Digital Commons Network^™

The Positivity Effect In Contracts, Megan Kathryn Stricker

College of Science and Health Theses and Dissertations

The positivity effect is a noted preference for positive information over negative information in older adults’ cognition. This effect has been observed in multiple domains of cognition, including both attention and memory (Carstensen & Mikels, 2005). Evidence for the positivity effect has shown up consistently in replications across type of memory (Reed et al., 2014), and this phenomenon can be considered within the context of other trends of cognitive aging. Most if not all research in this area has been constrained to laboratory settings, and there has been limited research as to the context sensitivity of this observed effect. What …

Healthy Bytes: Enhancing Health Literacy In Older Adults Through Technology Services, Gianna M. Susa

Master's Projects and Capstones

This quality improvement project aimed to enhance health literacy among senior residents through interactive technology workshops. Aim During a twelve-week period from January 22, 2025, to March 31, 2025, this project aimed to increase technology proficiency among senior residents from 0% to 75%. Methods A 5P Microsystem assessment and preliminary survey revealed residents' interest in technology workshops. Based on this feedback technology workshops were implemented once a week for a twelve-week period. Each session provided one on one support to help residents navigate online health portals, communicate with providers, and interpret health information. A SWOT analysis and Fishbone analysis were …

Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris

Adultspan Journal

This perspective article explores the integration of positive psychology interventions (PPIs) and spirituality in therapy to foster meaning and well-being in older adults. It highlights exercises such as the positive introduction, positive legacy, character strengths, mindfulness, mindful-based yoga, and a manifestation prayer journaling. The interventions presented are tools to support older adults that may experience depression, difficult life transitions, and the search for renewed meaning. Therapists who integrate PPIs and spirituality into therapy can promote a holistic, non-pathological approach to treatment.

Improving Brain Health: Exercise As A Tool For Enhancing Executive Function And Reducing Stress In Older African Americans, Destiny Ellise Ramos

Theses, Dissertations and Culminating Projects

Older African American (AA) adults face disproportionately higher risk of stress and Alzheimer's Disease and Related Dementias (ADRD) compared to other racial and ethnic groups, yet they remain underrepresented in intervention-based research. Previous research has suggested aerobic exercise may reduce stress and benefit executive functioning, which is among the first cognitive domains to be affected in ADRD; however, no studies to date have directly tested the impact of aerobic vs. non-aerobic exercise in older AAs at high risk for developing ADRD. The current study evaluated the effects of a group-based cardio dance fitness (CDF) exercise intervention versus a strength, flexibility, …

Household Wealth And Mental Health In Older Adults Across Racial Groups: Moderating Role Of Social Support, Sunkanmi Folorunsho

Department of Sociology: Dissertations, Theses, and Student Research

This thesis examines the relationship between household wealth and mental health outcomes among older adults, with particular attention to racial and ethnic differences and the potential moderating role of social support. Although financial resources are widely recognized as important determinants of psychological well-being, less is known about how social support interacts with economic conditions to shape mental health in later life. The study also addresses how these patterns may vary among different racial and ethnic groups, given persistent inequalities in wealth and disparities in access to social resources.

Drawing on data from the 2020 wave of the Health and Retirement …

Memory Matters: Cognitive Screenings For Dementia Detection In Monterey County, Cintia Gonzalez

Capstone Projects and Master's Theses

The rates of Alzheimer’s disease in Monterey County are increasing. The Healthy Aging program from the Monterey County Health Department strives to promote the well-being and health of older adults and caregivers in Monterey County by offering education on brain health, support in adopting healthy lifestyles, and connecting to community services. Memory Matters is an example of a training or educational intervention. The purpose of Memory Matters is to bridge the gap of insufficient access to early detection of dementia by bringing awareness to brain health, and facilitating the conversation of cognitive exams with older adults, their caregivers, and their …

Lived Experiences Of Older Adults After Involuntary Work Separation, Mark Mallock Rose

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to describe the lived experiences of those subjected to involuntary work separation at age 50+ in the United States. The literature concerning involuntary job loss is lacking in research pertaining to the 50+ age demographic. This research is important in the aspect that older workers face specific challenges that their younger counterparts may not after involuntary work separation. Understanding the psychological responses, positive aspects, and negative aspects of involuntary job separation in older adults added to the literature for those aged 50+. The research design was qualitative inquiry using virtual recorded interviewing …

Older Women In The U.S. Were Lonelier Than Men During The Covid-19 Pandemic, Qiyu Deng

Population Health Research Brief Series

Loneliness damages health and quality of life. The COVID-19 pandemic increased social isolation and loneliness among some groups in the U.S. This data slice uses data from the 2020 Health and Retirement Study to examine gender and age differences in loneliness among older adults (50+) in the U.S. during the first year of the pandemic. The author finds that loneliness was more prevalent among women than among men, with the highest rate among women ages 80 and older.

Older Adults’ Health, Ethnicity, And Daily Life, Hyunsook Kang, Mihae Bae

Faculty Publications

Abstract

This study examines the relationship between ethnicity and daily functional disabilities among older adults, focusing on Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). The analysis uses data from the 2020 National Social Life, Health, and Aging Project (NSHAP) survey, which included a sample of individuals aged 57-85 (n=3,005). Respondents provided information on their demographic background (e.g., income, gender, race, age, health, retirement, and marital status) and socioeconomic characteristics through telephone interviews.

The study hypothesized that ethnic differences would be evident in perceived difficulties with ADLs and IADLs in later life. To assess these relationships, …

Deprescribing: The Skill Of Less Pills, Vivian L. Villarreal

Cohort XIII

Background: Polypharmacy is a growing concern in geriatric medical care, increasing the risk of adverse drug events (ADEs), cognitive decline, falls, and hospitalizations. Multiple prescriptions result in potentially inappropriate medications (PIMs), leading to a prescribing cascade and medication overload for many patients. Numerous medications are deemed unnecessary or not appropriate, decreasing the quality of life. The lack of standardized deprescribing tools in clinical practice contributes to continued polypharmacy-related complications. The " project, was implemented at a PACE (Program of All-Inclusive Care for the Elderly) facility to improve medication management, patient safety, and quality of life through structured deprescribing interventions.

Methods: …

Effects Of The Vitality Acupunch Exercise Program On Older Adults With Probable Sarcopenia: A Mixed Methods Pilot Study, Brittany Murley, Kuei-Min Chen, Christine S. Gipson, Kevin Gosselin, Jenna Thornhill, Allison Ross, Kennedy Gladding, Beth Mastel-Smith

Nursing Faculty Publications and Presentations

Purpose: Age-related loss of muscle mass and strength is a highly prevalent condition in older adults in long-term care (LTC) facilities. This pilot study aimed to test the effects of a vitality acupunch (VA) exercise program on muscle mass, muscle strength, muscle endurance, functional fitness, activities of daily living, quality of life, and sleep quality of older adults in LTC facilities with probable sarcopenia in the United States and understand the experiences of residents who participated in the VA program. Design: A mixed-methods experimental design was used for this study. Methods: The quantitative phase included a sample of 27 participants …

Age-Related Motives For Substance Use And Outcomes Among Veteran Patients Receiving Detoxification Services: A Longitudinal Study, Erin L. Woodhead, Christine Timko

Faculty Research, Scholarly, and Creative Activity

Objectives: Study objectives were to examine (1) baseline differences in substance use motives (social, coping, enhancement, and physical discomfort) among older, middle-aged, and younger adults, and (2) whether age group moderated associations between substance use motives at baseline and substance use outcomes at six-month follow-up. Design: Participants were assessed at baseline and followed for six months (91.1%). Setting: U.S. military veterans receiving alcohol and/or opioid detoxification services. Participants: 298 participants in a study of telephone monitoring to improve detoxification outcomes. Measurements: Baseline substance use motives were measured using the Motives for Alcohol and Drug Use questionnaire. At baseline and 6-month …

A Comparison Study Of Sensory Processing In Older Adults With And Without Dementia, Medi̇ne Nur Özata Değerli̇, Di̇dem Karaduman, Burcu Balam Doğu, Onur Altuntaş

Turkish Journal of Medical Sciences

Background/aim: Sensory processing is affected by aging, and dementia may lead to changes in sensory processing. This study aimed to examine the differences in sensory processing and sensory modulation between older adults with and without dementia.Materials and methods: This study was designed as a comparative study of community-dwelling older adults aged 65 years and older with and without dementia. Participants and their caregivers were recruited at the occupational therapy clinic of a public hospital. They completed a sociodemographic information form and the Adolescent/Adult Sensory Profile to assess sensory processing and sensory modulation.Results: The study included 120 older adults (60 with …

Addressing Barriers To Equitable Telehealth For Older Adults, Bruce Leff, Christine S. Ritchie, Kristin L. Rising, Kendell Cannon, Liane Wardlow

Jefferson Center for Connected Care Faculty Papers

No abstract provided.

Knowledge, Awareness, And Attitude On Falls In Older Adults : A Survey Among Healthcare And Medical Undergraduates In Malaysia, Firdaus Mohamad Tahir, Sumaiyah Mat, Nurul Anis Sabrina Mohd Nadzir, Nur Afeeqah Azmi, Nurul Izzati Abdul Mun’Em, Edmund Sean Ong, Dhayaarschynee Sugumaran, Mohd Ridhwan Md Nadzri, Siti Khadijah Anuar, Pei Yun Chow, Shea Jing Lee, Shu Chin Teh, Anis Shahira Saadon, Nor Azlin Mohd Nordin, Normala Mesbah, Deepashini Harithasan, Nor Azura Azmi, Asfarina Zanudin, Devinder Kaur Ajit Singh

Internet Journal of Allied Health Sciences and Practice

Purpose: This study aimed to determine the level of knowledge, awareness, and attitude toward falls in older adults among healthcare and medical undergraduates in Malaysia. Method: A cross-sectional survey was conducted on 135 participants by distributing the questionnaire through online social media platforms such as Instagram, WhatsApp, Facebook, and Telegram. The questionnaires used include the Fall Knowledge Test, Question About Knowledge [fall risk assessment], Fall Risk Awareness Questionnaire, and Attitudes toward Fall Prevention. Results: The results showed high levels of knowledge, awareness, and good attitudes among the undergraduates. In addition, it was found that students with higher knowledge and …

The Functional Fitness Of The Community Dwelling Older Adults In Shan Dong Of Mainland China In Comparison With The Population In Hong Kong, Zongtao Li, Yu Teng, Huigang Wang, Hao Liu, Lei Zhao

International Journal of Physical Activity and Health

Purpose: To compare the functional fitness (FF) of the community dwelling older adults in Shan Dong (SD) of mainland China with their peers in Hong Kong (HK). Methods: 1887 older adults living in SD were measured with Senior Fitness Test (SFT) One sample T test was used to determine the age grooup difference in each FF component between the population of SD and HK. Results: Compared with their HK peers, SD older adults showed higher performance in the task of 30s arm curl, but lower abilities in 30s chair stand, back scratch, chair sit & reach, and 8 ft …

Assessing Older Adults’ Readiness For Adopting Fall Prevention Recommendations Using The Transtheoretical Stages Of Change, Janice Mark, Ankita Henry, Briana Moreland, Dawson Dobash, Gwendolyn Bergen

Nursing and Health Professions Faculty Research and Publications

Objectives: Reducing fall risk requires older adults (age 65+) to adopt effective prevention strategies. This study has three aims: 1) understand Stage of Change (SOC) for three fall prevention strategies; 2) determine strategies older adults’ use; and 3) understand which characteristics relate to readiness to take action.

Methods: A survey of 1063 older adults assessed fall risk, SOC, and use of fall prevention strategies. Data analysis included descriptive statistics and regression analysis.

Results: The most common SOC for older adults by strategy was action for overall fall prevention (61%), contemplation for medication management (45%) and preparation and …

Associations Between Older Hispanics’ Diabetes Control And Their Caregiver’S Health Literacy, Jorge Rico

Nursing Dissertations - Archive

Background: Older Spanish-speaking Hispanics are a rapidly growing population in the United States that face disproportionally high rates of diabetes and inadequate health literacy. Familism is valued among Hispanics and caregivers may play an important role in overcoming the social determinants of health facing this vulnerable population. Methods: This descriptive correlation study sought to explore correlations between the caregiver’s health literacy and the patient’s control of diabetes. Findings: Mixed effects model found a significant correlation between the caregiver’s print literacy and the patient’s hemoglobin A1c. Conclusion: The findings are encouraging for future research to explore interventions that target the caregivers …

The Lived Experiences Of Older Adults With Cancer Who Are Non-Adherent To Prescribed Oral Chemotherapy: A Descriptive Phenomenological Study, Ludmila Kosmari

Nursing Dissertations - Archive

Background: Despite the ease of receiving OCT, patients’ OCT adherence is low. With this low prevalence rate, patients are not likely obtaining the full life-promoting effects of OCT. Since medication adherence is often related to lived experiences and standardized medication adherence instruments may not capture these experiences completely, the purpose of this study was to explore how the lived experiences of older adults with cancer influence their adherence to OCT.

Methods: the researcher used a descriptive phenomenological design and conducted individual interviews with 20 older adults with cancer. All participants were prescribed OCT and reported missing at least one dose. …

Guideline On The Education And Use Of The Cognitive Assessment And Care Planning Services Visit For Patients 65 And Older With Cognitive Impairment, Katherine J. Koonce

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Introduction: The lack of education and use of the Cognitive Assessment and Care Planning Services (CACPS) visit creates a gap in care for Medicare patients over the age of 65 with cognitive impairment.

Methods: Recommendations were created from a robust collection of graded, evidence-based literature. The recommendations were presented to a set of stakeholders who rated each recommendation on a Likert scale from 1 (poor) to 4 (excellent).

Results: The twelve stakeholders agreed with the recommendations to support the education and use of the CACPS visit for Medicare patients 65 and older.

Conclusion: This guideline promotes provider education to investigate …

Developing The Rural Older Adult Dementia Prevention-Health Behaviors (Road-Hb) Questionnaire: A Mixed Methods Approach To Instrument Development, Jessica Cassidy

Social Work Dissertations - Archive

Older adults living in rural communities are at heightened risk of dementia; however, preventative strategies can reduce these risks. To facilitate dementia prevention efforts in rural communities, this methodological study developed the Rural Older Adults Dementia prevention–Health Behaviors questionnaire (ROAD-HB) by applying a lifespan approach to the Health Belief Model (HBM). The questionnaire contained three embedded instruments and was constructed following a stage development design involving item pool processes with community and expert review panels. Convergent mixed methods were used to assess the ROAD-HB’s validity, including a pretest in 36 older adults from two rural Northeast Texas counties and cognitive …

Know More Falling: Community-Based Fall Prevention, Edward R. Mcwithey

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The aging population is expected to grow to 2 billion worldwide by 2050 (Rosado et al., 2021). Aging is classified as a determinant risk factor for falls and fall-related injuries (Rosado et al., 2021). This capstone project aimed to promote understanding and address fall prevention in the older adult population with multiple stakeholders throughout the Dallas, Pennsylvania community. Project goals included developing community partnerships, providing education and addressing wellness and health equity among community-dwelling older adults through multifaceted interventions. The literature search yielded a synthesis and analysis of current evidence focused on community-based fall programming, adding to the body of …

Preserving Memories, Building Relationships, Jamie H. Cochran

Doctor of Nursing Practice Projects

Loneliness among adults aged 65 and older is a significant health concern linked to negative physical and mental outcomes, especially in rural communities. This DNP project implemented a 4-week scrapbooking intervention within a faith-based rural community in North Carolina to reduce feelings of loneliness. Guided by Watson’s Theory of Human Caring, participants engaged in collaborative arts activities designed to foster social connection and emotional expression. The potential results of this project are multifaceted, including improved social engagement, emotional well-being, and strengthened community bonds. The findings support integrating creative, relationship-centered strategies into community nursing practice to enhance well-being among older adults.

Geographic Patterns Of Human Immunodeficiency Virus (Hiv) Risk Behaviors Among Older Adults: A Strategy For Identifying Space As A Risk Exposure, Laneshia R. Conner, Reuben Adatorwovor, Sarah Jane Robbins, Rujeko O. Machinga-Asaolu, Kathryn Showalter, Carrie B. Oser

Social Work Faculty Publications

Objectives: This study examined geographical patterns of HIV risk among adults aged 60 and older.

Methods: The 2019 Behavioral Risk Factor Surveillance System (BRFSS) weighted data was used to analyze self-reported participation in HIV risk behaviors among older adults (n = 62,852). Logistic regression models were used on a dichotomous HIV risk variable to map the distribution of HIV risk behaviors across both census regions and divisions.

Results: The weighted model revealed significance across regions. Across all regions, identifying as female, identifying as Hispanic, and reporting not having depression were protective from participating in HIV risk behaviors.

Discussion: The …

A Study Of Differences In Enjoyment, Exercise Commitment, And Intention To Continue Participation Among Age Groups Of Adult Amateur Golfers, Hye Jin Yang, Ji-Hye Yang, Chulhwan Choi, Chul-Ho Bum

Human Movement Studies & Special Education Faculty Publications

Golf is one of the leisure sports that offers various benefits and has become a popular public sport with participation from people of various age groups. A total of 262 questionnaires were distributed online, with 240 valid responses collected after excluding 22 with non-responses or partial answers. The results showed statistically significant differences in enjoyment by age group, except for recognition from others. Regarding physical health, those in their 60s and above had higher mean scores than other age groups, and those in their 50s scored higher than those in their 30s. Stress relief was greater among those in their …

Small Town Voices And Stories: Rural Older Populations And Health Narratives, Wyatt K. Zumbahlen

Masters Theses

Stories play a vital role in our humanity; they help us understand the world around us. As we age, our experiences, along with those of the people around us, shape our perceptions of health and influence our healthcare choices. For older adults, narratives become an essential resource in making healthcare decisions. In rural communities like Coles County, Illinois, these stories are especially important for older adults who are navigating the limited care and services available in the area. This reliance on narratives impacts their willingness to seek care, highlighting the need to recognize the power of stories in empowering older …

Chapter 13: Climate Change, Ageism, And Intergenerational Solidarity, Angela K. Perone, Kaycee Peterman, Katherine Perone, Megan Chan, Lihua Huang

Books and Contributions to Books

It examines disproportional impacts of climate change on healthy aging and their link to systemic and interpersonal ageism. Attention is given to adverse impacts of extreme weather on physiological, psychological, and socioeconomic health of older adults, particularly those who experience multiple inequalities. Intergenerational solidarity and its practical implications are explored.

How Sleep Disorders And Sleep Duration Impact Memory, Alexandria J. Sims

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

INTRODUCTION: Sleep duration and sleep disorders can cause changes in memory function as populations age. Previous studies have shown that disordered sleep is associated with increased risk of cognitive dysfunction and long and short sleep durations can cause memory impairment. This study studies aims to find if there is an association between sleep disorders and sleep duration and the impacts on memory.

METHODS: In this study, 3,478 participants aged 60 year and older from the National Health and Nutrition Examination Survey (NHANES) 2013-2014 dataset were included in adjusted and unadjusted models, comparing the sleep disorders and sleep duration exposures to …

Lifelong Learning And Perceived Quality Of Life: An Exploratory Study Of Older Adult Learners In Southern California, Guadalupe Salgado-Shower

Theses and Dissertations

This exploratory study examines the impact of lifelong learning programs (LLPs) on the perceived quality of life among older adults (OAs) against a global demographic shift towards an aging population (Narushima et al., 2018). With the number of people aged 60 and above projected to nearly double by 2050, understanding and enhancing the well-being of OAs has become imperative (United Nations, 2019). Lifelong learning (LL), involving the continuous acquisition of knowledge and skills irrespective of age, emerges as a promising avenue for improving cognitive functioning, social engagement, and emotional well-being among OAs (Longworth & Davies, 2017). This exploratory study adopts …

Navigating “Being Seen”: Experiences Of Older Adult Arab Immigrants And Family Caregivers Accessing Health Care Services In Ontario, Selma Tobah, Lorie Donelle Phd, Rn, Fcan, Jodi Hall, Lloy Wylie, Sandra Regan

Publications

Immigrants to Canada face unique barriers to accessing health care including communication barriers, socioeconomic limitations, and a lack of health care system navigation knowledge. Arabs in particular face mainstream negative attitudes, propagated through political discourses as well as entertainment media. We sought to understand how older adult Arab immigrants and family caregivers accessed and experienced health care in Ontario. We conducted a critical constructivist grounded theory, using Charmaz’s approach to grounded theory. A critical constructivist grounded theory method asks not only “what” social processes are happening and “how” but also “why” and “who” benefits. Both older adult immigrant Arabs and …