Digital Commons Network^™

Measurement Equivalence Of English Versus Native Language Versions Of The Kessler 6 (K6) Scale: An Examination In Three Asian American Groups, Yuri Jang, Daniel A. Powers, Hyunwoo Yoon, Min-Kyoung Rhee, Nan Sook Park, David A. Chiriboga

Social Work Faculty Publications

The use of languages other than English in population-based surveys is necessitated by the linguistic diversities in the United States. However, inclusion of multiple languages in survey data collection raises concerns about whether an instrument administered in different languages functions equivalently across groups. Using the Kessler Psychological Distress Scale 6 (K6), the present study examined differential item functioning (DIF) between surveys conducted either in English or the native language of the groups of Chinese Americans (n = 622), Korean Americans (n = 471), and Vietnamese Americans (n = 513). DIF analyses using a series of multiple-indicator multiple-cause models showed that …

Non-Response To Sad Mood Induction: Implications For Emotion Research, Johnathan Rottenberg, Maria Kovacs, Ilya Yaroslavsky

Psychology Faculty Publications

Experimental induction of sad mood states is a mainstay of laboratory research on affect and cognition, mood regulation, and mood disorders. Typically, the success of such mood manipulations is reported as a statistically significant pre- to post-induction change in the self-rated intensity of the target affect. The present commentary was motivated by an unexpected finding in one of our studies concerning the response rate to a well-validated sad mood induction. Using the customary statistical approach, we found a significant mean increase in self-rated sadness intensity with a moderate effect size, verifying the “success” of the mood induction. However, that “success” …

Through The Eyes Of The Beholder: Simulated Eye-Movement Experience (“See”) Modulates Valence Bias In Response To Emotional Ambiguity, Maital Neta, Michael D. Dodd

Department of Psychology: Faculty Publications

Although some facial expressions provide clear information about people’s emotions and intentions (happy, angry), others (surprise) are ambiguous because they can signal both positive (e.g., surprise party) and negative outcomes (e.g., witnessing an accident). Without a clarifying context, surprise is interpreted as positive by some and negative by others, and this valence bias is stable across time. When compared to fearful expressions, which are consistently rated as negative, surprise and fear share similar morphological features (e.g., widened eyes) primarily in the upper part of the face. Recently, we demonstrated that the valence bias was associated with a specific pattern of …

Wayfinding & Dementia: How Design Can Improve Navigation Among Older Adults In Assisted-Living Facilities, Kaitlyn Kleibusch

SPNHA Review

As we age, our ability to navigate within the environment diminishes and can lead to increased anxiety and fear related to day-to-day mobility. While the aging population continues to grow, the number of older adults living with dementia is projected to increase substantially by 2030. Research shows 40% to 67% of individuals diagnosed with dementia will enter assisted living facilities due to complex care needs and loss of independence. The majority of existing assisted-living facilities were not designed architecturally to accommodate and compensate for cognitive impairment; therefore individuals with dementia may experience reduced spatial orientation and confusion while wayfinding through …

Narratives Of Baby Boomers: Envisioning Late Life Spiritual Resources, Jane A. Kuepfer

Theses and Dissertations (Comprehensive)

ABSTRACT:

In this narrative inquiry, first-wave baby boomers (six males and six females born between 1946 and 1955) reflected on their lives and envisioned living into old age. While literature has focused on trends in baby boomer spirituality, issues of aging, and spiritual needs and tasks among elders, this study listened for “spiritual resources.” Initially defined broadly as that which has sustained a person throughout their life and will sustain them in the future, spiritual resources came to be understood as those things, both internal and external, that address deep human need for such spiritual values as love, hope, peace, …

Navigating The World Of Alzheimer's Disease: An Educational Guide For Family Members, Delaney Walker

Senior Honors Theses and Projects

Alzheimer's Disease (AD) is a condition which deteriorates the brain and results in a form of dementia. Its the sixth leading cause of death in the U.S. and its symptoms have significant impact on both individual with AD and their caregivers. Family members are often confused and overwhelmed with an AD diagnosis. This thesis incorporates a comprehensive literature review that addresses four significant areas of need for individuals with AD: Feeding, communication, behavioral, and activities of daily life. The booklet highlight the importance of family education as they navigate the unfamiliar road of AD.

Creating Bridges Between Health Care Professionals: Interprofessional Collaboration Between Respiratory Therapy And Speech-Language Pathology And Its Importance For Patient Outcomes, Nafiah Khan

Senior Honors Theses and Projects

In a changing health care industry, it is imperative that different healthcare professionals collaborate to address the state of the patient. Respiratory therapists (RTs) and speech-language pathologists {SLPs) frequently work with the same general patient population in the healthcare setting; however, while RTs typically provide emergency interventions, SLPs work with the patient in the rehabilitative domain. Each profession has a unique understanding of the patient and may encounter an overlap in responsibilities for performing a particular task, including management of tracheostomy tubes and prevention of aspiration pneumonias. This study investigated SLPs' and RTs' perspectives on their interprofessional collaboration. The findings …

Female Roller Derby Athletes’ Athletic Identity And Systematic Pursuit Of Leisure, Hungling (Stella) Liu, Timothy Baghurst, Michael Bradley

Health and Nutritional Sciences Faculty Publications

Athletic identity is a foundational element of an individual’s self-concept and affects psychological, social, and behavioral characteristics. The purpose of this study was to investigate a women-dominated sport, roller derby, by exploring the relationships between athletic identity of women athletes and serious leisure pursuit in the sport. Participants were 578 women registered with the Women’s Flat Track Derby Association (WFTDA) who completed an online survey regarding their athletic identity. Hierarchical multiple regression analysis showed demographic variables (family income) were a minor predictor of participants’ serious leisure pursuit. Internal and external components of athletic identity were positively associated with participant’s level …

Etsu Health Annual Report - 2018, 2018

ETSU Health Annual Reports

No abstract provided.

Estimating The Effects Of Z-Drugs On The Risk Of Cognitive Impairment, Xuan Zhang

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background: Dementia and sleep disorders are two significant health problems in older adults. Studies suggest that sleep disorders and their treatment might associate with the risk of dementia. Z-drugs are one of the most widely used prescription hypnosedatives in the United States (US) for insomnia in addition to benzodiazepines (BZDs). Studies have shown that BZDs are associated with dementia among senior users. Study Aim: The purpose of this study is to evaluate the association between Z-drug initiation and cognitive impairment among the elderly in the US. Study Design and Data Source: We conducted a retrospective cohort study with a new …

Afterword: Horizons Of Transformation: When Age, Literacy And Scholarship Meet, Louise Wetherbee Phelps

English Faculty Publications

No abstract provided.

Bulletin Of Yale University School Of Nursing 2018-2019, Yale School Of Nursing

Yale School of Nursing Bulletins and Catalogues

Series 114, Number 15

September 5, 2018

Aviation Outreach Model And Gap Analysis: Examining Solutions To Address Workforce Shortages, Rebecca K. Lutte

Aviation Institute Faculty Publications

The purpose of this research is to examine aviation outreach programs to identify best practices and areas for improvement in the endeavor to recruit youth to the aviation industry. The research includes creation of a model of aviation outreach and development and application of an aviation outreach gap analysis design. Three programs are analyzed, Women in Aviation Girls in Aviation Day, Experimental Aviation Association Young Eagles, and Aircraft Owners and Pilots Association High School Aviation Initiative. Each program takes a unique approach to recruiting youth and the strengths and weaknesses, based on the aviation outreach model, are discussed. Results of …

University Of Nebraska At Omaha 2018-2019 Course Catalog, University Of Nebraska At Omaha

Undergraduate Catalogs

Located in one of America’s best cities to live, work and learn, the University of Nebraska at Omaha (UNO) is Nebraska’s premier metropolitan university. With more than 15,000 students enrolled in 200-plus programs of study, UNO is recognized nationally for its online education, graduate education, military friendliness, and community engagement efforts.Founded in 1908, UNO has served learners of all backgrounds for more than 100 years and is dedicated to another century of excellence both in the classroom and in the community.

Completions 2018-19, Uno Office Of Institutional Effectiveness

IPEDS Completions

Welcome to the IPEDS Completions survey component. The Completions component is one of several IPEDS components that is conducted during the Fall data collection period. It collects the number of degrees and certificates awarded by field of study, level of award, race/ethnicity, and gender. The reporting period for the Completions component is during the 12-month time period beginning July 1 of the previous calendar year and ending June 30 of the current calendar year; therefore, for this year’s Completions component, the reporting period is between July 1, 2017 and June 30, 2018. The Completions component is also collecting the number …

Disability Crossover: Is There A Hispanic Immigrant Health Advantage That Reverses From Working To Old Age?, Mara Getz Sheftel, Frank W. Heiland

Publications and Research

BACKGROUND Hispanic immigrants have been found to be more likely to have a disability than US-born populations. Studies have primarily focused on populations aged 60 and older; little is known about immigrant disability at younger ages.

OBJECTIVE Taking a broader perspective, we investigate whether Hispanic immigrants have lower disability rates in midlife; if so, at what ages this health advantage reverses; and the correlates of this pattern.

METHODS Using American Community Survey 2010–2014 data, we estimate age-specific disability prevalence rates by gender, nativity, education, and migration age from age 40 to 80. We also present estimates by six types of …

The Evaluation Of Advanced Practice Providers Practice Patterns And Delivery Of Care Models In The Specialty Practice Environment, Katherine W. Rogers

DNP Projects

Background: Advanced Practice Providers (APPs), specifically Nurse Practitioners (NP) and Physician Assistants (PA), have been utilized in healthcare for decades to improve access to care for patients. Norton Healthcare’s largest population of APPs is in specialty practices. The expansion of APPs into the medical group has been rapid and without evaluation of value and role identification.

Purpose: The purpose of this study is to evaluate Advanced Practice Provider (APP) practice patterns and care delivery models within specialty practices in a large medical group. The outcome of the study will help to identify trends in practice and areas where …

Osteohistology And Skeletochronology Of An Ontogenetic Series Of Clidastes (Squamata: Mosasauridae): Growth And Metabolism In Basal Mosasaurids, Cyrus C. Green

Master's Theses or Doctor of Nursing Practice

Clidastes was a large marine reptile from the Late Cretaceous Western Interior Seaway of North America. Though the remains of Clidastes have been found in the Cretaceous chalks and shales for over 150 years, little is known about their growth rates.

Osteohistology is a well-documented technique used to investigate growth in extinct animals. Previous histological studies of Clidastes have hypothesized higher growth rates in basal mosasaurids than varanids due to higher vascularity. These studies focused on adult specimens but did not look at ontogenetic changes in growth rates. Isotopic studies of Clidastes indicate high metabolic temperatures, leading to speculation these …

Visual-Vestibular Integration During Self-Motion Perception In Younger And Older Adults, Robert Ramkhalawansingh, John Butler, Jennifer Campos

Articles

Younger adults integrate visual and vestibular cues to self-motion in a manner consistent with optimal integration; however, little is currently known about whether this process changes with older age. Our objective was to determine whether older adults, like younger adults, display evidence of optimal visual-vestibular integration, including reductions in bimodal variance (visual-vestibular) compared with unimodal variance (visual or vestibular alone), and reliability-based cue weighting. We used a motion simulator and a head-mounted display to introduce a 2-interval forced-choice heading estimation task. Older (65+ years) and younger adults (18–35 years) judged which of two movements was more rightward. Movements consisted of …

Repetitive Questioning Ii, Ronald C. Hamdy, Amber Kinser, A. Depelteau, J. V. Lewis, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

ETSU Faculty Works

Repetitive questioning is a major problem for caregivers, particularly taxing if they are unable to recognize and understand the reasons why their loved one keeps asking the same question over and over again. Caregivers may be tempted to believe that the patient does not even try to remember the answer given or is just getting obnoxious. This is incorrect. Repetitive questioning is due to the underlying disease: The patient’s short term memory is impaired and he is unable to register, encode, retain and retrieve the answer. If he is concerned about a particular topic, he will keep asking the same …

Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

ETSU Faculty Works

Insomnia is a common problem in older people, especially in patients with mild cognitive impairment (MCI) whose circadian rhythm is often compromised. Insomnia exerts such a toll on caregivers that it is frequently the primary reason for seeking to institutionalize their loved ones. Three different types of insomnia are recognized: sleep-onset or initial insomnia, sleep maintenance or middle insomnia, and early morning awakening or late insomnia. Nocturnal hypoglycemia, as a cause of middle insomnia, is the main focus of this case study. Other types of insomnia are also briefly reviewed. The management of insomnia is then discussed including sleep hygiene, …

Impulsive, Disinhibited Behavior—Dining In A Restaurant, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen

ETSU Faculty Works

Dining in a restaurant with a loved one who has dementia can be an ordeal, especially if the expectations of the caregiver do not match those of the patient and the restaurant environment is not suitable for patients with dementia. The size of the dining area, lighting, background music or noise, décor of the room, number of customers, variety of the items on the menu, number of plates and cutlery on the table, in addition to flowers, candles, and other decorations on the table are all potent distractors. There are so many stimuli; the patient can be overwhelmed with information …

Visual Hallucinations And Paranoid Delusions, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen, J. Culp

ETSU Faculty Works

Visual well-formed hallucinations, fluctuations in the level of cognition, and alertness and extrapyramidal signs are core features of dementia with Lewy bodies. Some patients realize that what they are seeing or hearing are just hallucinations and learn to accept them. Others, however experience these hallucinations as quite real and cannot be dissuaded from the firm belief that they are. In fact, efforts to dissuade them often serve only to confirm the often associated paranoid delusions and this may lead to a catastrophic ending. Hence, it is best not to contradict the patient. Instead, attempts should be made to distract the …

Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp

ETSU Faculty Works

Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the …

Examining The Impact Of A Positive Psychology Intervention With Latina Survivors Of Intimate Partner Violence, Eunice Lerma, Autumn Wright, James Ikonomopoulos, Yvette Hinojosa, Javier Cavazos Vela

Counseling Faculty Publications

We implemented a small series (N = 3) single-case research design to assess the effectiveness of a nine-session positive psychology treatment program for Latina survivors of intimate partner violence. Analysis of participants’ scores on life satisfaction and depression scales using the percentage of non-overlapping data point’s procedure yielded treatment effects indicating that a positive psychology treatment program may be effective for improving life satisfaction for Latina survivors of intimate partner violence. Implications for counselors and researchers are provided.

Comparing Daily Drivers Of Problem Drinking Among Older And Younger Adults: An Electronic Daily Diary Study Using Smartphones, Alexis Kuerbis, Hayley Treloar Padovano, Sijing Shao, Jessica Houser, Frederick Muench, Jon Morgenstern

Publications and Research

Background—By 2030, numbers and proportions of older adults with substance-use problems are expected to increase. While risk factors for problem drinking in late life have been identified, it remains unknown whether these factors drive daily drinking among older problem drinkers. This study examined the daily drivers of drinking among problem drinkers, moderated by age, utilizing ecological momentary assessment (EMA). Method—Participants (N=139), ages 20–73, received daily EMA online surveys completed via a smartphone prior to initiation of treatment. Multilevel modeling tested the moderating impact of age on within- and between-person relationships between drinking and focal predictors (mood, loneliness, boredom, stress, poor …

Screening Older Physicians For Cognitive Impairment: Justifiable Or Discriminatory?, Ilene N. Moore

Health Matrix: The Journal of Law-Medicine

In the U.S., one out of eight practicing physicians is older than sixty-five, and many practice well into their seventies. Many commentators and healthcare organizations, concerned that aging physicians are at risk for cognitive impairment, have urged, or actually instituted, cognitive "screening" for older physicians as a means to ensure patient safety. An age-based screening program, however, should not proceed unless supported by clear evidence and not prohibited by law. This article argues that neither of these conditions applies. Singling out all older physicians for cognitive testing is empirically unjustified and legally prohibited. Furthermore, there are other means to reliably …

Reflections On Life: Replication And Extension, Karen Osowski

Master's Theses

This study used an experimental methodology to examine positive affect and gratitude as mediators of the beneficial impact of an intervention in which older adults savor "life lessons" they have learned in growing older on measures of psychological well-being (i.e., positive attitudes toward aging, life satisfaction, anxiety, state self-esteem, and state hope). In the following pages, I first review the background literature on gerontology and quality of life as well as describe, in detail, the original experiment (Smith & Bryant, 2018) that formed the foundation of the proposed research. Next, I describe several extensions of this earlier study that are …

Sociodemographic Disparities In Adult Child Informal Caregiving Intensity In The United States: Results From The New National Study Of Caregiving, Sarah K. Cook, Steven A. Cohen

Kinesiology Faculty Publications

The objective of the current study was to assess socioeconomic and demographic disparities in caregiving intensity among informal caregivers. Using a randomized, nationally representative sample of 1,014 adult child informal caregivers from Medicare enrollment databases, the associations between informal caregiving intensity and age, race/ethnicity, and income were examined using binary and ordinal logistic regression. Caregiving intensity varied by demographics. Activities of daily living (ADL) caregiving was highest among Black, non-Hispanic caregivers. Instrumental ADL caregiving and number of hours spent caregiving was highest in female and non-White caregivers. Although the overall association between caregiving intensity and income was not significant, when …

Apoe Gene Polymorphism Among Jordanian Alzheimer’S Patients With Relation To Lipid Profile, Yanal A. Shafagoj, Randa G. Naffa, Mohammed S. El-Khateeb, Yazeed L. Abdulla, Aseem A. Al-Qaddoumi, Faisal A. Khatib, Yousef F. Al-Motassem, Eman M. Al-Khateeb

Neurosciences

Objectives: To investigate the frequencies of the apolipoprotein E (APOE) alleles and genotypes and study their relationship with the lipid profile in Jordanian patients with late-onset Alzheimer’s disease (AD). Methods: This case-control study was carried out on 71 Jordanian individuals: 38 patients with late-onset AD (age ≥65 years) and 33 age-matched healthy controls. All participants were recruited from senior homes and Jordan University Hospital, Amman, Jordan between January 2010 and December 2013. Each sample was examined for APOE’s 3 major isoforms (e2, e3, e4) using the polymerase chain reaction technique (PCR) followed by the sequencing technique. In addition, samples were …