scholarly journals PRISM 2.0: A Technology System to Support Resource Access and Social and Cognitive Engagement

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 307-307
Author(s):  
Sara Czaja ◽  
Walter Boot ◽  
Neil Charness ◽  
Wendy Rogers ◽  
Joseph Sharit
Keyword(s):  
Assisted Living ◽  
Cognitive Engagement ◽  
Trial Protocol ◽  
User Centered Design ◽  
Senior Housing ◽  
Technology System ◽  
New Learning ◽  
Support Resource ◽  
Measurement Strategies ◽  
Social Management

Abstract Social isolation and lack of engagement are common among older adults and present a risk for emotional, physical and cognitive decline. Technology offers the potential of remediating these risks and enhancing opportunities for connectivity. In this paper we present an overview of the PRISM 2.0 multi-site RCT, which evaluated a simple to use Personalized Reminder Information and Social Management System (PRISM) among a sample of two hundred and forty-eight adults age 65+ in diverse contexts (Rural Locations, Assisted Living Communities and Senior Housing). PRISM 2.0 is a tablet-based system, intended to provide support for access to resources and information, new learning, social and cognitive engagement, and memory. We describe the goals and content of PRISM, the user-centered design process, and measurement strategies. We also discuss the challenges of conducting the trial during the COVID-19 pandemic and the strategies used to adapt the trial protocol within the three contexts.

scholarly journals HOUSING CONTEXT AND FUNCTIONAL HEALTH AMONG LOWER INCOME OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S968-S968
Author(s):  
Noah J Webster
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Independent Living ◽  
Functional Health ◽  
Assisted Living Facilities ◽  
Lower Income ◽  
Free Standing ◽  
Senior Housing ◽  
Multiunit Housing ◽  
Nationally Representative

Abstract The characteristics of where older adults live have strong links with disability. Although lower income older adults experience disability at higher rates, less is known about the link between housing characteristics and functional health in this group. A within group comparison among this population is needed to understand how aspects of this vulnerable subgroup’s housing context are associated with health outcomes. The present study examines the association between housing and functional health among a U.S. nationally representative sample of independent living (i.e., not living in nursing homes or assisted living facilities) lower income adults age 65+. Using data from round one of the National Health and Aging Trends Study, a sub-sample of N=2,865 lower income (<$15,000 in the past year) older adults was selected for analysis. Regression analyses indicate that lower income older adults living in multiunit buildings reported better functional health compared to those in other housing contexts (e.g., free-standing homes). This link also significantly varied by age and gender. Living in multiunit housing was associated with better functional health among those age 90+, not associated among those age 80-90, and was negatively associated among those age 65-79. In terms of gender, the link between multiunit housing and better functional health was only significant among women. Findings highlight variation in health across lower income older adults’ housing contexts. Potential explanatory mechanisms (e.g., social isolation) will be discussed. Such information can inform senior housing policy regarding best approaches to providing housing for older adults that optimizes and promotes independent living.

The Useful Depression Screening Tool for Older Adults: Psychometric Properties and Clinical Applicability

2015 ◽  
Vol 23 (2) ◽  
pp. 78E-87E
Author(s):  
N. Jennifer Klinedinst ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Rasch Analysis ◽  
Screening Tool ◽  
Reliability And Validity ◽  
Depression Screening ◽  
Validity And Reliability ◽  
Senior Housing ◽  
Test Retest Reliability ◽  
Over Time

Background and Purpose: The purpose of this study is to test the reliability and validity of the 3-item Useful Depression Screening Tool (UDST) for use with older adults in congregate living settings. Methods: There were 176 residents of senior housing or assisted living who completed the UDST. Rasch analysis and test criterion relationships with pain, physical activity, and depression diagnosis were used to determine validity. Test–retest reliability was conducted with 29 senior housing residents. Results: Rasch analysis demonstrated good fit of all items to the concept of depression. Criterion validity was supported, F(5) = 14.17, p < .001. Test–retest showed no significant differences in UDST scores over time (p = .29). Conclusions: The findings provide support for the validity and reliability of the UDST for use with older adults in congregate living settings.

scholarly journals Challenges of Implementing the PRISM 2.0 Trial for Supporting Social Connectivity Through Technology

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 307-307
Author(s):  
Walter Boot ◽  
Sara Czaja ◽  
Dana Plude
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Rural Areas ◽  
Technology Use ◽  
Social Research ◽  
New Technology ◽  
Lessons Learned ◽  
Assisted Living Facilities ◽  
Senior Housing ◽  
Social Connectivity

Abstract Following the success of the Personal Reminder Information and Social Management (PRISM) trial, which found that a specially designed computer system for older adults can enhance social connectivity and reduce loneliness among older adults at risk for social isolation, the PRISM 2.0 trial sought to replicate and extend these results to a new technology platform (tablet rather than desktop) with expanded social features and diverse populations of older adults, including older adults living in rural areas, assisted living communities, and senior housing. This symposium discusses the aims of the trial conducted by the Center for Research and Education on Aging and Technology Enhancement (CREATE), challenges encountered (including challenges related to the COVID-19 pandemic), and solutions to those challenges. S. Czaja will begin with an overview of the PRISM 2.0 system and the trial. J. Sharit will discuss challenges encountered working within the context of assisted living facilities and with impaired participants. This will be followed by a discussion of technical challenges encountered during the course of the trial presented by N. Charness. W. Rogers will present training issues involved (both with respect to participants and assessors). Finally, W. Boot will describe challenges encountered with measuring and quantifying technology use during the trial. Lessons learned are applicable to many types of technology interventions administered in diverse contexts. D. Plude, Deputy Director in the Division of Behavioral and Social Research of NIA, will serve as discussant.

scholarly journals The Use of Virtual and Immersive Technology in Creating Personalized Multisensory Spaces for People Living With Dementia (SENSE-GARDEN): Protocol for a Multisite Before-After Trial

10.2196/14096 ◽  
2019 ◽  
Vol 8 (9) ◽  
pp. e14096 ◽  
Author(s):  
Gemma Goodall ◽  
Ileana Ciobanu ◽  
Kristin Taraldsen ◽  
Jon Sørgaard ◽  
Andreea Marin ◽  
...  
Keyword(s):  
Assisted Living ◽  
Intervention Group ◽  
Well Being ◽  
Primary Objective ◽  
Innovative Technology ◽  
Physiological Data ◽  
Care Practice ◽  
Control Group ◽  
User Centered Design ◽  
People With Dementia

Background The number of people living with dementia is rapidly increasing. With dementia’s impact on memory, communication, and self-identity, it is important to identify ways of meeting individual needs of diagnosed individuals and their caregivers. This study will test a new intervention, SENSE-GARDEN, that integrates autobiographical music, films, pictures, and scents with innovative technology to create an immersive environment tailored specifically for the individual. Objective The SENSE-GARDEN study is an Active Assisted Living Program–funded multicenter project. The primary objective of the study is to assess whether a personalized, innovative technology-based intervention can improve the well-being of older adults living with moderate to severe dementia. The study will also assess whether the intervention can improve coping and reduce burden in caregivers. Methods A controlled before-after study design will be used. There will be 3 sites in 3 trial countries: Belgium, Norway, and Portugal. A total of 55 people with dementia (PWDs) will be recruited. All eligible participants for the study will be randomized into the intervention or control group. For the first three months of the study, all participants will receive the SENSE-GARDEN intervention. For the final month of the study, the intervention group will continue visits to the SENSE-GARDEN, and the control group will discontinue visits. A mixed-methods approach will be used, including the use of standardized outcome measures, quantitative physiological data, and qualitative interview data. Results The trials commenced recruitment in August 2019, and all data are expected to be collected by the end of May 2020. A user-centered design process is underway, with results from the first phase of user interviews indicating that people with mild cognitive impairment, family caregivers, and professional caregivers consider the SENSE-GARDEN to be a potentially valuable tool in providing numerous benefits to dementia care. Feasibility testing of the SENSE-GARDEN has been completed and results are expected to be published in October 2019. Conclusions Findings from the SENSE-GARDEN trials will provide insights into the use of technology for personalizing interventions to the PWD. This will have potential implications on not only dementia research, but it may also have influences on care practice. International Registered Report Identifier (IRRID) DERR1-10.2196/14096

scholarly journals Student Engagement Through Creation of New Activities: An Empirical Study on Contributing Student Pedagogy

2020 ◽  
Author(s):  
Mirna Carelli Oliveira Maia ◽  
Eliane Cristina Araújo ◽  
Jorge Figueiredo ◽  
Dalton Serey
Keyword(s):  
Experimental Study ◽  
Student Engagement ◽  
Empirical Study ◽  
Cognitive Engagement ◽  
Learning Activities ◽  
Community Learning ◽  
Active Method ◽  
Cognition And Emotion ◽  
New Learning ◽  
Influence Behavior

Contributing Student Pedagogy is an active method that encourages students to contribute to community learning and to value the contributions of others. Activities based on contribution guide students to produce study material and create new exercises for community usage and discuss and evaluate the contribution of others. The creation of new learning exercises can positively influence students' academic performance. This article presents an experimental study to assess how new exercises' creation influences student engagement in programming learning activities. Considering student engagement involves behavior, cognition, and emotion dimensions, this study examined which of these are affected when the student contributes to the community's learning through the production of new programming exercises. Results indicate that the development of this activity improves emotional and cognitive engagement and does not influence behavior. Contributing students reported developing more difficult learning exercises and felt more stimulated, satisfied, and happy. In contrast, those who did not contribute to the community said that their contributions were easier and felt more ashamed and proud.

scholarly journals The Road to Improved Assisted Living Quality: State Efforts and New Metrics

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 726-726
Author(s):  
Tetyana Shippee ◽  
Lindsay Schwartz
Keyword(s):  
Assisted Living ◽  
Well Being ◽  
Family Satisfaction ◽  
Policy Implications ◽  
Term Care ◽  
Senior Housing ◽  
The Road ◽  
Housing Option ◽  
Centered Care

Abstract Assisted living (AL), a senior housing option that combines housing, support services, and health care, is recognized as one of the fastest-growing components of the long term care industry. AL is also a relatively expensive service, whether it’s paid for privately or publicly. Also, an increasing proportion of AL residents have diagnoses of Alzheimer’s and related dementias. However, little is known about AL quality, in part due to lack of measures. Quality of AL matters to residents, their families, and policy makers because AL is not only about the experience of receiving specific services, but about a place that many will call home. Concerns have been surfacing regarding the quality of AL, including poor staffing, inadequate teamwork, and poor management, which can negatively impact resident well-being and result in abuse and neglect in some cases. This symposium will feature four presentations that will review efforts from two states that have been actively developing measures to address AL quality: Oregon and Minnesota. We focus on new legislation in both states to address AL quality, the new metrics being adopted, and preliminary results. Individual presentations will describe 1) Oregon’s new quality measures for AL ;2) Oregon’s use of Resident VIEW project, including measures of person-centered care from the perspectives of residents; 3) Minnesota’s development of AL report card, and 4) development and results from MN pilot surveys of resident quality of life and family satisfaction in all licensed ALs in the state. Policy implications for other states and researchers will be discussed.

scholarly journals The Use of Virtual and Immersive Technology in Creating Personalized Multisensory Spaces for People Living With Dementia (SENSE-GARDEN): Protocol for a Multisite Before-After Trial (Preprint)

2019 ◽  
Author(s):  
Gemma Goodall ◽  
Ileana Ciobanu ◽  
Kristin Taraldsen ◽  
Jon Sørgaard ◽  
Andreea Marin ◽  
...  
Keyword(s):  
Assisted Living ◽  
Intervention Group ◽  
Well Being ◽  
Primary Objective ◽  
Innovative Technology ◽  
Physiological Data ◽  
Care Practice ◽  
Control Group ◽  
User Centered Design ◽  
People With Dementia

BACKGROUND The number of people living with dementia is rapidly increasing. With dementia’s impact on memory, communication, and self-identity, it is important to identify ways of meeting individual needs of diagnosed individuals and their caregivers. This study will test a new intervention, SENSE-GARDEN, that integrates autobiographical music, films, pictures, and scents with innovative technology to create an immersive environment tailored specifically for the individual. OBJECTIVE The SENSE-GARDEN study is an Active Assisted Living Program–funded multicenter project. The primary objective of the study is to assess whether a personalized, innovative technology-based intervention can improve the well-being of older adults living with moderate to severe dementia. The study will also assess whether the intervention can improve coping and reduce burden in caregivers. METHODS A controlled before-after study design will be used. There will be 3 sites in 3 trial countries: Belgium, Norway, and Portugal. A total of 55 people with dementia (PWDs) will be recruited. All eligible participants for the study will be randomized into the intervention or control group. For the first three months of the study, all participants will receive the SENSE-GARDEN intervention. For the final month of the study, the intervention group will continue visits to the SENSE-GARDEN, and the control group will discontinue visits. A mixed-methods approach will be used, including the use of standardized outcome measures, quantitative physiological data, and qualitative interview data. RESULTS The trials commenced recruitment in August 2019, and all data is expected to be collected by the end of May 2020. A user-centered design process is underway, with results from the first phase of user interviews indicating that people with mild cognitive impairment, family caregivers, and professional caregivers consider the SENSE-GARDEN to be a potentially valuable tool in providing numerous benefits to dementia care. Feasibility testing of the SENSE-GARDEN has been completed and results are expected to be published in October 2019. CONCLUSIONS Findings from the SENSE-GARDEN trials will provide insights into the use of technology for personalizing interventions to the PWD. This will have potential implications on not only dementia research, but it may also have influences on care practice. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/14096

New Learning

2012 ◽  
Author(s):  
Mary Kalantzis ◽  
Bill Cope
Keyword(s):  
New Learning
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