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open access

Access to Health Care and Rates of Mortality and Utilization for the Elderly in Rural America

Description: The aging experience of men and women in rural America is different than that of their urban counterparts. In this study, I identified key disparities in access to health care, mortality, and utilization of health care that result from geographic location. Foundational theories are discussed to illustrate that disparities can originate from historical societal behaviors. Secondary data and literary reviews create a combined qualitative and quantitative approach to explore the rural/urban divide… more
Date: May 2018
Creator: Johnson, Barbara Ann
Partner: UNT Libraries
open access

Subjective Cognitive Decline in Activities of Daily Living among Older Adults with Depressive Symptoms

Description: This study aimed to understand subjective cognitive decline (SCD) and functional difficulties in older age cohorts with depressive symptoms, using one scoping review and two empirical studies. We implemented the six steps of Arksey and O'Malley's procedure for the scoping review. We used the population, concept, and context (PCC) inclusion and exclusion criteria in the literature search across MEDLINE via Ebscohost, PubMed, and PsycINFO for articles published on ADL/IADL indicators of SCD in ol… more
Date: May 2023
Creator: Komalasari, Renata
Partner: UNT Libraries

A Study of Health-Related Screening Behaviors among Individuals in Texas with Adverse Childhood Experiences

Description: Data from this dissertation was obtained from the Texas Behavioral Risk Factor Surveillance System (BRFSS). The Texas BRFSS questionnaire used a cross-sectional retrospective research design while asking questions about individuals' exposure to adverse childhood experiences (ACEs) and included 11 questions. The sample included 9096 individuals over the age of 18 who had exposure to at least one ACE. An ACE score was calculated for all participants and were divided into two groups (less than 4 A… more
Date: August 2021
Creator: Baniya, Ganesh
Partner: UNT Libraries

Perception of Falls and Confidence in Self-Management of Falls among Older Adults

Description: Mobility safety, especially fall prevention, plays a significant role in successful aging for older adults. Fall preventive programs aim to reduce risks for mortality from fall-related injuries among older adults. However, the covariation between personal perceptions of falls and factors and confidence of self-management in falls (CSMoF) is still under-studied despite its importance to fall prevention. Using the International Classification of Functioning, Disability, and Health (ICF) model, th… more
Date: May 2020
Creator: Li, Qiwei
Partner: UNT Libraries

Multifactorial Determinants of Change in Mental Disorder and Happiness among Older Americans

Description: Mental health is an intrinsic capability that constitute an essential component of healthy aging. Mental health is constituted by positive constructs such as happiness and negative constructs (mental disorders) such as depression. As people grow older, they become more prone to developing mental disorders which are linked to poorer quality of life, increased disability, increased utilization and cost of health services, and higher rates of suicide. This dissertation involved three studies that … more
Date: August 2020
Creator: Adaralegbe, Adeleye Ayinde
Partner: UNT Libraries

Health Reform Implementation Analysis: A Guide to Policy Development for Geriatric Care Planning, Integration and Evaluation

Description: In the context of health care delivery for senior citizens, this research utilizes three studies that examine the development and implementation of health policy and the factors that can directly or indirectly impact the effective delivery of health services to senior citizens. It utilizes three essays employing mixed methods (qualitative and quantitative) methods including semi structured interviews, multiple regression and partial least squares structural equation modelling to examine the ext… more
Date: August 2020
Creator: Abah, Theresa
Partner: UNT Libraries

Examining Alcohol Related Consequences in Undergraduate Sorority Women

Description: Members of Greek Life organizations consume more alcohol and participate in risky drinking behaviors at higher rate than their non-Greek counterparts due to deep rooted social norms within this population. Undergraduate sorority women at college and universities are often overlooked in research regarding trends in alcohol use in Greek Life organizations. However, women between the ages of 18 and 24 are more vulnerable to the consequences of heavy alcohol use compared to men, including liver dis… more
Date: December 2020
Creator: Cortez, Veronica L.
Partner: UNT Libraries

Speech-in-Noise Processing in Adults with Autism Spectrum Disorder

Description: Individuals diagnosed with autism spectrum disorder often experience difficulty during speech-in-noise (SIN) processing tasks. However, it remains unclear how behavioral and cortical mechanisms of auditory processing explain variability in SIN performance in adults with ASD and their neurotypical counterparts. The proposed research explored variability in SIN as it relates to behavioral, perceptual, and objective measures of auditory processing. Results showed significant differences between gr… more
Date: August 2021
Creator: Anderson, Chelsea D
Partner: UNT Libraries

The Relationship between Social Isolation and Wellbeing in Older Adults

Description: This dissertation contributes to research on social isolation in older adults aged 65 years and above through three essays that expand our understanding of the social determinants of health and identify the social and interpersonal factors that contribute to elderly wellbeing. This dissertation examines the significant factors contributing to the problem of social isolation, and how the availability of interest-based, low-cost engagement resources in the community can alleviate social isolation… more
Date: August 2020
Creator: Sen, Keya
Partner: UNT Libraries

Information Communication Technology Efficacy in Reducing Social Isolation and Loneliness in Community Living Older Adults

Description: This study will extend the current body of knowledge about how accessible and affordable information communication technologies (ICT; smartphones, tablets, and computers) can foster social interaction and reduce social isolation and loneliness in older adults aged 55 plus. The first study is a systematic literature review of existing studies on ICT and the willingness of older adults to use technology. The second study is quantitative research that investigates the trust and reasoning of older … more
This item is restricted from view until June 1, 2027.
Date: May 2022
Creator: Harllee, Heath D
Partner: UNT Libraries

Successful Retirement Transition Planning: Influences of Decision Support Factors and Socio-Demographics

Description: Some people experience cumulative advantages or disadvantages at birth and during their lifespan that determine future life course outcomes. Health disparities and systemic inequity can define a negative trajectory for some minority and underserved communities. Without intervention, such inequity can spiral and eventually affect more and more areas of an older person's life, much like cumulative disadvantages. This research proposes that older adults can improve their situation through targeted… more
This item is restricted from view until June 1, 2027.
Date: May 2022
Creator: Tinofirei, Charity
Partner: UNT Libraries

Older Adult Loss, Bereavement, and Grief Experiences: Influences on Adjustment and Resilience after Loss

Description: Loss is an inevitable part of life. The actual process of grieving is unique and can be hard to quantify. Grief interventions can address the relationship quality and attachment status between the griever and the deceased and how memories are interpreted and carried into the present and future. This three-essay dissertation explores variations of loss and the factors that contribute to a resilient recovery.
This item is restricted from view until June 1, 2027.
Date: May 2022
Creator: Noah, Amanda M
Partner: UNT Libraries
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