also wish to bring to light the various deficiencies often seen in this realm of care, and the reasons behind the inadequate rural physician retention rates. Using this background information, I compiled various collaborative approaches which seek to ease the strain faced by the healthcare system and its elderly patients.

Improving healthcare accessibility through the use of interprofessional care and outreach is an essential facet in geriatric medicine. By exploring the deficiencies of geriactric healthcare …

Baby Boomers In Technology-Rich Environments: Using Piaac To Study The Association Of Workplace Learning With Technology Competency, Julie M. Galliart

Graduate Theses and Dissertations

A skill gap in Problem Solving in Technology-Rich Environments (PS-TRE) between U.S. Baby Boomers and younger generations has been documented in previous studies using the Programme for the International Assessment of Adult Competencies (PIAAC) Survey of Adult Skills (Rampey et al., 2016). Bringing this generation of workers up to speed in this competency area is important because older workers are a growing segment of the U.S. workforce with 13 million employees expected to be age 65 or older by 2024 (Toossi & Torpey, 2017). Workplace learning may be a solution, but few studies in adult learning document outcomes of training …

Dietary Regulation Of Successful Aging, Aubree L. Hawley

Graduate Theses and Dissertations

The current growth of the older population is unprecedented in U.S. history. Chronic disease and functional limitation commonly develop prior to old age, leading to prolonged physical disability and decreased well-being. The development of chronic disease and loss of independence is associated with lean body mass (LBM) loss and fat mass gain beginning in middle age. Therefore, it is important to identify modifiable factors to mitigate deleterious shifts in body composition to promote successful aging (SA). The concept of SA is associated with longevity, the absence of disease and disability, and subjective components of well-being, however, an operational definition has …

Staying Connected: The Importance Of Social Integration On The Well-Being Of Older Adults, Paulin T. Straughan, Vincent Chua, Stephen Hoskins, Frosch Quek

ROSA Research Briefs

It has been about a year since COVID-19 first emerged and reshaped the daily lives of people around the globe, including Singaporeans. Since moving past the circuit breaker in June, Singapore has gradually re-opened and relaxed its restrictions in different phases. As Singapore prepares for Phase 3- the final and least restrictive phase, it is important to examine how Singaporeans have coped and responded with the circuit breaker (7 April 2020) and its gradual easing of restriction in Phase 1 (2nd June 2020) and Phase 2 (19 June 2020), and identify the groups which have fallen through the gaps in …

Exploring The Visual Arts With Rog: A Four-Part Series, Roger Heuberger

Theses

This project report addresses the research which led to the choice of content, formatting of curriculum, delivery system, and video conference management. The combined art appreciation and art history classes are innovative as they are built around high-interest key art events or movements instead of linear chronologies or systematic reviews of art elements. The research for this Thesis II project extended beyond art historical materials. The literature review and analysis additionally explored educational theories which could be adapted for use with the target audiences of 65+ aged seniors and lifelong learners. The original project submitted in mid-2019 was for in-class …

Block Periodization Programming: Efficacy In Subjects Of Differing Strength Levels, Paul Moquin

Electronic Theses and Dissertations

Physiological muscle adaptations due to resistance training are still not fully known. The rate and area of hypertrophy could drastically help or hinder athletic performance. The purpose of this study was to observe the changes in lean body mass (and related factors), relative allometrically scaled strength and absolute strength through an 11-week block periodized resistance training program. The subjects (n = 15) realized an increase in total body water (pre = 49.77Kg; post = 51.70Kg), lean body mass (pre = 67.98Kg; post = 70.63Kg), adjusted lean body mass (pre = 20.35Kg; post = 21.03Kg) and cross sectional area (pre = …

University Of Nebraska At Omaha Commencement: December 2020, University Of Nebraska At Omaha

Commencement Programs

No abstract provided.

Gait And Balance Disturbances Are Common In Young Urbanites And Associated With Cognitive Impairment. Air Pollution And The Historical Development Of Alzheimer's Disease In The Young, Lilian Calderón-Garcidueñas, Ana Karen Torres-Solorio, Randy J. Kulesza, Ricardo Torres-Jardón, Luis Oscar González-González, Berenice García-Arreola, Diana A. Chávez-Franco, Samuel C. Luévano-Castro, Ariatna Hernández-Castillo, Esperanza Carlos-Hernández, Edelmira Solorio-López, Celia Nohemí Crespo-Cortés, Edgar García-Rojas, Partha S. Mukherjee, Martha Morales-Aguirre

Journal Articles

To determine whether gait and balance dysfunction are present in young urbanites exposed to fine particular matter PM2.5 ≥ annual USEPA standard, we tested gait and balance with Tinetti and Berg tests in 575 clinically healthy subjects, age 21.0 ± 5.7 y who were residents in Metropolitan Mexico City, Villahermosa and Reynosa. The Montreal Cognitive Assessment was also applied to an independent cohort n:76, age 23.3 ± 9.1 y. In the 575 cohort, 75.4% and 34.4% had abnormal total Tinetti and Berg scores and high risk of falls in 17.2% and 5.7% respectively. BMI impacted negatively Tinetti and Berg performance. …

Nursing And Midwifery Links [December 2020 Issue], Secretariat At Johns Hopkins University School Of Nursing Global Network Of Who Collaborating Centers For Nursing And Midwifery

Nursing and Midwifery Links (LINKS)

As a historic year comes to a close, this edition of the Links Magazine will serve as a reflection of the incredible innovation and fortitude shown by our colleagues worldwide. For perhaps the first time in many, many years, 2020 was the year that humanity shared the experience of a common event of global proportions. Healthcare was placed front and center as the world watched from where they were sheltered in place. From varying cultures and perspectives, the nurses and midwives of the world were presented with a deadly challenge that came on quickly, and continues to plague many countries. …

Covid-19 Investigated In Terms Of Disparities: An Analysis Of The Past, Present, And Future Of Public Health In Illinois, Hannah Deblock

University Honors College

As a relatively new topic, previous literature fails to address the relation of social determinants of health to COVID-19. By combining existing knowledge on previous epidemics, information on the role of social determinants of health, and data on COVID-19, conclusions can be made about the path going forward. Historically, nonpharmacologic interventions such as quarantine periods, face coverings, and social distancing have been used in epidemics such as the Spanish Influenza of 1918-19. In terms of social determinants of health, geographical location, educational level, and income level all play a part in the health of an individual. Rather than emphasizing personal …

“We Never Graduate From Care Giving Roles”; Cultural Schemas For Intergenerational Care Role Among Older Adults In Tanzania, Sylivia Karen Rutagumirwa, Inge Hutter, Ajay Bailey

Open Access archive

This paper examines the cultural schemas underlying older persons’ perception of intergenerational care roles. Thirty qualitative in-depth interviews and twenty focus group discussions (N = 120) were conducted among older women and men aged 60 and above. By using this theory, we were able to identify a series of cultural schemas found in older people’s discussions of intergenerational caregiving role. The most prominent shared schemas are; caregiving for elderly is a cultural obligation not a choice, caregiving is a sign of respect, caregiving is a sign of love, caregiving is a source of pride, and caregiving leads to attachment and …

Assessment Of Dementia Caregiver Burden In Karachi, Pakistan Using 10/66 Protocol, Qurat Ul Ain Khan

Pakistan Journal of Neurological Sciences (PJNS)

ABSTRACT INTRODUCTION: Care arrangements and caregiver burden of people with dementia (PWD) are different in low and middle income countries (LMICs) than in developed countries. This is the first study in Pakistan assessing caregiver burden using the 10/66 protocol. METHOD: PWD were recruited from outpatient clinics and from the community in Karachi and were diagnosed according to DSM-IV TR. Three scales were used: 1. Zarit Burden Interview (ZBI) to assess caregiver burden. 2. Caregiver Activity Survey (CAS) to assess activities that the caregiver engaged in the last 24 hours to care for PWD and 3. General Health Questionnaire- 12 (GHQ …

Envisioning An Age Friendly Stoneham, Caitlin Coyle, Mary Krebs

Center for Social and Demographic Research on Aging Publications

Tucked between two major highways, about nine miles from Boston, the Town of Stoneham is currently home to more than 22, 000 residents, 27% of which are age 60 and older. According to projections created by the Donahue Institute at the University of Massachusetts, a trend toward an older population in Stoneham is expected in future decades. Donahue Institute vintage projections suggest that by 2035, more than one out of each three Stoneham’s residents will be age 60 or older—28% of the town’s population will be between the ages of 60 and 79, with an additional 10% age 80 and …

Aging Strong For All: Examining Aging Equity In The City Of Boston, Jan Mutchler, Caitlin Coyle, Nidya Velasco Roldán, Paul Watanabe, Cedric Woods, Lorna Rivera, Quito Swan, Elena Stone, Laurie Nsiah-Jefferson

Center for Social and Demographic Research on Aging Publications

The experience of being and becoming older differs substantially based on one’s race, ethnicity, and gender. In the City of Boston, it has never been more critical to strategically pursue greater equity in the aging experience of residents. According to data from the US Census Bureau, the number of Boston residents aged 60 or older increased by more than a third just since 2010 and persons of color now make up half of Boston’s older adults. As well, stakeholders share a growing recognition of the powerful ways in which inequity, racism and discrimination shape health outcomes and the aging experience, …

Feedback And Social Comparison: The Effects Of Comparing One’S Performance To The Group, Ryan Joseph Walz

Theses and Dissertations

Although feedback has been shown to improve performance, few studies have examined the effect of feedback containing information on peer performance. The purpose of this study was to evaluate the effects of feedback on individual performance and feedback containing information on peer performance. Three participants were exposed to a no-feedback baseline condition, a standard individual feedback condition, and an individual feedback condition with information on the group’s average performance. The dependent variable was the rate of correct responses on a computer-based simulated work task. Withdrawal designs were used to evaluate the effect of the two types of feedback on performance. …

My Child’S Keeper: Child Vulnerability And Quality Of Life On Parental Stress And Grit, Abigail Armstrong

Master's Theses

There is a reciprocal relationship between parenting stress and child distress that has been well documented (e.g., Rechenberg, Grey & Sadler, 2017). These effects generalize to physical outcomes such that higher maternal depression has been associated with poorer child health-related quality of life (HRQOL; Jaser, Whittemore, Ambrosino, Lindemann, & Grey, 2008). In the same way that parental distress has been shown to affect the child, parental perceptions of child vulnerability in children with chronic illness has also been associated with negative outcomes, including child depressive symptoms (Mullins et al., 2004), increased health care use (Spurrier et al., 2000), and increased …

Engaging Older Adult Learners Through Intergenerational Learning Opportunities, Skye N. Leedahl, Phillip G. Clark, Beth Leconte

Human Development and Family Science Faculty Publications

The University of Rhode Island became a part of the AFU network in 2018, and much of our rationale for joining the network was based on our strengths and growing interest in intergenerational programs and learning. The URI Osher Lifelong Learning Institute (OLLI) currently has over 1,300 members, and a large aspect of their strategic plan and current efforts are focused on increasing intergenerational learning opportunities due to interest and successes in these areas. Some of the successful strategies that have been used include an intergenerational classroom of OLLI member and university students designed within a traditional college class, a …

Flavonol Specific 3-O Glucosyltransferase (Cp3gt) Mutant S20g+T21s: Enzyme Structure And Function, Hayden Fobare

Undergraduate Honors Theses

Flavonols are a major subclass of flavonoids and are considered the most abundant subclass of flavonoids. Flavonols are classified as having a hydroxyl group on the 3^rd carbon of the C ring. The most prevalent modification to flavonols is glucosylation. The flavonol specific 3-O glucosyltransferase (Cp3GT) enzyme from grapefruit (Citrus paradisi) is the topic of this research and specifically adds glucose to flavonols at the 3-OH position. The level of activity varies depending on the flavonol structure. This makes Cp3GT an ideal model system for studying the structure/function relationship of Cp3GT using site-directed mutants. S20G+T21S is a …

Accelerometers For The Assessment Of Recovery, Afar. Patient-Centred Measurement Of Recovery From Day Surgery Using Wrist Worn Accelerometers; A Pilot And Feasibility Study, A Ratcliffe, B Zhai, Y Guan, D Jackson, Swarm

Peninsula Medical School

This pilot and feasibility study evaluated wrist-worn accelerometers to measure recovery from day-case surgery in comparison with daily quality of recovery-15 scores. The protocol was designed with extensive patient and public involvement and engagement, and delivered by a research network of anaesthesia trainees. Forty-eight patients recruited through pre-operative assessment clinics wore wrist accelerometers for 7 days before (pre-operative) and immediately after elective surgery (early postoperative), and again at 3 months (late postoperative). Validated activity and quality of recovery questionnaires were administered. Raw accelerometry data were archived and analysed using open source software. The mean (SD) number of valid days of …

Prediction Of Nocturia In Live Alone Elderly Using Unobtrusive In-Home Sensors, Barry Nuqoba, Hwee-Pink Tan

Research Collection School Of Computing and Information Systems

Nocturia, or the need to void (or urinate) one or more times in the middle of night time sleeping, represents a significant economic burden for individuals and healthcare systems. Although it can be diagnosed in the hospital, most people tend to regard nocturia as a usual event, resulting in underreported diagnosis and treatment. Data from self-reporting via a voiding diary may be irregular and subjective especially among the elderly due to memory problems. This study aims to detect the presence of nocturia through passive in-home monitoring to inform intervention (e.g., seeking diagnosis and treatment) to improve the physical and mental …

Shaping Identity: Older Adults’ Perceived Community Volunteering Experiences In Shanghai, Lin Chen, Minzhi Ye, Yilin Wu

School of Social Work Faculty Publications

This study explores elderly volunteers’ identity during their experiences volunteering in the community in Shanghai. Purposive and snowball sampling strategies were used to recruit elderly volunteers to participate in semi-structured, in-depth interviews (N = 40). Participants developed new identities during volunteering. Through volunteering, they also continued to sustain their professional identities and Chinese Communist Party identities. Volunteering had both positive and negative implications for participants’ identities. Our findings suggest that volunteering strengthened participants’ role identity and social identity to better adapt to life after retirement. Volunteering also helped participants achieve identity continuity. This study offers nuanced sociocultural context to …

Initiating A Geriatric Clinical Practicum In The Midst Of A Pandemic, April Wood

Faculty Research, Scholarly, and Creative Activity

No abstract provided.

Implementation Of A Fall Risk Assessment Tool In Primary Practice May Decrease Fall Frequency In The Aging Population, Regina M. White

Doctoral Dissertations and Projects

The purpose of this evidence-based project was to illustrate the benefits of utilizing a fall risk assessment tool during office visits for the aging population of a Midwestern U.S. primary care practice. Utilization of this tool helped minimize fall frequency, thus improved quality of health. The reduction in falls helped minimize unnecessary healthcare expenses. This manuscript identified a rationale for the project, specific tool utilization, outcome measures before and after implementation, limitations, and future application for practice. Provider compliance with tool utilization and frequency were measured. Multiple potential causes of falls and recommendations to minimize falls were identified with the …