scholarly journals Innovation During Disruption: Supporting What Matters Most to Older Adults Through Person-Environment Fit

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 291-291
Author(s):  
Sarah Szanton

Abstract The fragile and improvised systems of care for older adults have been decimated by isolation and fragmented care during the pandemic. However, innovations are increasingly being offered to older adults to improve the fit between them and their environment. This includes fit within the home, the social environment, the policy environment, and with clinicians. Advancing these “fits” requires evidence-based solutions like CAPABLE, a 4 month self-efficacy and function program that provides an occupational therapist, nurse and handyworker to assess and address older adults’ functional goals. The older adult identifies what matters most and experiences a tailored program that taps into their purpose in life and supports engaging in meaningful activities. Starting in research sites, CAPABLE is now offered in 34 sites in 17 States and expanding through policy and insurers. Such efforts to leverage the strength of older adults and their families, builds capacity to evolve our communities of care.

2021 ◽  
pp. 79-85
Author(s):  
Lina Spirgienė ◽  
Gytė Damulevičienė ◽  
Gabriele Bales ◽  
Jack J. Bell

AbstractEvidence-based guidelines, recommendations and standards are considered the cornerstone of ‘best practice’ in nursing care. However, what optimal nutrition care of older adults actually looks like in real-world settings is also dependent on age, disease and care contexts and, perhaps most importantly, what matters to the older adult.


2014 ◽  
Vol 19 (1) ◽  
pp. S-23-S-40
Author(s):  
Jana Donahoe ◽  
Lisa Moon ◽  
Kathy VanCleave

Educators know too well the challenges of teaching BSW students about social work practice with older adults. Students hesitate to work with older adults due to personal fears about aging, lack of experiences with this population, or stereotypical misconceptions about older adults and nursing homes. It is apparent that many students have difficulty empathizing with older adults because they have never experienced what it is like to be an older adult with dementia. A solution to this problem is incorporating an immersive experiential learning simulation called the Virtual Dementia Tour (VDT) into BSW course content. The findings indicate that the VDT was an effective evidence-based learning tool for increasing student knowledge about aging and improving their empathy and sensitivity toward older adults with dementia.


2021 ◽  
pp. 89-97
Author(s):  
Despoina Mantziari ◽  
Evdokimos Konstantinidis ◽  
Despoina Petsani ◽  
Nikolaos Kyriakidis ◽  
Vassiliki Zilidou ◽  
...  

AbstractAiming at limiting the risk of ageism & social exclusion of older adults in society, the Thess-AHALL looks at co-design and open science solutions for social inclusion for the ageing population.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S566-S566
Author(s):  
Gwen Bergen

Abstract Over one in four U.S. older adults (age 65+) reports falling each year with fall-related medical costs estimated at $50 billion. The American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons recommends that healthcare providers assess and manage their patients’ fall risk. The Centers for Disease Control and Prevention’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative helps healthcare providers incorporate these guidelines by providing tools on how to screen, assess, and intervene to reduce risk. Evaluations of fall prevention have focused on the clinical process and outcomes. Understanding clinical activities is important in fall prevention but a better understanding of older adult characteristics that increase fall-risk, and attitudes that may affect their adoption of evidence-based interventions could improve the effectiveness of prevention strategies. The five presentations in this session include: 1. Demographic, health and functional characteristics of older adults with increased fall risk. 2. Caregivers of people with chronic conditions or disability as a group with increased fall risk. 3. The most effective and efficient ways of identifying older adults with increased fall risk. 4. Facilitators and barriers to older adults’ adherence to evidence-based fall interventions. 5. Applying knowledge of older adult attitudes to improving an implementation of STEADI-based fall prevention. Multifactorial fall prevention strategies such as STEADI focus on the clinical aspects of fall prevention but their success depends on understanding and incorporating older adult characteristics and attitudes. The information presented in this session can inform fall prevention strategies and improve health.


2006 ◽  
Vol 11 (2) ◽  
pp. 115-125 ◽  
Author(s):  
Stephene A. Diepstra ◽  
Natalie Ames

This article reports on a study of the outcomes of an oral history project conducted in Human Behavior in the Social Environment (HBSE) courses in two BSW programs. Participating students reported that the project increased their perceived levels of ability to work with older adults and helped them meet HBSE learning objectives. Participation in the project did not appear to significantly increase interest in working with older adults after graduation nor did it positively change students' attitudes about older adults.


2020 ◽  
Vol 36 (11) ◽  
Author(s):  
Laura Juliana Bonilla-Tinoco ◽  
Julián Alfredo Fernández-Niño ◽  
Dustin T. Duncan

Considering that the world population is rapidly aging and disability is a very frequent event in older adults, there is an increasing interest in studying their determinants, such as the neighborhood characteristics. Thus, this study aimed to explore the association between the social environment of the neighborhood and disability in older adults. A cohort study was assembled using waves 1 and 2 from the Study of Global Ageing and Adults Health (SAGE) in Mexico, which included adults with 55+ years old. Neighborhood characteristics - such as social participation, trust and safety - and individual covariates were measured only in wave 1 (baseline), while disability was measured in both waves to adjust for the score of wave 1. Multilevel negative binomial models with random intercepts at the municipality level were constructed for the disability score in wave 2, using each of the social environment variables as the main exposure and adjusting for the sociodemographic and health-related variables. Finally, interaction terms with sex, age, and socioeconomic quintiles were tested. Results showed that neighborhoods with a medium (IRR: 0.68; 95%CI: 0.53-0.87) or high (IRR: 0.67; 95%CI: 0.52-0.86) safety level were associated with a significant reduction in the disability score of adults older than 75 years, although there was no association between other characteristics of the social environment and disability in the general sample. Consequently, actions to improve safety in the neighborhoods should be carried out to help reduce the disability score in vulnerable older adults, especially in a context where safety is a critical issue, as in Mexico.


2013 ◽  
Vol 6 ◽  
pp. 1-6 ◽  
Author(s):  
John T. Cacioppo ◽  
Stephanie Cacioppo ◽  
Steven W. Cole

Social neuroscience emerged more than 20 years ago and has grown into a mature interdisciplinary scientific field. Research now provides compelling evidence that the structure and function of the nervous system are influenced by the social environment. Recent work in social genomics further underscores the importance of the social environment by demonstrating the influence of the social environment on gene expression. The multi-level, interdisciplinary approach and the integration of animal models and human research in social neuroscience have proven synergistic and promise continued advances in the delineation of the social brain across species and generations.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 794-794
Author(s):  
Shannon Jarrott ◽  
Shelbie Turner ◽  
Jill Juris Naar ◽  
Rachel Scrivano ◽  
Raven Weaver

Abstract Non-familial intergenerational programs engage younger and older people in shared programming for mutual benefit, frequently involving senior centers or adult day programs and preschools. With growing interest in the potential benefits of intergenerational strategies, it is imperative to know their effects on participant interaction during intergenerational programming. To address this knowledge gap, activity leaders at five sites serving older adults and/or preschoolers received training to implement 14 evidence-based practices during intergenerational activities involving 109 older adult and 105 preschool participants over four years. We utilized multi-level modeling to test whether variations in implementation of practices were associated with variations in participants’ responses to programming on a session-by-session basis. For both preschool and older adult participants, analyses revealed that the implementation of certain practices was associated with significantly more intergenerational interaction. Specifically, when person-centered best practices (e.g., leading activities that are age- and role-appropriate for older adults) were implemented, preschoolers (estimate=5.83, SD=2.11, p=0.01 and older adults (estimate=5.11, SD=.10, p=0.02) had more intergenerational interaction. Likewise, when environmental-centered best practices were implemented, such as pairing materials between intergenerational partners, preschoolers (estimate=6.05, SD=1.57, p=0.002) and older adults (estimate=6.50, SD=1.85, p=0.001) had more intergenerational interaction. Our findings reveal session-by-session variation in intergenerational interaction that can be impacted by implementation practices, which highlights the importance of training activity leaders to implement evidence-based practices. Researchers and practitioners should consider how session-by-session variation in program implementation affects participant response.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 462-462
Author(s):  
Min-Kyoung Park ◽  
Christine Mair

Abstract Experiencing discrimination can have detrimental effects on psychological well-being. For older adults in the U.S., discrimination on the basis of country of origin may be a particularly alienating experience. A positive social environment, however, has been shown to buffer associations between discrimination and poorer psychological well-being. However, this hypothesis has not been tested in a sample of older Americans who perceive discrimination because of country of origin. As the United States continues to diversify and politically polarize, understanding older adults’ experiences with discrimination and identifying potential buffers to these negative effects is increasingly important. We analyze 942 older Americans (aged 50+) from the Psychosocial Module of the most recent wave of the Health and Retirement Study (HRS, 2020). Specifically, we analyze associations between perceived discrimination on the basis of country of origin and three psychological well-being outcomes: loneliness, anxiety, and life satisfaction. We further test if the social environment buffers negative effects by examining interactions between discrimination and social support as well as discrimination and neighborhood environment. Our results reveal clear and consistent associations between older adults’ perceived discrimination and increased loneliness and decreased life satisfaction. These negative associations, however, appear to be buffered by social support and positive neighborhood environment, respectively. The potential buffering effect of positive social environments on psychological well-being is particularly pronounced for older adults under the age of 65. We discuss these findings in light of the prevalence of discrimination in the U.S. and consider potential mechanisms for improving the social environment of older adults.


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