Digital Commons Network^™

Memory Training For Older Adults With Mild Cognitive Impairment, Charlotte A. Allsop, Dr. Barbara Heise

Journal of Undergraduate Research

Dementia is manifested by a severely limited memory and performance of cognitive abilities. Mild Cognitive Impairment (MCI) is an early stage of memory loss which can later lead to Dementia. It has been proven that you can delay cognitive dysfunction, e.g. memory, by “training the brain” through various cognitive exercises. However, those with MCI are difficult to detect because their memory loss is subtle. The purpose of this study is to first, enhance MCI recognition in elderly individuals and second, to determine the efficacy of memory training in the community.

The Effect Of Age On Speech Motor Performance During Divided Attention, Dallin J. Bailey

Theses and Dissertations

The present study examined the divided attention effects of three non-speech tasks on concurrent speech motor performance. These tasks targeted linguistic, cognitive, and manual motor activity. Participants included 60 healthy adults separated into three different age groups of twenty participants each: college-age (20s), middle-aged (40s), and older adults (60s). Each participant completed a speech task once in isolation and once concurrently with each of the three non-speech tasks: a semantic decision task, a quantitative comparison task, and a manual motor task. The non-speech tasks were also performed in isolation. The speech task involved repeating a target phrase each time a …

Lift Up Your Voice! Health Care Advocacy Training Program: Empowering Older Adults, Nina M. Silverstein, Alison Gottlieb, Kelli Barton, Gerontology Institute, University Of Massachusetts Boston

Office of Community Partnerships Posters

Lift Up Your Voice! (LUYV) is a health care advocacy training program developed by Community Catalyst and funded through Atlantic Philanthropies. LUYV directly engages older adults with chronic disease in state-based Campaign for Better Care initiatives to achieve changes in the health care delivery system.

Characteristics Of Hoarding In Older Adults, Gretchen J. Diefenbach, Jennifer Dimauro, Randy O. Frost, Gail Steketee, David F. Tolin

Psychology: Faculty Publications

Objective: This study determined the clinical characteristics of late-life hoarding disorder (HD). Methods: Older adults (age 60 and older) with HD (n = 55) and without psychiatric diagnoses (n = 39) were compared on psychiatric, functional, cognitive, and health-related measures. Associations between age and clinical characteristics in a large sample of mixed age (n = 210; age range: 20-78) participants with HD were also determined. Results: Individuals with late-life HD were characterized by substantial impairments in psychiatric, functional, cognitive, and medical status. Health risks (e.g., risks of falls and fire) were also common. However, older age was generally not associated …

Early And Intermediate Hospital-To-Home Transition Outcomes Of Older Adults Diagnosed With Diabetes, Jacqueline Lamanna

Electronic Theses and Dissertations

Over 5 million older adults with diabetes are hospitalized each year. Though typically not the index condition that leads to hospitalization, diabetes control often decompensates during the course of an admission and necessitates changes in home self-management plans. The specific transitional care needs of older adults with diabetes have been largely unstudied. Transition theory provided the guiding framework for this research and proposes that each transition is a complex process created by the continuous interaction of personal, community, and societal-level conditions that facilitate or inhibit the health of a transition. Hospitalization has been described as a series of three successive, …

A New Approach To An Old Problem: Defining Nursing’S Role In Successful Transitions To Long-Term Residential Care, Kyleen Aldrich

Honors College Theses

A growing body of nursing research addresses the transitional period for older adults entering long-term residential care. However, gaps exist in our understanding of nursing’s role in the transition process. Our aim is to examine the available evidence and develop a model of nursing strategies and interventions to ease the transition to long-term care. This model describes interventions that nurses can incorporate into everyday practice.

A literature review was conducted to examine the transitional care needs and interventions for older adults with a goal of developing a model addressing transitions to long-term care.

Most nursing studies provided descriptive information about …

Snap Use Among Older Adults, Jennifer R. Geiger

LSU Master's Theses

Older adults participate in the Supplemental Nutrition Assistance Program (SNAP) at much lower rates than the general population. Possible explanations for this disparity include stigma, lack of information, and lack of transportation. However, past research focusing on SNAP use among older adults is limited and utilizes age cohorts in their analyses that may not accurately reflect actual age differences in SNAP participation. This study explored four different models of age categorizations as they relate to SNAP participation rates among older adults over 55. Using a sample of 10,116 from the nationally representative Health and Retirement Study (HRS), the research used …

Screening Techniques : Clinicians' Views And Approaches To Assessing Alcohol And Substance Use In Older Adults, Erin M. Conlan

Theses, Dissertations, and Projects

This qualitative study examined how New York State licensed clinicians approach the initial assessment and ongoing treatment of older adults (55+) identified to be struggling with alcohol or substance misuse issues. The research questions specifically asked: Do clinicians assess for alcohol and substance misuse in the older adult patients they serve? What are the mediating factors within this assessment and treatment process? This study was initiated in an exploratory fashion because of the limited amount of research available which investigates the relationship between clinicians' attitudes and approaches to this work with the rapidly growing older adult populations they serve. Given …

Medication-Related Problems Experienced By Patients During Transitions To Assisted Living, Deanna Flora

Theses and Dissertations

Medication reconciliation is a systematic and comprehensive review of medication regimens during care transitions aiming to prevent adverse drug events. Poorly executed transitions negatively impact patient welfare and cause financial burden. Medication-related problems (MRPs) experienced during transitions to an assisted living facility (ALF) were evaluated. Data was collected from pharmacy records for transitions to an ALF over three months, including demographics, medications, potentially inappropriate medications, and MRPs. MRPs were categorized and summarized using descriptive statistics. Forty-five patients (71% female) experienced 59 transitions. Average age was 85.6 years. Median length of stay away from the ALF was three days. There were …

The National Elder Economic Security Standard Index, Gerontology Institute, University Of Massachusetts Boston

Gerontology Institute Publications

The Elder Economic Security Standard Index (Elder Index) is a new tool for use by policy makers, older adults, family caregivers, service providers, aging advocates, and the public at large. Developed by the Gerontology Institute at the University of Massachusetts Boston and Wider Opportunities for Women (WOW), the Elder Index is a measure of income that older adults require to maintain their independence in the community and meet their daily costs of living, including affordable and appropriate housing and health care. The development and use of the Elder Index promotes a measure of income that respects the autonomy goals of …

Eating Behaviors Of Older Adults Participating In Government-Sponsored Programs With Different Demographic Backgrounds, Yeon Bai, Shahla M. Wunderlich, Joseph Brusca, Johnson-Austin Marti, Michelle O'Malley

Department of Nutrition and Food Studies Scholarship and Creative Works

The purpose of this study was to determine the food behaviors of nutritionally high-risk seniors as a function of their racial background, gender, marital status, and education level. A total of 69 seniors were identified to be at high nutritional risk using the Nutrition Screening Initiative (NSI) checklist. A supplemental questionnaire (SQ) was created to examine the risk factors in relation to the participant’s demographic background. Key results indicated that Asians practiced healthy food behaviors and women were more likely to eat alone (p≤0.05). Married participants (90.9%) were most likely to consume 2 meals or more each day. College educated …

Evaluation Of A Cooperative Extension Service Curriculum On Empowering Older Adults With Assistive Technology To Grocery Shop, Prepare Food, And Eat, Janice R. Hermann, Jan. H. Johnston, Whitney A. Brosi, Linda Jaco

Journal of Extension

The Empowering Older Adults with Assistive Technology to Shop, Cook and Eat curriculum was designed to provide education about concepts of empowerment and assistive technology for grocery shopping, preparing food, and eating. The curriculum included examples and hands-on demonstrations of assistive technology devices for grocery shopping, food preparation, and eating. Results of post-then-pre evaluation with 100 participants revealed significant increases in awareness and comfort using assistive technology devices. Evaluation indicated education and hands-on demonstrations increased awareness of the importance of older adult nutrition and older adult empowerment through use of assistive technologies designed to facilitate independent living.

The Service Use Index: A Tool For Examining Rural/Urban Differences, Rosemary K. Chapin Ph.D., Beth Anne Baca Msw, Skye N. Leedahl Ma, Roxanne Rachlin Mhsa, Xanthippe Wedel Bs, Mary K. Zimmerman Phd

Contemporary Rural Social Work Journal

Development of tools for identifying and tracking differences in older adult service utilization by race, ethnicity, income, and geographic area is vital in the face of current demographic and economic changes in rural areas, particularly in areas experiencing rapid demographic changes. In this conceptual article, we explain how to calculate a service use index that compares service utilization of a specific group of older adults to that of the entire older adult population. We then illustrate its usefulness with a case example using geographic information systems (GIS). This unique approach can be utilized to understand differences across fields of practice, …

Day-To-Day Variability In Nap Duration Predicts Medical Morbidity In Older Adults, Natalie D. Dautovich, Daniel B. Kay, Michael L. Perlis, Joseph M. Dzierzewski, Meredeth Rowe, Christina S. Mccrae

Nursing Faculty Publications

Objective: The objectives for the present study were to (a) examine within-person variability of nap duration and (b) assess how variability in nap duration is related to the number of health conditions in a sample of older adults. For highly variable behaviors such as sleep, it is important to consider fluctuations within the person instead of solely comparing averages of behaviors across persons. Method: Data were drawn from a previous study examining sleep in 103 community-dwelling older adults. Subjective estimates of napping behavior were obtained from sleep diaries and objective estimates of napping behavior were obtained using actigraphy. Both measures …

Long Term Care Insurance Beyond The Class Program, Amy Restorick Roberts, David B. Miller, Merl C. "Terry" Hokenstad Jr.

The Journal of Sociology & Social Welfare

The Community Living Assistance and Supports (CLASS) program, created under the Patient Protection and Affordable Care Act, established a federally-administered, voluntary insurance program that allows for working adults to purchase insurance to cover the cost of long term support services. The CLASS program is the first step towards moving away from a welfare-based system, improving consumer choice, and creating a stable funding source for long term care needs. Enrollees in the CLASS program who meet benefit eligibility requirements and need care assistance will receive a cash benefit to pay for supportive services such as home health care, adult day services, …

Health-Related Quality Of Life And Future Care Planning Among Older Adults: Exploring The Role Of Hope As A Moderator, Jodi L. Southerland

Electronic Theses and Dissertations

Older adults have an increased risk for illness and disease, factors that can lead to functional impairment and intensify the need for reliance on supportive services. Planning for long-term care needs is a vital component of healthy aging and continued autonomy. Yet, many older adults fail to make plans in advance, perhaps due to differences in personal characteristics.

The moderating effects of trait hope on the relationship between health-related quality of life (HRQoL) and preparation for future care needs (PFCN) was studied in a sample of 65 older adult primary care patients (<65 years) in western New York. Participants completed a questionnaire on 5 dimensions of PFCN (awareness of risk, information gathering, decisions about care preferences, concrete planning, and active avoidance). In addition, data were collected on five HRQoL domains (physical function, physical role function, emotional role function, social function, and bodily pain) and trait hope. Moderated multiple regression was used to test the moderator hypothesis controlling for personal characteristics. Post-hoc probing was used to further examine significant interactions.

At the bivariate level, social functioning, physical …

Evaluation Of Lift Up Your Voice! Advocacy Training For Older Adults And Their Caregivers: Executive Summary, Alison Gottlieb, Nina M. Silverstein, Kelli Barton

Gerontology Institute Publications

The Lift Up Your Voice! (LUYV) training, a component of Community Catalyst’s effort to support the Campaign for Better Care (CBC), is designed to mobilize grassroots advocacy structures of vulnerable older adults by directly engaging and empowering older adults and their caregivers. The goal of the evaluation is to assess the effectiveness LUYV in recruiting potential advocates, educating them about the health care reform, empowering them via advocacy skills training, and engaging them in state-based CBC activities.

Student Attitudes Toward Older Adults, Anna Feenstra

Honors Theses

An aging American population means more older adults will be entering the health care system. The purpose of this study is to evaluate the attitudes of nursing students toward older adults and to determine if these attitudes change over the course of a nursing program. This study was carried out in a university in the Midwest United States. A pre-test post-test single group design was used for this study. Students were surveyed three times throughout the program using Kogan’s Old People scale (KOP) and a demographic questionnaire. Testing was conducted at the beginning and end of the sophomore geriatric course …

Golf: An Alternative Form Of Physical Activity For An Aging Population, Lisa Richardson

Honors Theses

It has been found that breaking an exercise into multiple ten minute bouts can provide the same results as a lump bout of the same time (American College of Sports Medicine, 2010). Though little research has been done on its effectiveness as a modality of physical activity, golf, due to the considerable amounts of walking involved and the social and leisure nature of the game, could be used as an option of physical activity for older adults. In this literature review, the primary goal is to investigate the literature regarding how much energy an older adult could predictably expend while …

Emotional Distress In Older Adults With Cancer : A Multilevel Longitudinal Study., Tara J. Schapmire

Electronic Theses and Dissertations

Data from the Health and Retirement Study (HRS) were used to examine factors that influence emotional distress in older adults with cancer, arid to learn whether these distress trajectories are different from older adults without cancer. The model investigated the influence of life course factors, internal, external and health-related resources on distress over eight years among a nationally representative sample of older adults ages 50-91. Methods: This longitudinal panel study tested a multilevel random intercept multinomial ordered categorical model with a two-nested-Ievel structure using empirical Bayes Markov chain Monte Carlo (MCMC) estimation. The model examined individual differences in distress over …

Social Involvement, Existential Awareness, And Perceived Vulnerability In Older Adults, Maria Zarlengo

Dissertations

The current study explored perceptions of old-age vulnerability by seniors as well as separate and combined effects of social involvement and existential awareness on the level of perceived vulnerability to aging. Two hundred and forty four seniors participated in the study. The data were collected with the use of a 101-question survey based on three published measures plus demographic questions. The dependent (criterion) variable was the vulnerability to old age measured by the Perceived Vulnerability Scale (PVS). The explanatory (predictor) variables included the degree of social involvement measured by the Social Provisions Scale (SPS) and the level of existential awareness …

My Community, My Voice: Rural Older Adults Speak Through Photography, Laura Stephenseon

Journal of Extension

Extension educators can serve as a catalyst to engage rural older adults to build community awareness and support healthy lifestyle choices. The study reported investigated rural elders' views of the supports and challenges for physical activity through the community-based participatory process. Older adults photographed their community to collectively assess issues they faced in maintaining active lifestyles. Elders identified and reported aspects of personal and community choice that serve to act as supports or barriers for their physical activity. Elders' engagement in community issues identification can serve to promote positive health behavior practices throughout the lifecycle.

Formative Assessment Of Assistance Needed With Grocery Shopping And Preparing Food Among Rural Community-Dwelling Older Adults, Janice R. Hermann, Whitney A. Brosi, Ja.N H. Johnston, Linda Jaco

Journal of Extension

The study reported here assessed assistance needed with grocery shopping and food preparation among 369 rural community-dwelling older adults. Needing assistance with grocery shopping and food preparation was reported by 21% and 16% of participants, respectively. Among participants needing assistance with grocery shopping and food preparation; 25% and 33%, respectively, reported they never or rarely received the needed assistance. Approximately two-thirds of participants reported they were most likely to receive assistance from their spouse or children. Education on assistive technology designed to facility independent living could assist with many physical limitations community-dwelling older adults experience with grocery shopping and food …

Perceived Need Of Mental Health Care Identified Residents, Administrators, And Direct Care Staff Of An Assisted Living Facility , Clarissa Nicole Gayer

Doctor of Psychology (PsyD)

No abstract provided.

The Effects Of Stressors On Depressive Symptoms In A Sample Of Older Adults With Diabetes, Larita Clarice Jones

All ETDs from UAB

Objectives: The authors investigated the relationship between various factors related to stress--demographic variables, comorbid health problems, cognitive function, and disease-related distress--and depressive symptoms. Method: The sample included 234 older adults (65 years or older) who had been diagnosed with diabetes. These individuals completed a telephone interview related to living with diabetes. Results: Results in the final model indicated that high levels of diabetes-related distress (B = .49, p < .0001), suffering a stroke (B = .20, p < .0001), and reporting neuropathy (B = .13, p =.0102) were each individually associated with a greater number of depressive symptoms. Results also suggest that diabetes-related distress acts as a mediator of the association between cognitive function and depressive symptoms. Discussion: Findings suggest that interventions targeted to help older adults properly manage their diabetes and reduce the likelihood of experiencing additional complications may lead to a cost-effective option for reducing depressive symptoms within this population.

Multisite Recruitment And Data Collection Among Older Adults : Exploring Methods To Conserve Human And Financial Resources., Valerie Lander Mccarthy, Karen Cassidy

Faculty and Staff Scholarship

The purpose of this article is to describe strategies that were effective in recruitment and data collection among older adults in 3 quantitative studies while decreasing costs in terms of time and money. Factors effective in reducing use of investigators' time and expenses included limiting exclusion of data because of abnormal Mini-Cog scores by careful initial screening and avoiding repeated reminders or follow-up, collecting data in small groups, collapsing consent, dementia screening, and data collection into single sessions, as well as accommodating for sensory and literacy deficits. The cross-sectional, descriptive studies were conducted among community-dwelling older adults attending senior citizen …

Age And Premorbid Intelligence Suppress Complaint-Performance Congruency In Raw Score Measures Of Memory, Matthew Merema, Craig Speelman, Elizabeth Kaczmarek, Jonathan Foster

Research outputs 2012

Background: We aimed to examine the role of age and premorbid intelligence (IQ) in suppressing the relationship between subjective memory complaints (SMCs) and raw score memory performance. Methods: We used a community sample of older adults aged 66"90 years (N = 121) to test whether the inclusion of age and a premorbid IQ measure in multiple regression analyses increased semipartial correlations of raw score memory performance in predicting SMCs. Rank contrast correlations were also carried out to observe how age and premorbid IQ are related to complaint"performance congruency. Measures utilized in the study included the Memory Functioning Questionnaire (for SMCs), …

Interpersonal Psychotherapy For Depressed Retirees: Developing And Testing A Clinical Treatment Manual, Sue G. Miller

Theses: Doctorates and Masters

Most workers adjust well to retirement, but some experience depression due to poor adjustment. No evidence-based treatments were identified that targeted the developmental needs of this complex transition. In phase 1, a treatment manual (IPT-RM) was developed. The manual comprised an adaptation of Interpersonal Psychotherapy. In phase 2, a pilot study was conducted to determine the treatment’s feasibility. A series of non-experimental AB singlecase studies was conducted with nine retirees. All research participants’ depressive symptoms receded into the non-depressed range by the end of the study. The IPT-RM treatment manual was developed to a Stage 1 level, which incorporated peer-reviewed …

Health Disparities And Depression In Rural And Urban Older Adults., Jennifer Ann Zimmerman

Electronic Theses and Dissertations

Depression is one of the most prevalent psychiatric conditions experienced by older adults and represents a major public health concern. Rural/urban residence may affect the prevalence of depression as rural older adults differ from their urban counterparts in many respects. One important difference found in the literature is that rural OAs are often faced with more health disparities (HDs) compared to their urban counterparts. The current study investigated the association between HDs and depression in a sample of rural and urban OAs, and examined whether HDs contribute to our understanding of how rurality impacts the prevalence and severity of depression. …

The Effect Of Acceptance Training On Psychological And Physical Health Outcomes In Elders With Chronic Conditions, Patricia Mcdonald, Jaclene Zauszniewski, Abir K. Bekhet, Laura Dehelian, Diana L. Morris

College of Nursing Faculty Research and Publications

This pilot trial investigated the short and long-term effects of Acceptance Training (ACT) intervention on acceptance, perceived health, functional status, anxiety, and depression in elders with chronic conditions living in retirement communities (RCs). The ACT intervention combined Rational Emotive Behavior Therapy with music, relaxation, and guided imagery during six weekly 2-hour sessions. Face-to-face interviews were conducted with 16 African-American and 46 White elders across four data collection points in six randomly selected RCs using well-established measures of perceived health, functional status, anxiety, and depression, and a measure of acceptance of chronic conditions adapted from a previous measure of acceptance of …