Gerontology Theses

GeorgiaCares Community Outreach Events: An Evaluation

Erin Fisher — Mon, 26 Nov 2012 08:30:39 PST

Medicare is vital to the health and well-being of many American seniors. However, due to its complexity, beneficiaries often need assistance navigating the federal health insurance system. GeorgiaCares, Georgia’s State Health Insurance Assistance Program (SHIP), provides free and unbiased Medicare information and counseling. The aims of this thesis were to evaluate GeorgiaCares outreach events to discern the social and demographic characteristics of participants and decipher how to best market the events. Participants of nine GeorgiaCares outreach events (n=81) completed anonymous surveys; mixed-methods data analysis revealed the typical participant to be a 71-year-old African American female. Findings suggest an effective way to assist beneficiaries in Medicare-related decisions is through the formation of community partnerships. Suggestions to market outreach events include partnering with churches and grocery stores to disseminate information and enlisting the support of community leaders to overcome barriers of distrust.

"Men Don't Talk": Examining the Dynamics of Men's Co-resident Relationships in Assisted Living

Yarkasah P. Paye — Thu, 23 Aug 2012 11:35:51 PDT

Women outnumber men in assisted living (AL). This gender imbalance promotes the feminization of AL settings and affects men’s social experiences, particularly their co-resident relationships. AL research connects peer relationships to resident well-being and suggests gender that influences co-resident interactions. Yet, few studies have specifically examined men’s social experiences in AL. This analysis aimed to: (1) learn how men experience co-resident relationships in AL; and (2) identify the factors shaping these peer relationships. The analysis utilized qualitative data collected from two AL settings. Data collection involved participant observation and informal and formal in-depth interviews. Analysis was informed by principles of Grounded Theory Method and shows high variability in men’s co-resident connections. A range of individual- and facility-level factors promoted or constrained relationship development. Gender remains pivotal in structuring men’s social engagements. Individual- and facility-level factors often intersected with gender and influenced men’s social lives. Ultimately, co-resident relationships are consequential for men in AL.

Mind-body exercise and cognitive function: potential approaches to manage cognitive impairment- a meta-analysis

Yin Wu — Mon, 16 Jul 2012 12:46:34 PDT

Cognitive impairment is prevalent among older adults population. It brings restriction to older adults’ lives and bring huge burden to the society. Mind-body exercise has characteristics from both physical exercise and intellectual experience. Moreover, it has potential cognitive benefits to reduce the incidence even reverse cognitive impairment. Using meta-analysis to analyze findings form published research on mind-body exercise, this study will explore whether practicing mind-body exercise is beneficial for the management of cognitive impairment.

Exploring the Influence of Functional Status on Older Adults' Social Relationships in Assisted Living Communities

Navtej K. Sandhu — Mon, 16 Jul 2012 12:46:28 PDT

Social relationships can have considerable influence on physical and mental well-being. AL research suggests that other residents are among the most available social contacts and that co-resident relationships can affect life satisfaction, quality of life, and well-being. Although functional status influences social relationships, research has yet to provide an in-depth understanding of how cognitive and physical function affects co-resident relationships in AL. In this thesis, I present an analysis of qualitative data collected over a one-year period in two diverse settings. The thesis addressed: 1) How does functional status influence co-resident relationships? ; and 2) What factors shape its influence? Analysis was guided by principles of Grounded Theory Method. Coming together and pulling apart signifies the key finding that functional status is multi-directional, fluid, and operates in different ways in various situations and across time. Facility and resident –level factors further affect the influence of functional status on co-resident relationships.

Marriage and Memory in Older Adults

Renu Kumar — Fri, 13 Jul 2012 11:08:52 PDT

Some loss in memory is considered a part of normal aging; however, there is a considerable heterogeneity in cognitive aging among older adults. Studies show that living arrangements, social interaction, social relationships and size of social network are among the predictors of memory decline for older adults. Moreover, marriage has been associated with physiological health as well as psychological and social well-being. This study has examined the relationship between the marital status and memory performance in older adults. It was hypothesized that (1) being married will be positively related to memory of older adults; (2) participants with larger supportive social network will perform better on memory tests; and (3) that quality of married life will be positively related to memory for married older adults. Results from this study did not support the hypotheses when age was controlled suggesting no relationship between marital status and memory performance.

Alzheimer's Disease and Intimacy: A Content Analysis of Resources Avaliable through the Alzheimer's Association and the National Institute on Aging

Danelle S. Hubbard — Fri, 13 Jul 2012 11:08:49 PDT

An estimated 5.4 million individuals in the United States have Alzheimer’s disease, and the number is expected to rise exponentially over the next 50 years. Content analysis was used to examine the availability and content of online resources accessible through the Alzheimer’s Association and the National Institute on Aging (NIA) that addressed emotional and physical intimacy for a marital unit. The analysis resulted in ten documents from the Alzheimer’s Association’s website, seven from the NIA’s website, and four additional documents produced from external links that met these criteria. Five major themes emerged from these documents regarding the subject of emotional and physical intimacy. These categories included: (a) defining sexuality and intimacy, (b) changes that occur in the relationship due to a dementia diagnosis, (c) reasons for the change in the relationship, (d) responses to a dementia diagnosis, and (e) strategies for managing the changes due to a dementia diagnosis.

Examining the validity and reliability of the Activities-Specific Balance Confidence Scale-6 (ABC-6) in a diverse group of older adults

Antonius D. Skipper — Fri, 13 Jul 2012 11:03:53 PDT

Losing confidence in the ability to maintain balance can be more debilitating than a fall. Therefore, considering the importance of measuring balance confidence, the purpose of this study was to examine the validity and reliability of the ABC-6, a shortened version of the ABC-16, among diverse older adults. Participants were 251 diverse (72.1% African Americans, 62.5% low-income, 61% low-education) older adults (M age = 71.2 years, SD = 8.9). Participants volunteered for a falls risk screening which assessed multiple falls risk factors and balance confidence. The ABC-6 had excellent internal consistency reliability, substantial intraclass correlations, significant moderate to large correlations with physical activity, mobility, balance, and total falls risk, the ability to discriminate between fallers and nonfallers, and it was the only significant predictor of total falls risk. The ABC-6 was a valid and reliable measure of balance confidence and is a suitable measure for use among diverse older adults.

Men Feel it too: An Examination of Body Image and Disordered Eating among Older Males

Amber S. Meadows — Mon, 28 Nov 2011 12:57:06 PST

This quantitative study examined body image and disordered eating in older males. Using a series of questionnaires and demographic questions, two research questions were explored: a) What are the characteristics of older males in terms of eating and body image? and b) Are disordered eating behaviors among older males related to dissatisfaction with body image, specifically physical appearance or physical functioning? Paired samples t-tests revealed that older males rated their ideal body figure as significantly smaller than their current figure, t(35) = -5.53, p < .01, which indicates the presence of body dissatisfaction. Twenty percent of participants were found to be at risk for disordered eating attitudes and behaviors. Furthermore, a correlation was found between disordered eating attitudes and body dissatisfaction particularly as it relates to physical appearance, (r(33) = -.486, p < .01).

The Relationship between Stress, Cortisol Reactivity and Memory Performance in Younger and Older Adults

Jessica L. Pruitt — Mon, 28 Nov 2011 08:39:13 PST

The purpose of this study was to examine age differences in cortisol reactivity and memory performance in younger and older adults exposed to cognitive stressors. The current study utilized data from the Anxiety, Memory, and Control study (ACME) conducted at Brandeis University. Stress was measured using a subjective assessment of anxiety and cortisol was measured using a saliva sample. Memory performance was measured using both declarative and working memory tasks. The final sample consisted of 28 younger adults (M = 19.8 years, SD = 1.5) and 29 older adults (M = 71.2 years, SD = 6.6). There were significant age differences in cortisol reactivity with older adults showing increases in cortisol and younger adults showing decreases. Cortisol reactivity was not significantly related to memory performance for either age group. Cortisol reactivity did not differentially affect declarative or working memory. The results suggest age and task anxiety are significantly related to memory performance but cortisol reactivity is not.

Decision-Making Processes of Primary Informal Caregivers Regarding Care Recipients' Moves to Memory Care

Vicki J. Stanley — Fri, 15 Jul 2011 11:27:31 PDT

Most persons with a dementia are cared for in the home by family members who experience a broad and considerable amount of stress and whose caregiving careers may include planning for or initiating moves to memory care units (MCUs). This study examines the decision-making processes of primary informal caregivers regarding their care recipients' moves to MCUs. Grounded theory methods were used to collect and analyze data in two long-term care (LTC) facilities varying in characteristics including capacity, state licensure, fees, and resident profiles. Specific aims are two-fold: 1) advance an understanding of how primary informal caregivers of persons with a dementia made decisions for formal memory care, and 2) identify the important factors related to the decision-making process.

Comparative Study of the Effects of Tai Chi and Strength Training on Osteoarthritis in Older Adults

Abhinandan Batra — Fri, 15 Jul 2011 08:08:26 PDT

Osteoarthritis (OA) is a degenerative joint disorder and one of the leading causes of disability in elderly. Tai Chi is seen to be effective in relieving symptoms of OA knee joint. The main aim of this study is to design a Tai Chi program and a strength training program for the elderly with knee OA and to compare the effects of these programs on the range of motion, gait, pain and balance. 20 participants age 55 and over were divided into two groups (Tai Chi and Strength training) based on predetermined criteria. Both the groups showed improvement in WOMAC scores, balance and strength following Tai Chi and strength training intervention for 2 months.

Intergenerational Solidarity and Its Effects on Life Satisfaction Among Chinese Elders

Qi Wang — Thu, 14 Jul 2011 06:51:19 PDT

This study explores the association between intergenerational relationships and life satisfaction among urban elders in China, with a focus on the emotional dimension of intergenerational solidarity. Individual factors, effects of associational, affectual, functional and structural solidarity were examined by analyzing data collected from the Zhenjiang City Intergenerational Relationship Survey (ZJIRS) in 2007, Jiangsu province, China.

Study results revealed that elders’ marital status, educational background, pension, and self-rated health were closely related to the degree of intergenerational solidarity. A higher level of education, possession of a medical insurance, and better heath condition had a positive relationship with elders’ life satisfaction. Through the comparison of intergenerational exchanges from both parents and children, the study found that Chinese elders had the highest level of life satisfaction when they receive more frequent contacts, financial support, and affection from their children. This study might contribute to the existing body of literature in the overall theoretic understandings of intergenerational solidarity, life satisfaction, as well as the association between specific dimensions of intergenerational solidarity and older adults’ life satisfaction.

Knowledge and Perceptions: Chinese Older Adults' Willingness to Use Institutional Elder Care

Zhiyu Chen — Thu, 21 Apr 2011 13:05:57 PDT

This study explores explanations for Chinese elders’ willingness or lack of willingness to use institutional care. The data is drawn from a survey over intergenerational relationships and age models conducted in Zhenjiang, China, in 2007. Only the responses of interviewees aged 55 and above (310 males and 318 females) were used in this study. Using zero-order correlation and multi-nominal regression analyses, this study examined the factors associated with Chinese elders’ willingness to use institutional care. Study results reveal that Chinese elders’ confidence in availability of familial care was negatively related to their willingness to use institutional care; elders’ knowledge about and impression on elder care homes were positively associated with their willingness. Male interviewees expressed lower levels of willingness compared to female respondents. This study shows that increased knowledge about elder care institution may increase Chinese elders’ willingness to accept institutional elder care.

"I Miss My Country, but My World is with My Children": Examining the Family and Social Lives of Older Indian Immigrants in the United States

Karuna Sharma — Wed, 15 Sep 2010 12:16:03 PDT

Within the context of ongoing social and demographic transformation, including the trend towards globalization, changing patterns of longevity and increasing ethnic diversity, this thesis examines the lives older Asian-Indian immigrants in the United States. To date, much of what little research exists on this group of elders focuses on acculturation and related stress, but there is limited research on the daily life experiences of these older adults, particularly as they pertain to family life, the practice of filial piety, and informal support exchange within their households, as well as their social lives more generally. Informed by two theoretical approaches, Life Course and Symbolic Interactionism, this research examines older immigrants’ social and family lives. The study employs a qualitative approach and involves in-depth semi-structured interviews with 10 older Asian-Indians living in the Atlanta area. To varying degrees, their lives are family-centered. Traditional Indian practices such as filial piety are individualized according to the intersection of American and Indian cultures and family (e.g., structure and history) and personal (e.g., personal resources) influences. Similar influences operate to shape their family and social lives more generally. These findings enhance existing understandings of older immigrants’ lives and illustrate similarities and differences. In doing so, the research provides valuable information that can promote cultural competence for those working with and designing policies and programs for adults in a rapidly aging and increasingly diverse society.

Age Differences in Word Recall Predictions

Amanda Kathryn Trujillo — Tue, 01 Jun 2010 12:58:10 PDT

This study examined factors related to word list performance predictions made by younger and older adults. A performance prediction is an estimate made prior to being exposed to the material that is studied for a specific task. The current study examined the age differences in a sample of 59 older adults (M = 76.83 years old, SD = 8.28) and 51 younger adults (M = 21.19 years old, SD = 3.22) on performance predictions for both an immediate and delayed word recall task. Memory self-efficacy and other self-rating measures were not found to influence immediate or delayed predictions. A repeated measures ANOVA revealed that older adults improved in absolute accuracy from immediate to delayed prediction whereas younger adults became less accurate. The results suggest that all metamemory skills do not deteriorate with age, as the older adults were capable of monitoring their memory accurately based on previous performance.

The Relationship between Subjective Memory and Objective Cognition, Depression, and Anxiety by Dementia Status

Nia MaLika Reed — Tue, 01 Jun 2010 12:04:55 PDT

This secondary data analysis of the Health and Retirement Study – Aging, Demographics, and Memory Study (ADAMS) examines the relationship between subjective cognition and objective performance, depression, and anxiety in cognitive impairment with no dementia (CIND) and dementia. With a cross-sectional design, this study consists of 480 older adults between ages 72-105. Participants completed the Mini-Mental State Examination. The Wechsler Memory Scale- Revised Logical Memory I/II measured memory. Anxiety and depression were measured by the Neuropsychiatric Inventory. Subjective memory was measured by the HRS Self-report Memory and Informant Questionnaire on Cognitive Decline in the Elderly. Independent t-tests and Pearson correlation analysis were employed to determine differences between the dementia and non-dementia groups. Results demonstrated that the CIND group had significantly better general cognition; more severe cognitive/memory problems in the dementia group showed weaker relationships between general cognition and memory performance; anxiety/depression were weakly related in CIND and moderately related in dementia.

Lonliness of Older Adults in Rural China

Zhen Guo — Mon, 22 Mar 2010 10:41:08 PDT

This study examined factors that influenced loneliness among rural elders in China. Data were collected from the latest wave of Living and Employment of Population Survey in 2005 (provided by Renmin University, China). The sample of this survey consisted of 284 rural elders in China. T‐tests was used to examine the influence of gender, marital status, health, financial support, and living arrangements differences in loneliness perception among Chinese rural elders. Multiple regression analysis was conducted to understand the influences of age and socio‐economic status on loneliness among the rural elders. This study provided insights for a better understanding of individual, social, and familial factors that influenced subjective loneliness in later life. Findings from this study might contribute to policymaking decisions regarding improvements of psychological well‐being among older adults in China.

Death and Dying in Assisted Living

Amanda M. White — Mon, 22 Mar 2010 10:41:07 PDT

This study examined death and dying in assisted living (AL) and the various factors that influence these processes. The study is set in a 60-bed assisted living facility outside of Atlanta, Georgia. Data collection methods included participant observation and in-depth interviews with 28 residents and 6 staff. Data were analyzed using the grounded theory approach and focused on the 18 residents who were dying and/or died during the study period. Findings show that AL residents experience a variety of dying trajectories that vary in duration and shape; for the majority of residents, hospice is an important element in their death and dying experiences. In general, death is not communicated or acknowledged formally within the facility. Responses to deaths depend largely on the nature of the relationship the deceased resident had with others. Findings have implications for how to handle death and dying in AL and to improve residents‟ experiences.

Administrators in Assisted Living: Who They Are and What They Do

Ailie M. Glover — Mon, 08 Feb 2010 17:04:37 PST

The assisted living industry is predicted to experience considerable growth due to the simultaneous aging of the baby boom generation and their subsequent need for long-term care. This study investigates individuals’ pathways to administration in assisted living and the ways in which assisted living administrators define and carry out their roles. The study contributes to the understanding of the knowledge, skills, and personal traits needed by those who assume these vital leadership roles in an industry poised to care for the bourgeoning population of older adults. The sample for this study is 44 administrators who work in a random sample of 45 assisted living facilities in Georgia. Qualitative methods were used to analyze the data. The data revealed that multiple multi-level factors not only facilitate an administrator’s pathway to AL administration, but these factors also help to shape how an administrator experiences his or her role within an ALF.

Developmentally Disabled Older Adults in Georgia: Rural, Metropolitan, and Urban Long Term Housing Availability

Tracy Cermak — Mon, 08 Feb 2010 17:04:36 PST

Older adults with developmental disabilities often experience similar age-related health changes as their typically developing peers. However, they also face challenges associated with aging with a life-long disability. Because of the changes in life expectancy for people with developmental disabilities, there is a growing need for long-term residential care. The current study examines a sample of 90 counties in the state of Georgia. In addition to descriptive analysis, regression analysis was used to examine bed availability with county type (urban, rural, and metropolitan), age, race, income, education, and disability status as potential predictors. Preliminary analyses revealed that rural counties, on the whole, had more beds available than urban or metropolitan counties. However, these results were partially mediated by the following within county variables: adult disability status, income, older age, and racial makeup of the county.