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Harmony Study: Pimavanserin Significantly Reduces Risk Of Relapse Of Dementia-Related Psychosis, Erin P. Foff, Jeffrey L. Cummings, Maria-Eugenia Soto-Martin, Pierre Tariot, Bradley Mcevoy, Srdjan Stankovic Nov 2020

Harmony Study: Pimavanserin Significantly Reduces Risk Of Relapse Of Dementia-Related Psychosis, Erin P. Foff, Jeffrey L. Cummings, Maria-Eugenia Soto-Martin, Pierre Tariot, Bradley Mcevoy, Srdjan Stankovic

Integrated Health Sciences Faculty Research

No abstract provided.


Montana Kaimin, November 4, 2020, Students Of The University Of Montana, Missoula Nov 2020

Montana Kaimin, November 4, 2020, Students Of The University Of Montana, Missoula

Montana Kaimin, 1898-present

Student newspaper of the University of Montana, Missoula.


The Effect Of Hope On The Relationship Between Personal And Disease Characteristics And Anxiety And Depression In Adolescents And Young Adults With Cancer, Sharon B. Mcneil Nov 2020

The Effect Of Hope On The Relationship Between Personal And Disease Characteristics And Anxiety And Depression In Adolescents And Young Adults With Cancer, Sharon B. Mcneil

USF Tampa Graduate Theses and Dissertations

Adolescents and young adults (AYAs) with cancer face physical, psychosocial, emotional, and developmental challenges that are unique to their age group. In facing the crisis of a cancer diagnosis, both social support and hope have been shown to be tools utilized by some AYAs. However, AYAs have higher rates of anxiety and depression than in older adults which may have an effect on their levels of hope.

This cross-sectional study examined the mechanistic effects of hope on the relationship between personal characteristics of age, gender, and social support, the disease characteristics of type of cancer and length of time since …


Digital Forensics: Crimes And Challenges In Online Social Networks Forensics, Bandr Fakiha Nov 2020

Digital Forensics: Crimes And Challenges In Online Social Networks Forensics, Bandr Fakiha

Journal of the Arab American University مجلة الجامعة العربية الامريكية للبحوث

The growth in online social networks (OSNs) has opened up communication and interaction between people and businesses across the globe. This open communication has improved international trade, but it has simultaneously created a channel for perpetrating cybercrimes such as cyberbullying and harassment, cyberstalking, slander spreading, copyright infringement and identity theft, and cyber-extremism. Despite the many cybercrimes on OSNs, challenges exist in investigating and prosecuting criminals behind these crimes. The perpetrators of these crimes use sophisticated anti-forensic techniques, legal challenges, and resource-based challenges to prevent prosecution. They limit forensic investigations making it challenging to obtain a conviction. The challenges in conducting …


Age Is An Attitude, Not A Number: The Change In Perceptions Of College Students About Aging., Jennifer Nelson Nov 2020

Age Is An Attitude, Not A Number: The Change In Perceptions Of College Students About Aging., Jennifer Nelson

Honors College Theses

“Ageism is an untrue assumption that chronological age should be the main determinant of human characteristics and that one age group is better than another” (Cavannaugh & Blanchard-Fields, 2015, p. 31). Even though America is currently undergoing population aging, ageism is still experienced by 77% of adults (Novak, 2012). Although there has been an abundance of research on the outcomes of ageism (Burnes, et al., 2019; Kallio & Thomas, 2019, Scott, 2019) not as much attention has been given to intergenerational programs. The current study compared qualitative feedback to better understand students’ experiences in service learning with different populations of …


Serving Homebound Seniors: In-Home Senior Farmers’ Market Nutrition Program Enrollment And Fresh Fruit And Vegetable Home Delivery For Homebound Seniors In Central New Jersey, Mehreen S. Ismail, Cara L. Cuite Nov 2020

Serving Homebound Seniors: In-Home Senior Farmers’ Market Nutrition Program Enrollment And Fresh Fruit And Vegetable Home Delivery For Homebound Seniors In Central New Jersey, Mehreen S. Ismail, Cara L. Cuite

Journal of Human Sciences and Extension

Low-income, homebound seniors may encounter affordability and accessibility-related barriers to consuming enough fresh fruits and vegetables (FV). This paper describes a two-stage pilot intervention to improve fresh FV affordability and access for home-delivered meal (HDM) program clients in Central New Jersey. The first stage of the intervention offered in-home Senior Farmers’ Market Nutrition Program (SFMNP) enrollment assistance to low-income HDM program clients, with 13 clients successfully enrolling in SFMNP. The second stage of the intervention offered fresh FV home deliveries to all 64 HDM program clients at no cost to clients. We sourced fresh FV from a farmers’ market run …


Neutrophil-To-Lymphocyte Ratio: A Biomarker To Monitor The Immune Status Of Astronauts, Amber M. Paul, Siddhita D. Mhatre, Egle Cekanaviciute, Ann-Sofie Schreurs, Candice G.T. Tahimic, Ruth K. Globus, Sulekha Anand, Brian E. Crucian, Sharmila Bhattacharya Nov 2020

Neutrophil-To-Lymphocyte Ratio: A Biomarker To Monitor The Immune Status Of Astronauts, Amber M. Paul, Siddhita D. Mhatre, Egle Cekanaviciute, Ann-Sofie Schreurs, Candice G.T. Tahimic, Ruth K. Globus, Sulekha Anand, Brian E. Crucian, Sharmila Bhattacharya

Publications

A comprehensive understanding of spaceflight factors involved in immune dysfunction and the evaluation of biomarkers to assess in-flight astronaut health are essential goals for NASA. An elevated neutrophil-to-lymphocyte ratio (NLR) is a potential biomarker candidate, as leukocyte differentials are altered during spaceflight. In the reduced gravity environment of space, rodents and astronauts displayed elevated NLR and granulocyte-to-lymphocyte ratios (GLR), respectively. To simulate microgravity using two well-established ground-based models, we cultured human whole blood-leukocytes in high-aspect rotating wall vessels (HARV-RWV) and used hindlimb unloaded (HU) mice. Both HARV-RWV simulation of leukocytes and HU-exposed mice showed elevated NLR profiles comparable to spaceflight …


Neutrophil-To-Lymphocyte Ratio: A Biomarker To Monitor The Immune Status Of Astronauts, Amber M. Paul, Siddhita D. Mhatre, Egle Cekanaviciute, Ann Sofie Schreurs, Candice G.T. Tahimic, Ruth K. Globus, Sulekha Anand, Brian E. Crucian, Sharmila Bhattacharya Nov 2020

Neutrophil-To-Lymphocyte Ratio: A Biomarker To Monitor The Immune Status Of Astronauts, Amber M. Paul, Siddhita D. Mhatre, Egle Cekanaviciute, Ann Sofie Schreurs, Candice G.T. Tahimic, Ruth K. Globus, Sulekha Anand, Brian E. Crucian, Sharmila Bhattacharya

Faculty Research, Scholarly, and Creative Activity

A comprehensive understanding of spaceflight factors involved in immune dysfunction and the evaluation of biomarkers to assess in-flight astronaut health are essential goals for NASA. An elevated neutrophil-to-lymphocyte ratio (NLR) is a potential biomarker candidate, as leukocyte differentials are altered during spaceflight. In the reduced gravity environment of space, rodents and astronauts displayed elevated NLR and granulocyte-to-lymphocyte ratios (GLR), respectively. To simulate microgravity using two well-established ground-based models, we cultured human whole blood-leukocytes in high-aspect rotating wall vessels (HARV-RWV) and used hindlimb unloaded (HU) mice. Both HARV-RWV simulation of leukocytes and HU-exposed mice showed elevated NLR profiles comparable to spaceflight …


Is Singing, Playing, And Studying Music An Effective Treatment For Cognitive Decline? Annotated Bibliography, University Of Denver Nov 2020

Is Singing, Playing, And Studying Music An Effective Treatment For Cognitive Decline? Annotated Bibliography, University Of Denver

Musicology and Ethnomusicology: Student Scholarship

No abstract provided.


The Gap Remains: Social Security Benefits Continue To Fall Short Of Covering Basic Cost Of Living For Older Americans, 2015-2020, Jan Mutchler, Yang Li Nov 2020

The Gap Remains: Social Security Benefits Continue To Fall Short Of Covering Basic Cost Of Living For Older Americans, 2015-2020, Jan Mutchler, Yang Li

Center for Social and Demographic Research on Aging Publications

Older Americans rely heavily on Social Security to support an independent lifestyle. Recent estimates suggest that among adults aged 65 years or older, more than half rely on Social Security for at least 50% of their family income, while nearly a quarter depend on Social Security for 90% or more of their family income.

Despite this substantial reliance on Social Security among older adults, Social Security benefits fall short of what is required to cover a basic cost of living across the United States, according to new estimates based on the Elder Index, a county-by-county measure of the income older …


The Perceived Challenge Of Everyday Technologies In Sweden, The United States And England: Exploring Differential Item Functioning In The Everyday Technology Use Questionnaire, Sarah Wallcook, Camilla Malinowsky, Louise Nygård, Georgina Charlesworth, Jenica Lee, Ryan Walsh, Sophie Gaber, Anders Kottorp Nov 2020

The Perceived Challenge Of Everyday Technologies In Sweden, The United States And England: Exploring Differential Item Functioning In The Everyday Technology Use Questionnaire, Sarah Wallcook, Camilla Malinowsky, Louise Nygård, Georgina Charlesworth, Jenica Lee, Ryan Walsh, Sophie Gaber, Anders Kottorp

Open Access Publications

No abstract provided.


Social Support During Covid-19 Social Distancing, Josiah P. Stryd Nov 2020

Social Support During Covid-19 Social Distancing, Josiah P. Stryd

Honors Projects

This pilot study measured emotional affect, social support, and use of digital communication technologies during the early 2020 COVID-19 stay at home order in Michigan among 65 Grand Valley State University Alumni Association members. The study used an online survey and was designed to examine the relationship between digital communication and social support during physical social distancing, and how this impacted emotional affect. Overall, the pilot study found largely unchanged reported emotional affect and social support before and during the stay at home order. A future study with larger sample size would aim to find if these results are replicated …


Envisioning An Age-Friendly Norwood, Caitlin Coyle, Beth Rouleau Nov 2020

Envisioning An Age-Friendly Norwood, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

Nestled just outside the I-95 beltway, the Town of Norwood, Massachusetts is a community southwest of Boston that takes pride in the history of residents staying in, or returning to, the community across the lifespan. Projections indicate that by 2035, about one out of three Norwood residents will be age 60 or older—24% of the Town’s population will be between the ages of 60 and 79, with an additional 8% age 80 and older (see Appendix A). The desire to stay and a growing older adult population lends to many multi-generational families within the community, creating a sense of supportive …


Public Housing With Services For Older Adults With Developmental Disabilities: Differences In Efficacy Among Asian And White Communities, Junghee Lee, William Donlan, Paula C. Carder, Leigh Grover, Insik Hwang, Younghwan Kim, Gretchen Luhr Nov 2020

Public Housing With Services For Older Adults With Developmental Disabilities: Differences In Efficacy Among Asian And White Communities, Junghee Lee, William Donlan, Paula C. Carder, Leigh Grover, Insik Hwang, Younghwan Kim, Gretchen Luhr

School of Social Work Faculty Publications and Presentations

This study examined the efficacy of a culturally responsive housing with services model for Asian-American older adults and persons with developmental disabilities separately, and with both for an interaction effect. Study participants, including 278 Whites and 75 Asian Americans, lived in 10 properties of public housing with services in Portland, OR. All Asian-American participants (except four) were immigrants from China, Korea, and Vietnam, and were well connected through community-based health and social services that were delivered onsite and at a nearby center by staff members who were also immigrants from these three countries. Asian-American participants were older, very poor, with …


New Cultures Of Care? The Spatio-Temporal Modalities Of Home-Based Smart Eldercare Technologies In Singapore, Orlando Woods, Lily Kong Nov 2020

New Cultures Of Care? The Spatio-Temporal Modalities Of Home-Based Smart Eldercare Technologies In Singapore, Orlando Woods, Lily Kong

Research Collection School of Social Sciences

Increasingly, technology-enabled strategies of eldercare are being developed and deployed to minimize the socio-economic costs of ageing. As part of this shift, home-based ‘smart’ technologies have been embraced as a way of enabling ageing-in-place. Smart technologies flatten space and time, and can increase the reach of caregivers. In this sense, they foreground the emergence of new cultures of care. Through an empirical focus on the triallists of smart eldercare technologies living in a public housing estate in Singapore, this paper considers the ways in which new cultures of care are being formed and negotiated in response to the encroachment of …


A New Era: Utilizing Technology Tools To Enhance Elder Independence, April Lisa Phelps Nov 2020

A New Era: Utilizing Technology Tools To Enhance Elder Independence, April Lisa Phelps

Doctoral Dissertations and Projects

The goal of this integrative review was to examine the multitude of technology tools and the evidence which supports their use to enhance elders’ independence when residing at home. Multiple journal articles and books published between July 2015 and July 2020 were examined using the PRISMA model for evidence to support or oppose the use of technology to enhance the elders’s independence. A total of 27 articles were included in the final review. An exploration of gaps in knowledge related to the issue of elders using technology tools such as wearable sensors, artificial intelligence, home monitoring, robots, mHealth, Internet of …


What Works In Managing Complex Conditions In Older People In Primary And Community Care? A State‐Of‐The‐Art Review, R Frost, G Rait, A Wheatley, J Wilcock, Et Al Nov 2020

What Works In Managing Complex Conditions In Older People In Primary And Community Care? A State‐Of‐The‐Art Review, R Frost, G Rait, A Wheatley, J Wilcock, Et Al

Peninsula Medical School

The number of older people living with complex health conditions is increasing, with the majority of these managed in primary and community settings. Many models of care have been developed to support them, however, there is mixed evidence on their value and they include multiple overlapping components. We aimed to synthesise the evidence to learn what works for managing complex conditions in older people in primary and community care. We carried out a state-of-the-art review of systematic reviews. We searched three databases (January 2009 to July 2019) for models of primary and community care for long-term conditions, frailty, multimorbidity and …


The Association Between Physiological Sources Of Pain And Sleep Quality In Older Adults With And Without Dementia, Crystal-Rae Waltons, Christine R. Kovach Nov 2020

The Association Between Physiological Sources Of Pain And Sleep Quality In Older Adults With And Without Dementia, Crystal-Rae Waltons, Christine R. Kovach

College of Nursing Faculty Research and Publications

The association of musculoskeletal pain, respiratory distress, gastrointestinal discomfort, and genitourinary pain to sleep quality in 89 persons with and without dementia was examined in the current exploratory, cross-sectional, observational quantitative design. Sources of pain were recorded, with 37.1% of the sample reporting urinary retention, 30.3% reporting genitourinary discomfort, and 53.9% reporting gastrointestinal discomfort. Mild scores of musculoskeletal pain and respiratory discomfort were elicited in >75% of the sample. An actigraph was used to measure sleep variables. Findings from this research illustrated dementia, gender, pillow use, respiratory distress, and urinary retention were statistically significantly associated with nighttime sleep quality. Results …


Tough Decisions During The Covid 19 Pandemic: A Frail Latino Patient, Irma Huayanay, Stephanie Luu Nov 2020

Tough Decisions During The Covid 19 Pandemic: A Frail Latino Patient, Irma Huayanay, Stephanie Luu

School of Medicine Publications

The pandemic of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had overwhelmed the healthcare system worldwide with multiple ethical dilemmas. Several tools have been used to assess risk factors in these patients. One of them, the Clinical Frailty scale, has shown good correlation between the patient functional status and hospital stay with overall mortality. We present a case were the Clinical Frailty Scale was used to assess patient management and goals of care.


The Relationship Between Sense Of Community And Self-Efficacy Among Senior Citizen Students, Matthew Joseph Pranger Nov 2020

The Relationship Between Sense Of Community And Self-Efficacy Among Senior Citizen Students, Matthew Joseph Pranger

Doctoral Dissertations and Projects

Older adult students are at risk academically. The senior citizen population and average life expectancy are increasing globally, which results in an increased number of adults returning to school later in life. Sense of community is related to academic engagement, achievement, interactivity, and retention. Self-efficacy is related to motivation, learning, and academic performance. One gap in the literature is the relationship between sense of community and self-efficacy for senior citizen students. The purpose of this quantitative, correlational study is to determine if there is a relationship between sense of community and self-efficacy among senior citizens recently enrolled in a college-level …


Raps Sheet, November 2020, Retirement Association Of Portland State Nov 2020

Raps Sheet, November 2020, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.


The Perspective Of Indonesian Teachers On The Google Classroom Usage In Blended Teaching, Fatimatus Suhroh, Bambang Yudi Cahyono Oct 2020

The Perspective Of Indonesian Teachers On The Google Classroom Usage In Blended Teaching, Fatimatus Suhroh, Bambang Yudi Cahyono

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Google Classroom is a kind of platform that teachers and students have come to know about. One of the learning processes achieved with google classroom is to blend the style of learning. Blended teaching is one of the teaching processes which is done not only inside the class (offline) but also outside the class (online). The study aims to impose the perspective of Indonesian teachers on the usage of Google Classroom. The study is performed through a qualitative research design. The sample of the study, which uses a survey method through a google form, consisting of forty teachers throughout Indonesia …


Adipose Tissue As Pain Generator In The Lower Back And Lower Extremity: Application In Musculoskeletal Medicine, Se Won Lee, Craig Van Dien, Sun Jae Won Oct 2020

Adipose Tissue As Pain Generator In The Lower Back And Lower Extremity: Application In Musculoskeletal Medicine, Se Won Lee, Craig Van Dien, Sun Jae Won

HCA Healthcare Journal of Medicine

Adipose tissue (AT) has diverse and important functions in body insulation, mechanical protection, energy metabolism and the endocrine system. Despite its relative abundance in the human body, the clinical significance of AT in musculoskeletal (MSK) medicine, particularly its role in painful MSK conditions, is under-recognized. Pain associated with AT can be divided into intrinsic (AT as a primary pain generator), extrinsic (AT as a secondary pain generator) or mixed origin. Understanding AT as an MSK pain generator, both by mechanism and its specific role in pain generation by body region, enhances the clinical decision-making process and guides therapeutic strategies in …


Diversity In Mental Health Among Generations In The Lgbtqi Community, Jennifer L. Stone, Tara S. Harris Oct 2020

Diversity In Mental Health Among Generations In The Lgbtqi Community, Jennifer L. Stone, Tara S. Harris

Walden University Research Conference

This study captured the various mental health impacts among youth, younger adults, and older adults in the LGBTQI community. The LGBTQI community embodies a diverse set of subgroups that includes youth, younger adults, and older adults. Many in the LGBTQI community face prejudice, discrimination, harassment, and even rejection from family members. Youth and younger adults in LGBTQI communities are often victims of school violence, as well as intimate partner violence, and typically show signs of psychosocial adjustment disorder and psychological distress. LGBTQI older adults, although have a high incidence of social isolation and depression, are shown to be more resilient …


Federal Sentencing Disparities And Marginalized Offenders: Revisiting Cumulative Disadvantage Theory Through Individual-Level Variables, April Terry, Ashley Lockwood Oct 2020

Federal Sentencing Disparities And Marginalized Offenders: Revisiting Cumulative Disadvantage Theory Through Individual-Level Variables, April Terry, Ashley Lockwood

Academic Leadership Journal in Student Research

Over the past several decades, sentencing reforms have claimed to establish guidelines to reduce sentencing disparity; yet, recent studies continue to find discrepancies in sentencing outcomes. The current study explored individual factors using data from the U.S. Sentencing Commission (FY 2010) to further analyze these variables through the lens of cumulative disadvantage theory. The factors included the influence of age, race, sex (gender), offense type, instant offense score, and overall criminal history score on sentencing length (in months). Hierarchical regression revealed being identified as Black, committing fraud/white collar crime or a property offense, and overall criminal history were able to …


Association Between Dietary Inflammatory Index And Type 2 Diabetes Mellitus In Xinjiang Uyghur Autonomous Region, China, Wenhui Fu, Hualian Pei, Nitin Shivaooa, James R. Hébert, Tao Luo, Tian Tian, Dilibaier Alimu, Zewen Zhang, Jianghong Dai Oct 2020

Association Between Dietary Inflammatory Index And Type 2 Diabetes Mellitus In Xinjiang Uyghur Autonomous Region, China, Wenhui Fu, Hualian Pei, Nitin Shivaooa, James R. Hébert, Tao Luo, Tian Tian, Dilibaier Alimu, Zewen Zhang, Jianghong Dai

Faculty Publications

Background Diet and inflammation have both been studied in relation to type 2 diabetes mellitus (T2DM). The aim of this cross-sectional study was to examine the association between the Dietary Inflammatory Index (DII®) and T2DM. Methods Subjects were adults enrolled in the baseline study of the Xinjiang multi-ethnic natural population cohort and health follow-up study from January to May 2019. The study involved 5,105 subjects (58.7% men) between 35 and 74 years of age. The DII score was calculated from a data obtained via a food frequency questionnaire consisting of 127 food items. Results Logistic regression analyses were used to …


Student-Faculty Research Continues Through Pandemic, University Communications Oct 2020

Student-Faculty Research Continues Through Pandemic, University Communications

News and Events (Discontinued Series)

No abstract provided.


Effectiveness Of The Care Of Persons With Dementia In Their Environments Intervention When Embedded In A Publicly Funded Home- And Community-Based Service Program., Richard H Fortinsky, Laura N Gitlin, Laura T Pizzi, Catherine V. Piersol, James Grady, Julie T Robison, Sheila Molony, Dorothy Wakefield Oct 2020

Effectiveness Of The Care Of Persons With Dementia In Their Environments Intervention When Embedded In A Publicly Funded Home- And Community-Based Service Program., Richard H Fortinsky, Laura N Gitlin, Laura T Pizzi, Catherine V. Piersol, James Grady, Julie T Robison, Sheila Molony, Dorothy Wakefield

College of Health Professions Faculty Papers

Background and Objectives: In the absence of effective pharmacotherapy, there is an urgent need to test evidence-based dementia care interventions using pragmatic trial approaches. We present results from a study in which an evidence-based, nonpharmacologic intervention for persons living with Alzheimer's disease and related dementia (ADRD) and their informal caregivers, Care of Persons with Dementia in their Environments (COPE), was tested in a Medicaid and state revenue-funded home and community-based service (HCBS) program.

Research Design and Methods: Using pragmatic trial design strategies, persons living with ADRD and their caregivers were randomly assigned as dyads to receive COPE plus usual HCBS …


Riluzole Attenuates Glutamatergic Tone And Cognitive Decline In Aβpp/Ps1 Mice., Kevin N Hascup, Caleigh A Findley, Jesse Britz, Nahayo Esperant-Hilaire, Sarah O Broderick, Kristin Delfino, Shelley Tischkau, Andrzej Bartke, Erin R Hascup Oct 2020

Riluzole Attenuates Glutamatergic Tone And Cognitive Decline In Aβpp/Ps1 Mice., Kevin N Hascup, Caleigh A Findley, Jesse Britz, Nahayo Esperant-Hilaire, Sarah O Broderick, Kristin Delfino, Shelley Tischkau, Andrzej Bartke, Erin R Hascup

Articles

We have previously demonstrated hippocampal hyperglutamatergic signaling occurs prior to plaque accumulation in AβPP/PS1 mice. Here, we evaluate 2-Amino-6-(trifluoromethoxy) benzothiazole (riluzole) as an early intervention strategy for Alzheimer's disease (AD), aimed at restoring glutamate neurotransmission prior to substantial Beta amyloid (Aβ) plaque accumulation and cognitive decline. Male AβPP/PS1 mice, a model of progressive cerebral amyloidosis, were treated with riluzole from 2-6 months of age. Morris water maze, in vivo electrochemistry, and immunofluorescence were performed to assess cognition, glutamatergic neurotransmission, and pathology, respectively, at 12 months. Four months of prodromal riluzole treatment in AβPP/PS1 mice resulted in long-lasting procognitive effects and …


From Participants To Co-Researchers: Methodological Alterations To A Qualitative Case Study, Elizabeth M. Pope Oct 2020

From Participants To Co-Researchers: Methodological Alterations To A Qualitative Case Study, Elizabeth M. Pope

The Qualitative Report

Researchers request a variety of levels of engagement from their participants in a research study. This can range from merely serving as a data generation opportunity to being actively involved in each stage of the project. The latter is a co-researcher. In this paper, I explore how nine participants in a qualitative case study became co-researchers by the study’s conclusion. The increase in their active participation required methodological alterations to the project while I conducted the study. This paper presents these alterations by examining: (1) my position as a researcher; (2) my relationship with the participants; (3) the trajectory of …