ORCID Identifier(s)

0009-0005-6380-0616

Graduation Semester and Year

Summer 2026

Language

English

Document Type

Thesis

Degree Name

Doctor of Philosophy in Social Work

Department

Social Work

First Advisor

Dr. Scott D. Ryan

Second Advisor

Dr. Anne Elizabeth Nordberg

Third Advisor

Dr. Weiwen Zeng

Fourth Advisor

Dr. Michael Bennett

Abstract

This three-article study examined the quality of life and everyday lived experience of older adults living with multiple sclerosis (MS). The first article is a scoping review of 14 peer-reviewed studies published between 2012 and 2025, conducted in accordance with Arksey and O’Malley’s five-stage framework and the PRISMA checklist. The second article is a cross-sectional study using the Aging Concerns, Challenges, and Everyday Solution Strategies (ACCESS) Phase II data set of 60 older adults living with MS. Multiple linear regression and moderation analysis was conducted to examine the association between physical symptom burden and quality of life, and whether participation in MS support groups moderated that relationship. The third article drew on qualitative data from the same ACCESS Phase II data set to provide an understanding of how 60 older adults with MS experienced challenges in their everyday activities, how they responded to those challenges, and what those experiences meant to them. The results from this overall body of research indicate the need for a reorientation of MS care toward older adults that addresses a holistic well-being of the population.

Disciplines

Diseases | Nursing | Public Health | Social and Behavioral Sciences | Social Work

License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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