1,007 research outputs found
Supplemental Material - Psychometrics of the Physical Resilience Scale in Older Adults Living with Dementia: Proxy Responses
No full textSupplemental Material for Psychometrics of the Physical Resilience Scale in Older Adults Living with Dementia: Proxy Responses by Barbara Resnick, PhD, CRNP, Marie Boltz, PhD, CRNP, Elizabeth Galik, PhD, Ashley Kuzmik, PhD, Jeanette Ellis, MA, and Chris Wells, PT, PhD, CCS, ATC, FCCM in Journal of Aging and Health.</p
sj-docx-1-cnr-10.1177_10547738231165721 – Supplemental material for Psychotropic Medication Use and Changes During Hospitalization for Older Adults Living With Dementia
No full textSupplemental material, sj-docx-1-cnr-10.1177_10547738231165721 for Psychotropic Medication Use and Changes During Hospitalization for Older Adults Living With Dementia by Barbara Resnick, Marie Boltz, Elizabeth Galik, Ashley Kuzmik, Brittany Drazich, Rachel McPherson, Nayeon Kim, Chris Wells and Shijun Zhu in Clinical Nursing Research</p
Testing A Theoretical Model of Exercise Behavior for Older Adults
No full textBackground: Although there are many known benefits to exercise, only 10-30% of older adults report regular exercise. Understanding the factors that explain exercise behavior in older adults will help structure interventions that motivate these individuals to initiate and adhere to regular exercise.
Objective: The purpose of this study was to test the impact of components from two theoretical perspectives that explain exercise behavior, social cognitive theory, and the transtheoretical model.
Methods: This was a descriptive study using a sample of 179 older adults living independently in an East Coast continuing care retirement community (CCRC). A single one-time interview was completed and included: (a) stage of change for exercise, (b) self-efficacy and outcome expectations, (c) health status, (d) fear of falling, and (e) exercise activity. Model testing used structural equation modeling.
Results: Testing of the hypothesized model showed that 11 of the 22 paths were statistically significant. Health status and social support influenced self-efficacy and outcome expectations which directly influenced stage of change and exercise. Social support likewise directly influenced stage of change. Together the variables in the model explained 64% of exercise behavior in older adults. There was a poor fit of the hypothesized model to the data with a chi2 of 144.7, degrees of freedom (df) of 23 and a ratio of 6.3. The revised model fit the data better chi2 = 80.5, df = 19, p <.05, chi2/df = 4.2) and there was improved fit when compared to the hypothesized model (chi2 difference of 64.0, df difference of 4, p < or = l.
Discussion: The combined testing of the mediating components of the theory of self-efficacy as well as the incorporation of the stage of change to explain exercise behavior in older adults suggests that both of these approaches are useful. Stage of change may be particularly useful to help determine the most appropriate intervention to increase activity and exercise in older adults
The European roots of Canadian identity
No full text"What makes Canada a different kind of society from the United States? In this book-length essay, Philip Resnick argues that, in more ways than one, Canada has been profoundly marked by its European origins. This is most apparent where the European historical underpinnings both of English-speaking and French-speaking Canada are concerned, but it is no less true when one examines Canada's multiple national identities, robust social programs, increasingly secular values, and multilateral outlook on international affairs today. As the war in Iraq brought home, and the 2004 federal election reinforced, Canada is a more European-type society than is our neighbour to the south." "The author argues that Canada needs Europe as an effective counter-weight to the influence of the United States. He further argues that, at a deeper existential level, Canadians need relevant European references to better understand what makes them the kind of North Americans that they are."--BOOK JACKET
Nursing home research: the first international association of gerontology and geriatrics (IAGG) research conference
No full textThe International Association of Gerontology and Geriatrics held its first conference on nursing home research in St Louis, MO, in November 2013. This article provides a summary of the presentations.Yves Rolland, Barbara Resnick, Paul R.Katz, Milta O.Little, Joseph G.Ouslander, Alice Bonner … et al
Testing of the short self-efficacy and outcome expectations
No full textThe purpose of this study was to test the reliability and validity of the short outcome expectations for exercise (SOEE) and short self-efficacy expectations for exercise (SSEE) scales in a sample of adults recruited into two exercise intervention studies for patients post stroke. A total of 157individuals, 90males (56%) and 67females (43%) with an average age of 63.7 (SD=12.3) years participated in the study. There was evidence of internal consistency for both scales based on alpha coefficients and Rasch Model testing estimates of person and item separability, evidence of test re-test reliability with no change in scores over a 6-week period, and some support of reliability based on R2 estimates. There was evidence of validity of the measures based on confirmatory factor analysis using structural equation modeling and Rasch measurement model testing, and convergent validity testing. There was some evidence of convergent validity based on a statistically significant relationship between self-efficacy and outcome expectations, and both of these measures with physical health status. The study provided some preliminary evidence for the reliability and validity of the SSEE and SOEE when used with adult stroke patients, and suggested revisions for subsequent use of these measures are provide
Cardiovascular risk in survivors of stroke
No full textBackground: stroke survivors are at significant risk for recurrent stroke and cardiovascular disease. Inadequately managed modifiable risk factors increase the threat of recurrent stroke, development of new comorbidities, and double the risk of premature mortality. The purpose of this study was to determine the prevalence of modifiable cardiovascular risk factors in stroke survivors who completed a research screening evaluation for entry into exercise rehabilitation studies. The sample collected between January 2001 and June 2005 evaluated 364 community-dwelling men and women aged 34 to 88 years living in Baltimore, Maryland.Methods: each participant’s risk profile was evaluated from data obtained during a medical history and physical examination and from laboratory analysis of a fasting blood sample. Current practice guidelines were used to define risk categories.Results: ninety-nine percent of participants had at least one suboptimally controlled risk factor. Ninety-one percent had two or more concurrent risk factors inadequately treated. Eighty percent of the participants had prehypertension or hypertension, 67% were overweight or obese, 60% had suboptimal low-density lipoprotein, 45% had impaired fasting glucose, 34% had low high-density lipoprotein, and 14% were current smokers, while reportedly receiving routine medical care.Conclusions: these findings confirm that cardiovascular risk factors remain inadequately managed in stroke survivors, increasing the chance for repeat stroke and cardiovascular event. Systematic assessment of this vulnerable population is imperative at every healthcare encounte
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