Digital Commons Network^™

A Comprehensive Examination Of Age-Related Lower Limb Muscle Function Asymmetries Across A Variety Of Muscle Action Types, Kylee L. Heap-Eldridge, Brennan J. Thompson, Cody Fisher, Talin J. Louder, Jon Carey

Kinesiology and Health Science Faculty Publications

Previous research has found that lower limb muscle asymmetries increase with age and are linked to fall and injury risks. However, past studies lack a wide variety of muscle function modes and measures as well as comparison to a comparable younger age group. The purpose of this study was to examine age-related lower limb muscle function asymmetries across a variety of muscle action types and velocities in young and old adults. Lower limb balance, strength, power, and velocity were evaluated with concentric, isometric, isotonic, and eccentric muscle actions during a single-leg stance test and on single- and multi-joint dynamometers in …

Effectiveness Of A Health Literacy Enhancement Program For Older Adults In Northern Thailand, Kasama Pooseesod, Sayambhu Saita, Supa Vittaporn, Jirapat Longkul, Ruchirada Changkwanyeun, Nattagorn Choochouy, Chaiwat Phadermrod, Patsiri Srivieng, Supang Wattanasoei

Journal of Health Research

Background: The aim of this study was to evaluate the effectiveness of a health literacy enhancement program on the health literacy and 3E2S health behaviors (eating, emotion, exercise, stop smoking and stop drinking). We also explored the facilitators and barriers for older adults in developing health literacy and self-care behaviors.

Methods: The study utilized a mixed methods sequential explanatory design. The participants (n = 60) were people aged 60 years and older living in the Hang Chat District, Lampang Province, which located in northern Thailand. The data were collected using pre- and post-questionnaires and an in-depth interview. Quantitative …

Dementia Screening In Rural Kenya: The Prevalence And Impact Of Screening Positive For Dementia, C Musyimi, D Ndetei, L Muyela, J Masila, N Farina

Peninsula Medical School

Introduction: In Kenya, there is a lack of data on the number of people with dementia. In this article, we aim to estimate the number of community-dwelling older adults (aged 60 years and above) that are potentially living with dementia in rural Kenya. Methods: Recruitment of older adults occurred through adopting a convenience approach based on the catchment areas served by trained ten Community Health Workers (CHWs). Screening was conducted using the Brief Community Screening Instrument for Dementia (CSI-D), in which prevalence ratios were reported. Regression analyses were run to understand the association between screening outcome and wellbeing, social isolation, …

Exploring Touch: Art Therapy With Older Adults, Katherine Gilpatrick

Expressive Therapies Capstone Theses

Touch is an incredible tool that allows humans to connect with one another. It is instrumental in art therapy as we work with different populations and materials. Touch can occur in many ways but must be clearly defined in the therapeutic space, especially regarding ethical codes. This paper explored touch within senior living communities across different levels of care, including dementia care. A variety of art materials were used including drawing materials, collage, clay, and digital art. Art experiences were documented and analyzed through journaling and reflective artmaking. Four patterns emerged when examining the results including connection to product, differences …

A Beginner's Guide To Gerontological Counseling: A Summary Of Considerations For Counselors Providing Psychotherapy To Older Adults In Rural Settings, Kelly D. Higgins

Educational Specialist, 2020-current

The elderly population continues to rapidly increase in the United States, leading to a significant need for mental health care among older adults. While older adults experience significant role changes, increased potential for physical and cognitive limitations, and heightened social isolation, all of which contribute to an increased psychiatric need, very few counselors are specially trained to provide adequate geriatric treatment. This is especially true in rural populations, where accessibility limitations are often more significant and mental health professionals are few and far between. This project provides a brief review of the literature regarding these various considerations, challenges, and areas …

Does Breaking Up Moderate Intensity Continuous Exercise Into Accumulated Bouts Improve Postprandial Metabolic Outcomes In Middle Aged And Older Adults?, Miranda Janis

Masters Theses, 2020-current

Due to the high incidence of CVD in older adults, low levels of habitual physical activity, and poor dietary habits, it is imperative to determine an effective minimal dose of exercise that is attainable to mitigate adverse postprandial (post-meal) responses. This study is the first to our knowledge to assess whether accumulated exercise to expend 25% of the calories consumed in a high-fat meal (HFM) of moderate intensity walking will lower postprandial triglycerides (TRG), glucose (GLU) and metabolic load index (MLI: summation of GLU and TRG), compared to continuous exercise, in middle-aged and older adults (OA). Methods: Ten OA (n=10, …

A Contextual Analysis Of Life Stories From Older Adults Participating In A Telephone Reminiscence Program, Eliana Likorama

Honors Scholar Theses

Life satisfaction, loneliness, and mental health & well-being are important factors to consider when working with the older adult population. This population is predisposed to many risk factors for mental health problems such as coping with a serious illness, losing a loved one, living alone, cognitive deficits, and more. Reminiscence is one simple, flexible, and cost-effective intervention that can be utilized to promote the mental health and well-being of older adults. Reminiscence is defined as the cognitive process of recalling the past. Numerous studies have shown beneficial effects of reminiscence in older adults: increased self-esteem, enhanced quality of life, increased …

Effects Of Chronic Diabetes And Attentional Focus On Performance And Learning Of A Novel Stabilometer Balance Task, Rebeca Carolina Armagnac Gonzalez, Yinny H. Lee, Alicia Marie Letkiewicz, Meiko Nagano Mamauag

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Chronic diabetes is a prevalent systemic disease that impairs physical functioning and often leads to increased risk of falls. Adopting an external focus of attention during motor skill practice has been shown to improve learning outcomes, however, it has not been examined in this population. We examined how attentional focus instructions (internal vs. external) affect balance performance and learning in older adults with and without diabetes.

Methods: Fifty-three older adults (27 with diabetes, 63.7±7.0 years) participated in the randomized, pre-post intervention study. The balance training involved 50 practice trials of a stabilometer task that was novel to …

The Greater Implications Of Self-Perceptions Of Aging Among Younger Adults: Results From The Socially Nutritious Volunteer Training Program, Ashlyn Cobble

Electronic Theses and Dissertations

The rapidly growing rate of the older adult population has created a need to better understand younger adults’ self-perceptions of aging and current trends of ageism. The purpose of this secondary data analysis research project was to determine changes, if any, in participants’ self-perception of aging after the Socially Nutritious facilitator or nutrition ambassador volunteer training, which aims to develop knowledge and skills related to aging trends, older adult nutrition, preventing ageism, and communication and educational considerations when working with older adults. Findings indicate that participants with more frequent interactions with older adults had a more positive perception of their …

Social Isolation In Older Adults: A Qualitative Study, Jacqueline M. Rich

Doctoral Dissertations and Projects

Population aging is a worldwide trend linked to scientific developments such as vaccinations and medical advancements, including improvements in cancer treatment and a lower fertility rate than experienced by previous generations. This phenomenon is poised to instigate one of the biggest social revolutions of the twenty-first century. The consequences of an aging population affect housing, transportation, labor markets, and the demand for goods and services. It also influences interpersonal relationships, including family structures and friendships. This upward drift of improved longevity increases the possibility of developing physical and psychological ailments that can contribute to lifestyle changes and subsequently increase the …

Academic Detailing As A Health Information Technology Implementation Method: Supporting The Design And Implementation Of An Emergency Department-Based Clinical Decision Support Tool To Prevent Future Falls, Hanna J Barton, Apoorva Maru, Margaret A Leaf, Daniel J Hekman, Douglas A Wiegmann, Manish N Shah, Brian W Patterson

Faculty, Staff and Student Publications

BACKGROUND: Clinical decision support (CDS) tools that incorporate machine learning-derived content have the potential to transform clinical care by augmenting clinicians' expertise. To realize this potential, such tools must be designed to fit the dynamic work systems of the clinicians who use them. We propose the use of academic detailing-personal visits to clinicians by an expert in a specific health IT tool-as a method for both ensuring the correct understanding of that tool and its evidence base and identifying factors influencing the tool's implementation.

OBJECTIVE: This study aimed to assess academic detailing as a method for simultaneously ensuring the correct …

Multicultural Gerotranscendence: A Theoretical Approach To Working With Older Adults, Whitney George, Danielle Schlittler

Adultspan Journal

With the growing number of the aging population, the call for counselors to understand the developmental processes of all clients is essential. The theories of gerotranscendence and multicultural counseling and therapy are central to the understanding of adult development in later life. The use of these two theories together provides a theoretical basis for counselors wishing to provide services to diverse older adults.

Considerations For Walking Adaptive Devices Used By The Older Adult Population For Functional Mobility, Amanda Beth Firoved

Rehabilitation Sciences Theses & Dissertations

Statement of the problem: Walking adaptive devices (ADs) are commonly used by older adults to increase stability and prevent falls, yet the effectiveness and safety of these devices remain uncertain. This dissertation study investigates the impact of ADs on older adult falls through evidence-based practice concepts of best research evidence, patient values and circumstances, and clinician expertise. Methods: Three distinct studies were conducted, each addressing an essential aspect of EBP. The first study, representing the best research evidence, explored the effect of AD on gait spatiotemporal parameters and motions at the center of mass of twenty-five healthy participants. The second …

Malnutrition, Fear Of Falling, And Quality Of Life Are Associated With Frailty In Older Adults, Uratcha Sadjapong, Pongsaton Silangirn, Keng Chaichana, Sakesun Thongtip

Journal of Health Research

Background: Frailty is a common geriatric syndrome associated with diminished physiological reserves. These changes increase frailty and vulnerability to adverse health outcomes. This study aimed to evaluate the prevalence of frailty and risk factors of frailty including nutritional status, risk of falls, and quality of life (QoL).

Methods: This cross-sectional study was conducted with community-dwelling older adults in in Mae Chai Sub-District, Phayao Province, Northern Thailand. A questionnaire collected data from 384 older adults aged 60 or above. Nutritional status from a mini-nutritional assessment (MNA), fear of falling (FOF), QoL, and frailty were also recorded.

Results: The prevalence of …

Effect Of Formal Toileting Programs On Urinary Tract Infection Rates In Long Term Care, Deborah Jeanmarie

Walden Dissertations and Doctoral Studies

Urinary tract infection (UTI) accounts for up to 31% of sepsis diagnoses and is the fourth leading cause of infections in long-term care (LTC) facilities. Timed and prompted toileting programs are used by LTCs to reduce incontinence episodes, but there is a lack of information regarding the effectiveness of timed and prompted voiding incontinence management programs on the rate of UTIs. The purpose of this study, guided by Donabedian’s conceptual model of quality improvement, was to determine if there is a difference in the rate of UTIs in Georgia LTC facilities that have a timed and prompted voiding program and …

Reducing Loneliness And Improving Social Support Among Older Adults Through Different Modalities Of Personal Voice Assistants, Valerie Jones, Changmin Yan, Marcia Shade, Julie Blaskewicz Boron, Zhengxu Yan, Hyeon Jung Heselton, Kate Johnson, Victoria Dube

College of Journalism and Mass Communications: Faculty Publications

This study examines the potential of AI-powered personal voice assistants (PVAs) in reducing loneliness and increasing social support among older adults. With the aging population rapidly expanding, innovative solutions are essential. Prior research has indicated the effectiveness of various interactive communication technologies (ICTs) in mitigating loneliness, but studies focusing on PVAs, particularly considering their modality (audio vs. video), are limited. This research aims to fill this gap by evaluating how voice assistants, in both audio and video formats, influence perceived loneliness and social support. This study examined the impact of voice assistant technology (VAT) interventions, both audio-based (A-VAT) and video-based …

Social Engagement, Social Networks, And Well-Being Of Older Adults By Gender And Marital Status, Rachel Wen Yi Ngu, Yi Wen Tan, Yan Er Tan, Wei Tin Hiah

ROSA Research Briefs

In this research brief, we explore the differences in well-being, social engagement, and social networks amongst groups of married and unmarried male and female older adults and discuss potential policy implications. Our study found that single older adult men fared significantly worse than their married counterparts and single older adult women across different aspects of social well-being, such as social engagement and social support. While this emphasizes the need for increased community efforts to engage men, especially single men, in social activities, specific outreach efforts may be required to better understand their needs and how community programmes can address them.

Does Where We Live Matter To Oral Health? Tensions Between Rural Older Adults’ Concept Of Community And Health Individualism, Swaha Pattanaik, April M. Schueths Dr., Raymona H. Lawrence, Bettye A. Apenteng, Georgia Dounis

Sociology & Anthropology: Faculty Publications

Oral health is essential to overall health; however, structural obstacles influence older rural residents' oral health outcomes, especially those from disadvantaged backgrounds in the South. Poor oral health is typically attributed to individual choices, shifting the focus from the inconspicuous community influences, making it more difficult for older rural people to obtain oral healthcare. This qualitative study explores how older adults in rural Georgia understand the community's role in shaping their oral health. Twenty-two older adults were interviewed from five rural communities in southeast Georgia. Participants defined their community in geographic terms. Community barriers and self-reliance emerged as themes of …

The Impact Of Interaction Time And Verbal Engagement With Personal Voice Assistants On Alleviating Loneliness Among Older Adults: An Exploratory Study, Changmin Yan, Kate Johnson, Valerie Jones

College of Journalism and Mass Communications: Faculty Publications

Background: Loneliness in older adults is a critical issue that negatively affects their well-being. The potential of personal voice assistant (PVA) devices like Amazon’s Alexa Echo in reducing loneliness is an emerging area of interest, but it remains under-researched. Objective: this study aims to investigate the effect of interaction time and verbal engagement with PVA devices on reducing loneliness among older adults living alone. Method: In this experiment, individuals aged 75 and older (n = 15), living alone, were provided with Amazon Alexa Echo devices. They were instructed to interact with the device at least five times a day …

Step Squad Bundle In Older Adults With Multiple Myeloma Hospitalized For An Autologous Stem Cell Transplant, Nadya Panjwani

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Multiple Myeloma (MM) is a hematological malignancy with demographic disparities. MM is a debilitating cancer mainly affecting older adults, with 66% over the age of 70. Additionally, 33% of older patients with MM are frail with weakness, fatigue, slow gait, weight loss, and malnutrition.

PICOTS: The purpose of this Doctor of Nursing (DNP) scholarly project is to implement an evidence-based practice (EBP) change consisting of a Step Squad Bundle that will identify frailty in older patients with MM hospitalized for an Autologous Stem Cell Transplant (ASCT) to reduce morbidity and mortality and increase the chances of a quality of …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

A Causal Discovery Exploration Of Determinants Of Social Isolation, Barry Nuqoba, Kenneth Choo, Yi Wen Tan, William Tov

ROSA Research Briefs

In this report, we explore the potential causes of social isolation among older adults in Singapore using causal discovery. We found an inferred causal relationship between perceived helpfulness and social isolation, where older adults who perceived themselves as helpful were less likely to perceive themselves as socially isolated. Our study also found that perceived isolation and loneliness may be distinct concepts among older adults in Singapore, with loneliness being more likely to precede social isolation. Policy recommendations include promoting a sense of helpfulness through programs such as volunteering to reduce social isolation.

Ability To Reduce Gram Scams Through Educational Intervention, Ellis Garel

Scripps Senior Theses

Objective: This study aims to understand why people fall for scams and seeks to explore what interventions for scam prevention are the most effective in older adults. Participants: Approximately 686 participants aged 65 and above will be randomly assigned to view one of four intervention types: celebrity endorsement PSA, community-based PSA, personal advice from a family member, or the control group. Method: A path analysis will be conducted to examine how the type of intervention, gender of the participant, and history of financial fraud, mediated through concerns and susceptibility to scams, impact the propensity to fall for a hypothetical scam …

Environmentalism Among Older Adults: Investigating Predictors Of Pro-Environmental Behavior In Later Life, Ajit Singh Mann

CGU Theses & Dissertations

Human actions are largely responsible for degradation of the natural environment, and environmental threats due to climate change are increasingly prevalent. Despite the immediate need to conserve the natural environment, the role of older adults in pro-environmental initiatives has largely been ignored. I conducted two studies to understand pathways for promoting pro-environmental behavior among older adults, with the goal of shedding light on older adults’ engagement in environmental action. In the first study, I investigated the indirect effect of age on pro-environmental behavior, through personal values and environmental concern, among a general sample (N=292). I considered the role of flow …

An Exploration Of Mhealth Applications Usage Among Older Adults: A Mixed Methods Study, Francine N. Sutton

Graduate Thesis and Dissertation 2023-2024

This study examines the technology and appointment scheduling habits of older adults over the age of 55 through an exploratory sequential three phase mixed methods study. Phase One of this study examined features of ten existing mHealth applications through a qualitative content analysis, then a mHealth wireframe was developed from the app to replicate in addition to a redesigned version. Phase Two of the study was a thirty-four questions survey with 40 participants that inquired about their background with appointment scheduling, prior experience with technology, and demographics. After that, the mHealth applications were revised into two mHealth application prototypes. Lastly, …

Fantasia On A Theme Of Purpose: Using A Music-Guided Scribble Technique To Support Meaning-Making In Older Adult Retiree Musicians, Sophia R. Smith

Art Therapy | Master's Theses

Within the population of older adults, overall well-being corresponds with the ability to self-actualize and seek meaning, but age-related changes combined with ageism and isolation can negatively impact this capacity to maintain a sense of purpose, especially following retirement. It may be that retired musicians are especially vulnerable to this experience later in life due to a loss of the primary method of creative engagement and community that is facilitated by musical performance in a group setting. Integrating phenomenological and ethnographic approaches, this study utilized a qualitative design to understand how music-guided art-making incorporating the scribble technique could support a …

Anxiety And Depression In Older Adults Post Deepwater Horizon Oil Spill, Mickaela R. Reed

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research has investigated challenges that are created when one experiences a disaster within populations such as older adults and other vulnerable groups of people. However, there is little to no consideration given to how age in combination with trauma history are related to well-being after a disaster. Using two theories, socioemotional selectivity theory (SST, Carstensen, 2006) and the strength and vulnerability integration model (SAVI, Charles, 2010). I compared older adults post disaster vulnerabilty to depression and anxiety to that of younger adults with trauma history as a moderator. The 2,508 participants in the current study were from the Survey of …

Association Of Gait Speed And Handgrip Strength With Falls In Older Adults: The Role Of Cognition, Nesli̇han Kayahan Satiş, Sultan Keski̇n Demi̇rcan, Mehmet İlki̇n Naharci

Turkish Journal of Medical Sciences

Background/aim: Fall risk assessment is crucial for older adults because falls are associated with morbidity and mortality. This study investigated the relationship of gait speed (GS) and handgrip strength (HGS) with falls and assessed whether cognition mediates this causality.Materials and methods: The study was conducted in a tertiary referral geriatric outpatient clinic. The physical performance of participants was evaluated by GS and HGS. All falls the previous year were noted and factors associated with falls were analyzed using multivariate regression analysis.Results: A total of 1,018 older adults, with a mean age of 78.8 years (±7.2), of whom 64.2% were female, …

Attitudes Toward Caring For Older Adults Among Undergraduate Nursing Students At A Public University In Kuala Lumpur, Malaysia, Azera Hasra Ismail, Siti Zuhaida Hussein, Aslina Mohamed Yasi, Nurul Izzati Ishak, Nurul Nazira Mohd Yazar, Nur Syafiqah Sabri

Makara Journal of Health Research

Background: The growing number of elderly members of the population is expected to increase the demand for more dedicated nursing students committed to providing excellent care. This study aims to determine prevailing attitudes toward the care of older adults among undergraduate nursing students at a public university in Kuala Lumpur, Malaysia.

Methods: This is a quantitative cross-sectional survey of 107 undergraduate nursing students enrolled at a public university in Kuala Lumpur, Malaysia. The students were recruited using stratified random sampling. The respondents’ attitudes toward caring for older adults were measured using 14 items from the Geriatrics Attitudes Scale …

Describing And Predicting Trajectories Of Healthcare Utilization Among Older Adults Presenting To An Emergency Department Using The Interrai Emergency Department Screener, Matthew B. Downer, Kristina Kokorelias, Andrew P. Costa, Don Melady, Samir K. Sinha

Journal of Geriatric Emergency Medicine

Introduction: Although older adults visit emergency departments (EDs) more than any other age group, the trajectories of healthcare utilization older adults experience post-ED are not well described. Further, whether rapid ED assessment tools can predict trajectories and discharge destinations remains unclear.

Methods: Older adults (≥65 years) who presented to an ED at a large Canadian urban academic hospital were recruited (January 2018-April 2019). The interRAI ED Screener (EDS) was completed on presentation. Patients were categorized by EDS risk score (1/2=low, 3/4=moderate, 5/6=high) and had their discharge destinations tracked. Patients admitted to hospital were tracked until their final discharge destination. …