Digital Commons Network^™

A Deterioration In Hearing Is Associated With Functional And Cognitive Impairments, Difficulty With Communication And Greater Health Instability, Nicole Williams, Dawn M. Guthrie, Jacob G.S. Davidson, Kathryn Fisher, Lauren E. Griffith

Health Sciences Faculty Publications

Objectives: To examine the relationship between hearing deterioration and several health-related outcomes among home care clients in Ontario. Design: Longitudinal analysis was completed for clients with at least two comprehensive assessments. Hearing status, based on a single item, ranged from zero (no impairment) to three (highly impaired). Hearing deterioration was defined as at least a 1-point decline between subsequent assessments. Results: Seven percent experienced a 1-point deterioration in hearing and roughly 1% had a 2/3-point decline. After adjusting for other covariates, increasing age (odds ratio = 1.94; 95% confidence intervals [CIs] = [1.45, 2.61]) and a diagnosis of Alzheimer's disease …

Aerobic Physical Exercise Increases The Health-Related Quality Of Life In Older Adults, Patricia L. Parker

Doctor of Nursing Practice Projects

Abstract

Problem Description: Globally, the older adult population is expected to substantially increase in number throughout the next few decades. The aging process causes the body and mind to undergo many detrimental changes. Typically, older adults succumb to a more sedentary lifestyle due to factors such as decreased musculature and skeletal changes, chronic pain, socioeconomic and psychological stressors, and memory changes. Inevitably, health-related quality of life and overall independence dwindles in this population negating their perception of happiness and life satisfaction. There is significant research on preventing and/or managing cognitive disabilities in the older adult; however, Western medicine approaches, such …

Senior Nursing Students' Knowledge, Attitudes, And Perceived Competency About Older Adults, Deborah Denise Brabham

Student Theses, Dissertations and Capstones

Background: Nurses entering the workforce may have limited education in gerontological nursing. Therefore, many nurses are unprepared to provide quality care to older adults. An unprepared nursing workforce could negatively influence older adults’ health outcomes and care experience. Purpose: To determine differences in senior nursing students’ knowledge, attitudes, and perceived competency about older adults based on enrollment in a bachelor of science in nursing degree (BSN), associate’s degree nursing (ADN), and practical nursing (PN) program that offers geriatric content in curricula. Theoretical Framework: Bandura’s social cognitive theory, triadic reciprocal determinism model provided the theoretical framework. Methods: A non-experimental, descriptive survey …

Differences In The Perceptions Of Gerotranscendence Between Certified Nursing Assistants And Older Adults, Amanda Perera

All Graduate Theses, Dissertations, and Other Capstone Projects

Many theories of aging have been proposed within the field of gerontology to explain both psychological and social changes that occur during the aging process. One of the theories is the theory of gerotranscendence, which explains that as individuals age they develop a new perspective on life that allows the aging individual to shift their conceptualization of the world, from a materialistic and rational view to a more transcendent and universal view. Previous research suggests that some behaviors associated with gerotranscendence have been misinterpreted as pathological. The purpose of this current study was to examine whether there are significant differences …

Bullying In Senior Living Facilities: Resident Perspectives, Kathryn Ira

All Graduate Theses, Dissertations, and Other Capstone Projects

Research associated with resident-to-resident bullying in senior living facilities (i.e., senior bullying), has been growing in recent years due to anecdotal stories in the popular press. Few studies, however, have assessed resident-to-resident bullying from the perspective of residents. Therefore, the purpose of the current study was to better understand the phenomenon of senior bullying as observed by residents in senior living facilities. Nineteen individuals residing in senior living facilities were interviewed about their observations and opinions related to senior bullying at their facility. Results indicated that 52.9% of residents had observed senior bullying at least once. Verbal and social bullying …

Envisioning A Watertown For All Ages, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

Watertown for All Ages is a group of residents working to improve the livability of Watertown for residents of all ages and abilities. They work closely with the Watertown Council on Aging/Senior Center. The Watertown Council on Aging/Senior Center provides a variety of social, health, educational, recreational, advocacy, and support programs designed to help Watertown’s older adults age well in the community. Services provided to seniors living in the community range from transportation support to nutrition services and social services, along with a range of programs and activities meant to enhance well-being and quality of life. Similar to many Councils …

Older Adult Men’S Emotional Bonds With Their Dogs, Ranell L. Mueller

Theses and Dissertations--Gerontology

Knowledge of the deeper meanings of attachment to companion animals is limited, particularly in terms of older adults. This study employed a modified grounded theory method, a phenomenological lens and a life course perspective to gather and analyze data garnered from individual interviews and panel discussions in order to investigate the multiple dimensions of older adult men’s relationships with their companion animal dogs. Individual audio-recorded in-depth interviews and repeated panel discussions with a sub-group of the participants, convened as a panel over a three-month period, explored behavioral and emotional manifestations of attachment and the emotional bond to their companion animal …

Afterword: Horizons Of Transformation: When Age, Literacy And Scholarship Meet, Louise Wetherbee Phelps

English Faculty Publications

No abstract provided.

Reflections On Life: Replication And Extension, Karen Osowski

Master's Theses

This study used an experimental methodology to examine positive affect and gratitude as mediators of the beneficial impact of an intervention in which older adults savor "life lessons" they have learned in growing older on measures of psychological well-being (i.e., positive attitudes toward aging, life satisfaction, anxiety, state self-esteem, and state hope). In the following pages, I first review the background literature on gerontology and quality of life as well as describe, in detail, the original experiment (Smith & Bryant, 2018) that formed the foundation of the proposed research. Next, I describe several extensions of this earlier study that are …

The Effect Of Group Music Therapy On Alleviating Depression In Older Adults, Rebekah Gohl

Music: Student Scholarship & Creative Works

Depression and loneliness are significant psychological symptoms that often go unnoticed in older adults. Group music therapy with older adults provides an opportunity to alleviate depression through shared music making, reminiscing, and forming new connections with other individuals. This paper explores the implications of using music therapy to alleviate depression in an older adult population as found in prior research on this topic, advocating for group music therapy over individual therapy as a means to establish connections during old age.

Preferring Positivity : Age Differences In Judgments Of Learning And Memory For Emotionally-Valenced Words, Edie Sanders

Honors Theses

Many changes occur with age, including changes in emotion regulation and memory. The Socioemotional Selectivity Theory (Carstensen, 2006) posits that older adults tend to be more concerned with emotionally meaningful goals and therefore experience what is called the “positivity effect” with age. The positivity effect results in a bias in attention and memory towards positive stimuli over neutral and negative stimuli. Age-related changes also arise in memory monitoring, specifically in Judgments of Learning (JOLs), when individuals learn emotional words. We examined the presence of the positivity effect in memory and JOLs for positive, negative, and neutral words. Younger and older …

The Impact Of An Interprofessional Geriatric Training Experience: Attitudes Of Future Healthcare Providers, Lisa J. Knecht-Sabres, Minetta Wallingford, Michelle M. Lee, James F. Gunn, Esperanza M. Anaya, Sarah E. Getch, Nathaniel D. Krumdick, Gloria M. Workman

Faculty and Staff Publications

As the older adult population increases, it is vital to educate and train healthcare providers as members of interprofessional healthcare teams who can work effectively with these individuals. Ageism is a potential obstacle to achieving this goal. The purpose of this pre/post-test design pilot study was to determine the impact of an interprofessional geriatric training experience on the attitudes of future healthcare providers towards interprofessionalism and working with older adults. Sixteen graduate level students from occupational therapy and clinical psychology programs completed four interprofessional sessions with older adults residing in a long-term care facility. Quantitative data were gathered from pre/post-test …

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

Student Research Posters

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 …

An Assessment Of Potentially Inappropriate Medications Among The Elderly And The Effect Of An Educational Intervention On Provider Knowledge Of These Medications, Amanda Brown

DNP Projects

Objectives: The aims of this study were to assess potentially inappropriate medications (PIMs) or Beers medications among outpatient older adults within one Midwestern healthcare system, to determine rates of patient education on Beers medications, and to pilot an educational intervention for providers.

Methods: This study involved two parts. For part 1 of the study, a randomized retrospective chart review of 493 older adult patients seen in 2017 from four practices was conducted to assess Beers medication prescriptions and rates of patient education. Following the chart review, for part 2 of the study, an educational intervention was delivered to two providers …

Role Of Marital Quality In Explaining Depressive Symptoms After Marital Termination Among Older Adults, Minzhi Ye, Alfred Demaris, Monica A. Longmore

School of Social Work Faculty Publications

This study assesses whether prior marital quality moderates the impact of divorce or widowhood on subsequent depression. Poor marital quality may buffer depression associated with divorce/widowhood; conversely, the effect of divorce/widowhood on depression could be exacerbated by previous marital quality. Three waves from the National Survey of Families and Households based on respondents, ages 50 and older, (N = 2,570) included eight marital quality measures. We find limited evidence suggesting higher marital quality elevates, while lower marital quality decreases, depression after divorce. No moderating effects were found for widowhood. Additionally, health condition is more important than current marital status …

Relationship Of Body Composition With Muscle Performance In Older Adults, Bethany Ann Moore

All ETDs from UAB

Background and Purpose: There is a well-established association between loss of muscle mass and decline in muscle strength and neuromuscular performance in older adults. However, fat mass may diminish the effect of muscle mass on functional performance in older adults. The relationships between percent total body fat, muscle strength, and neuromuscular performance in older adults is unknown. The purpose of this study is to assess the independent relationships between percent total body fat, muscle strength, and neuromuscular performance in older adults. Methods: Dual X-ray absorptiometry (DXA) was used to measure fat mass and leg lean mass in 60 older adults …

The Impact Of An Interprofessional Geriatric Training Experience: Attitudes Of Future Healthcare Providers, Lisa J. Knecht-Sabres, Minetta Wallingford, Michelle M. Lee, James F. Gunn, Esperanza M. Anaya, Sarah E. Getch, Nathaniel D. Krumdick, Gloria M. Workman

Journal of Occupational Therapy Education

As the older adult population increases, it is vital to educate and train healthcare providers as members of interprofessional healthcare teams who can work effectively with these individuals. Ageism is a potential obstacle to achieving this goal. The purpose of this pre/post-test design pilot study was to determine the impact of an interprofessional geriatric training experience on the attitudes of future healthcare providers towards interprofessionalism and working with older adults. Sixteen graduate level students from occupational therapy and clinical psychology programs completed four interprofessional sessions with older adults residing in a long-term care facility. Quantitative data were gathered from pre/post-test …

Impact Of Patient Demographics And Health Insurance On Hospital Discharge, Ana Acosta

Open Access Theses & Dissertations

Based on discharge data collected with 241 patients who received medical care from a fall injury between 2014 and 2015 at the emergency room in a general hospital in El Paso, Texas, I will examine whether individuals over age 55 have health insurance and the type of care that is recommended to patients after being discharged. In particular, I will examine demographics, including ethnicity, age, and language on whether the patient paid with insurance and the disposition of discharge from the emergency department after a fall. Additionally, I will examine which demographic factors are associated with disposition of discharge- facility, …

Health-Related Quality Of Life Of Older Adults In Costa Rica As Measured By The Short-Form-36 Health Survey, Esmeralda Valdivieso-Mora, Mirjana Ivanisevic, Leslie A. Shaw, Mauricio Garnier-Villarreal, Zachary D. Green, Monica Salazar-Villanea, Jose Moncada-Jimenez, David K. Johnson

College of Nursing Faculty Research and Publications

Objective: To test the validity of a common measure of health-related quality of life (Short-Form-36 [SF-36]) in cognitively healthy older adults living in rural and urban Costa Rica. Method: Confirmatory factor analysis was applied to SF-36 data collected in 250 older adults from San Jose and Guanacaste, Costa Rica. Results: The best fitting model for the SF-36 was an eight first-order factor structure. A high correlation between the Mental Component Summary and Physical Component Summary scores was found. Region differences indicated that rural dwellers perceive a poorer health-related quality of life compared with the urban group. Discussion: Costa Rican older …

Barriers To Promoting Mobility In Hospitalized Older Adults, Gordana Dermody, Christine R. Kovach

Research outputs 2014 to 2021

Hospitalized older adults who do not receive sufficient mobility are more likely to sustain negative health outcomes, including higher rates of mortality and institutionalization. Accordingly, the purpose of the current secondary data analysis was to examine the nurse-promoted mobility of hospitalized older adults and the association between nurses’ barriers and nurse-promoted mobility. In addition, the relationship among patient severity of illness, proxy levels for function, and nurse-promoted mobility was examined. The final study sample included 61 nurses working in medical units caring for a total of 77 older adults. Findings suggest nurse knowledge gaps and attitude barriers could potentially influence …

The Frontal Assessment Battery: Relationship With Functional Status Indicators And Caregiver Burden In Veterans, Whitney Stubbs

Electronic Theses and Dissertations Archive

Objective: Neurocognitive screening measures reflective of functional status are needed for detection of executive dysfunction. The Frontal Assessment Battery (FAB), a measure designed to assess executive functioning at bedside, lacks sufficient research establishing its ecological validity. The purpose of the study was to evaluate the ecological validity of the FAB by examining its relationship with the Functional Status Interview (FSI), a measure of basic activities (ADL) and instrumental activities (IADL), and a measure of caregiver burden (ZBI-R). Method: Participants in the primary sample were 168 veterans with a mean age of 81.3 years (SD = 7.6). Prior to main analyses, …

The Face Of An Intergenerational Community In Higher Education, Narketta N. Myles

Journal of Research, Assessment, and Practice in Higher Education

With a rapidly growing non-traditional student population in higher education, institutions must begin to reshape much of their framework in how to serve a diverse population of students. With this diversifying of perspective, the older adult student must be given due consideration as an underrepresented student population. As we begin to consider this population of underrepresented students, we must examine the barriers and discrimination that older adults face, and the difficulties colleges encounter attempting to serve this population. Then as administrators, student affairs professionals, and faculty we must support initiatives of inclusion and equity that best serve these students.

Biopsychosocial Measures Related To Postural Control In Older Adults, Ryan Paul Hulla

Psychology Theses - Archive

This study examined the biopsychosocial measure related to postural control in the growing population of older adults (i.e., 60 years and older). The sample of the study consisted of 129 older adults (M = 74.45, SD = 6.95), with 34 males and 95 females, and 36 classified with chronic low-back pain (CLBP) and 93 without chronic low-back pain (NCLBP). Physical and psychosocial constructs were analyzed as predictors for postural control measures. Also gender and classification of low-back pain were examined as moderators for all physical and psychosocial measures. Results supported that physical and psychosocial measures were able to significantly predict …

Predictors Of Cognitive Function Among Cognitively Impaired Older African Americans Living In Congregate Residential Settings, Zyra Daffodil Apugan

Dissertations

The purpose of this secondary data analysis was to identify potential psychosocial predictors of cognition, including social support, depression, and functional activity, among older African Americans, ≥ 65 years, with a diagnosis of Alzheimer’s disease and living in congregate residential settings. Guided by the main effect model of social support, this study used existing data from the National Alzheimer’s Coordinating Center Uniform Data Set, an NIH-funded multicenter study. Results showed that on average, the participants (n=56) were 81.7 years of age with 13.8 years of education. All, but six, were married. Bivariate Pearson correlations indicate a moderately strong negative relationship …

Opportunities And Challenges For Self-Monitoring Technologies For Healthy Aging: An In-Situ Study, Mirana Randriambelonoro, Yu Chen, Onur Yuruten, Pearl Pu

Faculty Publications, Information Systems & Technology

The current need to adopt a healthy lifestyle opens the way for researchers to investigate the efficiency of using technology to motivate a change towards such behavior. Senior people’s technology adoption barriers have been largely investigated in previous research but remain unclear to design efficient solution to promote behavior change in the long term. In this paper, we present the findings of an experiment with 20 older adults using pervasive sensors for 6 weeks at their homes. In particular, we present their attitudes for physical activities and self-monitoring technologies before and after the actual usage. We then discuss the opportunities …

Enhancing The Well-Being Of Older Adults And Young Adults With Developmental Disabilities Through Participation In An Intergenerational Community Garden: Participatory Action Research, Diane L. Keen

Doctorate of Nursing Science Dissertations

The purpose of this Participatory Action Research (PAR) study was to discover ways to enhance well-being in young adults with DD and older adults in the Oak Grove community. This dissertation details how PAR was used in the Oak Grove community to identify ways to enhance purpose and meaningful activity for older adults while developing positive relationships with younger adults with DD through qualitative methods.

Ryff and Keyes (1995) discovered that although some elements of well-being remain stable as a person ages, purpose-in-life drops significantly in older adults. In addition, young adults with developmental disabilities (DD) lack meaningful relationships, which …

An Examination Of Daily Dietary Intake And Swallow Function In An Older Adult Population, Lillian A. Barone

Master's Theses

This study aims to determine the relationship, if any, of daily dietary intake of adult individuals living independently in the community and swallow function/ dysfunction. It appears that individuals modify their diet as they age and the correlation between this awareness of diet modification and dysphagia is unclear. Using the Yale Swallow Protocol and a study specific questionnaire, this relationship was examined. The results indicate future research should focus on the bi-directional relationship between malnutrition and dysphagia in the aging, community dwelling population.

Social Isolation And Loneliness In Older People: A Closer Look At Definitions, Mary Lou Ciolfi, Frances Jimenez Ba

Disability & Aging

Social isolation and loneliness are related and the terms are often used interchangeably, but they are distinct concepts with different definitions, health impacts, and interventions. Our population is aging and older people are at increased risk for both social isolation and loneliness and the associated negative health consequences. Understanding the important differences between social isolation and loneliness will help us recognize them earlier in vulnerable populations, engage in more meaningful conversations with older adults about their own risks, and will inform the development and delivery of more individualized, meaningful, and cost-effective interventions.

Optimizing Medication Appropriateness In Older Adults: A Randomized Clinical Interventional Trial To Decrease Anticholinergic Burden, Daniela C. Moga, Erin L. Abner, Dorinda N. Rigsby, Lynne Eckmann, Mark Huffmyer, Richard R. Murphy, Beth B. Coy, Gregory A. Jicha

Pharmacy Practice and Science Faculty Publications

Background

The complexity of medication therapy in older adults with multiple comorbidities often leads to inappropriate prescribing. Drugs with anticholinergic properties are of particular interest because many are not recognized for this property; their use may lead to increased anticholinergic burden resulting in significant health risks, as well as negatively impacting cognition. Medication therapy management (MTM) interventions showed promise in addressing inappropriate medication use, but the effectiveness of targeted multidisciplinary team interventions addressing anticholinergic medications in older populations is yet to be determined.

Methods

We conducted an 8-week, parallel-arm, randomized trial to evaluate whether a targeted patient-centered pharmacist–physician team MTM …

The Nurse's Role In Promoting Activity In Older Adults, Katlyn G. Luebke

Honors Capstones

The older adult population has a high rate of chronic disease, falls, and a decline in mental health (Nelson et al, 2007). In addition, the aging population utilizes the highest proportion of medical care than any other age group (Chen et al., 2011). The older population trusts the face-to-face interaction with their health care team and nurses are at the forefront of care for their patients (Pacucci, Chu, Leasure, 2012). It is the responsibility of the nurse to educate and advocate for the active lifestyle of an elderly patient for better health promotion and prevention of disease or disease progression. …