Gerontology Commons^™

Investigating A Multimodal Approach To Clinical Diagnosis Of Mild Cognitive Impairment And Alzheimer’S Disease, Sean M. Flannery

Psychology Theses & Dissertations

An estimated 5.8 million Americans suffer from dementia due to Alzheimer’s disease (AD), with that number projected to grow to 13.8 million by mid-century (Alzheimer’s Association, 2019). Mild cognitive impairment (MCI) describes the stage between normal cognitive decline that comes with aging and a dementia diagnosis (Peterson, 1999). Due to a lack of a cure or particularly effective treatment, a major goal of treatment is to focus on improving quality of life (Budson & Solomon, 2016). An early and accurate diagnosis can address this goal in a variety of ways. Despite the high prevalence and immense amount of research in …

A Melting Pot Of Medications: Issues Regarding Over-Prescribing In Dementia Populations, Angela Gifford

UNO Student Research and Creative Activity Fair

Over-prescribing is an issue faced by many in the older population, but dementia patients statistically experience higher prescribing rates of potentially inappropriate medications compared to their peers. There are currently no FDA approved medications available for the direct treatment of dementia, but drug classes like anticholinergics and psychotropics are used for the management of behavioral symptoms associated with the disease. These drugs can cause negative side-effects in the dementia populations including gastrointestinal issues, neurological issues, increased hospitalizations, and increased mortality rates within this group. Most troubling, the benefits that are supposed to occur from taking these drugs have been show …

An Investigation Into The Perceptions Of Elderspeak And How It Effects Mood Among An Assisted Living Population, Paige T. Shoutz

All Graduate Theses, Dissertations, and Other Capstone Projects

This study aimed to examine perceptions of ES and its effect on mood among older adults residing in assisted living facilities (ALFs). Residents (N=6) were exposed to two videos comprised of an interaction of a nursing assistant aiding an older adult resident during activities of daily living. One of the videos demonstrated neutral communication, whereas the other video demonstrated communication with elderspeak. A mood rating was obtained prior to and immediately following exposure to each of the videos. Participants also provided ratings of the nursing assistant, and completed a qualitative interview that gathered their opinions, perceptions, and perceived differences between …

The Effects Of Cognitive Training On Behavioral Functioning In Persons With Dementia, Abigail J. Dye

All Graduate Theses, Dissertations, and Other Capstone Projects

Lack of engagement in pleasant activities and negative mood are two factors that decrease quality of life (QoL) for older adults with moderate to severe cognitive impairment. As enhancing QoL has become a primary treatment outcome for individuals with cognitive impairment, investigation into the ability of nonpharmacological interventions to increase engagement and positive mood has come to the forefront of research. Cognitive training is a nonpharmacological intervention that utilizes manualized techniques with the primary goal of enhancing different areas of cognitive function. Although the cognitive benefits of the programs have been widely investigated and established, the potential benefits that cognitive …

The Effects Of A Cognitive Training Program For Healthy Older Adults: A Program Evaluation Study, Jacklyn Gehling

All Graduate Theses, Dissertations, and Other Capstone Projects

As one ages, some degree of cognitive decline is expected. Despite this, declines in cognitive abilities and the possibility of developing dementia are common concerns among older adults. In response to these concerns, a variety of cognitive training programs have been developed that aim to improve or maintain cognitive functioning. Previous literature has shown mixed or limited findings on cognitive changes after implementation of cognitive training. This study evaluated the effectiveness of a cognitive training program designed for older adults with no to minimal cognitive decline. The current study included 19 participants who engaged in two, one-hour long cognitive training …

Cultural Variability In The Association Between Age And Well-Being: The Role Of Uncertainty Avoidance, Smaranda Lawrie, Kimin Eom, Daniela Moza, Alin Gavreliuc, Heejung S. Kim

Research Collection School of Social Sciences

Past research has found a mixed relationship between age and subjective well-being. The current research advances the understanding of these findings by incorporating a cultural perspective. We tested whether the relationship between age and well-being is moderated by uncertainty avoidance, a cultural dimension dealing with society’s tolerance for ambiguity. In Study 1 (N = 64,228), using a multilevel approach with an international database, we found that older age was associated with lower well-being in countries higher in uncertainty avoidance but not in countries lower in uncertainty avoidance. Further, this cultural variation was mediated by a sense of control. In Study …

Aging Intimately, Niamh Mcdonnell, Giulia Hjort

Capstones

We’re both familiar with grief after the loss of family members over 75. This project is our way of giving back in a small way by listening, but also as a way of remembering the people we unexpectedly lost. Each person we’ve met on this journey has inspired us in their own way, with their stories of resilience through grief and aging. All of our collaborators on this project are constantly learning, taking risks, and moving forward through loss and pain. They aren’t defined by their age. Rather, they embrace it with a willingness to reinvent their approach to romance …

Sex And Senesce: A Exploration Of Aging Women’S Sexual Selves, Cordray Mccann

Independent Study Project (ISP) Collection

The sexual lives of women over the age of 50 are often forgotten from just about every medium. This research hopes to uncover how aging women interpret their current sexual selves, sexual histories, and changing bodies. In thinking about this, four women were interviewed about their life stories surrounded love, passion, and sex. Each of these women told brave accounts of their lives and through their narratives, we were able to draw theoretical conclusions about bodily shame, age performativity, and prescribed stereotypical roles. These four stories, told individually as to support each woman's personal narrative are vastly different yet intersect …

Paws For Thought: The Importance Of Dogs In A Seniors Social Intervention, Elisa Maria Concetta Papotto, Jessica Lee Oliva Dr

People and Animals: The International Journal of Research and Practice

As Australia faces an aging population with an unprecedented life expectancy, it is the community’s obligation to ensure seniors are offered resources to support their well-being. Studies investigating loneliness in aged-care facilities attest to the therapeutic properties of dogs for residents’ sense of well-being. Consequently, this study aimed to ascertain the effectiveness of a community-based dog lover’s initiative for the self-management of well-being among senior citizens. Our qualitative research investigated whether community gatherings including dogs would produce greater feelings of subjective well-being among senior citizens compared to community gatherings without dogs. A conventional content analysis provided support for the supposition …

The Effects Of Elderspeak On The Mood Of Older Adults With Dementia: A Preliminary Report, Kenia Torres-Soto

All Graduate Theses, Dissertations, and Other Capstone Projects

Barriers to effective and harmonious communication between caregivers and those affected with dementia are common and inevitable. An example of a common barrier is aphasia, which is a prevalent communication deficit associated with dementia. The social environment may further hinder harmonious communication through the use of well-intended, but ineffective speech patterns. Elderspeak (ES), which is infantilizing speech directed at older adults, is one such speech pattern that is commonly used in long-term care facilities (LTC) and is related to negative outcomes for older adults receiving it. Older adults with mild to moderate cognitive impairment who were residents at a LTC …

Age-Related Differences In Cognition And Affect At Work : The Impact Of Mindfulness, Sara Michelle Stevens

Legacy Theses & Dissertations (2009 - 2024)

The present research examined job-related affective and cognitive processes across ages, and the role of trait mindfulness as a mechanism that influences the strength of these relationships. Specifically, job-related affective well-being, job satisfaction, and fluid intelligence were investigated as they relate to dynamics of aging. Participants on Amazon’s Mechanical Turk (N = 174) completed a two-time longitudinal survey separating individual difference tests of trait mindfulness and fluid intelligence at Time 1 from self-report assessments of job satisfaction and job-related affective well-being at Time 2. Overall, the results from this study provide strong evidence that age and mindfulness both play an …

Impact Of Socialization In Elderly Public-Housing Residents, Taylor M. Wilkerson, Schanea Ward, Amy Popovich, Pamela Parsons, Faika Zanjani

Graduate Research Posters

Older adults who experience social isolation have higher rates of mortality relative to their counterparts. Social interactions are an important way to combat this isolation. This research aims to better understand how social isolation in older adults living in low-income households in Richmond, Virginia (RVA) is related to their economic, physical, and psychological health status. As part of the iCubed Health and Wellness Aging Core and in collaboration with the Richmond Memorial: East End Housing Coalition for Older Adults, older adults from a selected public housing unit (n=28) self-reported their financial status, experiences with physical and psycho-social health, and feelings …

An Integrative Approach To Investigating Bilingual Advantages In Cognitive Decline: The Australian Longitudinal Study Of Ageing, Wei Xing Toh, Andree Hartanto, Joanne Qin Ying Tan, Hwajin Yang

Research Collection School of Social Sciences

A commentary on “The relationship of bilingualism to cognitive decline: The Australian Longitudinal Study of Ageing” by Mukadam N, Jichi F, Green D, Livingston G (2018). International Journal of Geriatric Psychiatry, 33(2), e249‐e256, .

Older Adults' Health Care Utilization A Year After Experiencing Fear Or Distress From Hurricane Sandy, Laura P Sands, Yimeng Xie, Rachel Pruchno, Allison Heid, Yili Hong

Rowan-Virtua School of Osteopathic Medicine Departmental Research

OBJECTIVE: To determine whether self-reports of disaster-related psychological distress predict older adults' health care utilization during the year after Hurricane Sandy, which hit New Jersey on October 29, 2012.

METHODS: Respondents were from the ORANJ BOWL Study, a random-digit dialed sample from New Jersey recruited from 2006 to 2008. Medicare hospital, emergency department (ED) and outpatient claims data from 2012 and 2013 were matched to 1607 people age 65 and older in 2012 who responded to follow-up surveys conducted from July 2013 to July 2015 to determine their hurricane-related experiences.

RESULTS: In total, 7% (107) of respondents reported they experienced …

Build Your Own Nest: Singapore's First Study On Matched Savings Schemes For Lower Income, Older Women, David Chan, Benedict S. K. Koh

Research Collection School of Social Sciences

Matched Savings Scheme is a research study, commissioned by the International Longevity Centre – Singapore (ILC – Singapore) of the Tsao Foundation and funded by the Tote Board, found that a monthly matched savings scheme is effective in sustaining the retirement savings behaviour among a group of 377 elderly women from low-income households over the study period of 18 months. The research, conducted by principal investigator psychology professor David Chan and co-investigator finance professor Benedict Koh, used an experimental design and longitudinal tracking to examine the effects that different factors of a matched savings scheme have on the participants’ decision …

The Effects Of Bingocize® On Cognitive Aging: A Health Promotion Intervention, Rilee Pauline Mathews

Masters Theses & Specialist Projects

Previous research has suggested that physical exercise can play a role in not only improving functional performance, but also cognitive function. In this study, adults age 60 and older participated in a health promotion intervention that included two groups: (a) a Bingocize® group, who exercised and learned about relevant health information while playing bingo, and (b) a control group who only learned about relevant health information while playing bingo. The intervention was completed over the course of 10- weeks at community senior centers. Cognitive function, functional fitness, and health knowledge were assessed before and after the intervention to test for …

Assessment For Mild Cognitive Impairment: Striving For Best Practice, Julie Leigh Dalmasso

Dissertations

This dissertation is a series of three studies aimed at determining the best assessment practices for mild cognitive impairment (MCI) that can employed by speech-language pathologists (SLPs). The first study was non-experimental and descriptive examining whether three commonly used assessment instruments yielded similar categorical results. The data were analyzed to determine whether the Eight-Item Interview to Differentiate Aging and Dementia (AD8), the Mini-Mental State Examination (MMSE), and the Cognitive-Linguistic Quick Test (CLQT) identified the same participants from a neurotypical sample as having cognitive deficits. Very little agreement was found amongst the three tools.

Study two was modified to include two …

Differences In The Perceptions Of Gerotranscendence Between Certified Nursing Assistants And Older Adults, Amanda Perera

All Graduate Theses, Dissertations, and Other Capstone Projects

Many theories of aging have been proposed within the field of gerontology to explain both psychological and social changes that occur during the aging process. One of the theories is the theory of gerotranscendence, which explains that as individuals age they develop a new perspective on life that allows the aging individual to shift their conceptualization of the world, from a materialistic and rational view to a more transcendent and universal view. Previous research suggests that some behaviors associated with gerotranscendence have been misinterpreted as pathological. The purpose of this current study was to examine whether there are significant differences …

Bullying In Senior Living Facilities: Resident Perspectives, Kathryn Ira

All Graduate Theses, Dissertations, and Other Capstone Projects

Research associated with resident-to-resident bullying in senior living facilities (i.e., senior bullying), has been growing in recent years due to anecdotal stories in the popular press. Few studies, however, have assessed resident-to-resident bullying from the perspective of residents. Therefore, the purpose of the current study was to better understand the phenomenon of senior bullying as observed by residents in senior living facilities. Nineteen individuals residing in senior living facilities were interviewed about their observations and opinions related to senior bullying at their facility. Results indicated that 52.9% of residents had observed senior bullying at least once. Verbal and social bullying …

Preconceptional Health Behavior Change In Women With Overweight And Obesity: Prototype For Smart Strong Healthy Women Intervention, Frank T. Materia, Joshua M. Smyth, Kristin E. Heron, Marianne Hillemeier, Mark E. Feinberg, Patricia Fonzi, Danielle Symons

Psychology Faculty Publications

Background: The prevalence of maternal perinatal obesity is rising, and in turn, increases health risks and morbidity for both mother and child. Past evidence suggests the preconceptional Strong Healthy Women (SHW) intervention can reduce multiple biobehavioral risk factors for adverse perinatal health. The SHW intervention, however, was time- and resource-intensive to deliver. Mobile health (mHealth) technologies provide an opportunity to expand intervention reach while reducing implementation cost and burden. Previous research suggests that preconceptional women are broadly supportive of using smartphones for behavior change, yet few studies have elicited their specific preferences for a targeted mHealth intervention. The objective of …

Using Person-Centered Scheduling With Geriatric Patients To Reduce Anxiety With Telepsychiatry, Jody Long, Patricia A. Wilkerson, Evi Taylor, John Hall, Christopher Peters

Research, Publications & Creative Work

This study explored using person-centered scheduling with telepsychiatry for rural community geriatric patients. Quantitative research approaches were used to determine the level of satisfaction participants experienced with person-centered scheduling and geriatric telepsychiatry. Quantitative data were collected by using the Zung Self-Rating Anxiety Scale (SAS) before scheduling the first appointment and to assess the intervention’s effectiveness after the telepsychiatry session. Person-centered telepsychiatry scheduling decreased geriatric patients’ anxiety as evidenced by Zung SAS scores. Conclusion: Older adult patients saw telepsychiatry as a viable means of treatment. Future research with geriatrics from different regions is needed. Implications and future directions include exploring patient …

Effects Of Long-Term Participation In Tennis On Cognitive Function In Elderly Individuals, Scott Culpin

Theses: Doctorates and Masters

Many studies have reported the relationship between exercise and cognition with conflicting results. This may be due to differences in intervention durations, session lengths, intensities, and type of exercise. It has been suggested that exercises requiring greater cognitive demand such as football, basketball and racquet sports, are protective against cognitive decline, compared to less cognitively demanding exercises such as swimming, cycling and running, however, research concerning exercise types are currently limited. The present study tested the hypothesis that elderly individuals who had been regularly playing tennis more than 10 years, would have greater cognitive function than those who had been …

Aging, Executive Function, Fronto-Parietal Network Cortical Thickness: Insights From Cognitive Reserve, Katherine Reiter

Dissertations (1934 -)

Cognitive reserve (CR) indexes the nonlinear relationship between neurological insult and behavioral change. CR is manifested in both static factors (e.g., childhood environment, education) and modifiable lifestyle factors, (e.g., leisure activities). Detailed investigation of the influence of CR on cortical thickness, which indexes neuropathology, and cognitive functioning could be particularly important in understanding the heterogeneity of Alzheimer’s disease (AD). While memory decline is the hallmark of AD, executive functioning (EF) decline often predates memory changes, making EF an important target for investigating CR influences. The current study examines the relationship of CR and genetic risk for AD (ε4) on EF …

A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a …

Multiple Roles In Later Life: Role Enhancement And Conflict And Their Effects On Psychological Well-Being, Emma D. Quach

Graduate Doctoral Dissertations

Holding both work and family roles can be a central experience for men and women, young or old. Yet, to date, the bulk of knowledge on holding roles in both domains is specific to young adults, a critical gap as conditions warrant longer work life. This inquiry thus focused on older working men and women (over 50 years of age) with at least one family role (spouse, parent of adult children, caregiver to an aging parent, or grandparent). With survey data from the Health and Retirement Study in 2010 and 2012, latent profile analysis, path analyses, and regressions were conducted …

A Systems Approach To The Problem Of Falls In Old Age, Patrick A. Dillon

Theses and Dissertations--Gerontology

The problem of falls in old age is enormously costly and disruptive for the older individual, others, and society, and its severity is likely to intensify as our population ages. This dissertation takes a systems-oriented approach toward the falls problem and is presented in two parts. The first part critically develops a new approach to the problem of falls. The second part describes an empirical study that applies this new approach in a pragmatic manner.

Conventional fall prevention strategies employ a reductionist approach to the problem of falls. This approach is questioned because it corresponds poorly to the holistic nature …

Reliability And Validity Of The Hd-Pro-Triadtm, A Health-Related Quality Of Life Measure Designed To Assess The Symptom Triad Of Huntington's Disease., Nicholas R Boileau, Julie C Stout, Janes S Paulsen, David Cella, Michael K Mccormack, Martha A Nance, Samuel Frank, Jin-Shei Lai, Noelle E Carlozzi

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Huntington's disease (HD), is a neurodegenerative disorder that is associated with cognitive, behavioral, and motor impairments that diminish health related quality of life (HRQOL). The HD-PRO-TRIADTM is a quality of life measure that assesses health concerns specific to individuals with HD. Preliminary psychometric characterization was limited to a convenience sample of HD participants who completed measures at home so clinician-ratings were unavailable.

OBJECTIVES: The current study evaluates the reliability and validity of the HD-PRO-TRIADTM in a well-characterized sample of individuals with HD.

METHODS: Four-hundred and eighty-two individuals with HD (n = 192 prodromal, n = 193 early, and n …

New Measures To Capture End Of Life Concerns In Huntington Disease: Meaning And Purpose And Concern With Death And Dying From Hdqlife (A Patient-Reported Outcomes Measurement System)., N E Carlozzi, N R Downing, M K Mccormack, S G Schilling, J S Perlmutter, E A Hahn, J S Lai, S Frank, K A Quaid, J S Paulsen, D Cella, S M Goodnight, J A Miner, M A Nance

Rowan-Virtua School of Osteopathic Medicine Departmental Research

PURPOSE: Huntington disease (HD) is an incurable terminal disease. Thus, end of life (EOL) concerns are common in these individuals. A quantitative measure of EOL concerns in HD would enable a better understanding of how these concerns impact health-related quality of life. Therefore, we developed new measures of EOL for use in HD.

METHODS: An EOL item pool of 45 items was field tested in 507 individuals with prodromal or manifest HD. Exploratory and confirmatory factor analyses (EFA and CFA, respectively) were conducted to establish unidimensional item pools. Item response theory (IRT) and differential item functioning analyses were applied to …

An Evaluation Of The Acceptability And Effects Of A Computer-Delivered Values-Based Behavioral Activation Treatment For Depression Among Older Adults, Kellie Reynolds

Dissertations

Depression is a common psychological disorder among older adults and is associated with serious secondary effects to health and social well-being. Behavioral activation has been found to be an efficacious treatment for depression. However, there is limited research on the treatment effects of behavioral activation with older adults. In general, older adults under-utilize mental health treatments. Computer-delivered treatments have been developed to address access and under-utilization. The purpose of this dissertation was to evaluate the acceptability and effects of a computer-delivered values-based behavioral activation treatment for depression in older adults. This study consisted of two phases. Phase I consisted of …

The Effect Of Emotional Faces On The Attentional Blink In Younger And Older Adults, Allison M. Sklenar

Masters Theses & Specialist Projects

The attentional blink occurs when detection of a second target (T2) is impaired when it occurs between 180 to 450 ms after the first target (T1) in a rapid serial visual presentation (RSVP). The attentional blink can be affected by relevant emotional stimuli, like emotional faces, such that an emotional T1 enhances the attentional blink, and an emotional T2 attenuates it. However, not all studies use the same type of face stimuli, and there is debate over whether schematic and photo-realistic faces are processed in the same way. Furthermore, the effect of emotion on the attentional blink should differ with …