Geriatric community health workers’ views about aging,work, and retirement: implications for geriatrics and gerontology education

ABSTRACT

Seasoned geriatric community health workers offered valuable data that will inform educators and community health workers working with older persons. Geriatric community health workers’ views about retirement and about facilitators and barriers that keep them engaged with older adults during retirement were identified. Twenty geriatric community health workers participated in semi-structured, qualitative interviews conducted by the research team. Sixty percent of the participants (N = 12) reported plans not to work during retirement, although 40% (N = 8) expressed interest in full- or part-time employment post-retirement. When asked about their expectations to stay in the field of aging or gerontology in some capacity during retirement, 30% (N = 6) expected to stay in gerontology during retirement. The findings from this research will help organizations and educational institutions create programs and resources that will encourage geriatric community health workers to continue working in the field of aging during retirement.     

Comparing successful aging,resilience, and holistic wellness as predictors of the good life

Objectives: The purpose of the study was to compare the relative contributions of Rowe and Kahn’s definition of successful aging (SA), resilience, and the holistic wellness paradigm for predicting happiness, life satisfaction, and self-rated physical health in late life.

Method: A cross-sectional research design was used to survey 200 residents across 12 senior housing sites. Criteria with strong psychometric properties representing the three constructs were operationalized using hierarchical regression within the context of relevant control variables to compare the relative strengths of the three paradigms for predicting measures of quality of life.

Results: In this study, 8.5% of the sample met modified criteria for SA and were used as a comparison group with those who did not meet the criteria. Overall, holistic wellness and resilience predicted happiness, life satisfaction, and physical health better than SA alone. When predicting happiness and life satisfaction, race and holistic wellness were significant predictors. Age and holistic wellness were the best predictors of self-rated physical health.

Conclusion: The criteria underlying SA poorly predicted happiness, life satisfaction, and self-rated physical health compared to the resilience and holistic wellness models. The results suggest that definitions of aging well are complex and require greater nuance. The findings have important implications for clinicians seeking translatable theoretical models that are amenable to practice with older adults, especially for those living in independent senior housing communities.     

Rewards of reading: Toward the development of possible selves and identities

Children's voluntary reading positively correlates with school grades, vocabulary growth, reading comprehension, verbal fluency, general information, and attitudes towards reading. Drawing on qualitative interviews collected alongside six waves of longitudinal survey data in an urban setting in eastern USA, We argue that voluntary reading by adolescents also provides learning opportunities that scaffold identity formation, afford ‘spaces’ where youth rehearse and relationally enact gender roles, ethnic/racial identification, and fashion educational aspirations. The interviews with African American and European American youth were conducted in five visits and spanned 3 years through senior high school and 1 year post-high school. Methods of inductive and narrative analysis identified patterns of benefits and potential drawbacks of voluntary reading. Amount of voluntary reading was affected by school, family, and social and work commitment pressures, and fulfilled a number of broad roles. What and how youth were reading was as important as the amount. Significantly, reading allowed adolescents to explore possible selves—an interest in historical figures helped one African American male to develop values resisting stereotypes of male or African American, just as an African American female came to resist conforming to gender and racial stereotypes in dress and occupational ambitions. Relationships between voluntary reading habits, family context and educational aspirations were identifiable for a number of the interviewees.     

A systematic review and synthesis of qualitative research: the influence of school context on symptoms of attention deficit hyperactivity disorder

This systematic review and synthesis of qualitative research explored contextual factors relevant to non-pharmacological interventions for attention deficit hyperactivity disorder (ADHD) in schools. We conducted meta-ethnography to synthesise 34 studies, using theories of stigma to further develop the synthesis. Studies suggested that the classroom context requiring pupils to sit still, be quiet and concentrate could trigger symptoms of ADHD, and that symptoms could then be exacerbated through informal/formal labelling and stigma, damaged self-perceptions and resulting poor relationships with staff and pupils. Influences of the school context on symptoms of ADHD were often invisible to teachers and pupils, with most attributions made to the individual pupil and/or the pupil’s family. We theorise that this ‘invisibility’ is at least partly an artefact of stigma, and that the potential for stigma for ADHD to seem ‘natural and right’ in the context of schools needs to be taken into account when planning any intervention.     

In‐Text Questions: A Note on an Experiment in Instructional Design

The use of instructional design is increasingly being discussed in the distance education and higher education literature. This paper reports an experiment in which self study questions are inserted in the text of lecture note material for external students. An evaluation revealed that students who received notes with in‐text questions were no different from those who received the standard lecture notes as judged by both performance and attitudinal criteria. Possible reasons for the perverse findings are given and it is concluded that professional instructional design assistance would be of value to subject matter experts.     

Caring Behavior in Children of Clinically Depressed and Well Mothers

Young children's sensitivity and responsiveness to mothers' needs were investigated under conditions of high and low parenting risk (depressed and nondepressed mothers, SADS-L). Child characteristics of gender, affect, and impulse control problems and the mother-child attachment relationship were examined as they related to children's caring actions. Children's caring behavior was observed in an experimental situation in which their mothers simulated sadness and in a naturalistic setting. Attachment alone and child's problems alone were not predictors, and maternal diagnosis alone was not a strong predictor. Girls were significantly more caring than boys. Severe maternal depression was necessary to bring out high levels of responding in boys. Highest frequencies of caring were from children with severely depressed mothers, problems of affect regulation, and secure attachment. The importance of recognizing interacting influences and diverse underlying processes in the development of children's caring behavior is discussed.     

A gender comparison of contextualised study behaviour in higher education

The present study examines the manifestation of structural differences in the manner in which men and women students perceive and engage the content and context of learning. These differences are explored, and shown to be consistent, within a hierarchy of progressively more complex conceptual models of student learning. Conclusions are that structural gender variation differences emerge in terms of deep/strategic rather than surface, forms of learning behaviour: men students distinctively manifest and qualify deep/strategic learning behaviour in terms of operation and comprehension learning styles, while women students integrate these styles in a manifestation of style versatility that is clearly organised and not achievement motivated. An apparently separate female trait is distinguishable in terms of comprehension learning style and achievement motivation. It is argued that gender differences constitute a potentially important and neglected source of variation in student learning which, when detected in context, can and should be explicitly managed by academic practitioners.