scholarly journals Technology and Social Isolation Among Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 413-413
Author(s):  
Allison Dunatchik ◽  
Jerry Jacobs
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Technology Use ◽  
Health Spending ◽  
Information Communication ◽  
Social Time ◽  
New Information ◽  
The Us ◽  
The Uk ◽  
Watching Tv

Abstract In this paper, we use time-use data from the US (2003-2018) and the UK (2001-2015) to address important questions about recent trends in social isolation and technology use among older adults aged 65 and over. Do new information, communication and robotic technologies contribute to growing social isolation among older adults or to growing opportunities for social connection? We believe that answers to these questions require a consideration of technologies that are already widely in use. We ask whether TV time is social time or whether people spend most of their time watching TV by themselves, whether this has changed over the past 15 years and what the potential implications are for wellbeing among older adults. The results show that TV time is a mixed experience among older adults. In the US and the UK, a substantial proportion of TV time – around half – is spent alone, with those who are not married, those in rented accommodations and those with poorer self-rated health spending more time watching TV alone. Controlling for demographic and household characteristics, TV time alone has increased in recent years, accompanying an increase in time spent alone in general in the UK and an increase in TV time in general in the US. Analysis of moment-to-moment wellbeing shows that individuals report lower positive affect while watching TV alone than while watching with others, suggesting the increase in time spent watching TV alone may have negative implications wellbeing among older adults.

scholarly journals 1381. Rotavirus Gastroenteritis among older adults: discussion based on a systematic literature review

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S700-S701
Author(s):  
Cristina Carias ◽  
Susanne Hartwig ◽  
M Nabi Kanibir ◽  
Ya-Ting Chen
Keyword(s):  
Older Adults ◽  
High Risk ◽  
Acute Gastroenteritis ◽  
Rate Ratio ◽  
Rotavirus Gastroenteritis ◽  
Incident Rate Ratio ◽  
The Us ◽  
Incident Rate ◽  
The Uk ◽  
Retrospective Database

Abstract Background While the burden of Rotavirus Gastroenteritis (RGE) is well recognized in young children, it is less so in older adults. However, older adults are also at high-risk of Acute Gastroenteritis (AGE) severe outcomes. In this review, we thus aimed to comprehensively assess RGE burden and vaccination impact in older individuals. Methods We performed a systematic literature review with PubMed and Scopus, from 2000 to 2019, using MESH and free-range terms. We included only studies that reported the incidence, and/or RV vaccination impact, in adults aged 60 and above and using regional specific data-sources. Results We analyzed 11 manuscripts for individuals aged 60 and above (Figure 1). Studies spanned Australia, Sweden, Netherlands, Canada (2), Germany (2), UK (2), and the US (2). Yearly inpatient RV incidence varied between 1.6 per 100,000 in Australia for those 65+ (retrospective database analyses, pre-vaccine); and 26 per 100,000 for those 85+ in Canada (modeling estimates for 2006-10, pre-vaccine). The incidence rate ratio for inpatient RGE between the post and pre-vaccine periods for those 65+ was 0.57 [95% CI: 0.10 – 3.15] in Canada, but 2.24 [95%CI: 1.78-2.83] in Australia, which may be due to increased testing for RV in the elderly post-vaccine. Reductions in the post-vaccination burden of RV and AGE among 60+ were reported in the UK (2 studies), and the US (2 studies) via retrospective database analyses In the UK, post-vaccine reductions in AGE health care-utilization were reported in the Emergency Department (21%), and outpatient centers (walk-in centers: 47%; general practice consultations: 36%). Retrospective database analyses documenting the incident rate ratio (IRR) of Rotavirus Gastroenteritis (RGE) and Acute Gastroenteritis (AGE) in older adults between the pre and post-vaccine period. Retrospective database analyses documenting the incident rate ratio (IRR) of Rotavirus Gastroenteritis (RGE) and Acute Gastroenteritis (AGE) in older adults between the pre and post-vaccine period. Conclusion While the burden of RGE mainly falls on young children, it also affects older adults. Retrospective database analyses reveal that, likely due to indirect vaccination benefits, increases in RV vaccination coverage have had an impact on lowering RGE, and AGE cases and healthcare utilization in older adults, a group at high-risk of severe outcomes for AGE. Disclosures Cristina Carias, PhD, Merck (Employee, Shareholder) Susanne Hartwig, n/a, MSD Vaccins (Employee) M.Nabi Kanibir, MD, Merck/MSD (Employee, Shareholder) Ya-Ting Chen, PhD, Merck & Co., Inc. (Employee, Shareholder)

Bridging the Digital Divide for Older Adults via Intergenerational Mentor-Up

2018 ◽  
Vol 29 (7) ◽  
pp. 786-795 ◽  
Author(s):  
Othelia Eun-Kyoung Lee ◽  
Do-Hong Kim
Keyword(s):  
Older Adults ◽  
Digital Divide ◽  
Social Isolation ◽  
Technology Use ◽  
Qualitative Data ◽  
Training Needs ◽  
Mixed Methods Study ◽  
Ehealth Literacy ◽  
Intergenerational Interaction ◽  
Parallel Fashion

Objectives: The effectiveness of Intergenerational Mentor-Up (IMU), an innovative intervention that engages college students in tutoring older adults, was examined with regard to eHealthy literacy and social isolation. Method: A total of 55 older adults (mean age = 73.82) participated in the six-session IMU tutorials. In this mixed methods study, quantitative and qualitative data were collected in a parallel fashion. Participants were interviewed after participating in the IMU. Results: Older adults presented significant improvement between pre- and postsurveys in various outcomes such as eHealth literacy, technophobia, self-efficacy, and interest in technology. Intergenerational interaction brought about by IMU helped to decrease social isolation among older adults. Qualitative data revealed that individualized training, modifications, adaptations, and intergenerational interactions can decrease their anxiety and boost their confidence. Discussion: Study findings enable the identification of the training needs to help close the digital divide and allow these older adults to reap the benefits of technology use.

scholarly journals Older adults experiences of technology use for socialization during the COVID-19 pandemic: A random cross-sectional survey (Preprint)

2021 ◽  
Author(s):  
Kristen R. Haase ◽  
Theodore Cosco ◽  
Lucy Kervin ◽  
Indira Riadi ◽  
Megan E. O'Connell
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
British Columbia ◽  
Social Isolation ◽  
Technology Use ◽  
Random Sampling ◽  
Population Based ◽  
Critical Approach ◽  
Cross Sectional Survey ◽  
Cross Sectional

BACKGROUND Technology has become the most critical approach to maintain social connectedness during the COVID-19 pandemic. Older adults (over age 65) are perceived as most physiologically vulnerable to COVID-19 and at risk of secondary mental health challenges related to social isolation imposed by virus containment strategies. To mitigate concerns regarding sampling bias we used a random sampling of older adults to understand uptake and acceptance of technologies to support socialization during the pandemic. OBJECTIVE To conduct a random population-based assessment of the barriers and facilitators to engaging in technology use for virtual socialization amongst older adults in the Canadian province of British Columbia during the COVID-19 pandemic. METHODS We conducted a cross-sectional population-based survey using random-digit dialing to participants over age 65 living in British Columbia. Data were analyzed using SPSS, with open-text responses analyzed using thematic analysis. RESULTS Respondents included 400 older adults with an average age of 72 years old and 63.7% female. Most respondents (89.5%) were aware of how to use technology to connect with others and slightly more than half (56%) reported using technology differently to connect with others during the pandemic. 55.9% of respondents reported adopting new technology since the beginning of the pandemic. Older adults reported key barriers to using technology including: (1) lack of access (including finance, knowledge, and age); (2) lack of interest (including a preference for telephone, and a general lack of interest in computers); and (3) physical barriers (resultant of cognitive impairments, stroke, and arthritis). Older adults reported numerous facilitators, including: (1) knowledge of technologies (whether self-taught or via external courses); (2) reliance on others (family, friends, and general internet searching); (3) technology accessibility (including environments, user-friendly technology, and receiving clear instructions); and (4) social motivation (because everyone else is doing it). CONCLUSIONS Much data on older adults use of technology is limited by sampling biases, but the current study that used random sampling demonstrated that older adults used technology to mitigate social isolation during the pandemic. Virtual socialization is most promising to mitigate potential mental health effects related to virus containment strategies. Addressing barriers by mobilizing telephone training and task lists, and mobilizing facilitators described by participants such as facilitated socialization activities are important strategies that can be implemented within and beyond the pandemic to bolster the mental health needs of older adults.

scholarly journals A Comparative Time-Diary Analysis of UK and US Children’s Screen Time and Device Use

2021 ◽  
Author(s):  
Killian Mullan ◽  
Sandra L. Hofferth
Keyword(s):  
Leisure Activities ◽  
School Age Children ◽  
School Age ◽  
National Differences ◽  
The Us ◽  
Family Level ◽  
Device Use ◽  
The Uk ◽  
Watching Tv ◽  
Cross National

AbstractThis paper presents the results of a comparative analysis of the time school-age children 8-17 years in the UK and the US spent using devices such as smartphones and tablets, and their time in screen-based activities such as watching TV and playing videogames in 2014-15. The paper draws on innovative instruments measuring children’s time using technology and engaging with screens in these two countries. We find that in both, children’s time using devices overlaps with time in screen-based activities, non-screen leisure, and non-leisure activities. Children in the UK spend more time using devices than children in the US, but family size and the availability of an internet connection at home largely explain major cross-national differences. Children in the US spend less time using computers than children in the UK, and, on non-school days, more time watching TV and playing videogames. These differences remain significant after controlling for a range of child, parent and family-level characteristics. Divergent cross-national patterns for children’s time using relatively new devices and their time in more established screen-based activities are linked to differences in family composition and to differential access.

scholarly journals Impact of social restrictions during the COVID-19 pandemic on the physical activity levels of adults aged 50–92 years: a baseline survey of the CHARIOT COVID-19 Rapid Response prospective cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e050680
Author(s):  
David Salman ◽  
Thomas Beaney ◽  
Catherine E Robb ◽  
Celeste A de Jager Loots ◽  
Parthenia Giannakopoulou ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cohort Study ◽  
Social Isolation ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Baseline Survey ◽  
Social Predictors ◽  
Targeted Interventions ◽  
The Uk

ObjectivesPhysical inactivity is more common in older adults, is associated with social isolation and loneliness and contributes to increased morbidity and mortality. We examined the effect of social restrictions to reduce COVID-19 transmission in the UK (lockdown), on physical activity (PA) levels of older adults and the social predictors of any change.DesignBaseline analysis of a survey-based prospective cohort study.SettingAdults enrolled in the Cognitive Health in Ageing Register for Investigational and Observational Trials cohort from general practitioner practices in North West London were invited to participate from April to July 2020.Participants6219 cognitively healthy adults aged 50–92 years completed the survey.Main outcome measuresSelf-reported PA before and after the introduction of lockdown, as measured by metabolic equivalent of task (MET) minutes. Associations of PA with demographic, lifestyle and social factors, mood and frailty.ResultsMean PA was significantly lower following the introduction of lockdown from 3519 to 3185 MET min/week (p<0.001). After adjustment for confounders and prelockdown PA, lower levels of PA after the introduction of lockdown were found in those who were over 85 years old (640 (95% CI 246 to 1034) MET min/week less); were divorced or single (240 (95% CI 120 to 360) MET min/week less); living alone (277 (95% CI 152 to 402) MET min/week less); reported feeling lonely often (306 (95% CI 60 to 552) MET min/week less); and showed symptoms of depression (1007 (95% CI 612 to 1401) MET min/week less) compared with those aged 50–64 years, married, cohabiting and not reporting loneliness or depression, respectively.Conclusions and implicationsMarkers of social isolation, loneliness and depression were associated with lower PA following the introduction of lockdown in the UK. Targeted interventions to increase PA in these groups should be considered.

Reinventing the nursing home: metaphors that design care

2018 ◽  
pp. 45-62
Author(s):  
Susan Braedley
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Old Age ◽  
Nursing Home Care ◽  
Standards Of Care ◽  
Social Imagination ◽  
The Us ◽  
The Everyday ◽  
The Uk ◽  
Team Nursing

Drawing on findings from team nursing home ethnographies in Canada, the UK, Sweden and the US, this chapter argues that new designs for nursing home care draw from a social imagination limited by contemporary ideals of individualism, practices of consumerism and structures of inequality. As newly built or renovated nursing homes are designed to support better care for frail older adults, a contradictory mix of policy aims has emerged, including improvements to economic efficiency and sustainability, better standards of care and wellbeing for residents, and efforts to create appealing, hospitable environments. The research brings critical attention to walls, gardens and furnishings, arguing that they not only shape the everyday life of frail old age but also reveal tensions between what residents and those who provide care require, what is designed for them and what is expected of them.

scholarly journals The Effect of Technology Use in Reducing Social Isolation or Loneliness in Older Adults: A Systematic Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 927-927
Author(s):  
Yoon Chung Kim ◽  
Gail Kohn ◽  
Carenado Davis ◽  
Pamela Saunders
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Social Isolation ◽  
Technology Use ◽  
Economic Status ◽  
Critical Factor ◽  
Effective Strategies ◽  
Phone Calls ◽  
Use Of Technology ◽  
National Emergency

Abstract The US population over 65 is projected to increase to 21% by 2050. Given mobility issues arising from health concerns, economic status changes, loss of friends and partners, older people are at a higher risk for social isolation and loneliness. Since the declaration of national emergency for COVID-19 on March 13, 2020, many older adults have not been able to connect with others in traditional ways. Instead, activities and contacts have been facilitated virtually via videoconferencing or phone calls to maintain physical and social distance. Amidst COVID-19, the transition to using technologies to connect socially and reduce loneliness has been a critical factor in preventing social isolation and loneliness. Identifying effective strategies involving the use of technology, designing new ways to deliver services virtually, and developing educational programs to promote technology is vitally necessary. This systematic review explored the relationship between technology use and social isolation or loneliness, and examined interventions that reduced social isolation in older adults. A unified strategy was used to systematically search seven databases (MEDLINE, PubMed, Embase, CINAHL, Web of Science, PsycInfo, and AgeLine) to examine qualitative and quantitative studies published in English between 2010 and 2020. Preliminary results indicate that technology can alleviate social isolation and loneliness in older adults despite some mixed results. The findings of this study will provide a foundation for policymakers and practitioners to shape policies and design programs that help older adults to alleviate social isolation and loneliness, particularly amidst the COVID-19 pandemic.

scholarly journals Associations of Loneliness and Social Isolation with Healthspan and Lifespan in the US Health and Retirement Study

2020 ◽  
Author(s):  
Christopher L Crowe ◽  
Benjamin W Domingue ◽  
Gloria Hu ◽  
Katherine M Keyes ◽  
Dayoon Kwon ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Healthy Aging ◽  
National Sample ◽  
Biological Aging ◽  
Health And Retirement Study ◽  
Increased Risk ◽  
The Us ◽  
Retirement Study

Background. Loneliness and social isolation are emerging public health challenges for aging populations. Methods. We followed N=11,305 US Health and Retirement Study (HRS) participants aged 50-95 from 2006-2014 to measure persistence of exposure to loneliness and social isolation. We tested associations of longitudinal loneliness and social-isolation phenotypes with disability, morbidity, mortality, and biological aging through 2018. Results. During follow-up, 18% of older adults met criteria for loneliness and, for 6%, symptoms persisted across two or more follow-up assessments. For social isolation, these fractions were 21% and 8%. HRS participants who experienced loneliness and social isolation were at increased risk for disease, disability, and mortality. Older adults experiencing persistent loneliness were at a 59% increased hazard of mortality compared to those who were never lonely. For social isolation, the increase was 28%. Effect-sizes were somewhat larger for counts of prevalent activity limitations and somewhat smaller for counts of prevalent chronic diseases. Covariate adjustment for socioeconomic and psychological risks attenuated but did not fully explain associations. Older adults who experienced loneliness and social isolation also exhibited physiological indications of advanced biological aging (Cohen's-d for persistent loneliness and social isolation=0.26 and 0.21, respectively). For loneliness, but not social isolation, persistence of symptoms was associated with increased risk. Conclusion. Deficits in social connectedness prevalent in a national sample of older adults in the US were associated with morbidity, disability, and mortality and with more advanced biological aging. Bolstering social connection to interrupt experiences of loneliness may promote healthy aging.

Sign in / Sign up

Export Citation Format

Share Document