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Information Trust And Covid-19 Vaccine Hesitancy Amongst Middle-Aged And Older Adults In Singapore: A Latent Class Analysis Approach, Micah Tan, Paulin Tay Straughan, Grace Cheong

Research Collection School of Social Sciences

Rationale: COVID-19 vaccine hesitancy presents significant challenges for public health. Objective: Vaccine hesitancy among middle-aged and older adults has been a significant barrier in Singapore’s battle against COVID-19. We hypothesize that the trust middle-aged and older adults place in various sources of information influences vaccine hesitancy, and that distinct typologies of trust can be identified to better inform targeted health communication efforts. Method: Data from a nationally representative panel survey of Singaporeans aged 56–75 (N = 6094) was utilized. Modules fielded in August and November 2020, and June 2021 were analyzed, assessing social networks, trust in sources of information, and …

Towards An Ethical Framework For The Design And Development Of Inclusive Home-Based Smart Technology For Smart Spaces For Older Adults And People With Disabilities, Emma Murphy, Julie Doyle, Ioannis Stavrakakis, Damian Gordon, Brian Keegan, Dympna O'Sullivan

Articles

Unique ethical, privacy and safety implications arise for people who are reliant on home-based smart technology due to health conditions or disabilities. As a result we need to carefully reflect on our approaches to ethical issues over the life cycle of smart home technology design and the wider living context for end users and relevant stakeholders. In this position paper we highlight a need for a reflective, inclusive ethical framework for the design of inclusive smart spaces. We present key ethical considerations in the design, development and deployment of smart home-based technology for older adults and people with disabilities. We …

Socio-Spatial Disparities In County-Level Availability Of Aging And Disability Services Organizations, Claire Pendergrast, Danielle Rhubart

Journal of Rural Social Sciences

Aging and disability services are essential for supporting older adults in living independently in their homes and communities as they age. Applying theoretical perspectives of community gerontology and spatial inequality, we use county-level data (N=3142) from the National Neighborhood Data Archive (NaNDA) and the American Community Survey to explore if and how availability of aging and disability services organizations varies across the rural-urban continuum and across compositional characteristics of counties. Results show that rural counties are significantly more likely to be aging and disability services deserts. Stratified models show that poverty rates and relative shares of non-Hispanic Blacks are positively …

Older Adult Preparedness For Living With An Endemic Covid-19, Micah Tan, Paulin T. Straughan, Grace Cheong, Wensi Lim, Mindy Eiko Tadai, Nadya Haifan, Dyan Jun Wei See Toh

ROSA Research Briefs

As Singapore holds steady against the current Omicron wave and begins to pave the next steps towards living with COVID-19, we hope that this report will provide our fellow colleagues and stakeholders with valuable insights into the perceptions and experiences of older adults in preparing to live with an endemic COVID-19. To this end, the current report examines several aspects of living with an endemic including whether older adults perceive themselves to be prepared, whether they are willing to adopt certain preventive behaviours, and the level of support they have for living with an endemic COVID-19. Specifically, we look at …

Older Adults' Perceptions Of Government Handling Of Covid-19: Predictors Of Protective Behaviors From Lockdown To Post-Lockdown, Savannah Kiah Hui Siew, Jonathan Louis Chia, Rathi Mahendran, Junhong Yu

Research Collection School of Social Sciences

Background: Distrust, and more broadly, public perception of government's handling of a crisis, has been a widely studied topic within health crisis research and suggests that these perceptions are significantly associated with the behavior of its citizens. Purpose: To understand which aspects of the public's perception of government handling of the COVID-19 pandemic predicted engagement of protective behaviors among older adults, who are the most vulnerable to COVID-19.Methods: Participants were recruited from an ongoing biopsychosocial study on aging amongst community-dwelling older adults. There were two rounds of data collection, during the national lockdown and post-lockdown. The average length of follow-up …

Older Adults’ Physical Activities And Subjective Well-Being, Mihae Bae, Hyunsook Kang

Journal of Human Services: Training, Research, and Practice

This study examined the relationships between physical activities as health behaviors and subjective well-being in older adults. Data from the National Social Life, Health, and Aging Project (NSHAP) survey were used. The NSHAP study sampled persons 57-85 years of age (n=3005). The respondents completed a telephone survey, reporting their background information and social networking characteristics. For data analysis, a two-step hierarchical regression was used in order to identify the associations between the demographic and physical activity factors on subjective perception of well-being in older adults. Our results indicated that, among the demographic, income, education, health status, and participation …

Sources Of Information About Covid-19 Among Older Adults In Ghana, 2019-2021, Samuel Adu-Gyamfi, Emmanuel Akwasi Asante

Journal of Social, Behavioral, and Health Sciences

The COVID-19 pandemic sparked a worldwide search for information. Information about COVID-19 is crucial and it could be the first step toward designing practical disease-control strategies. Misinformation amid the widespread information about COVID-19 has undoubtedly caused psychological distress, especially among older adults. We present an empirical and descriptive study of the sources of information among older adults and how they perceived the COVID-19 pandemic. A total of 58 participants were recruited and interviewed using an in-depth semi-structured interview and structured questionnaire for our study. The study participants were recruited using purposive and convenience sampling in their respective homes from Mallam, …

A Physical Therapy Mobility Checkup For Older Adults: Feasibility And Participant Preferences From A Discrete Choice Experiment, Dalerie Lieberz, Hannah Borgeson, Steven Dobson, Lindsey Ewings, Karen Johnson, Kori Klaysmat, Abby Schultz, Rachel Tasson, Alexandra L. Borstad

Journal of Patient-Centered Research and Reviews

Purpose: Physical performance measures, like walking speed, identify and predict preclinical mobility disability but are rarely used in routine medical care. A preventive model of care called Mobility Checkup is being designed to reduce mobility disability in older adults. This study had two purposes: 1) determine feasibility and outcomes of the Mobility Checkup, and 2) identify preferences of older adults regarding this model of care using a discrete choice experiment.

Methods: Adults over 55 years of age were recruited from the community. In the study’s first phase, participants completed a Mobility Checkup, with feasibility evaluated using 6 criteria. In the …

A Pilot Interdisciplinary Falls Screening And Educational Event: Perceptions Of Community-Dwelling Older Adults, Lisa J. Knecht-Sabres, Timothy A. Hanke, Michelle M. Lee, Minetta Wallingford, Lisa Palmisano, Teresa Elliott-Burke, Kim Huntington-Alfano, Susanne Higgins, Thomas Dillon, Jennifer Mazan

Internet Journal of Allied Health Sciences and Practice

Introduction: Falls are the leading cause of death and disability among people 65 years of age and older. Likewise, falls have psychological consequences which often lead to avoidance of activities, fear of falling, and further disabilities. Even though the impact of falls on one’s daily life and independence are substantial, evidence suggests that falls can be prevented by multi-factorial assessments and client-specific interventions. Objective: The purpose of this study was to determine (a) perceived knowledge of falls, (b) reported confidence in fall prevention, (c) perceived likelihood of implementing falls screening recommendations, (d) reported fear of falling, and (e) perceived value …

Animal Assisted Therapy For Older Adults In Aged Care Facilities: A Rapid Review, Mitchell A. Franklin, Tracey Parnell, Natasha Versi, Rodney Pope

Internet Journal of Allied Health Sciences and Practice

Purpose: Research has demonstrated the effectiveness of animal assisted therapy (AAT) for improving the mental health of older adults in residential care. The aim of this rapid review was to synthesise existing research evidence to determine the approaches that AAT should take to enhance outcomes for older adults living in residential care. Methods: A systematic literature search was conducted to identify studies published between 2009 and 2019 that investigated AAT and improvement in physical and/or psychosocial outcomes for adults aged over 65 years, living in residential care. Studies were critically appraised to determine methodological quality, key data were extracted, and …

Exploring Gaps In Understanding And Responding To Ageism: A Conceptual Model, Psychosocial Health, And Racialized Ageism, Andrew T. Steward

Electronic Theses and Dissertations

Ageism is an insidious, prevalent social justice issue which has harmful effects on the health of older adults. This dissertation includes three manuscripts which explore gaps in understanding and responding to ageism through three distinct methodological approaches. Two primary gaps are addressed in the three manuscripts: 1) conceptualizing and testing activities or interventions to reduce internalized ageism and enhance psychosocial health for older adults, and 2) exploring the intersectionality of ageism with racism.

The first manuscript draws from stereotype embodiment theory and theories of successful and productive aging to detail a conceptual model of interventions which may reduce internalized ageism …

Mobility Of Older Adults In Mexico City: A Mixed Methods Approach, Jessica Villena Sanchez

Electronic Theses and Dissertations

This dissertation covers the topic of the mobility of older adults in Mexico City using a mixed methods approach. First, I looked at the literature to uncover what is known about elderly mobilities coming from the Global South. Second, I analyzed the 2017 Household Origin Destination Survey to reveal travel behavior patterns and transport mode choice of older adults in Mexico City. Third, I revealed mobility experiences from older adults living in different neighborhoods in Mexico City by conducting twenty two telephone interviews. Lastly, I created joint displays that included both previous results to better understand how the findings from …

The Development Of An Exercise-Based Fall Prevention Program Tailored To Incorporate Caregivers Caring For Older Adults At Risk For Falls, Emma Heldt

OT Student Capstones

Older adults are living longer than ever. The global proportion of individuals 65 years or older was 526 million in 2010 and is estimated to reach 1.5 billion in 2050 (Duarte et al., 2020). The growing aging population comes with various challenges, such as chronic health conditions, which are the leading cause of mortality and disability worldwide. Chronic health conditions can lead to other difficulties, such as declines in physical function or mobility. Duarte et al. (2020) found that around 10 million American older adults have serious difficulty walking or climbing stairs, presenting a risk for falls.

Falling in older …

Digital Media Use And Social Inclusion: A Case Study Of East York Older Adults, Anabel Quan-Haase, Molly-Gloria Harper, Alice Hwang

FIMS Publications

Digital media is essential to sustaining communication with various types of social ties. However, older adults (aged 65+) are reported to be the least likely to use digital media. While statistics show that older adults are increasingly using more digital media, evidence shows this is predominately aging long-term users of digital media rather than older adults adopting new digital media. To investigate this “grey divide” and adoption of digital media by older adults, this study qualitatively analyses semi-structured interviews of 41 individuals aged 65 and older from the East York region of Toronto, Canada. Our findings suggest that satisfaction with …

Economic Security Of Older Women In Maine, Kimberly I. Snow Mhsa, Elizabeth Gattine Jd, Sammy-Ellie Mackinnon Msw

Disability & Aging

The Economic Security of Older Women in Maine: Data Report provides a snapshot of how women compare to men on measures such as wages and income, caregiving status, living arrangements, and rates of disability—factors that can impact Maine women's ability to meet their needs with the resources they have. The report, compiled by staff at the University of Southern Maine's Cutler Institute, informs an initiative led by the Maine Women's Lobby Education Fund and the Maine Council on Aging to identify gaps and pathways to support the health and economic security of older Maine women and all Mainers, now and …

Medicare Reimagined: Past, Present And Future Envisioned For Aging In Place, Nancy Patterson

DSW Capstone Projects

The older population is persons aged 65 and older. Many older adults live healthy and active lives while others have one or more illnesses or comorbidities that make it difficult for them to live alone. Older adults aged sixty-five and older who have one or more comorbidities often require assistance to remain in their homes for as long as possible. Older adults who do not have this needed assistance often have frequent falls, make frequent trips to the emergency room, have frequent hospital admissions, or end up in a nursing home.

Product one of the Capstone Presentation is the systematic …

An Investigation Of The Perception Of Elderspeak Among Community Dwelling Older Adults, Abby L. Teply

All Graduate Theses, Dissertations, and Other Capstone Projects

This study aimed to expand the literature on the perception of elderspeak among community dwelling older adults with secondary purposes concerning how these perceptions vary across gender and region. Participants (n = 110) were presented a written vignette that depicted a nursing assistant in an assisted living facility waking a tenant from a nap and assisting the tenant to the bathroom before lunch. The nursing assistant uses elderspeak throughout the vignette. Following the vignette, participants’ reactions to the use of elderspeak and perceptions of the nursing assistant in the vignette were assessed using a series of open-ended questions, the Positive …

Aims: Action Against Infirmity And Malnutrition In Seniors, Maeve Lorraine Mary O'Connell

Theses

Aim: The primary aim of this thesis was to investigate the relationship between nutrition and frailty in Irish older adults. The nutritional status, dietary quality and perceived barriers/motivators to nutrition were also examined, and a frailty intervention protocol was designed. Methods: Cross-sectional study in Irish community-dwelling adults aged ≥65 years. Nutritional status, dietary intake, functional mobility and food choice motivators/healthy eating barriers were assessed using the Mini Nutritional Assessment – Short Form (MNA-SF), a food frequency questionnaire (FFQ), the Timed Up and Go (TUG) test and a custom designed 2-item questionnaire, respectively. Frailty was defined as three or more of …

Changing Age Segregation In The Us: 1990 To 2010, Debasree Das Gupta, David W. S. Wong

Kinesiology and Health Science Faculty Publications

Age segregation adversely impacts health and wellbeing. Prior studies, although limited, report increasing age segregation of the US. However, these studies are dated, do not comprehensively examine the spatiotemporal patterns and the correlates of intergenerational segregation, or suffer from methodological limitations. To address these gaps, we assess the spatiotemporal patterns of age segregation between 1990 and 2010 using census-tract data to compute the dissimilarity index (D) at the national, state, and county levels. Results contradict previous findings providing robust evidence of decreasing age segregation for most parts of the country and across geographical levels. We also examine factors explaining adult-older …

Leisure, Eudaimonic Behavior, Physical Activity And Well-Being Of Older Adults, Jungsu Ryu, Jinmoo Heo, Gary Ellis, Mark A. Widmer

Faculty Publications

This study explored how different types of daily experiences (leisure activity, eudaimonic behaviors) and select habits and dispositions (neuroticism, dispositional depression, physical activity level), are related to situational well-being (situational depression, immediate positive affect) among older adults from a community center. Six hundred thirty-eight situational experience sampling observations were provided by 19 participants ranging in age from 59 to 81 years (M¼68.68, SD¼7.17). Each participant was signaled on five randomly selected occasions each day for seven consecutive days. Upon receiving a signal, participants completed questionnaires measuring their activity participation and situational well-being at the time of the signal. Significant predictors …

The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley

Walden Dissertations and Doctoral Studies

The growing older population confronting the risks of the COVID-19 pandemic have a story to tell of their experiences that may influence the way society confronts future pandemics. Little research has been done on older adults in independent living communities and their experiences with the COVID-19 pandemic. This study aimed to fill that gap using the biopsychosocial model as a framework to guide the exploration of the research question addressing the lived experiences of older, independent residents during the COVID-19 pandemic. Using a basic qualitative analysis design, a purposive sample of 10 participants from a continuing care retirement community were …

Artificial Affectionate Communications And Loneliness, Richard D. Adams

Walden Dissertations and Doctoral Studies

This qualitative narrative study examined experiences of older adults’ use of teleconferencing information and communication technologies (ICTs) and how their use related to feelings of loneliness. This research targeted older adults residing in North Alabama assisted living facilities who were separated from their previous social network. This research was grounded in the social needs model, which indicates that all humans have a basic need for social contact. This research was also grounded in the buffering hypothesis, where social support acts as a buffer against possible stressful events. Five older adult assisted living facility residents from two facilities participated in a …

Frailty In Community-Dwelling Older Adults: Reliability And Validity Of The Turkish Version Of The Gérontopôle Frailty Screening Tool, Serdar Ceylan, Merve Güner Oytun, Arzu Okyar Baş, Meltem Koca, Burcu Balam Doğu, Meltem Gülhan Hali̇l, Mustafa Cankurtaran, Cafer Balci

Turkish Journal of Medical Sciences

Background/aim: Recognizing frailty had a great importance in countries with an increasing geriatric population. The study aims to evaluate the reliability and validation of the Gérontopôle frailty screening tool (GFST), which was developed to screen frailty in the community-dwelling older adults, for the Turkish population. Materials and methods: In this crosssectional study, participants who applied to the geriatrics outpatient clinic of a university hospital were included. Comprehensive geriatric assessments of all patients were performed. The validity of the GFST was tested by its concordance with the FRAIL scale. Test-retest and interrater reliability analyses were made. Results: Ninety-six patients were included …

Perspectives On Wider Integration Of The Health-Assistive Smart Home, Gordana Dermody, Jenna Mikus, Davina Porock, Dov Sugarman, Naeem K. Janjua, Christopher How, Roschelle Fritz

Research outputs 2022 to 2026

Most older adults desire to be as independent as possible and remain living in their ancestral home as they age. Aging-in-place maximizes the independence of older adults, enhancing their wellbeing and quality of life while decreasing the financial burden of residential care costs. However, due to chronic disease, multimorbidity, and age-related changes, appropriate conditions are required to make aging-in-place possible. Remote monitoring with smart home technologies could provide the infrastructure that enables older adults to remain living independently in their own homes safely. The health-assistive smart home shows great promise, but there are challenges to integrating smart homes on a …

Exploring Issues Of Resilience And Technology Use For Older People - A Scoping Review Protocol, Timothy J. Smith, Khui Hung Lee, Kan Yu, Leisa Armstrong, David M. Cook

Research outputs 2022 to 2026

The aim of this scoping review is to understand the extent of issues of resilience implied by the interactions of older people with financial, social, and health related technologies. Older people aged 60+, technology use or non-use, and issues of resilience studied over the last four years (2019-2022) demarcate the scope of this review. Key exclusion criteria are older adults living in long-term care facilities, nursing homes, care homes and hospital in-patients. It also excludes studies on the perspectives of older peoples’ clinicians. The review will be carried out according to the Joanna Briggs Institute (JBI) scoping review methodology. The …

Understanding A Low Vitamin D State In The Context Of Covid-19, James Bernard Walsh, Daniel Mccartney, Eamon Laird, Kevin Mccarroll, Declan G. Byrne, Martin Healy, Paul O'Shea, Rose Anne Kenny, John L. Faul

Articles

While a low vitamin D state has been associated with an increased risk of infection by SARS-CoV-2 in addition to an increased severity of COVID-19 disease, a causal role is not yet established. Here, we review the evidence relating to i) vitamin D and its role in SARS-CoV-2 infection and COVID-19 disease ii) the vitamin D status in the Irish adult population iii) the use of supplemental vitamin D to treat a deficient status and iv) the application of the Bradford-Hill causation criteria. We conclude that reverse causality probably makes a minimal contribution to the presence of low vitamin D …

An Age-Based Analysis Of The Perceptions Of Ageing And Successful Ageing In Malaysia, Ming Yu Cheng, Sew Kim Low, Kai-Shuen Pheh

Makara Human Behavior Studies in Asia

As ageism could have detrimental effects in the ageing society, it is important to know how people of different age groups perceive ageing and successive ageing. This study collected data from 648 respondents aged between 18 to 80 years old for an age-based analysis of the perceptions of ageing and successful ageing. Self- administered questionnaires were used. Correlation analysis was conducted to examine the relationship between perception of successful ageing and factors associated with psychological well-being. Our results revealed that generally, being healthy, happy and physically active are considered as important aspects of successful ageing. Younger people considered life satisfaction …

Loneliness, Interpersonal Goals, Life Satisfaction, And Subjective Well-Being In Older Adults, Francesca C. Ezeokonkwo

Electronic Theses and Dissertations

Background: Loneliness is detrimental to health and is linked to numerous physiological and psychological problems. People across the age spectrum can be affected by loneliness at one point or another in their lives; however, older adults are disproportionally affected.

Aims: This study investigated the effect of interpersonal goals (compassionate and self-image goals), life satisfaction, and subjective well-being on loneliness in older adults and the influence of demographics and social support. The Ecosystem-Egosystem Theory of Social Motivation served as the theoretical framework.

Design and Method: This descriptive cross-sectional correlational study used the 2016 Health and Retirement Study. Participants were 65 years …

Exercise And The Brain: What Can Fit-U Do For You?, Kaitlin R. Miller

Honors Capstones

This project was a pilot study exploring the effects of an aerobic program, FIT-U, and factors influencing cognitive outcomes for healthy aging individuals and those with neurogenic cognitive-communicative disorders. While aerobic exercise has been shown to improve cognition in both cases, this study looked into the factors that influence this phenomenon. Three regular attendees of FIT-U were given a letter fluency test before and after FIT-U, using different letters each time, but balanced in terms of difficulty. By using single subject methodology, the data were consistent with a trend towards improved VF scores following each FIT-U session for two participants. …

Using The Behaviour Change Wheel Program Planning Model To Design Games For Health: Development Study, Michael C Robertson, Tom Baranowski, Debbe Thompson, Karen M Basen-Engquist, Maria Chang Swartz, Elizabeth J Lyons

Faculty, Staff and Students Publications

BACKGROUND: Games for health are a promising approach to health promotion. Their success depends on achieving both experiential (game) and instrumental (health) objectives. There is little to guide game for health (G4H) designers in integrating the science of behavior change with the art of game design.

OBJECTIVE: The aim of this study is to extend the Behaviour Change Wheel program planning model to develop Challenges for Healthy Aging: Leveraging Limits for Engaging Networked Game-Based Exercise (CHALLENGE), a G4H centered on increasing physical activity in insufficiently active older women.

METHODS: We present and apply the G4H Mechanics, Experiences, and Change (MECHA) …