scholarly journals Engaging Stakeholders to Implement an Aging in Place Intervention through an Area Agency on Aging

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 873-873
Author(s):  
Pamela Toto ◽  
Caylee Yanes ◽  
Molly Ennis ◽  
Beth Fields
Keyword(s):  
Older Adults ◽  
Goal Setting ◽  
Home Environment ◽  
Aging In Place ◽  
Community Services ◽  
Evidence Based ◽  
Team Meetings ◽  
Eligibility Requirements ◽  
Stakeholder Input ◽  
Evidence Based Programs

Abstract Community Aging in Place, Advancing Better Living for Elders (CAPABLE) is an interdisciplinary evidence-based intervention for reducing disability, reducing cost, and promoting aging in place for older adults who qualify for Medicaid services. However, implementation of CAPABLE through existing community services and with different older adult populations may require adaptations based on stakeholder input. The purpose of this qualitative study was to adapt CAPABLE for implementation through an Area Agency on Aging (AAA) targeting older adults with disability but who do not meet thresholds for Medicaid services. Data collection occurred with stakeholders from a single AAA. Two, 60-minute focus groups were conducted with frontline providers (n=7) and administrators (n=7). Thematic analysis of the data were completed using NVivo 12 Pro. Stakeholders described three themes to consider for implementing CAPABLE in their AAA: screening and referral process, eligibility, and team meetings. Frontline providers recognized the need to allow care managers “to decide who would be most appropriate for the program because they have a better understanding of the person, their family, and home environment.” Administrators supported expanding eligibility requirements, “Could we offer the program to someone even if they were recently hospitalized?” All stakeholders expressed that an initial interdisciplinary team meeting could be beneficial for goal setting, “If the team and consumer could be together for the first meeting that could save time and help generate ideas for goals.” These perspectives affirm the importance of early stakeholder engagement in adapting to adopt evidence-based programs into “real-world” settings.

scholarly journals Including Caregivers in the Community Aging in Place, Advancing Better Living for Elders Program

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 874-874
Author(s):  
Beth Fields ◽  
Caylee Yanes ◽  
Molly Ennis ◽  
Pamela Toto
Keyword(s):  
Older Adults ◽  
Aging In Place ◽  
Healthcare Providers ◽  
Evidence Based ◽  
Theory Approach ◽  
Individual Interviews ◽  
Hands On ◽  
Adult Preference ◽  
Evidence Based Programs ◽  
Constant Comparative Analysis

Abstract Older adults frequently turn to informal caregivers for support to age independently in their home as long as possible. Yet, many evidence-based programs designed to support aging in place do not include caregivers, including the well-known Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program. The purpose of this qualitative study was to adapt CAPABLE to include caregivers using a grounded theory approach. Data collection occurred with stakeholders from an Area Agency on Aging (AAA) in Pennsylvania. Two, 60-minute focus groups were conducted with frontline providers (n=7) and administrators (n=7). Eight, 30-minute individual interviews were conducted with AAA consumers including older adults and their caregivers. Constant comparative analysis of the data were completed using NVivo 12 Pro. Stakeholders described three considerations for adapting CAPABLE to include caregivers: older adult preference and caregiver willingness, clear guidelines and expectations, and hands-on training. Older adults and caregivers recognized the need to “allow them to decide when and why family should be involved in the program.” Frontline providers and administrators explained the importance of “determining whether older adults and caregivers should have shared or separate goals for the program.” All stakeholders expressed that including caregivers would “reaffirm the hands-on training like fall prevention.” These perspectives shed light on how and why to include caregivers in CAPABLE. Information gleaned from this study may help researchers think about ways in which to adapt other evidence-based programs to include caregivers, and help healthcare providers target and support caregivers in the delivery of their services.

scholarly journals Using Inclusive Design to Develop a Tele–Tai Chi Intervention for Older Adults With Long-Term Mobility Disability

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 599-600
Author(s):  
Tracy Mitzner ◽  
Elena Remillard ◽  
Kara Cohen ◽  
Jordan Chen
Keyword(s):  
Older Adults ◽  
Tai Chi ◽  
Target Population ◽  
Evidence Based ◽  
Exercise Interventions ◽  
Software Developer ◽  
Master Trainer ◽  
Evidence Based Programs ◽  
To Receive

Abstract Tele-technologies may be able to increase access to evidence-based exercise interventions for adults aging with long-term mobility disabilities. This population experiences substantial barriers in attending such programs in person, including lack of transportation to classes, inaccessible buildings where classes are held, and lack of appropriate modifications offered for this population of older adults. It is critical to overcome such barriers to ensure this population has an opportunity to receive the benefits of evidence-based programs. In this study we are translating an in-person evidence-based tai chi intervention, Tai Chi for Arthritis, to an online platform using videoconferencing software for those aging with long-term mobility disabilities. We will describe our approach of including users from the target population and industry representatives (videoconferencing software developer, Tai Chi for Arthritis program developer as well as local master trainer) in the adaptation of the intervention and present the key findings from doing so.

scholarly journals LINKING A BRIEF INTERVENTION TO EVIDENCE-BASED PROGRAMS TO COMBAT MALNUTRITION AMONG OLDER ADULTS

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 459-459
Author(s):  
M Smith ◽  
L Eagle ◽  
S Lachenmayr ◽  
J Simon
Keyword(s):  
Older Adults ◽  
Brief Intervention ◽  
Evidence Based ◽  
Evidence Based Programs

Stimulating Research to Enhance Aging in Place

2021 ◽  
pp. 153944922110222
Author(s):  
Juleen Rodakowski ◽  
Tracy M. Mroz ◽  
Carrie Ciro ◽  
Catherine L. Lysack ◽  
Jennifer L. Womack ◽  
...  
Keyword(s):  
Older Adults ◽  
Occupational Therapy ◽  
Aging In Place ◽  
Family Members ◽  
Implementation Strategies ◽  
Evidence Based ◽  
Priority Areas ◽  
Age In Place ◽  
Care Partners

Older adults may benefit from interventions to successfully age in place. Research has an opportunity to test interventions and implementation strategies to fulfill the needs of older adults through collective evidence building. The purpose of this article is to describe the proceedings of the American Occupational Therapy Foundation (AOTF) 2019 Planning Grant Collective and describe the areas of research that were identified as critical. The AOTF convened scientists with expertise in the area of aging in place to catalyze research on aging in place for older adults. Four priority areas in the aging in place literature were highlighted: (a) identification of factors that support aging in place, (b) classification of processes by which family members and care partners are included in aging in place efforts, (c) categorization of technology supporting older adults to age in place, and (d) development of science that clarifies implementation of evidence-based practice.

scholarly journals Age-Friendly Initiatives and Primary Care in Rural Arkansas

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 545-545
Author(s):  
Robin McAtee ◽  
Leah Tobey
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Chronic Pain ◽  
Fall Prevention ◽  
Educational Programs ◽  
Evidence Based ◽  
Community Based ◽  
Community Based Organizations ◽  
Geriatric Education ◽  
Evidence Based Programs

Abstract The Arkansas Geriatric Education Collaborative (AGEC)’s Geriatric Workforce Enhancement Program is partnering with a plethora of community based organizations (CBO) and with ARcare, an Arkansas federally qualified healthcare clinic network, to implement the 4Ms of age-friendly care in rural clinics. Baseline clinical data related to the Age-Friendly 4M Framework has been gathered and quality improvement projects initiated to improve the outcomes. Initiatives to improve depression and cognitive screenings are addressing Mentation; fall prevention screens and the offering of fall prevention programs have been added for Mobility; high risk medication screens and chronic pain educational programs are being implemented to address Medications; and finally, Medicare Annual Wellness Visits is the cornerstone to improve what Matters to older adults. A campaign that involves partnered CBOs to address health literacy and increase involvement in evidence-based programs is also helping to drive improvements in age-friendly care in rural Arkansas.

Older Adults’ Self-Reported Barriers to Aging in Place

2021 ◽  
pp. 073346482098880
Author(s):  
Brianna Brim ◽  
Stacy Fromhold ◽  
Shannon Blaney
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Aging In Place ◽  
Community Services ◽  
Health Access ◽  
Personal Health ◽  
Home Improvement ◽  
Analysis Process ◽  
Safety Assessments ◽  
Safety Features

Current literature on aging in place highlights the socioemotional components that act as barriers to remaining in the home, but it often neglects actionable safety features of the home which may also pose a threat. Furthermore, this literature often neglects self-reported barriers to aging in place. Utilizing grounded theory, a retrospective review of home safety assessments completed in Philadelphia analyzed older adult reports to determine what factors older adults view as barriers to their aging in place plans. Overarching categories that were discovered through the data analysis process included barriers related to home mobility and safety, personal health, access to community services, home improvement and maintenance needs, general safety concerns, and bathroom safety. Results indicate that older adults can identify many barriers to aging within their home, but that accessing support and services to overcome these barriers requires additional resources and funding.

scholarly journals Leveraging Opportunities to Advance the Potential of Technology to Support Independence and Aging in Place

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 644-645
Author(s):  
Tracy Mitzner
Keyword(s):  
Home Environment ◽  
Small Groups ◽  
Tai Chi ◽  
Research Study ◽  
Aging In Place ◽  
Evidence Based ◽  
Wide Range ◽  
Disability Research ◽  
Support Activity ◽  
Improve Health

Abstract Technology holds great potential to support those aging with and into disability. Research and development efforts in the aging space (aging into disability) have traditionally focused on improving health conditions, whereas those in the disability space (aging with disability) have primarily focused on supporting activity and participation. Bridging these perspectives and approaches adds rich context to guide the development and evaluation of technology interventions. Examples of technology interventions that support activity and participation and thereby improve health outcomes for adults aging with mobility disabilities show the need for bridging. The Telewellness research study used videoconferencing to deliver an evidence-based tai chi intervention to small groups. The Digital Assistant study explored the potential of the Amazon Echo to support controlling the home environment, engaging in physical activity, interacting with others, and managing health. Both projects offer credence to the value of supporting adults aging-in-place with wide range of capabilities and limitations. Part of a symposium sponsored by the Lifelong Disabilities Interest Group.

scholarly journals AN ASSESSMENT OF GERIATRIC TTRAINING AND SUPPORT NEEDS FOR CAREGIVERS AND HEALTH CARE PROFESSIONALS IN RURAL TEXAS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S931-S932
Author(s):  
Susanna Luk-Jones ◽  
Jennifer J Severance ◽  
Doni Green ◽  
Donald Smith ◽  
Roslin Jose
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Health Care ◽  
Memory Loss ◽  
Support Needs ◽  
Evidence Based ◽  
Rural Counties ◽  
Evidence Based Programs ◽  
With Memory

Abstract Of the 254 counties in Texas, 69% are rural, and three out of every four counties are designated as whole or partial Primary Care Health Professional Shortage Areas. Rural counties in Texas have a higher proportion of older adults compared to metropolitan counties, and rural older adults with Alzheimer’s Disease and their caregivers face unique challenges of limited access to healthcare and lower earnings, resulting in more health-related problems. As part of a HRSA Geriatrics Workforce Enhancement Program, an academic medical center, two Area Agencies on Aging in North Texas, and an Alzheimer’s Association Chapter partnered to expand access to evidence-based programs into surrounding rural counties for older adults and caregivers of persons with Alzheimer’s Disease. An interdisciplinary workgroup developed focus group questionnaires for older adults, caregivers, and health care providers in rural areas to identify perceived needs, barriers to accessing services, and strategic partnerships. The North Central Texas Council of Governments conducted 11 focus groups in late 2018 and early 2019. Of these, seven consisted of family members caring for persons with memory loss. Four consisted of professionals who treat persons with memory loss. Transcription and thematic analysis identified key themes of training needs (both providers’ and laypersons’), resource needs, providers’ best practices, barriers to quality care, and other support needs. Practice implications of the findings include cross-sector partners and integrating telehealth platforms for program delivery. Collaboration between academic and community partners can expand access to evidence-based programs for rural and other underserved communities and address areas of need.

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