Digital Commons Network^™

Staff Education On The Use Of Music To Alleviate Anxiety In Patients With Dementia Within Long-Term Care Facilities, Anyinkeng Lydia Tazi

Walden Dissertations and Doctoral Studies

No abstract provided.

Physical, Environmental, And Psychological Determinants Of Sleep Among Long-Distance South Asian Caregivers Of Older Adults: A Mixed-Methods Approach, Srujana Chekuri

Gerontology Theses, Dissertations, and Student Creative Activity

Long-distance caregiving is an increasingly common yet understudied form of family care, particularly among immigrant communities whose cultural expectations of flial responsibility remain strong despite geographic separation. Among South Asian caregivers of older adults, caregiving across borders is shaped by powerful norms of duty, emotional endurance, and family obligation, creating distinctive patterns of stress that may profoundly afect health. One of the most consequential but underexamined outcomes of this caregiving context is sleep. This mixed-methods dissertation examined the physical, environmental, and psychological determinants of sleep among long-distance South Asian caregivers of older adults living in the United States. Guided by …

Self-Rated Mental Health As A Predictor Of Five-Year Incidence Of Heart Conditions, Cancer, And Dementia, In Post-Menopausal Women From Nshap Rounds 2 And 3, Annelie M. Persson

Gerontology Theses, Dissertations, and Student Creative Activity

Population aging is accompanied by a rising incidence of chronic disease, highlighting the need to identify early indicators of disease risk to support prevention and delay onset. Mental health has gained attention as a potential predictor of health outcomes. Self-rated mental health (SRMH) has emerged as a validated measure capturing resilience, social support, and overall outlook. Few studies in older adults have examined the relationship between SRMH and incident chronic disease. Although mental health is associated with behavioral and psychosocial factors such as physical activity and happiness, these pathways have rarely been examined as mediators. Self-rated physical health (SRPH) is …

Evidence-Based Dementia Communication Strategies Educational Module For Providers, Renie Efuetngu Leke Tazisong

Walden Dissertations and Doctoral Studies

No abstract provided.

Using Group Activities To Improve Engagement And Help Alleviate Loneliness Among Older Adults At Macedonia Face, Taylor Corcoran

Public Health Capstone Projects

Introduction: Social isolation and loneliness are increasing public health concerns due to their association with heightened risk for chronic disease and their disproportionate impact on Black older adults (BOA). This project was designed to develop, implement, and evaluate the effectiveness of culturally relevant, low-cost activities on engagement rates among older adults during unscheduled program periods at the Macedonia Family Community Enrichment Center (FACE).

Methods: This project used a mixed methods approach over a 4-week implementation period. Three activities were introduced by the student facilitator, including UNO!, Name That Tune (NTT), and coloring pages. Engagement was measured by comparing the …

The Rowan University Wellness Village: An Innovative Community Advancing Health And Well-Being, Thomas Cavalieri Do, Brandi Dockett Ma, Matt Mclaughlin Bs

Rowan-Virtua Research Day

No abstract provided.

Hearing And Vision Impairment And Cognitive Function In Later Life: A Scoping Review Of Psychosocial Mechanisms, Lea Guelde

Honors Capstones

Introduction: Sensory impairment is one of the most prevalent chronic conditions in later life and has been consistently associated with poorer cognitive outcomes. While prior research has documented associations between sensory loss and global cognitive decline, less attention has been paid to the psychosocial mechanisms that may explain this relationship. Understanding these pathways is essential for identifying modifiable intervention targets. This scoping review mapped and synthesized the existing literature on associations between hearing and vision impairment and cognitive function in adults aged 60 years and older, with a specific focus on psychosocial mechanisms linking sensory function and cognition in later …

Falling Star Program: A Visual Cue Intervention To Reduce Falls In Long-Term Care, Maggie Shanahan

Evidence-Based Practice Project Reports

Falls among older adults in skilled nursing and long-term care settings remain a leading cause of injury, functional decline, and increased healthcare utilization, contributing significantly to morbidity and mortality in this population (Centers for Disease Control and Prevention [CDC], 2023; Agency for Healthcare Research and Quality [AHRQ], 2022). The primary purpose of this project aimed to implement and evaluate a structured visual cue–based fall prevention intervention to reduce fall rates among high-risk residents in a long-term care facility in Northwest Indiana. The project included 23 participants aged 65 years and older who were identified as high risk for falls. Using …

Companionships, Transportation, And Health Among Members Of A Hispanic Senior Center: A Sociometric Social Network Dataset, Rebecca Mauldin Phd, Msw, Vismaya Prakasan Msis, Akshay Thakare Msis, Rupal Parekh Phd

Social Networks for Social Good Collection-Archive

This dataset contains survey and social network data from 42 members of a predominantly Puerto Rican senior center in Hartford, Connecticut. It includes two linked components (1) participant-level information on demographics, health, mobility, and transportation, and (2) a sociometric network of companionship ties among members. The data are designed for use in social network analysis and research on aging, mobility, and social relationships. These data can be used to explore questions such as how companionship ties are structured among older adults in a community setting; whether individuals with similar characteristics (e.g., age, gender, health status) are more likely to form …

Study Finds Major Gaps In Dementia Care Across Mississippi, Clara Turnage

University of Mississippi News

OXFORD, Miss. – Some 80% of Mississippi counties have no adult day service centers, and even counties that do have centers cannot meet the needs of people with dementia and their caregivers, a new University of Mississippi-led study indicates.

A Cross-Cultural Investigation Of Consumer Hoarding Behavior During Covid-19: Differences Between Sweden And The United States, Christy M. Cook, Pia A. Albinsson, James E. Stoddard

Atlantic Marketing Journal

This study is a cross-cultural exploration of consumer hoarding behavior during Covid-19; specifically, a comparison between Sweden and the United States. This research analyzes whether Swedish and American consumer hoarding behavior factors of prosocial orientation, consumer resilience and consumer risk-taking propensity reflect identical relationships during less predictable environmental forces (i.e., Covid-19 or global pandemic). Results from Partial Least Squares-Structural Equation Modeling (PLS-SEM) show that consumer prosocial orientation is negatively related to consumer hoarding and prosocial orientation is positively related to consumer resilience. In turn, both prosocial orientation and consumer resilience exhibit a positive relationship towards consumer hoarding. Consumer resilience is …

Understanding And Measuring Functional Communication In Adults Living With Alzheimer's Disease And Related Dementias, Sarah Toledo

Honors Capstones

Functional communication declines across all stages of dementia and directly affects quality of life, yet traditional standardized assessments may not fully capture everyday communication abilities. This capstone examines how functional communication in older adults living with dementia can be conceptualized and measured beyond standard tools. The study analyzes previously recorded video conversations between adults with dementia and student partners. Conversations are transcribed and coded using two observational measures: the Verbal and Nonverbal Interaction Scale–Care Recipient (VNVIS-CR) and the Adapted Measure of Participation in Conversation for Dementia (MPC-D). Gestures, facial expressions, responsiveness, and engagement are included in the analysis, and double …

Unlocking Access: Investigating The Implementation Of European Accessibility Standards In European Museums, Katie Hendrix

Honors Theses

Individuals with mobility limitations are limited to utilizing facilities that provide mobility adaptations, such as: elevators/lifts, automatic/easy to open doors, ramps, sufficient maneuverable space, benches, etc. To address this equity need in Europe, the European Committee for Standardization published and implemented the European Standard for accessibility and usability of the built environment (EN 17210) in 2021 which outlines accessibility features that all European Union (EU) countries are recommended to follow. The goal of this research is to investigate how the European Standard regulates the EU infrastructure and analyze its impact on infrastructures for those with mobility impairments. This project presents …

University Of Nebraska At Omaha Graduate Commencement: May 2026, University Of Nebraska At Omaha

Commencement Programs

No abstract provided.

University Of Nebraska At Omaha Undergraduate Commencement: May 2026, University Of Nebraska At Omaha

Commencement Programs

No abstract provided.

Graduates List - May 2026, University Of Nebraska At Omaha

Commencement Lists

No abstract provided.

Raising Awareness Of Senior Transportation Services In Monterey County, Daisy Prado

Capstone Projects and Master's Theses

Transportation barriers limit access to vital health and social services, especially for older adults. This capstone at Independent Transportation Network Monterey County (ITNMC) in Salinas focused on supporting older adults and those with visual impairments through volunteer-based rides, enabling independence and well-being. The project aimed to increase ITN awareness by sharing volunteer and rider stories on social media, building connections, and encouraging involvement. Social media presence grew, though limited time and structure hindered full implementation. Still, the foundation built is worth continuing to build. Intentional outreach can make a difference. With stronger planning, community support, and sustained effort, ITN can …

Association Between Cholinesterase Inhibitor-Overactive Bladder Antimuscarinic Prescribing Cascade And Risk Of Delirium And Falls Among Individuals Living With Dementia, Sarah Beth Tucker, Bryan L. Love Pharm D., Chijoke M. Okeke, Erin D. Zwick, Chengwen Teng Pharm.D., Ph.D., Jingkai Wei, Ibraheem M. Karaye, Saud Alsahali, Krithika Rajagopalan, Ismaeel Yunusa Ph.D.

Faculty Publications

Background

Prescribing cascades occur when cholinesterase inhibitor (ChEI)-induced urinary incontinence is misinterpreted as a new condition, leading to overactive bladder (OAB) antimuscarinic initiation. We evaluated whether the ChEI-OAB antimuscarinic prescribing cascade was associated with delirium or falls compared with mirabegron in older adults living with dementia.

Methods

We conducted a retrospective cohort study using the Anlitiks All-Payor Claims database (2015–2020). Participants were adults aged ≥ 65 years with dementia newly prescribed a ChEI with no prior ChEI or OAB therapy (180 days). A 60-day window identified OAB treatment initiation after ChEI therapy. Exposures were OAB antimuscarinics or mirabegron. Outcomes were …

The Investigation Of The Digital Divide: Government Literacy With African American Seniors, Jenettie Pirtle

Theses

My thesis, The Great Divide: An Investigation of Digital Literacy with African American Seniors, explores how race, age, and income shape access to technology and digital learning. Many African American seniors continue to face barriers to digital literacy due to limited resources, lack of exposure, and social inequalities. Using a qualitative approach, I conducted a focus group to hear directly from seniors about their experiences with technology, what challenges they face, how they feel about using it, and what support they need. Guided by Critical Race Theory and the concept of digital inequality, my analysis highlights the gap between access …

Using A Toxic Aging Coin To Assess Hexavalent Chromium Neurotoxicity: Impact Of Cr(Vi) On The Blood-Brain Barrier, Liam Buchanan

College of Arts & Sciences Senior Theses

The US population faces simultaneous public health threats from both aging and environmental pollutants. Chief among these is hexavalent chromium [Cr(VI)], whose toxic effects in peripheral tissues are well-established but its effects on the brain are still understudied. Following previous results indicating hippocampal metals dyshomeostasis after Cr(VI) exposure, we aim to assess Cr(VI)’s impact on the blood-brain barrier (BBB), a key structure for brain protection. We exposed young, middle-aged, and geriatric rats of both sexes to low levels of Cr(VI) in their drinking water for 90 days, after which we used immunofluorescence and confocal microscopy to analyze tissues for evidence …

Depersonalization/Derealization Symptoms And Their Association With Relationship Functioning In College Students, Edgar Silva

University Honors Program Senior Projects

Depersonalization/derealization disorder (DPDR) is a dissociative condition marked by persistent feelings of detachment from one’s thoughts, body, or external environment. Although DPDR most commonly emerges during late adolescence and early adulthood, it remains relatively understudied within college student populations, despite its potential consequences for psychological well-being and interpersonal functioning. The present study examines the association between depersonalization/derealization symptoms, mental health, and relationship functioning among university students. Specifically, this research investigates whether students reporting higher levels of depersonalization/ derealization symptoms differ from those with lower symptom levels in depression, anxiety, stress, and perceived social support. Participants will be undergraduate students recruited …

Navigating The Gray Area: The Unregulated Surge Of Unique Glp-1 And Glp-1/Gip Products, Jordyn Belcourt, Amy Sapowadia, Charles Michael White

Honors Scholar Theses

Purpose: To identify unique compounded semaglutide and tirzepatide products that existed after the shortage grace period ended and to assess their characteristics.

Methods: Researchers searched for compounding pharmacies using specific terms on Google. They collected the formulation, ingredients, dosage, and monthly cost of products. Researchers also contacted compounding company websites with available information to ascertain further information about products.

Results: Researchers identified 26 sites selling a total of 86 semaglutide or tirzepatide products. Of the included products, 33 were unique, and 41 products were essentially copies of FDA-approved products. Unique formulations included sublingual solution (n=9), sublingual tablets (n=5), and orally …

Reducing Vulnerability To Burnout Among Family Caregivers, Stephen J. Alvarado

Capstone Projects and Master's Theses

Family caregivers experience high levels of burnout and stress, which can negatively affect their well-being and the quality of care they provide. This capstone project was implemented at Health Projects Center in Salinas within the Del Mar Caregiver Resource Center program. Del Mar Caregiver Resource Center serves a diverse community of family caregivers, predominantly Caucasian, Hispanic, and Latino individuals caring for loved ones with a neurodegenerative disease like Alzheimer’s or memory impairment. The purpose of this project was to improve caregivers’ knowledge, confidence, awareness, and intention regarding self-care strategies to reduce their vulnerability to burnout related to caregiving. The project …

Loneliness And Social Support In Shift Work Employees, Jacob Lamprecht

Masters Theses and Doctoral Dissertations

Loneliness, a discrepancy between the desired quantity and quality of one’s relationships and their current relationships, has been connected to increases in mortality, as well as lower job performance, reduced job satisfaction, and increased burnout. However more recent studies indicate that the recipient may not always perceive the support as beneficial, resulting in “unhelpful social support. The present study examined how helpful and unhelpful social support relate to loneliness among healthcare shift workers, a population that may be prone to fatigue and health risks. I hypothesized that helpful support would be negatively related to loneliness and that unhelpful support would …

Resource Allocation Trade-Offs Between Longevity And Reproduction In Daphnia Magna, Amelia Pearson

Electronic Theses and Dissertations

Although trade-offs between longevity and reproduction have been described for a long time, the genetic mechanisms by which organisms modulate allocation of resources between these two essential processes remain poorly understood, due to their complex nature and their modification by existing nutritional states and environmental cues. Daphnia magna represents a valuable model for investigation in this area due to their moderate lifespan and cyclic parthenogenetic mode of reproduction, allowing for the easy study of gene by environment interactions. This dissertation first investigates the change in mortality, reproduction, activity, and gene expression when fully fed Daphnia and calorically restricted Daphnia are …

Barriers To Healthcare In Lgbtq+ Baby Boomers, Kellie Jones, Alexandra Lomeli, Bryant Vargas

Electronic Theses, Projects, and Dissertations

LGBTQ+ Baby Boomers have experienced decades of discrimination, societal suppression, and exclusion from equitable healthcare. Despite advancement in recent years, healthcare disparities persist, and past experiences of discrimination may contribute to present-day barriers in accessing quality care. Existing research often neglects the intersectionality of aging, sexual orientation, and identity, leaving a gap in understanding the long-term effects of historical trauma on healthcare access for this population.

This quantitative study seeks to answer the question: How does the historical trauma experienced by the LGBTQ+ Baby Boomer population impact the healthcare barriers they face? This study proposes to examine the relationship of …

Building Resilience: How Protective Factors Mitigate Acculturative Stress In The Latinx Immigrant Community, Andres I. Delgado, Jamie Tierrablanca

Electronic Theses, Projects, and Dissertations

This literature underscores the vital role of protective factors in reducing

acculturative stress among Latinx immigrants. Key factors such as social

support, religious affiliation, familism, and physical activity help contribute to

mitigating the negative effects of acculturation. The Latinx community can

significantly benefit from integrative, culturally responsive interventions informed

by social work frameworks such as ecosystems theory and critical race theory

(CRT) as they are essential in addressing the mental health needs of this

population. Despite existing research, gaps remain in understanding the full

scope of the Latinx immigrant experience, suggesting a need for further

exploration. The expected findings will …

Childlessness And Advance Care Planning In Midlife And Late Adulthood: A Mixed-Methods Study In Singapore, Bussarawan Teerawichitchainan, Dahye Kim, Pearlyn Hui Min Hui, Christine Ho

Research Collection School Of Economics

Advance care planning (ACP) is critical for ensuring high-quality, cost-effective end-of-life care and is typically facilitated by spouses and adult children. Yet, the growing number of older adults without children has been overlooked in ACP research. This study employs a mixed-methods approach to examine ACP practices and perceptions among childless adults aged 50+ in Singapore, a rapidly aging society with one of the world's highest childlessness rates. Quantitative analyses draw on nationwide survey data (N = 1,500), complemented by interviews with childless respondents (N = 26). We examine multiple dimensions of ACP: formal ACP (e.g., living wills, Lasting Power of …

Beyond The First Bout: Adaptations To Repeated Injuries Across Physiological And Pathological Conditions, Cory W. Baumann, Christopher P. Ingalls, Kazunori Nosaka, Jarrod A. Call

Research outputs 2022 to 2026

Skeletal muscle exhibits remarkable plasticity following injury, yet most research has focused on responses to a single bout of eccentric contractions. This review addresses adaptations to repeated eccentric contraction–induced injuries across physiological and pathological conditions, with emphasis on insights from preclinical rodent models. In healthy muscle, the repeated bout effect (RBE) reduces strength loss and accelerates recovery after subsequent bouts. However, these adaptations are highly condition dependent. Aging can attenuate the RBE, while dystrophic muscle remains vulnerable to repeated injury despite compensatory remodeling. Other factors, including but not limited to, chronic alcohol intake and malignant hyperthermia can influence these responses, …

Patterns In Awareness And Uptake Of The Lpa Among Older Adults In Singapore, Paulin Tay Straughan, Emi Loh, Shu Fang Ng, Yi Wen (Chen Yiwen) Tan, Wensi Lim

Research Collection School of Social Sciences

Findings from a survey with 7910 Singapore Life Panel members reveal that awareness of the Lasting Power of Attorney (LPA) was relatively high, but actual uptake remained low, with only one in three having made an LPA and pronounced gaps among lower socioeconomic groups. Despite this, attitudes towards LPA were generally positive, with perceived benefits centered on peace of mind and reducing burdens on family members. A major barrier to adoption is the misconception that children automatically have the legal authority to make decisions if parents lose mental capacity. Structural and psychological barriers, including cost, complexity, and limited guidance, further …