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Assessing the Older Diabetic Population in the US: A Descriptive Look at This Population from 2001-2010 Focusing upon Education and Clinical Behaviors

Description: The focus of this research study was to gain needed information on the older adult population in the United States who have diabetes. The research method was quantitative retrospective study of American diabetes obtained from the National Health Interview Survey database from 2001 through 2010. The study results confirmed more than one-third of the U.S. diabetics are aged 65 and older. More than 75% of the older diabetic population report clinical limitations or comorbidities. Based on surrogate markers of education, it appears the older diabetic cohort did receive more preventative care visits than did the older nondiabetic population; however, the difference was not robust. I found a slight negative trend between age and emergency room visits in the older diabetic population; in addition, there was a negative association between age and smoking in this population. There continues to be a need for scientific research in this population. Greater numbers need education and more clinical trials specific to the older diabetic should be encouraged.
Date: December 2016
Creator: Parker, Patti Annette
Partner: UNT Libraries

Legal Compliance in Guardianship Cases An Exploratory Study: Investigating Denton County Probate Court Visitors' Program Success with Legal Compliance in Guardianship Cases in 2013

Description: Dabner, Carol P. Legal Compliance in Guardianship Cases. An Exploratory Study: Investigating Denton County Probate Court Visitors' Program Success with Legal Compliance in Guardianship Cases. Doctor of Philosophy (Applied Gerontology), December 2016, 140 pp., 18 tables, references, 20 titles. Aim: To evaluate the effectiveness of the legal compliance of the Denton County Probate Court Visitor's program in the year 2013. Rationale: Guardianship case management success is based on the presence of legal compliance of both guardians and the Court. When a guardian is legally compliant, a ward is receiving the statutorily minimum standards of care. Legal compliance equates (evidence of) the Ward receiving legally sufficient care. Research has not been vast; it has been consistent as to necessity of guardianship training, monitoring, and narrow focus of research. Evidence based research will assist in defining and developing appropriate court monitoring programs, which can add to the quality of care for elderly and disabled adults. Methods: 1,300 guardianship cases in the probate court. Of these cases, 910 had annual reports of the person filed, which 304 were reviewed using the Legal Compliance Audit. Eight (8) factors of compliance were reviewed with three (3) being Court actions and five (5) being guardian actions. Results: Exploratory study provides evidence based research of the necessary changes to develop the Denton County Probate Court Visitor's program. The guardians are more legal compliant than the Court.
Date: December 2016
Creator: Dabner, Carol Patrice
Partner: UNT Libraries

Evolution and Devolution of Inpatient Psychiatric Services: From Asylums to Marketing Madness and Their Impact on Adults and Older Adults with Severe Mental Illness

Description: I examined the factors that led to the rise and fall of psychiatric hospitals and its impact on two select groups of individuals: adults and older adults with severe mental illness. To explore the reasons behind these fluctuations, the State of Texas was used as a case study. Additionally, the fluctuations occurred for different reasons in public vs. for-profit investor-owned psychiatric hospitals. Using an investor-owned psychiatric hospital organization as a case study, I investigated the differences in factors that influenced the growth and/or demise in public vs. investor-owned psychiatric hospitals. Evolution and devolution of psychiatric hospitals was assessed during select time periods: 1700 to1930, 1940 to1970, 1980 to 2000, and 2000 to present. Time period selections were relevant to the important drivers of the span of time that influenced the psychiatric hospitals. Historical review and trend analysis was used to identify the total number of psychiatric hospitals and/or total number of psychiatric hospital beds and psychiatric hospitals by type. Analysis showed there was a cyclical pattern of evolution and devolution of psychiatric hospitals and each cycle altered the form, function, and role of the psychiatric hospital along with altering the location of care for adults and older adults with severe mental illness. The research results suggest a long-stay residential facility, specializing in evidence-based treatment for adults and older adults with severe mental illness, to counter the dire shortage of psychiatric hospital beds.
Date: May 2017
Creator: Helmicki, Soni
Partner: UNT Libraries

An Exploratory Study of the Comprehension, Retention and Action of the Denton County Older Population in Regards to Disaster Preparedness Education

Description: The purpose of this exploratory study was to operationalize the responses from a sample of the community dwelling older population from Denton County, Texas on disaster preparedness education given by Denton County Health Department (DCHD) personnel. The goals and objectives were drawn from the Texas Public Health and Medical Emergency Management 5-Year Strategic Plan 2012-2016. It was hypothesized that after the disaster preparedness education was received, then comprehension, retention, and application of the information would increase and the goals set forth by the DCHD would be reached. Thirteen sites were used to educate the 224 participants between August 2011 and April 2012. The data were received using a pre-test survey before the training, a post-test immediately after the training, and a follow-up survey call approximately 30 days later. Using Cronbach's alpha, logistic regression and regression analysis through SAS, the data revealed that all DCHD goals were met by this training method and outcome which include the sample population increasing comprehension, retention, and action on the information learned.
Date: December 2012
Creator: Knight, Rebekah P.
Partner: UNT Libraries

Investigating the Effects of Polypharmacy Among Elderly Patients with Diabetes on Glycemic Control and Clinical Outcomes in Home Health Care

Description: The focus of this research study is glycemic control in the presence of multiple morbidities and polypharmacy in homebound individuals with Type 2 diabetes aged 65 years and older. The research method is a quantitative retrospective cohort study of discharged patients of a nonprofit community-based home health agency from January 1, 2010, to December 31, 2011, using OASIS data. Glycemic control is assessed using the hA1C laboratory test following the recommendation of the American Diabetes Association. The study documents a moderate significant association between glycemic control, polypharmacy and comorbid conditions, indicating that homebound individuals with Type 2 diabetes aged 65 years and older are less likely to have optimal glycemic control in the presence of multiple morbidities and polypharmacy. There continues to be a need for scientific research in this population cohort; and the dose-response association between antidiabetic therapy interventions designed to lower blood glucose levels in the presence of chronic disease and polypharmacy.
Date: December 2012
Creator: Bernier, Shelia Alathia
Partner: UNT Libraries

Tuberculosis in the Nursing Home: A Policy and Procedure Manual

Description: Tuberculosis in the nursing home is an ever-growing problem for the health care community. The incidence of tuberculosis in the United States has risen alarmingly since 1982, and high-population environments such as nursing homes are among the places where it is most prevalent. The first part of this document is an introduction to the current concerns faced by nursing home infection control personnel. It includes information about the history, symptoms, and epidemiology of the disease, as well as other topics. The second part is a policy and procedure manual that contains a basic guide to methodical testing for tuberculosis, steps for dealing with active cases of the disease, and suggestions for education of nursing home health care workers.
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Date: May 2000
Creator: Mounts, Camilla M.
Partner: UNT Libraries

Assisted Living: The Need for Creation of Affordable Options

Description: Assisted living, the fastest growing segment of the senior housing industry, allows individuals to remain as independent as they prefer and still receive necessary services. However, assisted living residences exist primarily to serve those seniors who can pay for the services from their own savings/income. We are facing a critical need for housing options for both the current senior generation and the soon-to-be-retired baby boomers. How will access to assisted living be opened to all types of payors? How will states fund the growth of assisted living? The purpose of this paper is to discuss opportunities for expansion that will make assisted living an affordable option for the low- and moderate-income elderly.
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Date: August 2000
Creator: Kretzinger, Robert W.
Partner: UNT Libraries

Humor and Nursing Home Residents

Description: Although humor is a generally accepted part of everyday life for humans, its existence, importance, and positive influence on older persons are often underestimated. The purposes of this study are to determine whether humor is a normal experience for nursing home residents, enhancing their activities of daily living, and whether it plays a role in contributing to their psychological well-being. The study includes a discussion of research on humor, particularly as it relates to the elderly and the aging process; analysis and comparisons based on interviews with residents on the subject of humor and review of their psychological state as evaluated by the MDS 2.0 nursing facility assessment; individual case studies, and anecdotes illustrating the beneficial contributions humor brings to the lives of nursing home residents.
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Date: May 2000
Creator: Cecil, David P.
Partner: UNT Libraries

Long-Term Care Administrator Licensure and Certification: An Emerging Health Profession

Description: The long-term care administrator profession is one that is both new and evolving. The unique historical perspective of this health profession is brief in the number of years it encompasses and crucial in understanding the current issues facing the profession. Administrator experiences provide a point of reference regarding the profession's structural problems. Ethical considerations play a dynamic role in administrators' daily jobs as well as their continued licensure. The significance of the profession's ongoing problems at the state and national level causes the need for alternatives to the current system. A combination of these alternatives must be embraced to assist in the recruitment and retention of long-term care administrators.
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Date: May 2000
Creator: Syverson, Thomas
Partner: UNT Libraries

Teamwork in the Nursing Home: The Art of Caring for Long-Term Care Residents

Description: The effects of teamwork in a long-term care setting were explored, and four key elements of teamwork in the long-term care facility were discovered. These elements--clarity of purpose, clear communication, well-defined decision-making procedures, and participative leadership--are presented in detail. The literature reviewed as well as observations from personal participation in a case study show that employing the teamwork concept in a nursing home environment significantly enhances the quality of life for the residents of such facilities.
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Date: May 2000
Creator: Saxon, Juliane M.
Partner: UNT Libraries

Predictors Of Physical Activity Participation In The Older Foreign-born Population In The United States: Data From The National Health Interview Survey (Nhis) 2002-2009

Description: Promoting physical activity in older adults is an important part of healthy aging. With an increasing older foreign-born population in the United States, there is limited information on physical activity participation in this group and even less for those experiencing difficulties in physical functioning and chronic illnesses. The primary objective of the study was to determine how physical factors, psychological issues, chronic illnesses, pain symptoms, perceived health status, and number of years living in the U.S. influence physical activity participation in older foreign-born respondents. The secondary objective was to identify the difference of predictors of physical activity participation between older foreign-born and older native-born respondents. The study is based on data collected from the National Health Interview Survey (NHIS) conducted from 2002 to 2009 for adults aged 50 or older. Ordinal logistic regression analysis was used to predict and explain the physical activity participation in older foreign-born respondents. Factors associated with more physical activity participation included a higher level of education, more time living in the U.S., more positively perceived health status, and having at least one chronic illnesses, or pain symptoms. Having more difficulties in physical functioning caused older foreign-born respondents to participate less in physical activity. This study provides the most recent evidence to health-care professionals to develop and implement policies and strategies to facilitate physical activity programs that will be beneficial to elderly immigrants living in the U.S.
Date: December 2011
Creator: Junrith, Kittiwan
Partner: UNT Libraries

Senior Graduating Nursing Students: Career Choices in Gerontological Nursing in Response to Expanding Geriatric Population

Description: Access to healthcare is needed and wanted by people of all ages and especially by those of the older population. The number of people in the 65 years of age and older population is rapidly growing with their needs expected to have a significant impact on the existing healthcare system and healthcare providers. The impact will be critical given the severe shortage of healthcare providers, especially of nurses and the rate of services being more often provided in non-hospital settings. The objectives of the study were to discover the plans of graduating nursing students as they choose their first place of employment, if they have future plans to pursue a nursing advance practice degree, and if they are very happy with their decision to become a nurse. Data for the study were obtained from a questionnaire presented to senior graduating nursing students. The findings were: (a) Most students prefer a hospital setting. (b) Younger students are three times as likely to seek out the hospital, and 1/3 of the students seek out the hospital setting because they were encouraged to become a nurse. (c) About 70% of the students want to work with their friends while 1/3 will seek the hospital worksite, as it is perceived as being the strongest resource in paying back loans. (d) Nearly 87% are considering the nursing advance practice role, and 52% have interest in the nurse practitioner role. The majority of students identified as very happy with their decision to become a nurse. This study provided insight for schools of nursing as they make curriculum decisions and to businesses as they learn of the preferences and plans of the new emerging nurses.
Date: December 2011
Creator: Anders, Judith E.
Partner: UNT Libraries

A Survey of Collaborative Efforts Between Public Health and Aging Services Networks in Community Health Centers in Texas

Description: 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 ...
Date: May 2009
Creator: Severance, Jennifer Jurado
Partner: UNT Libraries

Hospital Readmissions: the Need for a Coordinated Transitional Care Model: Analysis and Synthesis of Research on Medicare Policy and Interventions for the Elderly

Description: The transition from hospital to home or alternate care setting is a time of vulnerability for all patients and particularly for our elders. If not handled appropriately there is a risk to our elders for readmission to the hospital environment that may decrease their overall quality of life and further compromise their health status. in addition to the individual risks associated with patient readmissions, there are societal impacts that reach far beyond our current generation of elders 65 and older. This impact may have dire implications for the future fiscal health of the next generation. a review of the current and past literature shows that there are a limited number of resources available for hospitals to use in order to comply with the new Value Based Purchasing initiatives that are being implemented by CMS regarding the reduction in readmission rates. the problem of hospital readmissions is confounded by the many processes that are available for study, from pre-hospitalization conditions and care through hospitalization, discharge, and finally to post discharge processes. While most research and literature reviews have focused on individual disease causes, there is a need to provide hospitals with a resource that outlines the available options and interventions that have been shown to be effective in reducing hospital readmissions. the purpose of this study is to review relevant literature related to the problem of hospital readmissions for our elder population. This study is designed to look at interventions, both disease based and non-disease based, that have been previously implemented and have shown effective reductions in readmission rates. This analysis and synthesis can provide an important contribution to our understanding of the factors and variables that influence the readmission rates of our elder population. This review has the potential to assist and direct hospital administrators and to discharge planners, social ...
Date: May 2012
Creator: Wolfe, Laura M.
Partner: UNT Libraries

Proposed Therapeutic Art to Diminish Agitation in Elder Care

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 on patients with levels of agitation and dementia. A therapeutic art program may contribute to a better quality of life for persons with dementia. Recommendations are included for use with dementia patients, therapeutic programs and long term care.
Date: May 2012
Creator: Curington, Bonnie Dearen
Partner: UNT Libraries

Effect of Age on Likelihood to Test for Hiv

Description: HIV/AIDS can affect individuals of any age. Efforts to educate those considered to be most at-risk, based on the age at which the most individuals are infected, are ongoing and public. Less work and mainstream education outreach, however, is being directed at an older population, who can be more likely to contract HIV, is more susceptible to the effects of HIV, and more likely to develop AIDS, than younger persons. Guided by the Health Belief Model theory, research was conducted to determine what, if any, relationship existed between age of an individual and the possibility that an HIV test will be sought. Factors of gender, education, ethnicity and marital status were included in analyses. the research indicated that as age increased, likelihood for getting an HIV test decreased. Overall, most individuals had not been tested for HIV. the implications of an aged and aging population with HIV include a need for coordinated service delivery, increased education and outreach.
Date: May 2012
Creator: Dreyer, Katherine
Partner: UNT Libraries

An Exploratory Study of Factors Influencing the Effectiveness of the Amob/vll Program for Participants in North Central Texas

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.
Date: December 2011
Creator: Ewing, Charles W.
Partner: UNT Libraries

An Evaluation Model for Identifying Lewisville and San Angelo, Texas, as Senior Ready Communities

Description: This research portrays a paradigm for the assessment of aging services to support populations aging in place. The dissertation was designed to establish a model to identify and evaluate senior ready communities. Area specific social programs and services are identified. In order to meet the growing needs of aging populations, the dynamic representation of existing services and the need for services that could be developed in certain communities require reevaluation in current planning, restructuring, and/or community development.
Date: December 2009
Creator: Sanders, David N.
Partner: UNT Libraries

Caregiver Perceptions of Wandering Behavior in the Adrd (Alzheimer’s Disease and Related Dementias) Patient

Description: The dissertation examined family caregivers’ perceptions of wandering behavior after their loved one has been diagnosed with ADRD (Alzheimer’s disease and related dementias). Semi-structured in-depth face-to-face interviews of a convenience sample of 22 caregivers in the Dallas metropolitan area were conducted. Responses were analyzed using a grounded theory approach. The use of qualitative methods facilitated the study of how caregivers of a loved one with ADRD understood and explained in their own voice the wandering behavior associated with the disease and how their views of the behavior informed the caregiving process. In particular, this research examined why some caregivers tend to recognize wandering behavior as significant early on while the ADRD patient is still living in the home (and community) and modifications can be made to keep him or her there despite the behavior, and why some caregivers do not. Findings indicated that caregivers were concerned about the general safety of their loved one. Precautions were taken within the home for conditions related to frailty, but were much less likely to be taken to address wandering behavior and its negative consequences. Three groups of caregivers emerged: (a) those who primarily reacted to their loved one’s problem behaviors including wandering, and intervened minimally; (b) those who were proactive, making modifications in their routines and environment to protect their loved one after a trigger event; and (c) those who had a mixed response, who did the best that they could with what they had. This last group of caregivers took on additional roles, modified their homes for safety, but environmental stressors and inadequate supports limited their interventions. Implications of the findings for aging in place and community, further research, policy-making, and practitioners are discussed.
Date: August 2012
Creator: Dickson, Patricia
Partner: UNT Libraries

Working Baby Boomers’ Knowledge of Retiree Health Benefits and Costs

Description: This study was exploratory in nature, with the purpose of examining the relationships between working Baby Boomers’ knowledge of retirement health benefits and health costs and actions they have taken to prepare for retirement. An online survey was completed by 209 Baby Boomers who are employed by three city governments in the Dallas-Fort Worth Metroplex. The research showed that health benefits knowledge does not predict retirement preparation but that Baby Boomers who demonstrate higher levels of knowledge-seeking behavior are more likely to undertake retirement preparation, specifically by purchasing an annuity. Among public sector working Baby Boomers, retirement preparation activities are found to be minimal. Age was found to predict knowledge-seeking behavior, in that older vs. younger Baby Boomers are more likely to engage in knowledge-seeking behavior related to retirement preparation. Current knowledge about health benefits does not predict retirement preparation.
Date: August 2012
Creator: Henning, Janet L.
Partner: UNT Libraries

Resident Rights and Electronic Monitoring

Description: The purpose of this exploratory study was to examine resident, family member and staff perceptions of electronic monitoring and their effect on resident rights. The sample consisted of 53 nursing home residents, 104 staff and 25 family members, in the Dallas Fort Worth metroplex, from a nursing facility in which residents utilize video cameras in their rooms (Nursing Facility 1), two nursing facilities that have video cameras in their common rooms areas (Nursing Facility 2 and 3) and a nursing facility that does not utilize video cameras (Nursing Facility 4). The interview questions and self-administered surveys were in regard to the participant's perceptions of electronic monitoring, perceived risks and benefits of video cameras, awareness of resident rights and consciousness of potential risks to resident rights. Data were analyzed using a mixed methods approach using both ATLAS t.i and SAS. Study findings revealed that residents, family members and staff are aware of the potential benefits of electronic monitoring in nursing facilities. While respondents are hesitant to have electronic monitoring in resident rooms, they are interested in utilizing electronic monitoring in common areas. While residents and staff believe that electronic monitoring compromises resident rights, family members believe resident rights are protected. Different types of staff have different perceptions of electronic monitoring. Those staff members that are more directly involved in resident care are less accepting of electronic monitoring compared to staff that have episodic visits with residents. Among staff members, nursing facilities with prior experience with electronic monitoring are less accepting of electronic monitoring. Further studies are needed to enhance this research.
Date: August 2010
Creator: Shashidhara, Shilpa
Partner: UNT Libraries

Culture Interrupted: Assessing the Effects of the Shining Path Internal Armed Conflict in the Peruvian Highlands

Description: This study was a qualitative examination of social, economic, political, and cultural dilemmas that face Peruvian survivors of the Communist Shining Path Revolution, an internal armed conflict that cut a swath of terror and destruction during the years 1980-2000, with a reported loss of 69,000 residents either killed or considered “disappeared.” The conflict affected primarily poor, uneducated Andean campesinos and townspeople in the highland areas of the Ayacucho District. In this study, I looked closely at the responsibilities of both government and NGOs in the facilitation of readjustment during and after times of instability. In addition, specific challenges the elderly, women and campesinos face in a post-conflict world are analyzed and possible social policies are discerned that might be developed to better implement the transition to a new form of community. Ideas that emerged from this research may assist policy shapers in other less developed countries involved in similar conflicts by examining how Peru dealt with its own issues. Methodology included participant observation and interviews with long-term Ayacuchan residents who stayed-in-place during war time, along with migrants who went to live in shantytowns in more urban areas. The government-mandated Truth and Reconciliation Commission report serves as a framework as it outlined those ultimately deemed responsible and detailed what those affected may expect in the way of appropriate reparations and compensation in the future. Much emphasis is given to the emerging role of women and how ensuing shifts of gender specific cultural roles may affect familial and communal bonds in small-scale societies.
Date: May 2014
Creator: Van Wye, Kalynn Hicks
Partner: UNT Libraries

Internet Health Information and Patient-health Professional Relationship

Description: The purpose of this study was to investigate patient use and presentation of Internet health information and its effect on patient-health professional relationship from a sample of residents at active adult communities in Texas. Five sites were used to recruit the 260 participants between November 2012 and January 2013. The data were received using a self-administered survey. Using Cronbach’s alpha, logistic regression and regression analysis through SAS, the data revealed that older respondents are less likely to discuss web-based information with health professionals. In addition, logistic regression analysis indicated that four of the variables, IHI Sharing, educational status (bachelor degree), marital status (married), and perceived health status (excellent and very good health) predicted varied of the 20 indicators making up the patient-health professional relationship scale. Further studies are needed to enhance this research.
Date: August 2013
Creator: Williams, TimMarie Chloe’ Uvonne
Partner: UNT Libraries

Disaster Experience and Self-efficacy As Factors Influencing Emergency Planning in Community-dwelling Older Adults

Description: This study design was to identify and examine how disaster experience, self-efficacy, and demographic factors influence disaster preparedness in community-dwelling older adults. Current data indicates the United States is rapidly aging. Parallel to this significant increase among the elderly population, natural disasters are more prevalent. Consequently, older adults are affected adversely by these disasters and exposure to social vulnerabilities during the disaster cycle. For the purpose of this study, non-identifiable secondary data were analyzed. Sources of the data were the 2007 and 2008 National Center for Disaster Preparedness surveys. The sample focus of this study was adults 50 and older. Regression analyses identified important predictors of disaster preparedness in the survey respondents. Sample adults with previous disaster experience are two times more likely to be in a higher category for having an emergency plan than those respondents with no observable effects of self-efficacy and no previous disaster experience. The frequency of natural disasters in the United States has generated a renewed interest in disaster management, in particular, disaster preparedness. Nevertheless, the focal point of disaster preparedness is no longer the rudimentary stockpile of water, a first aid kit, and a battery operated radio. To advance the field of disaster management it is vital for gerontologist to approach disaster preparedness by differentiating between stockpiling supplies and social cognitive interventions that fundamentally alters preparedness behavior.
Date: August 2014
Creator: Symonette, Erika
Partner: UNT Libraries