Digital Commons Network^™

Selective Sharing And Social Bonding: A Qualitative Study Of Online Health Information Behaviour Among Older Adults In Shanghai, Minzhi Ye, Yan Liu

School of Social Work Faculty Publications

The health information landscape has been revolutionised by the advent of social media, significantly affecting older adults’ access to and interaction with online health information. In this study, we examine how older adults interact with health information on social media. In total, 30 participants aged 60 years and older from Shanghai were interviewed, focusing on their health information-seeking behaviour, perceptions, and subsequent actions using a semi-structured, in-depth interview approach. Furthermore, in this study, we employed grounded theory to analyze the data, and the results revealed that older adults utilise a comprehensive cognitive process for evaluating health information. Information-sharing decisions among …

Alterations In Cardiovascular Parameters In 5xfad Murine Model, Andrea G Marshall, Dominique Stephens, Kit Neikirk, Sepiso K Masenga, Bryanna Shao, Amber Crabtree, Zer Vue, Heather K Beasley, Edgar Garza-Lopez, Estevão Scudese, Benjamin I Rodriguez, Han Le, Steven Damo, George E Taffet, Okwute M Ochayi, Ronald Mcmillan, Jeremiah M Afolabi, Vernat Exil, Ashton Oliver, Vineeta Sharma, Pamela Martin, Amadou Gaye, Chanel Harris, Briar Tomeau, Lacara Bell, Markis Hamilton, Taneisha Gillyard, Railyn Webster, Marcus Jackson, Prem Prakash, Shanilah Frierson, Chandravanu Dash, Margaret Mungai, Annet Kirabo, Jennifer A Gaddy, Nelson Wandira, Antentor Hinton, Anilkumar K Reddy

Faculty, Staff and Students Publications

Alzheimer's Disease (AD) is a global health issue, affecting over 6 million people in the United States, with that number expected to increase as the population ages. As a neurodegenerative disorder that affects memory and cognitive functions, it is well established that AD is associated with cardiovascular risk factors beyond only cerebral decline. In this study, we measured hemodynamic parameters related to cardiovascular and cerebrovascular function in 5xFAD mice with AD and their littermates. Specifically, we measured cardiovascular pulse wave velocity parameters, a marker of arterial stiffness and cardiovascular risk, and cerebrovascular pulse wave velocity, a novel technique to measure …

Project #158: Doll Therapy: A Pilot Program To Reduce Falls, The Need Of Patient Safety Attendants, And The Use Of Restraints, Sarah Downes, Kalie Roose

Quality Expo 2025

No abstract provided.

Project #011: Multi-Disciplinary Collaboration On Maintaining Safety Transport For Patients On Supplemental Oxygen, Britney Wagner, Alma Agulto

Quality Expo 2025

No abstract provided.

Project #158: Doll Therapy: A Pilot Program To Reduce Falls, The Need Of Patient Safety Attendants, And The Use Of Restraints, Sarah Downes, Kalie Roose

Quality Expo 2025

No abstract provided.

Project #011: Multi-Disciplinary Collaboration On Maintaining Safety Transport For Patients On Supplemental Oxygen, Britney Wagner, Alma Agulto

Quality Expo 2025

No abstract provided.

Development Of Comforturn: A Smart Mattress System For Automated Patient Repositioning Using The 4d Development Model (A Concept Paper), Khin Thandar Aung, Nur Alya Farhana Suhaimi, Nik Nur Aisyah Nik Sukriman, Nurul Ain Zakaria, Nur Adila Zaidi, Khin Thuzar Aung, Rafiza Abdul Razak

Individual Articles

Pressure ulcers, also known as pressure sores, are a common and preventable complication among mobile patients, resulting from sustained pressure on specific body areas. Manual repositioning is the primary strategy for prevention, but it is physically stressful, time-intensive, and not uniformly performed by care providers. Ripple mattresses provide passive pressure redistribution; however, manual tuning is still necessary and requires an automated approach. This concept paper discusses the design of Comforturn, a smart mattress system capable of automating patient turning with a programmable side tilt and wave-like motion. The goal is to lessen caregivers' work burden and increase patient safety and …

Taming The Chaos: Strategies For Streamlining Library Work In An Interruption-Driven World, Melanie S. Brasher, Amanda K. Izenstark

Public Services Faculty Presentations

Library workers often can’t follow the typical productivity advice doled out by productivity experts. In a job that is essentially managing ongoing interruptions with the added bonus of needing to describe what you’ve accomplished to numerous stakeholders, how can you keep track of what you do, what you need to do, and what you need to know? Join this session for some examples of frameworks and connect with others to tame the chaos that is modern library work. Due to the size of this topic, we will poll attendees live in order to choose the topics of greatest interest to …

Thrombi From Stroke Due To Cardioembolic Etiology Have Higher Cd11b-Positive Cells Compared To Large Artery Atherosclerosis, Carson Finger, Gomana Emara, Gabriel S Chiu, Kelly Li, Sunil Sheth, Chunfeng Tan, Maria Parekh, Mehmet Enes Inam, Deepa Dongarwar, Bharti Manwani

Faculty, Staff and Student Publications

Identifying the underlying etiology of ischemic stroke is crucial for implementing effective stroke prevention measures. In the era of thrombectomy, ischemic stroke thrombus composition has gained considerable interest in the recent years. However, only a limited studies have analyzed the inflammatory milieu of the thrombus in association with stroke etiology. Atrial Fibrillation (AF), a common etiology of large strokes, is difficult to detect, but is known to be an inflammatory disease with a dominance of CD11b cell types (characterizes bone marrow derived myeloid cells such as monocytes, neutrophils, macrophages, and natural killer cells) in the atria. We hypothesized that thrombi …

Subjective Excessive Daytime Sleepiness And Frailty Progression In Veterans Over 50 With Insomnia, Mona Amirmazaheri

Walden Dissertations and Doctoral Studies

Frailty is common in aging veterans and linked to adverse outcomes. This retrospective cohort study of 6,824 veterans with insomnia examined whether excessive daytime sleepiness, sleep treatments, and PTSD affected frailty progression over four years. Frailty was measured using a validated index, with models adjusted for demographics and comorbidities, including chronic coronary insufficiency. Manuscript 1 showed that a higher Epworth Sleepiness Scale (ESS) score (range 0-24) was independently associated with a higher frailty index (FI) (p < .001). A clinical threshold of ≥11 indicated EDS and greater odds of frailty worsening compared to scores <11 (adjusted odds ratio (aOR) = 1.16, 95% CI [1.02, 1.32], p = .021). There was no significant interaction between ESS and time, suggesting that sEDS reflects persistently elevated frailty levels rather than accelerated decline. Manuscript 2 showed that nonpharmacologic sleep interventions were protective, while pharmacotherapy was associated with increased frailty risk. Cognitive behavioral therapy for insomnia was associated with lower odds of frailty worsening (aOR = 0.31, 95% CI [0.19, 0.53], p < .001), and continuous positive airway pressure therapy also reduced risk (aOR = 0.55, 95% CI [0.39, 0.76], p < .001). In contrast, sleep medications were associated with increased odds of frailty progression (aOR = 1.16, 95% CI [1.02, 1.32], p = .021). Manuscript 3 showed that PTSD was not associated with baseline frailty levels but showed a significant time interaction (B = 0.001, p = .008), indicating modest acceleration of frailty progression among affected veterans. Findings support positive social change through early sEDS screening and trauma-informed, nonpharmacologic sleep care to reduce frailty in veterans.

Staff Education On Oral Health To Night Shift Staff, Uzoamaka Mbionwu

Walden Dissertations and Doctoral Studies

Hospital-acquired pneumonia (HAP) remains the most common hospital-acquired infection in the United States, with nonventilated adult patients particularly at risk. This doctoral project focused on improving oral care practices among night shift nursing staff on a medical-surgical unit to reduce the risk of HAP. The practice gap identified was the inconsistent and inadequate delivery of oral hygiene during night shifts, primarily due to staff knowledge deficits, time constraints, and a lack of standardized procedures. The project was guided by the Johns Hopkins Evidence-Based Practice model and addressed the following question: In adult patients on a medical-surgical unit, will staff education …

Gc Minutes Oct 23, 2025, Graduate Council

Graduate Council Minutes

No abstract provided.

Bridging Language Barriers In Data Analysis For Constructivist Grounded Theory Research: A Case Study In Chinese Context, Wenyu Li, Catherine Elliott O’Dare, Catherine Conlon

The Qualitative Report

Qualitative studies across diverse linguistic and cultural contexts are rising in global social settings. However, literature addressing the potential methodology challenges of conducting such research using constructivist grounded theory (CGT) remains limited. This paper, therefore, highlights potential challenges in the data analysis phase of cross-cultural research using CGT and suggests a three-phase language conversion strategy to minimize data loss while avoiding superficial analysis based on my Ph.D. research experience, where interviews are conducted in Chinese while the target language is English. Additionally, this paper reflects on the role of bilingual researchers in CGT cross-cultural studies, exploring how the bilingual research …

Age And Postural Stability In Firefighters: An Analysis Of Anterior Reach Asymmetry And The Two-Foot Length Criterion, Madeleine Fulk, Roger O. Kollock, Maddie Seidner, Rachel Ward, Zora Szabo, Muhammed O. Malik, Gabriel J. Sanders

International Journal of Exercise Science

International Journal of Exercise Science 18(8): 1175-1185, 2025. https://doi.org/10.70252/HSMV3009 This study explored how age affects postural stability (PS) in firefighters by focusing on two key objectives: 1) determining if age affects right-to-left anterior (ANT) reach distance asymmetry (ASYM) during the Motor Control Screen (MCS) test and 2) assessing whether the proportion of firefighters not meeting the greater than two-foot length (2FL) criterion for ANT reach differs across age groups. Data from 95 male firefighters were analyzed using the MCS ANT reach test, part of the Y-Balance Test (YBT). The key outcomes were the difference in ANT reach distances between legs …

Staff Education Project To Reduce Falls In Assisted Living Through Improved Caregiver Knowledge, Attitude, And Skill, Crystal Morrow

Walden Dissertations and Doctoral Studies

Wisconsin has the highest death rates from falls in the nation. In a brief, the Wisconsin Aging Advocacy Network indicated that most falls among individuals over 65 occur in residential settings. Further, a significant number of elderly people will fall each year, resulting in hospitalizations or fatalities. The purpose of this project was to provide staff education in one Wisconsin assisted living facility to effectively improve knowledge, attitude, and skill among frontline staff for fall prevention management. A formal Fall Education Day was provided to improve knowledge and shape positive attitudes among staff. A pretest-posttest design was used to measure …

Emergency Department-Initiated Palliative Care Screening Among Older Adults: A Systematic Review And Meta-Analysis Protocol, Dimitri E Lin, Satheesh Gunaga, Fabrice I Mowbray, Eric D Isaacs, Daniel Markwalter, Naomi George, Alison E Hay, Rita Manfredi, Erica Westlake, Murtaza Akhter, Jason K Bowman, Naomi Rebollo-Lee, Brian Gacioch, Alexander D Ginsburg, Justin Kenneth Brooten, Sarah Pajka, Katie Selman, Paul Bain, Joshua J Davis, Shan Liu, Kei Ouchi

Faculty, Staff and Students Publications

Introduction: The rapidly growing population of older adults (individuals aged 65 years and older) presents a new set of challenges for healthcare providers in the emergency department (ED), given the prevalence of severe and life-threatening conditions among this group, such as chronic cancer, Alzheimer's disease/dementia and congestive heart failure. ED encounters often represent a critical point in an older patient's trajectory of care and can thus be an important opportunity for various interventions such as palliative care consultation. Therefore, identifying those who will benefit most from palliative care is of high importance, especially in determining the course of future treatment. …

Evaluating Correlates Of Healthy Eating And Dietary Quality Among Older Adults: A Mixed Methods Approach To Development And Application Of A New Survey Instrument, Sara K. Rosenkranz, Donya Shamati, Anna Biggins, Alissa Mick, Christopher Acosta, Richard R. Rosenkranz

Kinesiology and Nutrition Sciences Faculty Research

Objectives: Community-dwelling older adults face unique challenges related to nutrition and health, but little is known about their barriers and facilitators for healthy eating behaviors. This study sought to develop and evaluate a new instrument to measure the capability, opportunity, and motivation for healthy eating behaviors (COM-HE) among community-dwelling older adults.

Design: A mixed methods approach was used to obtain qualitative and quantitative data. Participants were aged 65 years or older, community-dwelling, and English-speaking. Participants engaged in focus groups (n = 12) and pilot-testing (n = 81) to evaluate the COM-HE instrument. The Rapid Eating Assessment for Participants – Shortened …

Hospital-Based Pediatric-Focused Nurse Practitioners Role Utilization: Implications For Burnout And Intention To Leave, Kristin Hittle Gigli, Ashleigh F. Bowman, Michelle Goreth

Creating Healthy Work Environments (CHWE)

During this presentation, attendees will learn about the implications of hospital-based pediatric-focused NP role utilization on burnout and intent to leave, with the aim to identify opportunities for health systems to improve the work environment impacting well-being and retention.

Detailed abstract attached.

Perceived Neighborhood Cohesion And Well-Being During The Covid-19 Pandemic In The U.S., Jennifer W. Robinette, Brooke Jenkins, Nicole-Marie Duran, David A. Frederick

Psychology Faculty Articles and Research

The U.S. entered a “second pandemic” characterized by depression and loneliness after the initial outbreak of COVID-19. These psychological consequences have driven researchers to identify protective factors during this crisis. The present study tested whether perceived neighborhood cohesion, or that neighbors trust and count on one another, related to fewer depressive symptoms and less loneliness as the pandemic unfolded. Two waves of data were collected online from the same adults in April and October, 2020 (N = 1,928). People who reported greater neighborhood cohesion had fewer depressive symptoms (b = −1.01, p <  0.001) and were less lonely (b = −0.20, p <  0.001), even when considering other pandemic-related risk factors. The association between cohesion and loneliness was even stronger 6 months into the pandemic (b = …

Neuro Rehab In Rural America: Interprofessional Strategies For Implementing Evidence Based Practice, Stacie Mae Larreau Christensen, Rebecca L. Kinnison, Amy J. Goldman, Colleen Spellman

Posters and Presentations: Physical Therapy

No abstract provided.

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

The Open Journal of Occupational Therapy

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

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

Cv: Jeannine Haberman (Nursing), Jeannine Haberman

Nursing Department Faculty Curricula Vitae

No abstract provided.

Anthropometric And Metabolic Assessment In Adults With Down Syndrome: The Need For Novel Indices And Tailored Criteria ​, Seli̇n Teki̇n, Nergi̇s Basmaci, İnci̇lay Lay, Alper Gürlek

Turkish Journal of Medical Sciences

Background/aim: This study aimed to evaluate the metabolic profile of adults with Down syndrome (DS) using novel anthropometric and metabolic indices, while also highlighting the limitations of traditional obesity assessment methods compared with the non-DS population.

Materials and methods: This cross-sectional study included 22 adults with DS and 28 age- and sex-matched non-DS controls. Anthropometric measurements, including BMI, waist circumference (WC), and hip circumference (HC), were recorded alongside novel indices such as waist-to-height ratio (WHtR), body adiposity index (BAI), A body shape index (ABSI), and visceral adiposity index (VAI). Metabolic parameters (fasting plasma glucose, HbA1c, lipid profiles, HOMA-IR) and CBC-derived …

An Exploration Of The Career Choices Of Nursing And Midwifery Students In A Uk University: A Survey, Kevin Hambridge, Frazer Underwood, Gosia Bettache, Matt Carey, Mohamed Eid, Lisa Burrows, Christian Brailsford, Rachel Tims

School of Nursing and Midwifery

AbstractBackground:There is a worldwide shortage of nurses, so an increase in the supply of graduating nurses is needed. Little is known about nursing students' career choices and the reasons why certain jobs, specialties and locations are chosen. Gaining a better understanding of these choices could help healthcare employers to plan the nursing workforce of the future.Aims:The study explored the career choices of nursing and midwifery students.Methods:A convenience sample of 163 final-year nursing, midwifery and nursing associate students responded to an online survey exploring career choices.Findings:Most students (87.1%; n=142) had secured their first job, with the vast majority staying in the …

Ucc Minutes Oct 10, 2025, Undergraduate Curriculum Council

Undergraduate Currirculum Committee Minutes

No abstract provided.

Identifying Older Adult Orthopedic Patients’ Learning Styles For Tailored Communication And Health Literacy, Alexis Flippen Von Zimmer

Pacific Journal of Health

Effective patient communication supports health literacy, treatment compliance, and health outcomes. This study examined whether older adult orthopedic patients’ learning style modality preferences differ from general population norms and characterized their multimodal communication preference profiles to inform tailored provider–patient interactions. Using the Barsch Learning Style Inventory (BLSI), 57 English-speaking male orthopedic patients (50+ years) in a semi-rural Northern California practice were assessed. Primary learning modality distributions (n = 50 with single primary preferences) differed significantly from the BLSI theoretical norms using an exact multinomial goodness-of-fit test (p = 0.048), with fewer auditory learners and more kinesthetic learners than expected. …

Enhancing Evidence-Based Practice: Board Vitals Resource Integration In Clinical Learning, Evelyn Wang

HSLIC Faculty and Staff Instructional Resources

This presentation was delivered at the Evidence-Based Practice Council Monthly Meeting, focusing on integration of Board Vitals, an online resource for medical and nursing exam preparation, into clinical learning. It highlights practical use of Board Vitals for clinician professional development and features resources for nurse practitioners, physician assistants, pharmacy, dental hygiene, radiology, USMLE, NCLEX, and more. The session covers access procedures, featured study materials, and library service links for advanced practice and nursing exam preparedness at UNM HSLIC.

Community-Based Food Program Limits In Reducing Older Adult Food Insecurity, Madonna Harrington Meyer, Colleen M. Heflin

Population Health Research Brief Series

Older adults who are grappling with food insecurity may enhance their food supply through community-based programs that provide free and subsidized food. This complicated system, categorized by group meal programs, home-delivered meals, and food provided to be eaten off-site, is complex, expensive, and may be difficult for older adults to use. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief describes three key limits of community-based food programs for older adults. First, the quantity and quality of community-based food programs vary markedly by where one lives. Second, the food may be of poor nutritional …

Cost Of Living For Older Adults (65+) In Mountain West Metropolitan Statistical Areas, 2024, Anirudh Polagani, Annie Vong, Mohit Pande, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

Demography

This fact sheet explores 2024 cost of living data for adults over the age of 65 in the largest metropolitan statistical areas (MSAs) across five Mountain West states: Arizona, Colorado, Nevada, New Mexico, and Utah. The data are sourced from the “Elder Index,” a dashboard that focuses on housing, healthcare, food, transportation, and miscellaneous expenses that collectively reflect the monthly expenses for those over the age of 65. This fact sheet focuses on five MSAs in the Mountain West: Phoenix-Mesa-Chandler, AZ; Denver-Aurora-Centennial, CO; Las Vegas-Henderson- North Las Vegas, NV; Albuquerque, NM; and Salt Lake City-Murray, UT.

Functional Foods For Older Adults: Comparing The Bioactive Properties Of Cheese To Identify Products That Promote Healthy Ageing, Aimee Plante

Theses

Functional foods for the elderly: comparing the bioactive properties of cheese to identify products that promote healthy ageing.

People are living longer, and a healthy ageing population is a key goal of our National Positive Ageing Strategy. One approach to support this initiative is to promote and develop functional foods that can support healthy ageing by reducing age-related conditions, including cardiovascular disease, diabetes, obesity and cancer. Cheese particularly aged and fermented varieties like cheddar show great potential as a functional food with inherent and established health properties. It naturally contains bioactive peptides, vitamins, minerals, protein and possible cultures that confer …