Gerontology Commons^™

Coronavirus Disease 2019 Regulatory Response In United States-Assisted Living Communities: Lessons Learned, Sarah Dys, Jaclyn Winfree, Paula Carder, Sheryl Zimmerman, Kali S. Thomas

Institute on Aging Publications

Coronavirus disease 2019 (COVID-19) has disproportionately affected residents, their families, staff, and operators of congregate care settings. Assisted living (AL) is a type of long-term care setting for older adults who need supportive care but not ongoing nursing care and emphasizes a social model of care provision. Because AL is a type of long-term care, it has at times been referenced along with nursing homes in discussions related to COVID-19 but not recognized for its different care practices that pose unique challenges related to COVID-19; in that manner, it has largely been left out of the COVID-19 discourse, although ~812,000 …

Studying Successful Ageing: A Showcase Of The Singapore Life Panel, Jee Yuen Yew, Jia Wei Gwee, Anirudh Srivathsan

ROSA Research Briefs

In this special issue of the ROSA Research Brief Series, we showcase two aspects of the work being done at the Centre for Research on Successful Ageing (ROSA). Firstly, we showcase the capabilities of the Singapore Life Panel (SLP) and the data that the SLP is able to obtain and measure on a monthly basis. Secondly, we showcase the amazing work of the SGUnited Traineeship Programme’s Research Assistants at ROSA who have proven themselves to be incredible assets in helping further ROSA’s aims of enabling successful ageing in Singapore. ROSA aims to measure well-being among older adults holistically in order …

Effect Of The Sars-Cov-2 Pandemic On Assistive And Interactive Technology Use: In- Person Versus Distanced Communication, Alexandra Swanson

Theses/Capstones/Creative Projects

COVID-19 risk-reduction efforts have protected high-risk individuals but have significantly altered life; persons now face reduced socialization. Advancing technologies (e.g., video-chat) may be useful in alleviating consequences of these efforts, potentially mitigating loneliness, and isolation by improving access to alternative communication. The purpose of this study was to investigate the relationships between communicative technology use and individual characteristics, as technology use may contribute to well-being among adults during COVID-19 and future isolating events. This is especially relevant to older populations. Participants (N=645) aged 19+ completed a questionnaire via Amazon Mechanical Turk; demographic, socialization, and technology-use data were collected. Data were …

Activities In A Long-Term Care Facility Amidst A Global Pandemic, Kayla Valente

Honors Projects

This paper focuses on the lives of individuals in Wood Haven Health Care in Bowling Green, Ohio during the COVID-19 global pandemic. Living in a long-term care facility can be difficult any time, but since the lockdown began life has been especially challenging for the individuals in nursing facilities. I worked directly with the residents at Wood Haven during my internship with the activities department. With this position, I was tasked with creating fun and engaging activities that also kept residents safe. I will be discussing different research about activities in long-term care facilities, specifics about activities during the COVID-19 …

What Does It Mean To Be Never Married In Later Life? Application Of Phenomenology In An Aging Study, Arya Hamedanchi, Nasibeh Zanjari, Hamid Reza Khankeh, Yadollah Abolfathi Momtaz

The Qualitative Report

The growth of the aging population and the increase of age at marriage will result in a rise in the number of never-married people in the future, although there is not sufficient qualitative evidence on this emerging phenomenon. The present study aimed to explore the lived experience of never-married older adults. The lived experiences of 12 never-married older adults were collected using an in-depth interview. The hermeneutics method of Van Manen was used for identification, description, and interpretation of emergent themes. Reflection on the lived experiences of the participants uncovered six themes, including: feeling of independence, combating loneliness, moving up …

Taking The Pulse For Uri As An Age-Friendly University, Louisa Melchionno

Senior Honors Projects

The Age-Friendly University (AFU) Initiative was launched in 2012 at Dublin University, and became an international group of institutions of higher education who have committed themselves to becoming more age-inclusive in their program and policies. The University of Rhode Island became part of the AFU Initiative in 2018. As a Communicative Disorders major seeking to help older adults, I became inspired to help the AFU initiative through the following project.This project had four main tasks. First, I tracked campus wide AFU and related activities since the university got its designation, and collaborated with Dr. Leedahl to create a detailed report …

Life Satisfaction: Aging Female Informal Caregivers Of Persons With Dementia, Deborah Ann Monson

Dissertations

Purpose/Aims

The purpose of this study was to describe the relationship between aging female informal caregivers of persons with dementia (PWD) and care recipients’ PWD demographic factors, aging female informal caregivers of PWD social support factors, positive and negative feelings, a sense of flourishing, stress, and life satisfaction.

Background/Rationale

Older adults with dementia are living longer and the majority are receiving care by aging female informal caregivers. Dementia incrementally worsens over time impacting informal caregiver life satisfaction. Most studies have focused on negative aspects of informal caregiving. Therefore, this study investigated both positive and negative aspects of caregiving.

Conceptual Basis …

Kesejahteraan Dan Ekologi Anak Angkat Warga Negara Indonesia Dalam Pengangkatan Anak Antarnegara (Intercountry Adoption) Menghadapi Negara Baru, Monica Sundawati Susanto, Johanna Debora Imelda

Jurnal Ilmu Kesejahteraan Sosial

Adoption is currently one of the efforts chosen by several couples to have children. Adoption of children currently being processed in Indonesia is not only for prospective adoptive parents who are Indonesian citizens, but can also be processed for foreign citizens who wish to adopt Indonesian citizens (intercountry adoption) which has been regulated in the Government through Government Regulation Number 54 of 2007 concerning the Implementation of Child Adoption. In these regulations, children who can be adopted are neglected or neglected children. Therefore, adoption is carried out with the aim of protecting and improving the welfare of the child. The …

The Elder Index At Work: How A Data Resource Is Making A Difference In Service And Advocacy For Older Adults, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston

Center for Social and Demographic Research on Aging Publications

The Elder Index is being put to work across the country. This compilation of articles describes some of this work. Successful campaigns to save important property tax relief programs in New Jersey and greatly expand Medicare Savings Programs access in Massachusetts, both rely on the Elder IndexTM to provide critical context and factual support. An area agency on aging in San Antonio uses the Elder Index to show how the rural cost of living for older adults in the vast ranching and farming counties surrounding the city isn’t the bargain some think. A legal advocacy organization in Washington State employs …

Connecting Care Chains And Care Diamonds: The Elderly Care Skills Regime In Singapore, Yasmin Y. Ortiga, Kellyn Wee, Brenda S. A. Yeoh

Research Collection School of Social Sciences

Research on the globalization of care work often faces the persistent challenge of building meaningful connections between the movement of care labour at a global scale and place-based frameworks of care access and delivery. In addressing this gap in this article, we propose to take a closer look at how the care-migration nexus produces 'ideal' care workers through a skills regime. Based on the case of elderly care in Singapore, in this article, we demonstrate how state institutions and private agencies attempts to fill local labour needs by producing care workers among both Singapore citizens and migrant women. This leads …

Clinical Geography: A Proposal To Embrace Space, Place And Wellbeing Through Person-Centered Practice, Jessica M. Finlay, Graham D. Rowles

Graduate Center for Gerontology Faculty Publications

This essay envisions how geography can operationalize nuanced understandings of space and place to enrich the lives of individuals across the lifespan. We propose a focused integration of geography into person-centered practice: a clinical geography dedicated to working directly with people to promote optimal physical and mental health outcomes and wellbeing. Our proposal integrates spatial modifications to facilitate access and utility, behavioral interventions to maximize effectiveness in using space, and therapeutic engagement to nurture a deeper sense of ‘being in place’ that enhances wellbeing and quality of life. This focus is timely given societal instability and precariousness resulting from incongruous …

Assistive And Interactive Technology Use, Comfort, And Interest In Caregiver And Older Adult Populations, Sarah Hubner, Akankshya Chataut, Marcia Shade, Ann Fruhling, Natalie Manley, Meaghan Walls, Julie Blaskewicz Boron

UNO Student Research and Creative Activity Fair

Remaining community-dwelling is a goal for most aging adults; however, this may necessitate assistance from caregivers. To reduce burden and improve adult autonomy, recent technological advancements have provided various supports. These advancements may improve quality of life (QOL) while also enhancing psychological/physical well-being for adults and caregivers. To investigate relationships between technology, QOL, and caregiver burden, needs assessments with focus groups were utilized. Four older adult and two caregiver focus groups were conducted. Within older adult groups, participants were aged 64-83 years (M=73.1,SD=5.3); the sample was 50% female and 90% white. For caregiver groups, participants were aged 31-73 years (M=57.8,SD=13.2); …

Examining Assistive And Interactive Technology Needs Of Older Adults, Joshua Idachaba, Julie Blaskewicz Boron, Sarah Hubner, Marcia Shade, Natalie Manley, Meaghan Walls, Ann Fruhling

UNO Student Research and Creative Activity Fair

Most older adults have expressed a desire to age in place. Advances in medicine and technology have helped improve the feasibility to fulfill this desire. Assistive and interactive technologies (AITs), which assist with at least one activity of daily living (ADL) or instrumental activity of daily living (IADL), may be key in supporting independent living, improving the user’s quality of life, and reducing caregiver burden. This study aimed to investigate the technology needs and preferences of older adults and how demographics, IADL/ADL function, and quality of life relate to these needs and preferences.

Older adults, mostly in Nebraska, were recruited …

Effects Of Social Networks And Caregiver Characteristics On Loneliness In Caregivers To Older Adults With Chronic Conditions, Hayley A. Fouche, Janelle N. Beadle Dr.

UNO Student Research and Creative Activity Fair

Caregivers to older adults with chronic conditions may experience physical and mental health issues, such as depression and loneliness, due to the stressful nature of providing daily care. Loneliness levels also may be affected by caregiving characteristics (e.g., time spent on caregiving per week), as well as differing levels of social support. Yet, few studies have specifically examined the relationship between loneliness, caregiving characteristics and social support in caregivers to older adults with chronic conditions. Understanding the risk factors for loneliness among caregivers may provide insights into ways to improve caregiver well-being. This study aims to investigate differences in loneliness …

A Person-Centered Care Model’S Effectiveness For Older Adults With Dementia: A Systematic Review And Meta-Analysis, Karen Goeschel

Honors Program: Senior Projects (Public)

I evaluated the effectiveness of person-centered care interventions for older adults with dementia. Quality of life and agitation levels were used as primary outcomes for the effectiveness of the intervention. Electronic databases were searched for studies which satisfied the inclusion principles and did not satisfy exclusion principles. Cluster-randomized trials and non-randomized control trials which compared person-centered care approaches to usual care were included. I performed two random-effects meta-analyses. Six studies with 1,384 patients were included. For older adults with dementia, person-centered care had no significant impact on quality-of-life improvement (SMD = -0.116, p = 0.206) or agitation reduction (SMD = …

New York State’S Counties Have Different Trends In Population Aging, Nader Mehri

Population Health Research Brief Series

The percentage of the population age 60+ is growing faster in NY than in the U.S. overall.

Stroke: Identifying Symptoms And Acting Fast To Save Lives And Prevent Permanent Disabilities, Mary E. Helander, Bernard Appiah, Miriam Mutambudzi

Population Health Research Brief Series

Stroke is the 5^th leading cause of death in the United States. Strokes and their long-term effects are preventable. Recognizing the symptoms of stroke and acting quickly can prevent death and minimize long-term disabilities. Family members and bystanders have an important role to play. This issue brief describes stroke symptoms and prevention guidelines, summarizes the information 9-1-1 callers should be prepared to provide when someone is having a stroke, and discusses the importance of acting quickly to save lives and long-term damage.

Addressing Social Isolation And Loneliness In Older Adults: A Person-Centered Approach, Samantha K. Koyama

Social Sciences

The older adult population in the US is drastically increasing, but the country is not adequately prepared to handle all of the growing needs that come with this demographic change. A large reason for this being the general population’s lack of understanding of the various experiences that older adults go through. This paper aims to provide a thorough review of existing literature on the subject of social isolation and loneliness, especially as it pertains to the older adult experience. I also highlight the role the COVID-19 pandemic has played in exacerbating such issues. I discuss the difference between social isolation …

Aging In The 100 Largest Metropolitan Areas: How Do Older Adults Fare?, Jan Mutchler, Yang Li

Center for Social and Demographic Research on Aging Publications

New estimates from the 2020 Elder Index show that living expenses are high in metropolitan areas across the U.S., and many older singles and couples lack the resources needed to get by in their communities. Focusing on the 100 largest metropolitan areas, we compare the 2020 Elder Index to household incomes among adults aged 65 years or older living in one- and two-person households. Based on this comparison, we find that in each of the 100 largest metro areas, at least 37% of older singles are at risk of being unable to afford basic needs and age in their own …

Area Agencies On Aging Provide Crucial Support For Older New Yorkers During Covid-19, Claire Pendergrast

Population Health Research Brief Series

This research brief discusses how Area Agencies on Aging are providing crucial support for older NewYorkers during COVID-19.

The Psychosocial Well-Being Of Older Adults In Covid-19 And The 'New Normal', Micah Tan, Paulin T. Straughan, William Tov, Grace Cheong, Wensi Lim

ROSA Research Briefs

Early research into COVID-19 has focused predominantly on the immediate and direct physical health effects of the pandemic, as compared to the wider, indirect effects of the pandemic on general well-being brought about by the various measures put in place to contain the virus. In terms of policies, focus has also been placed largely on containment and broad based policies for the entire population. As experts increasingly recognize that the pandemic will be a protracted event (The Straits Times, 2021), however, there is a need for stakeholders to place greater emphasis on the indirect effects of COVID-19 that will likely …

Financial Literacy And Financial Decision-Making At Older Ages, Joelle H. Fong, Seng Kee Benedict Koh, Olivia S. Mitchell, Susann Rohwedder

Research Collection Lee Kong Chian School Of Business

How well older households manage their wealth holdings is an important determinant of their financial security during retirement, yet little is known about their financial decision-making and how this relates to their financial literacy. Our paper fills this gap by measuring financial literacy among older persons in the Singapore Life Panel and examining its association with timely credit card debt repayment, stock market participation, and age-based investment risk diversification. Most older respondents understand interest compounding and inflation, but fewer than half know about risk diversification. Almost all older credit card holders pay off their balances in a timely manner, but …

The Impact On Older People’S Wellbeing Of Leaving Heritage Volunteering And The Challenges Of Managing This Process, Bruce Davenport, Andrew Newman, Suzanne Moffatt

The Qualitative Report

The benefits of volunteering for older volunteers and for the organisations who host them is well-documented. The impact of being obliged to leave volunteering due to age-related conditions, and any challenges that this creates for volunteer managers, are under-researched. This study explored how volunteers and volunteer managers experienced this point in the volunteering lifecycle and whether the topic warranted further research. Semi-structured interviews were carried out with fourteen older people, who were (or had been) volunteers at one of three cultural heritage organisations in the north-east of England alongside seven volunteer managers from those organisations. These represented the diversity of …

Perceptions Of Two Older Adults Regarding The Factors And Barriers That Influence Their Oral Health Care: A Case Study, Dinorah Munira Hernández-Santos Msg., Irma Fabiola Díaz-García Phd.

The Qualitative Report

This paper presents the results of a case study about the perceptions of oral health care, factors that influenced current oral health, and barriers to dental attention of two older adults; the study was conducted by researchers from a hospital-school of dentistry at a public university in Mexico. Two adults aged 64 and 70 years participated in this study. First, the oral health status was clinically evaluated using the Decayed/Missing/Filled/Teeth (DMFT) Index. A semi-structured interview was then conducted to learn about the perceptions of oral health care. Thematic content analysis was used to explore the data obtained using the ATLAS.ti …

Connecting Policy To Licensed Assisted Living Communities, Introducing Health Services Regulatory Analysis., Lindsey Smith, Paula Carder, Taylor Bucy, Jaclyn Winfree, Joan F. Brazier, Brian Kaskie, Kali S. Thomas

Institute on Aging Publications

To document dementia-relevant state assisted living regulations and their changes over time as they pertain to licensed care settings.

Assisted Living Communities That Accept Medicaid Are Not Subject To Federal Oversight, Lindsey Smith, Sarah Dys, Paula Carder

Institute on Aging Publications

We commend Mauldin et al. (2020) for their recent article titled “Supports and gaps in federal policy for addressing racial and ethnic disparities among long-term care facility residents,” which addresses opportunities to mitigate racial and ethnic disparities in long-term care (LTC) through federal policies. However, we would like to clarify a statement regarding federal oversight of assisted living (AL) communities made by the authors.

Why Won’T Grandma Cross The Road? Neighborhood Perceptions And Walking Behavior Among Older Adults In Lexington, Kentucky, Sadie Middleton

Theses and Dissertations--Urban and Environmental Design

Many urban places contain subtle details that can unintentionally deter pedestrian activity. These details can be assessed through six themes: safety, comfort, pedestrian infrastructure, aesthetics, proximity, and ease of navigation. Adults over age 65 may have more concerns about walking in urban settings than people in other age groups. This study identifies urban design elements that encourage and discourage walking among older adults and makes recommendations for design improvements. Study participants (n= 67) completed an online survey about walking behaviors, perceptions of health and community, and perceptions of seven unidentified scenes of pedestrian environments in Lexington, Kentucky. Findings suggest that …

Crafting Character: Exploring Elder Identity Through Story, Cameron Fontes

Mahurin Honors College Capstone Experience/Thesis Projects

The following thesis is a culmination of several key activities I have engaged in as a creative writer with a single focus: to create fiction that employs the perspectives, the voices, of persons at later stages of their lives, a population vulnerable to disease and, more insidious, loneliness. First, I discuss my experiences reviving the Western Kentucky student organization Companions of Respected Elders. C.O.R.E. allowed undergraduates to work with local residential centers (nursing homes) by engaging their residents in the collaborative act of creating stories from picture prompts and encouraging questions, following the training and paradigm of TimeSlips^TM. …

Understanding Resident-To-Resident Conflicts In Long Term Care Settings From The Perspective Of Administrative Staff, John F. Walker

All Graduate Theses, Dissertations, and Other Capstone Projects

Assisted living facilities are expanding in response to the growing population of older adults in the United States. Assisted living facilities offer a wide array of services including memory care. Research has shown that a majority of assisted living facilities have residents with cognitive impairments living along with non-cognitively impaired individuals (i.e., mixed populations). Little is known about the conflicts that may arise between cognitively and non-cognitively impaired residents in a mixed population. The present study hoped to better understand what conflicts occur, how direct care staff are trained to handle these conflicts, from the perspective of assisted living facility …

Analyzing The Use Of A Montessori-Based Activity & Its Effect On Engagement & Affect In Persons With Dementia: A Replication Study, Emilee J. Andersen

All Graduate Theses, Dissertations, and Other Capstone Projects

Activities are an essential element in institutionalized settings for persons with dementia. Challenges are faced, however, when developing and implementing stimulating and meaningful activities for this population. Over the past two decades, Montessori-based activities (MBAs) have been investigated as a means for meeting the needs of persons with dementia residing in long-term care facilities. MBAs were developed to enhance the quality of life for individuals experiencing dementia through maximization of engaging and meaningful activities. The purpose of the current study was to expand on the empirical literature related to the use of MBAs for persons with dementia by replication of …