Digital Commons Network^™

Project Silverlight: Community Based And Participant-Led Initiatives To Increase Civic Engagement Among Older Adults, Paulin T. Straughan, William Tov, Wensi Lim, Rachel Ngu, Yan Er Tan, Mindy Eiko Tadai

ROSA Research Briefs

Project Silverlight was a year-long project aimed at redefining social engagement and participation of older adults in the community. In this report, we share our findings from the project and key recommendations to community partners who are looking to adopt a similar model of participant-led programs. Our study found that by engaging student volunteers as a key partner in this initiative, participants showed a significant improvement in their perceptions of youth, and that participants derived a great sense of satisfaction from being involved in the curation of their activities.

Transitional Care Of Older Adults From Hospital To Home, Mallika Chuansangeam

Asian Medical Journal and Alternative Medicine

Older adults often have reduced body reserve, multiple illnesses of many organ systems, and receive polypharmacy thus requiring complex medical care. Older adults have the opportunity to be cared for in different settings leading to changes in all dimensions of care. This creates a chance for medical mistakes and affects the safety of older adults that come with each transition of care. Transitional care is especially important in older adults. Fast and important information transfer between care teams who provide information to patients and caregivers in a language that is easy to understand is vital. Involving patients in the decision-making …

Targeting Loneliness In Older Adults With Weekly Socialization, Tanja Johnson

Dissertations

Problem: Loneliness related to social isolation among the older adult population has become an increasing health concern with few interventions available for the general population. Loneliness has been directly associated with depression, poorer physical health outcomes, and overall quality of life.

Methods: The purpose of this study is to evaluate loneliness in the older adult population residing in a senior living community in an urban area in Missouri. Weekly one-on-one socialization, ranging from 45-60 minutes, will be implemented over 6 weeks, with pre and post-intervention screening for loneliness with the 28-item Visit-A-Bit (VAB) screening tool. Approval was received by both …

Web-Based Presence For Social Connectedness In Long-Term Care: Protocol For A Qualitative Multimethods Study, Anna Garnett, Halyna Yurkiv, Richard Booth, Denise Connelly, Lorie Donelle Phd, Rn, Fcan

Publications

BACKGROUND: The COVID-19 pandemic and resultant restrictions on social gatherings significantly impacted many peoples' sense of social connectedness, defined as an individual's subjective sense of having close relationships with others. Older adults living in long-term care homes (LTCHs) experienced extreme restrictions on social gatherings, which negatively impacted their physical and mental health as well as the health and well-being of their family caregivers. Their experiences highlighted the need to reconceptualize social connectedness. In particular, the pandemic highlighted the need to explore novel ways to attain fulfilling relationships with others in the absence of physical gatherings such as through the use …

Tuberculosis Presentation And Outcomes In Older Hispanic Adults From Tamaulipas, Mexico, Belinda Medrano, Miryoung Lee, Gretchen L. Gemeinhardt, Javier E. Rodríguez-Herrera, Moncerrato García-Viveros, Blanca I. Restrepo

School of Medicine Publications

Older people are at high risk of developing and dying from pulmonary infections like tuberculosis (TB), but there are few studies among them, particularly in Hispanics. To address these gaps, we sought to identify host factors associated with TB and adverse treatment outcomes in older Hispanics by conducting a cross-sectional study of TB surveillance data from Tamaulipas, Mexico (2006–2013; n = 8381). Multivariable logistic regressions were assessed for older adults (OA ≥65 years) when compared to young (YA, 18–39 years) and middle-aged adults (40–64 years). We found that the OA had features associated with a less complicated TB (e.g., lower …

Tuberculosis Presentation And Outcomes In Older Hispanic Adults From Tamaulipas, Mexico, Belinda A Medrano, Miryoung Lee, Gretchen Gemeinhardt, Javier E Rodríguez-Herrera, Moncerrato García-Viveros, Blanca I Restrepo

Faculty, Staff and Student Publications

Older people are at high risk of developing and dying from pulmonary infections like tuberculosis (TB), but there are few studies among them, particularly in Hispanics. To address these gaps, we sought to identify host factors associated with TB and adverse treatment outcomes in older Hispanics by conducting a cross-sectional study of TB surveillance data from Tamaulipas, Mexico (2006-2013; n = 8381). Multivariable logistic regressions were assessed for older adults (OA ≥65 years) when compared to young (YA, 18-39 years) and middle-aged adults (40-64 years). We found that the OA had features associated with a less complicated TB (e.g., lower …

Late-Life Gender Disparities In Economic Security: Evidence From The 2022 Elder Index, Jan E. Mutchler, Nidya Velasco Roldán, Yan-Jhu Su

Center for Social and Demographic Research on Aging Publications

Estimates from the 2022 Elder Index illustrate the elevated risk of economic insecurity experienced by older women, especially those living alone. We use the Elder Index to calculate the percentage of older adults living in one- and two-person households with annual incomes that do not support economic security. National averages suggest that half of older women living alone, along with 42% of older men living alone, have annual incomes below the Elder Index. In addition, 21% of older couples have annual incomes below the Elder Index. Women in same-sex couples experience greater levels of disadvantage than men in same-sex couples …

An Overview Across Three Generational Packages: Pioneer Generation, Merdeka Generation, And Young Seniors, Paulin T. Straughan, Yi Wen Tan, Rachel Ngu, Zidane Tiew, Wensi Lim

ROSA Research Briefs

In Singapore, there has been a concerted effort to implement diverse programs and initiatives to cater to the needs of the ageing demographic. In Singapore, it is expected that those aged 65 and above will make up 27% of the population by 2030 (Soh et al., 2020). It is also crucial to acknowledge that within this ageing population, each cohort follows a distinct life trajectory (Hooyman & Kiyak, 2010). For instance, older generations in Singapore may have navigated through uniqueevents like World War II, profoundly impacting their life trajectories. Meanwhile, newer generations are likely to experience remarkable economic growth alongside …

Application Of The Social Determinants Of Health To Geriatric Patients By Nurse Practitioner Students, Theresa Marie Gruenke Schnable

Dissertations (1934 -)

ABSTRACT APPLICATION OF THE SOCIAL DETERMINANTS OF HEALTH TO GERIATRIC PATIENTS BY NURSE PRACTITIONER STUDENTS Patient outcomes are influenced by the social determinants of health (SDOH), which influence differing exposures to opportunities or health risks. Holistic care of geriatric patients includes considering SDOH in patient assessment, diagnosis, and care delivery. Understanding how NP students care for geriatric patients using a SDOH lens provides insight into their practice behaviors and helps educators understand how to strengthen NP programs to achieve better patient outcomes and advance health equity for the geriatric population. The purpose of this study was to describe how NP …

Designing A Human-Centered Intelligent System To Monitor & Explain Abnormal Patterns Of Older Adults, Min Hun Lee, Daniel P. Siewiorek, Alexandre Bernardino

Research Collection School Of Computing and Information Systems

Older adult care technologies are increasingly explored to support the independent living of older adults by monitoring their abnormal activities and informing caregivers to provide intervention if necessary. However, the adoption of these technologies remains challenging due to several factors (e.g. lack of usability). In this work, we present a human-centered, intelligent system for older adult care. Our proposed designs of the system were created based on the findings from a focus group session with caregivers. This system monitors the abnormal activities of an older adult using wireless motion sensors and machine learning models. In addition, unlike previous work that …

Overcoming The Inner Critic: The Therapeutic Use Of Self-Portraits With Older Adults, Brenda Echeverry

Expressive Therapies Capstone Theses

Older adults are a growing and vulnerable population who experience discriminatory practices that impact their access to equitable housing, employment, and healthcare which was made even more obvious during the Coronavirus pandemic in the United States. A community engagement project was developed and facilitated by the writer to support older adults with the psychological effects of surviving the pandemic. This project also helped to increase accessibility to expressive arts therapy in the writer’s local community. Expressive arts therapy is an effective and accessible method to support mental health and wellness for people of all ages. Engagement with the arts helps …

Overcoming The Inner Critic: The Therapeutic Use Of Self-Portraits With Older Adults, Brenda Echeverry

Expressive Therapies Capstone Theses

Older adults are a growing and vulnerable population who experience discriminatory practices that impact their access to equitable housing, employment, and healthcare which was made even more obvious during the Coronavirus pandemic in the United States. A community engagement project was developed and facilitated by the writer to support older adults with the psychological effects of surviving the pandemic. This project also helped to increase accessibility to expressive arts therapy in the writer’s local community. Expressive arts therapy is an effective and accessible method to support mental health and wellness for people of all ages. Engagement with the arts helps …

Investigating The Link Between Iadl And Depressive Symptoms In Older Adults: A Cross-Sectional Serial Mediation Model, Wee Qin Ng, Hwajin Yang

Research Collection School of Social Sciences

Objectives: There is a dearth of research on the psychological processes that underlie the negative relation between impaired instrumental activities of daily living (IADL) and depressive symptoms in older adults. Drawing on the stress process model and the resilience framework, we investigated whether purpose in life and resilience serially mediate the relationship between impaired IADL and depressive symptoms.Methods: We recruited 111 cognitively healthy community-dwelling older adults (ages 54-85; M = 66.5) who scored a minimum of 25 points on the Mini-Mental State Examination.Results: We found that purpose in life and resilience serially mediated the relationship between IADL and depressive symptomatology …

Designing Social Connection: Older Adults And The Infrastructure Of Social Encounters, Bomin Kim

Graduate School of Architecture & Urban Design Theses & Dissertations

In recent decades, public space has gained significant attention in both design theory and practice as a critical components of sustainable development for older adults. With growing concerns about social disconnect, economic inequality, and environmental injustice, the revitalization of public space has become a critical piece in creating safe and just cities to foster social connection, health, and resilience for our aging population. I argue in this dissertation that older adults rely on an infrastructure of encounters to navigate social life and that designers and policymakers should critically examine how public spaces distribute and burden labor necessary to create weak …

Ten Questions Concerning Smart And Healthy Built Environments For Older Adults, Sanjay Kumar, Samuel H. Underwood, Julie L. Masters, Natalie A. Manley, Iason Konstantzos, Josephine Lau, Ryan Haller, Lily M. Wang

Durham School of Architectural Engineering and Construction: Faculty Publications

In the past decade, the term ‘global aging’ has gained much attention among researchers, policymakers, civil societies, and governments worldwide. The continuous decline in fertility rates and increased life expectancy have resulted in an ongoing demographic transition where the share of adults aged 65 or older is increasing and outnumbering children younger than five years. In the United States and other developed countries, this rapid demographic transition is expected to continue to strain the existing health infrastructure as it becomes increasingly challenging to ensure healthy living environments for older adults. The ten questions and answers in this paper have been …

Lessons Learned Adapting And Implementing Another Organization’S Program To Promote Healthy Aging, Erin Jewell, Theresa Serio, Karen Basinger, Jennifer Dixon Cravens, Lisa Mccoy, Mona Habibi, Shauna C. Henley

Journal of Human Sciences and Extension

Programming which promotes healthy aging may be lacking in states where nutrition and health interventions are directed earlier in life. Due to Maryland’s increasing aging population, a team of 10 University of Maryland Extension Family and Consumer Sciences educators received permission to adapt and implement the Iowa Department of Public Health’s, in partnership with the Iowa Department of Human Services and Department on Aging, Fresh Conversations program to fit the needs of Maryland’s older adults. The purpose of this manuscript is not to discuss research findings but rather to share our challenges, successes, and recommendations for adapting and implementing another …

Neighbourhood Satisfaction And Networks Among Older Adults In Singapore, Rachel Ngu, Micah Tan, William Tov

ROSA Research Briefs

The built and social environment surrounding one’s place of residence is an important factor that shapes well-being and quality of life. This is especially so for older adults as their sphere of mobility decreases and their functional capacity may decline as they age, making their immediate environment more vital in shaping their lives. Studies have established the importance and impact of the physical environment on health and well-being of older adults across various communities (Addae-Dapaah 2008; Alidoust and Bosman 2015; Gale et al. 2011; Oswald et al. 2007). A study on older adults in Singapore found that living environment and …

Implementing An Alzheimer’S And Dementia Library Outreach Program: A Partnership Between The Nebraska Chapter Of The Alzheimer’S Association And Nebraska Libraries, Casey Wilkinson

Theses/Capstones/Creative Projects

This paper focuses on the establishment of an Alzheimer’s and dementia library outreach program in Nebraska, initiated by the Nebraska Chapter of the Alzheimer’s Association. The program aims to address the lack of community resources and support for individuals affected by dementia-related diseases in Nebraska. Extensive research, including interviews with successful library outreach programs globally, informed the program's foundation. A survey distributed to Nebraska libraries had a stellar response rate, with 57 libraries expressing interest in collaborating. An in-depth guide was created and distributed to the interested libraries, outlining program components such as educational programming, support groups, and a designated …

Household Environments And Functional Decline Among Middle-Aged And Older Adults In China, Dandan Zhao

All Theses

This thesis investigates the associations between household social, economic, and physical environment conditions and the trajectory of self-reported functional limitations over time among middle-aged and older adults in China. Despite the increasing interest in the impact of household environments on functional decline, most existing studies are cross-sectional or concern changes in functioning observed in two waves of surveys, and they primarily focus on the influence of one condition. This thesis explores how the trajectory of functional decline is influenced jointly by multiple household factors, including living arrangement, annual living expenditure per capita, indoor air pollution resulting from solid fuels, and …

Perspectives Of Home Care Nurses On Frailty And Resilience In Older Adults Living At Home, Lisa Foley

Seton Hall University Dissertations and Theses (ETDs)

The population of older adults is growing rapidly in the United States. As more people are living to an advanced age, they are often managing a multitude of chronic illnesses and disabilities while continuing to live at home. Frailty is a common condition that affects how one ages and the condition is associated with dependency and poor health outcomes. Resilience is considered to be a protective factor against health stressors that lead to frailty in older adults. Perspectives of home care nurses were obtained by semi-structured interviews which described how older adults live at home with frailty and demonstrate resilience. …

Living Below The Line: Racial And Ethnic Disparities In Economic Security Among Older Americans, 2022, Jan Mutchler, Yan-Jhu Su, Nidya Velasco Roldán

Center for Social and Demographic Research on Aging Publications

New estimates based on the 2022 Elder IndexTM show that the risk of economic insecurity in later life is especially high for people of color. Comparing household incomes to the Elder Index, we calculate the percentage of independent older adults with incomes that fall short of what is required to support economic security. National averages suggest that among older people living alone, 43% who are White, 59% of those who are Asian, 61% of those who are Black, and 67% of those who are Latino have annual incomes below the Elder Index. The risk of economic insecurity is lower among …

Establishing A Routine Process Of Medication Reconciliation In A Rural Primary Care Clinic To Address Unnecessary Polypharmacy In Patients 65 And Older, Jessica Kirkwood-Harp

Doctor of Nursing Practice Projects

Background: Medication safety by reducing the proportion of older adults who use inappropriate medications is a Healthy People 2030 goal (Office of Disease Prevention and Health Promotion, n.d.(a)). The research for this proposal supported an established medication reconciliation (MR) to reduce errors and adverse drug events (ADEs). Consistent MR is essential for patient safety and positive patient outcomes in rural outpatient primary care clinics, as these patients possess multiple comorbidities.

Purpose: This Doctor of Nursing Practice (DNP) quality improvement project (QIP) established a routine MR process within a rural primary care clinic with reduced unnecessary polypharmacy and decreased risk of …

Incorporating A Depression Screening Tool With A Music Strategy For Depression In Adults Aged 50 And Older In An Ltc Facility, Margaret L. Hill

Doctor of Nursing Practice Projects

Background: Depression is not a normal part of life or the aging process. Unfortunately, older adults are at an increased risk of experiencing depressive symptoms. The global prevalence of major depression in older adults at 13.3%, and adults (70 and above) have a higher risk of depression compared to other age groups.

Purpose: The purpose of the DNP project was to improve patient outcomes through the implementation of depression screening and an adjunctive music strategy in older adults with depressive symptoms.

Methods: A pre, mid, and post-intervention was conducted in a long-term care facility. This author conducted a …

The Influence Of Subjective Socioeconomic Status On Executive Functions In Middle-Aged And Older Adults, Yu Ping Wong, Hwajin Yang

Research Collection School of Social Sciences

Subjective socioeconomic status (SES) has been shown to influence both psychological and biological outcomes. However, less is known about whether its influence extends to cognitive outcomes. We examined the relation between subjective SES and executive functions (EF)—a set of cognitive control processes—and its underlying mechanisms. By analyzing a nationally representative cohort of middle-aged and older adults (age 40–80) from the MIDUS 2 National Survey and Cognitive Project, we tested a serial mediation model with sense of control and health as sequential mediators. Using structural equation modeling, we found that subjective SES is indirectly related to EF via sense of control …

Older Adults In The Great Recession: Labor Force Transitions, Perceived Workplace Ageism And Life Satisfaction, Duygu Başaran Şahin

Dissertations, Theses, and Capstone Projects

Until the global economic crisis caused by the Covid19 pandemic, the Great Recession (GR) of 2007-2009 was the most severe economic downturn since the Great Depression in the U.S. History. Previous research argues that older adults were relatively protected from the GR’s harshest impact because their unemployment rates were relatively lower compared to younger adults. However, the focus on unemployment rate as the ultimate indicator of a recession’s impact might have downplayed older adults’ experiences. Indeed, some studies showed that despite relatively lower unemployment rates, once unemployed, older adults took significantly longer to be reemployed compared to adults in younger …

Caring For Former Caretakers: Utilizing Collage To Explore Transition, Development Of A Method, Noelle Leblanc

Expressive Therapies Capstone Theses

Older adulthood often comes with a variety of challenges both emotional and physical. The transition to an assisted living program can be challenging to cope with. Older adults may face isolation and loneliness, while grappling with changes in their identity as result of factors like decline in health, loss of an ability, or changes in social support. Arts based interventions were administered individually among a group of older adults to test if collage could be utilized to explore themes of role shift, transition and identity. Clinical observations along with post-session reflective artwork is included. Assisted living residents participated in a …

Medication Safety In Community-Dwelling Older Adults, Fatoumata Jallow

Nursing Dissertations - Archive

This article-based thesis comprises two manuscripts on medication safety strategies in community-dwelling older adults. A phenomenological method was used to conduct semi-structured interviews with 28 community-dwelling older adults over 65 years who took five or more prescription medications daily. Caregivers were encouraged to participate in interviews. The objective of the first manuscript was to explore the roles of patients, pharmacists, and providers in medication safety from the perspective of community-dwelling older adults. Inductive thematic analysis revealed six themes indicating varying perceived roles of medication safety by older adults. In addition, results show that the provider and pharmacist roles overlap but …

Digital Literacy Among Older Adults In Singapore, Mindy Eiko Tadai, Micah Tan

ROSA Research Briefs

Singapore stands as the fourth most digitally competitive country, after Denmark, USA, and Sweden, in the latest edition of the IMD World Digital Competitiveness Ranking (IMD World Competitiveness Center, 2022). This global ranking measures the capacities of 63 nations to adopt and explore digitally transformative practices across government, industry, and wider society. Among households in Singapore, an astounding 99% have Internet access and 92% have computer access (Infocomm Media Development Authority, 2023). Even within the eldest surveyed cohort, proportions of smartphone usage have risen from 28% in 2017 to 48% in 2021 among resident Singaporeans aged 75 and above, and …

Are You Ready For Retirement? Retirement And Quality Of Life As Resources, Hyunsook Kang, Gina Causin, Mary Olle

Journal of Human Services: Training, Research, and Practice

Abstract

Retirement in later life has been considered as an important aspect of life course, because it contributes in many ways to one’s life change, social relations updates, and health declines. Although aging brings with changes and declining all aspects of life, many older adults still remain in active after their retirement. This study will address about relationships between older adults’ retirement and its’ quality-of-life resource. Retirement, itself, may be associated with a loss of professional colleagues and work-related friends (Gloria et al, 2015). By contrast, growing numbers of older adults may maintain their active participation in social networks through …

A Structured Life Review Intervention To Improve Life Satisfaction In Home Health Service Patients: A Feasibility Study, Leah Graf

University Scholar Projects

Two million older adults in the U.S. suffer with depression. Adults who live with the difficulties of depression concurrently experience dissatisfaction with life. Life review is a systematic recollection of past events. Dr. Robert Butler postulated that, as the elderly and those with terminal illness approach the end of their lives, there is a resurgence of life experiences in the conscience (1963). A successful life review conducted by an active listener assists the individual to process unresolved conflicts and attain ego-integrity in the final stage of life. Home health services have become an increasingly accepted option for managing chronic illnesses …