Digital Commons Network^™

Perceptions Of Acute Care Telemedicine Among Caregivers For Persons Living With Dementia: A Qualitative Study, Anita Chary, Norvin Hernandez, Ana Paulina Rivera, Vivian Ramont, Tracey Obi, Ilianna Santangelo, Christine Ritchie, Hardeep Singh, Emily Hayden, Aanand D Naik, Shan Liu, Maura Kennedy

Faculty, Staff and Student Publications

Persons living with dementia (PLWD) have high emergency department (ED) utilization. Little is known about using telemedicine with PLWD and caregivers as an alternative to ED visits for minor acute health problems. This qualitative interview-based study elicited caregivers' perspectives about the acceptability of telemedicine for acute complaints. We performed telephone interviews with 28 caregivers of PLWD from two academic EDs, one in the Northeast and another in the South. Using a combined deductive-inductive approach, we coded interview transcripts and elucidated common themes by consensus. All caregivers reported they would need to participate in the telemedicine visit to help overcome communication …

The Relationship Of Neighborhood Disadvantage, Biological Aging, And Psychosocial Risk And Resilience Factors In Heart Failure Incidence Among Black Persons: A Moderated Mediation Analysis, Ganga S Bey, James R Pike, Anthony S Zannas, Qian Xiao, Bing Yu, Amil M Shah, Priya Palta

Faculty, Staff and Student Publications

Objectives: Deprived living environments contribute to greater heart failure (HF) risk among non-Hispanic Black persons, who disproportionately occupy disadvantaged neighborhoods. The mechanisms for these effects are not fully explicated, partially attributable to an insufficient understanding of the individual factors that contribute additional risk or resilience to the impact of neighborhood disadvantage on health. The objective of this study was, therefore, to clarify the complex pathways over which such exposures act to facilitate more targeted, effective interventions. Given the evidence for a mediating role of biological age and a moderating role of individual psychosocial characteristics in the neighborhood disadvantage-HF link, we …

Fostering A Culture Of Belonging Within Women Working In A Hybrid Environment, Jam Narte Harley

Theses and Dissertations

This research discusses the opportunity presented by the post-pandemic return to work to support Diversity, Equity, Inclusion, and Belonging initiatives by creating a new belonging framework for women working in a hybrid environment. The transition to remote and hybrid work arrangements amid the pandemic highlighted the importance of leaders tackling ongoing challenges in leadership and management, such as digital transformation and remote management, which led to rapid change, anxiety, and uncertainty. The lack of daily contact has significantly impacted workplace relationships and highlighted the importance of belongingness for employees' well-being and retention. Hybrid work arrangements are likely to become a …

Sms : A Smartwatch Application Suite For Mobility Assessment, Suresh Avula

Theses

Regular assessment of mobility can detect changes in physical health over time and discover underlying health issues. Some of these changes in mobility may indicate an increased risk of falls, which can lead to serious injuries. Identifying mobility changes can help prevent these incidents. Wearable technology can facilitate mobility tests at home and alert caregivers or medical professionals to any irregularities and promote proactive healthcare. Adoption of smartwatches with various built-in sensors like accelerometer and gyroscope creates new opportunities for wearable health monitoring. We developed the Smartwatch Application Suite to evaluate functional mobility using standard mobility tests: Timed Up and …

Assessing Providers’ Readiness To Integrate Mat Services In A Primary Care Setting, Carmen Ingram-Thorpe

Theses and Dissertations

Opioid use disorder is a growing concern in the United States. Despite medication-assisted treatment (MAT) being a more effective treatment option than behavioral treatment alone, primary care providers’ rate of adoption and utilization of MAT has not matched the demand of the opioid crisis. The largest barrier facing our local community is the availability of organizations and providers that can and will actually provide MAT services. The purpose of this study was to identify factors that impact primary care providers’ readiness to treat individuals with opioid use disorder (OUD) using MAT. This study used the ADKAR model as framework, which …

Addressing Aggressive Behaviors In Long Term Care Settings: How Do Caregivers Feel Supported?, Betty Kortey

All Graduate Theses, Dissertations, and Other Capstone Projects

Caregivers are faced with great challenges when it comes to handling aggressive behaviors among long term care residents and, therefore, need support in managing resident aggression. Qualitative in depth interviews will be cond ucted with a convenience sample of caregivers on the occurrence and management of aggressive behaviors in long term care settings. The findings of the research will show that caregivers have difficulties handling aggressive situations which sometimes leads to caregiver stress and high turnover. Long term care facilities give inadequate support in managing aggressive behaviors leading to challenges in staffing. Findings will help fill the gap in the …

Beyond The Classroom: An Internship Model That Builds Age-Friendliness & Career Readiness, Kristin Souza, Skye N. Leedahl, Emma Pascuzzi, Alexandra Morelli

Human Development and Family Science Faculty Publications

Since 2015, the University of Rhode Island (URI) Engaging Generations Cyber-Seniors Program has provided over 500 students from 19 different majors with the opportunity to mentor older adults through internships and service learning courses. Due to the pandemic, interest in the program significantly increased from the community and from students in need of opportunities to work with individuals. As a result, a robust internship program was developed that focused on building age and digital inclusivity across campus and throughout the state. The program integrates a three-pronged approach where students complete field hours, enhance the Career Readiness Competencies employers seek in …

Overwhelmed And Unsupported: The Experiences Of Long-Term Care Certified Nursing Assistants With Traumatic Events, Nicole L. Carlson

Electronic Theses and Dissertations

No abstract provided.

Association Of Cancer Diagnosis With Disability Status Among Older Survivors Of Colorectal Cancer: A Population-Based Retrospective Cohort Study, Shiming Zhang, Lin-Na Chou, Michael D Swartz, Hemalkumar B Mehta, James S Goodwin, Yong-Fang Kuo, Sharon Hermes Giordano, Carole A Tucker, Karen M Basen-Engquist, Elizabeth J Lyons, Brian Downer, Susan K Peterson, Tru Cao, Maria C Swartz

Faculty, Staff and Student Publications

BACKGROUND: Older cancer survivors likely experience physical function limitations due to cancer and its treatments, leading to disability and early mortality. Existing studies have focused on factors associated with surgical complications and mortality risk rather than factors associated with the development of poor disability status (DS), a proxy measure of poor performance status, in cancer survivors. We aimed to identify factors associated with the development of poor DS among older survivors of colorectal cancer (CRC) and compare poor DS rates to an age-sex-matched, non-cancer cohort.

METHODS: This retrospective cohort study utilized administrative data from the Texas Cancer Registry Medicare-linked database. …

Developing A National Implementation Strategy To Accelerate Uptake Of Evidence-Based Family Caregiver Support In Us Cancer Centers, J Nicholas Odom, Heather M Young, Katherine Sterba, Timothy S Sannes, Susan Reinhard, Chandylen L Nightingale, Diane Meier, Tamryn F Gray, Betty Ferrell, Maria E Fernandez, Heidi Donovan, Kayleigh Curry, Erin R Currie, Tara Bryant, Marie A Bakitas, Allison J Applebaum

Faculty, Staff and Student Publications

OBJECTIVE: Characterize key factors and training needs of U.S. cancer centers in implementing family caregiver support services.

METHODS: Sequential explanatory mixed methods design consisting of: (1) a national survey of clinicians and administrators from Commission-on-Cancer-accredited cancer centers (N = 238) on factors and training needed for establishing new caregiver programs and (2) qualitative interviews with a subsample of survey respondents (N = 30) to elicit feedback on survey findings and the outline of an implementation strategy to facilitate implementation of evidence-based family caregiver support (the Caregiver Support Accelerator). Survey data was tabulated using descriptive statistics and transcribed interviews were analyzed …

Effects Of Glyphosate-Based Herbicide Exposure On Life History, Stress Tolerance, And Microbiome—From Plasticity To Evolution, Jacob R. Whitlock

University of the Pacific Theses and Dissertations

Glyphosate (GLY) is the most used pesticide worldwide, and GLY-based herbicides (GBHs) can affect animals’ microbiomes and, in turn, their physiology and morphology. Environmental stressors can be mitigated by flexibility in life-history strategies, which can also dictate animal physiology and morphology. However, we lack an understanding of how GBH influences life-history strategies and stress tolerance, in addition to its effects across generations. Thus, I exposed the variable field cricket, Gryllus lineaticeps, to GBH within- and across-generations to examine the role of GBH in developmental plasticity and evolution. Specifically, I measured its effects on life-history traits (e.g., developmental duration and a …

Heart Rate Variability Is Reduced In Covid-19 Survivors And Associated With Physical Activity And Fatigue, Michael H. Haischer, Lauren E. Opielinski, Lindsey M. Mirkes, Toni D. Uhrich, Rachel E. Bollaert, Michael E. Danduran, Marie K. Hoeger Bement, Linda B. Piacentine, Paula E. Papanek, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Reduced heart rate variability (HRV) and fatigue are common after COVID-19 infection and both are potentially influenced by physical activity (PA). We compared resting HRV, PA from accelerometers and questionnaires, and self-reported fatigue in 41 COVID-19 survivors (~8 months postinfection, 38 ± 17 years) with 41 matched controls. Differences in HRV were observed on acceleration capacity (p = 0.041), deceleration capacity (p = 0.032), high-frequency peak frequency (p = 0.019), absolute low-frequency power (p = 0.042), relative very low-frequency power (p = 0.012), SD2 (from Poincare plot; p = 0.047), and DFA2 (slope of long-term …

Childlessness And Sibling Positioning In Upward Intergenerational Support: Insights From Singapore, Dahye Kim, Christine Ho, Bussarawan Teerawichitchainan

Research Collection School Of Economics

Objective: This brief report aims to explore the role of child-lessness and its interaction with sibling positioning (i.e., birth order and gender) in upward intergenerational support within the context of Asian familial and patrilineal values. Background: Despite the increasing rates of childlessness in Asia, little is known about how childless individuals deviate from or adhere to the patrilineal gendered practices of supporting their older parents. Singapore, a rapidly aging nation that emphasises Confucian familism values and patrilineal practices in guiding its welfare policies, provides an ideal setting for this research investigation. Method: We analysed a sample of 475 Singaporeans aged …

Behavior Change Techniques On Perceived Engagement And Adherence Rates In Ehealth Exercise Programs For Young Adult Cancer Survivors, Ean Katz

Research Papers

No abstract provided.

The Effects Of Exercise In Cognitive Function In Older Ad, Josephine Sagan

Honors Program Theses

No abstract provided.

2024 Community-Based Care. Resident And Community Characteristics Report On Assisted Living, Residential Care, And Memory Care Communities, Ozcan Tunalilar, Sarah Dys, Yuliana Levchenko, Diana Jacoby, Minju Kim, Wafi Albalawi, Paula Carder

Institute on Aging Publications

This report marks the 10th anniversary of the Resident and Community Characteristics Report on Assisted Living (AL), Residential Care (RC), and Memory Care (MC) Communities as part of the Oregon Community Based Care project. This study includes rotating questions that focus on emerging areas of interest in the AL/RC/MC settings based on feedback from ODHS and interested parties alongside a core set of questions that are asked every year or every other year to allow comparisons over time. In this year’s study, we included information about various resident, community, and staff characteristics, including:

• Residents: sociodemographic characteristics (e.g., age, sex, …

Examining Potential Causal Associations Of Sedentary Time And Physical Activity With Heart Failure Using Subjective And Objective Measures: A Mendelian Randomization Analysis, Jessica Geller

UNF Graduate Theses and Dissertations

Purpose: The objective of this study was to assess the causal relationship between both subjectively and objectively measured sedentary time (ST) and physical activity (PA) with heart failure (HF) risk, utilizing Mendelian Randomization (MR) approach.

Methods: The present MR used genetic instruments identified for self-reported ST and PA extracted from 51 genome wide association studies (GWAS), encompassing data from 703,901 individuals. The GWAS identified 89 independent single nucleotide polymorphisms (SNPs) associated with leisure screen time. Eleven loci were reported to be associated with moderate to vigorous physical activity (MVPA). From another GWAS examining accelerometer-based activities, three loci were found to …

Sleep, Sedentary Time, And Physical Activity In Heart Failure Subtypes: Multi-Ethnic Study Of Atherosclerosis (Mesa), Demi M. Nott

UNF Graduate Theses and Dissertations

INTRODUCTION: Previous studies have examined the associations between physical activity (PA), sedentary time (ST), and sleep on the risk of heart failure (HF). The primary aim of this study was to examine PA, ST, and sleep quality (SQ) in those diagnosed with preserved ejection fraction HF (HFpEF) and reduced ejection fraction HF (HFrEF). The secondary aim of this study was to examine these relationships in those with and without HF, independent of sub-type.

METHODS: The Multi-Ethnic Study of Atherosclerosis (MESA) collected data from 6,814 adults from a diversified cohort who range in age from 45 to 84. Subjects were classified …

Predicting Maximum Concentric And Eccentric Squat Strength From Maximum Isometric Squat Strength, Michael A. Dunn

All ETDs from UAB

Resistive squat exercise is a well-established technique to enhance the strength of muscles and bone of the back in humans. Such type of exercise could prove highly beneficial for individuals with pathological condition of the back such as osteoporosis. Notably, the rehabilitation programs aimed at strengthening the muscles and bone of the back require the knowledge of the patient’s one repetition maximum (1RM). Finding the 1RM squat value could lead to injury due to the higher weights involved. In addition, testing for 1RM could be not feasible in older populations or young population with chronic back conditions The isometric squat …

The Association Between Cardiovascular Disease Risk And Fractures In Postmenopausal Women, Rafeka Hossain

All ETDs from UAB

Background: Fragility fractures pose a significant healthcare and economic burden in the United States. While age and bone mineral density (BMD) are the primary established risk factors for fragility fractures, the relationship between cardiovascular disease (CVD) and fractures remains underexplored. The primary objective of this analysis was to estimate the association of CVD risk with fractures in postmenopausal women. Methods: Utilizing 30 years of data from the WHI, Atherosclerotic Cardiovascular Disease (ASCVD) risk scores were computed using baseline age, race, systolic blood pressure, total cholesterol, high-density lipoprotein, diabetes, anti-hypertension medications, and smoking. Fracture outcomes encompassed any clinical fracture, major osteoporotic …

Current Education Offerings On Occupational Therapy: Addressing Feeding, Eating, And Swallowing Across The Lifespan, Thilini Abeywickrema, Kate G. Barlow, Janelle Hatlevig, Cuyler Romeo, Tatiana Barcelos Pontes

Journal of Occupational Therapy Education

Occupational therapists play a vital role in the care of individuals with feeding, eating, and swallowing (FES) disorders across the lifespan. Although there are certain standards created by the Accreditation Council of Occupational Therapy (ACOTE) for understanding of assessment and management practices specific to FES, there are inconsistencies in how occupational therapy programs in the United States address FES disorders within their curriculum. This cross-sectional exploratory survey study received responses from 54 Master of Occupational Therapy (MSOT) programs and 63 entry-level Occupational Therapy Doctoral (OTD) programs. Survey questions included quantitative and qualitative information on general information regarding FES content taught …

Effective Communication With People With Dementia: An Exploratory Study Of Pre-Registration Occupational Therapy Students, Samita Kirve, Lucy Perkins

Journal of Occupational Therapy Education

Dementia is a major global concern, with 50 million people already affected worldwide in 2018, and this number is expected to triple by 2050. Healthcare practitioners, specifically occupational therapists, are responsible for providing care and ensuring the well-being of people with dementia. However, occupational therapy students may not always have the necessary knowledge and skills to effectively communicate and support dementia patients, which could negatively impact the quality of care they provide. To explore this issue, a study was conducted with final-year pre-registration occupational therapy students at a public university in England. The study used a qualitative methodology, with semi-structured …

Dementia Education Opportunities For Pre-Registration Occupational Therapy And Physiotherapy Students- A Scoping Review, Samita Kirve, Alice Teague

Journal of Occupational Therapy Education

The number of dementia diagnoses is ever-increasing in the aging population, meaning that healthcare staff need to be equipped with the appropriate knowledge, attitudes, and skills to care for people with dementia. However, recent research suggests that globally, both healthcare workers and students require greater dementia education opportunities to meet the needs of people with dementia. There seems to be limited research exploring dementia education opportunities within occupational therapy (OT) and physiotherapy (PT) programs. A scoping review methodology was chosen to explore the literature about dementia education in global OT and PT programs. There was limited literature in this area …

Relationships Between Reasoning, Reflective Practice, And Evidence-Based Practice: Educators’ Perspectives, Hannah K. Burke, Pat L. Sample, Anita C. Bundy, Shelly J. Lane

Journal of Occupational Therapy Education

Many models of professional thinking exist within occupational therapy, but the relationships among reasoning, reflective practice, and evidence-based practice as essential skills for practice are not clear. Because occupational therapy educators impart these skills to students, understanding how educators conceptualize relationships among skills is necessary. We used Delphi methodology to explore educator conceptualizations of the relationships among clinical reasoning, professional reasoning, reflective practice, and evidence-based practice. Inclusion criteria were: an educator in an occupational therapy program for at least three years at the master’s level or higher, currently an occupational therapy educator based in the United States, and available across …

Teaching Reasoning, Reflective Practice, And Evidence-Based Practice: Educator Consensus Strategies, Hannah K. Burke, Pat L. Sample, Anita C. Bundy, Virginia Spielmann, Shelly J. Lane

Journal of Occupational Therapy Education

Although reasoning, reflective practice, and evidence-based practice are essential professional skills for occupational therapy students, there is not a clear understanding of how these skills are taught. We used Delphi methodology to explore how occupational therapy educators conceptualize best-practices for facilitating the development of clinical reasoning, professional reasoning, reflective practice, and evidence-based practice. Participants were required to be educators in a master’s-level or higher occupational therapy program for at least three years, based in the United States, and available across multiple survey rounds. The nine participants nominated a total of 94 teaching strategies, of which 90.4% (n = 85) reached …

Variables Impacting First Time Pass Rates Of Msot Students, Amy L. Brzuz, Julia M. Hawkins-Pokabla, David Prier

Journal of Occupational Therapy Education

To enter practice as an occupational therapist, one must complete an occupational therapy program at an accredited institution and then pass a national certification exam. This exam is called the National Board for Certification in Occupational Therapy (NBCOT) Exam. Individuals can take the exam more than once to achieve a passing score but must pay a fee each time. Not passing the first time can lead to stress, increased costs, and delayed entrance into the profession. Thus, being a first-time passer is ideal. The purpose of this retrospective quantitative study was to identify variables impacting first time pass rates of …

The Influence Of Case-Based Learning On Clinical Reasoning Of New Graduate Occupational Therapists, Sho Maruyama, Takuya Hirose, Reiko Miyamoto, Yuriko Mashida, Hiroki Fukahori, Peter Bontje

Journal of Occupational Therapy Education

This study aimed to explore the influence of case-based learning (CBL) on the clinical reasoning of new graduate occupational therapists. A quasi-experimental single-arm study with a convergent mixed methods approach was conducted. The intervention was the 10-week CBL program, which included (1) guidance and mentorship in clinical practice and (2) case reports and presentations. Quantitative data collection consisted of the self-assessment of clinical reasoning in occupational therapy (SA-CROT) and the professional identity scale (PI scale); paired t-tests were conducted (p p = .001, effect size r = .65), and all four of the SA-CROT's subfactors indicated improvement with moderate …

Money Matters To All Students, George Padilla, Michelle H. Abrego

Organization and School Leadership Faculty Publications

The question whether money matters in education strikes at the foundation of America’s democracy—an educated electorate. Despite decades of evidence that money does matter, the question still remains unanswered among many and even answered to the contrary of the evidence. It is important to fully understand that money does matter in American education, American lives, and America’s future and to increase awareness of political and social factors that undermine that money matters for all students to learn.

Faculty Perceptions Of Online Instruction And Educational Technology In Higher Education, Raul Nick Cabrera, Velma D. Menchaca, Marie Simonsson, Hilda Silva

Organization and School Leadership Faculty Publications

The purpose of this research was to obtain faculty perceptions of online instruction and educational technology in higher education. Data was collected from eight participants through interviews and open-ended questions at a higher education institution. Results showed that faculty consider that online instruction is only possible for certain programs and that it’s only for certain student populations. In addition, faculty perceive online learning environments as a repository for class information and serve as a communication medium between instructor and student. Furthermore, faculty believe that there is no substitution for traditional teaching methods regardless of the educational technology available. Theoretical and …

Essential Collaborations Among Case Managers And Providers Regarding Discharge Processes, Lashawnda Richardson

Doctor of Nursing Practice Projects

Communication is vital between case managers and providers when patients need care coordination post-discharge. This includes but is not limited to facilitating home health services, ordering durable medical equipment, sending referrals to rehabilitation facilities, and sponsorship for uninsured or underinsured patients. This gives case managers the opportunity to educate providers on the discharge needs they ordered for their patients. The collaboration between case managers and providers allows for timely discharge planning and providing patients and their families with accurate information regarding their discharge needs.