Digital Commons Network^™

New York State’S Population Is Aging: Will Communities Be Ready?, Claire Pendergrast

Population Health Research Brief Series

The population is aging nation-wide, and New York State is no exception. 3.2 million New Yorkers (nearly one in six), are aged 65 and older, and the older adult population is growing faster than any other group in the state. This issue brief explains what it means to “age in place” and how New York State is responding to the large increase in older adults state wide.

A Multifaceted Approach To Address Food Insecurity In Urban Dwelling Older Adults, Ana Diallo, Katherine Falls

Case Studies from Age in Action

Educational Objectives

1. Identify and discuss concepts of food insecurity as a social determinant of health in older adults.

2. Explain the health benefits of participation in a nutrition initiative, Healthy Meals Program, to address food insecurity among low-income older adults living in an urban food desert.

3. Describe the use of motivational interviewing and goal setting techniques for nutrition-related behavior in the management of chronic disease.

4. Summarize the lessons learned and implications for clinical practice.

Differences In Evaluating Fall Risk By Primary Care Provider Type, Janice Mark, Yara K. Haddad, Elizabeth R. Burns

Nursing and Health Professions Faculty Research and Publications

This study assessed differences in clinical fall risk assessment of older adults (65+) and clinical resources used by primary care providers (PCP). We used Porter Novelli's 2016 DocStyles survey to examine clinical behavior data from PCPs (n=1128). Compared to other practitioners, nurse practitioners (NP) reported a higher percentage of their patients were older adults. The majority of NPs reported screening for falls risk routinely, but most did not use standardized fall-risk assessments to assess risk factors. There were also differences in the types of clinical resources used by NPs and other PCPs to evaluate the safety profile of medications.

An Investigation Into The Perceptions Of Elderspeak And How It Effects Mood Among An Assisted Living Population, Paige T. Shoutz

All Graduate Theses, Dissertations, and Other Capstone Projects

This study aimed to examine perceptions of ES and its effect on mood among older adults residing in assisted living facilities (ALFs). Residents (N=6) were exposed to two videos comprised of an interaction of a nursing assistant aiding an older adult resident during activities of daily living. One of the videos demonstrated neutral communication, whereas the other video demonstrated communication with elderspeak. A mood rating was obtained prior to and immediately following exposure to each of the videos. Participants also provided ratings of the nursing assistant, and completed a qualitative interview that gathered their opinions, perceptions, and perceived differences between …

The Effects Of A Cognitive Training Program For Healthy Older Adults: A Program Evaluation Study, Jacklyn Gehling

All Graduate Theses, Dissertations, and Other Capstone Projects

As one ages, some degree of cognitive decline is expected. Despite this, declines in cognitive abilities and the possibility of developing dementia are common concerns among older adults. In response to these concerns, a variety of cognitive training programs have been developed that aim to improve or maintain cognitive functioning. Previous literature has shown mixed or limited findings on cognitive changes after implementation of cognitive training. This study evaluated the effectiveness of a cognitive training program designed for older adults with no to minimal cognitive decline. The current study included 19 participants who engaged in two, one-hour long cognitive training …

Using Digital Health Technology To Optimise Older People’S Pain Self-Management Capabilities: A Mixed Methods Study (The Digitech Pain Project), Priyanka Bhattarai

Theses

Background

Arthritic pain is a major cause of illness and disability among older people. As the use of smartphones and apps increases in the lives of older people, there is an opportunity to explore the role of these apps in helping older people better manage their arthritic pain.

Aim

To explore the feasibility and acceptability of older people using an arthritic pain selfmanagement app to improve their pain symptoms.

Methods

A parallel convergent, mixed methods design underpinned by Bandura’s Self-Efficacy Theory and the Technology Acceptance Model 2; comprising of the following five studies:

(i) Study 1a: an integrative review;

(ii) …

Among America’S Oldest, Opioid Overdoses Are On The Rise, Emma Davis

Capstones

Often overlooked in coverage of the opioid crisis, American seniors have experienced a dramatic increase in addiction in the last two decades. Drug overdoses in adults ages 55-64 have risen six-fold since 1999, according to the Center for Disease Control, and emergency visits due to opioid misuse tripled among those over 65 from 2006-2014, a study from Towson University found. This print and video piece investigates how heroin and prescription opioid use among older adults in New York City has contributed to the overdose rate; the consequences of opioid restrictions for geriatric pain patients; and the treatment options for seniors …

Aging Intimately, Niamh Mcdonnell, Giulia Hjort

Capstones

We’re both familiar with grief after the loss of family members over 75. This project is our way of giving back in a small way by listening, but also as a way of remembering the people we unexpectedly lost. Each person we’ve met on this journey has inspired us in their own way, with their stories of resilience through grief and aging. All of our collaborators on this project are constantly learning, taking risks, and moving forward through loss and pain. They aren’t defined by their age. Rather, they embrace it with a willingness to reinvent their approach to romance …

The Role Of The Environmental Context In Advance Care Planning Among Older Adults, Brittany E. Gaines

Graduate Doctoral Dissertations

Research has focused on various individual characteristics associated with advance care planning (ACP), but little is known about how the environment context is associated with ACP. This study examined the role of environmental characteristics in ACP by addressing three key aims: 1) examine the independent effects of environmental factors on ACP, 2) assess the moderating effects of environmental factors on the associations between ACP and individual household income and educational attainment, and 3) conduct a longitudinal examination of ACP and environmental characteristics. I combined individual ACP information from the 2004 and 2011 waves of the Wisconsin Longitudinal Study with county …

Social Prescribing For An Aging Population, Amy Clements-Cortés, Joyce Yip

Music Faculty Publications

As the human population is moving toward a demographic of aging individuals, increased levels of stress will be placed on the current health care system. “… As people live longer, there is a tendency or the onset of disease to occur closer to the end of life” (p. 441) and the incidence of mental health illnesses is prevalent in older adults. Currently, the medical model is dominant in the health care system and aims to cure any issue(s) without considerations in the cause or source. Social prescribing/social prescription enables physicians and health care professionals to refer individuals to non-clinical services, …

Risk Factors For Falls In Homebound Community-Dwelling Older Adults, Yunchuan (Lucy) Zhao, Jenny Alderden, Bonnie Lind, Jennifer Stibrany

Nursing Faculty Publications and Presentations

Objective: To examine risk factors associated with falls among homebound community-dwelling older adults, a vulnerable population often possessing functional disabilities and chronic conditions.

Design and Sample: The study was a cross-sectional study utilizing round 6 data of the National Health and Aging Trend Study (NHATS). Descriptive statistics and multiple logistic regression analyses were conducted. A total of 1,356 homebound community-dwelling older adults aged 65 and above participated in the NHATS.

Measures: The outcome variable was falls within the last month reported in NHATS. Independent variables were selected based on the NHATS disability conceptual model and literature review, including personal conditions, …

Living Below The Line: Economic Insecurity And Older Americans, Insecurity In The States 2019, Jan Mutchler, Yang Li, Nidya Velasco Roldán

Center for Social and Demographic Research on Aging Publications

New estimates from the 2019 Elder Index^TM suggest that half of older adults living alone, and 23% of older adults living in two-elder households, lack the financial resources required to pay for basic needs. The Gerontology Institute compares the 2019 household incomes for adults age 65 and above living in one- and two-person households to the 2019 Elder Index for each state and Washington, DC to calculate Elder Economic Insecurity Rates (EEIRs), the percentage of independent older adults age 65 or older living in households with annual incomes that do not support economic security. The EEIRs allow state and …

Living Below The Line: Economic Insecurity And Older Americans, Insecurity In Massachusetts 2019, Jan Mutchler, Yang Li, Nidya Velasco Roldán

Center for Social and Demographic Research on Aging Publications

New estimates from the 2019 Elder Index^TM reveal that in Massachusetts, more than six out of ten older adults living alone, and three out of ten living in two-person households, cannot afford the basic necessities of life such as food, housing, and health care. The Gerontology Institute compares household incomes for adults age 65 and above living in one- and two-person households to the 2019 Elder Index for Massachusetts to calculate Elder Economic Insecurity Rates (EEIRs), the percentage of independent older adults age 65 or older living in households with annual incomes that do not support economic security. The …

Indicators Of Supportive Service Need Among Older Adults In Mississippi, Joshua J. Turner, Carolyn E. Adams-Price, Joe D. Wilmoth

Journal of Human Sciences and Extension

Providing quality services is one of the challenges associated with the continued increase in the nation’s older adult population. Effective use of needs assessment data can be useful in assessing service need. This study measures the level of perceived need for supportive services among older adults in Mississippi. Using statewide needs assessment data, this study applies the Behavioral Model to measure the perceived need for supportive services among survey participants aged 60 and older (N = 838). Results indicate that age, race, physical health, and subjective well-being were consistent predictors of perceived need for supportive services. Results suggest the importance …

The U.S. Has A Serious Shortage Of Affordable Housing, Especially For Younger And Older Adults, Sarah Mawhorter

Population Health Research Brief Series

There is a significant shortage of affordable housing throughout the US, especially for older and younger adults. This has important implications for their quality of life and health outcomes.

Exploring The Relationship Between Members Of Lifelong Learning Institutes And Host Institutions, Jon Charles Neidy

Theses and Dissertations

The purpose of this study is to examine the relationship between an individual’s involvement in Lifelong Learning Institutes (LLIs) and his or her propensity for philanthropic giving to the institute or its hosting college or university. The dataset was acquired through a survey administered to eleven Osher Lifelong Learning Institutes (OLLIs) in the United States. Data analysis was conducted on seven research questions which explored how the length, type, and frequency of participation, as well as the level satisfaction, commitment, and feelings of community may relate to an LLI participant’s inclination to donate. The findings of this study reveal these …

Professional Counselors' Interest In Counseling Older Adults, Nathaniel J. Wagner, Patrick R. Mullen, Rachel A. Sims

Adultspan Journal

No abstract provided.

Life Satisfaction After Spousal Loss: The Potential Influence Of Age, Gender, And Leisure, Marcela Kepic

Adultspan Journal

No abstract provided.

Companion Robots For Older People: Importance Of User-Centred Design Demonstrated Through Observations And Focus Groups Comparing Preferences Of Older People And Roboticists In South West England, Hannah Louise Bradwell, Katie Jane Edwards, Rhona Winnington, Serge Thill, Ray B. Jones

School of Nursing and Midwifery

ObjectiveCompanion robots, such as Paro, may reduce agitation and depression for older people with dementia. However, contradictory research outcomes suggest robot design is not always optimal. While many researchers suggest user-centred design is important, there is little evidence on the difference this might make. Here, we aimed to assess its importance by comparing companion robot design perceptions between older people (end users) and roboticists (developers).DesignOlder people and roboticists interacted with eight companion robots or alternatives at two separate events in groups of two to four people. Interactions were recorded, participants’ comments and observations were transcribed, and content was analysed. Subsequently, …

Association Of Fish Oil And Physical Activity On Mobility Disability In Older Adults, Anoop T. Balachandran

Publications and Research

Purpose: This study aimed to examine whether long-term fish oil (FO) supplementation is associated with a lower risk of mobility disability and enhances benefits of physical activity (PA). Methods: A total of 1635 sedentary adults age 70 to 89 yr from the Lifestyle Interventions and Independence for Elders single-blinded randomized,multicenter clinical trial, which compared a structured PA program to a health education program. Primary outcome was incident major mobility disability (MMD), defined by loss of ability to walk 400 m, measured every 6 months for an average of 2.6 yr. Secondary outcomes included persistent mobility disability, Short Physical Performance Battery, …

“So, Tell Me What Kind Of A Thing It Really Is”—Finnish Older Adults Making Sense Of Home Technology, Pilvikki Lantela

Journal of Media Literacy Education

This article brings forth the experiential knowledge and views of sixteen Finnish older adults, (mean of age 84,9), who tried out home technology in their daily life, with the objective of discussing media literacy education in relation to this specific age group and context. The data were analyzed from the perspective of sensemaking as theorized by Karl Weick, which works as a heuristic enabling investigation of older adults’ experiences in relation to home technology. The results show that the sensemaking of the participants is based on the identity of the non-user, retrospective reasoning and social context. For many, the technological …

Saving Inventory – Revised: Psychometric Performance Across The Lifespan, Kirstie Kellman-Mcfarlane, Brent Stewart, Sheila Woody, Catherine Ayers, Mary Dozier, Randy O. Frost, Jessica Grisham, Simone Isemann, Gail Steketee, David F. Tolin, Alison Welsted

Psychology: Faculty Publications

Background: The Saving Inventory – Revised (SI-R) is the most widely used self-report measure of hoarding symptom severity. The goal of this study is to establish a firm empirical basis for a cutoff score on the SI-R and to examine the functioning of the SI-R as a screening tool and indicator of hoarding symptom severity across the lifespan. Methods: This study used archival data from 1,116 participants diagnosed with a clinical interview in 14 studies conducted by research groups who focus on hoarding. We used receiver operating characteristic (ROC) analysis and the Youden's J statistic to determine optimal cutoff scores …

The Impact Of Fall Efficacy On Occupational Performance In Community-Dwelling Older Adults, Michelle Fong, Araya Moua, Erin Denola, Merit Franklin

Occupational Therapy | MSOT Capstone Projects

Falls are a major health concern in the older adult (OA) population. While there is research on falls and their prevention, research on how low fall efficacy (FE) impacts the occupational engagement of the OA population is limited. FE is defined as the confidence a person has in his/her ability to complete a task without falling (Tinetti & Powell, 1993). A qualitative study was conducted using a phenomenological approach to explore the lived experiences of OAs with low FE and the impact on occupational performance. Participants who scored ≤ 6 on the Modified Fall Efficacy Scale (MFES) engaged in a …

The Effects Of A Yoga Intervention On Cognitive Function In Older Adults, Elizabeth Edwards

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Cognitive decline and reduced cognitive function presents a serious risk to the older adult population. As the population of individuals over the age of 65 continues to increase, this presents a need for effective solutions to help people sustain healthy, independent lifestyles. Currently, physical activity is recommended for physical health in older adults and has shown evidence in maintaining cognitive function. In particular, the mind-body practice of yoga is a promising form of physical exercise that shows positive cognitive benefits. While the effects of yoga appear to be promising, the current literature is lacking scientific rigor. This study investigated the …

Stop-Signal Reaction Time Correlates With A Compensatory Balance Response In Older Adults, Derek England

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Response inhibition involves stopping undesired and automatic actions allowing for behavioral flexibility. This ability is theoretically able to contribute to fall prevention, which older adults are known to have difficulty with. Although much has been learned from cognitive psychology regarding response inhibition, translation to the challenge of balance recovery is unclear. Recently a correlation has been found between performance on a standard test of response inhibition called the Stop Signal Task (SST) and a balance test that required inhibition of a reactive step in young adults. This highlights a neural mechanism for stopping action across different behavioral contexts in …

Physical Fitness Is Predictive For 5-Year Survival In Older Adults With Intellectual Disabilities, Alyt Oppewal, Thessa I.M. Hilgenkamp

Physical Therapy Faculty Research

Background: The very low physical fitness levels of people with intellectual disabilities (ID) may influence their life expectancy. Therefore, we investigated the predictive value of physical fitness for survival in older adults with intellectual disabilities. Method: In the Healthy Ageing and Intellectual Disabilities (HA‐ID) study,the physical fitness levels of 900 older adults (≥50 years; 61.5 ± 8.1 years) were measured at baseline. All‐cause mortality was collected over a 5‐year follow‐up period. Cox proportional hazard models were used to determine the association between each physical fitness test and survival, adjusted for age, sex, level of ID, and Down syndrome. Results: The …

Understanding The Role Of Relationship Maintenance In Enduring Couple Partnerships In Later Adulthood, Jill M. Chonody, Jacqui Gabb

Social Work Faculty Publications and Presentations

Intimate relationships in later adulthood are understudied despite their positive association with health and well-being. This cross-sectional mixed methods study sought to redress this gap by investigating relationship maintenance in later adulthood. Our international sub-sample comprised 1,565 participants aged 55 + and in an ongoing relationship. Results from hierarchical multiple regression indicated that overall happiness with the relationship had the largest effect size on relationship maintenance, with 53% of the variance explained. Content analyses of open-ended questions identified companionship and laughter as some of the “best liked” aspects of the relationship. Housework/cooking and saying “I love you” were among the …

Teaching Nursing Students To Communicate With Older Adults, Lena Moffitt Mceachern

Nursing Theses and Capstone Projects

Student nurses have difficulty communicating effectively with older adults. Nurses willing to work with this age groups are in high demand due to the growing population. Lack of knowledge and preconceived ideas deter students from a willingness to work in geriatrics. Improving communication skills by increasing knowledge and decreasing bias in the clinical setting will benefit students and the community. The focus of this project was to discover if instruction, practice through role playing, and completion of a simulation with standardized patients prepare students for communicating effectively with older adults and increase the desire to work with this population. The …

Health Outcomes For Low-Income Older Adults With Diabetes Who Receive Services From Meals On Wheels, Monyca Johnson

Senior Honors Theses and Projects

INTRODUCTION: As the population continues to age and healthcare costs steadily increase, identifying what factors possibly add to the risk of hospitalization will help find effective solutions targeting these issues. HYPOTHESIS: We hypothesized that Medicaid and Medicare dual eligibility, membership in a racial minority, and female gender would increase the risk of hospitalizations in the past year. We further hypothesized that receipt of food assistance would decrease the risk of hospitalization for older adults with diabetes. METHODS: For this study, we conducted a secondary analysis of data from the National Health and Aging Trends Study (NHA TS) to test the …

Assessing The Degree Of Access To Urban Public Parks For Older Adults In The Villages Metropolitan Area Of Florida, 2017, Yingsong Wang

Theses and Dissertations

With the rapid urbanization, the urban residents' demand for urban public parks is increasing. As a unique and representative age group, older adults put forward new requirements for the evaluation and rational planning of urban parks. Park accessibility is an important index reflecting the rationality of park layout, the accessibility of residents to the park and the social equity of park services. In this paper, buffer analysis and network analysis based on the ArcGIS platform were selected to analyze service accessibility and green transportation accessibility of The Villages metropolitan area of Florida respectively and then make a summary analysis. In …