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Understanding Older Adults Living In Medically Underserved Areas Perspectives Regarding Type 2 Diabetes Care Received, Christopher Rogers 2021 Seton Hall University

Understanding Older Adults Living In Medically Underserved Areas Perspectives Regarding Type 2 Diabetes Care Received, Christopher Rogers

Seton Hall University Dissertations and Theses (ETDs)

Older adults with type 2 diabetes living in medically underserved areas (MUAs) have unique health and social needs that must be taken into consideration when supporting their type 2 diabetes treatment and management care. Effective treatment and management of type 2 diabetes for older adults living in MUAs requires incorporating the preferences, desires, needs, values, and goals of the person at the center of the care into his/her care plan. Shifting care to be conducive to the treatment and management goals and plans co-created with older adults living in MUAs based on their individual physical, psychological, social, and spiritual ...


Effect Of The Sars-Cov-2 Pandemic On Assistive And Interactive Technology Use: In- Person Versus Distanced Communication, Alexandra Swanson 2021 University of Nebraska at Omaha

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 ...


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 2021 Iranian Research Center on Aging,University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

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 ...


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 2021 University of Massachusetts Boston

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 ...


Taking The Pulse For Uri As An Age-Friendly University, Louisa Melchionno 2021 University of Rhode Island

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 ...


A Person-Centered Care Model’S Effectiveness For Older Adults With Dementia: A Systematic Review And Meta-Analysis, Karen Goeschel 2021 University of Nebraska - Lincoln

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

Honors Theses, University of Nebraska-Lincoln

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 ...


Family Companionship And Elderly Suicide: Evidence From The Chinese Lunar New Year, Hanming Fang, Ziteng Lei, Liguo Lin, Peng Zhang 2021 University of Pennsylvania

Family Companionship And Elderly Suicide: Evidence From The Chinese Lunar New Year, Hanming Fang, Ziteng Lei, Liguo Lin, Peng Zhang

Population Center Working Papers (PSC/PARC)

Mental health problems among the elderly have attracted increasing attention. The most serious mental health problems may result in suicide, and lack of family companionship is often speculated to be a major cause. In this paper, we use high-frequency suicide rate data and utilize a novel temporal variation in the lunisolar calendar to provide evidence on the protective effects of the Chinese Lunar New Year (when the elderly people receive unusually high level of family companionship) on elderly suicide. We find that elderly suicide rate decreases by 8.7% during the Chinese Lunar New Year. In addition, the protective effects ...


New York State’S Counties Have Different Trends In Population Aging, Nader Mehri 2021 Syracuse University

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

Lerner Center for Public Health Promotion: 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 2021 Syracuse University

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

Lerner Center for Public Health Promotion: Population Health Research Brief Series

Stroke is the 5th 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.


Aging In The 100 Largest Metropolitan Areas: How Do Older Adults Fare?, Jan Mutchler, Yang Li 2021 University of Massachusetts Boston

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 ...


Area Agencies On Aging Provide Crucial Support For Older New Yorkers During Covid-19, Claire Pendergrast 2021 Syracuse University

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

Lerner Center for Public Health Promotion: 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 Impact On Older People’S Wellbeing Of Leaving Heritage Volunteering And The Challenges Of Managing This Process, Bruce Davenport, Andrew Newman, Suzanne Moffatt 2021 Newcastle University

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. 2021 Universidad de Guadalajara

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 ...


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 2021 Portland State University

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 2021 Portland State University

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.


Prisons, Nursing Homes, And Medicaid: A Covid-19 Case Study In Health Injustice, Mary Crossley 2021 University of Pittsburgh School of Law

Prisons, Nursing Homes, And Medicaid: A Covid-19 Case Study In Health Injustice, Mary Crossley

Articles

The unevenly distributed pain and suffering from the COVID-19 pandemic present a remarkable case study. Considering why the coronavirus has devastated some groups more than others offers a concrete example of abstract concepts like “structural discrimination” and “institutional racism,” an example measured in lives lost, families shattered, and unremitting anxiety. This essay highlights the experiences of Black people and disabled people, and how societal choices have caused them to experience the brunt of the pandemic. It focuses on prisons and nursing homes—institutions that emerged as COVID-19 hotspots –and on the Medicaid program.

Black and disabled people are disproportionately represented ...


Caregiver Knowledge And Perceptions Of Dementia-Specific Nutritional Approaches, Danielle Freitag 2021 Minnesota State University, Mankato

Caregiver Knowledge And Perceptions Of Dementia-Specific Nutritional Approaches, Danielle Freitag

All Graduate Theses, Dissertations, and Other Capstone Projects

Dementia is a syndrome that affects millions worldwide. The syndrome can cause great distress not only for the diagnosed individual but also for the family and friends who provide care. It is known that many caregivers for people with dementia face difficulties in planning and preparing meals, feeding, and making nutritional decisions for their loved ones. Several diets have been shown to assist with dementia-related symptoms pre and post diagnosis. However, what is unknown is whether caregivers are aware of the benefits of these diets and what the barriers are to implementing them into their nutrition regime. This study surveyed ...


Crafting Character: Exploring Elder Identity Through Story, Cameron Fontes 2021 Western Kentucky University

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 ...


Socio-Ecological Predictors Of Social Connection Among Older Adults, Georganna Amateau 2021 Virginia Commonwealth University

Socio-Ecological Predictors Of Social Connection Among Older Adults, Georganna Amateau

Theses and Dissertations

Decades of research has established an unequivocal link between states of social connection and health status. Lack of social connection, whether construed as social isolation or loneliness, negatively influences health and is highly associated with cardiovascular disease, high blood pressure, fall risk, and premature death. Despite extensive research on social isolation and loneliness, evidence relative to the broader construct of social connection suffers. Few studies inform practice standards for community-based organizations. This study aimed to develop a multidimensional, continuous composite variable of social connection and use the composite variable to examine predictors with a socio-ecological lens.

A secondary data analysis ...


Cellphone Laws And Teens' Calling While Driving: Analysis Of Repeated Cross-Sectional Surveys In 2013, 2015, 2017, And 2019, Li Li, Caitlin N. Pope, Rebecca R. Andridge, Julie K. Bower, Guoqing Hu, Motao Zhu 2020 The Ohio State University

Cellphone Laws And Teens' Calling While Driving: Analysis Of Repeated Cross-Sectional Surveys In 2013, 2015, 2017, And 2019, Li Li, Caitlin N. Pope, Rebecca R. Andridge, Julie K. Bower, Guoqing Hu, Motao Zhu

Graduate Center for Gerontology Faculty Publications

BACKGROUND: Distracted driving among teens is a public health and safety concern. Most states in the U.S. have sought to restrict cellphone use while driving by enacting laws. This study examines the difference in prevalence of self-reported calling while driving (CWD) between states with different cellphone bans.

METHODS: Demographics and CWD data were extracted from state Youth Risk Behavior Surveys (YRBS) from 14 states in 2013, 2015, 2017, and 2019. The state YRBS is conducted every 2 years with a representative sample of 9th through 12th grade students attending public school. States were grouped by type of cellphone law ...


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