Digital Commons Network^™

Counseling For Wellness With Older Adults, Matthew C. Fullen

Adultspan Journal

No abstract provided.

Living Below The Line: Economic Insecurity And Older Americans Insecurity In Massachusetts 2016, Jan E. Mutchler, Yang Li, Ping Xu

Center for Social and Demographic Research on Aging Publications

New estimates from the 2016 Elder Economic Security Standard Index^TM reveal that in Massachusetts, 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 in a safe community and health care. The Gerontology Institute compares 2016 household incomes for adults age 65 and above living in one- and two-person households to the 2016 Elder Economic Security Standard Index^TM for Massachusetts to calculate Elder Economic Insecurity Rates (EEIRs), the percentage of independent adults age 65 or older living in households with …

Living Below The Line: Economic Insecurity And Older Americans Insecurity In The States 2016, Jan E. Mutchler, Yang Li, Ping Xu

Center for Social and Demographic Research on Aging Publications

New estimates from the 2016 Elder Economic Security Standard Index^TM suggest that half of older adults living alone, and one out of four older adults living in two-elder households, lack the financial resources required to pay for basic needs. 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 Index^TM 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 …

Utility Of The Living (Well Through) Intergenerational Fitness And Exercise Program As A County-Delivered Extension Program, Ashleigh J. Sowle, Sarah L. Francis, Jennifer A. Margrett, Warren D. Franke

Journal of Extension

Rural-residing older adults are not participating in regular physical activity. Extension is in an excellent position to fill this programming void through transdisciplinary programming such as the Living (well through) Intergenerational Fitness and Exercise (LIFE) program. Qualitative evaluation was conducted to assess the LIFE program's utility as an Extension-delivered program. Nearly all LIFE program managers were satisfied with the program and were likely to recommend it to others. Best liked program features and attributes were the ready-to-use curriculum, corresponding training, and intergenerational and rural focuses. These results suggest that the LIFE program is viewed as appropriate for delivery by Extension.

An Evaluation Of The Acceptability And Effects Of A Computer-Delivered Values-Based Behavioral Activation Treatment For Depression Among Older Adults, Kellie Reynolds

Dissertations

Depression is a common psychological disorder among older adults and is associated with serious secondary effects to health and social well-being. Behavioral activation has been found to be an efficacious treatment for depression. However, there is limited research on the treatment effects of behavioral activation with older adults. In general, older adults under-utilize mental health treatments. Computer-delivered treatments have been developed to address access and under-utilization. The purpose of this dissertation was to evaluate the acceptability and effects of a computer-delivered values-based behavioral activation treatment for depression in older adults. This study consisted of two phases. Phase I consisted of …

The Influence Of Strength-Training Exercises On The Functional Fitness In Older Adults, Susie Engle

Graduate Theses and Dissertations

The purpose of this study was to examine the influence of strength-training exercises on the functional fitness in older adults. The original convenience sample consisted of 658 participants who attended group strength-training classes offered through the Cooperative Extension Service. The Senior Fitness Test was used to assess baseline fitness levels at the beginning and end of the 12-week strength-training program. Data was collected from 2008 to 2015. Of the 658 participants, 110 were aged 60 to 94 and presented posttest scores occurring approximately 12 weeks after pretest dates. Of the 110 subjects, 99 were female and 11 were male. The …

Comparison Of Power Training Using Plate-Loaded Vs. Pneumatic Machines On Strength, Power, And Physical Function In Older Adults, Anoop Thozhuthungal Balachandran

Open Access Dissertations

Background: In randomized controlled trials, power training has been shown to be more effective than conventional resistance training for improving physical function in older adults; however, most of these trials used pneumatic machines for power training. Considering that the majority of the people only have access to plate-loaded machines, it is important to examine the benefits and adverse effects of power training using plate-loaded machines compared to pneumatic machines to determine the feasibility of their use. Objective: The purpose of this investigation was to compare high-velocity training using pneumatic machines and standard plate-loaded machines on power, physical function, strength and …

Differing Perspectives On Older Adult Caregiving, Eve M. Brank, Lindsey E. Wylie

Department of Psychology: Faculty Publications

Informal older adult caregiving allows older adults to stay in their homes or live with loved ones, but decisions surrounding older adult care are fraught with complexities. Related research and case law suggest that an older adult’s need for and refusal of help are important considerations; the current study is the first to examine these factors experimentally. Two samples (potential caregivers and care recipients) provided responses regarding anticipated emotions, caregiver abilities, and allocation of daily caregiving decision making based on a vignette portraying an older adult who had a high or low level of autonomy and who accepted or refused …

The Effect Of Individual Differences In Working Memory In Older Adults On Performance With Different Degrees Of Automated Technology, Richard Pak, Anne Collins Mclaughlin, William Leidheiser, Ericka Rovira

Publications

A leading hypothesis to explain older adults’ overdependence on automation is age-related declines in working memory. However, it has not been empirically examined. The purpose of the current experiment was to examine how working memory affected performance with different degrees of automation in older adults. In contrast to the well-supported idea that higher degrees of automation, when the automation is correct, benefits performance but higher degrees of automation, when the automation fails, increasingly harms performance, older adults benefited from higher degrees of automation when the automation was correct but were not differentially harmed by automation failures. Surprisingly, working memory did …

Using Instructions And Behavioral Skills Training To Teach Facebook Skills To Seniors, Alison Ann Oconnell

USF Tampa Graduate Theses and Dissertations

The senior population is growing faster than any other population group, and life expectancy is increasing. E-mail and social media enable people of all ages to stay in touch, and find information, resources, and entertainment. Positive effects are associated with computer and internet use for older adults, but not all seniors have embraced technology and some seniors feel negatively about it. Several different methods have been used to teach seniors computer skills, including mentoring, lecturing, and providing instructions, but not many procedures have been evaluated for effectiveness. In the current study, we recruited three to five seniors, taught them to …

Exploring Older Adults’ Perceptions Of The Utility And Ease Of Use Of Personal Emergency Response Systems, Patricia A. Mclean

Dissertations, Theses, and Capstone Projects

Key Words: Older adults, aging in place, functional impairment, assistive home-based technology, personal emergency response system (PERS).

Aim: The aim of this study was to explore and describe perceptions of the utility and ease of use of a personal emergency response system (PERS) among older adults who are aging in place.

Research Question: “What is the meaning of a PERS use for functionally impaired older adults?”

Design: An exploratory-descriptive qualitative design was used to recruit members of a VNSNY CHOICE Managed Long Term Care (MLTC) site in Queens, NY, who met the study’s eligibility through the selection criteria. …

Social Isolation, Social And Emotional Loneliness, And Self-Reported Hearing Difficulties In Older Adults With Hearing Loss, Yuliya Borik

Dissertations, Theses, and Capstone Projects

Hearing loss is known to affect communicative ability and has been associated with poor health-related outcomes such as impaired cognition, increased risk for falls, and psychotic manifestations. Social isolation and loneliness are also widely recognized to negatively impact mental and physical health. The purpose of this systematic review is to review literature that explores a relationship between hearing loss with and/or without self-reported hearing difficulties and social isolation and social and emotional loneliness in older adults with hearing loss ranging from mild to profound. The goal is to determine whether there is a direct relationship between subjective and/or objective hearing …

A Comparative Analysis Of Demographics And Reported Preferential Learning Modes Of Florida And Non-Florida Osher Lifelong Learning Institutes Members, Jung Min Lee

USF Tampa Graduate Theses and Dissertations

This research examined demographic factors and reported preferential learning mode among a sample of Florida Osher Lifelong Learning Institute (OLLI) members compared to a national sample profile of OLLI members. This study was prompted by an earlier study of OLLI members conducted by the National Resource Center (NRC) for OLLIs, which produced a national profile describing OLLI members. Although there was a national profile for OLLI members, there were no existing profiles of Florida OLLI members that could be used by OLLI administrators and instructors.

This study employed an online survey to compare data between the national OLLI member profile …

Older Adult Transportation In Rural Communities: Results Of An Agency Survey, James P. Wood, Jeffrey R. Brown, Megan Bond, Vitor Suguri

Journal of Public Transportation

The proportion of people over age 65 is higher in U.S. rural and small communities than in urban or suburban areas. When older adults who reside in these communities retire from driving, they may need to rely on alternative transportation options that exist in urban settings but that might not be provided, might be less accessible, or might be available in a different form in their communities. This paper uses a survey of service providers to identify the types of public transportation options available to older adults residing in these communities, as well as the strategies employed to finance, operate, …

Educating Family Caregivers For Older Adults About Delirium: A Systematic Review, Margaret J. Bull, Lesley Boaz, Martha G. Jermé

College of Nursing Faculty Research and Publications

Background

Delirium in older adults is considered a medical emergency; it contributes to a cascade of functional decline and to increased mortality. Early recognition of delirium symptoms is critical to prevent these negative consequences. Family caregivers who are educated about delirium could partner with nurses and other healthcare professionals in early recognition of delirium symptoms. Before implementing such partnership models, it is important to examine the effectiveness of educating family caregivers about delirium.

Aims

To examine whether providing education on delirium to family caregivers improved their knowledge, emotional state, or response in reducing the incidence of delirium in older adults. …

Preventing And Reducing Falls In Assisted Living Facilities: An Educational Intervention, Jennifer A. Borcich, Raquel F. Ramos, Taylor S. Wong

Dissertations, Masters Theses, Capstones, and Culminating Projects

As the number of older adults continues to rise, falling in older adults has become a national health care issue. Many older adults who fall reside in assisted living facilities. Every time a fall incident occurs, first responders are called, utilizing a significant amount of first responder’s time and resources. Therefore, the purpose of this project was to implement a fall prevention program for residents of an assisted living facility (ALF) to reduce fall risk and fall-related calls to the local fire department. The project consisted of a four-week course given once weekly for 60 minutes to residents at an …

Predicting Depression In Older Adults: Community Vs. Nursing Home, Hannah Vitello, Skye Leedahl

Senior Honors Projects

With the population of the United States slowly growing older, the issues surrounding long-term services and supports (LTSS) will become more prevalent. Little research has been done comparing older adults living in nursing homes to older adults living in the community, especially regarding mental health and depression. Depression is a mental illness that affects people emotionally and physically, as well as mentally, which can lead easily into other health complications in the older adult population. This study seeks to determine if factors such as demographics, health, social interaction, and family relationships affect mental health in nursing home residents differently than …

Using An Online Learning Module In A Nursing Program To Improve Knowledge And Skills To Prevent Falls In The Community Dwelling Older Adult Population, Susan Kane Patton

Graduate Theses and Dissertations

Nationally, 28.4% of older adults fall each year. Falls and resulting injury result in decreased mobility, functional impairment, loss of independence, and increased mortality. Utilization of evidence based protocols by providers to identify older adults at risk of falling is limited and rates of participation by older adults in prevention activities is low. Because of nursing’s increasing role in caring for older adults, development of fall prevention education for nursing students would result in increased awareness of the need for fall prevention in community dwelling older adults and increased access of older adults to falls risk assessment. There is a …

Policy Brief No. 23 - Health Inequalities Among Older Adults: Reconciling Theories And Policy Approaches, Amélie Quesnel-Vallée, Andrea Willson, Sandra Reiter-Campeau

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Despite universal access to healthcare, there are disparities in older people’s health status in developed countries. These inequalities are rooted in lifelong differences in social and economic status. Government policies to assist older people may end up reinforcing these inequalities if they fail to create a buffer against their effects. However, best case practices and WHO guidance show that policies can also mitigate against the effects of lifelong disadvantage in older age. There is opportunity to design initiatives for older people in Canada that lessen the disparities in health outcomes that we currently see.

“More Life, Not Less”: Using Narrative Therapy With Older Adults With Bipolar Disorder, Emma C. Burgin, Melinda M. Gibbons

Adultspan Journal

No abstract provided.

The Future Of Aging In The Town Of Brewster: Brewster Council On Aging Needs Assessment Study, Jan E. Mutchler, Ceara Somerville, Maryam Khaniyan, Mai See Yang, Molly Evans

Center for Social and Demographic Research on Aging Publications

This report describes efforts undertaken by the Town of Brewster Council on Aging, in partnership with the Center for Social and Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, to investigate the needs, interests, preferences, and opinions of Brewster’s older population. The focus of this report is on two cohorts of Brewster’s residents — those aged 45 to 59, and the cohort of individuals who are currently aged 60 and over (“seniors”). The content of this report is intended to inform the Town of Brewster, the Brewster Council on Aging, and organizations that provide …

Keeping It Safe: Aging In Place Among Rural Older Adults, Gina G. Peek, Alex J. Bishop

Journal of Extension

The purpose of the study addressed in this article was to identify ways to reduce risk and improve safe aging in place among rural older adults. Resident and Extension faculty and county educators visited study participants at home to assess functional capacity and the home environment. Extension professionals may be uniquely positioned to provide programming to help older adults age in place. Aging in place programming may help improve quality of life for older adults and their family members and caregivers.

Muscle Strength, Physical Activity, And Functional Limitations In Older Adults With Central Obesity, Cassandra M. Germain, John A. Batsis, Elizabeth Vasquez, Douglas R. Mcquoid

Dartmouth Scholarship

Background: Obesity and muscle weakness are independently associated with increased risk of physical and functional impairment in older adults. It is unknown whether physical activity (PA) and muscle strength combined provide added protection against functional impairment. This study examines the association between muscle strength, PA, and functional outcomes in older adults with central obesity. Methods: Prevalence and odds of physical (PL), ADL, and IADL limitation were calculated for 6,388 community dwelling adults aged ≥ 60 with central obesity. Individuals were stratified by sex-specific hand grip tertiles and PA. Logistic models were adjusted for age, education, comorbidities, and body-mass index and …

The Future Of Aging In The Town Of Chatham: Chatham Council On Aging Needs Assessment Study, Jan E. Mutchler, Ceara Somerville, Maryam Khaniyan, Molly Evans

Center for Social and Demographic Research on Aging Publications

This report describes efforts undertaken by the Town of Chatham Council on Aging (COA), in partnership with the Center for Social and Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, to investigate the needs, interests, preferences, and opinions of Chatham’s older population. The focus of this report is on two cohorts of Chatham’s residents—those aged 50 to 59, and those individuals who are currently aged 60 and over. The content of this report is intended to inform the Town of Chatham, the Chatham Council on Aging, and organizations that provide services to older residents, …

Trait Hope And Preparation For Future Care Needs Among Older Adult Primary Care Patients, Jodi L. Southerland, Deborah L. Slawson, Robert Pack, Silvia Sörensen, Jeffrey M. Lyness, Jameson K. Hirsch

ETSU Faculty Works

We examined associations between trait hope and preparation for future care needs (PFCN) among 66 older adult primary care patients in western New York. Participants completed a questionnaire assessing PFCN (awareness, information gathering, decision-making, concrete planning, and avoidance), and the Adult Trait Hope Scale. In multivariate regressions, lower hope, particularly less agency, was associated with more awareness of needing care, whereas higher hopefulness, particularly pathways thinking, was associated with increased decision-making and concrete planning. Greater hopefulness appears to be linked to goal-directed planning behaviors, although those with lower hope may actually be more aware of the need for planning. Evidence-based …

Color Your Plate: A Pilot Nutrition Education Intervention To Increase Fruit And Vegetable Intake Among Older Adults Participating In The Congregate Meal Site Program In Kentucky Senior Centers, Emily Dickens

Theses and Dissertations--Nutrition and Food Systems

The purpose of this study was to determine if the amount and variety of fruit and vegetable intake increased among community-dwelling older adults participating in Kentucky’s congregate meal site program following a series of educational nutrition lessons. A convenience sample (n=35) of community-dwelling older adults at two intervention (n=19) and two control (n=16) senior centers in central Kentucky participated in this quasi-experimental pre-post pilot study. Following the intervention there was a trend towards increased self-reported intake in the variety of fruit and vegetables among the intervention group (range:0.03±3.31 to 1.32±2.75 servings per week); a significant increase in the number of …

The Online Dating Preferences Of Chinese American Older Adults, Lin Jiang

Electronic Theses and Dissertations

In recently years, there has been a dramatic increase in the use of online dating websites among adults over age 50. Nevertheless, samples collected in existing literature are mainly centered on White/Caucasian Americans. Furthermore, the only theoretical guide has been sexual strategies theory. This study fills the gap by using sexual strategies theory and acculturation theory to test Chinese American older adults dating preferences.

The sexual strategies theory discusses how males and females use different mating strategies in short-term and long-term contexts. Acculturation theory describes changes in which individuals or groups adopt another culture when it makes contact with their …

“I Can See My Values In Places”: Relationships, Place, And Growing Old In Detroit Neighborhoods, Wendy Daniel Bartlo

Wayne State University Dissertations

The central focus of this dissertation is to examine the inextricable link between persons, their social worlds, and their environments. I do this through an ethnographic study of senior members of non-biologically based kinship groups with an affiliation to place. Critical to this examination is the city of Detroit itself, as members of these groups ultimately collectively identify as Detroiters through space and time. It is this collective identity, strengthened mostly through their defense of an outsider deemed unsuccessful city that renders Detroit a good place for the older person to maintain connections, participate socially and civically, and to organize …

Touch Painting: An Art Therapy Intervention On Anxiety In Older Adults, Carrie May Ezell

Expressive Therapies Dissertations

This study investigated the use of two art therapy painting interventions with anxious older adults in long-term care or assisted living facilities in the Southeast. The control group used ‘traditional painting’ as defined by using a paintbrush and the intervention group used ‘touch painting’ as defined by using a foam core board with tissue paper. All participants in the study (n=44) were identified as having symptoms of anxiety as determined by their facility staff. Participants completed the Geriatric Anxiety Inventory (GAI) as a pre-test and post-test assessment. Both groups attended four art therapy sessions with the following themes: (1) Free …

Wisdom In The Trees : A Research Project On How Elders Living In The Treehouse Community Together With Foster Children And Their Families Continue Or Expand The Quality Of Meaning Making In Their Everyday Lives, Elizabeth Hinze

Theses, Dissertations, and Projects

This qualitative study examined the oldest members of The Treehouse Community in western Massachusetts which is an intentional intergenerational community. Within this study 10 older adults living in the community participated in either a community held event or one-on-one interviews describing their felt life experiences before and after moving to Treehouse. Most of the participants made it clear that they did not show up at Treehouse looking for something to occupy their time. Rather this model which supports foster families and their children through an intergenerational lens corresponds with their life work, whether it be they had worked in child …