Digital Commons Network^™

The Relationship Between The Working Environment And Quality Of Life Among Home Health Aides: Focusing On The Mediation Role Of Burnout, Sehyun Baek, Oejin Shin, Soobin Park, Ahra Ko, Sojung Park, Eun-Na Kang

Faculty Publications - Social Work

As South Korea’s population rapidly ages, there is an increasing demand for home aides. However, little is known about how the caregiving environment affects HHAs. Guided by the environment comfort model, we examined the association between care recipients’ home environment and HHA’s quality of life, focusing on how burnout mediates this relationship. Our data came from a national survey of home health aides in 2020 (N = 786). We conducted an exploratory factor analysis to identify six factors related to the care environment in three dimensions: physical (1. space; 2. indoor/outdoor conditions), functional (3. home appliances; 4. heating/air conditioning), and …

Aging In Place With A Warming Climate: Housing Design And Policies For Aging With Extreme Heat, Nichole M. Kain

Antioch University Dissertations & Theses

Aging populations—particularly in areas prone to extreme heat—are facing unique residential challenges. In the past 10 years, extreme heat has killed more people in the United States (U.S.) than all other weather hazards combined, and it is expected to get hotter, with extreme heat events predicted to happen more often in the future. People over the age of 65 are disproportionately represented as the majority of heat victims, and are likely to perish in their own homes during these events. Every day, 10,000 people turn age 65 in the U.S. and many are choosing to age and retire in places …

Insights From A National Database For Programs Supporting Neuropsychiatric Symptoms Of Dementia In Australia, Mustafa Atee, Thomas Morris, Daniel Whiting, Stephen Macfarlane, Marie Alford

Research outputs 2022 to 2026

No abstract provided.

The Australian Frailty Network: Development Of A Consumer-Focussed National Response To Frailty, Natasha Reid, Adrienne Young, Loretta Baldassar, Anja Christoffersen, Tracy Comans, Simon Conroy, Christopher Etherton-Beer, Jason Ferris, Maria Fiatarone Singh, Sarah Fox, Emily H. Gordon, Manonita Ghosh, Chandana Guha, Sarah Hilmer, Lisa Kouladjian O’Donnell, Benignus Logan, Kristiana Ludlow, Michelle Miller, Mark Morgan, Alison Mudge, John Muscedere, Donna Reidlinger, Kenneth Rockwood, Rosemary Saunders, David Ward, Paul Yates

Research outputs 2022 to 2026

Frailty is an important concept in the care of older adults. Over the past two decades, significant advances have been made in measuring frailty. While it is now well-recognised that frailty status is an important determinant of outcomes from medical illnesses or surgical interventions, frailty measurement is not currently routinely integrated into clinical practice. In the community setting, it is uncommon for general practitioners to deliver frailty-optimised care. In hospitals, there is substantial variability in how people living with frailty are managed. This variability is notable between and even within disciplines. Furthermore, gains from understanding frailty mechanisms and risk factors …

Factors Affecting Clinician Readiness To Adopt Smart Home Technology For Remote Health Monitoring: Systematic Review, Gordana Dermody, Daniel Wadsworth, Melissa Dunham, Courtney Glass, Roschelle Fritz

Research outputs 2022 to 2026

Background: The population of older adults worldwide continues to increase, placing higher demands on primary health care and long-term care. The costs of housing older people in care facilities have economic and societal impacts that are unsustainable without innovative solutions. Many older people wish to remain independent in their homes and age in place. Assistive technology such as health-assistive smart homes with clinician monitoring could be a widely adopted alternative to aged-care facilities in the future. While studies have found that older persons have demonstrated a readiness to adopt health-assistive smart homes, little is known about clinician readiness to adopt …

Vulnerable, Recalcitrant And Resilient: A Foucauldian Discourse Analysis Of Risk And Older People Within The Context Of Covid-19 News Media, Marjorie Skoss, Rachel Batten, Patricia Cain, Mandy Stanley

Research outputs 2022 to 2026

Risk is an innate and integral part of everyday life and is present in simple, everyday occupations and complex actions. Age-related stereotypes can mean older people have little opportunity to engage in activities that present some degree of risk. The present study explores the discourse around risk and older people in the context of the COVID-19 pandemic. We investigated news media as a reflection of the dominant public discourse around older people's behaviour to identify how risk is represented in relation to occupational engagement. Texts relating to older people and COVID-19 were sourced from the West Australian newspaper for a …

Co-Making And Prototyping Community Housing Futures, Alejandro Veliz Reyes, Alexandra Carr, Timothy Crabtree

School of Art, Design and Architecture

An emerging area of research on automated futures is that of digital equity- how to innovate and develop digital products, services, and experiences which promote equality of access, and align with the lived experiences of communities they are expected to benefit. In this chapter, we outline a research project focused on the adoption of digital fabrication technologies by a rural community in Bridport, United Kingdom. Their challenge is that of housing futures not only in terms of stock demand, but more broadly in terms of sustainable forms of housing construction (i.e., modern methods of construction) using local materials and skills. …

Implementation Of A Diabetes Mellitus Self-Management Program, Rebecca Johnston

DNP Projects

Type 2 diabetes is prevalent nationwide, increasing the risk of various complications including heart disease, stroke, kidney failure, blindness, and amputations. The literature review highlights a potential correlation between inadequate education and a lack of control of glucose in individuals diagnosed with Type 2 Diabetes Mellitus. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to improve knowledge of Diabetes Type 2 self-management, in turn improving the outcomes of patients who were newly diagnosed with Type 2 Diabetes Mellitus and patients who had a Hemoglobin A1c >7%, as well as management of weight in these patients. …

A Multidisciplinary Approach To Identify Postoperative Delirium In Geriatric Patients Using A Brain Health Screening Tool, Ashlyn Mccartney

Graduate Theses, Dissertations, and Problem Reports (ETD)

Postoperative delirium (POD) is a common occurrence, effecting nearly 61% of the surgical population recovering from anesthesia. POD increases risk of morbidity and mortality leading to prolonged hospital length of stay by 0.8 to 7.3 days and increased costs by $1,551 to $23,698 (Masharaf et al., 2022; Sethi, 2021). An academic medical center in northern West Virginia (WV) lacks a structured practice/protocol to identify high risk patients and assess POD. An evidence-based solution was developed based on the PICO question: Does a multidisciplinary approach to perianesthetic care utilizing a brain health screening tool, compared to lack of a screening tool, …

The Intellectual Structure Of Audit Committee Research: A Bibliometric Analysis (1969 – 2020), Joel Behrend, Marc Eulerich, David A. Wood

Faculty Publications

The audit committee is a widely recognized mechanism of effective corporate governance. We advance prior literature reviews by using bibliometric analysis techniques that comprehensively process large bodies of bibliometric information. We base inferences on citation patterns of 1,173 articles to identify concepts that “shine through” within the scientific understanding of audit committees. Using content analysis, we then analyze these concepts and explore existing interrelationships. We document a declining influence of audit committee research, as well as a widening gap between the quantitative and qualitative research camps. While the former is mostly derivative in nature, the latter produces innovative insights on …

Subjective Cognitive Decline: Examining The Contributions Of Adverse Childhood Experiences And Social Determinants Of Health, Amber Victoria Rusch

Graduate Theses, Dissertations, and Problem Reports (ETD)

Subjective cognitive decline is one’s awareness of their own consistent memory loss or confusion that interrupts their day-to-day activities (CDC, 2022; Roehr et al., 2017). Several risk factors for subjective cognitive decline, such as demographic social determinants of health (SDOH) and adverse childhood experiences (ACEs) have been identified through previous research (Alzheimer’s Association, 2016; Dening & Sandilyan, 2015); however, less is known about the interaction between demographic SDOH and ACEs on subjective cognitive decline. The current study sought to examine how demographic SDOH (i.e., age, sex, race, and education) (research question 1) and ACEs (i.e., physical abuse, sexual abuse, and …

Impacts Of Environmental Stressors On Mummichog (Fundulus Heteroclitus) Growth And The Gh-Igf1 Pathway Using A Laboratory Bioassay, Olena Kuntyj

Theses and Dissertations (Comprehensive)

Using a flow-through laboratory bioassay, experiments investigated the effects of limited feeding, increased temperature, ammonium chloride (NH₄Cl), and 17α-ethinylestradiol (EE₂) on juvenile mummichog (Fundulus heteroclitus) growth. Weight measurements were taken every three days as the apical growth endpoint. Gene expression was examined by qPCR for genes in the GH (growth hormone)-IGF1 (insulin-like growth factor 1) pathway, including gh, igf1, and their receptors (ghra, ghrb, igf1ra, igf1rb). In Experiment 1, juvenile mummichog were exposed to excess or limited feed for 21 days. The limited-fed mummichog weighed less, were …

A Descriptive Analysis Of Depressive Symptoms And Body Image By Race/Ethnicity And Nativity Status Among Adolescents, Radhika Prasad

Electronic Theses & Dissertations (2024 - present)

Previous research on the immigrant health paradox among children and adolescents show a mental health advantage yet it is unclear if this applies in a similar magnitude to females (Fillion et al., 2018; Zarei et al., 2023). Immigrants may be exposed to stressors related to immigration and acculturation. Some research suggests that females respond more to stress through internalizing symptoms relative to males (Hall-Lande et al., 2007; Adkins et al., 2009). Given these gender differences in stress response, female immigrants may be particularly vulnerable to the psychological consequences of immigration related stressors. The immigrant health paradox has also overlooked subjective …

Advancing The Practice Of Trauma: Utilizing Advanced Practice Providers To Improve Patient Outcomes Through A Collaborative Team Approach., Alaina M Lasinski, Allysen Shaughnessy, Benjamin Reynolds, Raquel Forsythe, Annika B Kay, Brian K Yorkgitis, Brandy N Younge, Ashley B Christmas, Jeffrey A Claridge

Trauma and Acute Care Articles

Advanced practice providers (APPs) have become essential to trauma teams in the United States during the last few decades. The optimal utilization of APPs is not yet known and is likely highly variable secondary to many factors. We discuss three aspects of the multidisciplinary approach to caring for trauma patients. First, a review of the literature demonstrates that APPs in trauma improve quality of care, patient throughput, and decrease cost. We then report on models of APP utilization by comparing five trauma centers across the country, concluding that utilization remains highly variable due to several system and provider factors. The …

Diet-Stimulated Marrow Adiposity Fails To Worsen Early, Age-Related Bone Loss, Cody Mcgrath, Sarah E Little-Letsinger, Gabriel M Pagnotti, Buer Sen, Zhihui Xie, Gunes Uzer, Guniz B Uzer, Xiaopeng Zong, Martin A Styner, Janet Rubin, Maya Styner

Faculty, Staff and Student Publications

Introduction: Longitudinal effect of diet-induced obesity on bone is uncertain. Prior work showed both no effect and a decrement in bone density or quality when obesity begins prior to skeletal maturity. We aimed to quantify long-term effects of obesity on bone and bone marrow adipose tissue (BMAT) in adulthood.

Methods: Skeletally mature, female C57BL/6 mice (n = 70) aged 12 weeks were randomly allocated to low-fat diet (LFD; 10% kcal fat; n = 30) or high-fat diet (HFD; 60% kcal fat; n = 30), with analyses at 12, 15, 18, and 24 weeks (n = 10/group). Tibial microarchitecture was analyzed …

Outcomes Of The Leap Feasibility Trial—A Low-Threshold, Exercise Programme With Protein Supplementation To Target Frailty And Poor Physical Functioning In People Experiencing Homelessness And Addiction Issues, Fiona Kennedy, Clíona Ní Cheallaigh, Roman Romero-Ortuno, Suzanne L. Doyle, Julie Broderick

Articles

Background People experiencing homelessness are more likely to experience poor health with physical functioning deficits and frailty commonly reported. It is not well known how strategies to target physical functioning deficits and frailty work in practice in this group. The primary aim of this study was to explore the feasibility of an exercise intervention with protein supplementation to target physical functioning and frailty in people experiencing homelessness evaluated by recruitment and retention rates, adherence to the exercise sessions and protein supplement, adverse effects, programme feedback and characteristics of non-returners, sporadic and frequent attenders. The secondary aim was to evaluate changes …

The Flame, 2023-2024, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

5.Meeting The Attachment Needs Of Nursing Home Residents With Dementia, Lucia Carragher, Gemma Jones, Ann Marron, Laura Ballantine

Irish Journal of Applied Social Studies

No abstract provided.

10. Book Review: Why Robots Won't Save Japan By James Wright. Ithaca: Cornell University Press. 2023., Perry Share

Irish Journal of Applied Social Studies

No abstract provided.

Happy To Zoom: A New Frontier In Online Delivery Of Day-Care For Older People During Covid-19, Suzanne C. Smith Msc, Holly O'Brien, Darragh Mccashin Phd

Irish Journal of Applied Social Studies

From early in the COVID-19 pandemic, community day-care centres sought to find ways to deliver services remotely using digital tools, but older people are often presumed resistant to using digital technologies. This study sought to examine the delivery of community day-care services at the beginning of the COVID-19 pandemic and to identify the willingness of older service users to participate in day-care activities remotely while in-person services were unavailable. Community day-care services are essential to ensuring social participation and overall wellbeing for many older people who remain living at home. On March 16^th, 2020, like many other services, …

Addressing Digital Exclusion Via The Inter-Generational Codesign Of Extended Reality, Underwater Telepresence, Social Games, And Voice Ai Technologies, Ray Jones, Rory Baxter, Marius Varga, Oksana Hagen, Amir Aly, Dena Bazazian, Alejandro Veliz Reyes, Swen Gaudl

School of Nursing and Midwifery

Addressing Digital Exclusion via the Inter-Generational Codesign of Extended Reality, Underwater Telepresence, Social Games, and Voice AI Technologies

Psychosocial Factors Associated With Physical Activity In People With Dementia: A Pilot Cross-Sectional Study, Nicolas Farina, Uzma Niazi, Riona Mc Ardle, Johanna Eronen, Ruth Lowry, Sube Banerjee

Peninsula Medical School

Objectives: To understand how psychosocial factors associated with physical activity differ based on disease severity in people with dementia, and how these factors are associated with physical activity participation. Methods: Eighty-seven people with dementia, alongside their family carer were asked to complete a series of questions related to physical activity participation, including barriers, motivators, and facilitators. Regression models were developed to understand how psychosocial factors were associated with physical activity participation in the cohort. Results: In the final models, only the absence of intrapersonal barriers was associated with overall physical activity and regular moderate-to-vigorous physical activity. Feelings of relatedness were …

The Cost Of Providing Care By Family And Friends (Informal Care) In The Last Year Of Life: A Population Observational Study, Miriam J. Johnson, David C. Currow, Jade Chynoweth, Helen Weatherly, Gamze Keser, Ann Hutchinson, Annie Jones, Laurie Dunn, Victoria Allgar

Peninsula Medical School

Introduction: Little is known about replacement costs of care provided by informal carers during the last year of life for people dying of cancer and non-cancer diseases. Aim: To estimate informal caregiving costs and explore the relationship with carer and decedent characteristics. Design: National observational study of bereaved carers. Questions included informal end-of-life caregiving into the 2017 Health Survey for England including estimated recalled frequency, duration and intensity of care provision. We estimated replacement costs for a decedent’s last year of life valuing time at the price of a substitutable activity. Spearman rank correlations and multivariable linear regression were used …

Frailty Knowledge, Training And Barriers To Frailty Management: A National Cross-Sectional Survey Of Health Professionals In Australia, Leila S. Hanjani, Sarah Fox, Ruth E. Hubbard, Emily Gordon, Natasha Reid, Sarah N. Hilmer, Rosemary Saunders, Danijela Gnjidic, Adrienne Young

Research outputs 2022 to 2026

Objective(s): To understand Australian health professionals' perceptions of their knowledge and previous training about frailty, as well as barriers to frailty assessment and management in their practice. Methods: A cross-sectional online survey was developed and distributed to health professionals (medical, nursing and allied health) engaged in clinical practice in Australia through convenience and snowball sampling techniques from March to May 2022. The survey consisted of five sections: frailty training and knowledge; confidence in recognising and managing adults with frailty; the importance and relevance of frailty; barriers to assessing and managing frailty in practice; and interest in further frailty training. Responses …

Adult Music Education: Negotiating New Musical Learning Identities In Adulthood, Marian Mcrory

Doctoral

This study presented an investigation into the field of adult music education. The inspiration for this research stemmed from a perceived need for a uniquely adult learning programme which evolved into two programmes, Allegro for Adults I and Allegro for Adults II. The concept of this programme also involved the adult learning environment which was based in a music conservatoire in a university. Diversity in the curricular content was an important consideration and although the pedagogical approach was accelerated in nature, gaining knowledge and understanding underpinned the skills-based and compositional elements.

The Experiences Of Older Immigrants Living With Dementia In Australia: A Multi-Method Secondary Analysis, Pelden Chejor

Theses: Doctorates and Masters

The ageing immigrant population and rising dementia cases underscores the need for culturally appropriate dementia care services. However, accessing dementia care services can be challenging for immigrants due to cultural and linguistical differences including their health beliefs. Understanding the experiences and concerns of older immigrants living with dementia is imperative for the planning and delivery of culturally and linguistically appropriate care. The aim of this thesis was to explore and describe the experiences of older immigrants living with dementia, as well as to describe and compare (against non-immigrants living with dementia) the characteristics (neuropsychiatric symptoms and pain characteristics) of older …

The Chironian 2024, New York Medical College

The Chironian

The Chironian is distributed to a readership of 16,000 faculty, alumni and employees of New York Medical College, government and community leaders, affiliated hospitals and selected media. Each issue is carefully crafted to provide a balance of articles on cutting-edge research, personality profiles, student accomplishments and alumni news from all five schools on the NYMC campus. Inquiries can be sent to [email protected].

2024 Adult Foster Home: Resident And Community Characteristics Report On Adult Foster Homes, Ozcan Tunalilar, Sarah Dys, Diana Jacoby, Wafi Albalawi, Minju Kim, Yuliana Levchenko, Paula C. Carder

Institute on Aging Publications

This year marks the 10th anniversary of the Resident and Community Characteristics Report on Adult Foster Homes as part of the Oregon Community Based Care project. The first of these reports was published in 2014 and looking back, one gets a sense of both stability and change. In this year’s report, we describe the results based on data we collected from AFHs licensed and monitored by the Aging and People with Disabilities program of the Oregon Department of Human Services (ODHS/APD). These are small residential settings that provide personal and health-related services for up to five residents. They are primarily …

Challenges And Coping Strategies In Transitioning From Caregiving To Widowhood: A Systematic Review, Abby Baumbach, M. Courtney Hughes, Yujun Liu

Faculty Articles, Papers, and Other Scholarship

Ninety-one percent of surviving spouses in the U.S. cared for their spouses before they died. This review explores the challenges of the transition from caregiving to widowhood and different coping strategies used by widowed spousal caregivers. A systematic review of literature on the transition from caregiving to widowhood was conducted using four major academic search engines. Overall, 280 articles were identified, with 22 meeting the inclusion criteria. Challenges for widowed caregivers included experiencing care burden, letting go of the caregiver role, grief, and triggers. Widowed caregivers’ coping strategies included social support and services use, filling the time gap, finding spirituality, …

Harnessing Speech-Derived Digital Biomarkers To Detect And Quantify Cognitive Decline Severity In Older Adults, Gozde Cay, Valeria A Pfeifer, Myeounggon Lee, Mohammad Dehghan Rouzi, Adonay S Nunes, Nesreen El-Refaei, Anmol Salim Momin, Md Moin Uddin Atique, Matthias R Mehl, Ashkan Vaziri, Bijan Najafi

Center on Aging Staff Publications

Introduction: Current cognitive assessments suffer from floor/ceiling and practice effects, poor psychometric performance in mild cases, and repeated assessment effects. This study explores the use of digital speech analysis as an alternative tool for determining cognitive impairment. The study specifically focuses on identifying the digital speech biomarkers associated with cognitive impairment and its severity.

Methods: We recruited older adults with varying cognitive health. Their speech data, recorded via a wearable microphone during the reading aloud of a standard passage, were processed to derive digital biomarkers such as timing, pitch, and loudness. Cohen's d effect size highlighted group differences, and correlations …