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1

Grisso, Megan R. "ALCOHOL USE AND THE OLDER ADULT: ADDRESSING OLDER ADULTS’ PERCEPTIONS". CSUSB ScholarWorks, 2015. https://scholarworks.lib.csusb.edu/etd/145.

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In order to create more efficient, useful alcohol treatment and intervention methods tailored specifically for the older population, it is important to understand the reasons that older adults perceive that they consume alcohol. For this reason, this study explored older adults’ perceptions regarding why they use alcohol. Older adults, age 60 and older, were surveyed through questionnaires completed at senior community centers within San Bernardino County. This was a mixed method design that used qualitative and quantitative analysis for the purpose of exploring the most frequently reported reasons for why older adults use alcohol. The main finding of the study is that older adults in the sample most frequently reported using alcohol for “having fun and celebration” and for “social reasons.” However, it is important to note that older adults reported a variety of motivations for using alcohol. Further research is suggested to determine correlations between demographics, alcohol use patterns, and older adults’ perceptions of why they use alcohol.
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McFadden, David Wayne. "Senior adults developing a senior adult ministry". Theological Research Exchange Network (TREN), 1988. http://www.tren.com.

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Ham, Thomas Arlan. "Preaching to older adults". Online full text .pdf document, available to Fuller patrons only, 2002. http://www.tren.com.

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Foottit, Jenneke Anna. "Wellness in older adults". Thesis, Queensland University of Technology, 2009. https://eprints.qut.edu.au/35655/1/Jenneke_Foottit_Thesis.pdf.

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Understanding perception of wellness in older adults is a question to be understood against the backdrop of concerns about whether global ageing and the ‘bulge’ of ageing baby boomers will increase health care cost beyond what modern economies can deal with. Older adults who age in a healthy way and who take responsibility for their own health offer a positive alternative and change the perception that older adults are a burden on their society’s health system. The concept of successful ageing introduced by Rowe and Kahn (1987; 1997) suggested that older adults age successfully if they avoid disease and disability, maintain high cognitive and physical functioning and remain actively engaged with life. This concept, however, did not reflect older adults’ own perceptions of what constitutes successful ageing or how perceptions of wellness or health-related quality of life influenced the older adult’s understanding of his or her own health and ageing. A research project was designed to examine older adults’ perceptions of wellness in order to gain an understanding of the factors that influence perception of their own wellness. Specifically, the research wanted to explore two aspects: whether belonging to a unique organisation, in this instance a Returned Services Club, influenced perceptions of wellness; and whether there are significant gender differences for the perception of wellness. A mixed method project with two consecutive studies was designed to answer these questions: a quantitative survey of members of a Returned Services Club and of the surrounding community in Queensland, Australia, and a qualitative study conducting focus groups to explore findings of the survey. The results of the survey were used to determine the composition of the focus groups. The participants for the first study, (N=257), community living adults 65 years and older, were chosen from the membership role of a Returned Services Club or recruited by personal approach from the community surrounding the Services Club. Participants completed a survey that consisted of a perception of wellness instrument, a health-related quality of life instrument, and questions on morbidities, modifiable life style factors and demographics. Data analysis found that a number of individual factors influenced perception of wellness and health-related quality of life. Positive influences were independent mobility, exercise and gambling at non-hazardous levels, and negative influences were hearing loss, memory problems, chronic disease and being single. Membership of the Services Club did not contribute to perception of wellness beyond being a member of a social group. While there may have been an expectation that members of an organisation that is traditionally associated with high alcohol use and problematic gambling may have lower perceptions of wellness, this study suggested that the negative influences may have been counteracted by the positive effects of social interaction, thus having neither negative nor positive influences on perception of wellness. There were significant differences in perception of wellness and in health-related quality of life for women and men. The most significant difference was for women aged 85-90 who had significantly lower scores for perception of wellness than men or than any other age group. This result was the impetus for conducting focus groups with adults aged 85-90 years of age. Focus groups were conducted with 24 women and four men aged 85-90 to explore the survey findings for this age group. Results from the focus groups indicated that for older adults perception of wellness was a multidimensional construct of more complexity than indicated by the survey instrument. Elite older women (women over 85 years of age) related their perception of wellness to their ability to do what they wanted to do, and what they wanted to do significantly more than anything else, was to stay connected to family, friends and the community to which they belonged. From the focus group results it appeared that elite older women identified with the three elements of successful ageing – low incidence of disability and disease, high physical and cognitive functioning, and active engagement with life – but not in a flat structure. It appears that for elite older women good physical and mental health function to enable social connectedness. It is the elements of health that impact on the ability to do what they wanted to do that were identified as key factors: independent mobility, hearing and memory - factors that impact on the ability to interact socially. These elements were only identified when they impacted on the person’s ability to do what they wanted to do, for example mobility problems that were managed were not considered a problem. The study also revealed that older women use selection, optimisation and compensation to meet their goal of staying socially connected. The shopping centre was a key factor in this goal and older women used shopping centres to stay connected to the community and for exercise as well as shopping. Personal and public safety and other environmental concerns were viewed in the same context of enabling or disabling social connectedness. This suggested that for elite older women the model of successful ageing was hierarchical rather than flat, with social connectedness at the top, supported by cognitive functioning and good physical and mental health. In conclusion, this research revealed that perception of wellness in older adults is a complex, multidimensional construct. For older adults good health is related to social connectedness and is not a goal in itself. Health professionals and the community at large have a responsibility to take into account the ability of the older adult to stay socially connected to their community and to enable this, if the goal is to keep older adults healthy for as long as possible. Maintaining or improving perception of wellness in older adults will require a broad biopsychosocial approach that utilises findings such as older adults’ use of shopping centres for non-shopping purposes, concerns about personal and environmental safety and supporting older adults to maintain or improve their social connectedness to their communities.
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Tarrant, Louise. "Emotion processing in older adults". Thesis, University of Southampton, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.442804.

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Bennion, Lorna Denise. "Older adults and psychological therapy". Thesis, University of Warwick, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487648.

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This thesis explores a number of issues related to psychological therapy with people in later life, those over the age of 65 years, over three chapters. Chapter I, the literature review, explores engagement and therapeutic alliance with this population. The review highlights that the literature on this topic is sparse and that it originates in America. The following key themes are discussed: measures, predictors, influencing factors, enhancing or facilitating factors of engagement and/or therapeutic alliance. Implications for clinical practice in terms of awareness, education, training, and further research are discussed. Chapter II, the empirical paper, is a study exploring how people inJater life describe their e{periences of psychological therapy. Eight people over the age of 65 years were interviewed about their recent experiences of psychological therapy. Transcripts were analysed using grounded theory. From the analysis a process model was devised based on 3 core categories: before therapy, in therapy and after therapy. Implications for clinical practice, service development and future research are discussed. Chapter III, the reflective review, reflects on the research process, what has been learnt about the topic area and working with older adults. Reflections are provided with the aim of being useful to the author and others in terms of professional development and future research.
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Ivanis, Sladjana. "Suicidal feelings in older adults". Thesis, Bangor University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.318564.

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Kosteli, Maria-Christina. "Imagery use in older adults". Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/6780/.

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Underpinned by Bandura’s social-cognitive theory (SCT), this thesis examined the perceptions of physical activity (PA) in healthy and unhealthy older adults, and examined imagery as a potential strategy to promote PA. Focus groups with healthy older adults (Chapter 2) and those diagnosed with chronic obstructive pulmonary disease (COPD) (Chapter 3) examined how PA is incorporated into daily living, and the unique barriers and enablers of PA in older adults. The subsequent chapters focus on the role of imagery as a strategy to increase PA. Using the revised applied model of deliberate imagery use as a framework, Chapter 4 explored where, when, what, and why older adults image PA. Based on Chapter 2 and 3’s finding that older adults use a range of imagery types and functions, and the importance of self-regulation, Chapter 5 investigated how self-regulatory imagery (i.e., images of goals and planning) related with social-cognitive variables, enjoyment, and PA. Overall, the thesis recognises the importance of SCT in explaining the unique challenges older adults face in relation to PA while accounting for contextual factors including PA level, disease severity, and employment status. The thesis also demonstrates imagery as a potential strategy for promoting PA in older adults.
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Nortje, Nico. "Older adults' views on euthanasia". Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52380.

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Thesis (M.A.)--Stellenbosch University, 2001.
ENGLISH ABSTRACT: The purpose of this study was to determine the attitudes older adults (65 years and older) have towards euthanasia. The subjects of the study were people 65 years of age and older who reside in homes for the aged within the Cape Metropolis. An equal number of subjects from the African, Coloured and European communities were randomly selected. A biographical questionnaire as well as the Euthanasia Attitude Scale and the Purpose In Life Test, were administered. The influence of four variables were focused on, namely age, ethnicity, meaning in life and health. Pearson correlation coefficient analysis and one-way ANOV A analysis were used. Ethnicity, meaning in life and health were not found to have a significant correlation with euthanasia. Age was the only variable found to have a significant correlation with euthanasia. The findings were discussed and certain recommendations were made.
AFRIKAANSE OPSOMMING: Die doel van die studie was om vas te stel wat die houding van ouer volwassenes (65 jaar en ouer) is ten opsigte van genadedood. Die proefpersone was almalouer as 65 jaar en woonagtig in ouetehuise binne die Kaapse Metropool. 'n Gelyke aantal proefpersone van die Afrika, Kleurling en Europese gemeenskappe is willekeurig gekies. 'n Biografiese vraelys, asook die "Euthanasia Attitude Scale" en "Purpose In Life Test", is gebruik. Die invloed van vier veranderlikes, naamlik: ouderdom, kultuur, betekenis in die lewe en gesondheid, is ondersoek. Pearson korrelasionele koëffisiënt en een-rigting ANOV A ontledings is gebruik. Etnisiteit, betekenis in die lewe en gesondheid het nie beduidend met genadedood gekorreleer nie, ouderdom was die enigste veranderlike wat beduidend met genadedood gekorreleer het. Die bevindinge is bespreek en sekere aanbevelings is gemaak.
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Rizopoulos, Lydia. "Older adults' experiences of psychotherapy". Thesis, City University London, 2015. http://openaccess.city.ac.uk/14562/.

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There is a plethora of literature on older adults and psychological counselling. The literature reveals many assumptions and opinions of healthcare professionals and academics regarding older adults’ decision to enter into counselling or not and advice on how counselling should be conducted with older adults. Yet, there is an absence of the voices of older people in narrating their counselling encounters. This qualitative study explored how six older women constructed their decisions to enter into counselling and their experiences of counselling. Although the study was open to both older men and women, only women expressed an interest in participating. Narrative interviews were therefore conducted with former female clients of a mental health charity aged between 66 and 74. Interviews elicited individuals’ stories of counselling and a critical narrative analysis approach was used to examine each narrator’s story. From this analysis, three overarching themes and corresponding subthemes emerged across the six narratives. Accounts highlighted the significance of generational and cultural factors in narrators’ expectations of counselling and subsequent decision to enter into therapy. Narrators revealed long-standing patterns of projecting an outward image of wellbeing whilst struggling to manage difficult circumstances and emotions. This was often linked to generational attitudes of selfsufficiency, independent problem solving and emotional reticence. Narrators also worried about burdening loved ones with their problems. Decisions to enter into counselling were constructed within this context of emotional isolation. Furthermore, findings highlighted the significance of people or services influencing narrators’ access to counselling. Counselling was constructed as an opportunity to focus on hearing one’s own thoughts, without outside voices impeding. Narrators also constructed identities from passive patients at the start of counselling to emerging active agents of change both in the therapeutic context and in their wider lives. Dominant cultural narratives of mental health problems and counselling were also discussed with reference to narrators’ stories. The implications of the study’s findings for referrers and counselling psychology practice were explored.
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Tufford, Madeline. "Opioid Use Among Older Adults". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/secfr-conf/2020/schedule/61.

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Opioids are the most powerful pain relievers currently known (Huang & Mallet, 2013) and opioid abuse is considered a significant public health crisis (Pezalla, Rozen, Erensen, Haddox, & Mayne, 2017). Older adults face elevated risks for opioid abuse given the unique pain reported by many late adults (Wilder-Smith, 2012) and the potential for overuse of opioids is especially high given the growing population of older adults in the U.S. (Centers for Disease Control and Prevention, 2003). This project aims to explore the trends of opioid use and abuse by older adults and how to manage this growing epidemic by examining a multitude of options including the marketing of opioids, different addiction treatments, and other solutions.
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Poling, Gayla Louise. "Informational Masking in Older Adults". The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1242323744.

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Smith, Olivia N. "Medication Adherence and Older Adults". Bowling Green State University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1435674662.

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Olson, Nancy B. "Educational motivation in older adults /". View online, 2001. http://repository.eiu.edu/theses/docs/32211131498845.pdf.

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Kiraly, Zoltan. "Pastoral care of older adults". Theological Research Exchange Network (TREN), 2002. http://www.tren.com.

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Stolder, Mary Ellen. "Memory self-efficacy in cognitively normal older adults and older adults with mild cognitive impairment". Thesis, The University of Iowa, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3609099.

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Although there are ample studies confirming that memory self-efficacy (MSE) declines with age, less is known about what factors account for the variation in MSE among older adults. The purpose of this study was to examine the relationship between MSE, diagnostic and clinical characteristics, and subsequent episodic memory performance in older adults. A nonprobability sample of 200 cognitively normal and older adults with mild cognitive impairment (MCI) participating in a longitudinal population-based study investigating the incidence, prevalence and risk factors for MCI completed a questionnaire about self-referent beliefs of MSE. Bandura's (1989) selfefficacy theory and the Integration Model (Whittemore, 2005) informed the descriptive study. Pearson product-moment correlations, a general linear model and a multiple linear regression analysis were conducted. The difference in MSE ratings between the cognitively normal group and the MCI group tested as a whole was significant when adjusting for age, gender and educational attainment (p < .001; ES= 0.585). The overall regression model explained 17 % of the variance of MSE (p < .001) and included age, gender, educational attainment, APOE 4 genotype, family history of dementia, cognitive diagnosis and depressive symptoms. After controlling for age and the other variables of interest, cognitive classification and depression were significant predictors of MSE. Higher MSE ratings were correlated with better episodic memory performance for both groups (r = .273, p < .001). Memory training that capitalizes on the benefits accruing from higher MSE is needed for cognitively normal older adults and older adults with MCI.

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Stolder, Mary Ellen. "Memory self-efficacy in cognitively normal older adults and older adults with mild cognitive impairment". Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/5063.

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Although there are ample studies confirming that memory self-efficacy (MSE) declines with age, less is known about what factors account for the variation in MSE among older adults. The purpose of this study was to examine the relationship between MSE, diagnostic and clinical characteristics, and subsequent episodic memory performance in older adults. A nonprobability sample of 200 cognitively normal and older adults with mild cognitive impairment (MCI) participating in a longitudinal population-based study investigating the incidence, prevalence and risk factors for MCI completed a questionnaire about self-referent beliefs of MSE. Bandura's (1989) selfefficacy theory and the Integration Model (Whittemore, 2005) informed the descriptive study. Pearson product-moment correlations, a general linear model and a multiple linear regression analysis were conducted. The difference in MSE ratings between the cognitively normal group and the MCI group tested as a whole was significant when adjusting for age, gender and educational attainment (p < .001; ES= 0.585). The overall regression model explained 17 % of the variance of MSE (p < .001) and included age, gender, educational attainment, APOE 4 genotype, family history of dementia, cognitive diagnosis and depressive symptoms. After controlling for age and the other variables of interest, cognitive classification and depression were significant predictors of MSE. Higher MSE ratings were correlated with better episodic memory performance for both groups (r = .273, p < .001). Memory training that capitalizes on the benefits accruing from higher MSE is needed for cognitively normal older adults and older adults with MCI.
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Friesen, Ingrid Colleen. "Prospective memory functioning in older adults". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0017/NQ44792.pdf.

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Skaff, Misty Lynne. "Predicting longitudinal loneliness in older adults". [Ames, Iowa : Iowa State University], 2007.

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Buckmaster, Pamela L. "Promoting Older Adults' Health through Policy". Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/81.

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The purpose of this capstone project was to develop the content for an online training module entitled Promoting Older Adults’ Health through Policy. The Centers for Disease Control and Prevention (CDC) Aging and Health Work Group was interested in complementing their workshop, Promoting Older Adults’ Health: Opportunities and Resources for CDC Professionals with an online training module on aging and policy. This project highlights significant pieces of U.S. legislation that promotes older adults’ health and draws attention to emerging policy, systems, and environmental changes on the horizon. An anticipated short-term outcome is a demonstrated sensitivity to population aging in all CDC centers, divisions, programs, and initiatives. Similarly, an anticipated long-term outcome is growth in the number, quality, and scope of collaborative efforts across CDC centers, divisions, programs, and initiatives that focus on older adults’ health. Two perspectives, “Healthy Aging” and “Successful Aging,” provide the foundation for a discussion of legislation and policies oriented towards older adults’ health. Various policy frameworks, i.e., cost-benefit, problem, political, vision, and a futures policy approach frame the discussion of policy development. Significant legislation that promotes older adults’ health, i.e., Social Security, Medicare, Medicaid, and the Older Americans Act of 1965 provide a historical context for a discussion of emerging policy, systems, and environmental changes that promise even greater advances. The mobility challenge for older adults as a population group in the U.S. provides the thematic thrust of this section of the module. Examples of CDC’s work exploring the link between older adults’ health and mobility, the built environment, and emergency preparedness are highlighted based on several criteria: burden of the problem, preventability, relationship to other CDC initiatives, and usefulness to practitioners are critical considerations. The module also discusses how legislation and policies designed to promote health aging also improve the quality of life for all population groups. Policies focused on healthy aging lay the groundwork for an integration of a “health in all policies” approach (World Health Organization/ WHO, 2006), working in tandem with the “health for all” framework (WHO, 1998) and the “society for all ages” construct (United Nations, 1999).
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Kumar, Renu. "Marriage and Memory in Older Adults". Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/gerontology_theses/30.

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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.
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Taylor, Helen. "The nursing assessment of older adults". Thesis, Coventry University, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.421753.

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Hollinworth, Nic D. P. "Improving computer interaction for older adults". Thesis, University of Reading, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.577785.

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Many older people are at a disadvantage with computers, having difficulties with traditional point and click interaction because of age-related changes in perception, cognition and motor control. Generational differences also mean that older people may not understand technologies as well as younger people. Despite attempts to improve access to computers, much of this has focused on perceptual changes (such as visual declines) and changes in motor control; generational differences (i.e. differences in the understanding of technologies between people of different age groups) and changes in cognition (such as cognitive slowing) have largely been ignored by system designers. The goal of this thesis is to investigate techniques that can help to improve computer interaction for older adults, and begins with a study that examines some of the difficulties encountered using common computer applications such as email, web browsing and using a wordprocessor. Losing the mouse cursor is also a common problem, so an experiment was undertaken to test a novel technique to help with finding a lost cursor. A common difficulty for many older computer users is using the file system on a computer, and so this was investigated by first considering how people manipulated paper documents and folders. The results were used in the development of an interface that mimics the way in which paper-based files and folders operate in the real world. The final study investigated whether an interface based on familiar objects can help older adults more easily learn and remember how to use a computer application, and results suggest that familiar interfaces can help to simplify tasks, encourage experimentation, increase confidence and retain more of what they have learned. Directions for future research are discussed, in light of some of the current chal- lenges in human computer interaction. In particular, applications need to be designed to be more appealing to older computer users, in addition to being both accessible and usable, and there may also be potentjal to improve the performance of target selection through visual illusions. A further direction is the development of a methodology for reliably assessing computer proficiency for older adults.
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Stilwell, Becca L. "Bilingualism and language in older adults". Thesis, Bangor University, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.574548.

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This thesis comprises three distinct sections. Firstly a literature review is presented which explores the available evidence of language changes in bilingual individuals with Alzheimer's Disease (AD). The theoretical models presented are drawn from models based on healthy bilingual individuals, with hypotheses about how such models may be affected by AD. The quantitative papers are limited by being descriptive rather than theoretically driven, and the papers explored share similar methodological limitations in terms of being, and in terms of defining and selecting bilingual samples that share the key characteristics, and using suitable stimuli. The conclusions drawn are that both languages are affected by AD, with mixed tentative suggestions that the dominant language is more affected than the non dominant language, and that both languages are affected equally by. AD. The empirical study presents findings of an experimental study exploring verbal recall in Welsh/English bilingual older adults. A within subject analysis identified that bilingual individuals recalled significantly more Welsh words than English words. In addition, bilingual individuals mean recall for recall of English words on a standardised measure was not significantly different to the monolingual norms identified. Conclusions drawn were that in clinical practice English language norms are applicable to a Welsh/English bilingual population. In essence tentative recommendations can be made regards using established English language assessments with Welsh/English older adults but caution is required when generalizing across varied populations.
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Weber, Christine. "Exercise for older adults with dementia". Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527590.

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The purpose of this study was to identify, through meta-analytical techniques, evidence-based recommendations for the type, frequency, and duration of exercise to slow the progression of dementia. Inclusion criteria were that the research had to be published between January 2000 and January 2012 and include both pre- and post-Mini Mental State Examination (MMSE) scores. After conducting extensive computer-aided and manual searches, eight studies were chosen for analysis. Of those eight studies, one study in particular indicated the optimal type, frequency, and duration of exercise to slow the progression of dementia, which was walking four times per week for thirty minutes per session. Future research should include the impact of other forms of exercise on the progression of dementia and the role of physicians in the prescription of exercise to slow the progression of dementia.

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Backmark, Goodwill Helena Anna. "Subjective well-being in older adults". Thesis, University of Birmingham, 2009. http://etheses.bham.ac.uk//id/eprint/555/.

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The current paper reviews measures of subjective psychological well-being in older adults and draws conclusions about how the concept of well-being is defined and measured. A systematic search of four databases identified eight measures developed to capture the notion of psychological well-being; the Positive And Negative Affect Schedule, the Life Satisfaction Index, the Bradburn Affect Balance Scale, the Satisfaction with Life Scale, the Perceived Well-Being Scale, the Scales of Psychological Well-Being, the Warwick Edinburgh Mental Well-Being Scale, and the Memorial University of Newfoundland Scale of Happiness. An evaluation of these measures revealed a range in dimensionality and composition, with measures defining well-being as primarily hedonic, eudaimonic, or a combination of the two. The validity of the measures was investigated by considering the extent to which measures capture facets of well-being identified by older people as important for successful aging. It was concluded that whilst all measures consider several important aspects of well-being, no measure captured the entire range of factors highlighted by older people as paramount to well-being.
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Ryslinge, Birgitte. "Enhancing everyday memory for older adults". Scholarly Commons, 1997. https://scholarlycommons.pacific.edu/uop_etds/2739.

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This project examined the possibility that changing belief structures about memory when teaching memory strategies would have a stronger impact on memory ability in the elderly (those over age 60) than teaching memory strategies alone. Twenty-six participants were randomly assigned to either a memory skills only group, or a memory skills combined with belief change group. A Memory Assessment Battery measured memory performance, and subscales of the Metamemory in Adulthood Questionnaire and the Memory Functioning Questionnaire examined memory self-efficacy beliefs, before and after the intervention. Results were examined via a 2 x 2 split-plot factorial ANOVA. Significant improvement in memory self-efficacy beliefs were found for the combined treatment group, but neither group showed significant improvement in memory performance.
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McIntosh, Maureen. "Older adults' experience of psychological therapy". Thesis, City University London, 2013. http://openaccess.city.ac.uk/14798/.

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The portfolio examines the older adult experience of psychological therapy. The research study is from the older adult perspective and it provides a rich narrative and strengthens theory and practice links. This research explored older adult service users’ retrospective accounts of Psychological Therapy within a secondary care service. The aim was to enhance the knowledge base and understanding of what is known about older adults’ subjective experiences of the processes involved when receiving Psychological Therapy. A qualitative methodology was chosen to allow the older adult participants to express their thoughts and feelings using unstructured interviews. The Grounded Theory analysis revealed categories and themes which produced a theory that explains the process of therapy. Nine older adult participants volunteered to take part and a grounded theory analysis of the data yielded a core category of ‘moving towards equanimity’. The category can be understood as contributing to the older adult participants regaining emotional stability, mental calm and balance. Within the Professional Practice section the case study features the complexity of the therapeutic work with an older adult who experienced depression and insomnia. The case examines the flexibility in the use of the therapeutic model and the core skills required within a strong therapeutic relationship which helped the older adult hold onto hope. The final part of the portfolio is a critical review about older adults and the therapeutic alliance. The review examines studies that have explored this extensive research area to raise awareness of the factors that influence the development of the alliance with older adults.
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Waters, Jaime. "Illegal drug use among older adults". Thesis, University of Sheffield, 2010. http://etheses.whiterose.ac.uk/14974/.

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Illegal drug use IS a much discussed, publicised and researched area of criminology. However, there has been little interest in its mature users. It is this subsection of illegal drug users that is investigated in this research. As the first generation of widespread and popular drug users is reaching late-middle age, this is becoming a fast growing and fascinating area of study. As the size of this drug using subsection is set to grow in coming years, the lack of existing research in this area is becoming more and more apparent. Existing research related to the area of drug use among older adults tends to be out-of date, predominantly American based, and looks largely at alcohol use, prescription misuse, and over-the-counter abuse. Equally, there is a lack of community based research in this area, which relies heavily on samples taken from the criminal justice system and treatment centres. This research aims to address these deficiencies. To create therefore as complete a picture of this little investigated social phenomenon as possible both quantitative and qualitative research techniques are incorporated into the research. Quantitatively, secondary data analysis is used to explore the British Crime Survey. Univariate, bivariate, and multivariate techniques are used to analyse the data set, including hypothesis testing and logistics regression. For the qualitative component, the research uses snowball sampling to conduct face to-face in-depth interviews with adults over the age of 40 involved in recent illegal drug use living in the community. Overall, this research shows that older recent illegal drug users exists, it produces a profile of older recent drug users, including demographic and criminological characteristics, and illustrates the drug using careers of older drug users, showing how they incorporate drug use into their lives. Ultimately, it provides evidence that contradicts the notion that illegal drug use is an activity reserved exclusively for the young and shows that drug use does not exclude having a long, happy and productive life.
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30

Harvey, Juliet. "Reducing sedentary behaviour in older adults". Thesis, Glasgow Caledonian University, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.726767.

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Costa, Liliana Filipa Vale. "Networked video games for older adults". Master's thesis, Universidade de Aveiro, 2013. http://hdl.handle.net/10773/11326.

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Mestrado em Comunicação Multimédia
Na atualidade, o envelhecimento da população ativa é uma realidade omnipresente. Recentemente, o estudo de produtos ou serviços comercializados para o cidadão sénior começa a despertar o interesse junto da comunidade científica e empresarial. A mesma tendência poderá surgir na indústria dos videojogos em que os seniores, especialmente os reformados, poderão tornar-se nos próximos consumidores de videojogos. Até ao momento, vários estudos têm-se debruçado sobre o papel dos videojogos na manutenção ou melhoria das capacidades cognitivas. No entanto, a ausência de informação sobre a utilização dos videojogos em rede numa idade mais avançada parece prevalecer. A componente social dos videojogos em rede neste público-alvo tem sido descurada bem como o seu potencial na promoção da inclusão digital e minimização das barreiras sociais. O objetivo desta investigação é compreender as componentes de design de videojogos em rede que estimulam o cidadão sénior a jogar, utilizando o método de investigação social aplicada. Deste modo, dois grupos etários (G1: 50-64 anos e G2: idade igual ou superior a 65) com elevada literacia foram envolvidos neste estudo, com a finalidade de compreender as tendências do futuro cidadão sénior enquanto jogador. Esta investigação oferece uma nova perspectiva do perfil de jogador, ao aplicar um questionário a 245 jogadores com idade igual ou superior a 50, dois focus group e técnicas de análise de conteúdo aplicadas na contrução da prova de conceito para o game design de um jogo em rede para esta faixa etária. Os resultados indicam que não há diferenças significativas entre jogadores de diferentes faixas etárias relativamente às preferências de jogo, sendo que os jogos de aventura são preferidos. As capacidades cognitivas que mais gostam de praticar são a resolução de problemas e a memória, estando relacionadas com o tipo de jogos que jogam. Além disso, os desafios cognitivos são valorizados e a colaboração entre jogadores deve ser enfatizada em relação à competição ou combate. A informação recolhida por esta investigação permitiu a observação de que um novo perfil de jogador emerge e que novos desafios aguardam os designers de jogos.
We are witnessing an increasingly ageing society. Recently, there has been a growing interest in studying products or services marketed to older adults either by the scientific community or by enterprises. In the video game industry, the elderly, especially retirees, tend to become the next generation of avid consumers. Many recent studies have focused on the role of video games in maintaining and improving cognitive capacities. However, there is a lack of information about the use of networked video games in later age. No real attention has been paid to the collective component of video games and their power to promote digital inclusion and eradicate social barriers. The aim of this research is to understand the main game design components of networked video games that encourage older adults to play, using an applied social research methodology. Thus, two age groups (G1: individuals aged between 50 and 64 years and G2: individuals aged 65 and over) with higher levels of education have been involved in this study, aimed at understanding the tendency of the next generation of older adults as gamers. The study provides insight into a new video gamer profile by employing a survey questionnaire with 245 gamers aged 50 and over, two focus groups and content analysis techniques used to the proof of concept of a networked video game addressed to this audience. Findings indicate that there were no significant differences between a younger age group and older adults in their choices of video games played. Adventure games are preferred and problem-solving and memory span were the skills that participants liked to practise. Cognitive challenges are valued and collaboration between players should be prioritized over competition and combat. These data support the view that a new older adult’s gamer profile is emerging and it will bring new challenges for game designers.
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32

Power, Garry. "Complex visual processing in older adults". Thesis, Griffith University, 2017. http://hdl.handle.net/10072/370869.

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Declines in performance on complex visual tasks have been shown to predict declines in functional independence and mobility in older adults, but the specific perceptual processing mechanisms that decline with age and lead to functional declines are not well understood. Two measures of perception shown to predict functional outcomes (e.g. safe driving) in older adults are measures of the Functional Field of View (FFOV) and of global coherent motion. Age-related change in capacity for the deployment of visual attention and sensitivity of the sub-cortical magnocellular (M) pathway were hypothesised to explain the FFOV and motion processing in older adults. The thesis therefore had four aims: 1) to investigate differences in the capacity of older and younger adults to use bottom-up and top-down attention in the performance of a FFOV task; 2) to investigate the association between FFOV performance and the sensitivity of the M pathway, particularly in older adults; 3) to investigate differences in the capacity of older and younger adults to use top-down attention to facilitate the perception of coherent motion; 4) to investigate the association between motion coherence thresholds and the sensitivity of the M pathway, particularly in older adults. Study 1 (Chapter 4) aimed to explore how manipulating attentional demands impacted the error rates for a FFOV task in older adults, and how the effect of age on the FFOV varied under different attentional conditions. A specially designed FFOV task with differing levels of bottom-up and top-down attentional demands was conducted using a sample of 42 younger (M = 27.38 years, SD = 5.41 years, 21 women) and 42 older (M = 72.11 years, SD = 5.92 years, 23 women) adults. Older adults had higher error rates in all conditions and the effect of age did not vary across conditions indicating similar capacity to attend to and ignore salient peripheral stimuli in older and younger adults. The performance cost of dividing attention between central and peripheral vision in the older group indicated older adults narrowed the focus of attention for an attentionally demanding central task, at the expense of accuracy on the peripheral task. The results indicate that the need to compensate for reduced sensory processing by manipulating the focus of attention contributes to reduced FFOV efficiency in older adults. Study 2 (Chapter 5) investigated the degree to which FFOV performance (from Study 1) could be explained by the sensitivity of the M pathway. FFOV error rates and contrast sensitivity thresholds were measured for 44 younger (M = 27.18 years, SD = 5.40 years, 22 women) and 44 older (M = 72.18 years, SD = 5.82 years, 23 women) adults. Contrast sensitivity was measured using the steady and pulsed pedestal task (Pokorny & Smith, 1997). Older adults performed more poorly on all measures. In older adults, M pathway contrast sensitivity explained a significant proportion of variance in FFOV error rates. These findings support the hypothesis that rapid bottom-up visual attention is reliant on M pathway input, at least in older adults. Study 3 (Chapter 6) investigated differences in coherent motion thresholds between older and younger men and women, in the presence and absence of a top-down attentional cue. In addition, the extent to which motion coherence thresholds could be explained by sensitivity of the M pathway was explored. Motion coherence thresholds were measured for 40 younger (M = 26.05 years of age, SD = 5.47 years, 20 men, 20 women) and 35 older (M = 72.11 years of age, SD = 5.92 years, 17 men, 18 women) adults using a dot motion task in which half the dots were white and half were black. In conditions with no attention cue, motion coherence thresholds were higher in older than younger adults and higher in women than in men. Addition of a cue alerting participants to which dots (black or white) contained the coherent motion signals, improved coherence thresholds for younger women and older men, but not for younger men and older women. The cue helped younger women form a coherent percept of motion but was redundant for younger men. The absence of improvement in older women may reflect resource limitations. Perception of coherent motion is more demanding for women and may require increased top-down attention, which will impact older women because older adults have limited top-down attentional resources. Differences in motion coherence thresholds within the older group, and between younger and older adults, were associated with increased contrast discrimination thresholds in the M and P pathways suggesting that with the tasks used in the current study, reduced coherent motion perception in older adults, is not simply attributable to a reduction in sensory sensitivity specific to the M pathway. The results indicate that the FFOV and motion coherence tasks assess different perceptual processes that change with age and are impacted in different ways by changes in visual attention and the sensitivity of the M pathway. These findings are important given the increasing proportion of older adults in modern society who rely on functional vision for mobility and independence.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Applied Psychology
Griffith Health
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33

Vargas, Iliana M. "RECONSOLIDATION OF MEMORY IN OLDER ADULTS". Thesis, The University of Arizona, 2009. http://hdl.handle.net/10150/193018.

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Sumner, Nikki D., i Katherine C. PhD Hall. "Older Adults Perspectives of Bed Bathing". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/honors/358.

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The purpose of this qualitative pilot study is to explore the patient perspectives about what it is like to receive a bed bath. Examining studies of bath basins versus alternative methods has shown a decrease in the spread of nosocominal infections. However, there is not sufficient evidence evaluating the patient perspectives of assistive bed bathing and interactions with nurses and nursing support staff. This information can provide healthcare providers, especially nurses, with a better understanding of patient perspectives and values. It also supports the national healthcare approach towards patient-centered care.
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Vailu'u, Carley Yvonne. "Social Work Practice with Older Adults". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5669.

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Social workers working for adult protective services (APS) face many clinical challenges to ensure the safety and well-being of older adult clients. APS social workers often interact with older adults who engage in self-neglecting behaviors that compromise their ability to function in a healthy and independent manner. The purpose of this research study was to explore challenges in direct social work practice to identify how APS services can be improved when working with the older adult population, particularly individuals who engage in hoarding behaviors. Using action research methodology, 2 focus groups were conducted to explore the experiences and knowledge of social workers who are trained in APS and in-home supportive services programs and work directly with the older adult hoarding population when investigating cases of self-neglect. The theoretical framework of cognitive behavioral theory guided the analysis of focus group data to provide insights into understanding the core manifestations of hoarding and how social workers working with this population can provide appropriate services. The overall findings of the study resulted in identifying improvements to APS service interventions. Study findings inform recommendations that allow APS social workers to effectively work with older adults who exhibit hoarding behaviors, while also advancing professional development in the field of social work. Understanding practice challenges to appropriately serve older adults that exhibit hoarding behaviors is essential in effecting positive social change in the lives of vulnerable and disadvantaged older adults, APS agencies, and communities.
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Cho, In Nam. "On life satisfaction of ethnic minority older adults the differences between Korean American and Korean older adults". Saarbrücken VDM Verlag Dr. Müller, 2007. http://d-nb.info/986383961/04.

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37

Clarke, Shailagh. "Religiosity and spirituality in younger and older adults". Thesis, University of North Texas, 2005. https://digital.library.unt.edu/ark:/67531/metadc4892/.

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The present study examined the use of MacDonald's Expressions of Spirituality instrument with a younger and older adult sample. Specifically, MacDonald's proposed five factor model was assessed for fit with a sample of college age participants as well as a sample of adults over the age of 65. A confirmatory factor analysis was conducted to assess the fit of this model with samples, and this was followed by an exploratory factor analysis, and the results were considered in light of measurement equivalence and the definitions of the constructs of religiosity and spirituality. Further analyses examined levels of religiousness as well as relationships between religiousness/spirituality and potential correlates, such as postformal thinking, life events including changes and losses, emotional and physical well-being, and family upbringing, comparing young and older adult samples. Results of the confirmatory factor analysis revealed a solution with a better fit than MacDonald's model for both younger and older adults. While the number of factors were the same for both samples, item loadings and cross-loadings differed between the younger and older adult samples. Exploratory factor analysis yielded a four factor solution, with religiousness and spirituality items loading onto one factor. With regard to measurement equivalence, findings appear to indicate that the five factor solution and MacDonald's Expressions of Spirituality instrument may not be as useful with older adults. Additionally, findings are discussed with regard to the measurement of the constructs of religiosity and spirituality. In addition to measurement issues, several findings pointed to differences between the younger and older adult samples. For young adults, more life changes were related to higher levels of postformal thinking, but for older adults more life losses were related to higher levels of postformal thinking. Also, the older adult sample had higher levels of religiousness than the young adult sample. Several results were the same for younger and older adults. First, no correlation existed between religious commitment and postformal thinking. Second, a family history of religiousness was positively correlated with current religiousness. Third, for younger and older adults, religiousness was positively correlated with emotional well-being for low loss groups. Limitations of the current study are discussed, and implications for clinical practice and future research are addressed.
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Diaper, Alison Marie. "Psychopharmacological aspects of sleep in adults : primary focus on older adults". Thesis, University of Surrey, 2004. http://epubs.surrey.ac.uk/844496/.

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It is suggested that older adults have more difficulty maintaining sleep than younger adults, and that sleep also becomes more fragmented with increasing age. The aim of this thesis was to assess sleep patterns in older adults, and to investigate some pharmacological agents taken by older adults as sleep aids. A survey of 5846 older adults identified sleep complaints and methods of alleviation. Results supported previous findings, and pain and nocturia were found to be the main reasons for nocturnal awakenings. Respondents reported the use of hypnotics, antidepressants, over-the-counter preparations and herbal remedies as sleep aids. Respondents also used whisky, hot milky drinks and reading at bedtime to aid sleep. Three placebo-controlled clinical trials were implemented to assess the effects of a herbal remedy (valerian), three hypnotics (loprazolam, zopiclone and zolpidem), and two antidepressants (dothiepin and moclobemide) on sleep and daytime performance. Results showed few advantageous effects of an acute dose of valerian. Loprazolam, zopiclone and zolpidem were given to younger adults to assess these treatments without the confounds of old age. These treatments were found to be effective hypnotics from the first night of use, but there were more residual sedative effects under loprazolam than zopiclone or zolpidem. Neither dothiepin nor moclobemide were found to be suitable for use as sleep aids, also using a younger population. Findings indicate most older adults do not have sleep complaints, but those who do are likely to have sleep problems due to physical reasons. More research is necessary into the duration of valerian use and doses for efficacy. Residual sedative effects under loprazolam may increase the risk of accidents, and shorter acting hypnotics, such as zopiclone and zolpidem, may reduce this risk. Dothiepin showed more sedative effect than moclobemide, but there was little evidence of improved sleep. Further research is necessary to establish the causes of poor sleep in old age, and to assess the suitability of other sleep aids in this age group.
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Cox, Laurie Ann. "Young Adults Adherence to Cancer Treatment as Compared to Older Adults". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2963.

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As compared to pediatric and older adult cancer patients, young adults are the only oncology group that has not demonstrated an increase in survival rates. Low treatment adherence rates have been one explanation for this discrepancy, although this hypothesis has not been explored specifically. Guided by the biopsychosocial model of health and wellness, this study compared the treatment adherence rates of 46 young adult cancer patients (ages 18-39 years) to 46 older adult cancer patients (ages 40 years and older). Adherence was measured by a dichotomized variable, as yes/no, adhering to radiation treatment and follow-up appointments recommended by the physician, 95% of the time. Additionally, gender and race were explored in relationship to adherence to radiation treatment and follow-up appointments. Demographic data were first extracted from the Cancer Registry of a Midwestern Hospital. Then radiation appointments and follow-up appointments were examined for each patient, in paper and/or computerized charts, to determine adherence rates. McNemar's test was used to compare young adults and older adult oncology patients' adherence rates, and Chi-square analysis was used to explore gender and race in relationship to adherence. Results indicated a lower adherence rate to follow-up appointments for younger adults as compared to older adults, with older adults adhering 3 -½ times more than younger adults. Gender was also related to follow-up appointment adherence, with males adhering better than females. This study contributes to positive social change by increasing the knowledge base of healthcare providers on adherence rates of young adult patients and reducing the dollars spent on treatment for re occurrences.
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Ivarsson, Thomas. "Older adults and information technology : Exploring the problems encountered by older adults in their use of information technology". Thesis, Linnéuniversitetet, Institutionen för informatik (IK), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-49704.

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Designing for older adults often takes the form of design for declining sensory, motor orcognitive ability. Instead of starting from disabilities this thesis aims to explore theproblems older adults experience in relation to information technology from theperspective of the older adult. Through the use of situational analysis data from fiveinterviews and five observations were analysed in order to find what problems, if any,the older adults gave voice to. This resulted in a study focused on three such problems:the instructions older adults receive when learning how to use information technology,the role of the surrounding of the older adults, and the feelings those interactions create.The result is a mix of different ways to view ageing along with a proposition that showsone possible way to reconfigure this interplay between older adults, the surrounding andinformation technology in order to lessen the impact of those problems.
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Rosnick, Christopher B. "Stress and cognitive performance in older adults". [Tampa, Fla.] : University of South Florida, 2005. http://purl.fcla.edu/fcla/etd/SFE0001348.

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42

Holder, Jared M. "Learned Attention in Younger and Older Adults". TopSCHOLAR®, 2010. http://digitalcommons.wku.edu/theses/223.

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A relatively new phenomenon in learning research called highlighting occurs when participants show a seemingly irrational preference to attribute a stronger cue-outcome association to a later presented perfect predictor when it is paired with an imperfect predictor than that of an earlier presented perfect predictor paired with the same imperfect predictor (Kruschke, 1996). Current research suggests that the highlighting effect depends on the ability to learn to shift attention away from an irrelevant cue toward a more relevant cue in order to reduce errors in causal judgment and preserve an earlier formed association (Kruschke, 2003). Much research has suggested that older adults have difficulty disengaging attention from irrelevant information, which could be problematic in the highlighting procedure (Cohn, Dustman, & Bradford, 1984; Tipper, 1991; Mutter, Naylor, & Patterson, 2005). However, the results of the current experiment suggest that older adults can learn attentional shifts in order to guide associative learning and reduce errors in causal judgments. These data prove to be a problem for many models of associative learning (e.g., Mackintosh, 1975; Rescorla & Wagner, 1972; Van Hamme & Wasserman, 1994), but support a model proposed by Kruschke (2006).
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43

Hannula, S. (Samuli). "Hearing among older adults–an epidemiological study". Doctoral thesis, Oulun yliopisto, 2011. http://urn.fi/urn:isbn:9789514296321.

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Abstract Age-related hearing impairment is the most common type of hearing impairment among adults. Adult-onset hearing impairment is one of the leading causes of disease burden worldwide and it is associated with social isolation and depression. As the proportion of older people is increasing in Western countries, the socioeconomic importance of adult hearing impairment will increase notably. The aim of the present contribution was to study the epidemiological aspects of hearing and related factors among older adults. The prevalence of hearing impairment, defined either by audiometry or by a self-report, and the differences between these two were analyzed. Tinnitus and hyperacusis were also studied. Furthermore, the prevalence of ear diseases, otological risk factors, and noise exposure and their association with hearing thresholds were analyzed. In addition, audiogram configurations and certain subject-related factors and their relation to hearing were assessed. The subjects were randomly sampled from the population register and they responded to an extensive questionnaire. Otological status was examined and pure tone audiometry was conducted. Data on 850 subjects aged 54–66 years were analyzed. Hearing impairment was found to be a highly common condition with a prevalence of 26.7% when defined by better ear and 42.2% when defined by worse ear. Men had worse hearing than women. High-frequency sloping audiogram configurations were common. Self-reported hearing difficulty and measured hearing impairment seem to be associated at high frequencies. At least one ear disease or otological risk factor for hearing impairment was found among 18.4% of the subjects and noise exposure among 46%, more often by men. Interestingly, noise exposure did not seem to associate with hearing levels among subjects screened for ear disease or otological risk factors. The results of the present study suggest that hearing impairment is a highly common condition among older adults and this should be taken into account when future hearing healthcare is planned. Furthermore, it seems that most of the subjects reporting hearing difficulty had no measured hearing impairment according to the criteria applied for eligibility for hearing aid fitting in Finland. Based on the results of the present study, the criteria for hearing impairment entitling persons for hearing aid fitting should be reconsidered
Tiivistelmä Ikäkuulo on yleisin aikuisten kuulovian aiheuttaja, ja aikuisiän kuulovika on merkittävä terveydellinen haittatekijä. Kehittyneiden maiden ikäjakauman painottuessa vanhempiin ikäluokkiin aikuisten kuulovioista tulee merkittävä sosioekonominen rasite yhteiskunnille. Tutkimuksen tavoitteena oli selvittää aikuisten kuulovikojen epidemiologiaa ja kuulovikoihin liittyviä tekijöitä. Myös kuulovian vallitsevuus määriteltynä kuulokäyrän tai tutkittavan oman ilmoituksen perusteella selvitettiin. Samoin tutkittiin muita kuulemiseen liittyviä ongelmia, kuten tinnitusta ja ääniyliherkkyyttä. Edelleen arvioitiin erilaisten kuuloon vaikuttavien tekijöiden, kuten korvasairauksien, muiden kuulovian riskitekijöiden ja melulle altistumisen, vallitsevuutta väestössä sekä niiden assosiaatiota kuulemiseen. Näiden lisäksi tutkittiin kuulokäyrien muotoja ja niiden yhteyttä tutkittavan ilmoittamaan kuulo-ongelmaan. Tutkittavat valittiin satunnaisesti väestörekisteristä. He täyttivät laajan kyselylomakkeen, heidän korvansa tutkittiin lääkärin vastaanotolla ja lisäksi heille tehtiin kuulotutkimukset. Tutkimukseen osallistui 850 55–66-vuotiasta henkilöä. Tutkimus osoitti, että kuulovika on tässä ikäryhmässä hyvin yleinen löydös ja miehillä yleisempi kuin naisilla. Tutkittavan ilmoittama kuulovika ennusti mitattujen kuulokynnysten heikkenemistä korkeilla taajuuksilla (4–8 kHz). Samoin korkeille taajuuksille laskeva kuulokäyrän muoto oli yleisin. Erilaisia kuulovian riskitekijöitä raportoi 18.4 % tutkittavista. Tämän lisäksi 46 % kertoi merkittävästä altistumisesta melulle, miehet naisia useammin. Yllättäen melualtistumisella ei näyttänyt olevan yhteyttä kuulokynnyksiin siinä ryhmässä tutkittavia, joilla ei ollut korvaperäisiä riskitekijöitä kuulovialle. Tutkimustulokset osoittavat, että kuulovika on hyvin yleinen löydös tämän ikäisillä aikuisilla. Vanhenevat ikäluokat ovat merkittävä haaste kuulonhuollolle, ja tämä olisi otettava huomioon päätettäessä kuulonhuollon rahoituksesta. Useat niistä aikuisista, jotka kokivat kuulo-ongelmia, eivät kuulokäyrälöydöksensä mukaan täyttäneet Suomessa käytössä olevia kriteereitä kuulokojesovitukselle. Tämän tutkimuksen perusteella näyttääkin siltä, että kuntoutustarvetta arvioitaessa kuulovian kriteereitä tulisi kansallisesti tarkistaa ottamalla huomioon myös huonomman korvan kuulokynnykset sekä kuulon alenema korkeilla taajuuksilla
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44

Plested, Sushma. "Alcohol use among community dwelling older adults". Thesis, University of British Columbia, 2014. http://hdl.handle.net/2429/50176.

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Alcohol use among community dwelling older adults is fast becoming a major health concern in Canada. It is fast becoming a major precursor for social dysfunction as many have experienced destructive relationships, financial despair, and social isolation. This population often falls victim to ageist views held by health care providers, delaying recognition and assistance in relation to alcohol misuse. Perhaps the most important gap is the lack of qualitative research that will study the experience of alcohol misuse in older adults from their perspective and try to understand their readiness for change. This critical ethnography explored the attitudes, beliefs, behaviours, and experiences of alcohol use among community dwelling older adults within their social, cultural, or political context with an aim to elicit a change during the process. Data were collected through semi-structured interviews with a total of eighteen individuals; 1) study participants (N=11) that were older adults and dwelled in an urban center in the Interior of British Columbia, and who used alcohol, and 2) key informants (N=7) who had extensive experience with substance use issues working in a variety of fields within the community. Audio-taped interviews were transcribed and analyzed. Using Carspecken’s framework of analysis, three main themes and thirteen subthemes were identified. This study examined the role of environmental factors early in older adults’ life and their influence in forming beliefs, attitudes, and behaviours, related to alcohol use later in life. It examined the older adults’ drinking patterns, consequences of alcohol use, additional substance use, and barriers to seeking assistance. Findings in this study indicated that early adverse life experiences increase the chances of alcohol misuse later in life. Adjunct use of other substances indicated the changing characteristics of this population and the potential increase in health care costs as baby boomers become a predominant faction of the older adult population. Results of the study indicated improved access to nursing services at the primary health care level, a change of physicians’ attitudes, increased resources, and community support would encourage this population to seek out help. These themes have implications for nursing practice, education, nursing administration, and further research.
Applied Science, Faculty of
Nursing, School of
Graduate
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45

Anderson, Catherine. "Family structure and support among older adults". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ37390.pdf.

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Mizer, Linnette S. "Extension home economists' attitudes toward older adults". Connect to resource, 1985. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1201883470.

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Craven, Shirley. "The experience of older adults looking back". Click here for text online. The Institute of Clinical Social Work Dissertations website, 1998. http://www.icsw.edu/_dissertations/craven_1998.pdf.

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Dissertation (Ph.D.) -- The Institute for Clinical Social Work, 1998.
A dissertation submitted to the faculty of the Institute of Clinical Social Work in partial fulfillment for the degree of Doctor of Philosophy. Includes bibliographical references (leaves 175-182).
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Perversi, Maria E. "Older adults' preferences for technological nutrition education". Thesis, Manhattan, Kan. : Kansas State University, 2007. http://hdl.handle.net/2097/323.

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Bruer, A. L. "Emotional predispositions and wellbeing in older adults /". Title page, contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09SSPS/09sspsb889.pdf.

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Guo, Zhen. "Lonliness of Older Adults in Rural China". Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/gerontology_theses/18.

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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.
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