Gerontology Commons^™

Frailty, Home Accessibility, And Falls In Later Life, Bonnie Albright

Graduate Doctoral Dissertations

As more people remain in their homes as they age, the risk of living at home with frailty and reduced function increases, which may also increase the risk for falls in the home. The scientific literature shows that frail people are more likely to experience falls, which leads to many negative outcomes, such as hospitalization, placement in a skilled nursing facility, and even death. The preference to age-in-place (AIP) is more likely to be met if older people live in accessible housing. Accessible homes may mitigate the risk for falls and promote AIP, especially among frail older people.

While there …

Journey Through, Cathan B. Tautfest

Graduate Student Portfolios, Professional Papers, and Capstone Projects

Journey Through is the Master's Portfolio for the University of Montana for Author Cathan Tautfest. This paper serves as the capstone graduation requirement for students of the School of Social Work. Over the final semester of the Master's program, this Portfolio was created, reviewed by committee, and defended before its publication. This Portfolio is a culmination of three years and thousands of hours to demonstrate mastery of the ten Social Work competencies, the elements of Social Work Practice, and critically reflect on time spent in the School of Social Work's Master's of Social Work (MSW) program. This Portfolio reflects on …

The Social Side Of Aging In Place: Community, Belonging, And Cultural Fit, Michael Crespo

University Honors Theses

Aging in place, or the capacity of older adults to remain in their homes and communities as they age has been a central tenet of the field of gerontology and the gerontological social policy area. Although access to physical facilities and service provision has been the main focus of traditional studies, contemporary experience demonstrates that social and cultural issues are equally important as determinants of the quality of life. This thesis discusses the influence of social networks, cultural congruence, and community belonging on the aging in place experience. The content of the study is based on the Ecological Model of …

Assessing Neurocognitive Functioning Among Adults Ageing With And Without Hiv At The Kenyan Coast: Measurement Issues And Correlates, Patrick Nzivo Mwangala, Carophine Nasambu, Ryan Wagner, Mihaela Duta, Gaia Scerif, Charles Newton, Amina Abubakar

Institute for Human Development, East Africa

Background: Cognitive impairment is one of the most prevalent complications of HIV infection, with significant medical and functional impacts. However, valid, and reliable assessment tools are lacking for the newly emergent ageing population of people living with HIV (PLWH) in many parts of sub-Saharan Africa (SSA), including Kenya. Without these tools, critical intervention opportunities, e.g., psychoeducation, treatment and additional support, are missed. To bridge this gap in Kenya, we adapted the Oxford Cognitive Screen Plus (OCSPlus), a tablet-based cognitive assessment tool designed for low-literacy settings, with adults ageing with HIV ≥ 50 years and their uninfected peers. This study examines …

Assessing Community Needs: Human Services For Adults In Millis And Medway, Caitlin E. Coyle, Michelle Ward, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report presents the results of a comprehensive evaluation of issues relating to aging in Millis and Medway. A needs assessment was undertaken in order to support planning on the part of the Towns of Millis and Medway, the Councils on Aging (COAs), and the communities as a whole. Results presented here focus on the characteristics and needs of Millis and Medway residents who are age 60 and older. While the primary goal of this report is to support COA planning, a secondary goal is to present information that will be useful to other Millis and Medway offices and organizations …

Living With Dementia In Kenya: Pathways To Care, Diagnosis And Management, Edna Bosire

Institute for Human Development, East Africa

Background: Sub-Saharan Africa (SSA) is experiencing a sharp rise in the size of theolder population; consequently, the incidence and prevalence of Alzheimer’s DiseaseRelated Dementias (AD/ADRD) is also expected to rise. There is limited research onAD/ADRD lived experiences have been conducted in SSA including Kenya. Our projectaimed to explore patient’s and caregivers lived experiences with Alzheimer’s disease inKenya.

Methods: This ethnographic study was conducted at the Aga Khan University hospital(AKUH), involving in-depth interviews with 21 health care providers, 26 patientswith mild cognitive impairment and 36 caregivers. We also conducted 10 homevisits and observations. Data were transcribed verbatim and thematically analysed.In what …

Community Perspectives On Factors Contributing To Resilience For Healthy Aging In Kenya, Linda Khakali, Everline Onchari, Maureen Ondire, Catherine Onyancha, Chinedu Momoh, Edna Bosire

Brain and Mind Institute

Background: The global elderly population is increasing and expected to double in thenext decade. Aging increases the likelihood of adversities, with resilience becomingan important aspect of healthy aging. Understanding how individuals conceptualizeresilience offers an opportunity to create contextually relevant interventions forpromoting healthy aging. This study aimed to explore adults’ perspectives on factorsinfluencing resilience in Kenya.

Method: Using qualitative methods, 36 adults aged 35 years and above werepurposively recruited from various communities in Nairobi County to participate ininterviews. We asked questions about their understanding of aging, adversity andresiliency. We also provided them with case scenarios of two individuals respondingdifferently to the …

Cultural Adaptation Of An Innovative Reproductive Health Assessment Tool For Dementia Research In Africa: Insights From The Fember-Africa Study, Alice Moraa Ondieki, Anne Njogu, Cynthia I Sabel Smith, Edna Bosire, Karen Blackmon, Harrison Kaleli, Jasmit Shah, Rachel Maina, Sheila Waa, Chinedu Momoh

Brain and Mind Institute

Background: Dementia research accounts for only 0.1% of all research in Africa,making it the lowest among all low- and middle-income country (LMIC) regions. Thedevelopment and adaptation of biological and psychosocial measures in ethnicallyand culturally diverse populations remain limited but are essential for culturallyinformed research. This is particularly critical for examining sex- and gender-basedvulnerabilities to Alzheimer’s disease and related dementias (ADRD), including factorssuch as reproductive health and fertility.

Method: We conducted a thorough review of our clinical and health questionnaires forcultural relevance and sensitivity through a series (n = 3) of focus groups discussions.These focus groups included a diverse range of …

Vitality Tracking In Kenyan Adults Using Wearable Devices And Ecological Momentary Assessments, Karen Blackmon, Benard Alaka, Catherine Onyancha, Litha Musili, Raechel Kamau, Cyprian Mostert, Mansoor Saleh, Zul Merali, Chinedu Momoh, Thomas Thesen

Brain and Mind Institute

Background: Vitality is essential to healthy aging but is elusive to define and measure.Dynamic capture of fluctuations in vitality can uncover abnormal trajectories thatcould be a harbinger of frailty in older adults. Yet, these fluctuations are missed bystatic and/or sparse sampling strategies. To address the need for dynamic and high-density capture of vitality in older adults, we developed a passive sensing and activeprobing digital platform using wearable devices and smartphones. We deployed thisparadigm in older Kenyan adults and evaluated its potential for use in research on thedynamics of accelerated aging.

Method: Cognitively unimpaired (CU) Kenyan adults ≥ 35 years of …

Predicting Accelerated And Delayed Aging In Global Settings: Biobehavioral Age Gaps And The Role Of Global Exposomes, Hernan Hernandez, Hernando Santamaria-Garcia, Sebastian Moguilne, Agustina Legaz, Pavel Prado, Jhosmary Cuadros, Liset Gonzalez, Cyprian Mostert, Chinedu Momoh, Zul Merali

Brain and Mind Institute

Background: Global health challenges like aging and dementia are shaped bysocioeconomic disparities, environmental factors, and social determinants of health.We developed a behavioral age gap (BAG), measuring the difference between expectedbehavioral age and chronological age

Method: We utilized a cross-sectional sample (n = 161,981) comprising countriesfrom Latin America, Europe, Asia, and Africa. Behavioral age was estimated usinga Gradient Boosting Regressor with 10-fold cross-validation, incorporating multiplerisk factors (hypertension, diabetes, heart disease, female sex, visual impairment andhearing impairment) and protective factors (cognition, functional ability, education)associated with healthy aging. BAG was calculated as the difference between predictedand chronological age, and adjusted gaps were derived …

Financial Well-Being Among Self-Employed Older Americans, Cal J. Halvorsen, Byeongju Ryu

Harvey A. Friedman Center for Aging

As people live longer, there has been growing attention in recent years on extending working lives. Although many older adults fully retire, those who continue to work often turn to self-employment—a broad category that includes entrepreneurs, small business owners, consultants, contractors, gig workers, and people who take on side jobs. Rates of self-employment rise sharply with age, with nearly 30 percent of employed adults in their 70s working for themselves—approximately twice the share of those in their 60s.

Preventing, Delaying, And Managing Chronic Disease, Michele Dinman, Logan Fox

Harvey A. Friedman Center for Aging

We are living longer. Today, men and women who reach age 65 will live another 17 to 20 years, on average. As the human body ages, normal biological changes increase vulnerability to illness, and the risk of developing disease increases. At the same time, advances in public health, medicine, and health care have reduced deaths from acute conditions, like infection and accidents, and have increased our chances of living longer into the human life span. Thus, we now have greater chances of developing one or more chronic diseases. Most (75%) adults in the U.S. live with at least one chronic …

Being A Caregiver For A Friend Or Family Member, Nancy Morrow-Howell, Michele Dinman

Harvey A. Friedman Center for Aging

Informal caregivers give assistance to family and friends who have functional limitations that challenge self-care. Most often, caregivers assist younger adults living with a disability and older people with age- associated chronic conditions. Family caregivers are the backbone of our long-term care system in this country, delivering 80% of care. Caregiving is increasing as people live longer with more chronic conditions. Indeed, caregiving is the new norm in our older society. As Roselyn Carter said: "There are only four kinds of people in the world. Those who have been caregivers, those who are currently caregivers, those who will be caregivers, …

Lifelong Civic Engagement, Logan Fox, Emma Ward, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

Civic engagement can be broadly defined as the practice of service (volunteering or informal helping), advocacy, and political participation (voting). Older adults are a large and growing population that frequently engages in these civic activities.

In 2022, the Bureau of Labor Statistics reported that approximately one quarter of the 11 million daily volunteers in the U.S. were age 65 and older. Between 2018 and 2021, there was a 10% increase in volunteer hours filled by individuals over age 65. Research shows this trend will be mutually beneficial, improving the quality of life for older adults who are, in turn, positively …

Climate Change And Population Aging, Anastasia Rhule, Michele Dinman, Natalie Galucia

Harvey A. Friedman Center for Aging

Glaciers are shrinking, river and lake ice is melting earlier, plant and animal habitat ranges are changing, and trees and flowers are blooming earlier. Additionally, longer and more severe heat waves are occurring. Droughts, wildfires, and extreme rainfall are happening at a faster rate than previously predicted by scientists.

Public Views Towards Lifespan, Healthspan, And Healthy Longevity Medicine In Singapore: A Qualitative Study From The Healthy Longevity (Helo) Initiatives, Belinda Wang, Anna Szucs, Elena Sandalova, Zhi Meng Lim, E. J. Horberg, Paul A. O’Keefe, Louis Island, Sonny Rosenthal, Andrea B. Maier

Research Collection College of Integrative Studies

Introduction: Healthy Longevity Medicine (HLM) offers a strategy to reduce the healthspan-lifespan gap, yet public perspectives remain unclear. This study refines the Healthy Longevity (HELO) framework through a qualitative exploration of public views towards lifespan, healthspan, and HLM.Methods: Individuals living in Singapore participated in semi-structured group or individual discussions to explore (a) their understanding of lifespan and healthspan, (b) motivational factors for health behaviours, and (c) their awareness of HLM. Sampling maximised variation across age, sex, and ethnicity. Data obtained through 13 discussions were analysed with a mixed, inductive-deductive approach employing the HELO framework.Results: Thirty-six participants (mean age = 49.4 …

Wellesley Council On Aging: Planning For The Future, Caitlin E. Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

Taking a community-engaged approach, this assessment sought to capture the voices, experiences, and aspirations of older adults living in our community. It is designed to support the COA in fulfilling its mission: acting as the community resource for older adults, their families, and caregivers; advocating for their interests; and offering social, educational, physical activity, transportation, and nutrition programs that promote health, independence, and meaningful engagement.

Specifically, this needs assessment aimed to: 1. Describe the demographic and social trends shaping Wellesley’s older adult population. 2. Identify older residents’ priorities, challenges, and unmet needs—spanning health and wellness, housing and mobility, social connection, …

Living Longer, Working Longer, Michele Dinman, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

According to the Pew Research Center, nearly one-in-five Americans ages 65 and older (19%) were employed in 2023, a rate nearly twice that from 35 years ago. They’re also working more hours, on average, than in the recent past. In fact, more than three-in-five older workers (62%) work full time, an increase from the 47% working full time in 1987. Older workers today are also more educated and are more likely to be receiving employer-sponsored benefits, such as retirement savings plans and health insurance, than in earlier decades. While only 4% of the entire labor force was made up of …

Driving And Beyond, Michele Dinman, Nancy Morrow-Howell

Harvey A. Friedman Center for Aging

Transportation is a daily necessity in our lives, and many of us rely on driving our own automobile to get where we need to go. According to the Federal Highway Administration, in 2023 there were approximately 35 million licensed drivers aged 70 and older—fewer drivers than younger age groups and a group that drives fewer miles.

The Covid-19 Pandemic’S Effects On Older People, Michele Dinman, Morgan Van Vleck

Harvey A. Friedman Center for Aging

The COVID-19 pandemic has had wide ranging effects on people of all ages. In many respects, older people had the same experiences as younger people, but there were some aspects of the pandemic unique to the older population. While COVID-19 cases have been equal among different age groups, older people experienced a greater number of hospitalizations and deaths compared to younger people.

Living With Purpose, Michelle Dinman, Cal J. Halvorsen, Nancy Morrow-Howell

Harvey A. Friedman Center for Aging

Having purpose is good for all of us at any age. Patrick Hill, Professor of Psychological and Brain Sciences at WashU, defines purpose as the “notion that you have daily activities you find meaningful or engaging and that give you direction for your life [and] reasons to continue going.” In a major sense, purpose can be described as the why of living, instead of the how.

Community-Based Food Program Limits In Reducing Older Adult Food Insecurity, Madonna Harrington Meyer, Colleen M. Heflin

Population Health Research Brief Series

Older adults who are grappling with food insecurity may enhance their food supply through community-based programs that provide free and subsidized food. This complicated system, categorized by group meal programs, home-delivered meals, and food provided to be eaten off-site, is complex, expensive, and may be difficult for older adults to use. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief describes three key limits of community-based food programs for older adults. First, the quantity and quality of community-based food programs vary markedly by where one lives. Second, the food may be of poor nutritional …

Communities Of Practice: Aging, Emergency Management, And Churches In Rural Clackamas County, Oregon, Lukas Robert Aberle

Dissertations and Theses

As the population of the United States ages, questions arise of how to best care for older adults in daily life and emergency situations. This research looks at the daily activities of churches to see how they affect everyday and emergency care practices. As a collaboration with Clackamas County government, I researched the relationship between churches and care through participant observation and interviews during the summer of 2024 to understand congregations’ support for older members, the role of church congregations in emergency management, and the implications of the decline in religious participation alongside aging in the United States. I found …

Stay Independent: Enhancing Healthy Aging In Iowa And Louisiana, Sarah L. Francis, Elizabeth Gollub, Savannah Schultz

Journal of Human Sciences and Extension

This evaluation study assessed the impact of Stay Independent participation on topic familiarity and the likelihood of making a recommended behavior change among community-residing older adults. Stay Independent focuses on the nutritional needs of older adults, emphasizing Whole Person Wellness and the Health Belief Model. It was initially created in Iowa for community-residing adults aged 60 and older and has been adapted for cultural appropriateness in Louisiana. Stay Independent is a healthy aging program consisting of six standalone food and health modules. It is offered both virtually and face-to-face (F2F) in Iowa and Louisiana. Participants who attended Stay Independent between …

Identifying Key Influencing Factors Of Elderly Health Information Search Based On Meta-Ethnography, Zhumei Sun, Zhibing Wang

Journal of Scientific Information Research

[Purpose/significance] Health information search is an important way for elderly people to actively cope with aging. Identifying the key factors affecting of their health information searching and exploring the correlation among these factors are of positive significance for promoting the elderly proactive health ability.

[Method/process] This paper firstly integrated the original research through a meta-ethnographic approach to form a set of factors influencing the elderly health information search. The DEMATEL method was then used to analyze the interrelationships among the influencing factors and identify the key influencing factors.

[Result/conclusion] The study finds that, the influencing factors of elderly health information …

Individuals Aging With Developmental Disabilities: Programmatic Foundations For System Improvement, Morgan D. Foster, Andrew Bronson Crocker, Beth Stalvey

Journal of Human Sciences and Extension

As the population in the United States ages and grows, so does the number of older adults with intellectual and developmental disabilities (IDD). Individuals who have lifelong disabilities experience age-related conditions, such as dementia, cancer, or arthritis, differently from those who acquire similar age-related disabilities in late life. The aging population with IDD represents a demographic shift and introduces both challenges and opportunities in various contexts, including, but not limited to, healthcare, caregiving, housing, and economic stability. Concurrently, aging caregivers, including parents of individuals with IDD, must balance their own age-related needs with the current and future plans of care …

Belmont Council On Aging: Planning For The Future, Caitlin E. Coyle, Nancy Mazonson, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report presents the results of a comprehensive needs assessment of Belmont’s older adult population. The study was conducted to support planning by the Belmont Council on Aging and Beech Street Senior Center, and it also provides valuable information for other town departments, community organizations, and residents. Specifically, this report aims to: *Describe Belmont’s current older adult population and their needs. *Assess the services and resources currently available. *Identify gaps and opportunities for improvement. *Provide recommendations to ensure Belmont remains a supportive, age-friendly community for years to come.

As the number of older residents grows, so too will the need …

Housing Options As We Age, Michele Dinman, Jeff Brandt, Logan Fox

Harvey A. Friedman Center for Aging

Almost 75% of adults ages 50 and older want to stay in their homes and communities as they age. This is referred to as “aging in place.” Our homes and communities can help us feel safe and give us a sense of belonging and connection. Furthermore, our living situations effect our health and quality of life as well as our ability to live independently. Changes in our physical, psychological, social, and financial well-being later in life can affect our abilities to age in place. Finding the best housing based on our resources, interests, and needs is important for living well …

Job-Training Programs For Older Americans, Byeongju Ryu, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

The traditional notion of retirement—stopping work completely to focus on personal pursuits in one’s golden years—is not guaranteed. In the United States, three in four adults plan to work past age 65. Many older adults continue working due to financial necessity, including rising healthcare costs, insufficient retirement savings, and gaps in pension coverage. Low-wage workers, in particular, may struggle to retire at all, forced to keep working to afford basic necessities such as housing and food. Older adults also seek employment for their personal health and well-being, such as staying physically and mentally active, finding a sense of purpose, and …

The Limits Of Snap In Addressing Older Adult Food Insecurity, Colleen M. Heflin, Madonna Harrington Meyer

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is designed to address the economic roots of food insecurity. However, SNAP participation rates among older adults substantially lag behind those of other age groups. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief describes how SNAP is not well designed for older adults in three respects: (1) the high levels of administrative burden associated with eligibility, certification, and benefit-determination processes, (2) the low value of SNAP benefits compared with the high costs associated with redeeming them, and (3) the high levels of state variation in SNAP policies …