Perceptions of peer-led learning among older adults in a community-based aquatic exercise program

While aquatic exercises have been considered one of the most appropriate learning activities for older adult learners because they are safe and beneficial for health, limited evidence exists regarding how older adult learners perceive their learning environment and different learning strategies. Thus, our research explored older adults’ perceptions of peer-led aquatics classes. We interviewed 19 individuals who participated in aquatics exercise courses in a community recreation center in order to answer the following research questions: (a) How do older adults perceive a peer-led aquatics class? (b) How do older adult learners describe their interaction with their instructor and other learners in their learning environment? Using constant comparative analysis, we identified the participants’ perceptions of peer-led learning with regard to their perceived relationships in class, optimistic views on the peer-led learning concept, mixed and neutral attitudes, and professionalism of teaching. From our findings, we discussed empathic relationships, mixed perspectives derived from learners’ physical condition and personal value, and a lack of peer instructor training programs, especially in a senior fitness field. Findings have implications for senior fitness instructors and educators of older adults.     

Are Health Answers Online for Older Adults?

The Internet has the potential for engaging urban seniors in managing their health. This study examined computer and Internet use among urban seniors and their interest in using the Internet as a health-management tool. Findings indicated that many participants were interested in storing and accessing health-related information using an elder-friendly health web portal. Further research, using a community of urban older adults as active members of a health portal design team, could provide a unique viewpoint on how the Internet might be used as a health-information and management tool for older adults.     

The DREAMS Team: Creating community partnerships through research advocacy training for diverse older adults

The DREAMS Team research advocacy training program helps clinical faculty and health students introduce basic clinical research concepts to diverse older adults to galvanize their active involvement in the research process. Older adults are frequently underrepresented in clinical research, due to barriers to participation including distrust, historical mistreatment, and their lack of health literacy. The DREAMS Team program aims to involve diverse older adults throughout all phases of research and increase research participation, thereby contributing to the growth of quality patient-centered, evidence-based health care. This course was developed for clinical faculty to deliver to diverse adults aged 55+ in eight 50-minute lectures, followed by half-hour small group discussions moderated by health students. A pilot cohort of 24 individuals was assessed for satisfaction post-program, and self-efficacy before and after the program. Older adult participants improved on a survey measure of self-efficacy, and indicated satisfaction on a post-program questionnaire. All agreed or strongly agreed that they enjoyed participating, and that classes enhanced knowledge/skills about the topics, were high quality, and provided useful information. Twenty-two out of 24 individuals who completed the program indicated they planned to get involved as research advocates. The DREAMS Team program can be offered either on its own, or as a follow-up program to a general health education course led by health students and/or professional researchers or clinicians. Educating older adults about the research process and advocacy through interactive seminars led by congenial and respectful researchers and health students may remove some barriers to research participation and involvement among diverse older adults.     

Learning about sex in later life: sources of education and older Australian adults

This paper examines the preferred sexuality education sources of older Australian adults in later life. Drawing on findings from qualitative interviews with 30 men and 23 women aged 60 years and older, we consider the sources that participants currently use, or would like to use, in seeking information about sex. Where relevant, we examine participants’ experiences of learning about sex in later life using different sources, and the impact these had on their sexual expression, pleasure and well-being. Preferred sources of information include the Internet, the media, health care providers, books and workshops or discussion groups. A substantial number of participants did not actively seek information on sex. For those who had, these educational endeavours could profoundly shape their sexual practices. As such, learning about sex should be viewed as a lifelong endeavour. Our findings carry important implications for the development and delivery of sexuality education for older adults.     

Understanding Older Adults’ Perceptions of Internet Use: An Exploratory Factor Analysis

The current study examined factors related to older adults’ perceptions of Internet use. Three hundred ninety five older adults participated in the study. The factor analysis revealed four factors perceived by older adults as critical to their Internet use: social connection, self-efficacy, the need to seek financial information, and the need to seek health information. Key differences were found between previous research and the factors extracted in this study. The regression analysis demonstrated that variables like health condition, financial status, computer experience, and life satisfaction significantly predict, at various levels, factors perceived by the older adults to affect Internet use. The significance of the study as well as its implications for research and practice are discussed. Suggestions are made for future research and practice.     

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.     

THE ACTIVE INGREDIENTS IN HUMOR: PSYCHOPHYSIOLOGICAL BENEFITS AND RISKS FOR OLDER ADULTS

Humor produces psychological and physiological effects on our body that are similar to the health benefits of aerobic exercise. These benefits are some of the best kept secrets from those persons who probably have the most to gain from that information - older adults. Many of them who must live with chronic pain, arthritis, rheumatism, emphysema, memory loss, depression, and stress may be able to cope better with their conditions or find temporary relief by using humor. This article presents an up-to-date, comprehensive synthesis of 30 years of research evidence on 15 psychophysiological benefits of humor and laughter with their implications for older adults. The specific risks for this growing segment of the population also are identified. Strategies for communicating this information through publications and formal presentations by health educators working in gerontology are suggested. A curriculum outline is provided for use in developing short, feature presentations or integrating the content into existing exercise and health-related courses and programs. If these efforts are effective, eventually the health benefits of humor and laughter will be as familiar to our senior citizens as the risk factors associated with heart disease and smoking.     

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.     

Outdoor activity among older adults: Exploring the role of informational Internet use

ABSTRACT

The Internet has the potential to enable older adults to live a socially active and self-determined life. An important facet of active aging is participation in outdoor activity. Previous research has shown that older Internet users participated more frequently in outdoor activities. However, understanding of how Internet use can influence the behavior of going outdoors is still limited. To bridge this gap, the goal of this study was to examine whether informational Internet use specific to opportunities and offerings in the city facilitates participation in outdoor activity. Primary survey data from individuals aged 65+ living in a medium-sized city in Europe (N = 1,117) was analyzed. The results show that Internet as an information source predicted community activity for participants living in urban neighborhoods but not in a rural neighborhood. Further, informational Internet use predicted cultural activity for residents living in all three neighborhoods. The results thus emphasize the positive effect of informational Internet use on behavior through providing older adults with useful information about opportunities and offerings available in their neighborhood. Taken together, the findings provide a rationale for the development of digital neighborhood platforms and interventions targeted at older adults’ digital skills.     

Pro-Nets Versus No-Nets: Differences in Urban Older Adults' Predilections for Internet Use

Enthusiasm for information technology (IT) is growing among older adults. Many older adults enjoy IT and the Internet (Pro-Nets), but others have no desire to use it (No-Nets). This study found that Pro-Nets and No-Nets were different on a number of variables that might predict IT use. No-Nets were older, had less education and income, were retired, in poor health, and less active than Pro-Nets. No-Nets potentially have the most to gain from access to—and training inusing—the Internet as a health management tool. Further research with this population could inform the development of health-related web based interventions.     

Implementation of Health Promotion in the Older Adults in Bangkok,Thailand

ABSTRACT

Effective strategies that bring health promotion messages to older adults in a developing country are needed. To evaluate the impact of various education media upon changes in knowledge and health behavior, a double-blind, randomized controlled trial was conducted involving 1,268 older adults in a southwest Bangkok suburb. Group teaching supplemented by a video program was provided in the communities. A simplified booklet and an audiotape containing the same health education information as in the videotape were given to the older adults for self-study. Health knowledge was assessed before the health education program. Identical assessment was performed again 3 months after the intervention. The quadriceps exercise and Cawthorne-Cooksey head-and-neck-balance exercise—representing changes in health promotion behavior—were also evaluated. Those who attended the group-teaching program had higher test scores than the control group. Only those who both read the booklet and listened to the audiotape in the intervention group gained more knowledge than the control group. The combination of group teaching supplemented by the video program and self-study using the booklet and audiotape was effective in improving health knowledge and behavior.     

The Use of Think-Aloud to Evaluate a Navigation Structure for a Multimedia Health and Wellness Application for Older Adults and Their Caregivers

Despite the increasing use of health information technologies (HITs) for older adults living in the community and their caregivers, few have been rigorously evaluated for usability by the end users. Think-aloud protocols are a relatively easy method for both clinicians and researchers to use with older adults and those therapists that work with them to provide such an evaluation. In the present report, we provide an exemplar using this method in order to evaluate the usability of a health and wellness technology tool designed for older adults and caregivers. In addition, we discuss methodological and practical considerations for others interested in this approach. The methodology described in this study is easy and practical to undertake, and it can be effectively conducted by researchers and clinicians to find usability issues related to HITs for older adults and their caregivers.     

Older Adults' Memory for Verbally Presented Medical Information

Previous research demonstrates that patients typically have difficulty remembering information presented during healthcare consultations. This study examined how older adults learn and remember verbally presented medical information. Healthy older adults were tested for recall in experimental and field settings. Participants viewed a five-minute video of a simulated healthcare consultation and completed free recall, cued recall, and recognition memory tasks. Differences in performance were observed between older and younger adults in the experimental condition on all memory tasks and in the field condition on the cued recall task; older adults tended to remember less information than younger adults. Though older adults had difficulty spontaneously recalling medical information, they were able to take advantage of cues to access verbally learned information. Findings of this study highlight the importance of developing and implementing measures to maximize the abilities of older adults to learn and remember important medical information communicated by healthcare providers.     

Motivational Factors and Predictors for Attending a Continuing Education Program for Older Adults

The objectives were to describe the stated motives of participants who enrolled in a program at the Open University for the Elderly (UnATI, in Portuguese), identify correlations between the stated motives and sociodemographic data, and find a set of predictors related to the listed motives. A total of 306 middle-aged and elderly adults aged 50 or older were surveyed through a sociodemographic questionnaire and a five-item scale to check their motives to enroll in the program. The following motivational factors were identified, in order of importance: enhancing general knowledge, investing in personal development, increasing social interaction, learning more in order to help others, and employing one's free time profitably. Age and years of schooling combined were strong predictors of participants seeking new knowledge. Being single and not retired was correlated with the motive Investing in Personal Development. Having attended elementary school only and being married was closely correlated to the motive Increasing Social Interaction. Employing One's Free Time Profitably was associated with single or widowed individuals with family income between 3.1 and 4.0 times the minimum wage. As for Learning More in Order to Help Others, no predictors were found for this motive. It was found that participants seek to satisfy a desire to learn/ know more, to be up-to-date, to exercise their rights as citizens, and to play an active role in society. Our data suggest that these are the assumptions that drive middle-aged and elderly adults to look for various types of educational programs.     

KNOWLEDGE AND ATTITUDES OF UNDERGRADUATE STUDENTS REGARDING THE HEALTH AND NUTRITION OF OLDER ADULTS

This study evaluated knowledge and attitudes of undergraduates regarding nutrition and health of the aged and students' intentions of pursuing career involvement with older adults. The participants evaluated were undergraduates from three mid-western universities (n=1,755). The majority of those surveyed were uninformed and unlikely to pursue career involvement with older adults. Possible explanations for these findings are discussed.     

Matters of HEARTS: health,experience of abuse,resilience, technology use,and safety of older adults

ABSTRACT

The purpose of this study was to assess the HEARTS (Health, Experience of Abuse, Resilience, Technology use, and Safety) of older adults (OAs). More particularly, we aimed to assess three components of the HEARTS (health, experience of abuse, and resilience) of OAs and explore the relationships among health, resilience, the experience of abuse, and other demographic variables. Forty-two male and female OAs in Pittsburgh, Pennsylvania, USA participated in the study. A correlational design was used in this study. The variables correlated were health, the experience of abuse, and the resilience of OAs. We used a community-engaged research approach in that participants were more than research volunteers but stakeholders in the research project. Findings showed that the means for more positive health features (physical function, and social roles) increased with increases in education, while more negative health features (anxiety, depression, fatigue, sleep disturbance, pain interference, and pain intensity) decreased with higher levels of education. Regression models indicated that above and beyond demographic features, resilience had a significant prediction of anxiety and depression. None of the other health outcomes were significantly predicted by either resilience or older adults’ abuse suspicion.

Adding health to years in older adults is a collaborative effort with healthcare providers, healthcare systems, families, and communities. This study has identified three components of HEARTS (Health, Experience of Abuse, and Resilience) that blend with successful aging and provide data and possible prevention and intervention strategies, and family and community education programs that could add health to years in older adults.     

RECEPTIVITY TO PEER TEACHING AND PEER LEARNING ABOUT THE SAFE AND APPROPRIATE USE OF MEDICATIONS AMONG OLDER ADULTS

The purpose of this study was to assess receptivity to peer teaching and peer learning about the safe and appropriate use of medications among communitydwelling older adults. The sample was predominately White (88.5%), female (75.9%) older adults with an average age of 80.2 ( - 9.1) years. On average, the participants perceived their health status as good (2.8 - 0.6). In addition, participants reported using an average number of 4.4 ( - 3.3) prescribed medications. The majority (75%) of participants also reported no problems with their medications. With respect to receptivity to peer teaching and peer learning, the participants, on average, were neutral to peer teaching (6.0 - 2.4), but were somewhat receptive to peer learning (6.7 - 2.2). The number of prescribed medications that a participant reported taking and the age of a participant were identified as significant predictors of receptivity to peer teaching and accounted for 14.5% of the total variance ( F = 5.84, df = 2, p = 0.005). For receptivity to peer learning, the number of prescribed medications also was a significant predictor ( F = 7.50, df = 1, p = 0.008). This study provides the initial step to identifying community-dwelling older adults who would be receptive to peer teaching and peer learning about the safe and appropriate use of medications.     

Aging in community: home- and community-based services clients’ use of computers as a protective factor for social isolation and loneliness

ABSTRACT

Frail older adults are increasingly being cared for in the community via home- and community-based service (HCBS) programs rather than nursing homes. This policy change challenges psychologists, social workers, and all geriatric practitioners to identify risk and protective factors in order to implement community-based policies in ways which promote the well-being of frail older adults.

The present small-scale exploratory study focused on the risk factors of social isolation and loneliness, and the potential of computer use to act as a protective factor. Forty HCBS clients were interviewed about their social convoys, social isolation, and loneliness, and their use of computers. Family members made up the largest percentage of participants’ social convoys (48%). Forty-two percent of participants were found to be socially isolated or at high risk for social isolation. Twenty-five percent of participants used computers and these participants experienced significantly less loneliness and had significantly larger social convoys. All participants were shown a 2.5 -minute video demonstrating a computer programmed to accommodate older adults and 80% expressed interest in using such a program.

Future action research projects are suggested to replicate the study’s findings. Such projects could involve collaboration between gerontologists and local area agencies on aging and “service-enriched” affordable senior housing sites.     

Age Differences in Goal Concordance,Time Use,and Well-Being

The primary purpose of the present study was to investigate age differences in goal concordance, time use, and Well-Being. Past research has found that despite age-related decline in life circumstances (e.g., health), the Well-Being of older adults is as high as young adults. The present study used a novel approach to explore the Paradox of Well-Being. One hundred and seventy-seven adults participated in the study. They first generated their three most important personal strivings and rated levels of goal concordance for external, introjected, identified, and intrinsic reasons. Then, they reported their actual and ideal time use in 10 categories of activities in the past 24 hours. Finally, Well-Being was assessed by the Flourishing Scale and the Scale of Positive and Negative Experience (Diener, Wirtz, et al., 2010). Older adults did not differ from young adults in overall Well-Being. However, they held higher levels of goal concordance and were more likely to spend time in spirituality and religion-related activities than young adults. The relationships between goal concordance, time use, and Well-Being were examined separately for young and older adults. Implications were discussed to improve Well-Being for young and older adults.