Dissertations / Theses: 'Community aging'

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Fay, Justin (Justin Thomas). "Aging in community." Thesis, Massachusetts Institute of Technology, 2008. http://hdl.handle.net/1721.1/44202.

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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 2008.
This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.
Includes bibliographical references (p. 101-103).
Baby Boomers are on the brink of retirement. According to U.S. Census Bureau projections, the number of people aged 65 and over will more than double in the coming decades, growing from 35 million in 2000 to 72 million in 2030. The current housing stock in the United States is incapable of accommodating the particular needs and demands of this burgeoning population of older adults. In the next decade, many seniors will move from their homes into new environments, ranging from independent living communities to assisted living facilities and nursing homes, each offering a different level of support and range of services. In recent years, a more comprehensive option for seniors seeking long-term housing has grown in popularity -- the Continuing Care Retirement Community (CCRC). CCRCs encourage active independence while offering a continuum of care options from short-term rehabilitation to long-term care services. Physical, sensory, and/or cognitive abilities commonly decline with age. CCRCs meet these changing health care needs in one location, enabling an individual to age -- dignity and sense of belonging intact -- within the community, thereby precluding the need to relocate and adapt to a new setting. This research investigates the performance of the CCRC model as an approach to housing the growing population of seniors. What has been the experience of these communities to date, and what can be learned from them that might influence their planning, design, and management in the future? Specifically, in what ways do CCRCs connect residents, both socially and physically, to the people, facilities, and services that comprise community?
(cont.) Two case studies located in the Greater Boston area -- one a large, privately developed and managed community, the other a comparatively small, college-affiliated community -- are analyzed to identify successes and limitations. This analysis leads to a set of "good practices" aimed at improving senior housing such that an aging population can thrive and age in one place.
by Justin Fay.
M.C.P.

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Small, Frankie Anne. "Military widows aging together in community." [Pensacola, Fla.] : University of West Florida, 2008. http://purl.fcla.edu/fcla/etd/WFE0000161.

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Vannice, Jeremy M. "Aging and architecture : community rather than isolation." Virtual Press, 2005. http://liblink.bsu.edu/uhtbin/catkey/1327787.

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This study has presented in detail statistics and research related to the elderly and aging population and the many housing options that are currently available to this age demographic. The research has shown that Assisted Living Facilities are rapidly becoming the preferred method of Elder Care in the US, so much so that they have begun to offer nursing care which is typically offered only by nursing homes. Further exploration demonstrated that there is a lack of consistency in these facilities, and the evidence points to the need for a new model of Assisted Living that will focus more on the individual while still providing necessary care. This discovery has lead to the concept of creating an Assisted Living Development as the new model to be considered by future designers and Assisted Living planners. The creation of this model has helped to outline a new methodology for the planning and organization of Assisted Living.
Department of Architecture

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LeFurgy, Jennifer Beth. "Staying Power: Aging in Community and the Village Model." Diss., Virginia Tech, 2017. http://hdl.handle.net/10919/77386.

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The population of adults over age 65 in the United States is expected to reach 89 million by 2050. This population growth will increase demand for aging services at the local and federal levels. Older adults are remaining in their homes in increasing numbers and are part of a paradigm shift that is transferring healthcare services from a centralized institutional model to a decentralized home-based model. However, a majority of homes older adults reside in lack basic accessibility features and are in predominantly suburban locations that have limited transportation options. Villages, a multi-faceted aging support program, were established to address limitations encountered by older adults as they age in their homes and communities. These volunteer-based, membership organizations are becoming a popular and rapidly adopted community-based intervention, but research on Villages has been limited. The purpose of this qualitative case study was to examine how two groups of older adults living in a suburban Naturally Occurring Retirement Community (NORC) aged in community. One group belonged to a Village and the other did not. The theory of residential normalcy provided the theoretical framework for examining how the older adults adapted to their environments through service use and support. Data analysis from interviews revealed four themes: access to information among the Village members and nonmembers; the role of social networks; useful services when aging in community; and the importance of trusted guidance as provided by the Village director. Because Village members have access to additional and consistent support sources, may be better able maintain residential normalcy and therefore age in community longer and more safely than non-members.
Ph. D.

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Caron, Catherine M. "A conceptual framework for community interventions in successful aging." Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/26864.

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As the number and percentage of elderly Canadians increase, it becomes imperative to understand successful aging in order to keep this growing segment of our population healthy and productive. Conceptual models of successful aging have been proposed in a number of disciplines (biology, psychology, sociology, epidemiology), but these have yet to be integrated. There is not even agreement on how to define successful aging, or on whether it is a state of being or an adaptive process. To date, there have been relatively few interventions to promote successful aging, and the lack of a theoretical approach makes it more difficult to design them and to assess the results of any interventions that have been attempted. In this thesis, I build upon the insights from existing literatures, and I propose a conceptual model for successful aging. I then discuss the application of this model to guide community interventions for Successful Aging Ottawa.

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Flositz, Steven J. "Aging with Independence and Interaction: An Assisted Living Community." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/4269.

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As the U.S. population gets older, there is an increased need for senior housing. However, elderly housing is currently associated with dependence and isolation. There is a great disconnect from the retired community with its surrounding context. Senior housing and nursing homes are becoming more similar to miniature hospitals rather than a residential type. This negative view of nursing homes is becoming clear to the general population. In fact, most seniors fear the idea of living within an aging complex. Also, people generally avoid these places, even while visiting family. Florida is on the frontline for the effects of the retiring baby boomers. This master’s project is about researching and designing a multi-housing community that strives toward social independence and interaction for the elderly. How does one solve the problem of the increasing need for senior housing when everyone discards the idea of old senior housing facilities and nursing homes? How could one create a place that can handle the needs of an aging community while attracting outsiders? In order to change the perception of elderly housing facilities, there needs to be major fundamental change in the design process. Healthcare and efficiency, even though vitally important, need to become secondary to social independence and multigenerational interaction as the driving force for design and development. These communities need to hold an identity that is appealing for different uses and for people of different ages. By improving the fundamental design process of senior housing, it is possible to introduce a sense of place and home which lack in current senior housing developments.

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Whitelaw, D. A., and D. A. Whitelaw. "Community acquired bacteraemia in the elderly." Master's thesis, University of Cape Town, 1990. http://hdl.handle.net/11427/24974.

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Age affects the human frame at all levels - from the skin which is ravaged by exposure to ultraviolet light and toxic irritants to the immune system which becomes progressively less responsive to antigenic stimuli. Bacteraemia follows a focal infection and thus any change which results in increased infection will result in an increased chance of bacteraemia. Therefore any factors bearing on focal infection will, of necessity influence not only the possibility but also the severity of a bacteraemia.

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Rivers, James. "Improving the usability and accessibility in aging rural communities: rural policy for innovation in an aging community." Kansas State University, 2014. http://hdl.handle.net/2097/17748.

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Master of Regional and Community Planning
Department of Landscape Architecture/Regional and Community Planning
Katherine Nesse
Most adults have grown accustomed to the current design orientation of their communities; however, as adults grow older they will be hard pressed to maintain their current lifestyle and level of activity in their community. This research identifies the importance of incorporating accessibility and usability elements into the streetscape of a community to encourage the integration of seniors into community life. One of the four pillars of the Main Street approach is design. This encompasses the design of building facades, streetscapes, and public spaces. This research looks at the Kansas Main Street program and investigates its success in furthering usability and accessibility of streetscapes in rural communities experiencing an aging population and infrastructure. My thesis is if the Main Street organizations of Kansas were concerned about the access and use of streetscapes for elderly populations, their concern would be expressed in development plans and practices through their Main Street program undertakings. Through this research, I have found that while rural communities see the value in accessible streetscapes their primary barrier to creating them is a financial one.

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Nelson, Gaius Grant. "Service settings for an aging society : a community ordering principle." Thesis, Massachusetts Institute of Technology, 1987. http://hdl.handle.net/1721.1/76408.

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Thesis (M.S.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 1987.
Includes bibliographical references (leaves 84-86).
Current facility models used in the design of housing and service settings for older people encourage the development of urban, large scale, age-segregated institutional environments. Research has either unwittingly or not, encouraged and perpetuated these models by stressing the need for congruence between person and dwelling environment. Such research has encouraged the movement of individuals to alternative living environments when age related changes in social, economic or health status reduce this level of congruence between person and environment based on key factors which are deemed important by gerontological researchers. Homeownership by older people is a behavior which is increasing. This is a trend which is not likely to reverse in the future. Approximately 75% of all people over the age of 65 choose to remain in their own owned single-family residential settings. It is estimated that by the year 1995 over 80% of all older people will live in their own homes, yet research of alternative models for service delivery to support these actions is sorely lacking. The key to providing services to an increasing number of older people in our society will not be through the production of alternative housing situations. What is needed is the provision of service setting s which assist these people in the maintenance of their lives within their chosen and preferred living situation. The research undertaken in this paper will investigate the development of alternative neighborhood based service settings designed to meet this growing need. The proposed model will integrate these service settings into residential areas using the neighborhood as an urban design framework. A case study will examine the usefulness of the neighborhood concept in the planning and delivery of services to older populations within a suburban community.
by Gaius Grant Nelson.
M.S.

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Hubbard, Linda K. "Caring for our own implications of a rapidly aging population for the 21st century community of faith /." Online full text .pdf document, available to Fuller patrons only, 2002. http://www.tren.com.

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Li, Shengshu. "Community Design For China’s Urban Elderly." University of Cincinnati / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1397736298.

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Gearin, Brian. "Aging wineskins in a new wine community recontextualizing the community of faith for the realities of the community at large /." Theological Research Exchange Network (TREN), 2001. http://www.tren.com.

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DeAngelo, Laurelea Lutes. "Aging in place, integrating senior's housing needs into a community plan." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ63500.pdf.

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Lam, Mei-yee, and 林美儀. "Community support facilities planning for an aging population in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31259716.

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Salyer, Amanda L. "An exploration into aging in the Muncie community using photovoice technique." Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/1356255.

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This study presented an overview of the use of Photovoice technique as an information gathering tool that is useful in the study of aging. The processes followed in this study lead to a possible method that could be helpful when assessing needs as they relate to activities of daily living as well as wellness information for individuals. The photos collected in this study along with first person accounts of the pictures enhanced the breadth and depth of information when compared to a traditional survey tool used to study activities of daily living. This study looked at the phenomenon of staying vital in ones home in the later stages of the life span from the perspective of the person living in the situation.
Fisher Institute for Wellness and Gerontology

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Yu, Yi. "Aging in Place: The Paradox of Community Eldercare in Urban China." Thesis, University of Oregon, 2019. http://hdl.handle.net/1794/24551.

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Population projections indicate that China will be the most rapidly aging country in the world in the near future. To meet the challenge of providing eldercare in a context of shrinking family sizes––where children are no longer able to care for their aging parents–-the Chinese government has selected community eldercare as its major solution. Despite the increasing popularity of community eldercare facilities, little is known about how they operate, their impact on the aging population, and their workforce. Drawing on qualitative date collected during six months of fieldwork in Beijing and Shanghai, this dissertation investigates how community eldercare facilities are established and operated, how they promote the Chinese government’s “healthy aging” agenda, how and to what extent they replace home care, and what kinds of working conditions they create for their caregivers. Findings reveal that (1) The local government collaborates with NGOs to set up community eldercare programs. Instead of striving for autonomy, these NGOs enjoy positive and collaborative relationships with their local governments, which allows them to have access to more eldercare projects and to occupy (and build) the eldercare market to earn future profits. (2) The community eldercare programs support the government’s “healthy aging” agenda, which promotes a lifestyle intended to facilitate independence and mobility. The eldercare programs’ support of this agenda allows the Chinese government to govern at a distance. (3) Community eldercare centers aim to provide a homely feeling for older adults in order to replace home care and facilitate aging in place; at the same time, they constitute a space of control. (4) Caregivers working to create homely feelings at community eldercare centers are required to work in accordance with care ethics, which places them in a “prison of love.”
2021-04-30

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Gayer, Colman. "Aging and social change in a religious community: A case history." Case Western Reserve University School of Graduate Studies / OhioLINK, 1991. http://rave.ohiolink.edu/etdc/view?acc_num=case1055340278.

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Lam, Mei-yee. "Community support facilities planning for an aging population in Hong Kong /." Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19906481.

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Staal, Jacqueline. "The Relationships Among Sleep Quality, Frailty, and Falls in Older Adults Residing in the Community." Thesis, Florida Atlantic University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10610477.

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One in three American older adults fall every year, making falls the leading cause of nonfatal injury treated in the emergency department (Centers for Disease Control and Prevention [CDC], 2013). Fall-related injuries cost the United States healthcare system nearly $30 billion a year and result in 27,000 deaths per year (Burns, Stevens, & Lee, 2016). The risk of falls increases with age, occurring more often in women than man. Age-related muscle weakness and functional decline contribute to fall risk. Age-related changes in neuroendocrine hormone production and shifts in circadian rhythms promote sleep disorders, affecting nearly two-thirds of older adults. Poor sleep quality over time leads to drowsiness and impaired attention span and judgment. The purpose of this secondary analysis of a previously collected data set was to describe the relationships among frailty, subjective sleep quality, and falls in community-dwelling older adults. This secondary analysis also sought to determine the extent to which frailty and subjective sleep quality predict risk of future falls among community-dwelling older adults. Correlational analyses were performed to determine the nature and significance of the relationship between sleep quality and falls, frailty and falls, and sleep quality and frailty. A multiple regression analysis was performed to determine if sleep quality and frailty combined could predict falls. Frailty was found to account for a small variance in fall risk. However, sleep quality was not significantly related to falls nor was sleep quality predictive of falls. Risk for falls should be assessed at every clinical encounter and efforts to promote restful sleep should be addressed at least annually to reduce the risks of falls, functional decline, and sleep disorders among older adults in the community.

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Sheehan, Brieanne M. "Aging on Wheels: The Role of Age in a Queer Female Biker Community." Oxford, Ohio : Miami University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1260824565.

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Oakley, Robin L. "Aging and the life course in Steinkopf, a rural South African community." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ41261.pdf.

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Griffin, Shelby E. "The craft of aging in place: identifying major constraints within the community." Kansas State University, 2011. http://hdl.handle.net/2097/8791.

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Master of Regional and Community Planning
Department of Architecture/Regional and Community Planning
John W. Keller
The aging demographic of the United States is growing at an alarming rate. Each day, there are more than 10,000 people turning 65 years old. The majority of these individuals prefer to live in their home, called aging in place. Aging in place requires the resident to be relatively independent and capable of accessing necessary services. The emergent demographic shift will compel every community across the country to focus community planning efforts toward older adults. The amenities and structures in a community are, most of the time, not favorable for the older demographic. People in their later years develop various medical and physical conditions and subsequently, find difficulty when adapting to the environment. These individuals definitely need extra care and consideration from all sectors of the community. Creating an environment that promotes aging in place for older adults is confronted with multiple barriers that a community must work past.

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Joseph, Lisa N. "The Manifestation of Activity Theory in an Aging Community: An Explorative Collection." Miami University Honors Theses / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=muhonors1115409058.

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Holmes, Bernadette J. "Victimization of the elderly : an analysis of the level of social functioning in the community : an exploratory study /." The Ohio State University, 1985. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487260531955616.

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Alonso, Michele Rosemarie. "Community-based older adults' perceptions of factors that influence successful aging in place." FIU Digital Commons, 2002. http://digitalcommons.fiu.edu/etd/1110.

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The purpose of this study was to obtain an understanding of older adults' perceptions of independence and the factors that allow them to remain living independently in the community. A questionnaire was mailed to a random sample of 500 community-based older adults. One hundred seventy eight questionnaires were returned (36%). Respondents were asked questions related to independence, self-health rating, functional difficulties, and social supports. Most respondents indicated Mental Health (97%), Physical Health (97%), Control of choices (97%), and Social Support Systems (93%) contributed to maintaining independence in the community. Age, education, fewer chronic health conditions, and a higher self-health rating were found to be significant predictors of actual independence. Family members were identified as the primary source of assistance with advice on major life decisions and financial matters. Findings indicate age, education, health status and the social support of family and friends all play an important role for older adults to live independently in the community. Occupational therapy could be instrumental in extending the health, highest level of independent functioning, and the number of years older adults remain living in the community.

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Dudley, Nancy Elizabeth. "Factors Influencing the Uptake of Community-based Palliative Care." Thesis, University of California, San Francisco, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10133428.

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Over the past ten years, community-based palliative care (CBPC) has rapidly expanded as older adults are living in the community longer with advanced illness and high symptom burden. Yet there are no models of standardized care for this population. It has been suggested that primary and secondary palliative care be delivered in the primary care setting to address palliative care needs in the community. However, a description of older adults in primary care with advanced illness and symptom burden who would benefit from primary and secondary palliative care, and a description of the process to deliver care are lacking. The aim of this dissertation was to explore the facilitators and barriers to providing palliative care in primary care, and to describe the prevalence of advanced illness and symptoms of older adults in primary care to identify who would benefit from palliative care in primary care.

Using a grounded theory methodology, twenty semi-structured interviews were conducted with primary care and palliative care providers in academic and community settings. Four major themes emerged from the data that are facilitators and barriers in care coordination: (i) role clarity; (ii) feedback and communication; (iii) time constraint and workforce; (iv) education.

A secondary analysis was conducted using the National Ambulatory and Hospital Medical Care Surveys 2009-2011 to examine primary care visits. There were more visits by older adults to primary care for advanced illness and symptoms than to non-primary care. More visits were due to advanced COPD, CHF, dementia, pain, depression, anxiety, fatigue, and insomnia compared to non-primary care. This research contributes to our knowledge of the delivery of palliative care in the community and the patient population that could benefit from primary and specialty palliative care. I offer a conceptual model of the process of primary care and specialty palliative care in order to coordinate care for older adults with advanced illness and progressive symptomatology.

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Ferrell, David L. "LIVABLE FOR ALL AGES: EVALUATING PERCEPTIONS OF COMMUNITY IN AN INTERGENERATIONAL CONTEXT." UKnowledge, 2018. https://uknowledge.uky.edu/csw_etds/20.

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Aging-friendliness work uses a model of eight core domains to assess and achieve communities in which people are more equipped to age well, and remain in their community as they age. These domains are broken into the built environment (i.e., Housing, Transportation) and the social environment (i.e., Communication, Social Inclusion, Employment). This dissertation is centered on the efforts to make communities more aging-friendly, and focuses specifically on the Livable Lexington initiative. This dissertation utilized an exploratory study of a pre- and posttest evaluative design to pilot intergenerational discussion groups as a potential intervention. Intergenerational discussion groups were developed with the goal of changing community members’ perceptions of how aging-friendly their community is, and were a way of operationalizing Rawlsian concepts such as the Veil of Ignorance and Wide Reflective Equilibrium, with the end goal of Intergenerational Equity. The three outcome variables in the study were perceptions of 1) ability to age in place, with regard to domains, 2) overall aging-friendliness, and 3) ability to engage and participate in community activities (such as decision making). Recruited from an initial aging-friendly needs assessment developed by AARP, the intergenerational discussion groups (n = 40) exposed participants to an environment that allowed them to lead discussion around what would make their assigned core domains (i.e, housing, transportation, social inclusion, communication, employment, etc.) more aging-friendly. Participants in the discussion groups perceived a greater ability to age in place, with respect to the social environment (p < .001), as well as a greater ability to engage and participate in community activities (p < .001). Additionally, participants perceived their community as more aging-friendly after the intervention (p < .001). The participants, however, did not perceive a greater ability to age in place, with regard to the built environment (p < .001). Throughout the discussion, the results are tied back into the literature and theory, and reasons for the adverse result in the built environment are also discussed (while more time is often necessary to notice changes in the built environment). Implications for this research, as well as future recommendations are discussed, as well.

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Bailey, Cara L. "Understanding the Meaning of Community Engagement for Aging in Place within a Social Capital Framework." Diss., Virginia Tech, 2007. http://hdl.handle.net/10919/28480.

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This study explored the meaning of community engagement of older adults, within a social capital framework, in a community noted for its relatively high concentration of active, older adults. The multiple meanings of community engagement within the creation of a place of age were investigated using concepts derived from a social capital framework. A place of age is where older adults are integral to family life, participate in community life, and bring collective life experiences and wisdom to civic life. This research addresses gaps in the current literature about suburban places and the meanings of community engagement for an aging population within these places. The importance of this research lies with expanding the understanding of the multiple meanings of community engagement and the potential for reinforcing, through public policy, these meanings through the development and support of the social capital created by older adults in places of age. The research methodology was an in-depth case study analysis of West Saint Paul, Minnesota. In-person, semistructured interviews were conducted with 21 individuals, aged 65 years and older, who had been residents of West Saint Paul for at least 25 years. Findings of this study revealed multiple meanings of community and community engagement for study participants, but all had a strong sense of community relative to their neighborhoods and the city of West Saint Paul. All had well-developed social networks that involved family members, friends, and neighbors. Nearly all engaged in neighboring behaviors of helping out when needed and generally looking out for one another. All participants expressed a feeling of trust of others within their own neighborhoods, and most did not feel trusting of others beyond their neighborhoods. All participants had consistently voted, and all engaged in formal civic activities at some point in their lives. All participants, lifelong volunteers, were members of a Christian church, and much of their volunteer time was given to church activities. The key finding from this study was the important role of neighboring behaviors, faith-based affiliation, and family in the meaning of community engagement within each participant's life.
Ph. D.

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York, Jessica L. "Religiosity and Successful Aging: The Buffering Role of Religion against Normative and Traumatic Stressors in Community-Residing Older Adults." Cleveland, Ohio : Cleveland State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=csu1210871728.

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Thesis (M.A.)--Cleveland State University, 2008.
Abstract. Title from PDF t.p. (viewed on July 8, 2008). Includes bibliographical references (p. 78-87). Available online via the OhioLINK ETD Center. Also available in print.

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ISHIGURO, NAOKI, AKIO MURAMOTO, NORIMITSU WAKAO, YUKIHARU HASEGAWA, SHIRO IMAGAMA, and KENICHI HIRANO. "Impact of Back Muscle Strength and Aging on Locomotive Syndrome in Community Living Japanese Women." Nagoya University School of Medicine, 2013. http://hdl.handle.net/2237/17601.

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Collins, Elizabeth. "Aging with autism| A professional staff training program for nick's community| A grant proposal project." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1582855.

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Individuals diagnosed with autism face multiple challenges especially when aging out of the public school system, such as finding a job or a place to stay while their parents are at work. A day program is a service, which can provide support for individuals with autism. The purpose of this project was to write a grant proposal for the implementation of a professional staff training program at Nick's Community, which is a nonprofit day program. The major components of the proposed training program are conducting new and ongoing training to the staff at Nick's Community through workshops, small group activities, and hands-on participation. The submission for funding of this grant was not required for the successful completion of this thesis grant-writing project. Implications for social work research and practice are included.

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Dachröden, Sofia Caetano de Almeida Freifrau von Humboldt. "Adjustment to aging and subjective well-being in an older cross-national community-dwelling sample." Doctoral thesis, ISPA - Instituto Universitário das Ciências Psicológicas, Sociais e da Vida, 2013. http://hdl.handle.net/10400.12/2736.

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Tese submetida como requisito parcial para obtenção do grau de Doutoramento em Psicologia - Área de especialidade Psicologia da Saúde
Objectivos: O presente trabalho teve como objectivos conceptualizar o ajustamento ao envelhecimento (AaE), e construir um modelo estrutural para as variáveis predictoras do AaE e do bem-estar subjectivo (BES) na adultícia avançada. Método: Este trabalho compreendeu três etapas: a revisão sistemática da literatura; o estudo exploratório qualitativo; e o estudo quantitativo. Na revisão sistemática para o AaE e o BES na idade avançada, uma extensa pesquisa foi realizada, utilizando bases de dados relevantes. Na etapa qualitativa exploratória, um total de 253 participantes foram entrevistados acerca do seu AaE e a sua idade subjectiva. Adicionalmente foram analisadas 154 entrevistas acerca da percepção de espiritualidade dos idosos, no contexto do AaE. Na etapa quantitativa, uma amostra de 1291 idosos, com idades entre 75 e 102 anos, não institucionalizados e de diferentes nacionalidades participaram neste estudo. Os participantes preencheram a escala proposta e os instrumentos validados respeitantes ao AaE, BES e ao sentido interno de coerência. Resultados: Na revisão sistemática do AaE, foram seleccionados 13 artigos a partir de um total de 1291, enquanto no BES, 14 artigos foram seleccionados a partir de 616 artigos. Estes preencheram os critérios de inclusão e englobaram um total de 18.253 participantes no total, em ambas as revisões. Os resultados do estudo qualitativo revelaram que "sentido existencial", foi a resposta de AaE mais frequente. O conceito 'ajustamento e idade' foi explicado por um modelo distinto para cada nacionalidade envolvida. A espiritualidade foi elucidada por um modelo com três factores. Os resultados obtidos pelo estudo quantitativo indicaram uma escala de AaE de cinco factores e 22 itens factores, com boas propriedades psicométricas (em termos de propriedades de distribuição, pesos factoriais estatisticamente significativos, validade factorial, convergente, discriminante, de critério e externa, e fiabilidade). Cinco factores foram apurados para a escala AaE: (a) sentido de propósito e ambições; (b) zest e espiritualidade; (c) corpo e saúde; (d) aging in place e estabilidade; e (e) suporte social. Adicionalmente, os resultados indicaram que a espiritualidade foi a variável predictora mais forte em ambos os modelos estruturais do AaE e do BES. Conclusões: Os resultados apresentados no estudo qualitativo enfatizaram a necessidade de um entendimento profundo das percepções do AaE e da idade subjectiva, de um modelo para o ‘ajustamento e idade’, destacando a pertinência da espiritualidade para o AaE. Os resultados do estudo quantitativo evidenciaram a escala de AaE como um instrumento trans-cultural, originalmente desenvolvido, com validade e fiabilidade e com aplicação na pesquisa e prática clínica na área da saúde. Finalmente, esta investigação destacou a necessidade de explorar as variáveis predictoras do AaE e BES, em especial a espiritualidade. Investigações futuras e abordagens clínicas com esta faixa etária deverão integrar o AaE e o BES como constructos multi-dimensionais pertinentes em diferentes contextos culturais para a promoção de um envelhecimento adequado, num contexto salutogénico de saúde.
ABSTRACT: Objectives: The present research intended to conceptualize adjustment to aging (AtA) and to build a structural model for AtA and subjective well-being’s (SWB) predictors, respectively in late adulthood. Methods: This research comprised three stages of work: a systematic literature review; an exploratory qualitative study; and a cross-sectional quantitative study. Concerning the systematic review for AtA and SWB in old age, an extensive search was conducted using relevant databases. Regarding the exploratory qualitative study, a total of 253 participants were initially interviewed about their AtA and subjective age. Additionally, 154 interviews were analyzed concerning older adults’ perceptions of spirituality, within AtA. Furthermore, a cross-national older community-dwelling sample of 1291 older adults, aged between 75 and 102 years participated in this study. These participants filled in the proposed scale and validated instruments to assess AtA, SWB and sense of coherence. Results: Regarding AtA, 13 articles from 1,291 records, whilst as to SWB, 14 articles from 616 records, met the inclusion criteria, with a total of 18,253 participants in total for both reviews. Findings from the initial qualitative study showed that ‘existential meaning’ was the most prevalent AtA response. ‘Adjustment and age’ was explained by two cross-nationally distinct models. Moreover, ‘spirituality’ was explained by a three-factor model. The results from the quantitative study indicated that the 22-item 5-factor AtA scale showed good psychometric properties (in terms of distributional properties, statistical significant factor weights, factorial, convergent, discriminant criterion and external related validities, and reliability). Five factors were selected for the AtA Scale: (a) sense of purpose and ambitions (b) zest and spirituality; (c) body and health; (d) aging in place and stability; and (e) social support. Additionally, findings showed that spirituality was the strongest predictor in both structural models of AtA and SWB. Conclusions: The findings presented in the qualitative study emphasized the need for a better understanding of the perceptions of older adults’ AtA and subjective age and of an ‘adjustment and age’ overall model. Additionally, the outcomes highlighted the potential of spirituality to AtA. Results from the quantitative study evidenced AtA Scale as a new, reliable and valid cross-cultural instrument for research and clinical practice in health care. Finally, this research highlighted the need for deepening the predictors for ATA and SWB, in particular spirituality. Future research should address AtA and SWB, as being pertinent crossnational and multi-dimensional constructs for promoting aging well in later life, within a salutogenic context for health.
Tese submetida como requisito parcial para obtenção do grau de Doutoramento em Psicologia - Área de especialidade Psicologia da Saúde
O presente trabalho foi financiado pela Fundação para a Ciência e Tecnologia (SFRH/BD/44544/2008).

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McGaffic, Cheryl Mallernee. "Patterns of spirituality and health among aging adults and dying adults living in the community." Diss., The University of Arizona, 1995. http://hdl.handle.net/10150/187408.

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This research tests and refines a middle range theoretical model about unitary developmental patterns in aging adults and dying adults. The primary aim was to explore the relationships among four unitary patterns of Health (power, personal death awareness, perceived symptoms in transition, and well-being) and three unitary patterns of Spirituality (self-transcendence, spiritual perspective, and meaning and purpose in life and death). A secondary aim was to explore the personal meanings of death for participants. A descriptive, cross-sectional design was used to answer the research questions. The sample was composed of 35 aging adults and 35 dying adults. Descriptive statistics were used to examine relationships among demographic and study variables. Relationships among variables were explored using bivariate and canonical correlational analysis. Content analysis was used to describe the meaning of death paragraphs. Analysis of variance and covariance was used to describe differences between the groups. Dying adults had greater death awareness than aging adults. There were no differences between the two groups for the other three patterns of Health. There were no differences in self-transcendence or meaning and purpose in life and death. Differences in spiritual perspective were gender-related, aging men having less spiritual perspective than aging women, dying men, or dying women. Different patterns of relationships were identified for each group. Greater purpose and self-transcendence were positively associated with greater well-being, more positive and fewer negative symptoms in transition, and more power for aging adults. For dying adults, less purpose, self-transcendence, and spiritual perspective were associated with less well-being, less positive and more negative symptoms, less power and more death awareness. Moderate or high scores were obtained on instruments measuring power, well-being, self-transcendence, spiritual perspective, and purpose in life. Both groups attributed positive evaluations, acceptance, and self-transcendence to meanings of death. This research enhances understanding of the potential for personal transformation and ongoing development in persons facing death. It also provides direction for nursing care in terms of fostering a sense of purpose in life, promoting spiritual expression, and assisting identification of patterns of power, symptoms in transition, and death awareness.

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Herrmann, Andrew F. "Never Mind the Scholar, Here’s the Old Punk: Identity, Community, and the Aging Music Fan." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/461.

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Book Summary: Part I, 'Theoretical Openings,' of Volume 39 of Studies in Symbolic Interaction contains outstanding contributions by leading interactionists on welfare reform, history, biography and memory. The three chapters in Part II, 'Studies in Social Construction,' interrogate the complexities of social interaction, interpersonal and professional identity, and the cinematic representation of alcoholism. Part III takes up important interpretive interventions on the topics of imagination and intimate deception in everyday life.

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Wickersham, Claire E. "The Pioneers of the Village Movement: An Exploration of Membership and Satisfaction Among Beacon Hill Village Members." Miami University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=miami1430305412.

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Farinha, Helena Margarida Caeiro. "O envelhecimento ativo num clube de saúde sénior - um projeto de intervenção na comunidade." Master's thesis, Universidade de Évora, 2016. http://hdl.handle.net/10174/18618.

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Tema e referencial teórico: Atendendo ao acentuado envelhecimento da população portuguesa, o enfermeiro assume um papel crucial na promoção do Envelhecimento Ativo na comunidade. Este projeto foi implementado numa Unidade Cuidados na Comunidade, num Clube de Saúde Sénior, tendo subjacente um diagnóstico da situação. Caraterizou-se a população alvo e identificaram-se os seus interesses, contribuindo para a elaboração do plano de atividades. Objetivo: Promover o Envelhecimento Ativo num Clube de Saúde Sénior. Metodologia: Metodologia do Planeamento em Saúde. Resultados: A população alvo é constituída por 43 pessoas, maioritariamente mulheres idosas, com baixa escolaridade. Apesar de apresentarem défices quanto ao estado de saúde mental e na realização das atividades de vida, são maioritariamente independentes. O plano de atividades foi construído tendo em conta as sugestões recolhidas. Conclusões: Salienta-se a importância da promoção do Envelhecimento Ativo, como estratégia facilitadora da promoção da saúde, manutenção da independência e autonomia e participação ativa na comunidade; ABSTRACT: Theme and Theoretical: Attending the accentuated aging of the Portuguese population, Nurses assume a key role in the promotion of active ageing in the community. This project was implemented in a Unit Care in the Community, more properly in a Senior Health Club, having underlying a diagnosis of the situation. The target population has been characterized and their interests have been identified, contributing, this way to the development of the Activity Plan. Objective: Promote active ageing in a Senior Health Club Methodology: Methodology of health planning. Results: The target population consists of 43 people, mostly elderly women, with low education. Despite having deficits in them state of health and mental in the realization of life activities, mostly they are independent. The Activities’ Plan was built taking into a count the collected suggestions. Conclusion: It emphasizes the importance of active ageing promotion maintenance the independence and autonomy, and active participation on the community.

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Zeitler, Elisabeth. "Older people's mobility within the community : the impact of built environment and transportation on active aging." Thesis, Queensland University of Technology, 2013. https://eprints.qut.edu.au/64102/1/Elisabeth_Zeitler_Thesis.pdf.

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Population ageing is one of the major challenges of the 21st century and societies need to optimize opportunities for active ageing. This thesis explored how the built environment impacts the mobility and participation within the community. A combination of person-based GPS tracking and in-depth interviews was used to collect data on transportation use and engagement in activities of older people living within Brisbane. It showed that the built environment has a strong impact on mobility. To enable healthy and active ageing modern communities need to overcome car dependency and provide mobility options that are tailored towards older people’s needs.

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Bailey, Christie N. "The influence of gardens on resilience in older adults living in a continuing care community." Thesis, Florida Atlantic University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10154932.

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The purpose of this study was to explore the relationship between green environments and resilience in older adults. It had two aims: 1) to explore the effect of a reflective garden walking program on resilience and three of its related concepts— perceived stress, personal growth initiative, and quality of life—in older adults, and 2) to explore the resilience patterns of older adults engaging in the reflective garden walking intervention. A parallel mixed method design using a quasi-experimental quantitative and a descriptive exploratory qualitative approach was used. Participants engaged in a six week reflective garden walking program. By the end of the program, resilience levels exhibited a slight increase and perceived stress levels a decrease. The qualitative data supported some beneficial effects of the reflective garden walking program, but also indicated that much of the participants’ experience of resilience may have been related to the rich social and nature-filled environment in which already they lived. Patterns of resilience that appeared in the data were maintaining a positive attitude, belief in one’s self in the face of one’s vulnerabilities, woven into the social fabric, purpose and meaning, personal strength, and communities for growing older

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Bester, Monica. "African American grandparents residing in a nursing facility| Perceptions of influence with their grandchildren, family, and community." Thesis, Wayne State University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1588032.

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African American older adults have historically been identified as vital members of the African American family and community (Hill, 1972; Cox, 2002; Waites, 2008). Unfortunately, research has shown an increasing number of older African Americans are being admitted into nursing facilities (Paul, 2004; Feng et al., 2011). Between the years of 1998-2008, it was projected African Americans living in nursing homes increased by 10.8% (Feng et al., 2011). This study explores the intergenerational relationships of older African American adults with their grandchildren, family, and community through the lens of Intergenerational Family Systems Theory. By viewing this qualitative study through the lens of Intergenerational Family Systems Theory, changes in the older adults’ kinscripts were analyzed to obtain a greater understanding of affects associated with nursing home relocation and the older adults’ relationship with their grandchildren, family, and communities since being admitted. By utilizing a grounded theory approach, this study has found key areas to influence future social work practice and research.

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Burden, Josephine E., and n/a. "Living Life to the Full: a Qualitative Study of Community Theatre, Older People and the Construction of Leisure." Griffith University. School of Leisure Studies, 1997. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20050914.125729.

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Older women and men were participants in this qualitative research of three case studies of community theatre. Their stories, gathered through in-depth interviews and participant observation of the theatre projects over a four year period, informed the development of a theoretical model of leisure as process. Through devising and presenting their theatre pieces, 50 older people, ranging in age from 45-8 5 years, with differing cultural and socio-economic backgrounds, reflected on personal experiences, negotiated their own processes for working collaboratively, and presented the stories of theft lives publicly in a way which affirmed their actions and understandings of themselves and theft world. Interviews with more than 30 of these people allowed an analysis of the ways in which older people negotiated the processes of play-building and constructed meaning in their lives at a time when the social structures of paid work and family were becoming less central as people moved into their third age. This research has located the study of individual agency through leisure in the context of the social structures which shape constraints to leisure and in turn limit individual agency. As such, the research has been concerned both with the self and with social relationship and has theorised leisure as a process of negotiation. Since process implies change over time, the research methods used and the leisure context selected for study were also process oriented. The research methodology was emergent and took on qualities of action research as the study progressed. By focusing on community theatre as the social context for leisure, the nexus between community development, community theatre and action research was examined and found to inform a broader understanding of leisure as process. The research has also expanded knowledge of community theatre as a collaborative process which draws on individual and collective reflections to build public presentations of issues of concern to participants. The processes of community theatre have received no attention to date in the leisure literature. The negotiation of self takes place in different social contexts for women and for men, for Aboriginal and non-Aboriginal Australians, for old and young, and for people from different socio-economic backgrounds. This research demonstrated that changes in personal situations as a result of the aging process, changes in family context and changes in work context are associated with changes in the negotiation of self, and these changes are expressed through leisure activity as well as other involvements less clearly classified as leisure. Purposive aspects of leisure assumed greater significance as people grew older and this was expressed in the culture of busyness and a pride in 'never being home'. Older women, in particular, developed friendships and community networks outside the family unit as relationships with husbands and children changed. These social connections were found to facilitate difficult transitions such as divorce or the death of a spouse. Community theatre supported the development of community networks, and presented an opportunity to claim a voice in the public arena and challenge the invisibility of older age. The research added to knowledge about constraints on leisure involvement by older people, and identified personal, social and material constraints. The most significant of these were the personal constraints of fear and of ill-health. However, participants in this research continued to negotiate a path through constraint in order to live their lives to the full. Analysis of their stories indicated that whilst constraint sometimes operated as a hierarchical process of control pushing people into isolation, people who were supported in their efforts to negotiate constraint through the development of community networks gained self-confidence and a heightened sense of agency. The processes of community development used in community theatre were found to facilitate the negotiation of constraint by developing personal skills and strengthening social support. The constructivist orientation of the research acknowledged the dialectical nature of knowledge construction and the possibility of social change through research. Aspects of action research were demonstrated in the processes of community theatre, which also seeks social as well as personal change. The research has a political motivation in that it seeks to strengthen the position of participants. Concern with the power relationship between researcher and researched facilitated a deeper understanding of the role of power in the process of leisure. The research opens up one small window on the processes whereby people may continue to live life to the full through active engagement in life and leisure.

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Brooks-Cleator, Lauren Alexandra. "First Nations and Inuit Older Adults and Aging Well in Ottawa, Canada." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39142.

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Urban First Nations and Inuit older adults are aging in a Western-centric sociopolitical environment that is experiencing significant social change due to population aging and urbanization. Consequently, urban communities are facing increasing pressures to respond to the needs of the growing older adult population. As a result of these pressures, older adults are urged to “age well” to reduce their “burden” on society; however, older adults do not all define aging well in the same way and they do not all have the same opportunities to age well. Through my research, I aimed to address a gap in the academic literature concerning urban-dwelling First Nations and Inuit older adults and aging well. Ultimately, my goal was to identify how First Nations and Inuit older adults living in Ottawa could be supported to age well in ways that reflect their urban Indigenous identities, cultural perspectives, and life course. My specific research questions are four-fold: 1) Are Indigenous older adults marginalized through dominant aging well frameworks?; 2) how do community-dwelling First Nations and Inuit older adults (aged 55 years and over) living in Ottawa, Canada, define and negotiate aging well in an urban environment?; 3) what community-level factors contribute to First Nations and Inuit older adults (aged 55 years and over) feeling supported to age well in the city of Ottawa?; and 4) how do community stakeholders in Ottawa produce understandings of supporting urban Indigenous older adults to age well? Informed by a postcolonial theoretical framework, I conducted this research using a community-based participatory research (CBPR) methodology in Ottawa, Ontario, Canada, in partnerships with the Odawa Native Friendship Centre and Tungasuvvingat Inuit. To address my research questions, I conducted semi-structured interviews with nine First Nations older adults, focus groups with 23 Inuit older adults, and photovoice with two First Nations older adults. Additionally, I conducted 13 semi-structured interviews with community stakeholders (i.e., decision-makers and service providers. My doctoral research makes novel contributions to the fields of kinesiology and gerontology by expanding postcolonial theory to issues related to aging research with urban Indigenous older adults; contributing to the emerging literature that brings diverse perspectives into conversations on aging well; challenging assumptions related to urban Indigenous populations and aging well; illustrating the tensions within aging well initiatives that intended to be available for all older adults; and revealing the tensions within efforts to address reconciliation with Indigenous older adults.

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Bross, Stephanie. "Senior Living and Health: Designing for a Multigenerational Community." University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1522420176287392.

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Albuquerque, Thais Aguiar De. "Diversity and effect of the microbial community of aging horse manure on stable fly (Stomoxys calcitrans) fitness." Diss., Kansas State University, 2012. http://hdl.handle.net/2097/14191.

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Doctor of Philosophy
Department of Entomology
Ludek Zurek
Stable flies (Stomoxys calcitrans L.) are blood-feeding insects with a great negative impact on livestock resulting in annual losses around $2 billion in the USA alone. One of the main reasons for such an impact is because stable fly management is very difficult. Stable fly larvae develop primarily in animal manure and live bacteria were shown to be essential for stable fly development. I hypothesized that the microbial community of horse manure changes over time and plays an important role in stable fly fitness. Two-choice bioassays were conducted using 2 week old horse manure (control) and aging horse manure (fresh to 5 week old) to evaluate the effect of manure age on stable fly oviposition. The results showed that fresh manure did not stimulate oviposition and that the attractiveness increased as manure aged but started to decline after 3 weeks. Stable fly eggs artificially placed on 1, 2, and 3 week old manure resulted in significantly higher survival and heavier adults comparing to those developing in fresh, 4, and 5 week old manure. Analysis of the bacterial community of aging horse manure by 454-pyrosequencing of 16S rDNA revealed a major shift from strict anaerobes (e.g. Clostridium, Eubacterium, Prevotella, Bacteroidales) in fresh manure to facultative anaerobes and strict aerobes (e.g. Rhizobium, Devosia, Brevundimonas, Sphingopyxis, Comamonas, Pseudomonas) in 1-5 week old manure. Identified volatile compounds emitted from 2 and 3 week old horse manure included phenol, indole, p-cresol, and m-cresol. However, none of them stimulated stable fly oviposition in two-choice assays. In conclusion, the microbial community of 2 and 3 week old horse manure stimulates stable fly oviposition and provides a suitable habitat for stable fly development. Manure at this stage should be the main target for disrupting the stable fly life cycle. Volatile compounds acting as oviposition stimulants/attractants and their specific bacterial origin remain to be determined. Better understanding of stable fly microbial ecology is critical for development of novel management strategies based on alteration of the microbial community of stable fly habitat to generate a substrate that is non-conducive to fly oviposition and/or larval development.

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Warner, Nicholas A. "Secondary Life of Automotive Lithium Ion Batteries: An Aging and Economic Analysis." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1366371336.

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Ayers, Katherine Elizabeth Ruth. "Making Community in the Wilderness: A Case Study of Women's Land's Throughout the United States." Diss., Virginia Tech, 2021. http://hdl.handle.net/10919/101972.

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Over the summer and fall of 2018, I spent time at nine of the lands and two women's-only music festivals and interviewed 39 women. This dissertation is the result of those interviews and my copious field notes. Chapter one frames the question of community sociologically and examines why the lands often remained homogenous even though their goal was that every woman was welcome to come visit and live. It contrasts the lands to women's-only music festivals, which often included diverse women. Chapter two shows how lands not designed to support old women slowly, and unintentionally, become retirement communities. Families of choice, often consisting of the other women living in the community, help the women who need extra assistance, but within limits set by an unaddressed ageism. The lands are at risk if they fail to attract younger members. Chapter three explores the mutual mistrust between the women's land members and the academic community that I found myself navigating as I completed this project. It details the compromises all feminist communities must make to sustain themselves, and explores how the tension caused by my participation in both the women's lands and academic feminist communities yielded insights into both.
Doctor of Philosophy
As part of the American second wave feminist movement, a new group of radical feminists emerged. Instead of trying to work within the system, as the feminists before them had done, they decided to create an alternative system as best they could. This dissertation project focuses on the current iteration of these lands; to do this research I spent time at nine of the lands and two women's-only music festivals and interviewed 39 women during the summer of 2018. Part of creating these alternative systems included buying land in rural spaces across the United States and setting up new communities not beholden to any current way of doing things. A major ethos of their communities was that all women were welcome, regardless of race, economic, class, dis/ability, or other identities. The first chapter examines how, despite the women's best intentions, these spaces were and continue to remain today, homogenous, and contrasts the lands with other feminist organizations and women's-only music festivals that were able to diversify. Chapter two explores how women are aging on the lands and the struggles the women are facing in attracting new members. The last chapter examines the mutual mistrust of me I found within both the feminist and academic communities, how I navigated that mistrust, and ultimately that mistrust offers insights into how both communities make compromises to sustain themselves.

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Dighe, Shatabdi S. "Readiness Assessment of Area Agencies on Aging in Georgia to Prevent Elder Abuse." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/iph_theses/163.

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Elder abuse has traditionally been a silent social issue in America. However, with an estimated increase in the older population over the next 50 years, and given the preventable nature of violence, it is quickly becoming a major public health priority area. Each year hundreds of thousands of elderly are abused, neglected, or exploited financially worldwide. In the United States alone, it is estimated that 500,000 cases of elder abuse occur annually—with research indicating that substantiated cases are a mere underreport of the true problem. The US federal government has appointed State Units on Aging to address elder abuse. Georgia’s Division of Aging Services (DAS) is located within the Department of Human Services and administers various services to elderly including advocating for their safety and well being. DAS carries out its work through locally appointed Area Agencies on Aging (AAA). While AAAs serves as a first point of entry for elderly population locally, their involvement in reporting and intervening in elder abuse cases has been limited. The purpose of this capstone project is to examine the AAAs’ stage of readiness to address elder abuse using the Community Readiness Model, developed by researchers at the University of Colorado. Telephone administered surveys were completed with 7 out of the 12 Georgia AAAs. Through a double rater review process, transcripts were coded according to diverse constructs of the Community Readiness Model and ultimately a readiness score was produced. The Community Readiness Score provides insight into evidence-based strategies that can be implemented in order to advance elder abuse intervention and prevention within the AAA communities. The findings from this study provide insights into cost-efficient, tailored strategies that can maximize the use of DAS funding for AAA elder abuse case response and service delivery.

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Severance, Jennifer Jurado. "A Survey of Collaborative Efforts Between Public Health and Aging Services Networks in Community Health Centers in Texas." Thesis, University of North Texas, 2009. https://digital.library.unt.edu/ark:/67531/metadc10984/.

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Federally qualified health centers (FQHCs) that harness the reinforcing nature of collaborative efforts with aging services can better prepare for the future of older adult populations. The purpose of this research was to identify collaborative efforts between FQHCs and aging services and distinguish perceptions and knowledge regarding older adult populations. Executive directors, medical directors and social service directors (N=44) at 31 FQHCs across the state of Texas completed surveys measuring structural, procedural and environmental components of the health center setting. The 2007 Uniform Data System and 2000 US Census provided additional data on health centers use and services. Descriptive statistics analyzed independent variables of health center characteristics. Bivariate analysis determined significance of association between independent variables and levels of collaboration with aging services. Results found that all health centers collaborated with at least one aging service, with more informal than formal partnerships. Respondents indicated major barriers to providing services to older adults, including inadequate transportation, inadequate insurance, and limited funding. Respondents also indicated overloaded staff as a major barrier to collaborating with aging services. Aging topics for staff development and perceptions about older adults were also identified. Health center tenure (p=0.005, lambda=1.000), professional tenure (p=0.011, lambda=1.000), leadership in aging services (p=0.002, lambda=1.000), recent gerontological training (p=0.002, lambda=0.500), formal gerontological training p=0.002, lambda=1.000), strategic planning (p=0.002, lambda=1.000), and having older adults on governing boards (p=0.002, lambda= 1.000) were significantly associated with informal collaboration with aging services. Health center tenure (p=0.006, lambda=0.500), leadership in aging services (p=0.004, lambda=0.500), recent training (p=0.010, lambda=0.500), formal training (p=0.005, lambda=0.500), the designation of health center staff older adult services (p=0.025, lambda=0.250), strategic planning (p=0.011, Iambda=0.500), and older adults on governing board (p=0.009, lambda=0.500) were significantly associated with formal collaboration with aging services. In conclusion, FQHCs' efforts at partnering with aging services should include an investment in key staff and board development, the designation of staff to older adult programs, and strategic planning.

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Pedersen, Elizabeth B. "GOMDS - GRUMPY OLD MEN DOING SHAKESPEARE; THE COMEDY OF ERRORS AS METAPHOR FOR LIFE, AGING, AND BUILDING COMMUNITY." VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4790.

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This thesis explores the process of building community over time, through collaboration, to rehearse and produce a portable production of Shakespeare's The Comedy of Errors, looking at the elements of time, trust and age with an ensemble of ten men, all actors over the age of 55. The building of trust over time was vital to the production process and the actors had the time to embody their roles and the language of the play. We look at the questions “why this play,” “why all men?” and “why theatre?” and investigate the physical nature of the play and its violence a la Three Stooges or Punch and Judy. We will look at the themes of aging, discrimination and the search for family and identity, all of which have resonance today, through the lens of play.

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Severance, Jennifer Jurado Eve Susan Brown. "A survey of collaborative efforts between public health and aging services networks in community health centers in Texas." [Denton, Tex.] : University of North Texas, 2009. http://digital.library.unt.edu/permalink/meta-dc-10984.

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Wiese, Lisa Kirk. "Development and testing of a measure of Alzheimer's disease knowledge in a rural Appalachian community." Thesis, Florida Atlantic University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3585017.

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Abstract:

Rural West Virginia has a very high percentage of older adults. The age-related disease of Alzheimer’s threatens the health of older Appalachians, yet research on Alzheimer’s disease (AD) in this population is scarce. In order to improve screening rates for cognitive impairment, Appalachians need to understand their vulnerability. The first step would be to assess their knowledge about AD but a suitable AD knowledge test has not been developed. The purpose of this study was to test the reliability and validity of a new measure of knowledge about AD that is culturally congruent, and to examine factors that may predict AD knowledge in this rural population. A correlational descriptive study was conducted with 240 participants from four samples of older adults in south central rural Appalachian West Virginia using surveys and face-to-face interviews. Results from tests for stability, reliability including Rasch modeling, discrimination and point biserial indices, and concurrent, divergent, and construct validity were favorable. Findings were that although more diversity in test item difficulty is needed, the test discriminated well between persons with higher and lower levels of education [F(2, 226) = 170.51, p = .001]. Using multiple regression, the predictors of AD knowledge included caregiver status, miles from a healthcare provider, gender, and education; (R²=.05, F(4,187) = 2.65, p =. 04). Only years of education accounted for a significant proportion of unique variance in predicting the total BKAD score (t = 2.14, p =. 03). Implications include the need for further tool refinement, testing for health literacy, coordination with recent statewide efforts to educate the public regarding AD, and community based participatory research in designing culturally effective education programs that will ultimately increase screening and detection of Alzheimer’s disease in rural populations.

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Dissertations / Theses on the topic 'Community aging'

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