Digital Commons Network^™

Diabetes Self-Management Education For Older Adults In Primary Care, Makilah Rae Furlan

Doctor of Nursing Practice Scholarly Projects

Type 2 Diabetes (T2DM) is a chronic disease that impacts 27.2 million seniors 65 and older. Evidence-based care for T2DM includes a combination of medication and disease-management behaviors. Access to education to teach patients healthy behaviors to manage their disease is limited and even less accessible to geriatric patients with aging learning needs. The scholarly project addresses this gap in patient education by implementing evidence-based diabetes self-management education for geriatric patients to increase patient knowledge and confidence in implementing self-management behaviors. The scholarly project aims to assess health behaviors in patients aged 65 and older with established type 2 diabetes …

Ensuring Housing Stability And Protections For The Nation’S Renters: Avenues For Federal Action, Margaret Hagan, Peter Hepburn, Justin Steil, Brandon Weiss

Scholarly Articles in Law Reviews & Journals

What would it take to ensure housing stability and protections for the nation’s renters? This essay reviews the current literature on landlord–tenant laws, eviction court policies, the provision of legal aid, and the residential security of renter households. It then lays out avenues through which the federal government—particularly the Department of Housing and Urban Development (HUD)—might work to improve renters’ stability. These include targeted efforts to improve engagement with both tenants and landlords, robust implementation of the Affirmatively Furthering Fair Housing provision of the federal Fair Housing Act, especially around source of income discrimination, and facilitation of reforms to state …

Behavioral Responses To The Medicare Part D Coverage Gap And Its Closure, Selene Urbatsch

Theses and Dissertations

The author examines how exposure to the Medicare Part D coverage gap affects future prescription drug use and whether the closure of the gap under the Affordable Care Act (ACA) altered beneficiary behavior. Using 2007–2019 MEPS data, the analysis compares Part D enrollees to similarly aged, privately insured individuals, producing first-differences and difference-in-differences estimates. Before the ACA, exposure to the gap was associated with 4.9 fewer prescription fills relative to comparable non-Part D individuals. After the ACA, the effect fell to a reduction of 2.2 generic fills, with no significant decline in branded use. Sudden out-of-pocket cost increases prompted sharp …

The Interaction Between Physical Activity And Fruit And Vegetable Intake On Body Composition, Om S. Ghetia

Honors Scholar Theses

Objective: Fruit and Vegetable (FV) intake and Physical Activity (PA) are important lifestyle factors associated with body composition. This study assessed the combined impact of meeting FV intake and PA recommendations on body composition measures including body mass index (BMI), percent body fat (PBF), and waist circumference (WC) in adults aged 20–64 years from diverse backgrounds.

Design: A cross-sectional study conducted in Northeastern Connecticut.

Methods: A total of 124 participants completed a one-week dietary and PA record followed by anthropometric assessments. Participants were categorized into groups based on FV intake (≥400 g/day vs. < 400 g/day) and PA levels (≥600 MET-minutes/week vs. < 600 MET-minutes/week). Independent t-tests and chi-square tests were used to compare dietary intake, PA levels, and body composition outcomes across groups.

Results: Participants meeting FV recommendations had significantly …

How Individual Differences In Cue Weighting Influence The Link Between Memory And Speech In Noise Perception, Ava Buckmir, Anne Marie Crinnion, Emily Myers

Honors Scholar Theses

Listening to speech is challenging, particularly when there is background noise or ambiguities in the speech signal. Numerous factors impact our ability to understand speech, including age, cognitive processes, and contextual information. But how do we account for these challenges? The types of cues we use may aid us in perceiving ambiguities in speech. Some individuals may rely on semantic cues (higher-level cues), such as how words relate to each other, or they may rely on acoustic-phonetic cues (lower-level cues), such as the durational information in the speech signal itself. But why do individuals differ in the types of cues …

Longevity And Cardiovascular Health: Lessons From The Mediterranean Blue Zones, Lyndsay Bancroft, Miranda Daley, Hitomi Tanizawa

NURS 464: Evidence-Based Nursing Capstone

Cardiovascular diseases are the leading cause of death globally, and poor diet is a leading risk factor for adverse cardiac events (Ahmed et al., 2023). The Mediterranean diet provides protection against coronary heart disease, regardless of the common risk factors for cardiovascular diseases like smoking, hypertension, diabetes, etc (Legrand et al., 2019). Those living in the blue zones of Greece and Italy have far fewer deaths from cardiovascular disease than populations living in other parts of the world (Legrand et al., 2021). This project aims to investigate how the Mediterranean diet has influenced the rates of cardiovascular disease amongst the …

A Review Of Studies Assessing Modifiable Risk Factors For Dementia Among Family Caregivers In The United States Based On Behavioral Risk Factorsurveillance System (Brfss), Shruthi Ranjithkumar

2025 Spring Honors Capstone Projects - Archive

Caregivers of individuals with Alzheimer's Disease and Related Dementia (ADRD) face an increased risk of developing dementia due to advanced age and modifiable risk factors. The 2024 Lancet Commission Report identified 14 such risk factors, whose mitigation could reduce dementia cases by 45%. Despite this, research on modifiable dementia risk factors among ADRD caregivers remains limited. This study investigates whether peer-reviewed studies utilizing Behavioral Risk Factor Surveillance System (BRFSS) data assess modifiable dementia risk factors among ADRD caregivers. A PubMed search retrieved 27 relevant articles, which were analyzed for risk factors identified by the Lancet Commission, including traumatic brain injury, …

The Association Of Discrimination, Inflammation, And Coping Style On Self-Rated Health Among South Asian Individuals In The Masala Study, Raji Pillai, Sahiti Myneni, Constance M Johnson, Nilay S Shah, Alka M Kanaya, Jennifer E S Beauchamp

Faculty, Staff and Student Publications

Objectives: South Asian individuals (SAs) may have heightened levels of inflammatory markers, such as C reactive protein (CRP), Tumor Necrosis Factor-α (TNF-α), leptin, and resistin, and decreased levels of anti-inflammatory adiponectin, contributing to higher cardiovascular disease (CVD) incidence. Social determinants of health, like discrimination, are also associated with risks for CVD in SAs. This study examined the associations between discrimination and inflammation and whether coping styles moderated the association between discrimination and self-rated health (SRH) among SAs in the United States.

Design: Secondary analysis of data obtained from 1164 SAs (mean age = 57 years, SD = 9.4, 48% women) …

Exploring Spatial Arrangements And Smart Technology To Manage Cognitive Load In Kitchens For Aging In Place, Monique Chabot

Full-Text Theses & Dissertations

Older adults undergo natural physiological changes in various physical and cognitive functions, including balance, strength, memory, attention, and executive functioning. Memory, attention, and executive functioning integrate to form functional cognition, a skill that allows people to safely and efficiently complete daily tasks. Functional cognition is integral to the ability to age in place and is sensitive to demands in the environment. While a decline in some cognitive functions is expected with age, it is not typically observable except in the presence of pathological conditions or situations of cognitive overload from complex tasks or high environmental demands.

Older adults have identified …

Research Aiming To Understand Baseline Cybersecurity Awareness For Senior Citizens And Their Training Needs, Malik A. Gladden

Masters Theses & Doctoral Dissertations

Cybercrime evolves over time to create significant dangers that affect individuals of all ages. The senior population faces extraordinary risk from cybercriminals who specifically target them. The Senior Citizen Cybersecurity Awareness Training Program emerged as a response to the increasing security concern. The initiative delivers specialized training to older adults between 60 and 90 years old to teach them essential digital threat protection skills. The research drew its motivation from individual experiences combined with a goal to defend aging family members through video-based instructional teaching of essential cybersecurity principles. The training program includes six important cybersecurity concepts: Social Network Attacks, …

Evaluating Registered Dietitians Nutritionists' (Rdn) Knowledge, Attitudes, Behaviors And Practices Of Social Media Best Practices And The Role Of The Rdn Social Media Influencer, Ciera Burback

Theses and Dissertations

The growing use of social media has expanded the potential for RDNs to work with brands to promote products, as other health professionals have done for many years. However, scrutiny of the profession of nutrition and dietetics brought RDN influencers under fire due to disclosure practices and the perception of conflicts of interest in the social media sphere. This survey examined the knowledge, attitudes and behaviors of current RDNs and social media best practices. With 163 respondents over the age of 18 and currently an RDN, part one of the survey included demographic questions, multiple choice and Likert scale questions …

Language Development And Stuttering: Are People Who Are Fluent In More Than One Language More Likely To Stutter? Do They Stutter More In Their First Or Second Language?, Stephanie Pedraza Marin

University Honors Program Senior Projects

Research on bilingualism has played a key role in understanding language and cognitive processes. It has sparked ongoing debates about whether speaking more than one language enhances cognitive abilities or potentially limits these capacities. One behavior often examined in this context is stuttering, which has been studied in relation to bilingualism as far back as 1937. While some studies report no difference in stuttering rates between bilinguals and monolinguals, others suggest that bilinguals may be more prone to stuttering. The current study sought to further explore this issue through an online survey examining the experiences of bilingual and monolingual English …

Improving Brain Health: Exercise As A Tool For Enhancing Executive Function And Reducing Stress In Older African Americans, Destiny Ellise Ramos

Theses, Dissertations and Culminating Projects

Older African American (AA) adults face disproportionately higher risk of stress and Alzheimer's Disease and Related Dementias (ADRD) compared to other racial and ethnic groups, yet they remain underrepresented in intervention-based research. Previous research has suggested aerobic exercise may reduce stress and benefit executive functioning, which is among the first cognitive domains to be affected in ADRD; however, no studies to date have directly tested the impact of aerobic vs. non-aerobic exercise in older AAs at high risk for developing ADRD. The current study evaluated the effects of a group-based cardio dance fitness (CDF) exercise intervention versus a strength, flexibility, …

The Impact Of Puzzles On Short-Term Attention, Mauricio Rodriguez

Psychology

Successfully solving Sudoku puzzles requires constant diverting of attention to certain puzzle elements. Previous research has shown that puzzles, including Sudoku, aid in cognitive functioning and the aging process (Lin et al., 2023). Social media use has become increasingly popular for younger generations. With this trend has come various mental health complications, including shorter attention spans (Sha & Dong, 2021). This study tested undergraduate college students and the impact puzzle solving (Sudoku, and mazes) had on attentional capabilities. Our study contributes to the literature by investigating if enhanced attention results from completing Sudoku puzzles for a short amount of time. …

Dabigatran Reduced Acute Microgliosis In A Mouse Model With Tbi, Nicholas R. Eltman, Rashmeena Abbasi, Mary C. Kosciuk, Syed Ahmed, Jose L. Pascual, Randel L. Swanson, Nimish K. Acharya

Rowan-Virtua Research Day

Objective:

The study objective was to investigate the acute anti-inflammatory effects of dabigatran in a preclinical mouse controlled cortical impact (CCI) model of severe traumatic brain injury (TBI).

Design

Mice were separated into three groups: controlled cortical impact (CCI) with dabigatran (drug treatment, n=5), CCI with saline (positive control, n=5), and sham CCI without saline or dabigatran (negative control, n=3). Dabigatran (80mg/kg) or saline was administered orally at 2, 10, 18, 26, 34, and 42 hours following experimental CCI in the drug treatment or positive control groups, respectively. Animals in the negative control group received sham CCI only. 48h following …

Framework For Enhanced Intergenerational Connectivity (Eic): A Professional Program Development Report, Amanda Michelle Reigle

Electronic Theses, Projects, and Dissertations

This program development report documents the implementation and facilitation of the Sages and Seekers pilot program at California State University, San Bernardino (Palm Desert Campus) from 2022 to 2025. Grounded in communication theory, intergroup contact principles, and instructional design, the report outlines a structured intergenerational intervention aimed at enhancing empathy, connection, and understanding between older and younger adults. Drawing from facilitator observations and program implementation experiences, this work led to the creation of the Framework for Enhanced Intergenerational Connectivity (EIC), a five-point planning model emphasizing leadership, facilitation, administrative support, participant continuity, and structured program design.

The EIC framework is accompanied …

Penny For Your Thoughts: Exploring Mechanisms Linking Socioeconomic Status And Cognition, Colton Hunter

Graduate Theses and Dissertations

Socioeconomic status is a complex psychological construct linked to a number of professional and personal barriers, including cognitive deficits. Throughout this dissertation, I seek to examine the mechanisms that link socioeconomic status and cognition. First, I explore potential mediators in the link between adolescent family income and cognition in adulthood, identifying education, stressful life events, inflammation, and family education expectations as significant mediators. Next, I examine the effects of writing-based stress manipulations on long-term memory and working memory, as these effects may mimic stress from financial worry. In doing so, I identify potential effects on working memory parameters. Finally, in …

Sibling Groups And Family Adaptability And Cohesion Among Emerging Adult Women, Julianne M. Post

Graduate Theses and Dissertations

This study examined how sibling group size is related to family adaptability, cohesion, and individual resiliency outcomes during emerging adulthood. Using Bowen's Family Systems Theory and Olson's Circumplex Model, the research investigates sibling subsystems as sites where systemic imbalances are first experienced within families. Data from 124 college students revealed that larger sibling groups were associated with marginally higher disengagement and chaos resulting in decreased perceived social support, suggesting resiliency implications for youth growing up within larger families. While sibling size didn't directly predict mental health, family dynamics significantly mediated the relationship between sibling composition and resiliency outcomes. Demographic factors …

Household Wealth And Mental Health In Older Adults Across Racial Groups: Moderating Role Of Social Support, Sunkanmi Folorunsho

Department of Sociology: Dissertations, Theses, and Student Research

This thesis examines the relationship between household wealth and mental health outcomes among older adults, with particular attention to racial and ethnic differences and the potential moderating role of social support. Although financial resources are widely recognized as important determinants of psychological well-being, less is known about how social support interacts with economic conditions to shape mental health in later life. The study also addresses how these patterns may vary among different racial and ethnic groups, given persistent inequalities in wealth and disparities in access to social resources.

Drawing on data from the 2020 wave of the Health and Retirement …

Graduate List - May 2025, University Of Nebraska At Omaha

Commencement Lists

No abstract provided.

Protein Intake And The Wellbeing Of Postmenopausal Women: Investigating Sleep, Mood, And Quality Of Life, Aleesha Imran

Biological Sciences Undergraduate Honors Theses

Postmenopausal women commonly experience declines in sleep quality, mood, and overall wellbeing, with limited non-pharmacological options available to address these concerns. This randomized controlled trial investigated whether daily beef consumption as part of a higher-protein diet could improve sleep, mood, and quality of life over four weeks. Participants were randomized to either a standard protein intake control group or a treatment group consuming a high-protein diet with daily lean beef.

The treatment group showed modest improvements in subjective sleep quality and perceived health compared to controls, although these changes were not statistically significant. Fatigue, however, significantly decreased in the treatment …

Effects Of Food Insufficiency And Family Structure On Parental Aggravation And Child Outcomes, Angel Juarez

University Honors Program Senior Projects

Food insufficiency is a detrimental crisis that impacts families facing financial hardships across the United States (Nam et al., 2015). Research finds that economic difficulties and child maladaptive development are positively associated because parental stress is exacerbated by financial hardships affecting parental sensitivity to their children (Hill et al., 2013; Simons et al., 2016). The current study uses the Child and Adolescent Health Measurement Initiative (CAHMI) data from the 2021-2022 National Survey of Children’s Health (NSCH). It builds on these findings, investigating the relationship between food insufficiency and parental aggravation on child behavioral outcomes across different family structures in the …

Global Multi-Specialty Clinician Perspectives On The Implementation Of Alzheimer's Disease Blood Biomarkers, Joanne Rodda, Lindsey A. Kuchenbecker, Wyllians V. Borelli, Mari L. Demarco, Raphael M. Castilhos, Erin E. Cawston, Tinatin Chabrashvili, Melissa M. Budelier, Claudia Duran Aniotz, Chinedu Momoh

Brain and Mind Institute

Introduction: Clinicians' views on the clinical readiness of Alzheimer's disease (AD) blood biomarkers (BBMs) are not well understood.

Methods: The Alzheimer's Association International Society to Advance Alzheimer's Research and Treatment Biofluid-Based Biomarkers Professional Interest Area conducted a survey to elicit clinician opinions on AD BBM implementation, including contexts of use, assay selection, reporting, and result interpretation.

Results: Clinician respondents (n = 212) practiced in Europe (56%), North America (24%), the Caribbean and Central/South America (11%), and other continents (9%). Most respondents were medical doctors (80%) practicing in secondary or tertiary care (88%). For 56%, cerebrospinal fluid AD …

Reforming Pensions In Africa: Addressing Coverage, Payout Disparities, And Dementia Outcomes For Sustainable Aging, Cyprian Mostert, Catherine Ajalo, David Andai

Brain and Mind Institute

No abstract provided.

Technology And Transportation’S Role In Social Isolation In Rural Older Adults, Sara F. Miller

Honors Theses

This study examines the perceptions and experiences of rural older adults. More specifically, their community experiences, connections, technology, and transportation. Past literature, when examining these topics, took a quantitative approach utilizing scales. This study takes a qualitative approach, utilizing semi-structured interviews to examine the feelings behind the experiences of the participants. Interviews were conducted with four older rural adults. The four participants were female and were of varying marital statuses. Three of the participants were Caucasian, and one was African American. Four themes were found in this process. It was found that the participants were content with the connections that …

Living In Essex: A Community Needs Assessment, Sue Berger, Ceara Somerville, Caitlin E. Coyle

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Essex. The goals of this project were to investigate the needs, interests, preferences, and opinions of Essex residents age 18 or older by engaging the community regarding their experiences and needs relevant to the Council on Aging’s (COA’s) objective to identify and serve the needs of all Essex citizens 60 and older.

Exploring The Roles Of Registered Dietitian Nutritionists In Food Service Management Practice Settings And The Established Guidelines That Aid In Assessing Competency, Angelique Lim

Theses and Dissertations

Background: Registered dietitian nutritionists (RDNs) are highly qualified professionals to manage food service operations, yet only 3% of RDNs work in food service management. Objective: The objective of this research is to determine what established guidelines, training, certifications, and advanced degrees RDNs working in management of food and nutrition systems (MFNS) use to develop their level of expertise. Methods: RDNs who are members of the Academy of Nutrition and Dietetics Management of Food and Nutrition Systems Dietetic Practice Group were invited to participate in a survey to assess characteristics of current RDNs working in MFNS, and to determine resources, training …

Supporting The Supporters: Assessing The Health And Needs Of Family Caregivers, Fatima S. Meza-Salgado

Capstone Projects and Master's Theses

Family caregivers in Latino communities often face significant health and emotional challenges due to the demands of providing unpaid, long-term care to elderly loved ones. This capstone project was conducted in partnership with Central Coast Visiting Nurse Association (VNA) & Hospice through the Collaborative Health & Human Services Department at California State University Monterey Bay. The project focused on the city of Salinas, CA, a predominantly Hispanic community with a high percentage of older adults in need of hospice care. The primary goal was to assess the health and well-being of family caregivers and identify areas where supportive services could …

The Effects Of Daily Beef Consumption On Sleep, Mood, And Wellbeing In Postmenopausal Women, Caroline M. Coughlin

Biological Sciences Undergraduate Honors Theses

Menopause is often accompanied by changes in sleep, mood, and overall well-being, partly due to hormonal shifts and loss of muscle mass. Protein intake, especially from nutrient-rich sources like beef, may help address these changes, but research in postmenopausal women remains limited. This study explored how daily beef consumption, as part of a higher-protein diet, affected sleep quality, mood, and well-being over eight weeks. Ten active postmenopausal women were randomly assigned to either a control group (meeting standard protein recommendations) or a treatment group consuming twice that amount, including one serving of lean beef per day. Sleep was measured using …

Recreational Runner Participation: Barriers, Benefits, And Best Foot Forward In Josephine County, Adam Boothe

Leadership Education Capstones

Running, a simple yet powerful activity, has the potential to significantly enhance physical and mental well-being. While many individuals in Josephine County enjoy running as a recreational pursuit, a cohesive running community remains absent. This research aims to delve into the factors hindering the formation of such a community and explore the potential benefits of participating in a recreational running club.