Medicine and Health Sciences Commons^™

“Older Adults And Their Experiences With Home Care And Assisted Living”, Faith Robinson

Thinking Matters Symposium Archive

As the state of Maine and the U.S. population at large continues to age, discussion about future care and living arrangements for older adults has become an increasingly relevant issue. Older adults are often faced with a range of options for housing, including staying in their home in their community while receiving home care services, or moving to an assisted living facility.

Currently a gap in the research exists as to the attitudes, perceptions, and lived experiences of the older adults themselves around these decisions, experiences, and the meaning of “home” in our older years. This study aims to provide …

Dual-Task Gait Assessment In Lower Extremity Amputees, Courtney A. Frengopoulos

Electronic Thesis and Dissertation Repository

The purpose of these studies was to develop a reliable dual-task functional mobility protocol and investigate changes in dual-task performance over time in lower extremity amputees. Relative and absolute test-retest reliability of the protocol were evaluated across the population in a study consisting of three groups, with 20 participants per group. A pilot study of 16 participants investigated change in dual-task performance between discharge from rehabilitation and follow-up for both cognitively normal and cognitively impaired individuals. Gait was assessed by the developed protocol as well as an electronic walkway (GaitRITE®). All three groups in Study 1 had excellent relative test-retest …

The Use Of Bilateral Motor Task Training To Augment Cognitive Function In Older Adults, Colby Craddock

Health and Kinesiology Theses

Objective: Maintaining cognitive function remains challenging in our rapidly aging society but, learning novel motor tasks may increase cognitive reserve in older adults. Bilateral tasks that combine multiple limb movements, hand-eye coordination, and object manipulation may augment shared cognitive resource function. The purpose of this study is to investigate the effectiveness of simultaneous bilateral object manipulation (SBOM) training in augmenting cognitive function in older adults.

Methods: Eighteen subjects age 50-65 were recruited to be randomly assigned into an intervention (IG) or control group(CG). The IG underwent an 8-week motor training (MT) program to practice 3-ball juggling. Cognitive and motor performance …

Implementing Multifactorial Education Modules With Older Adults: Individualized And Interactive Fall Prevention Education, Salvador Chavez, Jocelle Flores, Rachelle Yambao

Dissertations, Masters Theses, Capstones, and Culminating Projects

Falls are a significant concern for community-dwelling older adults (OAs), with one in four OAs reporting a fall every year. Occupational therapy students collaborated with first responders of the Novato Fire District to identify gaps in fall prevention community outreach programs and found that many interventions lack an interactive or individualized approach. Based on the gap analysis and current literature, seven education modules were developed to address key risk factors including home safety hazards, polypharmacy, fear of falling, and strength and balance exercises. Thirty community-dwelling OAs participated in the education modules that were implemented at two senior community sites in …

The Impact Of Visual Impairments On Mobility Performance In Community-Dwelling Older Adults, Lauren Andrew, Talia Davis, Christian Johnson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Falls are a major concern for elderly adults and can have a significant impact on overall health and well-being. Declines in vision with aging may be related to the development of fear of falling (FOF) and impaired mobility. It is possible that impaired vision due to common eye diseases can increase the FOF avoidance behavior and affect mobility function in this population. The purpose of this study was to investigate the relation among visual impairment, mobility performance, and FOF avoidance behavior in older adults. Methods: Inclusion criteria for eligible participants were: 50 years of age and older, …

The Duc Healthy Aging Website: Providing Online Occupation-Based Information, Haley Caruthers, Samantha Talavera, Jackeline Ulloa, Stephanie Vera

Dissertations, Masters Theses, Capstones, and Culminating Projects

Access to current, evidence-based health information is an important step to the promotion of health and wellness for all age groups, including OAs. Since the virtual world is easily accessible and is being used more frequently by OAs, an effective way to convey relevant up-to-date health information is through a website devoted to the dissemination of health promotion information tailored for OAs, including tips for integrating healthy habits into their lifestyle. Dominican University of California’s (DUC) Healthy Aging website, developed in May 2014, contains relevant and evidence-based research, including activities and local community based programs that promote healthy aging on …

Effect Of Lighting On Performance Of Tasks Requiring Near Vision In Older Adults, Karen Leigh James

Occupational Therapy Program Student Theses, Dissertations and Capstones

With age, more light is needed in order to function, but the effect of lighting on occupational performance has received little attention in occupational therapy. The purpose of the study was to determine if lighting affects older adults’ ability to perform selected occupational tasks, which require near vision and if lighting levels affects their perceived effort while performing selected occupational tasks. A quasi-experimental, repeated measures design was used with a convenience sample recruited from a retirement community. Thirty participants met the inclusion criteria, which included visual and cognitive screening. The mean age of the 30 participants was 83 years, and …

The Phenomenology Of Masters Alpine Ski Racers: Experiencing Ski Racing In Old Age, Carly Litchfield

Electronic Thesis and Dissertation Repository

This thesis is a study of the lived experience of ten older adult alpine ski racers in their continued participation in ski racing. The aim of this study was to gain an understanding of the experiences of these older adults as they continued to compete in ski racing. Masters skiers between the ages of 69 and 82 participated in individual interviews lasting between 30 and 60 minutes. Data analysis was completed using van Manen’s phenomenological methods and the visual technique of mind mapping. The major theme that emerged was the importance of being a ski racer to participants’ identities. The …

The Influence Of Strength-Training Exercises On The Functional Fitness In Older Adults, Susie Engle

Graduate Theses and Dissertations

The purpose of this study was to examine the influence of strength-training exercises on the functional fitness in older adults. The original convenience sample consisted of 658 participants who attended group strength-training classes offered through the Cooperative Extension Service. The Senior Fitness Test was used to assess baseline fitness levels at the beginning and end of the 12-week strength-training program. Data was collected from 2008 to 2015. Of the 658 participants, 110 were aged 60 to 94 and presented posttest scores occurring approximately 12 weeks after pretest dates. Of the 110 subjects, 99 were female and 11 were male. The …

Preventing And Reducing Falls In Assisted Living Facilities: An Educational Intervention, Jennifer A. Borcich, Raquel F. Ramos, Taylor S. Wong

Dissertations, Masters Theses, Capstones, and Culminating Projects

As the number of older adults continues to rise, falling in older adults has become a national health care issue. Many older adults who fall reside in assisted living facilities. Every time a fall incident occurs, first responders are called, utilizing a significant amount of first responder’s time and resources. Therefore, the purpose of this project was to implement a fall prevention program for residents of an assisted living facility (ALF) to reduce fall risk and fall-related calls to the local fire department. The project consisted of a four-week course given once weekly for 60 minutes to residents at an …

The Effect Of A Multiple Modality Mind-Motor Exercise Intervention On Single And Dual-Task Gait, Balance, And Executive Function, In Community Dwelling Older Adults With A Subjective Cognitive Complaint: A Randomized Controlled Trial., John P. Bocti

Electronic Thesis and Dissertation Repository

Cognitive decline disorders are becoming increasingly prevalent, with older adults at increased risk. Combined exercise has been recently explored as an intervention to help to prevent the decline, however cognitive activation in combination with physical activity has yet to be explored. Therefore, the purpose of the study is to determine the effects of multiple modality exercise programs in combination with a mind-motor task and their effects on mobility and cognitive variables. A total of (n=89) older adults (55+ yrs), with subjective cognitive complaints participated in a multiple modality exercise class, three days a week over six months, with the intervention …

Participants' Perceptions Of Factors In Preventing Falls, Rajvinder K. Bains, Jaclyn A. Fok, Nadine M. Marcelo, Tamara Vileshina

Dissertations, Masters Theses, Capstones, and Culminating Projects

Falls pose a serious threat to older adults, often resulting in physical, emotional, and financial consequences. The use of multifactorial fall prevention programs has provided community-dwelling older adults with strategies to decrease the risk of falling. Outcomes for these programs are measured in terms of such factors as fear of falling, balance and self-efficacy. One outcome of fall prevention programs that is less well understood is what the older adults themselves perceive as most beneficial. For this program evaluation project, five women participated in semi-structured interviews to understand which aspects of a multifactorial fall prevention program they found to be …

Careful, Not Fearful: A Mixed Methods Study To Investigate Fall-Risk Appraisal And Fear Of Falling In Community-Dwelling Older Adults, P. Karen Simmavong

Electronic Thesis and Dissertation Repository

This study investigated older adult’s accuracy in fall-risk judgement and ascertained whether fall-risk appraisal was situation specific or general in nature. Convenience and snowball sampling were used to recruit 30 community-dwelling older adults aged 65 years and older. An embedded correlational mixed methods was utilized to investigate relative and absolute fall-risk judgement, balance confidence, and hazard identification. Using Pearson Product Moment correlations, multiple regressions, and qualitative analysis, the findings suggest older adults are not always accurate in appraising fall-risk. Judgements were specific and not general in nature, as only 9.30% of variance in risk appraisals and 12.96% of variance in …

Behavioral Implications Of A Cognitive Training Program For Individuals With Moderate Cognitive Impariment, Joseph L.D. Kennedy

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to evaluate the effectiveness of a cognitive training program on behavioral outcomes for individuals with moderate cognitive impairment. A total of twenty participants were randomized into either a waitlist control or an experimental group. Collateral individuals familiar with each participant completed a series of measures of behavioral and emotional functioning at both pre- and post-intervention. Results demonstrated little effectiveness for the cognitive training program in stabilizing or improving behavioral functioning. Limitations and future directions are then provided to enhance future research in this area.

Effect Of Dual Tasking On Walking Over Even And Uneven Surfaces In Functionally Independent Community Older Adults, Olajide L. Kolawole

Seton Hall University Dissertations and Theses (ETDs)

While several studies have reported a decrement in performance by older adults while walking and concurrently performing a dual task on even surfaces, to date the effects of dual tasking while walking on uneven surfaces commonly found in the community has received less attention. Thus, we sought to test the hypothesis that an incremental decrement in gait parameters will be observed, when walking on an uneven versus an even surface and furthermore, that this decrement would be dependent upon the concurrent performance of a secondary cognitive and/or motor task in functionally independent-living-community older adults.

Dynamic Gait Index assessed the subject’s …

Encouraging Occupation: A Systematic Review Of The Use Of Life Review And Reminiscence: Therapy For The Treatment Of Depressive Symptoms In Older Adults, Allison P. Zuiderveen, Caitlin M. Ivey, Sarah A. Dordan

Older Adult

Objective: The present systematic review attempts to investigate the efficacy of both life review and reminiscence therapy interventions in the treatment of depressive symptoms in older adults. This review also attempts to clearly define each intervention; thereby determining which type of therapy was actually performed in previous research studies.

Methods: A systematic review of the literature was conducted using three databases: CINAHL, PubMed, and PsycINFO. Six studies met the inclusion criteria and pertinent variables were extracted for data analysis.

Results: In all six articles, the reminiscence therapy or life review intervention was found to be effective in the treatment of …

Increasing Fall Self-Efficacy And Awareness Of Fall Risks Among Community-Dwelling Older Adults, Dona Diane Andersen, Brian Edwin Dinozo, Heather Vengco Enrile, Brittany Anne Hutchison

Dissertations, Masters Theses, Capstones, and Culminating Projects

Objective: The purpose of this study was to examine the effectiveness of a modified version of the Stepping On fall prevention program in increasing fall self-efficacy and awareness of fall risks in community-dwelling older adults.

Method: This research study utilized a quantitative, quasi-experimental pretest-posttest singlegroup design with a qualitative element. The fall prevention program was the intervention of this study. The Modified Falls Efficacy Scale (MFES) was a pre and post measurement tool. The Timed Up & Go Test (TUG), the Romberg test, and the Saint Louis University Mental Status Examination (SLUMS) were screening tools. Fourteen older adults aged 75 …

The Effect Of An Incline Walking Surface And The Contribution Of Balance On Spatiotemporal Gait Parameters Of Older Adults, Richard A. Ferraro

Seton Hall University Dissertations and Theses (ETDs)

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Resistance Exercise In Men Receiving Androgen Deprivation Therapy For Prostate Cancer, Daniel A. Galvao

Theses: Doctorates and Masters

This thesis encompasses two literature reviews (chapter 2 & 3) and two experimental chapters (4 and 5) examining the available literature on exercise and cancer, resistance training and its anabolic responses in older men and women, the side effects of Androgen Deprivation Therapy (ADT) for prostate cancer and finally, the role of resistance exercise as a clinical intervention to counteract such changes as an adjuvant therapy.

The Comparison Of Gait Characteristics Between Older Adults Who Do Tai-Chi Chuan And Older Adults Who Do Not Do Tai-Chi Chuan, Shu-Ya Chen

Rehabilitation Sciences Theses & Dissertations

Tai-Chi Chuan (TCC) is a traditional Chinese exercise which has become popular in the Western world recently. The reported health benefits of TCC exercise include increased lower extremity muscle strength, improved balance, improved cardiopulmonary function, reduced tension, and improved overall wellness. However, no study has demonstrated the effects of TCC exercise on walking performance. The purpose of this study is to determine whether TCC exercise has an effect on normal speed walking of older adults. Twenty-four older healthy women over 55 were recruited in this study, 12 subjects practiced TCC exercise at least two times per week and the others …