scholarly journals Disrupting Othering by Fostering Light-Bulb Moments in Immersive Practical Experiences

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 353-353
Author(s):  
Tina K Newsham
Keyword(s):  
Older Adults ◽  
Light Bulb ◽  
Single Session ◽  
High Quality ◽  
Successful Strategy ◽  
Reflection Prompts ◽  
Limited Opportunity ◽  
Intergenerational Activities ◽  
Practical Experiences ◽  
Assessment Strategies

Abstract Fully immersive experiences (i.e., practica, internships, clinicals) with older adults are one successful strategy to reduce ageist beliefs among students, as long as the experiences are high quality and students are given an opportunity to reflect on their observations, feelings, and application of classroom knowledge. Representing a more intensive level of engagement than single-session interviews or multisession intergenerational activities, such experiences are not without challenges. Instructors are not present on-site continually (or at all) to observe what the student is seeing or doing, therefore providing limited opportunity to recognize and reframe situations that may reinforce the “othering” of older adults. Through creating carefully curated reflection prompts and assessment strategies (such as eportfolios), this presenter will discuss how instructors can ensure students completing practica, internships, and clinicals recognize the breadth and diversity of aging experiences, engage ethically and appropriately with older adults in non-ageist ways, and avoid reinforcing “othering” and ageism.

scholarly journals Perceived exertion and energy expenditure during physical activities in healthy young people and older adults

Folia Medica ◽  
2021 ◽  
Vol 63 (4) ◽  
pp. 502-510
Author(s):  
Oyéné Kossi ◽  
Justine Lacroix ◽  
Maxence Compagnat ◽  
Jean Christophe Daviet ◽  
Stéphane Mandigout
Keyword(s):  
Older Adults ◽  
Young People ◽  
Energy Expenditure ◽  
Perceived Exertion ◽  
Cross Sectional Study ◽  
Rating Of Perceived Exertion ◽  
Treadmill Running ◽  
Single Session ◽  
Cross Sectional ◽  
Healthy Young People

Aim: To test the validity of Borg’s 6–20 rating of perceived exertion scale in assessing the exertion intensity over a multi-activity session in young and older adults.Materials and methods: This cross-sectional study included 56 healthy participants. All participants underwent a single session of activities including working on a computer, treadmill walking, biking, and treadmill running. Results: Results showed a non-significant correlation between the overall perceived exertion and energy expenditure in young people (Rho=−0.05, p=0.75) and in older adults (Rho=−0.05, p=0.78) for the whole session. However, results showed that older adults perceived significantly higher exertion compared to young people while working on a computer, walking and running, whereas they presented lower energy expenditure while resting and working on a computer. Conclusions: Combining the perceived exertion method with other commonly used methods to estimate exercise intensity would be recommended for older adults.

scholarly journals Can Treadmill Slip-Perturbation Training Reduce Longer-Term Fall Risk Upon Overground Slip Exposure?

2020 ◽  
Vol 36 (5) ◽  
pp. 298-306 ◽  
Author(s):  
Anna Lee ◽  
Tanvi Bhatt ◽  
Xuan Liu ◽  
Yiru Wang ◽  
Shuaijie Wang ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Center Of Mass ◽  
Control Group ◽  
Initial Training ◽  
Single Session ◽  
Control Groups ◽  
Perturbation Training ◽  
Positive Effect ◽  
Better Than

The purpose was to examine and compare the longer-term generalization between 2 different practice dosages for a single-session treadmill slip-perturbation training when reexposed to an overground slip 6 months later. A total of 45 older adults were conveniently assigned to either 24 or 40 slip-like treadmill perturbation trials or a third control group. Overground slips were given immediately after initial training, and at 6 months after initial training in order to examine immediate and longer-term effects. The performance (center of mass stability and vertical limb support) and fall percentage from the laboratory-induced overground slips (at initial posttraining and at 6 mo) were measured and compared between groups. Both treadmill slip-perturbation groups showed immediate generalization at the initial posttraining test and longer-term generalization at the 6-month retest. The higher-practice-dosage group performed significantly better than the control group (P < .05), with no difference between the lower-practice-dosage and the control groups at the 6-month retest (P > .05). A single session of treadmill slip-perturbation training showed a positive effect for reducing older adults’ fall risk for laboratory-induced overground slips. A higher-practice dosage of treadmill slip perturbations could be more beneficial for further reducing fall risk.

Single-Session Evidence-Based Intervention and Fall Risk Awareness in Community-Dwelling Older Adults

2021 ◽  
Vol 37 (3) ◽  
pp. 198-206
Author(s):  
Brenda S. Howard ◽  
Fiona Brown Jones ◽  
Aundrea Sellers Steenblock ◽  
Kiersten Ham Butler ◽  
Ellen Thomas Laub ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Community Dwelling ◽  
Evidence Based ◽  
Risk Awareness ◽  
Single Session ◽  
Community Dwelling Older Adults

Effects of Passive Haptic Learning in Music-Supported Therapy on Sensorimotor Performance in Older Adult Hands: A Randomized Crossover Trial

2021 ◽  
Author(s):  
Hsiu-Yun Hsu ◽  
Che-Wei Lin ◽  
Yu-Ching Lin ◽  
Po-Ting Wu ◽  
Hirokazu Kato ◽  
...  
Keyword(s):  
Older Adults ◽  
Fine Motor ◽  
Single Session ◽  
Vibrotactile Stimulation ◽  
Clinical Trial Registration ◽  
Healthy Older Adults ◽  
Beneficial Effects ◽  
Significant Difference ◽  
Haptic Learning ◽  
Sensorimotor Performance

Abstract Background: Music-supported therapy (MST), a type of biofeedback therapy with multi-sensory information input, has been proposed as an effective approach to improving motor control in people with sensorimotor deficits. However, currently, MST training is restricted to being extensively applied for patients with various levels of defects in fine motor skills and cognitive functions. Therefore, the integration of passive haptic learning (PHL) with MST has been adopted as a motor training strategy intended to enhance “motor memory” learning through the use of vibration stimuli. The current study was designed to investigate differences in the sensorimotor performance of older adults’ hands under baseline, a single session of standard MST, and PHL-based MST conditions. Methods: Thirty healthy older adults were recruited and randomized to receive either the single session of 30-minutes of PHL-based MST or 30-minutes of standard MST at the beginning of the experiment. After a one-week washout period, they switched their treatment programs and then were assessed to study the training effects of both approaches through measuring precision pinch performance, hand function, and sensory status. Results: The results of the Pinch-Holding-Up Activity test revealed a statistically significant difference in the FRpeak parameter (F = 14.37, p < 0.001, η² = 0.507) under the PHL-based MST condition compared to the baseline and standard MST conditions. In addition, significant beneficial effects were found on the results of the barognosis (F = 19.126, p < 0.001, η² = 0. 577) and roughness differentiation subtests (F = 15.036, p < 0.001, η² = 0.518) in the Manual Tactile Test for the participants in the PHL-based MST group. In addition, the participants under both the standard MST and PHL-based MST conditions exhibited better performance in the three subtests of the Purdue Pegboard Test as compared to under the baseline condition (p < 0.016). Conclusions: The findings indicated that PHL-based MST potentially improves the precision pinch performance of hands in healthy older adults. In addition, the add-on effect of vibrotactile stimulation to the MST condition provides beneficial effects on the sensory functions of the upper extremities. Clinical Trial Registration: NCT04802564

Interprofessional Education

2018 ◽  
pp. 520-541
Author(s):  
Rebecca Moote
Keyword(s):  
Patient Care ◽  
Student Learning ◽  
Interprofessional Education ◽  
Improve Patient Care ◽  
Collaborative Practice ◽  
Evidence Based ◽  
High Quality ◽  
Design And Implementation ◽  
Assessment Strategies ◽  
Improve Patient

Interprofessional education (IPE) is recognized as an important component in the education of healthcare students. The goal of bringing students together to learn with, from, and about each other is to ultimately impact collaborative practice and improve patient care. Over the last 20 years there has been increased focus on the design and implementation of IPE experiences. Several IPE collaborative organizations and IPE centers have been formed to provide evidence-based recommendations and guidelines. Strategies have been created for designing and implementing high quality IPE activities, developing faculty in IPE, overcoming student stereotypes, determining assessment strategies, and identifying barriers to IPE. This chapter will focus on each of these elements and provide specific recommendations on how to create and implement IPE that improves student learning.

scholarly journals 90 Falls Efficacy Related Instruments for Community-Dwellig Older Adults – Development and Content Validity: A Cosmin-Based Systematic Review

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv18-iv27 ◽  
Author(s):  
Shawn Leng-Hsien Soh ◽  
Chee-Wee Tan ◽  
Lane Judith ◽  
Nigel Gleeson ◽  
Tim Xu
Keyword(s):  
Older Adults ◽  
Content Validity ◽  
Community Dwelling ◽  
High Quality ◽  
Structural Validity ◽  
Balance Confidence ◽  
High Quality Evidence ◽  
Community Dwelling Older Adults ◽  
Quality Evidence ◽  
Selection Of

Abstract Background Falls efficacy is a widely-studied latent construct in community-dwelling older adults. Various self-reported instruments have been used to measure falls efficacy. Empirical evidence is needed to justify the selection of a specific instrument to measure the intended construct. Objectives To summarize evidence on the development, content validity and structural validity of instruments measuring falls efficacy in community-dwelling older adults using Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist. Study Design and Setting MEDLINE, Web of Science, PsychINFO, SCOPUS, CINAHL were searched (May 2019). Records on development of instruments and studies assessing content validity or structural validity of falls efficacy related scales were included. COSMIN methodology guided the review of eligible studies and methodological quality. Evidence of content validity: relevance, comprehensiveness and comprehensibility and unidimensionality for structural validity were synthesized. A modified GRADE approach was applied to evidence synthesis. Results 35 studies on 18 instruments were included in the review. High quality evidence showed that modified Falls-Efficacy Scale (FES)–13 items (mFES-13) is relevant but not comprehensive for measuring falls efficacy. Moderate quality evidence supported the FES-10 had sufficient relevance and the mFES-14 had sufficient comprehensibility. Only the Activities-specific Balance Confidence (ABC) Scale–Simplified (ABC-15) had sufficient relevance of moderate quality evidence to measure balance confidence. Low to very low quality evidence underpinned content validity of other instruments. High quality evidence supported sufficient unidimensionality for eight instruments (FES-10, mFES-14, ABC-6, ABC-15, ABC-16, Iconographical FES (Icon-FES), FES–International (FES-I) and Perceived Ability to Prevent and Manage Fall Risks (PAPMFR)). Conclusion Content validity of the instruments to measure falls efficacy is understudied. Structural validity is sufficient for a number of widely-used instruments. Measuring balance confidence is a subset of falls efficacy. Further work is needed to investigate the broader continuum of falls efficacy.

Intergenerational Activities that Promote Engaging Conversations are Preferred among Young and Older Adults

2019 ◽  
Vol 18 (1) ◽  
pp. 71-87
Author(s):  
A. Patricia Aguilera-Hermida ◽  
Ellen A. Anderson ◽  
Vanessa A. Negrón
Keyword(s):  
Older Adults ◽  
Intergenerational Activities

scholarly journals FUTURE DIRECTIONS: DISSEMINATION OF STANDARDIZED GERIATRIC SURGERY CARE NATIONALLY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S401-S401
Author(s):  
Mark Katlic
Keyword(s):  
Older Adults ◽  
Quality Of Care ◽  
Surgical Care ◽  
First Year ◽  
Geriatric Surgery ◽  
High Quality ◽  
Future Directions ◽  
Medical Centers ◽  
National Initiative

Abstract The American College of Surgeon’s Coalition for Quality in Geriatric Surgery will formally launch a national initiative aimed to improve the quality of surgical care for all older adults in July 2019. The first-year goal will be to recruit and successfully verify 100+ medical centers. This presentation will provide an overview of dissemination efforts for the standards set for providing high quality surgical care for older adults as well as processes to measure the quality of care provided to older adults at these medical centers. It our vision that this national initiative will lead the effort to the improvement of surgical care of all older adults.

scholarly journals The Theatre of Yes: Beauty as the Axis of Change for the Transformation of Communities Through Their Own Stories

2021 ◽  
Vol 9 (2021-1) ◽  
pp. 164-181
Author(s):  
Marina Pallarès Elias
Keyword(s):  
Older Adults ◽  
Social Exclusion ◽  
Mexico City ◽  
Deaf Community ◽  
Human Being ◽  
High Quality ◽  
Quality Performance ◽  
Social Oppression ◽  
The Arts ◽  
The Social

Tejidos is a community artistic project that aims to develop a community to give voice to the particular stories of those who live in Oaxaca (women and the deaf community) and Mexico City (older adults). The project has been funded by the Arts Council England (2018) and Iberescena (2019). “Theatre of Yes” is a methodology that uses the power of beauty as a language to break the stereotypes of situations that society views with apathy. By creating a provocative and emotional performance, we can transform the lives of people who suffer social exclusion. Yet, how can we create a high-quality performance with people who are not professional actors but have stories that should be shared? How can we use powerful performances as an axis of change? How can emotions be the motor for the struggle against the social oppression that many groups suffer? Artistic work has helped us to observe how creativity pushes people to find a freer self and, above all, to be close to the essence of the human being. The base of the Theatre of YES brings together the universal characteristics, honesty, simplicity, humility and generosity. The characteristics of the methodology developed with these groups are the yes as a weapon against the non-worthy self, beauty as the axis of change, physical theatre according to the Lecoq methodology.

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