Gerontology Commons^™

Singapore's Hospital To Home Program: Raising Patient Engagement Through Ai, John Abisheganaden, Kheng Hock Lee, Lian Leng Low, Eugene Shum, Han Leong Goh, Christine Gian Lee Ang, Andy Wee An Ta, Steven M. Miller

Research Collection School Of Computing and Information Systems

Because of their complex care needs, many elderly patients are discharged from hospitals only to be readmitted for multiple stays within the following twelve months. John Abisheganaden and his fellow authors describe Singapore’s Hospital to Home program, a community care initiative fueled by artificial intelligence.

Striving For Being In The Line Of Life: Personal Active Ageing Strategies In Iranian Seniors, Fatemeh Raeesi Dehkordi, Ahmad Ali Eslami, Fereshteh Zamani Alavijeh, Hossein Matlabi, Mehdi Nakhodaeezadeh

The Qualitative Report

Active ageing is a multidimensional, relative, and context-dependent concept with different paths and outcomes. This qualitative study aimed to explore personal active aging strategies in a specific context. Following a directed thematic analysis procedure, we conducted semi-structured individual interviews with 39 seniors (men and women) between the ages of 60-97 years selected with purposeful sampling, data collection and analysis were concurrent. We used directed content analysis to analyze the data from interviews, written narratives, and field notes. The reliability of data was fulfilled following Lincoln and Guba criteria. We stopped data collection when no new concepts were added, and data …

Family Caregiving Of The Elderly In The U.S. And Nepal, Barsha Kharel

All Graduate Theses, Dissertations, and Other Capstone Projects

In an aging society, family caregiving is becoming an increasingly important topic. Elderly adults often rely on their family members as the primary source of support as they age. This paper presents a systematic literature review of family caregiving practices for the elderly in the U.S. and Nepal. The aim is to explore the differences and similarities between the two countries in terms of family caregiving practices for the elderly. The review includes five initial literature sources and identifies two common themes: first, both societies consider family as the main source of support for the elderly, and secondly, elderly people …

Fostering Inclusivity And Resilience: Challenges To Community-Based Empowerment For Trans Elders In Roanoke, Virginia, Summer Skye Allison

Undergraduate Honors Theses

As popular media disseminates harmful “culture war” rhetoric regarding trans folk it has become increasingly necessary to amplify their voices to give them power over how they are perceived by society. Though political discourse regarding trans children has become a hot-button topic, this paper seeks to explore the overlooked experiences of trans elders as they contend with intersecting instances of ageism and transphobia from individuals and institutions in Roanoke, Virginia. Since community-based organizations like the Roanoke Diversity Center and Ladies and Gents of the Blue Ridge have been instrumental to strengthening the LGBTQ+ community in Roanoke, this research focuses on …

Health Related Challenges Of Rural Elderly Living In Co-Residential Family Care Arrangements, Kidus Yenealem Mefteh

The Qualitative Report

Family plays an indispensable role in the care and support of the rising number of older people particularly in developing countries like Ethiopia where the system of public transfer is minimal. Previous studies in Ethiopia focus on institutionalized and urban-dwelling elderly with little attention to the elderly in the informal care paradigm and rural areas. This study aims to explore the health-related experiences of dependent rural elderly who get care and support within a family setting. A phenomenology method was used, and in-depth interviews were employed to collect data from purposively sampled elders. Data were inductively coded and developed into …

Animal Assisted Therapy For Older Adults In Aged Care Facilities: A Rapid Review, Mitchell A. Franklin, Tracey Parnell, Natasha Versi, Rodney Pope

Internet Journal of Allied Health Sciences and Practice

Purpose: Research has demonstrated the effectiveness of animal assisted therapy (AAT) for improving the mental health of older adults in residential care. The aim of this rapid review was to synthesise existing research evidence to determine the approaches that AAT should take to enhance outcomes for older adults living in residential care. Methods: A systematic literature search was conducted to identify studies published between 2009 and 2019 that investigated AAT and improvement in physical and/or psychosocial outcomes for adults aged over 65 years, living in residential care. Studies were critically appraised to determine methodological quality, key data were extracted, and …

An Investigation Of The Sled-Push Exercise In Older Adults: Physiological Quantification, Perceived Enjoyment And Body Discomfort, Micheal A. Baumann

Graduate Research Theses & Dissertations

Healthy aging is defined as the process of maintaining and developing functional ability that allows a state of mental and physical wellbeing. Physical activity, particularly exercise training, has been highly recommended for individuals of all ages, especially older adults, as way to maintain, improve or restore functional ability and health. Different modalities and types of exercise have been successfully tested in older adults but not much is known about the potential of the sled-push exercise in this population, a modality that has been highly used among athletes to improve cardiorespiratory fitness, muscle strength and endurance, and core stability. PURPOSE: The …

Driving Habits, Cognition, And Health-Related Quality Of Life In Middle-Aged And Older Adults With Hiv, Josiah J. Robinson, Tess Walker, Cierra Hopkins, Brittany Bradley, Peggy Mckie, Jennifer S. Frank, Caitlin N. Pope, Pariya L. Fazeli, David E. Vance

Graduate Center for Gerontology Faculty Publications

Cognitive impairment is known to increase with aging in people living with HIV (PLWH). Impairment in cognitive domains required for safe driving may put PLWH at risk for poor driving outcomes, decreased mobility, and health-related quality of life (HRQoL). This study described the driving behaviors of middle-aged and older PLWH and examined correlations between driving behaviors and cognitive functioning (Aim 1), and driving behaviors and HRQoL domains (Aim 2). A sample of 260 PLWH ages 40 and older completed a comprehensive assessment including a battery of cognitive tests, an HRQoL measure, and a measure of self-reported driving habits. Associations between …

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 …

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 …

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. …

Resident Centered Behavioral Health: A Program Evaluation, Anna Olinger

All Graduate Theses, Dissertations, and Other Capstone Projects

Behavioral health concerns, such as depression and behavioral symptoms, impact older adults at significant rates. These concerns impact an individual’s quality of life, health status, and mortality. When behavioral health concerns cannot be effectively managed in the community by the individual or their caregivers, a skilled-nursing facility is often the next step. Unfortunately, those caring for older adults in these settings have not always had access to the training they need to care for individuals with depression or behavioral symptoms. The Resident Centered Behavioral Health program set out to change this. The program implemented an interactive, behavioral health training program …

Staying Connected: The Importance Of Social Integration On The Well-Being Of Older Adults, Paulin T. Straughan, Vincent Chua, Stephen Hoskins, Frosch Quek

ROSA Research Briefs

It has been about a year since COVID-19 first emerged and reshaped the daily lives of people around the globe, including Singaporeans. Since moving past the circuit breaker in June, Singapore has gradually re-opened and relaxed its restrictions in different phases. As Singapore prepares for Phase 3- the final and least restrictive phase, it is important to examine how Singaporeans have coped and responded with the circuit breaker (7 April 2020) and its gradual easing of restriction in Phase 1 (2nd June 2020) and Phase 2 (19 June 2020), and identify the groups which have fallen through the gaps in …

Prediction Of Nocturia In Live Alone Elderly Using Unobtrusive In-Home Sensors, Barry Nuqoba, Hwee-Pink Tan

Research Collection School Of Computing and Information Systems

Nocturia, or the need to void (or urinate) one or more times in the middle of night time sleeping, represents a significant economic burden for individuals and healthcare systems. Although it can be diagnosed in the hospital, most people tend to regard nocturia as a usual event, resulting in underreported diagnosis and treatment. Data from self-reporting via a voiding diary may be irregular and subjective especially among the elderly due to memory problems. This study aims to detect the presence of nocturia through passive in-home monitoring to inform intervention (e.g., seeking diagnosis and treatment) to improve the physical and mental …

Attitudes, Behaviours, And The Well-Being Of Older Singaporeans In The Time Of Covid-19: Perspectives From The Singapore Life Panel, Paulin T. Straughan, William Tov, Seonghoon Kim, Terence Cheng, Stephen Hoskins, Micah Tan

ROSA Research Briefs

COVID-19 has affected all Singaporeans, regardless of age and socioeconomic status (SES). Many measures have been implemented by the government to control the spread of this disease, including restrictions on social gatherings, restrictions on overseas travel, and making it compulsory to wear a mask. Measures have also included a partial lockdown – known as the ‘circuit breaker’ – which began in April 2020. This forced Singaporeans to quickly adapt to a new normal with some doing better than others. This research brief provides an overview of how COVID-19 and its related measures have affected seniors in Singapore using data from …

Early Detection Of Mild Cognitive Impairment With In-Home Sensors To Monitor Behavior Patterns In Community-Dwelling Senior Citizens In Singapore: Cross-Sectional Feasibility Study, Iris Rawtaer, Rathi Mahendran, Ee Heok Kua, Hwee-Pink Tan, Hwee Xian Tan, Tih-Shih Lee, Tze Pin Ng

Research Collection School Of Computing and Information Systems

Background: Dementia is a global epidemic and incurs substantial burden on the affected families and the health care system. A window of opportunity for intervention is the predementia stage known as mild cognitive impairment (MCI). Individuals often present to services late in the course of their disease and more needs to be done for early detection; sensor technology is a potential method for detection.Objective: The aim of this cross-sectional study was to establish the feasibility and acceptability of utilizing sensors in the homes of senior citizens to detect changes in behaviors unobtrusively.Methods: We recruited 59 community-dwelling seniors (aged >65 years …

The Effect Of Perceived Level Of Social Support On The Fear Of Falling, Kali A. Todd

Honors College Theses

Background: Perhaps the most prevalent cause of anxiety among the elderly is the fear of falling (FOF), considering that a fall can lead to serious complications and the decline of health. Kumar et al. found that subjects with a FOF usually have less social support. Therefore, increased social support could possibly decrease the FOF, thus decreasing the likelihood of a fall overall. The purpose of this study is to examine the relationship between the amount of perceived social support one receives and the FOF among people ages 60 and up. Methods: In order to measure FOF and social support among …

Labour Research Conference 2018: Upskilling Of Mature Workers, Stephen Hoskins, Luca Facchinello

Research Collection School Of Economics

Many developed countries are approaching an era of ageing population due to an increase in longevity and decrease in fertility rates. Singapore is no exception, having one of the fastest ageing populations in Asia, which is driven by low fertility rates and the third longest life expectancy in the world. The number of elderly citizens, defined as those aged 65 and above, is expected to triple to 900,000 by 2030, making up about 28% of the total population in Singapore (Population SG, 2016). This changing population age profile, combined with a competitive labour market, means it makes business sense to …

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 …

Identifying Elderlies At Risk Of Becoming More Depressed With Internet-Of-Things, Jiajue Ou, Huiguang Liang, Hwee Xian Tan

Research Collection School Of Computing and Information Systems

Depression in the elderly is common and dangerous. Current methods to monitor elderly depression, however, are costly, time-consuming and inefficient. In this paper, we present a novel depression-monitoring system that infers an elderly’s changes in depression level based on his/her activity patterns, extracted from wireless sensor data. To do so, we build predictive models to learn the relationship between depression level changes and behaviors using historical data. We also deploy the system for a group of elderly, in their homes, and run the experiments for more than one year. Our experimental study gives encouraging results, suggesting that our IoT system …

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 …

“I Feel Like I’M Drawing Strength From It”: Lived Experiences Of Filipino Elderly Participating In Craft-Making, Sharon B. Cajayon, Romeo Luis A. Macabasag, Norilyn Limchanco, Vanessa O. Umali, Ellayza N. Blas, Michelle S. Angulo, Cristine Joy A. Breguera, Nikka Angela A. De Guzman, Sheila N. Malapi, Emmalyn E. Quibote

The Qualitative Report

In this phenomenological study, we offer an insightful understanding of the lived experiences of seven (7) Filipino elderly participating in craft-making. We purposively selected the key informants from a municipality in the province of Bulacan, Philippines. The transcribed data gathered through a semi-structured in-depth interview was analyzed using Colaizzi’s approach. Six themes describing the lived experiences emerged: “Fostering friendship,” “Flourishing health,” “Furthering service,” “Facing aging with acceptance,” “Finding felicity and self-fulfillment,” “Feelings of belongingness and security.” Just like the sun, the elderly’s participation in craft-making serves as a nourishment for them. This exploration speaks to understanding the potential of craft-making …

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 …

Adverse Events And Treatment Discontinuations Of Antimuscarinics For The Treatment Of Overactive Bladder In Older Adults: A Systematic Review And Meta-Analysis, Scott Martin Vouri, Clark D. Kebodeaux, Paul M. Stranges, Besu F. Teshome

Pharmacy Practice and Science Faculty Publications

Introduction

Antimuscarinics should be used with caution in older adults with overactive bladder (OAB) due to anticholinergic adverse events (AEs). Systematic reviews and meta-analyses (SRMAs) have analyzed safety-related outcomes but have not specified risk in the elderly, the population at highest risk for AEs. The aim of this review is to explore and evaluate AEs and treatment discontinuations in adults 65 or older taking antimuscarinics for OAB.

Methods

Keywords were searched in MEDLINE, EMBASE, SCOPUS, and Cochrane Central Register for Controlled Trials. Randomized controlled trials (RCTs) along with sub-analyses and pooled analyses that compared antimuscarinics to placebo or another antimuscarinic …

The Happy Boomer: Baby Boomer Life Satisfaction Through Affect And Feeling Of Belonging, Brooke Christina-Marie Massey

Antioch University Full-Text Dissertations & Theses

The age cohort of 65 years and older is a growing population. It is part of the group referred to as Baby Boomers, the generation born between the years 1946-1964. It will be the largest population to reach late adulthood to date. In the United States alone, the Baby Boomer cohort is expected to reach 70 million by 2030. In response to this growing elderly population much research has been conducted on Baby Boomer quality of life issues. Such research uncovered the phenomenon known as the well-being paradox. The well-being paradox refers to the findings that older adults' life satisfaction …

Direct Care Staff And Influential Factors, Michelle Jean Ryan

All Graduate Theses, Dissertations, and Other Capstone Projects

The shortage of direct care workers will continue to influence the quality of care that the elderly population will receive. With the projected increase of worker shortages there will be not enough direct care workers to take care of the growing elderly population. With the baby boomer population's need for long term care, the need for qualified staff is also growing. Staff training development and consistent staffing, along with employee friendly benefits and policies will be needed to recruit and retain employees. The growing aging population, along with the increase in demand for quality care drives a need to find …

The Forgotten "-Ism", Eric P. Harris

SURGE

“I’d rather not. I don’t like to talk to old people. They make me uncomfortable. They kind of smell weird and make me think about death. Some of them are even racist, so I’d just rather not.”

As part of my internship this summer, in which I helped to coordinate the Friday evening dinners at the Gettysburg Senior Center, putting out advertisements to “hang out with old people” wasn’t exactly an easy task. [excerpt]

Quality, Objectivity, And Tone In Media Portrayals Of Care For Older Adults, Jennifer Van Loan

Legacy Theses & Dissertations (2009 - 2024)

In response to the growing population of older adults who will need assistance to care for themselves, this research evaluates media coverage of care options for older adults presented in local newspapers, an informational resource used by baby boomers and older generations interested in planning for their futures and caring for their loved ones. Computer databases for four newspapers representing the Capital Region of New York State were scanned for keywords to identify articles about older adult care, then articles were reviewed to ensure they were relevant to older adult care. A quantitative content analysis was performed on the articles …

Memory Priming In Elderly Individuals Diagnosed With Dementia, Jessica Lee Deselms

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of the current study was to examine the efficacy of a novel memory enhancement procedure for individuals with dementia named "memory priming." Three elderly individuals with a diagnosis of dementia participated in the study. Baseline procedures involved identifying low-probability items that served as targets for the intervention and moderate-probability questions that served as control items. A variation of a reversal design was implemented to compare three different conditions: the memory priming intervention and two control conditions that involved reading aloud and a watching a video. The results of the study indicated that individuals with moderate-to-severe memory impairment do …

Determining Musical Preferences In Persons With Dementia: Comparing Caregiver Options To Stimulus Preference Assessment, Eva Christine Igler

All Graduate Theses, Dissertations, and Other Capstone Projects

The music therapy literature supports the use of individualized music in order to reduce problem behaviors among individuals with moderate to severe dementia; however, these interventions frequently rely on family members and/or staff to choose preferred music. Family members and caregivers are often inaccurate when choosing preferred stimuli for cognitively impaired individuals. The purpose of this study was to determine if family members and caregivers could accurately identify the preferred music of individuals with dementia. A single stimulus preference assessment was used to empirically determine preferred music and then these results were compared to family member and caregiver rankings. The …