Geropsychology Commons^™

Effects Of An Educational Intervention On Students’ Knowledge And Attitude Towards Working With Older Adults, Johnna L. Kelley

College of Graduate Studies: Theses & Dissertations

Many individuals report reservations about working with an older adult population. A potential factor that may influence this is openness to experience. Additionally, research shows that educational interventions are effective in increasing individuals’ level of knowledge on various topics including older adults and aging. This increased level of knowledge contributes to a higher level of willingness to work with an older adult population. In order to support and extend the existing literature on this topic, we examined the effect of a short-term education session on undergraduate students’ willingness to work with older adults in a variety of positions and settings. …

Handicraft Art Leisure Activities And Cognitive Reserve, Genna Mashinchi

Graduate Student Theses, Dissertations, & Professional Papers

With increasing age, older individuals face a higher likelihood of developing dementia. The rate of cognitive decline resulting from dementia is not equivalent for all, as some patients with dementia are able to function independently longer than others, despite having similar disease burden. The cognitive reserve (CR) theory provides one explanation for the differing rate of decline. CR suggests that there are factors — most notably, educational and occupational attainment — that can protect against the cognitive decline that is a hallmark of dementia. Although the beneficial effects of these notable CR factors are clear, they may not be modifiable. …

The Effects Of Dementia Knowledge On Dementia Worry, Attitudes, Social Comfort, Empathic Concern, And Personal Distress, Alexandria Rose Ebert

Graduate Theses, Dissertations, and Problem Reports (ETD)

The present study examined the effects of different types of dementia knowledge on attitudes and affective reactions towards persons with dementia. Work has demonstrated that individuals with higher levels of personhood-based knowledge have lower levels of personal dementia fear and higher levels of social comfort. However, to our knowledge, work has not examined dementia attitudes more broadly or differentiated causal relations among different forms of dementia knowledge and attitude outcomes. Participants (N = 334) aged 19-78 (M = 44.53, SD = 16.57) were randomized into one of five experimental conditions: (1) biomedical-knowledge (BK; read biological and medical facts about …

Sex/Gender Differences In Serial Position Profiles In Patients With Mild Cognitive Impairment And Healthy Controls, Emnet Z. Gammada

Dissertations, Theses, and Capstone Projects

Introduction: Alzheimer’s disease disproportionately affects more women, but paradoxically, men have a higher incidence of Mild Cognitive Impairment (MCI). Researchers have suggested that women’s verbal memory advantage across the lifespan reflects better premorbid skills, which then require more neurodegeneration to manifest early clinical impairment. To date, measurement of sex differences in verbal memory have used total list scores. We proposed that a granular examination of serial position effects (SPE) in list-learning can refine the source of sex/gender differences.

Methods: A cross-sectional analysis of participants with Mild Cognitive Impairment (MCI) and Healthy Controls (HC) was examined from the Alzheimer’s Disease Neuroimaging …

Dementia And Competency In United States Courtrooms: A Case Law Review, Dana Miller

Student Theses

The number of older adults in the United States is rising, as is the incidence of dementia. Older adults are coming into contact with the criminal justice system at greater rates than previously encountered. As such, individuals with dementia are likely appearing in courts at an unprecedented rate. While many civil competencies commonly related to older adults are well researched, competency in the criminal legal system has not received the same level of recognition in this population. This is particularly concerning given the growing awareness of the relevance of dementia in some criminal competencies (e.g., Madison v. Alabama, 2019). Of …

Applying A Metacognitive Framework In The Neuropsychological Assessment Of Subjective Cognitive Decline And Mild Cognitive Impairment, Susan Y. Chi

Dissertations, Theses, and Capstone Projects

The characterization of the earliest stages of Alzheimer's disease (AD) is a topic of major research interest because it is critical for early diagnosis and emerging interventions. Metamemory, or knowledge about memory, including awareness of one’s own memory functions, has been investigated in AD especially in relation to how impairment in memory and executive functions contribute to unawareness of cognitive deficits, termed anosognosia. Previous research, however, has not systematically investigated metamemory functioning in older adults with prodromal dementia conditions. Therefore, we investigated metamemory accuracy in cognitively healthy older adults (HC) and those with subjective cognitive decline but intact neuropsychological test …

Physical Activity Moderates The Relationship Between Apoe4 Status And Working Memory: The Health And Retirement Study, Dalia T. El-Shafie

Honors Undergraduate Theses

The purpose of this study is to explore the relationship between physical activity and working memory decline among older adults with APOE4 status. The APOE4 allele is currently the strongest predictor of risk for Alzheimer's disease and other related dementias. The publicly available data from the Health and Retirement Study was used to complete this Retrospective Longitudinal study. Three hypotheses were explored. H₁: It is expected that the presence of the APOE4 allele will be associated with worse overall working memory performance and a steeper rate of decline in working memory over time. H₂: Meanwhile, it is expected that participants …

Assessing Preferences For Montessori-Based Activities In Persons With Memory Impairment, Katelyn Danielle Smith

All Graduate Theses, Dissertations, and Other Capstone Projects

The population of older adults in the U.S is continuously increasing. With this comes an increased number of individuals with Alzheimer’s or other dementia related disease (ADRD), along with the need for quality care for these individuals. The use of activities to increase engagement has been shown to have a number of psychological benefits, especially when these activities are tailored to the abilities and preferences of the individual. However, individualizing activity programming is not always feasible for activity and care staff. The purpose of this study was to use a stimulus preference assessment to identify Montessori-based activities that persons with …

Why Are They Wrong? Exploring Surrogates’ Accuracy When Predicting Patient Treatment Preferences, Rachael Lynn Spalding

Graduate Theses, Dissertations, and Problem Reports (ETD)

Surrogate decision making is common in medical settings, particularly regarding treatment decisions for patients at end-of-life. When making decisions on behalf of patients, surrogates are most often encouraged to use the substituted judgment standard and make the decision that the patient would make if he or she were able to express a choice. A significant body of research, using patient-surrogate pairs and hypothetical vignettes, has documented that surrogates tend to inaccurately predict patient preferences when making these decisions (Shalowitz et al., 2006). This results in treatment decisions that do not match what the patient would have selected. Various factors that …

Use Of The Montreal Cognitive Assessment (Moca) In A Rural Outreach Program For Military Veterans, Michelle M. Hilgeman, Eugenia M. Boozer, A. Lynn Snow, Rebecca S. Allen, Lori L. Davis

Journal of Rural Social Sciences

The Montreal Cognitive Assessment (MoCA) is a free, easily accessible screener ideal for rural areas where resources are limited. We examined administration and scoring by Veteran Community Outreach Health Workers (VCOHWs); compared positive screening rates using two cutoff scores; and examined predictors of education-adjusted scores in N = 168 rural military Veterans from the Alabama Veteran Rural Health Initiative. Accuracy of administration (95 percent) and scoring (68 percent) was calculated and recommendations are offered. Higher than expected rates of positive screens were observed (40 percent using 24/30 cutoff) in this relatively young (M = 55 years) community-dwelling sample. Age, education, …

The Utility Of Music-Based Interventions In Dementia Care, Adriana C. Doerr

Dissertations

While research has investigated the impact of music-based interventions on management of behavioral and psychological symptoms of dementia (BPSD), there is limited discussion of which music-based interventions are most effective for various levels of dementia severity, or of how to determine which music-based interventions are both accessible and feasible for caregivers and nursing staff. This review sought to identify the benefits of music-based interventions in dementia care within various domains of functioning and determine whether music-based interventions are effective for various levels of dementia severity. Peer-reviewed articles and studies that evaluated the effectiveness of various music interventions or demonstrated music's …

The Impact Of Traumatic Brain Injury On Neuropsychological Functioning And Tau Accumulation Later In Life In Military Veterans, Lindsay Eatman

Dissertations

Abstract The following study examines aging veterans that experience a TBI while in service and

compares to older veteran without a history of TBI. The objective is to look at cognitive profile later in life for military veterans with moderate to severe TBI different and compared to older veterans with no history of TBI. Is there a difference in tau accumulations on neuroimaging in military veterans with moderate to severe TBI compared to older veterans without a history of TBI? What is the relationship between the cognitive profile and tau imaging correlates for military veterans with moderate to severe TBI …

Differences And Similarities In Male Body Image In Young, Middle-Aged, And Older Men, Amy K. Jordan

Graduate Theses/Dissertations

The purpose of the present study was to explore differences and similarities in multiple aspects of male body image across age groups, including body dissatisfaction, coping strategies, functional appreciation, and mood. It was first hypothesized that younger men would report greater dissatisfaction with muscularity and body fat than middle-aged and older men. The second hypothesis stated that body dissatisfaction would predict depressive symptoms. The third hypothesis predicted that age and functionality appreciation for the body would be positively correlated. Finally, researchers evaluated the relationship between body image coping strategies and age from an exploratory perspective. Participants included 344 men ages …

Longitudinal Associations Between Functional Disability, Depression, And Suicide In Middle-Aged And Older Adults, Julie Ann Lutz

Graduate Theses, Dissertations, and Problem Reports (ETD)

Suicide is a significant public health problem among older adults in the United States and around the world. There has been little research to date on longitudinal change in functional disability and depressive symptoms, both of which have been posited to be associated with suicide risk among middle-aged and older adults, and their association with death by suicide. The aims of this study were to 1) characterize longitudinal change in functional disability and depressive symptoms separately; 2) characterize the directional associations between functional disability and depressive symptoms in bivariate models; and 3) determine how different patterns of change among these …

The Efficacy Of A Group Visual Art Bereavement Intervention With Older Adults, Rachel E. Weiskittle

Theses and Dissertations

Research on expressive art interventions for bereavement has burgeoned in recent years. Studies have supported their effectiveness in facilitating participants’ adjustment to loss (e.g., Rosner, Kruse, & Hagl, 2010; Uttley, 2015) and have revealed the frequency with which they are clinically implemented (Thompson & Neimeyer, 2014). Clinicians and recipients of expressive art interventions advocate for their helpfulness in grief processing (e.g., Gamino, 2015). Publications have highlighted particular visual art modules that facilitate adaptive adjustment to loss by providing avenues for self-expression, meaning making and continuing bonds with the deceased (Neimeyer, 2016), but few studies have quantitatively investigated whether they improve …