LIFELONG EDUCATION,LIFELONG NEEDS: FUTURE ROLES IN AN AGING SOCIETY

This article proceeds from the assumption that the aging of American society has consequences for the life roles of midlife and older persons. Seven points are developed in support of the assumption. They are as follows: dynamics and demographics of an aging population; education, a critical component of life in the future; a model of education for older adults; new roles for an aging society; literacy for older persons; older persons' activities in pursuit of lifelong education; and a view of the future that includes lifelong education for lifelong needs. The final section offers some speculations about what lifelong education will be like in 2010.     

Literacy proficiency of older adults

As a supplement to the International Adult Literacy Survey, the Netherlands devoted special attention to the literacy proficiency of older adults. A close look at the literacy skills of older adults and their use in daily life is relevant because demographic developments, individualisation, the position of older employees in the labour market and technological innovations require an increasing level of literacy skills. Accordingly, this chapter compares the literacy skills of older adults with other age groups, and presents an analysis of the determinants of literacy proficiency of older adults. In addition, results from follow-up interviews conducted with 40 older adults who had low proficiency scores in the Netherlands are presented. This includes (a) the kind of problems they experience in daily life, (b) the kind of coping strategies they develop, and (c) their attitude towards educational interventions. The results show that the literacy proficiency of older adults gives reasons for concern. They score significantly lower than other age groups. However, many older adults develop practical coping strategies, such as using social networks, assertiveness in asking for help, etc. Yet, some of the coping strategies are vulnerable because of societal changes such as rationalisation in industry and public services.     

Health Literacy,Social Support,and Health Status Among Older Adults

The study examines whether social support interacts with health literacy in affecting the health status of older adults. Health literacy is assessed using the short version of the Test of Functional Health Literacy in Adults. Social support is measured with the Medical Outcome Study social support scale. Results show, unexpectedly, that rather than buffering the negative effect of low health literacy, social support has a more positive impact on physical health in older adults with high health literacy. Implications for improving the health status of older adults through health literacy and social support are discussed.     

Literacy activity and health among older adults in the USA

ABSTRACT

Health literacy skills are known to be a key mediator of the relationship between education and health in the general population. However, one aspect of health literacy skills—individuals’ actual literacy activities—remains understudied, especially among older adults. Health disparities that are driven by inequalities in education and level of health literacy skills are particularly problematic for older adults since they are exacerbated in old age by disadvantages that accumulate over the life course. This study examined a nationally representative sample of US adults age 50 years and older (n = 2,573) using data from the 2014 Program for International Assessment of Adult Competencies (PIAAC). Parallel mediation analysis was conducted to examine the partial mediation effects of health literacy skills and literacy activity (i.e., reading at home) on the relationship between education and health. Results showed that both health literacy skills and literacy activity mediated the education–health relationship. On average, literacy skills mediated 31.89% and literacy activities mediated 9.59% of the effect of education of self-rated health. Literacy activity, such as reading, is an easily accessible, autonomous, and sustainable option for promoting health in later life. Policies that support the intersection of public health and education may promote lifelong learning and well-being among US adults.     

DEVELOPING MEDIA LITERACY SKILLS TO CHALLENGE TELEVISION'S PORTRAYAL OF OLDER WOMEN

To be old in our society is to be devalued. To be old and female is to experience double oppression. This article reports on a study that examined how television both reinforces and resists the prevailing images of older women in Western society. Two randomly selected television rerun episodes of The Golden Girls were selected to use as a trigger event with members of a graduate course in Social Work with older adults at a major southeastern university. The study found that television reflects societal discourse about aging by providing unchallenged images of older women and their lives. Given the power of television, educators and gerontologists must teach students to develop critical thinking and media literacy skills that challenge and deconstruct television's images about older women and to advocate for new programming that reflects more accurate and diverse portrayals of older women.     

Associations between motivation to learn,basic skills,and adult education and training participation among older adults in the USA

ABSTRACT

The objective of this study is to examine the associations between the motivation to learn, basic skills (i.e. literacy and numeracy), and organised adult education and training (AET) participation among the middle-aged and older adults in the USA. Rapid technological advancement and globalisation necessitate individuals to engage in lifelong learning to actively participate in society. However, little is known about the roles of motivation to learn and basic skills in the AET participation in the U.S. adult population. We obtained the data from the 2012/2014 Programme for International Assessment of Adult Competencies restricted-use file and adults aged 50 years and older (n = 2,580) are included. Structural equation models are used to examine (1) any AET, (2) formal AET and (3) non-formal AET participation as a function of the motivation to learn latent construct, literacy, numeracy, and other covariates. Results showed that the motivation to learn, literacy and numeracy are all positive predictors of non-formal AET participation. Only motivation to learn is associated with formal AET participation. Findings from this study may inform future interventions as well as policy changes to promote specific types of organised AET programmes among older adult population in the USA.     

Investigating older adults’ intention to learn health knowledge on social media

ABSTRACT

Abundant health knowledge resources are available on social media to facilitate technology-enhanced knowledge learning among older adults. The objective of this study is to investigate the predictors and the underlying formation mechanism of older adults’ intention to learn health knowledge on social media. We propose a novel model to examine how older adults’ emotional state (i.e., health anxiety) and cognitive state (i.e., e-health literacy) during knowledge acquisition influence threat appraisal (i.e. perceived severity and perceived susceptibility) and coping appraisal (i.e. self-efficacy and perceived benefits), thereby shaping older adults’ intention to learn health knowledge. Survey data from 337 Chinese older adult users of social media was collected to test the research model. Results reveal that perceived susceptibility, self-efficacy and perceived benefits exert positive effects on older adults’ health knowledge learning intention, while the impact of perceived severity on health knowledge learning intention is not statistically significant; health anxiety is positively correlated with perceived severity and perceived susceptibility, and e-health literacy is a powerful predictor of self-efficacy and perceived benefits. This paper enriches the literature related to technology-enhanced knowledge learning and online health behavior among older adults. Effective strategies are proposed based on the findings for practitioners dedicated to promoting health knowledge via social media and older adults who apply health knowledge to address health-related needs.     

The Vocational Turn in Adult Literacy Education and the Impact of the International Adult Literacy Survey

The authors critically examine some of the underlying epistemological and theoretical assumptions of the IALS. In doing so, they distinguish among two basic orientations towards literacy. First, the standard approach (of which IALS is an example) subscribes to the possibility of measuring literacy as abstract, cognitive skills, and endorses the claim that there is an important relationship between literacy skills and economic success in the so-called 'knowledge society.' The second, called a socio-cultural approach, insists on the contextual and power-related character of people's literacy practices. The authors further illustrate that the assumptions of the IALS are rooted in a neo-liberal ideology that forces all members of society to adjust to the exigencies of the globalised economy. In the current, contingent conditions of the risk society, however, it does not seem very wise to limit the learning of adults to enhancing labour-market competencies. Adult education should relate to the concrete literacy practices people already have in their lives. It should make its learners co-responsible actors of their own learning process and participants in a democratic debate on defining the kind of society people want to build.     

The impact of Age-Tastic! On health literacy about depression among older adults: a pilot study

ABSTRACT

Age-Tastic! is a health and wellness intervention designed for older adults. Incorporating game theory and behavioral activation concepts, this intervention is a board game that engages older adults in an interactive and immersive experience over 8 weeks. This paper reports on a pilot study that evaluated the impact of this intervention on health literacy about depression among community-dwelling older adults from New York City. The sample comprised 123 older adults recruited from 15 senior centers. Participants were tested on their knowledge and awareness of depression prior to the intervention and again at the end of the intervention after eight weeks. Statistically significant gains were made in the knowledge and awareness regarding the relationship of aging to depression, stigma of seeking help and knowing where to seek help. Implications for replication and use of this intervention are discussed.     

The Meaning of the Learning Experiences of Older Adults in Hong Kong

This article discusses the themes that emerged from qualitative research exploring the meaning that Chinese older adults find in their learning experiences in Hong Kong. In-depth interviewing was used to solicit information from older learners taking courses in elderly centers or units. Four themes were identified: (a) older adults as learners, (b) restructuring of time, (c) enhanced self-image, and (d) integration into society. The relationship between these themes and the aging process of older adults is further discussed, and it shows that learning has important meaning for older adults.     

The relationship between attaining formal qualifications at older ages and outcomes related to active ageing

Active ageing has become a policy concept that serves as an important response to the ageing of many societies, primarily because it is thought to lead to positive outcomes such as increased employment, productivity, health and other well‐being into older ages. This article presents results of an analysis of the relationship between attaining qualifications at older ages and active ageing in later life. The analysis is based on data made available by the Programme for the International Assessment of Adult Competencies (PIAAC). Results of the analysis show that adults who attain higher levels of qualifications in mid to later life are associated with an increased probability of, being employed, participating in continued learning, and scoring higher on the PIAAC literacy scale when they are older. The findings suggest that open and flexible formal education structures at all levels is good for activating the population to be employed, to engage in continued learning and to develop and maintain literacy skills into older ages.     

OBESITY AND REPORTS OF NO LEISURE TIME ACTIVITY AMONG OLDER AMERICANS: RESULTS FROM THE THIRD NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY

Physical inactivity is a cardiovascular risk factor that has a higher prevalence among overweight adults. The purpose of this study was to assess the prevalence of not participating in Leisure Time Physical Activity (LPTA) and the relationship to body weight class among older U.S. adults. A nationally representative cross-sectional survey with an in-person interview and medical examination was used. Between 1988 and 1994, 6569 adults 60 years of age or older responded to the household adult and family questionnaires as part of the National Health and Nutrition Examination Survey III. Mexican Americans and non-Hispanic blacks were oversampled to produce reliable estimates for these groups. Overall, 39% of older U.S. adults fall in the overweight range and 23.3% are obese. Obese older adults were more likely than their overweight and healthy weight counterparts to report participating in no LTPA The prevalence of adults reporting no leisure time physical activity (LPTA) is lowest among non-Hispanic whites compared to non-Hispanic blacks and Mexican-Americans in each body mass index category. Future interventions should address strategies to promote an increase in leisure time physical activity among older adults, especially among underserved populations, and help them to prevent weight gain.     

FACTORS INFLUENCING COLLEGE STUDENTS TO CHOOSE CAREERS WORKING WITH ELDERLY PERSONS

As the proportion of older adults in our society increases, the need for professionals with a knowledge of the aging process and a desire to work with elderly persons is being recognized. Relatively little information is available concerning the factors that contribute to the desire to work with older adults. To explore such factors, 282 college students (35 males and 227 females) ranging in age from 18 to 72, who attended three colleges and one university in central Massachusetts, were examined. For the past 20 years, these academic institutions have offered an intercollegiate, interdisciplinary program in Gerontology studies. Thirty-one percent of the students surveyed planned on specializing in careers working with older adults. While emotional closeness to an older adult during childhood was found to be related to considering a career in health care, having taken care of an elderly person during childhood was significantly associated with a desire to work with older adults. Positive work characteristics most frequently listed by students who planned on working with older adults were: interesting, challenging, emotionally lifting, and productive. However, the students also listed negative work characteristics as well. Those most frequently reported were: difficult, frustrating, and depressing.     

Myth-busting is a bust for patient education: Making salient older adults’ misconceptions about osteoarthritis fails to lead to lasting corrections

ABSTRACT

Older adults hold many misconceptions about health and wellness that reduce their health literacy. To counter these misconceptions, health educators commonly turn to educational interventions that include myth-busting—making explicit health-related myths and refuting those myths. Because of typical age-related changes in memory functioning, there is some question as to whether myth-busting is an effective technique for use with older adults. The present work assessed whether making older adults explicitly aware of common myths about osteoarthritis and refuting those myths would effectively debunk those myths and lead to correct beliefs about osteoarthritis. Older adults participated in two data collection sessions separated, on average, by 5 days. During the first session, participants read pamphlets about osteoarthritis that either employed myth-busting techniques or did not. Then after a brief delay, participants completed a quiz that measured adherence to the myths. Adherence to the myths was assessed again during the second data collection session. The analyses revealed that making myths salient significantly reduced adherence to myths immediately after the myth-busting presentation; however, as time passed, the corrective effects of myth-busting dissipated. Medical myth-busting appears to be an ineffective way to induce long-term corrections in older adults. Future research should focus on identifying methods by which health educators could leverage myth-busting’s short-term positive impact to affect long-lasting corrections. Until there is evidence that the positive impact of myth-busting can be maintained over time, health educators should be wary of using this technique with older adult patients.     

Computerised screening for dyslexia in adults

Identifying dyslexia in adulthood presents particular challenges because of complicating factors such as acquisition of compensatory strategies, differing degrees of intervention and the problem of distinguishing dyslexic adults from those whose literacy difficulties have non‐cognitive causes. One of the implications is that conventional literacy measures, per se, do not provide a satisfactory basis for screening for dyslexia in adulthood as some dyslexic adults have above‐average literacy skills and some non‐dyslexic adults have very poor literacy skills. This study examined an alternative approach to dyslexia screening, using three tests that depend heavily on phonological processing, lexical access and working memory, but which are not conventional measures of literacy. Using these tests, which are computer delivered, 70 dyslexic adults from three different types of educational institution were compared with 69 non‐dyslexic adults from the same institutions. The results showed that the dyslexic and non‐dyslexic groups were significantly different on all three computer‐based tests, with an average effect size of 1.55. Adaptive versions of these tests were then created to reduce overall administration time for the suite to about 15 minutes. Analysis showed that the combined scaled scores from the adaptive versions of the three tests significantly discriminated the dyslexic from the non‐dyslexic group with an increased effect size of 2.07 and with a sensitivity rate of 90.6% and a specificity rate of 90.0%. It was concluded that this approach is a valid and useful method of identifying dyslexia in adulthood, which, given the ease of administration to large numbers of adults, has noted advantages for education and employment.     

Involving older people in the design,development, and delivery of an innovative module on aging for undergraduate students

ABSTRACT

As the number of older people in society increases, gaining an awareness of the needs of an aging population is important for university students from all academic backgrounds. Using a multidisciplinary approach to aging, we developed a new teaching module (NU-AGE [Newcastle University Aging Generations Education]) aimed at students enrolled in all undergraduate degree programs at our university. In acknowledgement of the important role that members of the public can play in higher education, we recruited a team of older adults to help design and deliver the module. The curriculum was constructed through collaboration with older members of the public and students to outline both the pertinent challenges facing an aging society, and the positive aspects of aging. The team of older adults contributed to the development and delivery of a series of interactive teaching sessions for a cohort of undergraduate students and collaborated with evaluation of the module. Early analysis of evaluation data suggested that students and members of the public highly valued the opportunity to interact and exchange ideas about the importance of aging in society in a multidisciplinary environment.     

MEMORY FOR PICTORIAL INFORMATION AND THE PICTURE SUPERIORITY EFFECT

This research compared the performance of younger (mean age — 20.7 years) and older (mean age–68.3 years) adults on a memory task that involved pictures, words, and pictures‐plus‐words as stimuli. The results, consistent with previous research, indicated an equivalent picture superiority effect for both young and old adults when pictures were compared to words. More specifically, although recall scores were significantly higher for younger adults compared to older adults, the superior recall scores for pictures versus words did not differ between the age groups. However, the performance of older adults declined markedly, compared to the younger adults, in the picture‐plus‐word condition. These findings are interpreted as providing support for a divided attention model, which involves effortful processing of both visual and verbal aspects of stimuli. This situation of divided attention appears to put older adults at a relative disadvantage compared to young adults.     

ATTITUDES OF YOUNG ADULTS TOWARD OLDER ADULTS: EVIDENCE FROM THE UNITED STATES AND THAILAND

Negative attitudes toward older adults are often thought to be diminished in cultures that preserve gerontocratic tendencies. Little empirical evidence concerning this belief, however, is extant in the literature. The present study employed an adjective‐generation instrument to measure attitudes toward the elderly. This instrument was administered to young adults in rural northern Thailand, a culture which is widely reported to maintain a strong tradition of filial piety, and to young adults in the United States, a culture in which widespread ageism is suspected. A significant interaction was observed; contrary to initial expectations, Thai students were somewhat more negative about elders than were their American counterparts. Results indicate that gerontocratic traditions within a given society do not necessarily insulate the aged from negative stereotyping.     

OLDER ADULTS,COMPUTER TRAINING,AND THE SYSTEMS APPROACH: A FORMULA FOR SUCCESS

Adults over the age of 65 are the fastest growing segment of computer users. Due to this increased demand, effective training programs are essential. Although previous research findings illustrate the importance of older adults’ goals, abilities, and experience levels in learning to use computers, these factors are often neglected in the development of computer training courses. We apply a systems approach to help bridge this gap between research and practice to address the disparity between what older adults would like to learn and the content of computer training courses. We review the literature on training older adults to use computers and report data from a set of structured interviews to illustrate the criticality of each step in the systems approach. Lastly, we provide the means to evaluate existing computer training programs and suggest modifications for improvement. Our purpose is not to evaluate specific programs, but to educate developers about an approach that has proven successful. Specifically, we provide suggestions for effective computer training for older adults.     

COGNITIVE DEVELOPMENT AND CAREER RETRAINING IN OLDER ADULTS

Recent research on the cognitive development and functioning of older adults is reviewed and explored in relation to vocational retraining. It is argued that an ecological approach to the study of cognitive development in older adults is preferable, based on the life‐phase, hierarchical‐stage and cognitive functioning literatures. The relevance of this literature for career development in older adults is considered and suggestions for future research are offered. In particular, it is proposed that retraining programs designed to facilitate the career adaptability and success of older persons should attempt to increase their cognitive complexity and flexibility.