Digital Commons Network^™

Lumosity: Can An Independent Individual Obtain Positive Results Using The Program Post-Stroke?, Bridgett S. Phelan

Honors Capstones

This study examined the effects of Lumosity on the reading rate, word finding ability, and short-term memory of an independent, 76-year-old, female post-stroke. Lumosity brain- training took place for 4 weeks. The results indicated an increase in word finding ability as well as rate of reading, however it is hard to say if Lumosity was the direct cause for the increases due to the short time period in which the study took place. This study suggests that Lumosity is a viable method of brain training for independent individuals post-stroke. Findings of this study also point to the need for further …

Music Therapy Songwriting Practices With Older Adults, Kelsey M. Lownds

Theses and Dissertations--Music

Music therapists often use songwriting interventions, but limited research exists on songwriting practices with older adults. The purpose of this study was to investigate songwriting practices of board-certified music therapists working with older adults, specifically: (a) common goal areas and interventions; (b) use of songwriting interventions; (c) perceived effectiveness of songwriting; and (d) music therapists’ comfort levels and training in songwriting practices.

An online survey was sent to 515 board-certified music therapists working with older adults, 118 of whom completed the survey. Respondents reported that songwriting was most effective in increasing self-expression of older adults. Some respondents reported using songwriting …

Facilitating Effective Communication Between First Responders And Older Adults During Fall Incidents, Krystin M. Beeman, Erica L. Berger, Isabel A. Cabezas, Nicole M. Mathews

Student Research Posters

PURPOSE. The purpose of this project was to provide first responders with communication strategies for older adults that may help when responding to fall- related calls. General information was also provided to First Responders on working with older adults with a focus on the aging process, fall risk factors, and communications strategies.

METHODS. A series of educational sessions to first responders at a local fire district were developed and presented by occupational therapy students. Materials were developed by presenters from evidence-based resources and tailored to the target population. Each presentation focused on statistics about older adults, the aging process, fall …

Aging In West County Communities: Coming Together To Age In Place, Bernard A. Steinman, Hayley Gleason, Ceara Somerville, Maryam Khaniyan, Jan Mutchler

Gerontology Institute Publications

This report describes collaborative efforts undertaken by the Towns of Ashfield, Buckland, and Shelburne Consortium of Councils on Aging (hereafter, The Consortium) and the Center for Social and Demographic Research on Aging, within the McCormack Graduate School at the University of Massachusetts Boston (hereafter, UMass Boston). Beginning in Fall 2014, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of older residents in communities in West Franklin County (hereafter, West County), and priorities of stakeholders who interact with older adults in various capacities.

Early in the project, researchers from UMass Boston communicated with stakeholders …

Effects Of Video Enhancement In A Stated-Choice Experiment On Medical Decision Making, Susanne Hoffmann, Joachim Winter, Francis G. Caro, Alison Gottlieb

Gerontology Institute Publications

Background. The internet can be useful in administering stated-choice experiments to understand medical decision making and refine the content of patient decision aids. In internet-based stated-choice experiments, video and audio files can be used to provide information to respondents. Quality of data may or may not be affected.

Objectives. In a methodological experiment concerned with administration of a stated-choice experiment on the internet concerned with knee-replacement surgery, we compared the data quality obtained with video-enhanced and conventional text formats.

Methods. Members of the RAND Corporation’s American Life Panel and 50 years of age or older (n=1616) were randomly assigned to …

Design With Emotion: Improving Web Search Experience For Older Adults, Tamirat Abegaz

All Dissertations

Research indicates that older adults search for information all together about 15% less than younger adults prior to making decisions. Prior research findings associated such behavior mainly with age-related cognitive difficulties. However, recent studies indicate that emotion is linked to influence search decision quality. This research approaches questions about why older adults search less and how this search behavior could be improved. The research is motivated by the broader issues of older users' search behavior, while focusing on the emotional usability of search engine user interfaces. Therefore, this research attempts to accomplish the following three objectives: a) to explore the …

Aging In Rural Appalachia: Perspectives From Geriatric Social Service Professionals, Natalie D. Pope, Diane N. Loeffler, D. Lee Ferrell

Social Work Faculty Publications

This paper uses qualitative methodology to explore the experience of growing old in rural Appalachia. Given the growing population of older adults seeking and utilizing services, it is important to understand the challenges and specific needs related to aging. Within the context of rural Appalachia, these challenges and needs may be different than those in urban areas or areas outside of the region itself. From interviews with 14 geriatric service providers in rural southeast Ohio, the authors were able to identity three prevalent themes associated with aging in rural North Central Appalachia: scarcity of resources, valuing neighbors and family, and …

Cooking Healthy, Eating Smart (Ches): Evaluating The Feasibility Of Using Volunteers To Deliver Nutrition And Food Safety Education To Rural Older Adults, Morgan Getty

All Theses

Due to their limited resources, rural, older adults in the United States are at risk for poor diet-related health outcomes. Nutrition education is a key component in improving health outcomes in older adults. Cooking Healthy, Eating Smart (CHES) is a nine-lesson curriculum designed to teach rural, older adults culturally appropriate nutrition and food safety information. Funding to hire health professionals to deliver such a curriculum is limited, presenting the need to explore a less expensive mode of dissemination. In this community-based, participatory research study, a formative evaluation and feasibility study were conducted to examine the use of volunteers to deliver …

Using Experiential And Collaborative Methods With Undergraduates And Older Persons As Part Of An Introduction To Gerontology Course, Amy Ramsey, A. Nancy Mendoza, Joyce Weil

PRISM: A Journal of Regional Engagement

This study examines an Introduction to Gerontology course for undergraduate students that integrates experiential and collaborative learning experiences as part of a general course requirement. Experiential learning encourages students to go outside of the classroom and learn about aging from an older person in a field setting. The collaborative group approach is designed to have peers work together in the course. This study used qualitative methods to examine undergraduates’ learning experiences as a result of participation in a multiple-interview and groupwork-based project through their enrollment in the Introduction to Gerontology course. Content analysis was used to analyze multiple sources of …

Psychometric Properties Of The Index Of Relocation Adjustment, Abir K. Bekhet, Jaclene Zauszniewski

College of Nursing Faculty Research and Publications

More and more American older adults are relocating to retirement communities, and they experience challenges in adjusting to new surroundings that may increase their depression and mortality. An instrument not previously tested in the United States, the Index of Relocation Adjustment (IRA), may help in early identification of poor relocation adjustment. This study examined the psychometric properties of the IRA using secondary data from a convenience sample of 104 older adults who relocated to 6 retirement communities in Northeast Ohio. Cronbach’s alpha was .86. The IRA was correlated with measures of positive cognitions (r = .48, p < .01) and relocation controllability (r = …

Strategies For Sustaining Self Used By Family Caregivers For Older Adults With Dementia, Margaret J. Bull

College of Nursing Faculty Research and Publications

The negative health consequences of caring for an older adult family member with dementia are well documented. However, not all family caregivers experience these negative health consequences. The purposes of this study were to describe strategies family caregivers use to help them continue to provide care for an older family member with dementia despite challenges and describe these family caregivers’ resilience and psychological distress. A mixed methods design was used with a narrative approach dominant and standardized scales for resilience and psychological distress used to enhance the description of the sample. Data were collected through telephone interviews with 18 family …

Community-Dwelling Older Adults' Adherence To Fall Prevention Recommendations, Suzänne Fleming Taylor

Theses and Dissertations

Falling among older adults is a leading cause of concern due to the known impacts including physical injury, loss of independence, increased health care costs, and mortality. In efforts to decrease the numbers of falls experienced by older adults, healthcare providers assess individuals’ fall risks and provide corresponding fall prevention recommendations. The effectiveness however, of these recommendations, is only as strong as the level of adherence to those recommendations; which has proven low in recent research. Using the theoretical foundation of the Health Belief Model, this study quantified adherence to environmental fall prevention recommendations. Twenty-two community-dwelling older adults participated in …

Evaluating Needs Of Older Adults In Massachusetts Communities, Hayley P. Gleason, Caitlin Coyle, Bernard A. Steinman, Ceara R. Somerville, Jan Mutchler

Office of Community Partnerships Posters

Throughout Massachusetts, the ongoing demographic shift toward an older population has required most cities and towns to reevaluate the adequacy of services and programs for older adults. By 2030, the vast majority of municipalities in Massachusetts will have unprecedented proportions of people age 60 or over.

Addressing The Supportive Transportation Challenges Of Community-Residing Older Adults, Nina M. Silverstein, Kristina M. Turk, Laura Adams, Holly Belanger, Linnea Burke, Stephen Jones, Lauren Lee, David Lopez, Keith Sherman, Lee Paradis, Erin O’Neill, Alycia Rao, Rachael Solano

Office of Community Partnerships Posters

The ability to get to where you want to go, when you want to go there is a key factor for aging-in-place in our communities. It is often taken for granted until that ability is compromised. The informal network of family and friends, if it exists, is not likely to be a sustainable transportation alternative for persons with cognitive impairment or for older adults with limitations that may not fit eligibility criteria for senior transportation services, where they exist. The purpose of this study was to investigate the potential of communities to address the specialized supportive mobility needs of community-residing …

In The Best Interest Of The (Adult) Child: Ideas About Kinship Care Of Older Adults, Tezra Jennings, Tam E. Perry, Julia Valeriani

Social Work Faculty Publications

This article uses a qualitative, ethnographic approach to examine the experiences older adults and their kin, as the older adult engages in relocation. Studies looking at caregiving by kin for older adults highlight burdens for the adult child. This study offers a life course perspective on kinship care, analyzing older adults’ decisions’ to move. It was found that many older adults are strongly influenced by the desire to not be cared for by their kin as well as to select housing near their existing social network, which might exclude kin. In conclusion, policy implications are discussed.

Feasibility Of A Brief Community-Based Train-The-Trainer Lesson To Reduce The Risk Of Falls Among Community Dwelling Older Adults, Katherine B. Gunter, Deborah H. John

Journal of Extension

The Better Balance, Better Bones, Better Bodies (B-Better©) program was developed to disseminate simple home-based strategies to prevent falls and improve functional health of older adults using a train-the-trainer model. Delivered by Family & Community Education Study Group program volunteers, the lesson stresses the importance of a physically active lifestyle to optimal health and promotes "best practice" strategies to prevent falls. Data from 235 program participants show participants gained knowledge and learned to reduce their risk of falls during this one-hour brief encounter. Over 80% reported intent to change behavior related to physical activity and to perform home safety checks.

Evidence-Based Review Of Interventions For Medically At-Risk Older Drivers, Sherilenne Classen, Miriam Monahan, Beth Auten, Abraham Yarney

Collected Faculty Scholarship

OBJECTIVE. To conduct an evidence-based review of intervention studies of older drivers with medical conditions.

METHOD. We used the American Occupational Therapy Association’s classification criteria (Levels I–V, I 5 highest level of evidence) to identify driving interventions. We classified studies using letters to represent the strength of recommendations: A 5 strongly recommend the intervention; B 5 recommend intervention is provided routinely; C 5 weak evidence that the intervention can improve outcomes; D 5 recommend not to provide the intervention; I 5 insufficient evidence to recommend for or against the intervention.

RESULTS. For clients with stroke, we recommend a graded simulator …

Factors That Influence Undergraduate Communication Sciences And Disorders Students’ Clinical Preferences, Amanda Fry

Honors Projects

The purpose of the current study was to explore factors that influence undergraduate students’ clinical preferences. Specifically, the study examined the factors that may relate to undergraduate communication sciences students’ knowledge of, and interest in working with older adults. Undergraduate students in communication sciences programs from across Ohio were recruited for participation for an online survey. Data from 152 undergraduate students’ from 7 universities and colleges in Ohio were evaluated using descriptive statistics and Pearson Correlation Coefficients. Results indicate that participants had knowledge of older adults and the adult lifespan, but did not feel prepared to demonstrate this knowledge in …

The Difference In Perception Of Gerotranscendence Between College Students And Healthy, Community-Dwelling Older Adults, Duc Viet Lai

All Graduate Theses, Dissertations, and Other Capstone Projects

Within the field of gerontology, some notable attempts to explain the aging process include activity theory, disengagement theory, Erikson's eight stages model, and socioemotional selectivity theory. The theory of gerotranscendence, recently developed by Lars Tornstam (1989), incorporates some aspects of these theories, and seeks to provide an overarching theme to the process of aging. The theory of gerotranscendence explains a shift in meta-perspective that a person experiences as they live, from a more materialistic and pragmatic view of the world to a more cosmic and transcendent one. Corresponding with this shift, the gerotranscendent individual exhibits certain behaviors, some of which …

The Effects Of Geriatric Sexual Orientation On Caregiver Reactions To Resident Sexual Behavior Within Long-Term Care Facilities, Andrew Jonathan Ahrendt

All Graduate Theses, Dissertations, and Other Capstone Projects

Within the paucity of literature regarding older adult sexuality, a larger dearth exists concerning biases of long-term care facility staff toward gay and lesbian older adult residents. Prior literature has documented that LGBT (lesbian, gay, bisexual, and transgender) individuals' perceive that they do not receive the same quality of care as that of heterosexual individuals within long-term care facilities. Thus researchers aimed to evaluate whether these biases truly exist within care facilities that can prevent holistic care from being comprehensively provided to everyone regardless of sexual orientation. 153 residential care facility staff members from two separate facilities read one of …

Encouraging Occupation: A Systematic Review Of The Use Of Life Review And Reminiscence: Therapy For The Treatment Of Depressive Symptoms In Older Adults, Allison P. Zuiderveen, Caitlin M. Ivey, Sarah A. Dordan

Older Adult

Objective: The present systematic review attempts to investigate the efficacy of both life review and reminiscence therapy interventions in the treatment of depressive symptoms in older adults. This review also attempts to clearly define each intervention; thereby determining which type of therapy was actually performed in previous research studies.

Methods: A systematic review of the literature was conducted using three databases: CINAHL, PubMed, and PsycINFO. Six studies met the inclusion criteria and pertinent variables were extracted for data analysis.

Results: In all six articles, the reminiscence therapy or life review intervention was found to be effective in the treatment of …

Using Computers And The Internet: The Experiences Of Older, Vicki P. Winstead

All ETDs from UAB

reproduction such as egg survival, hatchling survival, and sex ratios. The initial two

Examining Predictors Of The Longitudinal Trajectories Of Diabetes Distress And Depressive Symptoms In A Sample Of Older Adults With Diabetes, Larita Jones

All ETDs from UAB

Objectives: The authors investigated the relationships between race, cognitive function, life-space mobility, comorbidity, and depressive symptoms over time; as well as the relationships between race, cognitive function, life-space mobility, comorbidity, and diabetes distress over time. Methods: The sample included 224 community-dwelling older adults (age 65<) previously diagnosed with diabetes. The current study utilized data from telephone interviews at three different time points (baseline, 1 year follow up, and 2 year follow up). Results: A number of significant correlations were found. Potentially most importantly, results from the final model indicated that those participants who were lowest in self-efficacy were the most at-risk for experiencing diabetes distress and/or depressive symptoms. Conclusion: Findings suggest that interventions aimed at reducing diabetes distress and/or depressive symptoms within this population should focus on social support and disease specific self-management education as two cost-effective and easily manipulated avenues to achieving this goal.

Older Adults’ Contributions To The Tsimane Forager-Farmer Economy, Eric Schniter

Psychology Faculty Articles and Research

Portfolio of original photographs and an accompanying essay about the role of elders among the Tsimane, an indigenous group living in the Bolivian Amazon.

Family Caregivers’ Knowledge Of Delirium And Preferred Modalities For Receipt Of Information, Margaret J. Bull, Lesley Boaz, Jennifer M. Sjostedt

College of Nursing Faculty Research and Publications

Delirium is a life-threatening, frequently reversible condition that is often a sign of an underlying health problem. In-hospital mortality alone for older adults with delirium ranges from 25% to 33%. Early recognition of delirium is critical because prolonged duration poses a greater risk of poor functional outcomes for older adults. Family caregivers, who are familiar with the older adult’s usual behaviors, are most likely to recognize delirium symptoms but might dismiss them as due to aging. It is important to learn what family caregivers know about delirium to ascertain their need for education. The aims of this study were to …

A Good Old Age: Experiencing A Satisfying Life, Kaitlin Thimann

Boise State University Theses and Dissertations

The definition of successful aging has been changing, however, there is a lack of current studies on existing aging trends and how to experience a good old age. The purpose of this study is to identify and describe themes and factors that can lead to an individual experiencing a good old age. This study is a qualitative, exploratory ethnography in which interviews were used to gather information on a good old age from adults aged sixty-five and older. The study revealed that there were several common factors throughout the interviews. Physical and mental health, social support, and financial stability are …

Relational Ecology: A Theoretical Framework For Understanding The Human-Animal Bond, Jennifer M. Putney

The Journal of Sociology & Social Welfare

This qualitative study investigated the perceived impact of companion animals on the psychological well-being of lesbian women over age 65. Twelve women, ranging in age from 65-80, were interviewed with a semi-structured interview guide. Four thematic findings are highlighted: love and attachment, animals in transitional spaces, challenges and rewards of caregiving, and preparation for death. The author offers the term "relational ecology" to explain how animals contribute to well-being. This integrates the growth task model of human development, object relations theory, liminality, and deep ecology.

The Life Reflection And Consequences Of Older Adults’ Relationships: An Empirical Study, Sylvia Lindinger-Sternart, John Laux

Adultspan Journal

No abstract provided.

Suicide In Older Adults : Helping Case Managers Engage In Difficult Conversations : A Project Based Upon An Independent Investigation In Collaboration The Producer Of The Film "Talking With Dolores", Darlene O'Connor, Jennelle Liljestrand

Theses, Dissertations, and Projects

Suicide among older adults is an increasing mental health concern in the United States, and yet depression and other signs of suicide often go unnoticed. The film and discussion guide "Talking with Dolores" was funded by the Massachusetts Department of Public Health to increase awareness of warnings of depression and suicide in the elderly and demonstrate ways of conversing with them about suicide. Because of their unique contact with older individuals in their own homes, geriatric case managers are positioned as a gateway to necessary psychosocial support for elders, yet may not be receiving adequate training for the initial detection …

Professional Experience, Motivation And Preparedness For Practice With Older Adults : Implications For The Msw Curriculum, Nicole M. Loux

Theses, Dissertations, and Projects

This quantitative study explores Smith College School for Social Work (SCSSW) Master of Social Work (MSW) alumni perceptions of the SCSSW curriculum in the area of agingrelated practice, and the contribution of their educational experience to their preparedness, motivation, and decision to work with older adults. SCSSW MSW alumni from the years 2007 to 2011 (N = 77) comprised the study sample. The 50-item online survey, including two openended questions, was emailed to participants based on contact information they had provided to the alumni office of the School. Questions included original items developed by the author of this study and …