Digital Commons Network^™

Understanding Aging Well From The Perspectives Of Homebound Older Adults, Debra Lynn Rogers

Social Work Theses - Archive

With the population becoming “grayer” the United States has begun to question what it means to be aging well. Previous research has examined what it means to age well how to diminish age-related losses, although there is a lack of consensus about what this means. The older adult population is diverse regarding race, ethnicity, sex, culture, sexual orientation, and ability; thus, aging well can mean different things to different people. Due to this diversity, the subjective perspectives and experiences of older adults are important to understand the processes of aging well and expand its conceptualization to a heterogeneous population of …

Effectiveness Of Suicide Prevention Programs To Reduce Suicide Ideation And Behavior In Older Adults: A Systematic Review Of The Literature From 2009-2016, Marissa Steen Wallace

Social Work Theses - Archive

A systematic review was conducted to replicate a previous systematic review and to examine the effectiveness of various suicide prevention interventions for the older adult population. A search through 6 databases presented 7 articles that met all elibility criteria. All included articles presented interventions for adults age 60 and over that resulted in a statistically significant reduction in suicide ideation or behavior. The programs were reviewed with the GRADE protocol, which measured the quality of methods and results, and included strengths and limitations of the studies. The discussion provided implications of intervention settings and suggestions for future directions for social …

Volunteer Resource Guide For Older Adults In The Bowling Green Area, Mallory Farabaugh

Honors Projects

The purpose of this volunteer resource guide is to provide older adults a booklet with a variety of volunteer programs available in the Bowling Green/Wood County area. There are several benefits to volunteering including gaining an increased sense of purpose, giving back to the community, and fulfilling new roles in later life. It is made more convenient for the older adults in the community to access information about each program by listing it in one spot. Each program listed includes general information, how to sign up, any training that is involved, and how to contact the facility. The resource guide …

The Impact Of Visual Impairments On Mobility Performance In Community-Dwelling Older Adults, Lauren Andrew, Talia Davis, Christian Johnson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Falls are a major concern for elderly adults and can have a significant impact on overall health and well-being. Declines in vision with aging may be related to the development of fear of falling (FOF) and impaired mobility. It is possible that impaired vision due to common eye diseases can increase the FOF avoidance behavior and affect mobility function in this population. The purpose of this study was to investigate the relation among visual impairment, mobility performance, and FOF avoidance behavior in older adults. Methods: Inclusion criteria for eligible participants were: 50 years of age and older, …

Implementing Multifactorial Education Modules With Older Adults: Individualized And Interactive Fall Prevention Education, Salvador Chavez, Jocelle Flores, Rachelle Yambao

Dissertations, Masters Theses, Capstones, and Culminating Projects

Falls are a significant concern for community-dwelling older adults (OAs), with one in four OAs reporting a fall every year. Occupational therapy students collaborated with first responders of the Novato Fire District to identify gaps in fall prevention community outreach programs and found that many interventions lack an interactive or individualized approach. Based on the gap analysis and current literature, seven education modules were developed to address key risk factors including home safety hazards, polypharmacy, fear of falling, and strength and balance exercises. Thirty community-dwelling OAs participated in the education modules that were implemented at two senior community sites in …

The Duc Healthy Aging Website: Providing Online Occupation-Based Information, Haley Caruthers, Samantha Talavera, Jackeline Ulloa, Stephanie Vera

Dissertations, Masters Theses, Capstones, and Culminating Projects

Access to current, evidence-based health information is an important step to the promotion of health and wellness for all age groups, including OAs. Since the virtual world is easily accessible and is being used more frequently by OAs, an effective way to convey relevant up-to-date health information is through a website devoted to the dissemination of health promotion information tailored for OAs, including tips for integrating healthy habits into their lifestyle. Dominican University of California’s (DUC) Healthy Aging website, developed in May 2014, contains relevant and evidence-based research, including activities and local community based programs that promote healthy aging on …

Older Adults And Mobile Technology: Factors That Enhance And Inhibit Utilization In The Context Of Behavioral Health, Alexis Kuerbis, Adina Mulliken, Frederick Muench, Alison A. Moore, Daniel Gardner

Publications and Research

While numbers and proportions of older adults with behavioral health issues are expected to substantially increase, there is also a widening gap in available services for older adults. Mobile health interventions (mhealth) are a way to address existing barriers to treatment, provide frontline assessment and increase access to services for older adults. Due to perpetuated stereotypes, many assume that older adults do not utilize mobile technology nor will they accept a mHealth intervention. The purpose of this paper is to synthesize contemporary literature from information technology and healthcare regarding: (1) current mobile technology utilization by older adults, particularly in regards …

Living Below The Line: Economic Insecurity And Older Americans, Racial And Ethnic Disparities In Insecurity, 2016, Jan Mutchler, Yang Li, Ping Xu

Center for Social and Demographic Research on Aging Publications

New estimates from the 2016 Elder Economic Security Standard^TM Index highlight the high risk of economic insecurity experienced by older adults, a risk that is especially high for racial and ethnic minorities. The Gerontology Institute compares the 2016 household incomes for adults age 65 and above living in one- and two-person households to the 2016 Elder Economic Security Standard^TM 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 …

2016 Elder Economic Security Standard Index™ For Boston, Yang Li, Ping Xu, Jan Mutchler, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston

Center for Social and Demographic Research on Aging Publications

The Elder Economic Security Standard^TM Index (Elder Index) is a measure of the cost of living for older adults age 65 or older living independently in today's economy. The Elder Index defines economic security as the income level at which elders are able to cover basic and necessary living expenses and age in their homes, without relying on benefit programs, loans or gifts. The Elder Index defines an “economic security gap” as having incomes between the Federal Poverty Line and the Elder Index. Older adults living “in the gap” have incomes too high to qualify for many means-tested public …

Living Below The Line: Economic Insecurity And Older Americans, Gender Disparities In Insecurity, 2016, Jan Mutchler, Yang Li, Ping Xu

Center for Social and Demographic Research on Aging Publications

New estimates from the 2016 Elder Economic Security Standard^TM Index highlight the high risk of economic insecurity experienced by older adults, a risk that is especially high for older women living alone. The Gerontology Institute compares the 2016 household incomes for adults age 65 and above living in one- and two-person households to the 2016 Elder Economic Security Standard^TM 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 …

Living Below The Line: Economic Insecurity And Older Americans, Age Disparities In Insecurity, 2016, Jan Mutchler, Yang Li, Ping Xu

Center for Social and Demographic Research on Aging Publications

New estimates from the 2016 Elder Economic Security Standard^TM Index highlight the high risk of economic insecurity experienced by older adults, a risk that is especially high for the oldest seniors. The Gerontology Institute compares the 2016 household incomes for adults age 65 and above living in one- and two-person households to the 2016 Elder Economic Security Standard^TM 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 …

Neighborhood Environment And Falls Among Community-Dwelling Older Adults, Emily Joy Nicklett, Matthew C. Lohman Ph.D., Matthew Lee Smith

Faculty Publications

Background: Falls present a major challenge to active aging, but the relationship between neighborhood factors and falls is poorly understood. This study examined the relationship between fall events and neighborhood factors, including neighborhood social cohesion (sense of belonging, trust, friendliness, and helpfulness) and physical environment (vandalism/graffiti, rubbish, vacant/deserted houses, and perceived safety walking home at night). Methods: Data were analyzed from 9259 participants over four biennial waves (2006–2012) of the Health and Retirement Study (HRS), a nationally representative sample of adults aged 65 and older in the United States. Results: In models adjusting for demographic and health-related covariates, a one-unit …

Neighborhood Environment And Falls Among Community-Dwelling Older Adults, Emily Nicklett, Matthew Lohman, Matthew Smith

Dartmouth Scholarship

Falls present a major challenge to active aging, but the relationship between neighborhood factors and falls is poorly understood. This study examined the relationship between fall events and neighborhood factors, including neighborhood social cohesion (sense of belonging, trust, friendliness, and helpfulness) and physical environment (vandalism/graffiti, rubbish, vacant/deserted houses, and perceived safety walking home at night).

Effect Of Life Review On Quality Of Life For Older Adults Living In Nursing Homes, Rene' Wren

Occupational Therapy Collection

Aim: To examine the effects of life review on daily activities, social participation, outlook on life, and perceptions of living in a nursing home measured by life satisfaction and quality of life in older adults.

Method: The study design was a two-phase quasi-experimental pre-post-tests including development and testing of a life review protocol. Nine residents, age ≥65, participated in a life review group once weekly for 6 weeks. Outcomes were analyzed using the Life Satisfaction Index-Z (LSI-Z) and pre-post surveys.

Results: LSI-Z scores improved post-intervention and survey outcomes indicated participation in activities of daily living (ADLs), socialization, …

Faith Community Nurses' Impact On Family Caregivers, Lori R. Anderson

All Electronic Theses and Dissertations

Title: What are the most compelling ways that faith community nurses support family caregivers? Background: The need for family caregivers will rise exponentially in the United States in the coming decades as older adults live longer lives and often with two or more chronic illnesses. Faith community nurses are uniquely positioned through their trusted presence in faith community settings to provide this support to family caregivers. Purpose: Family caregivers provide vital care to senior adults that our healthcare systems cannot absorb. Faith community nurses (FCNs) support family caregivers connected to their faith communities in tangible ways to strengthen the growing …

When ‘Places’ Include Pets: Broadening The Scope Of Relational Approaches To Promoting Aging-In-Place, Ann M. Toohey, Jennifer A. Hewson, Cindy L. Adams, Melanie J. Rock

The Journal of Sociology & Social Welfare

Aging-in-place is a well-established concept, but discussions rarely consider that many older adults live with pets. In a ‘pet-friendly’ city, we conducted semi-structured interviews to explore perspectives of community-based social support agencies that promote aging-in-place, and those of animal welfare agencies. Applying a relational ecology theoretical framework, we found that pets may contribute to feeling socially- situated, yet may also exacerbate constraints on autonomy experienced by some older adults. Pet-related considerations at times led to discretionary acts of more-than-human solidarity, but also created paradoxical situations for service-providers, impacting their efforts to assist older adults. A shortage of pet-friendly affordable housing …

Familial Support And Mental Health Service Use: Differences Among First- And Second-Generation Asian American And Latino Older Adults, Jessica Lynn Valles

All ETDs from UAB

While several studies have shown that US-born Asian Americans and Latinos are more likely to use mental health services than their foreign-born counterparts, the effects of generation status and familial support is unclear. Furthermore, little is known about these associations and how they affect older adults. According to the Socioemotional Selectivity Theory (SST), as adults begin transition into advanced age, they begin to withdraw from broader social networks to focus on more intimate relations, such as those with children. In applying modernization theory to the family and aging, this theory would suggest that the status of older adults in families …

Graduate Students And Geropsychology: Growing Need And Lacking Interest, Samantha Marie Hague

Antioch University Dissertations & Theses

As the population of older adults continues to grow with time, the need for geropsychology clinicians also grows. Many barriers exist that contribute to why elderly individuals are not receiving adequate psychological treatment. This study explores why graduate psychology students are often disinterested in working with older adults and whether it is possible that student interest could increase with more geropsychology graduate coursework and practicum training opportunities. This study also explores the possible connection between quality of elderly relationships and interest in working with the elderly. The results of this study support that Clinical and Counseling Psychology graduate programs lack …

Sunlight Therapy As A Strategy To Improve Vitamin D Status In Skilled Nursing Facility Older Adult Patients: A Pilot Study, Ashwini Wagle, Clarie Hollenbeck, Jesus Dimas

Faculty Research, Scholarly, and Creative Activity

Widespread avoidance of sun exposure and the use of sunscreens have increased the prevalence of vitamin D inadequacy among Americans and worldwide. Older adults with limited access to sunlight in the Northern Hemisphere are at greater risk for vitamin D deficiency and insufficiency. Researchers have found vitamin D deficiency and insufficiency in institutionalized older adults despite the use of vitamin D supplementation. Positive attitudes in institutionalized older adults toward outdoor activities and sun exposure suggest the potential for effective outdoor sun exposure programs.

Aquatic Exercise For Better Living On Land: Impact Of Shallow-Water Exercise On Older Japanese Women For Performance Of Activities Of Daily Living (Adl), Mary E. Sanders, Mohammod M. Islam, Aiko Naruse, Nobuo Takeshima, Michael E. Rogers

International Journal of Aquatic Research and Education

Twenty-six Japanese women (70.5 yr) self-selected water exercise (WEX) (n=13), or control (CON) (n=13) for 12 weeks. WEX was performed 60-minutes/day, 3 days/week with warm-up, cool-down stretch, ADL exercises, and cardiovascular/muscular endurance in 30°C water at a xiphoid level depth. CON continued their current activity/nutrition patterns. Compared to CON, WEX improved (p<.05) functional fitness and balance measures including arm curl (22%), chair stand (21%), 8-feet up & go (13%), chair sit/reach (50%), and 12-min walk (15%). No significant changes in sway velocity (SV) or limits of stability (LOS) were seen for either group. This shallow water exercise improved land-based ADL for older women but not balance. ADL tasks associated with balance did improve which may have indicated enhanced motor control.

Self-Care Among Older Adults With Heart Failure, Sumayya Attaallah, Kay Klymko, Faith Pratt Hopp

Social Work Faculty Publications

Background: It is estimated that 5.7 million Americans are living with heart failure (HF) today. Despite the fact that HF is one of the most common reasons people aged 65 years and older are admitted into the hospital, few studies describe the self-care in this older adult population. Purpose: The purpose of the study was to review the current literature on self-care in this population to better understand the influence of selected factors on self-care and health outcomes. Methods: A literature search was completed and resulted in including 28 studies. Results: Multiple factors have been reported as barriers to self-care …

Validation Of Evidence-Based Fall Prevention Programs For Adults With Intellectual And/Or Developmental Disorders: A Modified Otago Exercise Program, Mindy Oxman Renfro, Donna B. Bainbridge, Matthew Lee Smith

Health and Wellness

Introduction: Evidence-based fall prevention (EBFP) programs significantly decrease fall risk, falls, and fall-related injuries in community-dwelling older adults. To date, EBFP programs are only validated for use among people with normal cognition and, therefore, are not evidence-based for adults with intellectual and/or developmental disorders (IDD) such as Alzheimer’s disease and related dementias, cerebral vascular accident, or traumatic brain injury.

Background: Adults with IDD experience not only a higher rate of falls than their community-dwelling, cognitively intact peers but also higher rates and earlier onset of chronic diseases, also known to increase fall risk. Adults with IDD experience many barriers to …

Narrative Review Of Vitamin D And Its Specific Impact On Balance Capacity In Older Adults, Ray Marks

Publications and Research

Introduction and Aims: Falls injuries among older adults, a widespread well-established contributor to high disability levels, excess morbidity and mortality rates, have many causes. This review examines the association between vitamin D levels and postural stability or balance control—a fairly consistent predictor of falls among older adults.

Materials and Method: All relevant English language peer reviewed research publications detailing the relationship between vitamin D levels and balance control among the elderly were sought. Key words included “Vitamin D and Balance or Postural Control.” Databases used were Academic Search Complete, PubMed, Scopus, and Web of Science.

Results: Analysis showed no consistent …

A Comparison Of Two Theoretical Approaches To Addressing Ageism: Education And Extended Contact, Ashley Elizabeth Lytle

Stony Brook Theses and Dissertations Collection, 2006-2020 (closed to submissions)

Ageism continues to be a widespread problem and is of increasing concern given the growing older population worldwide and youth-centered focus of many societies. Despite the need for a better understanding of attitudes towards older adults, ageism is a relatively understudied area of social psychology. This dissertation sought, for the first time, to compare two theoretical approaches to addressing ageism: education about aging (providing accurate information about aging) and extended contact (knowledge of positive intergenerational contact) as well as their potential combined impact (education plus extended contact). Across two studies, participants were randomly assigned to one of the four conditions: …

Older Adults Perspectives Of Bed Bathing, Nikki D. Sumner, Katherine C. Hall Phd

Undergraduate Honors Theses

The purpose of this qualitative pilot study is to explore the patient perspectives about what it is like to receive a bed bath. Examining studies of bath basins versus alternative methods has shown a decrease in the spread of nosocominal infections. However, there is not sufficient evidence evaluating the patient perspectives of assistive bed bathing and interactions with nurses and nursing support staff. This information can provide healthcare providers, especially nurses, with a better understanding of patient perspectives and values. It also supports the national healthcare approach towards patient-centered care.

Effect Of Lighting On Performance Of Tasks Requiring Near Vision In Older Adults, Karen Leigh James

Occupational Therapy Program Student Theses, Dissertations and Capstones

With age, more light is needed in order to function, but the effect of lighting on occupational performance has received little attention in occupational therapy. The purpose of the study was to determine if lighting affects older adults’ ability to perform selected occupational tasks, which require near vision and if lighting levels affects their perceived effort while performing selected occupational tasks. A quasi-experimental, repeated measures design was used with a convenience sample recruited from a retirement community. Thirty participants met the inclusion criteria, which included visual and cognitive screening. The mean age of the 30 participants was 83 years, and …

Sleep Disturbances Among Older Adults In The United States, 2002–2012: Nationwide Inpatient Rates, Predictors, And Outcomes, Alyssa A. Gamaldo, May A. Beydoun, Hind A. Beydoun, Hailun Liang, Rachel E. Salas, Alan B. Zonderman, Charlene E. Gamaldo, Shaker M. Eid

Aging Studies Faculty Publications

Objective/Background: We examined the rates, predictors, and outcomes [mortality risk (MR), length of stay (LOS), and total charges (TC)] of sleep disturbances in older hospitalized patients.

Patients/Methods: Using the U.S. Nationwide Inpatient Sample database (2002–2012), older patients (≥60 years) were selected and rates of insomnia, obstructive sleep apnea (OSA) and other sleep disturbances (OSD) were estimated using ICD-9CM. TC, adjusted for inflation, was of primary interest, while MR and LOS were secondary outcomes. Multivariable regression analyses were conducted.

Results: Of 35,258,031 older adults, 263,865 (0.75%) had insomnia, 750,851 (2.13%) OSA and 21,814 (0.06%) OSD. Insomnia rates increased significantly (0.27% in …

Multiple-Modality Exercise And Mind-Motor Training To Improve Cardiovascular Health And Fitness In Older Adults At Risk For Cognitive Impairment: A Randomized Controlled Trial, Narlon Cassio Boa Sorte Silva, Micheal A. Gregory, Dawn P. Gill, Robert Petrella

Lifestyle Research Team

Background:The effects of multiple-modality exercise on arterial stiffening and cardiovascular fitness has not been fully explored. Objectives: To explore the influence of a 24-week multiple-modality exercise program associated with a mind-motor training in cardiovascular health and fitness in community-dwelling older adults, compared to multiple-modality exercise (M2) alone.

Methods: Participants (n=127, aged 67.5 [7.3] years, 71% females) were randomized to either M4 or M2 groups. Both groups received multiple-modality exercise intervention (60 min/day, 3 days/week for 24-weeks); however, the M4 group underwent additional 15 min of mind-motor training, whereas the M2 group received 15 min of balance training. Participants …

Perspectives Of Lgbtq Older Adults On Aging In Place: A Qualitative Investigation, Diane K. King, Jennifer M. Boggs, Jennifer Dickman Portz, Leslie A. Wright, Kenneth Helander, Jessica H. Retrum, Wendolyn S. Gozansky

ISER Articles

This qualitative study conducted by a community-research partnership used multiple types of data collection to examine variables relevant for LGBTQ older adults who wished to age in place in their urban Denver neighborhood. Focus groups, interviews, and a town hall meeting were used to identify barriers and supports to aging in place. Participants (N=73) primarily identified as lesbian or gay, aged 50–69, and lived with a partner. Ageism, heterosexism, and/or cisgenderism emerged as cross-cutting themes that negatively impact access to healthcare, housing, social support, home assistance and legal services. Resilience from weathering a lifetime of discrimination was identified as a …

The Impact Of Spirituality On Wellness For Appalachian Older Adults, Jamie Linscott, Amber L. Randolph, Tony Mayle

Adultspan Journal

No abstract provided.