Description: The purpose of this study is to identify predictors of psychological empowerment among nurse aides in nursing homes. Five structural factors (information exchange, decentralization of resources, co-worker support, supervisor support, and availability of training) and four control factors (age, sex, level of education, and race) are analyzed using multivariate linear regression to examine their effects on psychological empowerment. Two of the five structural factors, decentralization of resources and supervisor support, are shown to positively influence psychological empowerment. Nursing home managers can consider developing and implementing procedures that decentralize resources and demonstrate supervisor support in order to increase psychological empowerment. Based on the findings of this study theory and practice might benefit from additional study of decentralization of resources and supervisor support.

Description: Health and well-being of older adults has become a worldwide public health concern and has been attracting increasing attention from scholars across the globe. But little is known about the health of the Chinese elderly. Using data from the China Health and Retirement Longitudinal Study (CHARLS) --Pilot, a pilot survey in 2008 in two provinces of China, Gansu and Zhejiang, this dissertation examines the association between social capital at both the individual- and community- levels and three health outcomes among older adults in China. A series of multi-level models were estimated using SAS 9.2. Statistical results indicate that such individual-level social capital variables as perceived help and support in the future, help from others, and birthplace significantly impacted health among older Chinese adults. When examining the relationship between community-level social capital and health, this study confirms the significant association between community-level social capital and good health independent of individual-level predictors. This study also indicates that the impact of gender and rural-urban Hukou status interacts with the province of residence. The results were discussed in terms of cultural legacy in the Chinese cultural setting, the current social dynamics related to old age support, health-related government reforms, and various disparities across different ...

Description: This research study examines the decreased agitation level utilizing nonpharmacological therapeutic interventions in dementia patients, age 65 and older. The study examined the following question: Will a therapeutic art program diminish agitated behaviors in persons diagnosed with dementia, aged 65 and older? In this quasi-experimental research design, the sample consisted of 19 participants in 3 groups, selected using these criteria: must be receiving services from a long term care facility, be diagnosed with dementia, display agitated behaviors, and be age 65 and older. This research measures the reduction of agitated behaviors in demented patients with the use of a therapeutic art program. The therapeutic art group pretest, midtest and posttest means were separated into Factor 1: aggressive behavior, Factor 2: physically nonaggressive behaviors, and Factor 3: verbally aggressive behavior. A multivariate analysis of covariance (ANCOVA) was conducted on the data for Factor 1, Factor 2, and Factor 3. The ANCOVA was not statistically significant for Factor 1. The ANCOVA indicated statistically significant findings when using a one tailed test for Factor 2 and Factor 3. The ANCOVA indicated statistically significant findings using a two tailed test for overall agitation. These findings inform professionals about the efficacy of therapeutic art programs ...

Description: Disasters are an ever increasing phenomena in our society, resulting in many people being adversely affected. the social vulnerability paradigm explores the social, economic and political factors which contribute to certain populations being disproportionately affected by disasters. However, the paradigm has not yet begun to investigate the cultural or religious ideologies which may affect a population's behavior in disaster. This study is an exploratory investigation into whether religious ideologies may impact a person's decision to prepare, or not, in the event of a disaster. Specifically, it seeks to investigate whether a person who holds a belief that natural disasters are under God's control will prepare for the hazard? the study undertaken five years after Hurricane Katrina in New Orleans show that religious ideology is closely linked with one's capacity to prepare for the hazard which is closely tied in with social structure. It may appear that a person's 'fatalistic' attitude is tied to economic inability to prepare for a hazard. This does not mean that they will not prepare but that preparation may include prayer as their initial attempt to mitigate.

Description: This study assessed falls efficacy and confidence-related changes among participants attending the a Matters of Balance/Volunteer Lay Leader (AMOB/VLL) falls prevention program for older adults, based on their residential location. Data were examined from 431 older Texans enrolled in AMOB/VLL during a two-year period, and assessed at baseline and post-intervention. Results indicate that participants significantly increased falls efficacy, reduced activity interference due to their health, and decreased the number of days limited from usual activity. Regression models show that participants, despite entering the program with lower reported health status, reported greater rates of positive change for falls efficacy and health interference compared with their baseline pre-intervention counterparts. Overall program attendance and attendance at major sessions showed the greatest influence. Findings contribute to the understanding of cognitive restructuring and strengthening variations with falls prevention program outcomes.