Digital Commons Network^™

Quality Of Life Among Indonesian Family Caregivers Caring For Dependent Older Persons With Type 2 Diabetes Mellitus In The Community: A Cross-Sectional, Correlational Study, Rinco Siregar, Charuwan Kritpracha, Tippamas Chinnawong, Jos M. Latour

School of Nursing and Midwifery

Background: The global prevalence of older adults with diabetes has increased, and family caregivers in Indonesia play a critical role in managing diabetes and providing personal care. However, caregiving can be complex and challenging, often negatively affecting caregivers' quality of life (QoL). Objective: This study aimed to develop and test a hypothesized causal model of QoL among Indonesian family caregivers who care for dependent older persons with type 2 diabetes mellitus (T2DM) in 2024. Methods: A cross-sectional, correlational study was conducted with 270 family caregivers recruited from five Community Health Centers. Data were collected using various scales: the Center for …

Metamorphosis: An Evaluation Of The Adaptation And Re-Use Potential Of Suburban Housing For Older Homeowners, Michelle Moore

Masters

Ireland’s population is ageing at a rate that is more than twice the EU average. Public policy in Ireland aims to support older persons to age-in-place. Over 80% of older adults in Ireland live in an owner-occupied home, following many decades of public policy promoting home ownership as the tenure of choice. Limited research has been undertaken on the housing adaptation options that could result in privately-owned homes being made more suitable for the evolving needs of the rapidly ageing demographic. This thesis addresses the hypothesis that, with the provision of an appropriate suite of enablers, older homeowners can be …

Age As More Than A Number: An Applied Geography Of Elderly Vulnerability To Heat Events In The Southeastern United States, John Darko

Dissertations and Theses @ UNI

No abstract provided.

Impact Of Aerobic Exercise On Cardiometabolic Health In Patients With Diabesity: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials, Sameer Badri Al-Mhanna, Barry A. Franklin, John M. Jakicic, Emmanuel Stamatakis, Linda S. Pescatello, Deborah Riebe, Walter R. Thompson, James S. Skinner, Sheri R. Colberg, Jonathan K. Ehrman, George S. Metsios, Norsuhana Omar, Nouf H. Alkhamees, Bodor Bin Sheeha, Abdullah F. Alghannam, Alexios Batrakoulis

Human Movement Studies & Special Education Faculty Publications

Purpose

This systematic review and meta-analysis of randomized controlled trials (RCTs) aimed to evaluate the effects of aerobic exercise on cardiometabolic health-related indices in patients with type 2 diabetes and concurrent overweight/obesity (diabesity).

Methods

PubMed, Web of Science, Scopus, Science Direct, Cochrane Library, and Google Scholar databases were searched from inception to October 2024. The search strategy included the following keywords: diabetes, aerobic exercise, and endurance training. RCTs comparing aerobic exercise training ≥2 weeks in duration to standard treatment were considered eligible. Participants were adults with diabesity.

Results

A total of 1391 middle-aged/older adult patients (55 % females) were included …

How Does Social Capital Influence The Preferences For Aging In The Community? Based On The Study Toward Older Adults In Yuexiu District, Guangzhou City, Biyun Xiang

Electronic Theses & Dissertations (2024 - present)

This study examines how social capital influences older adults’ preferences for aging in the community, focusing on Yuexiu District, Guangzhou. Using a mixed-methods approach, the study explores family, structural, and cognitive dimensions of social capital.

Quantitative data were collected through 439 surveys, with 400 valid responses from adults aged 60 and above. Regression analysis identified key predictors of aging-in-community preferences, including family financial support, care commitment, activities with grandchildren, community trust, mutual help, and service satisfaction.

Qualitative data from 10 interviews with community service workers revealed six themes: (1) access to services like fitness and health screenings; (2) levels of …

Young Adults’ Views On Personal Death, Victor N. Soto

Anthós

Within academic discussions of death and dying, there is a deficit of qualitative studies on how young adults view personal death. This article explores young adults’ (18-24) views on personal death using inductive coding of the transcriptions of three 1:1 interviews and one focus group. Soto’s findings show that young adults view their personal death in three ways: 1) they reflect on family death experiences as frames of reference for personal death, 2) they rely on a life well- lived to ease anxiety around personal death, and 3) they use humor as a coping mechanism in thinking about and discussing …

Evaluation Of A Community-Based Socialization Program For Independently Living Older Adults, Patricia A. Shane, Anne T. Ferguson, Erin L. Woodhead

Faculty Research, Scholarly, and Creative Activity

Social isolation among older adults is a major public health concern because of the adverse impact it has on health and well-being. Reducing social isolation can improve health and decrease the use of costly healthcare services. However, there is little consensus on the critical ingredients of programming to reduce social isolation. Bay Area Older Adults® (BAO) is a nonprofit organization whose community-based Healthy Living Program (HLP) focuses on building and nourishing older adults’ social networks through transitions such as retirement, divorce and loss of loved ones. The current study was a program evaluation of the HLP using a survey to …

"You Sure Feel Like You're Alone, Kind Of Flailing Away Out There": Family Caregiver Perspectives Of Caring For An Individual With Glioblastoma Multiforme, Christy Muasher-Kerwin, Abby Baumbach, Yujun Liu, M. Courtney Hughes

Faculty Articles, Papers, and Other Scholarship

Objectives

Glioblastoma multiforme (GBM) is the most common and aggressive form of brain cancer. Family caregivers of individuals with GBM must navigate a wide range of their care recipients’ physical, cognitive, and psychosocial deficits to provide effective care, which is both mentally and physically demanding. This study aimed to investigate the perspectives of family caregivers of GBM patients about the barriers and challenges they encounter when providing care to their care recipients. Methods

Nineteen current and former family caregivers for individuals with GBM participated in semi-structured interviews from October 2023 through January 2024. We conducted interviews virtually and used applied …

Mind Over Matter: Do Nootropics Hold The Key To Fighting Alzheimer’S?, Ben Berkowitz

The Science Journal of the Lander College of Arts and Sciences

Alzheimer’s disease (AD) is a progressive neurodegenerative disorder characterized by cognitive decline, memory loss, and impaired daily functioning. Nootropics, a class of cognitive-enhancing compounds, have recently emerged as potential therapeutic agents for mitigating the cognitive impairments associated with AD. This paper reviews the current evidence regarding the efficacy (or lack thereof) of different treatments used in the past for treating Alzheimer’s, including cholinesterase inhibitors and anti-Aβ antibodies. The findings are compared to those using various nootropics, including natural supplements and synthetic compounds, in modulating neurobiological pathways relevant to AD pathology. Mechanisms of action such as neuroprotection, antioxidant activity, acetylcholine modulation, …

Toward Precision Longevity: Aging Interventions In The Single-Cell Atlas Era, Jason B Chen, Miranda C Wang, Shangyu Gong, Hongjie Li

Faculty, Staff and Students Publications

With growing global interest in extending not only lifespan but also healthspan, healthy aging has emerged as a central goal in biomedical research. This review provides an overview of current longevity interventions, including genetic manipulations, dietary restriction, exercise, pharmacological treatments, targeting senescence and cellular reprogramming strategies, as studied in key model organisms such as Caenorhabditis elegans, Drosophila melanogaster, and Mus musculus. We examine the limitations and challenges associated with these approaches, particularly their variability across tissues and cell types. Furthermore, we emphasize the critical role of single-cell aging atlas technologies in uncovering cell-type–specific aging patterns and molecular …

Age-Related Variations In Hba1c Improvemecnts: Insights From A Telehealth-Supported Community-Based Intervention, Laura Porterfield, Xiaoying Yu, Amber B Amspoker, Craig A Johnston, Aanand D Naik, Salim S Virani, Christie M Ballantyne, Ashok Balasubramanyam, Elizabeth M Vaughan

Faculty, Staff and Students Publications

Background and objectives: We previously demonstrated that a telehealth-supported community health worker (CHW) intervention significantly improved clinical outcomes in diabetes care. However, the extent to which these benefits vary across different age groups remains unclear. This study evaluated the effectiveness of a CHW-led multidimensional diabetes intervention in reducing HbA1c across age groups.

Research design and methods: We conducted a retrospective analysis of 10 studies (n = 301) that focused on low-income Hispanic adults with or at risk for type 2 diabetes. The intervention included CHW-participant coaching via mobile Health (mHealth), monthly CHW-led group education, and bidirectional mHealth feedback among …

Naming Abilities In Aging Monolinguals And Bilinguals: Longitudinal Analyses Of The Multilingual Naming Test, Kyara Y. Velez

Electronic Theses and Dissertations 2020 - Present

Individuals who can speak more than one language may score lower than monolinguals on verbal naming tasks. The Multilingual Naming Task (MINT) is a 32-item assessment that is used at the Alzheimer’s Disease Research Center in the USA. This study looks at the impact of monolingualism and bilingualism on language abilities over three years in three clinical groups (cognitively normal, mild cognitive impairment, and dementia), using the MINT as a measure. The results show that bilingual individuals perform worse on the MINT than monolinguals at each time point, after controlling for demographic factors; however, there is no difference between language …

Examining The Impact Of A Health Course On Lifelong Learner Attitudes Toward Psychedelic And Entheogenic Substances, Dustin B. Larrazolo

Cal Poly Humboldt theses and projects

This study examined the impact of a three-week Osher Lifelong Learning Institute (OLLI) health course, “Far Out” Medicine: The Science and History of Psychedelics, on midlife and older adult learners’ knowledge, attitudes, and perspectives regarding psychedelic and entheogenic substances. Eleven midlife and older adults (ages 40 - 80; M = 59.0, SD = 15.35) completed matched pre- and post-course surveys assessing demographic characteristics, factual knowledge, attitudes, personal willingness, and social or policy views. The sample was highly educated (1 associate, 5 bachelor’s, 3 master’s, and 2 doctoral degrees) and demonstrated strong internal consistency and response convergence across repeated measures. …

System Readiness And The Patient Care Pathway For Alzheimer's Disease Diagnosis And Treatment, B Joy Snider, Et Al.

2020-Current year OA Pubs

Promising therapeutic interventions that target the underlying pathophysiology are changing the landscape of Alzheimer's disease (AD) research. The AD care pathway must be transformed to meet the challenge of bringing these new therapies to the increasing number of people living with AD within the existing healthcare framework. Challenges include identifying patients who may benefit from treatment interventions early in the course of the disease, ensuring that diagnostic tools are accessible and accurate, and developing capabilities to monitor the effectiveness of interventions over time. These challenges must be addressed at all levels, from primary care settings to tertiary treatment centers; this …

Psychosocial Behavioral Phenotypes Of Racially/Ethnically Minoritized Older Adults Enrolled In Habs-Hd Differ On Neuroimaging Measures Of Brain Age Gap, Hippocampal Volume, And Cortical Thickness, Alexandra L Clark, Makenna B Mcgill, Alexandra J Weigand, Julie K Wisch, Kalen Petersen, Beau Ances, Meredith N Braskie, Sid O'Bryant, Kelsey R Thomas, Habs‐Hd Study Team

2020-Current year OA Pubs

INTRODUCTION: This study examined whether previously identified psychosocial behavioral phenotypes differed on structural neuroimaging markers.

METHODS: Latent profile analysis (LPA) employed in a sample of 1820 community-dwelling older adults (1118 Hispanic and 702 Black) replicated previous Low Resource/Low Distress, High Resource/Low Distress, and Low Resource/High Distress phenotype classifications. Analyses of covariance (ANCOVAs) adjusting for relevant factors examined phenotype differences on neuroimaging outcomes of predicted brain age gap (BAG) (DeepBrainNet

RESULTS: The Low Resource/Low Distress and Low Resource/High Distress phenotypes had significantly higher predicted BAGs relative to the High Resource/Low Distress phenotype, and the Low Resource/High Distress group displayed significantly lower …

Discovering Subtypes With Imaging Signatures In The Motoric Cognitive Risk Syndrome Consortium Using Weakly Supervised Clustering, Bhargav Teja Nallapu, Kellen K Petersen, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Understanding the heterogeneity of brain structure in individuals with the Motoric Cognitive Risk Syndrome (MCR) may improve the current risk assessments of dementia.

METHODS: We used data from six cohorts from the

RESULTS: Three subgroups (Groups A, B, and C) were identified through MRI-based clustering with significant differences in regional brain volumes, gait speeds, and performance on Trail Making (Part-B) and Free and Cued Selective Reminding Tests.

DISCUSSION: Based on structural MRI, our results reflect heterogeneity in the population with moderate and slow gait, including those with MCR. Such a data-driven approach could help pave new pathways toward dementia …

Abdominal Myosteatosis Measured With Computed Tomography Predicts Poor Outcomes In Patients With Glioblastoma, Farzaneh Rahmani, David H Ballard, Tammie L S Benzinger, Sonika Dahiya, John Evans, Sara Hosseinzadeh Kassani, Cyrus A Raji, Marilyn J Siegel, Joseph E Ippolito, Et Al.

2020-Current year OA Pubs

BACKGROUND: Alterations in cellular metabolism affect cancer survival and can manifest in metrics of body composition. We investigated the effects of various body composition metrics on survival in patients with glioblastoma (GBM).

METHODS: We retrospectively analyzed patients who had an abdominal and pelvic computed tomography (CT) scan performed within 1 month of diagnosis of GBM (178 participants, 102 males, 76 females, median age: 62.1 years). Volumetric body composition metrics were derived using automated CT segmentation of adipose tissue, skeletal muscle, and aortic calcification from L1 to L5. Univariable and multivariable Cox proportional hazards models were performed separately in males and …

Simulation Of Low-High Method In Adaptive Testing, Rukli Rukli, Noor Azeam Atan

REID (Research and Evaluation in Education)

The era of disruption significantly engineered a classic testing system into an adaptive testing system where each test taker takes a unique test. However, the carrying capacity of the adaptive testing system engineering is experiencing obstacles in terms of the method of presenting the test questions. The study aims to introduce the low-high adaptive tracking method with the item response theory approach, where the difficulty level of the questions is adapted to the test takers' abilities. The number of test questions in the question bank is 400 questions. Data analysis used the Bilog-MG program. The range of the difficulty level …

Construction Of An Instrument For Evaluating The Teaching Process In Highereducation: Content And Construct Validity, Risky Setiawan, Wagiran Wagiran, Yasir Alsamiri

REID (Research and Evaluation in Education)

This study aims to reveal the content validity, construct validity, and reliability of the instrument for evaluating the teaching process in higher education. This research is development research applying the ADDIE model from Molenda. The indicators evaluated consist of context, inputs, processes, and products. The sample consisted of 1200 students from eight faculties, each represented by three study programs. Data analysis uses three stages: content validity test analysis using the V-Aiken method involving six panellists or experts; construct validity test using Confirmatory Factor Analysis (CFA). Quantitative descriptive analysis and interpretive qualitative analysis used the Miles and Huberman method. The results …

The Empowerment Of Consumers With Disabilities: The Role Of Self-Esteem, Accessibility, And Access To Information, Megawati Simanjuntak, Fauzia Rahmi, Santi Utami Dewi

ASEAN Marketing Journal

Consumer empowerment in Indonesia remains relatively low, particularly for individuals with disabilities. This study investigates the roles of accessibility, self-esteem, and information access in empowering disabled consumers. A total of 100 participants with physical disabilities, aged 17 and older, were surveyed regarding their online and offline purchasing experiences. Data were collected via an online questionnaire and analyzed using SEM PLS. Results indicate that self-esteem and information accessibility significantly influence the empowerment of consumers with disabilities, with the Disabled Consumer Empowerment Index categorized as "not empowered." Notably, the knowledge dimension received the lowest scores based on a traffic-light system. These findings …

“Everybody Has A Soul”: People With Dementia And Nursing Students Co-Creating Life Stories, Beth Mastel-Smith, Michelle Kimzey, Amy Ahlbrand Robinson, Melinda Hermanns

Nursing Faculty Publications and Presentations

Lack of meaning and purpose in life can increase disability, stress, mortality, and the risk of cognitive impairment. Finding meaning and purpose helps people with dementia adjust to the diagnosis and can be accomplished via expressions of identity such as life review, a formal process of systematically reviewing and reflecting on one’s lived life. Digital storytelling involves telling a story using computer technology to record and share an individual’s narrative. The purpose of this study was to understand the perceived benefits of nursing students and people with dementia (the mentors) described after digitally co-creating the mentors’ life story. Allport’s Intergroup …

Factors Associated With Healthcare Students’ Cognitive Levels Measured By The Classroom Test Of Scientific Reasoning., Alberto J. De Armendi, Amir L. Butt, Kathryn M.L Konrad, Mohanad Shukry, Edmund A. Marek Ii

Graduate Medical Education Research Journal

Introduction: Healthcare student acceptance into graduate and professional school is based on Grade Point Average (GPA), Graduate Record Examination (GRE) scores, interviews, and letters of recommendation, but not on cognition levels. However, educators need to understand students’ cognitive levels to facilitate constructivist learning theory and inquiry-based learning. The aim of this study is to understand the influence of cognition in healthcare students through the administration of the Classroom Test of Scientific Reasoning (CTSR).

Methods: Medical and baccalaureate nursing students were enrolled to answer demographic questions and complete the CTSR. The CTSR rubric score were used to define four operational cognitive …

Biological Aging Pathways That Underlie Life Course Socioeconomic Disparities In Physical Function And Longevity, Tara Gruenewald, Naomi Podber

Psychology Faculty Articles and Research

The poorer functioning and greater morbidity and mortality risk in those with greater life course socioeconomic disadvantage has led to the search for the biological processes that underlie these associations, including accelerated cellular and system aging. Our study examines whether a DNA methylation profile of the pace of biological aging (DunedinPACE) and a multi-system index of physiological dysregulation (allostatic load (AL)) mediate associations between life course socioeconomic disadvantage (SESDIS) and both physical function (gait speed, chair stand time) and survival. Data are from the Midlife in the U.S. Study (N=1,295, age 26–86, 55.4% female, 69.0% white). Measures included a multi-indicator …

Evaluating The Impact Of Staff Attitudes And Behaviours On Hospital-Associated Deconditioning, Cheryl Kent

South West Clinical School Journal

#400WORDS: CHIEF NURSING OFFICER’S RESEARCH FELLOWS EVIDENCE IMPLEMENTATION PROJECTS

Proactive Use Of Perturbation Training On Balance And Posture Control In Geriatric Rehabilitation- An Experimental Study, Reema Joshi, Kinjal Shah

Chulalongkorn Medical Journal

Background:

Ageing is a complex process involving a range of variables that interact to cause deterioration of various physiological functions.

Objectives:

Study attempts to find effect of Perturbation training on postural control upon Centre of Gravity (COG) sway velocity in older individuals using modified-Clinical Test of Sensory Integration on Balance (mCTSIB) component on NeuroCom Balance master® and Timed up and go(TUG) test.

Methods:

An experimental study, employing a pre-post intervention model, involved 30 individuals aged 65-85 years with mild to moderate fall risk was conducted at Tertiary Hospital, Pune from August 2022 to January 2023. Perturbation Training was given …

Health Literacy On Physical Therapy Among Senior Citizens With Physical Disability And Community Health Workers, Kriza G. Ganotisi, Faye Angelene J. Barangay, Andrew A. Galang, Wina Frances Q. Lazaro, Christopher U. Rivera, Ryan Dean T. Sucgang

Philippine Journal of Physical Therapy

Introduction. This study was conducted to determine the health literacy on physical therapy (PT) among senior citizens with physical disability and community health workers (CHWs). Specifically, it identified the sociodemographic profile of the CHWs and senior citizens with physical disability, their extent of health literacy on PT as to prose, document and numeracy and how health policies, availability of PT programs, and available equipment and facilities for the rendition of PT services affect their health literacy.

Methods. This study employed a descriptive research design. The respondents of the study involved 18 CHWs and 29 senior citizens. It was conducted in …

A Survey On Attitudes Of Rehabilitation Professionals On The Use Of Immersive Gamification Technology Systems In Therapy, Anna Mae U. Consing, Maria Eliza R. Aguila

Philippine Journal of Physical Therapy

Introduction. Immersive gamification technology systems (ImGTS) are used among patients with physical impairments in different practice settings. Studies have shown moderate evidence for the effectiveness of ImGTS in improving functional outcomes. However, studies are scarce on the use of ImGTS by rehabilitation professionals in clinical practice. Thus, this study aimed to determine attitudes of rehabilitation professionals in using ImGTS in rehabilitation.

Methods. This cross-sectional descriptive survey utilized a self-administered online questionnaire, the modified Unified Theory of Acceptance and Use of Technology (UTAUT) Questionnaire, to determine perceptions on performance expectancy, effort expectancy, social influence, and facilitating conditions on using ImGTS for …

Managing The Cost Of Services For People With Disabilities: An International Approach. Part I: Poland, Dana Pugh, Jaroslaw Richard Romaniuk

Faculty Scholarship

Introduction: The cost of care for people with disabilities is rising, whereas all forms of support for them are decreasing. Countries and communities develop different ways to serve the disabled. We examined the comprehensive state of care from the perspective of cost management of services for individuals with disabilities in Poland. Method: This paper is based on a review of relevant international literature, with a special focus on the situation in Poland. A keyword search was completed in both Polish- and English-language databases. Results: In Poland, people with disabilities usually live with their families, and specialized services are offered outside …

Commencement [Program], December 21, 2024, University Of Northern Iowa

UNI Commencement Programs

The program of the commencement ceremonies, including a list of institutional leadership, a list of the departments by college, awards given at the ceremonies, and a list of undergraduate and graduate degree candidates. This commencement program is not an official graduate list.

Contents:

Board of Regents --- 2
Institutional Leadership --- 2
Ceremony Symbols & Traditions --- 3
Academic Honorary Organizations --- 4
University Ambassador Organizations --- 5
University Honors Program --- 6
Graduation with Honors --- 6
Legacy Graduates --- 6
Military Science --- 7
Merchant Scholarship --- 7
Outstanding Student Leader --- 7
Commencement Student Speakers --- 7 …

Is Helping You Good For Me? Associations With Giving Capitalization Support And The Moderating Role Of Closeness, Samuel Molli

Psychology Theses and Dissertations

When good things happen, people often seek to share their joy with others. This act of sharing one’s positive experience with another is termed capitalization. Receiving capitalization support has been linked to multiple positive outcomes, especially when one receives an engaged and positive response. However, the outcomes related to giving engaged and positive responses to another’s capitalization are less clear. The current study sought to understand how responding positively to a romantic partner’s capitalization event is associated with the support provider’s momentary mood and interpersonal closeness. Additionally, the current study examined how the support provider’s trait-level closeness with their …