Digital Commons Network^™

Multidisciplinary Practices (Mdps) In Elder Law, Bryan Koslow

Student Works

No abstract provided.

Southern Adventist University Undergraduate Catalog 2026-2027, Southern Adventist University

Catalog, Undergraduate

Southern Adventist University's undergraduate catalog for the academic year 2026-2027.

Enhancing Teachers’ Intercultural Literacy: Examining The Impact Of A Fulbright-Hays Group Projects Abroad Program To Indonesia, Paul R. Wallace

Journal of Global Education and Research

The Fulbright-Hays Group Projects Abroad (GPA) Program offers institutional grants to support overseas experiences and curriculum development for educators. The study reported here focused on changes in the intercultural literacy of participants involved in a 4-week Fulbright-Hays GPA Program to Indonesia. Participants in this study included K-12 teachers from public schools and teacher education majors. Before and after traveling to Indonesia, eight participants completed a self-assessment of intercultural literacy, which measured competencies, understandings, attitudes, language proficiencies, participation, and identities deemed necessary for successful living and working in a cross-cultural environment. This article presents the results of the assessment survey, along …

Rethinking Existing Extension Programming: A Foundation For Healthy Aging?, Nicholas J. Spokely, Sloane A. Montgomery, Kelsey J. Weitzel, Kristin A. Miller, Marta Novaes Oliveira, Stephen D. Ball, Breanne S. Baker

Journal of Extension

Muscle declines are becoming more prevalent in younger adults, driving the need for accessible exercise programs. The Stay Strong, Stay Healthy (SSSH) Extension program was developed for adults 60 years old or older, but for this study, we enrolled 135 participants aged less than 60 years old in rural and urban counties to assess if it could improve their muscle performance. We analyzed data with time and group comparisons using paired t-tests and 2 × 2 repeated measures ANOVAs. Younger adults significantly improved muscle performance after SSSH, and the results were similar between rural and urban counties. This study …

Perspectives On Person‐Centred End‐Of‐Life Care In Care Homes: Findings From A Qualitative Secondary Analysis, Gary Hodge, Susie Pearce

School of Nursing and Midwifery

No abstract provided.

Rompiendo Fronteras: Addressing Language Barriers In Hispanic Palliative Cancer Care, Carla Mcnulty, Catherine Finlayson

International Nursing Research Congress (INRC)

Background: Cancer is the leading cause of death among Hispanic people, accounting for 20% of deaths (American Cancer Society, 2023). In 2024, the American Cancer Society predicted that 195,300 Hispanics would be diagnosed with cancer in the United States, and 50,400 (25%) would die from their disease, leaving approximately 144,900 (75%) living with cancer. As the Hispanic population rises in the United States, one can predict that cancer diagnoses will also increase. This is likely to result in a higher number of cancer-related deaths, as well as more individuals living with cancer. Consequently, there will be an increased demand for …

Supporting Socialization & Expression In Ltc: A Scoping Review Of Language Barriers & Older Adults, Christina Oleynikov, Amanda Mcintyre

International Nursing Research Congress (INRC)

Communication is central to socialization and the expression of cultural identity [7]. In multilingual societies such as Canada, language barriers can hinder full integration, affecting social participation and overall quality of life [6,7,9]. The proposed study focuses on language barriers faced by minority older adults in long-term care settings. Non-English speaking residents who face barriers in communication and lack the adequate support necessary to overcome them, become vulnerable to impaired meaningful interactions and social isolation [3,11]. This study plans to gather and review existing scientific literature on how these barriers affect older adults and impact their socialization needs. A scoping …

The Lender Center For Social Justice Bibliography 2025-2026, The Lender Center For Social Justice

The Lender Center for Social Justice

The Lender Center for Social Justice Bibliography (2025-2026) is a document containing all Lender-Center scholarship written between 2020-2026. The title references the newest entries, which were created in the 2025-2026 academic year.

Faculty Authors & Achievers Bibliography 2026, Luke Vilelle

WRL: Faculty Authors & Achievers Bibliographies

The office of Academic Affairs and the Wyndham Robertson Library congratulate all Hollins faculty who published or presented creative or scholarly works from Fall 2024 - Fall 2026. These pages comprise a list of that work.

Health And Aging Societies In Asia – Are We Ready For The Silver Tsunami?, Mark Stephan Felix

Asia-Pacific Social Science Review

No abstract provided.

Social And Physical Realities Of Aging In Northeast India: A Study Of Folk Societies, Kaushalendra Pratap Singh, Kanchan Devi

Asia-Pacific Social Science Review

Population aging in Northeast India has emerged as a significant social concern in the context of rapid socioeconomic transformation and the gradual weakening of traditional family support systems. In the traditional folk societies of Arunachal Pradesh and Sikkim, older adults increasingly face challenges related to social isolation, inadequate care support, and limited access to healthcare services. The outmigration of younger generations for employment and education has further reduced family-based caregiving, whereas geographical remoteness and insufficient healthcare infrastructure continue to affect the physical well-being of elderly populations. This study examines the social and physical conditions of elderly people in Arunachal Pradesh …

Development Of An Integrated Elderly Service Program (Esp) Using Elderly-Friendly Design (Efd):Case Study Of An Urban Village In Yogyakarta,Indonesia, Danang Febriyantoko, Dewi Cahyani Puspitasari

Asia-Pacific Social Science Review

The aging population significantly affects the Sustainable Development Goals (SDGs). Consistent with the principle of “Leave No One Behind,” the agenda seeks to promote well-being for people of all ages. Population aging poses a challenge that Indonesia must address as it seeks to realize the projected demographic dividend in 2030. Yogyakarta, which has the country’s highest proportion of older adults, can serve as a model for effective senior management. Longer life expectancy and improved social conditions enable seniors to engage in cultural and religious activities, offering Yogyakarta an opportunity to develop an elderly-friendly urban village with a comprehensive elderly service …

Resilience In Aging: A Grounded Theory Study On How Older Japanese Adults Navigate Chronic Illness, Dominic Bryan S. San Jose

Asia-Pacific Social Science Review

Japan’s population is one of the world’s oldest. As of 2025, over 29% of its citizens are 65 years old or older. Chronic illnesses like hypertension and diabetes are prevalent among the older population, presenting significant problems for the already stretched healthcare system. However, little is known about how older Japanese citizens actively manage chronic illness. Examining their actual experiences can help us comprehend the resilience of Japan’s elderly population on a deeper level. Using the Glaserian grounded theory approach, this study aimed to develop a theoretical framework that explains how resilience emerges in aging individuals within a Japanese sociocultural …

Exploring The Lived Experiences Of Older Adults With Osteoarthritis: A Qualitative Study Of Healthcare And Caregiving Practices In Kishoreganj, Bangladesh, Samiur Rahman Anadi, Arnika Jannat Mou

Asia-Pacific Social Science Review

Many older adults are affected by osteoarthritis (OA), a common condition that causes pain, stiffness, and a loss of mobility. Given the increasing number of older adults in Bangladesh, it is critical to comprehend the unique requirements and challenges faced by older adults with OA, especially in underdeveloped areas with limited access to healthcare. Informal caregivers, typically family members, play a critical role in providing care for older adults with OA. However, they frequently lack support, training, and resources. There is a substantial knowledge gap regarding the complete scope of the needs and difficulties faced by older adults and their …

Age Differences In Perceived Individual And Community Recovery After Tornadoes: Implications For Community-Centered Recovery Policy In An Aging Society, Sizhuo Chen, Zhen Cong

Health Sciences and Kinesiology Faculty Articles

"This study examines perceived individual recovery and perceived community recovery among tornado survivors across three waves spanning four years. Using three-wave longitudinal survey data from survivors in Dallas, Texas; Nashville, Tennessee; and Birmingham, Alabama collected in 2021, 2022, and 2025, we estimate recovery trajectories using linear mixed-effects growth models. We link respondents to tract-level SVI 2020 component measures to examine whether tract-level social vulnerability contextualizes age differences in recovery perceptions. We ask: (1) How do perceived individual recovery and perceived community recovery change over time? (2) Do these trajectories differ by age group? (3) Do community social vulnerability measures contextualize …

Perceived Susceptibility And Automatic Compliance In Indonesia's Triple Elimination Screening: A Mixed-Methods Study, Ratna Dewi Puspita Sari, Josef Maria Seno Adjie

Journal of Indonesian Health Policy and Administration

Despite global commitments to eliminating mother-to-child transmission of human immunodeficiency virus, syphilis, and hepatitis B, gaps remain in understanding the behavioral and systemic drivers of screening coverage in decentralized health systems such as Indonesia. This study aimed to analyze individual behavioral determinants and structural health system barriers affecting triple elimination screening coverage among pregnant women, focusing on perceived susceptibility and automatic compliance. A mixed-methods sequential explanatory study was conducted in Central Jakarta, Surabaya, and Karawang. The quantitative phase involved a cross-sectional survey of 1,224 pregnant women, with Health Belief Model variables analyzed using logistic regression. The qualitative phase comprised three …

Musculoskeletal Disorders, Care Burden, And Sarcopenia: A Preliminary Study On Family Caregivers, Shu-Yuan Lin

International Nursing Research Congress (INRC)

Background: Family caregivers bear a high risk of developing musculoskeletal disorders (MSD), which may precipitate sarcopenia and care burden. This study hypothesizes that the occurrence of MSDs may be related to caregiver burden and sarcopenia among middle-aged and older family caregivers.

Study Purposes: (1) To investigate the incidence of MSDs, sarcopenia, and the level of care burden among middle-aged and older family caregivers; (2) To identify the correlations between MSDs, sarcopenia, and care burden.

Methods: A cross-sectional questionnaire survey was conducted. Family caregivers who received services from the Caregivers Association or home care services and met the inclusion criteria, including …

Older Population-Based Resilience: An Evolutionary Analysis Via Complex Adaptive Systems, Po-Chung Feng

International Nursing Research Congress (INRC)

Purpose: To clarify the concept of older population-base resilience to support nursing research, public health planning, and healthy aging strategies.

Background: Older population-based resilience is an important concept for facilitating the adaptation of aging populations to multifaceted adversity networks. While extensive studies has examined resilience among older adults across diverse systems, hierarchical levels, and dimensional perspectives, the conceptual discourse has focused mainly on the individual level. A comprehensive articulation of population-level resilience attributes has been notably absent from the literature. Consequently, establishing a precise conceptualization of Older Population-Based Resilience constitutes an imperative scholarly endeavor.

Methods: A systematic literature search was …

Being Present: Elevating Patient And Nursing Satisfaction Through Leadership Presence, Miranda Marie Schmidt

International Nursing Research Congress (INRC)

Introduction: Predominant and notable themes currently being actively monitored in healthcare are nursing satisfaction, retention, and job performance. These variables have been identified as important areas to evaluate as to how they directly impact patient care outcomes. Use of the evidence-based Casey Fink Graduate Nurse Survey and Agency for Healthcare Research and Quality- Quality Assurance Performance Improvement (QAPI) leadership rounding guide highlights that combining structured tools along with leadership presence, style, and interactions is associated with positive changes in patient care, nursing satisfaction, retention, and the overall quality metrics will improve in a specified unit.

Methodology: 26 articles were reviewed …

Examining Social Support Among Black Dementia Caregivers In The Greater Toronto Area, Deanna Marie Black

International Nursing Research Congress (INRC)

Background: Dementia affects more than 55 million people globally and disproportionately impacts Black populations due to inequities in healthcare access. In Canada, Black communities face higher dementia risk and greater barriers to timely, culturally aligned care. In the Greater Toronto Area, Black caregivers carry major responsibilities while navigating fragmented services shaped by race, gender, and socioeconomic status. Although social support reduces caregiver burden, little is known about how Black caregivers access and use support within intersecting social and structural constraints.

Purpose: This study will examine how Black adult caregivers in the Greater Toronto Area construct, access, and mobilize social support …

Social Frailty In Asia: A Scoping Review Of Interventions, Gaps, And Priorities, Julienne Ivan Dagondon Soberano, Jed Montayre

International Nursing Research Congress (INRC)

Aim: Social frailty (SF) is a multidimensional state of social vulnerability linked to adverse outcomes in older adults. Asia’s rapidly aging population poses challenges for health systems, particularly in addressing SF-related conditions. This scoping review aimed to describe existing SF interventions in Asian countries, assess evidence volume and characteristics, and identify research gaps.

Methods: A systematic search of eight databases (PubMed, Scopus, CINAHL, Embase, Web of Science, PsycINFO, Cochrane Library, Google Scholar) identified English-language studies published from January 2020 to September 2025. The review followed Arksey and O’Malley’s framework and PRISMA-ScR guidelines. Interventions were synthesized across the care continuum (prevention, …

Assessing Nursing Students' Knowledge And Attitudes Toward Older Adults, Desiree L. Fernandes, Jennifer A. Fearon-Lynch

International Nursing Research Congress (INRC)

Background: The population of older adults in the United States is increasing and will require an increase in the number of nurses to care for this population. Evidence suggests that there are many biases, stereotypes, and myths associated with the older adult population, which influence nursing students’ attitudes toward working with this population.

Aim: Our aim was to assess the effect of an aging adult educational intervention on second-semester sophomore nursing students’ knowledge and attitudes toward older adults.

Method: This one-group pretest-posttest quasi-experimental design with qualitative questions was conducted at a college within the northeastern United States. Undergraduate second-semester sophomore …

Enhancing Community Health Volunteers In Screening Indonesian Community-Dwelling Older Adults, Riksa Wibawa Resna, Ching-Min Chen, Tram Thi Bich Nguyen

International Nursing Research Congress (INRC)

Indonesia faces a shortage of healthcare professionals (3.84 per 1,000 population, compared with the WHO standard of 4.45). Additionally, Community Health Volunteers (CHVs) play a crucial role in community-based geriatric care in Indonesia. However, their competencies in conducting Intrinsic Capacity (IC) screening remain limited.

This study aims to evaluate the effectiveness of a structured training program in improving CHV knowledge and skills related to intrinsic capacity screening.
A pre–post quasi-experimental design was employed with a total of 120 eligible CHVs recruited from three PHCs through purposive judgmental sampling. The two-day training program and a month of personal guidance were implemented …

Unlocking Effective Evaluations: Lessons From Media Literacy And Digital Skills Intervention Studies In Estonia, Finland, And Poland, Natalia Edisherashvili, Marit Puusepp, Veronika Kalmus, Margus Pedaste, Sini Tiihonen, Fatemeh Irani, Łukasz Tomczyk, Leen D'Haenens, Tania Azadi, Chao Wang

Journal of Media Literacy Education Pre-Prints

This study examines factors that enable and hinder the evaluation of Media Literacy (ML) and Digital Skills (DS) interventions across three countries and four contexts: in-service teachers in Estonia, elderly populations in Jyväskylä (Finland), vocational students in Helsinki (Finland), and pre-service teachers in Poland. Guided by the Logic Model framework, it explores barriers and enablers across Inputs, Activities, Outputs, and Outcomes to reveal structural and contextual elements shaping evaluation effectiveness. Findings cluster into four domains: organisational and administrative factors, intervention design, evaluation processes, and participant engagement. Organisational challenges such as staff turnover disrupted alignment between intervention and evaluation goals, while …

Changes In Physical Activity And Sleep In Relation To Reductions In Body Weight And Cholesterol Levels Among Adults With Ptsd, Jeffery Kibler, Karla Patricia Molina Valenzuela, Shalynn Murphy, Claudia Ocholski, Valeria Rangel Cunha, Dania Dabbagh, Blaise Desautels, Alexis B. Tola, Mindy Ma

Faculty Articles

There is evidence of strong relationships between posttraumatic stress and cardiovascular disease (CVD) risk. Interventions focused on healthy behaviors may promote CVD risk-reduction in posttraumatic stress disorder (PTSD). The present study includes analysis of the associations among key outcomes from an intervention study of a cognitive behavioral healthy lifestyle intervention in PTSD, treated as an adjunct to standard trauma therapy. Specifically, we examined whether changes in physical activity and sleep efficiency were associated with changes in body weight and cholesterol. The health behavior intervention is conducted in 12 weekly sessions and includes four overlapping modules (physical activity, nutrition, sleep, and …

Harmonies Of Healing: A Secondary Data Analysis On Music Engagement And Quality Of Life In Older Adults, Theophilus Eben Nartey

Doctoral Dissertations and Projects

The purpose of this quantitative, cross-sectional secondary data analysis was to examine the relationship between music engagement and self-reported quality of life among adults aged 60 years and older, using data from the Health and Retirement Study (HRS). Guided by the Biopsychosocial-Spiritual (BPSS) framework, the study explored whether music engagement significantly predicted perceived well-being in later adulthood while accounting for chronic health conditions. Secondary data from the HRS public-use dataset were analyzed using IBM SPSS Statistics Version 29. The final analytical sample consisted of 1,582 adults aged 60 years or older with complete data on all variables included in the …

Joy To The Rehabilitation World: A Call To Incorporate Enjoyment Into Clinical Practice, Cristina Colón-Semenza, Raymond Jones, Winston Kennedy

Journal of Patient-Centered Research and Reviews

Although multiple academic disciplines recognize the motivational power of joy, rehabilitation professionals have, historically, underemphasized this construct in clinical practice. In addition, many clinicians report persistent challenges in motivating patients to adhere to prescribed exercise regimens. In response, there is growing advocacy for integrating affective-based interventions into practice. This overview aims to 1) raise awareness among rehabilitation professionals about the role of joy in physical rehabilitation, 2) illustrate how joy influences physical activity engagement and recovery outcomes, 3) outline evidence-based strategies for enhancing joy in clinical settings, and 4) introduce validated measures of joy suitable for use in practice. By …

Evaluating Medical Student Geriatric Competency Using A 5ms-Based Assessment Tool, Lauren R. Hersh Md, Amy Cunningham Phd, Mph, Xiya Wu Md

Cooper Rowan Medical Journal

INTRODUCTION

Driven by an aging Baby Boomer generation, the United States is navigating a demographic transformation with far-reaching implications that include increased demand for chronic disease management and long-term care as well as increased stress on both healthcare costs and infrastructure. Generating a workforce competent in the delivery of care to older patients with complex, multimorbid conditions is fundamental to addressing this shift. Recognizing that the development of primary and specialty care physicians skilled in geriatric care begins in medical school, the American Geriatric Society developed minimum competencies grounded in the Geriatric 5Ms (Mind, Mobility, Medication, Multicomplexity, and …

[Excerpt From] Evidence-Based Practice Essentials For Nurses & The Healthcare Workforce, 2nd Edition, Bernadette Mazurek Melnyk, Lynn Gallagher-Ford, Ellen Fineout-Overholt

Sigma Publications: Book Excerpts

Hospitals and healthcare systems worldwide have worked to build and sustain evidence-based practice (EBP) cultures, yet many still struggle to define what true EBP competency looks like in practice. Evidence-Based Practice Essentials for Nurses & the Healthcare Workforce: A Competency-Based Practical Guide for Improving Quality, Safety, & Outcomes, Second Edition, cuts through the confusion with a clear, actionable road map for making evidence-driven decisionmaking part of an organization’s DNA. Authored by worldwide EBP experts Bernadette Mazurek Melnyk, Lynn Gallagher-Ford, and Ellen Fineout-Overholt, this hands-on resource serves as a practical toolkit for organizations committed to excellence. Whether pursuing or maintaining Magnet® …

Debt And Quality Of Life Among Older Adults After Retirement, Josephine Morrow Seegars

Walden Dissertations and Doctoral Studies

Understanding debt and the quality of life in older adults after retirement is an important area of concern. Many older adults are forced by escalating debt to reduce spending on essential needs, such as health care, nutrition, and housing, and their physical and mental health is thereby directly compromised. These essential needs represent core social determinants of health, and their erosion under financial strain can have effects on older adults' overall well-being. The purpose of this generic qualitative study was to explore the experiences and perceptions of human services practitioners who were actively assisting older adults struggling with debt in …