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Outcomes For An Intergenerational Technology Program: A Pre-Post With Waitlist Control Study, Meaghan Colvin

Open Access Master's Theses

The quickly growing population of older adults in the United States, combined with an increasingly digital society post-pandemic, has illuminated the digital divide in recent years. The digital divide contributes to social isolation and, therefore, decreased quality of life in older adults, and intergenerational technology programming has demonstrated the potential to bridge this equity gap and keep older adults involved and productive in their communities and larger society. To expand the current literature on intergenerational programming, this study utilized a waitlist control design to strengthen the results gleaned from the University of Rhode Island (URI) Engaging Generations (eGen) Cyber-Seniors program …

“I Know A Lot Of People Just Gave Up And Died, Out Of Loneliness”: Family Members Experiences Of Covid-19 Visitation Restrictions In Irish Nursing Homes, Emily Egan, Sarah Robinson, Erin Nic An Bhaird, Graham Gillespie

Irish Journal of Applied Social Studies

COVID-19 has had a disproportionate impact on older adults, particularly those living in nursing homes (NH) globally and in Ireland, the site of our study. Whilst NH residents were at increased risk of serious illness from the virus, visitation bans and restrictions also impacted residents' quality of life. Family members' (FMs) essential caring role was recognised in contexts like the Netherlands, parts of the United States and Ontario, Canada, but were not in Ireland. The current study explored the experiences of FMs of residents who experienced visitation bans during the first four waves of the COVID-19 pandemic in Ireland. Eight …

Hearing Loss As A Risk Factor For Cognitive Decline In The Elderly: A Rapid Review, Natalie Large, Nannette Nicholson

Internet Journal of Allied Health Sciences and Practice

Purpose: The aim of this rapid review was to identify and evaluate evidence exploring hearing loss as a risk factor for cognitive decline in the elderly population. Methods: A literature search was performed in three databases: CINAHL, Cochrane Central, and PubMed. The PRISMA template was used to record the search and selection process. Search criteria included older adults aged 65 and up with diagnosed or self-reported hearing loss and no previous diagnosis of dementia or Alzheimer’s disease. Participants were excluded if they had been diagnosed with dementia or tested for it before the study began. Hearing loss was categorized using …

Men’S Sheds: An Outlet For Engaging In Creative Activities, Melinda Heinz

International Journal of Lifelong Learning in Art Education

This research highlights the purpose behind creating an art exhibition featuring work made by Men’s Shed members, many of whom are older adults. Publicly displaying their creative works demonstrates the creative capacities of these older men and counteracts the negative narrative that older adulthood is a time when individuals experience declining abilities. The exhibition also inspires older adults to consider what they can create, experiment with learning new mediums, and provides them an opportunity to connect with others who may share similar interests.

Prioritizing Care Of Older Adults In Times Of Emergency Department Overcrowding, April L. Ehrlich, Mitchel Erickson, Esther Oh, Todd James, Saket A. Saxena

Journal of Geriatric Emergency Medicine

No abstract provided.

Older Adults With A History Of Psychiatric Conditions Experience More Cognitive Decline Than Older Adults Without This History, Maria T. Brown, Miriam Mutambudzi

Population Health Research Brief Series

Having psychiatric conditions (such as bipolar disorder, schizophrenia, and major depressive disorder) throughout one’s life can lead to faster rates of cognitive decline as one ages. This data slice explores the associations between psychiatric history and cognitive function among U.S. White, Black, and Hispanic adults ages 65 and older from 1995-2014. Findings demonstrate that having a history of psychiatric problems is related to lower cognitive functioning and a faster rate of cognitive decline for all three groups, but Black and Hispanic adults experience steeper declines compared with White adults.

Nursing Students' Intention To Work With The Elderly After Graduation: A Qualitative Study, Terri Murabito

Dissertations

America's population is aging. More than one in five Americans will be over 65 by 2030. These numbers are expected to challenge existing healthcare systems. The recruitment and retention of qualified, competent registered nurses (RNs) to care for this vulnerable population have become urgent. However, undergraduate baccalaureate nurses consistently report geriatric nursing as the least preferred clinical area to in work after graduation. To understand how graduating nurses discern their career intentions, a basic qualitative study was undertaken using Ajzen's theory of planned behavior as an underlying theoretical framework. The purpose of the study was to understand and interpret nursing …

The Experience Of "Doing Well" In Older Nursing Home Residents: Bringing The Past To The Present, Ronald J. Walent

Dissertations

Though discussions of well-being and quality of life for older adults in American nursing homes have flourished over the past decade, relatively few studies have explored these notions from the perspective of older residents themselves. The purpose of this research is to understand experiences and perceptions of "doing well" in older nursing home residents.

Stepping On - Virtual Fall Prevention For Older Adults, Sean Conners, Tyler Greener, Kaitlyn Johnson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Three student learners in a doctoral physical therapy program completed a service-based learning project dedicated to reducing falls in the elderly. The program, called Stepping On, is a fall prevention initiative supported by the Wisconsin Institute for Healthy Aging (WIHA) whose goal is to identify risk factors for falls in the older population and provide exercises and recommendations to reduce falls. The eleven volunteer participants in this student learners’ Stepping On program completed online fall prevention classes and provided feedback at the completion of the program. Participants reported being more conscientious while walking and noted improved balance and flexibility.

Cognitive Dysfunction In Older Breast Cancer Survivors, Adele Crouch

Dissertations

Up to 75% of the more than 3.5 million breast cancer survivors (BCS) living in the United States report cognitive dysfunction. However, little is known about cognitive dysfunction among older BCS, who may be at greater risk. Therefore, the purpose of this dissertation was to characterize cognitive dysfunction in older BCS. Specific aims included:

(1) synthesize the literature regarding cognitive dysfunction in older BCS

(2) examine the relationships between a) objective cognitive function (immediate memory, delayed memory, attention, executive function-working memory, verbal fluency) and subjective cognitive function (attention); b) demographic factors, medical factors, treatment factors, and cancer-related symptoms (depressive symptoms, …

Utilization Of The Social Determinants Of Mental Health Framework With Older Adults For Assessment, Case Conceptualization, And Treatment Planning, Janelle L. Jones, Julia Lancaster, Lauren Robins, Wendy K. Killam, Matthew L. Nice, Bisola Duyile

Department of Counseling Scholarship and Creative Works

This conceptual paper will aid counselors and mental health professionals in obtaining insight to utilizing a Social Determinants of Mental Health Framework with older adult clients. Further, the article incorporates the Multicultural and Social Justice Counseling Competencies to further contextualize the therapeutic alliance. The authors utilize the Social Determinants of Mental Health Framework to frame counseling assessment, case conceptualization, and treatment planning to improve the mental health outcomes of older adults. The article utilizes a specific case example to assess, conceptualize, and plan treatment for an older adult client contextualized in their environment.

Utilization Of The Social Determinants Of Mental Health Framework With Older Adults For Assessment, Case Conceptualization, And Treatment Planning, Janelle L. Jones, Julia Lancaster, Lauren Robins, Wendy K. Killam, Matthew L. Nice, Bisola Duyile

Adultspan Journal

This conceptual paper will aid counselors and mental health professionals in obtaining insight to utilizing a Social Determinants of Mental Health Framework with older adult clients. Further, the article incorporates the Multicultural and Social Justice Counseling Competencies to further contextualize the therapeutic alliance. The authors utilize the Social Determinants of Mental Health Framework to frame counseling assessment, case conceptualization, and treatment planning to improve the mental health outcomes of older adults. The article utilizes a specific case example to assess, conceptualize, and plan treatment for an older adult client contextualized in their environment.

Impact Of Montessori-Based Dementia Programming On Engagement And Affect Of Older Adults With Dementia, Meredith S. Sheppard

Master's Projects and Capstones

The COVID-19 pandemic has profoundly impacted the Adult Day Services program and Adult Day programs across the country. As the Adult Day Services program transitions to an in-person format, goals within the organization include developing appropriate programming, increasing group size, and keeping clients entertained. The framework guiding this quality improvement project is Montessori-Based Dementia Programming ® (MBDP). This project aims to increase client engagement, decrease client anxiety, and decrease staff workload. This will be measured by a self-developed staff workload survey, the Menorah-Park Engagement, and the Affect rating scale. Implementation of MBDP at the Adult Day Center did not meet …

Empowering Older Adults With Their Information Privacy Management, Reza Ghaiumy Anaraky

All Dissertations

Literature depicts a deficit-based narrative around older adults and their technology use, suggesting that older adults are not able to keep up with their younger counterparts in adopting new technologies. In this dissertation, I argue that this view is not necessarily accurate or productive. Instead, I argue that the deficit is in the technology design, which is not inclusive and often caters to the needs of younger adults.

I study older and younger adults' privacy decision-making as a showcase. To study the privacy decision-making process with more granularity, I used a dual-route approach (decision heuristics and privacy calculus) to disentangle …

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How Has Grandparenthood Changed In Rural China?, Merril D. Silverstein

Population Health Research Brief Series

China’s rapid modernization and development have led to changes across Chinese society, including within the family. China is experiencing declining birth rates, meaning that fewer older adults are becoming grandparents. At the same time, there has been growing demand for grandparents to serve as caregivers for their grandchildren. This data slice examines the changes in grandparenting in rural China and calls for policies that decrease caregiver burnout, stress, and associated poor health outcomes.

Older Adults On Snap Experience Gaps In Benefits, Colleen Heflin, Leslie Hodges, Irma A. Arteaga, Chinedum O. Ojinnaka, Gabriella Alphonso

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is the largest food and nutrition assistance program in the United States. Burdens associated with SNAP recertification often lead to administrative churn, when a household experiences a gap in SNAP benefit receipt. Older adults are at risk of experiencing benefit gaps, which may negatively impact their health and nutrition. This brief summarizes results of a recent study that examined administrative churn among Missouri SNAP participants aged 60 years and older. The authors call for program changes that reduce the frequency and duration of churn among older adults.

Addressing Ethical Issues In The Design Of Smart Home Technology For Older Adults And People With Disabilities., Jonathan Turner, Dympna O'Sullivan, Damian Gordon, Yannis Stavrakakis, Brian Keegan, Emma Murphy

Articles

Unique ethical, privacy and safety implications arise for people who are reliant on home-based smart technology due to health conditions or disabilities. In this paper we highlight a need for a reflective, inclusive ethical framework that encompasses the life cycle of smart home technology. We present key ethical considerations for smart home technology for older adults and people with disabilities and argue for ethical frameworks which combine these key considerations with existing models of design and development.

Aging In Lynn: A Community Needs Assessment, Caitlin Coyle, Mary Krebs, Setarreh Massihzadegan

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the City of Lynn and the Lynn Department of Elder Services. The goals of this project were to investigate the needs, interests, preferences, and opinions of residents of the City of Lynn age 60 or older. The contents of this report are meant to inform the planning and operation of the Lynn Senior Center, and organizations that work with and on behalf of older residents of the City of Lynn. The report …

Covid-19 Has Reduced The Latino Mortality Advantage Among Older Adults, Marc A. Garcia, Rogelio Sáenz

Population Health Research Brief Series

The COVID-19 pandemic is quickly reshaping U.S. mortality patterns, especially among those aged 65 and older. While U.S Latinos have historically had lower mortality rates than Whites, the pandemic and other structural inequities have reduced this advantage. This research brief examines Latino-White differences in COVID-19 mortality rates among older adults and describes how those disparities have reduced the Latino mortality advantage in this age group.

Transitioning Eating Practices Of Older Adults, Michelle Lajoy Jackson

Dissertations

Purpose: The purpose of this descriptive qualitative study was to explore what factors may have influenced the transition of an individual older adult’s eating practices over a lifespan and the impact participants perceived those factors currently had upon their nutritional health in older adulthood.

Background: The older adult population is recognized as one of the fastest growing populations in the United States. One of many growing concerns for this population is the impact of dietary practices on the morbidity and mortality of this aging population. There is limited research to date that has explored the transitioning of appetite …

Aging In Hull: A Community Needs Assessment, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Hull Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Hull’s residents age 55 or older. The contents of this report are meant to inform the Town of Hull, the Hull Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Hull for the purposes of planning and coordination of services. The report will …

Aging In Hull: A Community Needs Assessment, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Hull Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Hull’s residents age 55 or older. The contents of this report are meant to inform the Town of Hull, the Hull Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Hull for the purposes of planning and coordination of services. The report will …

Most Home-Delivered Meal Recipients With Dementia Receive Support From Friends And Family, But More Social Activity Is Needed, Claire Pendergrast

Population Health Research Brief Series

Home-delivered meal programs reduce hunger and food insecurity, promote socialization, and improve health and wellbeing for older adults. Regular social support from home-delivered meal drivers, alongside social support from friends and family, may be key to preventing isolation and improving health for older adults with dementia. This research brief shows that home-delivered meal recipients with dementia receive significant support from friends and family, but 83% would like more social activity. To better support older adults with dementia and family caregivers, aging services providers should expand virtual and dementia-friendly social engagement programming.

Sleep And Risk For Metabolic Syndrome, Hypertension, Diabetes And Obesity Among Community-Dwelling Older Adults, Philip Zendels, Trudy L. Moore-Harrison, Jane F. Gaultney

International Journal of Exercise Science

International Journal of Exercise Science 15(3): 88-102, 2022. Older adults often face a variety of health problems that are found less frequently in younger populations. Metabolic syndrome and other related diseases are common due to a variety of age and lifestyle factors. Sleep, often operationalized only as duration, quality, or apnea diagnosis, is associated with worse health outcomes across the lifespan. However, sleep is multi-faceted and may require a collection of measures in order to reflect this. This study examined a suite of self-reported sleep habits (risk for sleep apnea, night time duration, nap duration, quality, timing, and consistency of …

Covid-19 Has Had Devastating Economic Impacts On Older Black And Latinx Adults, Claire Pendergrast, Amy Thierry, Marc A. Garcia

Population Health Research Brief Series

Black and Latinx communities have been disproportionately affected by economic hardships during the pandemic, magnifying long-standing economic inequalities. This research brief shows that in the first year of the pandemic, older Black and Latinx adults experienced greater negative economic impacts than older White adults. Foreign-born and U.S.-born Latinx adults experienced especially significant economic hardships relative to other groups. To reduce the disproportionate economic impacts of crises like COVID-19 on older Black and Latinx adults, policymakers should prioritize economic relief measures and support broader social policy to reduce economic inequality.

The U.S. Should Expand Access To Dental Care For Older Adults, Madonna Harrington Meyer, Sarah Reilly, Julia Finan

Population Health Research Brief Series

Older adult Medicare recipients face high out-of-pocket dental expenses due to a lack of appropriate dental care coverage. Older adults with lower socioeconomic status tend to have worse oral health, less dental insurance coverage, greater difficulties finding a dentist, and low-quality care. This brief details the experiences socioeconomically disadvantaged older adults face in obtaining appropriate and affordable dental care and calls on Congress to include preventative and restorative dental care as part of the federal funding agenda.

Older Adults Are More Likely To Avoid Covid-19 Information, Julia Nolte, Corinna Löckenhoff

Population Health Research Brief Series

Older adults are at higher risk of dying from COVID-19 but less interested in information that might lower the risk of getting or spreading the disease. This brief shows that in the first months of the pandemic, older adults were less likely to consume COVID-19 information or media than younger adults. These behaviors are associated with age differences in emotional experiences and preferences, with older adults feeling calmer and more interested in protecting their feelings than younger adults. To keep older adults informed on COVID-19, government and health officials should directly target communication efforts to older adults.

A Model Of Factors Contributing To Perceived Abilities For Health-Promoting Self-Care Of Community-Dwelling Thai Older Adults, Porntip P. Malathum

Dissertations

The purpose of this descriptive correlational study was to examine factors contributing to perceived abilities for health-promoting self-care of community-dwelling Thai older adults. An integration of selected concepts from Orem's (1995) self-care theory and Bandura's (1997) self-efficacy theory is established to generate a conceptual model for this study. The study variables included age, education, perceived family support, perceived friend support, chronic health problems, functional ability, perceived health status, and perceived abilities for health-promoting self-care.

An Examination Of Faith Community Nursing Interventions In The Promotion Of Successful Aging, Lina B. Hixson

Dissertations

Faith Community Nursing is a specialty nursing practice providing ongoing supportive health care to community dwellers of all ages. Practicing within the context of a community of faith, these nurses focus on health promotion and disease prevention using their expertise to combine spiritual and physical dimensions of care. As the population of Americans continues to age at a rapid rate, the number of older adults is expected to more than double by the year 2060. Many older individuals live with one or more chronic diseases, however living with a chronic disease does not always require inpatient or home care services. …

Evaluating The Feasibility Of A Future Care Planning Program With Older Adults, Jeong Eun Lee, Dahee Kim, Eva Kahana, Boaz Kahana

Journal of Human Sciences and Extension

Despite potential health care needs, many older adults do not make concrete plans about future care in late life. Prior community programs have not addressed this need via Cooperative Extension systems. To address these gaps, we developed and evaluated the pilot study program, Future Care Planning, designed to help older adults plan for their own personal, health, and environmental care. The Plan Ahead program (Plan Ahead) consists of two sessions implemented over two weeks to teach older adults to plan for their future care across multiple domains, including health communication, aging in place, and end-of-life discussion. Iowa State University Human …