A MULTIDISCIPLINARY PRACTICE MODEL FOR INDEPENDENT PRACTITIONERS WHO WORK WITH OLDER ADULTS IN THE COMMUNITY

This article presents a framework for the integration of community services for older adults. A model for multidisciplinary practice is introduced to teach students and professionals how independent practitioners can integrate their community practices. Practitioners from disciplines such as medicine, nursing, social work, psychiatry, psychology, finance, law, and religion can develop collaborative community practices to more effectively serve older adults. A generic multidisciplinary instrument for use with this model was developed for assessment and referral purposes. Collaboration has been the mark of professional behavior in institutional settings. This article applies these principles to the community practice setting. Reform efforts are necessary to advance from the current ways of thinking to more effective community practice strategies. Community efforts have not followed the lead of professional efforts in institutional settings in the development of collaborative, interdisciplinary planning for older adults. Educators can use this model to teach students and practitioners a new nontraditional method for community practice. It is imperative in this time of challenge in the field of gerontology that practitioners examine new ideas and adopt new models in their teaching and professional practices.     

Learning from older citizens’ research groups

ABSTRACT

This article adds to an ongoing conversation in gerontology about the importance of training and involving older people in research. Currently, the literature rarely distinguishes between the one-off involvement of older citizens in research projects and the development of research groups led by older people that sustain over time as well as the nature of educational initiatives that support their development. This article presents a case-study based on evaluative data from the WhyNot! Older Citizens’ Research Group that has been running independently for nearly eight years. Members’ evaluations of, and reflections on, the impact of the training program explore from their perspective: Why older people want to get involved in research training and research groups, what they value most in the training, and the types of impact their involvement has had. Creating an educational environment where participants were able to contribute their knowledge in a new context as well learn new skills through group-work based experiential learning were key. Regular role-modeling provided by inputs from successful established citizen research groups was also important. Of the many benefits members gained from being part of a research group, emphasis was given to the relational aspects of the experience. Likewise the benefits members’ accorded to taking part in training and research transcended individual benefits encompassing benefits to the collective and the wider community. Linking health, social care and educational policies is important in providing coherence and opportunity for older people’s voices to shape research, policy, and practice.     

Aging,exercise and motivating engagement

Some older people describe learning to stay fit and healthy and exercise as a regular part of their lives. There is evidence that exercise is beneficial in terms of physical, psychological and social functioning in older adults. This paper is unique in that it is an analysis of the spontaneous discussion of exercise by older people as a priority in their lives. It also provides information about the kinds of exercise they choose. An online written data forum in Australia with responses from 103 people aged 50 to 92 years (F52, M 51) was analysed for all mention of exercise. The respondents were prompted to comment on sustainable lifestyles as they aged. Thirty per cent mentioned exercise as a priority in their lives. Activities included irregular exercise (11%) routine organised exercise such as golf or tennis (8%) and purposeful exercise such as regular gym attendance (11%), where the respondents explained why they needed to exercise. A few (7%) talked about the need to stay healthy without explaining how. Some (2%) described barriers and conditions that made exercise difficult. These figures for engaging in exercise are similar to those identified in 2018 by the Australian Institute for Health and Welfare. As evidenced by the literature in the area, lack of awareness of the specific benefits of exercise and barriers to exercise for older adults are not new problems. However, given the increase in the percentage of older people in the population and the demonstrated beneficial effects of exercise, it is worthwhile to document the motivation for exercise and engagement in older adults and to suggest strategies to increase their activity.     

Negotiating identity between career and family roles: A study of international graduate students’ wives in the US

This paper is based on a long-term ethnography of an adult creative writing class situated in a major urban art gallery in the United Kingdom. It takes the claims of one group of older adults—that creative writing made them ‘feel younger’—as the starting point for exploring this connection further. It places these claims broadly within theories of learning in later life that advocate creative expression and reminiscence as important practices for educators of older adults. However, the main analysis employs anthropological theories of creativity and ageing in order to question the cultural assumptions about creativity and the period of older age informing theory and practice. The paper argues that the value of creative writing for the individuals studied lies both in the fact that it is a relational (rather than individual) process and a means of being in the present. These findings contradict traditional conceptions about creativity as future-oriented and older people as retrospective; they also raise questions about narratives of empowerment, individual agency and the importance of ‘reminiscence’ in some of the literature on older adult learning.     

Becoming digitally literate: Reinstating an educational lens to digital skills policies for adults

The development of digital skills for all is a key focus of many educational policies across the globe. Despite the significant attention paid to the nature and suitability of such policies targeted at young people, there has been far less focus on digital skills policies targeted at adults. This article contributes to this literature. It outlines current digital skills policy in England. Having established this background, it analyses 30 interviews with digitally competent adults from lower socio-economic backgrounds about their experiences of learning to use the Internet. In doing so, the article highlights that a narrow and instrumental digital skills agenda is emerging in the education of adults, driven by the needs of the commercial sector, that is in stark contrast to the experiences, motivations and hopes of adults who learn about, and use, digital technologies. Reframing digital skills as part of a broader adult education agenda may offer a way to facilitate the development of digital literacies that individuals seek.     

Cultural Diversity Among Older Adults: Addressing Health Education

ABSTRACT

The diversity of the older adult population is increasing, and health professionals need to learn new knowledge and skills to improve the adherence of older ethnic clients to their health recommendations. Much of the existing research literature on diversity in gerontology concludes that ethnic older adults are at a health disadvantage. Few if any of these studies, however, offer practical applications for health promoters. This article reports on a paradox: there is a surprising amount of diversity within each group of ethnic elders, but it may be the similarities across these groups that lead to practical applications of use to health-promoters. The article ends with health-promotion questions of relevance to older adults, regardless of ethnicity.     

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.     

Development and Validation of the Healthy Aging Incentives Scale

The purpose of this study is to develop and validate a new instrument to measure the multidimensional nature of motivations to engage in healthy behavior practices among older adults. The Healthy Aging Incentives Scale (HAIS) was developed empirically from data collected from 158 older adults participating in a health and wellness clinic located within a multipurpose senior center in the United States. A factor analysis of the HAIS revealed five themes prompting older adults to participate in health aging practices: health and fitness, psychological well-being, locus of control, social functions, and socialization attributes. Additional data are provided that support reliability and validity of the HAIS including convergent validity of the 20-item scale by its correlation with healthy behavior habits. Conclusions are drawn showing literature support for the multidimensional scale and the important determinants for promoting healthy outcomes for this population.     

An Aging Game Simulation Activity for Allied Health Students

The Aging Game, a simulation activity, has been used successfully with medical students in the development of empathetic attitudes toward older adults. To date, the Aging Game has not been used extensively with allied health students. It has been viewed as too costly, time-consuming and labor-intensive. The purpose of this study was to examine the administrative feasibility of implementing a modified version of the Aging Game for use with allied health students. The study showed that the Aging Game can be easily modified for use with allied health students, and it can deliver positive results for improving empathetic attitudes toward older adults.     

EVALUATION OF A MEDICINE INFORMATION TRAINING PROGRAM FOR OLDER PEOPLE

This article describes a medicine information training project initiated through concerns of older people in Australia about the inappropriate use of medicines and adverse consequences on their health. The training program uses experiential and adult learning strategies to train older people to act as advocates and peer role models to inform their peers on the wise use of medicines. The process evaluation conducted established the high quality of the training program's content, staff, documentation, and other resources. However, feedback from graduates indicated the difficulties experienced by older learners when the training is too concentrated. The wide reach of the program, as assessed through the extensive recorded activities of the program's graduates in the community, was positive. The immediate impact evaluation on those completing initial training identified an increase in self‐reported self‐esteem, whereas the intermediate evaluation on experienced graduates showed that growth in personal development had been sustained several years post‐graduation. None regretted volunteering to be trained and all reported deriving great satisfaction from assisting their peers. They would recommend the training to others, but only if they are willing to listen and invest the time needed during and after training. Relatively high rates of attrition due to death, ill‐health, and family commitments were recorded and implications noted. This project successfully mounted a community‐based program to train older people to act as peer educators, with noticeable benefits to program participants. The procedures used, and the insights obtained through participants’ feedback, have relevance for planning other training programs for older learners.     

Relating to Older People Evaluation (ROPE): A Measure of Self-Reported Ageism

The Relating to Older People Evaluation (ROPE) is a 20-item questionnaire that measures positive and negative ageist behaviors that people may engage in during everyday life. In this article, we report the first findings from several administrations of the ROPE along with initial psychometric information on the instrument. Respondents were college students, community-dwelling older adults, and persons affiliated with a university community. Results indicate that most people of all ages readily admit to positive ageist behaviors. Younger and older adults appear to participate in similar amounts of ageist behavior. Analyses by gender indicated that women endorsed the positive ageism items more often than did men. Psychometric analyses yielded estimates of adequate test-retest reliability and internal consistency reliability. Implications for current views of ageism as a social phenomenon and strategies for reducing ageist behaviors in everyday life are discussed.     

ADULTHOOD AND REMINISCENCE: A DESCRIPTIVE STUDY

Although reminiscence is a behavior common to all ages, research to date has been conducted only with older adults. This study sought to explore the phenomenon with adults of various ages with the anticipation that comparative information would lead to a better conceptualization of the behavior and its functions. It was hypothesized that there would be no difference in what adults reminisced about, why they reminisced, or how they reminisced with respect to age, sex, education, or socioeconomic status. A sample of 309 adults ranging in age from 18 to 90 were asked to complete a survey exploring various aspects of reminiscence. Analysis of variance and chi‐square were used to assess differences in reminiscent behavior across age, sex, education, and social class. There were no systematic differences with regard to education or social class. On several dimensions sex emerged as a more important variable than age, suggesting that age may not be as important a consideration in simple reminiscence as has been previously assumed.     

WHAT ADOLESCENTS KNOW ABOUT AGING

Increasing the amount of contact with older adults is often proposed as a way to inform young people about aging. This study compares adolescents’ knowledge of aging with the amount and quality of contact they have with an older adult and compares adolescents’ knowledge of aging in 1978 with their knowledge in 1985. The results indicate that adolescents are very misinformed or uninformed about aging and older adults. Profiles of the responses on individual items from Palmore's “Facts on Aging” reveal qualitative differences associated with gender, degree of contact, and changes over time in the nature of the adolescents’ knowledge of aging. How adolescents perceive older adults and the implications this has for educational efforts are discussed.     

Theorising the relationship between older people and their immediate social living environment

This article presents a theoretical framework for exploring the dynamics between older people and their immediate social living environment. After introducing a gerontological perspective that goes beyond microfication, a literature review presents findings from studies that have explored the role of place and locality for older people. Next, this contribution seeks to broaden the conceptual field by introducing key dimensions of the relationship between older people and their social environment. A critical investigation of underlying assumptions and constructions of older people within certain research traditions that address the social environment is presented. In conclusion, the role of the social environment is underlined as a dynamic, multi-dimensional, historically and spatially contextualized process that both shapes and is shaped by the experiences and practices of older people.     

THE RESPONSE OF OLDER WOMEN TO A CREATIVE PROBLEM‐SOLVING PROGRAM

Little work has been done in the development of creativity in older adults. The limited research seems to support the notion that older people are not as creative as younger people.

The purpose of the study was to investigate whether or not creative behavior as measured by Torrance Tests of Creative Thinking can be increased in older adult women through a creative problem‐solving program. The major hypothesis under investigation was: The use of a specific problem‐solving program designed to increase certain creative thinking abilities will increase those abilities at a significant level in older adult women. Forty women volunteers, ranging in age from 60 to 82, participated in the six‐week program.

Experimental subjects did not score significantly higher on the Torrance tests than the control subjects who had not participated in the program. However, information collected via the teacher's log and a questionnaire given to the subjects at the end of the class showed that the experience was unusually positive and creatively beneficial.

It is concluded that the program was not of sufficient intensity and that in order to measure change in creative thinking with older people, a more creative approach in testing may need to be developed.     

Exercising older people´s brains in Costa Rica: Design principles for using information and communication technologies for cognitive activity and social interaction

This study is part of a design-based research project aimed at designing a learning intervention for enabling Costa Rican older people to use information and communication technologies for cognitive activity and social interaction. Data from relevant literature, a focus group with older adults, and interviews with professionals teaching older adults how to use information and communication technologies were analyzed, in order to create context-sensitive design principles that could guide the design of learning interventions that meet the needs of older learners. The analysis derived context-sensitive design principles that include wider topics that influence the learning process, such as emotions and stereotypes related to learning about and using information and communication technologies, as well as the social support to that learning. The resulting eight design principles argue for respectful learning environments, in-depth comprehension of changes related to aging, time and space to reflect on emotions related to the learning process, and acknowledgment of participants’ individuality.     

福建沿海农村老年人体育生活现状研究

采用问卷调查法和文献资料法对福建沿海农村老年人的体育生活的现状进行了调查研究,发现农村老年人健康状况和健康意识较差,体育参与的比例低,锻炼项目单调;影响老年人参与体育健身的主要因素有传统观念、体育场地设施匮乏、健身知识和运动技术缺乏、经济基础不足等。针对现状,提出对策。     

Brain Health Knowledge in Community-Dwelling Older Adults

Aging and its effects on a person's quality of life are a growing health concern and burden for many Americans. Recently, studies have shown that adopting certain healthy behaviors may help maintain and or prevent age-related health issues such as cognitive decline. However, many people are unaware of these newfound facts. Furthermore, there is insufficient research evidence to understand how older adults view brain health and the differences between diverse groups of older adults. This study examines brain health knowledge and behaviors among Caucasian and African-American community-dwelling older adults in North Carolina. Findings were significant for level of education and total brain health knowledge scores, though there were no significant differences between races. In addition, there was a significant association between total number of health conditions and total brain health knowledge scores that warrants further study.