Gerontology Commons^™

From Structure To Experiences: How Facility Capacity And Staffing Shape The Adoption And Impact Of Lgbt-Affirming Policies In Long-Term Care, Andrew Alberth

Graduate Doctoral Dissertations

Long-term care (LTC) settings – including nursing homes (NHs) and assisted living facilities (ALFs) – provide necessary care for individuals with extreme health and functioning limitations. Sexual and gender minority (LGBT) older adults report challenges receiving effective, person-centered care LTC. Some LGBT older adults may hide their sexual orientation and gender identity when entering LTC settings or delay seeking needed LTC fearing discrimination from staff and other residents. Furthermore, staff in LTC settings indicate little awareness of LGBT-residents and possess inadequate LGBT-cultural competency necessary for providing person-centered care. Therefore, LGBT-residents LTC experiences remain underexplored in the broader research. Adopting LGBT-affirming …

Enhancing Transportation Options For Older Adults: Served By Councils On Aging With Support From The Montachusett Area Regional Transit Authority (Mart): A Program Validation Study, Caitlin E. Coyle, Nina M. Silverstein, Taylor Jansen, Shayna Gleason

Center for Social and Demographic Research on Aging Publications

This study follows a 2022 evaluation report UMass Boston researchers conducted for MART of a pilot program whose measurable aims were to demonstrate (pre/post) an increase in ridership, destinations, trips provided, and shared rides coordinated across the participating COAs. The pilot with four participating COAs was ambitious and while the results indicated some early successes (rider satisfaction), more areas for improvement were noted (software and transition to the use of digital technology). (Silverstein et. al., 2022) Since then, MART has adopted a new software program and collaboration with My Senior Center, a senior 4 center management and reporting system. MART …

Age-Friendly Technology Toolkit, Carrie Leach, Mikayla Harrison, Deborah Beard, Dell Stubblefield, Zachary Rowe, Winona Bynum, Sandra Turner-Handy, Faith Hopp, Rodlescia Sneed, Deborah Charbonneau, Rochelle Chapman, Hayley S. Thompson

Institute of Gerontology

A toolkit created for older people who are interested in connecting through technology. Content is based on recommendations from older adults who partnered on a project to increase digital inclusion.

Planning For The Future Of The Easthampton Council On Aging, Caitlin E. Coyle, Sue Berger

Center for Social and Demographic Research on Aging Publications

This report describes an assessment undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the ad hoc Senior Center Building Committee. The goals of this project were to document the features of other communities building processes, engage residents in preliminary conversation about their needs and preferences as they consider aging in Easthampton. Results of that work are described in this report and recommendations to the ad hoc building committee are provided. These recommendations are meant to provide an objective description of this preliminary community …

Aging In Hanover: A Community Needs Assessment, Caitlin E. Coyle, Beth Rouleau, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA), within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Hanover. The report supports the Council on Aging’s objective to identify and serve the needs of residents age 55 and older. The contents of this report are meant to inform the Town of Hanover, the Hanover Council on Aging (COA), the Senior Center, and organizations that work with and on behalf of older residents of Hanover for the purposes of COA mission fulfillment alongside planning and coordination of …

Aging In Maynard: A Community Needs Assessment, Caitlin E. Coyle, Mary Krebs

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA), within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Maynard. The report supports the Council on Aging’s objective to identify and serve the needs of residents age 50 and older. The contents of this report are meant to inform the Town of Maynard, the Maynard Council on Aging (COA), the Senior Center, and organizations that work with and on behalf of older residents of Maynard for the purposes of COA mission fulfillment alongside planning and coordination of …

Considerations Of Medicare Telehealth Services With Older Adults, Sonah Kho, Amanda Dediego

Adultspan Journal

The onset of the COVID-19 pandemic set in motion a rapid expansion of mental health services offered via telehealth. With this rapid expansion came the need to examine how policy and practice should be shaped in a future where telehealth is considered common in counseling practice. For counselors to understand how to support older adult clients in using telehealth services, they must understand telehealth policy. Following the eligibility of licensed counselors to participate in Medicare, counselors need to stay abreast of regulatory changes regarding restrictions and regulations on use of telehealth for mental and behavioral health services, including video and …

Aging In Hopkinton: A Community Needs Assessment, Sue Berger, Caitlin E. Coyle

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Hopkinton. The goals of this project were to investigate the needs, interests, preferences, and opinions of Hopkinton residents age 55 or older by engaging the community regarding their experiences and needs relevant to Senior Services objective to identify and serve the needs of Hopkinton’s older residents. The contents of this report are meant to inform the Town of Hopkinton, Hopkinton Senior Services, and organizations that work with and …

Aging In The City Of Melrose: A Community Needs Assessment, Caitlin E. Coyle, Katherine Burnes, Mark Krebs, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the City of Melrose. The goals of this project were to investigate the interests, preferences, and opinions of Melrose’s residents aged 55 or older by engaging the community regarding their experiences and needs relevant to the Council on Aging’s (COA’s) objective to identify and serve the needs of all Melrose citizens 55 and older. The contents of this report are meant to inform the City of Melrose, the Melrose COA, Milano …

Aging In North Andover: A Community Needs Assessment, Claire Wickersham, Caitlin E. Coyle, Ceara Somerville, Holly Stockdale

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of North Andover. The goal of this project was to identify, describe, and prioritize the needs and preferences of North Andover residents age 60 and older as they relate to aging well in the community. In 2023, North Andover opened a new Senior Community Center. The contents of this report are intended to be used for planning for the new Senior Community Center space and to inform strategic planning …

Age & Dementia Friendly Plymouth: A Community Needs Assessment, Caitlin E. Coyle, Beth Rouleau, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Plymouth. The goals of this project were to investigate the needs, interests, preferences, and opinions of Plymouth’s residents age 55 or older in support of the Council on Aging’s (COA’s) objective to identify and serve the needs of all Plymouth citizens 55 and older. The contents of this report are meant to inform the Town of Plymouth, the Plymouth COA, the Center for Active Living, and organizations that …

The Role Of Occupational Therapy Practitioners In The Care Of Pets And Animals: A Guide To Aging In Place With Pets And Animals, Blake Randell, Mary Jan Greer, Sherry Pidgeon

Summer 2023 Virtual OTD Capstone Symposium

This capstone project explored the role of occupational therapy practitioners in the care of pets and animals among older adults which has been referred to as the forgotten instrumental activity of daily living (or IADL) for this population. A needs assessment was conducted to determine how to provide facilitators and remove barriers or hindrances to occupational performance in the care of pets and animals among a group of older adults (with a variety of disability- and non-disability-related needs) in independent living communities. This needs assessment identified compounding health disparities of physical and/or cognitive impairments and lack of financial and necessary …

Aging In Brockton: A Community Needs Assessment, Caitlin E. Coyle, Setarreh Massihzadegan, Josef Kijewski, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the City of Brockton. The goals of this project were to investigate the needs, interests, preferences, and opinions of Brockton’s residents age 60 or older by engaging the community regarding their experiences and needs relevant to the COA’s objective to identify and serve the needs of all Brockton citizens 60 and older. The contents of this report are meant to inform the City of Brockton, the Brockton COA, Senior Center, and …

Aging In Lynn: A Community Needs Assessment, Caitlin Coyle, Mary Krebs, Setarreh Massihzadegan

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the City of Lynn and the Lynn Department of Elder Services. The goals of this project were to investigate the needs, interests, preferences, and opinions of residents of the City of Lynn age 60 or older. The contents of this report are meant to inform the planning and operation of the Lynn Senior Center, and organizations that work with and on behalf of older residents of the City of Lynn. The report …

Aging In Hull: A Community Needs Assessment, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Hull Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Hull’s residents age 55 or older. The contents of this report are meant to inform the Town of Hull, the Hull Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Hull for the purposes of planning and coordination of services. The report will …

Aging In Hull: A Community Needs Assessment, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Hull Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Hull’s residents age 55 or older. The contents of this report are meant to inform the Town of Hull, the Hull Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Hull for the purposes of planning and coordination of services. The report will …

Age Friendly North Reading: A Community Needs Assessment, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

By the year 2030, 35% of North Reading residents will be age 60 and older1. In response to this demographic shift as well as in response to the desire of most residents to remain living in their community, the resident leaders of North Reading, with support of the Town, have embarked on the journey to become a more age friendly community. The Age-Friendly North Reading initiative means to ensure that North Reading is, and remains, a place where older adults can comfortably and safely age in place. This report describes research undertaken by the Center for Social & Demographic Research …

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 …

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 …

Psychological Sense Of Community Among Older Adults In Puerto Rico Two Years After Hurricane María, Thomas D. Buckley

Theses and Dissertations

Hurricane María devastated Puerto Rico in 2017 and resulted in adverse long-term outcomes. Psychological sense of community (PSOC) may serve as a protective factor against the effects of Hurricane María for older adults in Puerto Rico. Using a three-paper format, this dissertation draws on a resilience framework and theories of PSOC and the Ecological Theory of Aging to examine the role of PSOC among older adults in Puerto Rico two years after Hurricane María.

Paper one is a scoping review of the concept of PSOC in research with community dwelling older adults. I begin by presenting findings on study characteristics …

A Qualitative Analysis Of The Barriers Faced By Nursing Assistants And Medication Aides In The Care Of Dysphagia Residents, Lauren Kreuzberg

Honors Program: Senior Projects (Public)

Dysphagia refers to the symptom of difficulty in swallowing that accompanies several prevalent conditions in the older adult population, including amyotrophic lateral sclerosis (ALS, Lou Gehrig’s Disease), stroke, Parkinson’s Disease, Multiple Sclerosis, dementia, various cancers, and brain tumors (Allari, 2014). Many older adults who suffer from these conditions reside in nursing facilities, where most of their care is provided by certified nursing assistants (CNAs) and medication aides (MAs). However, the extent of these workers’ knowledge and competence in providing care to nursing home residents with dysphagia is vastly under-researched. The qualitative analysis investigates themes among interviews with fifteen CNAs and …

How Relevant Is The Hippocratic Oath In Guiding Physicians' Views On Physician-Assisted Suicide, Megan Neal

Honors Program: Senior Projects (Public)

The Hippocratic Oath is an ancient vow that most doctors, especially within the last century in the United States, take upon their graduation from medical school. The importance of this oath, however, is up for debate as medical advances and cultural beliefs in the rights of the patient evolve. The Hippocratic Oath has been adapted many times over the past few centuries to reflect the beliefs of the period, but the original Oath still survives. One of the most recent movements in the medicine has been the legalization of physician-assisted suicide (PAS) in select states. Using a qualitative, thematic approach, …

Toward An Understanding Of Behavioral And Sensory Experiences When Living With Dementia And Related Disorders: An Environmental Gerontology Perspective, Elizabeth K. Rhodus

Theses and Dissertations--Gerontology

Behavioral and psychological symptoms of dementia create challenges for those living with neurodegenerative cognitive impairment and their care partners. Pharmacological approaches for treatment of challenging behaviors seen in dementia have limited success and serious side effects. Because of this, nonpharmacological approaches are being investigated with increasing frequency. Of particular interest are nonpharmacological approaches involving environmental stimulation to change behaviors. Success of such approaches relies on sensory processing systems, personal preferences, and environmental congruence. There is limited evidence describing behaviors of persons with cognitive impairment in relation to these components. Currently, there is no guiding model for implementation of environmental and …

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 …

Facing Obstacles As A Senior, Catherine Mccarthy

All Student Theses and Dissertations

Seniors are individuals who need the most assistance because they are a growing population in our society. It is estimated that by the year 2020, those 65 years and over will reach 55 million and those 85 years and over will number 7.3 million. Seniors need the most attention because daily items such as personal care, preparing a meal, going to the grocery store or housework become very challenging. This is when you need to acquire services that can help daily for these tasks. The Department of Aging plays a vital role when becoming a senior over the age of …

In The Information Age, Do Dementia Caregivers Get The Information They Need? Semi-Structured Interviews To Determine Informal Caregivers’ Education Needs, Barriers, And Preferences, Kendra Peterson, Howard Hahn, Amber J. Lee, Catherine A. Madison, Alireza Atri

Dartmouth Scholarship

Most patients with dementia or cognitive impairment receive care from family members, often untrained for this challenging role. Caregivers may not access publicly available caregiving information, and caregiver education programs are not widely implemented clinically. Prior large surveys yielded broad quantitative understanding of caregiver information needs, but do not illuminate the in-depth, rich, and nuanced caregiver perspectives that can be gleaned using qualitative methodology. We aimed to understand perspectives about information sources, barriers and preferences, through semi-structured interviews with 27 caregivers. Content analysis identified important themes

A Formative Evaluation Of Select Evidence-Based, Healthy Aging Programs For Seniors In East Central Illinois, Kathleen Raynor

Student Research – Stevenson Center

This study serves as a formative evaluation of two evidence-based, healthy aging programs that are funded by the East Central Illinois Area Agency on Aging (ECIAAA). The first, the Chronic Disease Self-Management Program, is a six-session course designed to alleviate symptoms of chronic health issues in older adults and encourage participants to act as self-advocates in regard to their health. The second program, A Matter of Balance, attempts to reduce fear and risk factors related to falls in older adults over the course of eight sessions. The methodology of this study involves focus groups with former participants of these programs …

Careers In Aging: Increasing Interest And Investigating Career Paths, Paul Cunnington

Masters Theses

This qualitative study explored the perspective of young professionals on how to increase interest in choosing a career in the field of aging and how their own career path led to their current employment in the field of aging. Fifteen professionals in the field of aging, ranging in age from 23 to 34, participated in semi-­‐structured interviews. Data were analyzed using a thematic analysis. Results confirmed prior research that professionals working in the field of aging come from a variety of disciplines. Participants noted attractive aspects of a career in the field of aging, including flexibility and mobility. To increase …

Reporting Practices, Knowledge And Opinion Of Policy Regarding Drivers With Dementia Among Arkansas Neurologists And Geriatricians, Erika Martin Gergerich

Graduate Theses and Dissertations

Background: States have various policies regarding a physician's ability or responsibility to report at-risk drivers with dementia to the Department of Motor Vehicles (DMV). Some states have mandatory reporting policies, others have optional reporting policies and some have no policy regarding this issue. Arkansas has no reporting policy regarding drivers with dementia to the DMV. Therefore, physicians in Arkansas face the risk of liability if they report a patient against their will to the DMV in good faith. Neurologists and geriatricians are often in a position to diagnose and treat individuals with dementia. Research Questions: The following three research questions …

Organizational Strategies For Addressing Disparities Among Marginalized Older Adults, Jennifer L. Martin

Electronic Theses and Dissertations

As the United States older adult population expands, it is also becoming more diverse in terms of race, ethnicity, and sexual orientation (U.S. Census Bureau, 2010). This increased diversity necessitates that social workers research issues of cultural competency at the organizational level to ensure that community based organizations are able to meet the unique needs of a heterogeneous population of American elders. This qualitative study utilized a modified grounded theory approach to conduct individual interviews and focus groups with over 25 community based organizations serving diverse elders. This study also included analysis of over 100 agency documents, such as mission …