Date of Award


Degree Name

PhD Nursing

Dissertation Committee

Ann M. Mayo, RN; DNSc; FAAN, Chairperson; Mary Barger, CNM; PhD; PH; FACNM; Shelley Hawkins, PhD; APRN-BC; FAANP


QOL, older adults, low-income, mantram repetition, urban-dwelling


Background: Quality of life is an important concept of increasing significance for the healthcare in the United States, especially when taken in perspective of the aging population. Low-income, urban dwelling older adults are challenged in a number of ways that may negatively impact their QOL. This unique group is prone to report lower QOL, therefore, interventions targeted to improve QOL are timely. The purpose of this study was to describe the effect of mantram repetition (MR) on QOL in a sample of low-income, urban dwelling older adults.

Methods: A quasi-experimental pre-posttest study was conducted using a sample population of low-income older adults recruited from a community wellness center for older adults from September 15th, 2017 to December 7th, 2017. Independent study variables included age, gender, monthly income, previous meditation experience, history of psychiatric illness, housing status and MR frequency. Dependent study variables included QOL domains scores derived from the World Health Organization Quality of Life -BREF. Descriptive and inferential statistics were conducted using SPSS, version 24.

Results: It was determined that there were no significant differences in demographic variables between participants who completed the study (n=36) and those who did not (n=36). Results from the statistical analysis indicated there was not a significant increase in QOL over the course of the 8-week intervention period. Only two of the independent variables, monthly income (r=-.39, p < .05) and history of psychiatric illness (F(1,32) 21.38 p = .034 (η2 =.36) demonstrated a significant relationship with one of the dependent variables (Psychological QOL). Mantram repetition frequency did not contribute a significant amount of variance to post-intervention QOL domain scores.

Conclusion: This study demonstrates the plausibility of implementing a MR program in a day center for low-income, urban dwelling older adults. While this study did not significantly demonstrate that MR improved QOL, the findings did suggest that participants exhibited some improvement in QOL. The results of this study have reported relevant findings that may inform differently designed MR interventional studies.

Document Type

Dissertation: Open Access