Social and Behavioral Sciences Commons^™

The Effects Of Social Isolation On People With Dementia And The Use Of Arts As Connection, Emily Olive

Expressive Therapies Capstone Theses

During the COVID-19 pandemic, many states issued quarantines and social isolation policies. While this impacted the well-being and mental health of everyone, it had an increased effect on the elderly population and, more specifically, those living with dementia. Social isolation has been shown to cause a quicker progression of dementia symptoms, increase anxiety and depressive symptoms, and worsen chronic health issues. Before the pandemic, research has agreed that a way to combat the progression of dementia and lower the symptoms is through socialization. A critical review of the literature found that the arts may be used to form connections between …

Online Act For Caregivers: A Longitudinal Mixed Methods Study, Jacob D. Gossner

All Graduate Theses and Dissertations, Fall 2023 to Present

Family caregivers for people with dementia are a resilient population operating under stressful circumstances that can put them at risk of multiple negative outcomes. Existing interventions may be difficult for family caregivers to access due to time and transportation constraints; an alternative is online, self-guided interventions that caregivers can access from their own homes. The purpose of this dissertation is to evaluate the impact of ACT for Caregivers, a six session online, self-guided program based on the principles of Acceptance and Commitment Therapy. Participants had an average age of 61.93 (SD = 13.69), had been caregiving for an average …

Exploring Touch: Art Therapy With Older Adults, Katherine Gilpatrick

Expressive Therapies Capstone Theses

Touch is an incredible tool that allows humans to connect with one another. It is instrumental in art therapy as we work with different populations and materials. Touch can occur in many ways but must be clearly defined in the therapeutic space, especially regarding ethical codes. This paper explored touch within senior living communities across different levels of care, including dementia care. A variety of art materials were used including drawing materials, collage, clay, and digital art. Art experiences were documented and analyzed through journaling and reflective artmaking. Four patterns emerged when examining the results including connection to product, differences …

The Perceived Impact Of An "Awareness Toolkit" On Alzheimer Caregivers' Preparedness, Burden, And Posttraumatic Growth, Ann Rivers

Social Work Doctoral Dissertations

Over 7 million Americans age 65 and older live with Alzheimer’s in the United States, and more than 11 million caregivers of people with Alzheimer’s disease or other dementias provided an estimated 18 billion hours of unpaid care valued at $340 billion (Alzheimer’s Association, 2023). This study implemented a new intervention called an "Awareness Toolkit" for Alzheimer's caregivers comprised of Alzheimer’s disease-related education, community resources, and support tailored to the county where care was provided, including caregiver self-care and coping tips. The aim of this study is to evaluate the impact of an Awareness Toolkit intervention and examine its influence …

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

Graduate Theses, Dissertations, and Problem Reports

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 …

Male Caregiver Strain: The Mental Effects Of Being An Informal Caregiver For A Family Member With Dementia And Alzheimer's Disease, Alessandra M. Barillas, Elijah Rammel B. Borja

Nursing | Senior Theses

Background: Caregivers are vital in fulfilling patients' primary care needs, and families prefer them over sending their loved ones to skilled nursing facilities (SNFs). Alzheimer's Disease and Dementia are prevalent conditions necessitating continuous assistance due to memory and cognition impairments. As a result, support is essential for tasks like mobility, feeding, bathing, and perineal care, as well as emotional and physical challenges inherent in caregiving. Purpose: Upon diving into the mental health impacts of serving as an informal caregiver for individuals with Alzheimer's Disease and Dementia, a notable research gap becomes evident, especially concerning male caregivers. This lack of information …

How Marital Stress May Affect The Onset Of Dementia In Older Adults, Khunza Asma

All Graduate Theses, Dissertations, and Other Capstone Projects

Marital stress has been identified as a significant factor influencing the cognitive health of older adults, with emerging evidence suggesting a potential link between marital discord and the risk of developing dementia. This study will review the existing literature on the relationship between chronic stress, depression, marital discord, and the development of cognitive impairment which can increase the risk of developing dementia in older adults. However, the purpose of studying how marital stress affects the onset of dementia is to deepen our understanding of the complex interplay between psychosocial factors and cognitive health in older adults, with the ultimate goal …

Examining A Virtual Neuropsychological Battery For Older Adults, Robert W. Kessler

Doctor of Psychology (PsyD)

The restructuring of clinical service provision during the COVID-19 pandemic prompted neuropsychologists to reconsider telehealth options for patient care. Subsequent advances in teleneuropsychology (Tele-NP) research and practice have demonstrated that virtual assessment is not only practical, but also increases accessibility to neuropsychological services for the elderly, medically at-risk, and rural patients. In order to ensure services are in-line with professional standards of evidence-based practice, it is incumbent on research to demonstrate the validity of virtual assessment, as well as patient acceptability of Tele-NP findings. The objectives of this research project were three-fold. First, I aimed to determine the reliability of …

Nutrition As A Modifiable Risk Factor For Cognitive Decline: Associated Cognitive And Physical Health Changes, Taylor Mcmillan

Electronic Theses and Dissertations

Dementia is defined as gradual, progressive loss of cognitive functioning, greater than what is expected of normal aging, resulting in functional impairment. There are several types of dementia clinical syndromes that are accompanied by unique patterns of cognitive dysfunction and neuropathological changes. Alzheimer’s disease (AD) is the most common type of clinical dementia syndrome, accounting for approximately 60-70% of cases. Neuropathological mechanisms associated with AD include the disruption of the cholinergic system, accumulation of amyloid-beta plaques and hyperphosphorylated tau, as well as vascular pathology. Vascular pathology complicates the characterization of clinical and neuropathic changes in AD, as there becomes significant …

Implementing An Alzheimer’S And Dementia Library Outreach Program: A Partnership Between The Nebraska Chapter Of The Alzheimer’S Association And Nebraska Libraries, Casey Wilkinson

Theses/Capstones/Creative Projects

This paper focuses on the establishment of an Alzheimer’s and dementia library outreach program in Nebraska, initiated by the Nebraska Chapter of the Alzheimer’s Association. The program aims to address the lack of community resources and support for individuals affected by dementia-related diseases in Nebraska. Extensive research, including interviews with successful library outreach programs globally, informed the program's foundation. A survey distributed to Nebraska libraries had a stellar response rate, with 57 libraries expressing interest in collaborating. An in-depth guide was created and distributed to the interested libraries, outlining program components such as educational programming, support groups, and a designated …

The Effects Of Music Therapy On Elderly Adults With Dementia, Jeante J. Jackson

Dissertations, Theses, and Capstone Projects

As people age, the brain is more susceptible to changes that diminish cognitive function. In recent years neuroscience has found convergent evidence between music therapy and brain architecture, as it has shown the generation of new connections in the brain or a reorganization and possible strengthening of existing connections already in the brain. However, the literature regarding music training’s effects on executive control, selective attention, and speech processing is lacking particularly when it comes to older populations.

This study investigated Verbal Working Memory, Visuospatial Attention and Task Initiation, and Auditory Selective Attention in a 91-year-old adult (B.P.) diagnosed with dementia. …

What Drama Therapy Core Processes Can Be Observed In A Timeslips Session With Residents In Dementia Care Units?, Saverina Scopelleti

Expressive Therapies Capstone Theses

Despite the arrival of the person-centered movement in dementia care, biases continue in caregiving around ageism, cognitive disability, and pharmacological interventions to mitigate behavior issues. This paper underscores the efficacy of drama therapy as a non-pharmacological intervention in dementia care practices, directing focus on drama therapy core processes and how to utilize them to meaningfully engage with persons with dementia. In this phenomenological study, run over a four week period, I facilitated group interventions using TimeSlips with residents from two memory care units at separate assisted living facilities in New England. TimeSlips is an established program, specifically created for persons …

Mental Confidence In Alzheimer's Disease, Harrison Adams

Electronic Theses and Dissertations

A simple symptom like forgetfulness can lead to a gradual, subtle decline in the individual’s sense of identity. In dementia, self-efficacy is the foundation that allow individual to prolong their capacity of independence and identity. Alzheimer’s disease (AD) is the most prominent form of dementia with tens of millions in the world currently living with Alzheimer’s disease. AD is most often associated with impaired memory, confusion, language impairment, and unpredictable, agitated, aggressive, and paranoid behavior. While there are many studies examining the quality of life in individuals with AD, there are fewer investigating the psychological effects of AD on the …

Occupational Therapists’ Perspectives On Using The Physical Environment In Skilled Nursing Facilities, Jennie L. Digrado

Walden Dissertations and Doctoral Studies

Occupational therapists (OTs) are among the health care professionals who assist individuals with neurocognitive disorders (NCDs) to engage in self-care and leisure skills in a skilled nursing facility (SNF) environment. Although the SNF environment has been researched, a gap exists regarding how OTs use the built environment to help clients with a NCD engage in self-care and leisure-related activities. The purpose of this qualitative case study was to understand how OTs use the physical environment in a SNF to help individuals with a NCD engage in self-care and leisure related activities. The conceptual framework that guided this study was the …

Locus Of Control, Mindfulness, And Perceived Caregiver Burden In Informal Caregivers Of People With Dementia, Tiffany Marinos-Sterge

Walden Dissertations and Doctoral Studies

AbstractAdult informal caregivers play an essential role in the care of people with dementia living in the community. Adult informal caregivers may experience a host of negative psychological, emotional, and physical effects because of their roles as caregivers. The purpose of this quantitative correlational study was to investigate the influence of locus of control and mindfulness on the perceived caregiver burden experienced by adult informal caregivers of people with dementia, controlling for relevant sociodemographic characteristics. Social determination theory and social learning theory provided the theoretical foundation for this study. Variables were measured using the Caregiver Burden Inventory, Mindfulness Attention Awareness …

Gender And Race Influence Young Adults' Impressions Of People With Dementia, Angel Collie

UNF Graduate Theses and Dissertations

Alzheimer’s Disease and Related Dementias (ADRD) are becoming more common among older adults around the United States, including African Americans, who are twice as likely to be clinically diagnosed with Alzheimer’s Disease. Though it is counter-intuitive, young adults are important when examining the future projections of ADRD because they will be the future caretakers of older adults. The current study investigated whether impressions of people with dementia are influenced by the interaction of gender and race among young adults. In Phase 1, young adults (N = 157, ages 18-25, median age = 20) completed a reverse correlation task where they …

The Motivations And Work-Life Balance Of Paid Home-Based Caregivers Of Clients Experiencing Dementia, Cheraire Lyons

Walden Dissertations and Doctoral Studies

With an expected increase in demand for professional caregivers for the growing older adult and aging population, caregivers need balance in their lives so they can provide quality patient care. The purpose of this qualitative multiple case study was to explore what motivates paid, professional home-based caregivers of clients with dementia to maintain their work–life balance. The caregiver ambition framework was the guide for exploring home-based caregivers’ work life issues along with caregivers’ motivations for work–life enrichment. Interview data were collected from five interviews that were analyzed first manually by exploring the transcribed interviews for commonly seen words and phrases. …

Predictive Abilities Of Neuropsychological Measures On Functional Outcomes In The Mild Cognitive Impairment (Mci) And Dementia Populations, Morgan Bare

PCOM Psychology Dissertations

During the aging process, a decline in ability to perform everyday tasks is commonly observed. This is increasingly so for those with dementia and is a diagnostic requirement. These daily tasks require certain cognitive skills which can be measured by various neuropsychological measures. The purpose of this study is to examine which neuropsychological measures are able to detect various deficits in self-reported activities of daily living (ADL) and instrumental activities of daily living (IADL) in individuals with mild cognitive impairment (MCI) and dementia. It is hypothesized that Trail Making Test– B (TMT-B) would be the most sensitive predictor in functional …

Occupational Therapists’ Perspectives On Using The Physical Environment In Skilled Nursing Facilities, Jennie L. Digrado

Walden Dissertations and Doctoral Studies

Occupational therapists (OTs) are among the health care professionals who assist individuals with neurocognitive disorders (NCDs) to engage in self-care and leisure skills in a skilled nursing facility (SNF) environment. Although the SNF environment has been researched, a gap exists regarding how OTs use the built environment to help clients with a NCD engage in self-care and leisure-related activities. The purpose of this qualitative case study was to understand how OTs use the physical environment in a SNF to help individuals with a NCD engage in self-care and leisure related activities. The conceptual framework that guided this study was the …

Locus Of Control, Mindfulness, And Perceived Caregiver Burden In Informal Caregivers Of People With Dementia, Tiffany Marinos-Sterge

Walden Dissertations and Doctoral Studies

AbstractAdult informal caregivers play an essential role in the care of people with dementia living in the community. Adult informal caregivers may experience a host of negative psychological, emotional, and physical effects because of their roles as caregivers. The purpose of this quantitative correlational study was to investigate the influence of locus of control and mindfulness on the perceived caregiver burden experienced by adult informal caregivers of people with dementia, controlling for relevant sociodemographic characteristics. Social determination theory and social learning theory provided the theoretical foundation for this study. Variables were measured using the Caregiver Burden Inventory, Mindfulness Attention Awareness …

The Association Of Burden And Social Engagement With Depression In Caregivers Of Adults By Age, Danielle Leigh Forbes

Master's Theses

As life expectancy begins to increase, the need for familial caregivers is growing. The aging of care recipients often means that those providing care continue to get older as well. Previous studies focus little on the differences between older and younger caregivers and rather combine them all into one group. The purpose of this study is to understand whether the caregiving experience is related to the age of the caregiver. Depression, burden, and social engagement, based on the descriptors of leisure, work, and social relationships, were studied in conjunction with the age of the caregivers. This study consisted of 63 …

Preimplantation Genetic Testing For Neurobehavioral Traits, Peter K. Zeller

Cal Poly Humboldt theses and projects

Differences in behavioral and mental health traits result from unique interactions of genetic and environmental factors. Genetic information has improved along with technological advancements allowing for more data points to be established and increased data resolution. Because of this, there is a greater ability to identify embryos that carry genetic risk. The approach of Preimplantation Genetic Testing (PGT) is routine for certain genetic diseases but has not been widely used for psychiatric or behavioral traits. This paper critically examines the potential application of PGT-P by focusing on one main example, Alzheimer’s disease (AD). AD is the most prevalent form of …

Changing Public Perception Of Dementia: The Effect And Credibility Of Three Informational Models., Diana Hedrick

Electronic Theses and Dissertations

Background: Since the 1970s, Alzheimer’s disease and dementia have been portrayed in a medicalized, symptom-focused manner to help spread awareness, improve diagnosis, and push for treatment research. In recent decades, there has been movement towards a biopsychosocial, person-centered approach that considers social and psychological factors that interact with biological diseases processes. Common biopsychosocial approaches retain an emphasis on deficits and symptoms. New research has integrated positive psychology constructs and dementia. This integration of positive psychology principles and dementia care and research has the potential to more accurately capture the experience of having dementia. Objectives: This dissertation tested how the portrayal …

The Impact Of Alzheimer Disease On Semantic Knowledge, Maileen G. Ulep

UNLV Theses, Dissertations, Professional Papers, and Capstones

The research furthers the understanding of the impact of Alzheimer disease (AD) on cognition and the organization of semantic knowledge in the brain, which might contribute to the development of diagnostic and staging tools, and interventions to palliate cognitive deficits. The disruption of semantic knowledge in AD is well documented in the literature. Much of the existing research focuses on the general impact AD has on semantic knowledge. This study explores the impact of AD on specific domains of knowledge, chiefly, living kinds and artifacts, critical to ordinary functioning. The content, organization and structure of the investigated domains of knowledge …

How And With Whom You Spend Your Time Matters: An Examination Of Familial Relationships, Leisure Activities, And Dementia Development, Erika Cooksey Mcdaniel

Theses and Dissertations

Dementia is an interminable disorder characterized by a decrease in cognitive functioning behavioral and emotional changes, and an overall diminishment in quality of life that usually affects the older population. In the coming decades, scientists estimate that the number of sufferers will reach over 100 million worldwide. Though there is currently no cure for any form of dementia, the theory of cognitive reserve posits certain lifestyle characteristics (i.e., educational attainment, SES, and/or career path) can mitigate the risk of dementia by improving cognitive resilience over an individual’s lifetime. The current study sought to discover what, if any, effects familial relationships, …

A Digital Application For Assessment Of Neurocognitive Disabilities, Thomas H. Auriemma

Theses and Dissertations

Background: Neuropsychological assessment is designed to identify neurocognitive impairment and has traditionally relied on pen-and-paper tests. The behavior collected from these tests is usually expressed as a total summary score or a score that reflects a restricted number of features that assess errors. There is now interest in coupling traditional paper and pencil tests with digital assessment technology. In this context traditional metrics such as summary scores are still available. However, using digital technology, a host of time-based parameters can now be obtained. These time-based parameters include the total time to complete the task or total time to completion, as …

Investigating Nonverbal Strategies To Support Communication With Persons Living With Dementia, Emma Bender

Electronic Thesis and Dissertation Repository

Many persons living with dementia experience difficulties comprehending language and benefit from nonverbal communication (NVC). This research aimed to identify potential strategies for nonverbal behaviour adaptation to enhance communication with persons living with dementia, based on the Communication Enhancement Model. Studies included a scoping review of NVC strategies for caregivers with persons living with dementia and an analysis of whether NVC strategies used by personal support workers (PSW) co-occurred with verbal communication demonstrating person-centered indicators (recognition, negotiation, validation and facilitation). Video-recorded interactions (n=40) between PSW and simulated persons living with dementia were analysed using a codebook of NVC strategies (facial …

Dance/Movement Therapy And Nonverbal Communication Among Older Adults With Dementia: Development Of A Method, Diane Davis

Expressive Therapies Capstone Theses

Dementia is a neurocognitive disorder that affects many older adults. As it progresses, people slowly lose their verbal communication abilities. There is no known cure for dementia, and current treatments often fail to address the emotional and relational needs of the individual. This study builds on existing research by looking at how dance/movement therapy (DMT) may be an effective method for increasing nonverbal communication among the population living with dementia. DMT is a psychotherapy that prioritizes nonverbal modes of communication. DMT harnesses the power of movement and dance in relationship with clients. Two DMT sessions were conducted at an assisted …

Dance/Movement Therapy And A Positive Impact On Sense Of Self For Individuals Living With Dementia: Development Of A Method, Brittany Metrolis

Expressive Therapies Capstone Theses

Individuals living with dementia suffer from degenerative cognitive functioning, which in turn makes it difficult for language, emotions, social behavior, reasoning, balance, muscle function and automatic functions. The researcher reviewed literature available to better ground themselves in the importance of recognizing and expanding sense of self for those living with dementia. A dance/movement therapy group focused on prop work in a residential memory care facility with men and women living with different forms of dementia was formed. Verbal and non-verbal responses were recorded in regard to three therapeutic themes: body autonomy, prop work, and therapeutic touch. Results from the self-observations …

Utilizing Collage To Address Disenfranchised Grief Amongst Older Adults Living With Dementia: A Method, Isabelle A. Olsson

Expressive Therapies Capstone Theses

Grief is an inevitable part of the human experience as everyone encounters loss across the lifespan. However, some forms of grief go unrecognized or unvalidated leading to the disenfranchisement of the griever’s experience. Existing literature captures numerous experiences and approaches to addressing the grief of families and caretakers living with an individual diagnosed with dementia. However, little literature details the grief experiences of individuals diagnosed with dementia. Grief can go unrecognized amongst those living with dementia as they are often thought to be incapable of grief as a result of their memory loss and shift in cognition. This thesis explored …