scholarly journals Lessons From Lighthouse: Operationalizing Technology to Support Older Adults in Affordable Housing Communities

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 467-468
Author(s):  
David Lindeman
Keyword(s):  
Older Adults ◽  
Social Services ◽  
Affordable Housing ◽  
Low Income ◽  
Broad Band ◽  
Implementation Strategies ◽  
Lessons Learned ◽  
Technology Selection ◽  
Successful Implementation ◽  
Internet Service

Abstract Lighthouse for Older Adults, an innovative public-private partnership, was developed in response to COVID-19 as a means of advancing telehealth for low-income older adults living in affordable housing communities. Residents of these communities often don’t have reliable access to devices, sufficient bandwidth for telehealth, or adequate social services, further complicated by the need for multi-lingual and culturally sensitive programs. This presentation will share program implementation strategies and outcomes, including the essential role telehealth services play in the care and wellbeing of older adults during and beyond COVID-19. This session will review evidence-based components of a telehealth intervention, including digital literacy training and technology support. Key drivers for successful implementation (e.g., peer led training, user input into technology selection) as well as barriers to implementation (e.g., broad band installation, internet service availability/cost, tech support) will be reviewed. Lessons learned through program replication and scaling of Lighthouse telehealth services will be discussed.

scholarly journals Telehealth as a Resource for Continuity of Care in the Face of Disaster

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 466-467
Author(s):  
Walter Boot ◽  
Judith Robertson Phillips
Keyword(s):  
Older Adults ◽  
Continuity Of Care ◽  
Affordable Housing ◽  
Low Income ◽  
Implementation Strategies ◽  
Chronically Ill ◽  
Appraisal Theory ◽  
Special Interest Groups ◽  
Problem Solving Therapy ◽  
The Face

Abstract This symposium co-sponsored by the Disasters and Older Adults and the Technology and Aging special interest groups of GSA aims to highlight the promise of, and barriers to, the use of telehealth to support continuity of care in the face of disasters and crises, such as the ongoing COVID-19 pandemic. M. Mattos will showcase a home-based medical care (HBPC) program to address chronically ill and homebound persons living with dementia and caregivers’ needs during the pandemic. T. Wyte-Lake will present the results of a national survey on how changes were made to the Department of Veterans Affairs (VA) HBPC programs in response to the pandemic. G. Demiris describes a large caregiver study in which problem solving therapy and positive appraisal theory interventions designed specifically to support family caregivers of hospice patients during the COVID-19 pandemic were implemented via telehealth. D. Lindeman will specifically discuss challenges and implementation strategies for telehealth solutions applied to low-income older adults living in affordable housing communities. Finally, H. Xu will present the results of an analysis examining the effectiveness of telehealth in reducing readmissions among heart failure patients during the COVID-19 pandemic. While the COVID-19 pandemic has especially impacted older adults and those who care for them, these talks highlight the potential of telehealth services and interventions to provide support and facilitate the continuity of care during times of crisis.

scholarly journals A Pharmacist-Led Medication Coaching Program Serving Senior Residents of Low-Income Housing

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 761-762
Author(s):  
Jennifer Bacci ◽  
Joshua Akers ◽  
Katie Mahan ◽  
Geoffrey Meer ◽  
Jeffrey Kinter ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Pharmacy ◽  
Affordable Housing ◽  
Low Income ◽  
Culturally Diverse ◽  
Organization Structure ◽  
Local Area ◽  
Fiscal Year ◽  
Service Process ◽  
Process Outcomes

Abstract In 2015, one independent community pharmacy partnered with the local Area Agency on Aging to provide medication coaching to low-income, culturally diverse, older adults living in 6 affordable housing buildings in the Seattle area. A pilot was conducted during the 2015-2016 fiscal year to determine the need for and feasibility of the service. Process outcomes, including patient and service demographics, medication-related problems, and pharmacist interventions, were captured via the pharmacists’ patient care documentation. Pharmacists had 34 total visits with 17 unique residents who were taking an average of 8.1 medications. Pharmacists identified 97 medication-related problems, averaging 5.7 problems per resident, and performed 88 interventions, averaging 5.2 interventions per resident. The findings of this pilot demonstrated the needs and feasibility of implementing pharmacists’ services within a housing organization structure and has resulted in the continuation and growth of the program.

scholarly journals Community Engagement and Human-Centered Design: Lessons From HEARS in Inclusive Recruitment of Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 473-473
Author(s):  
Hae-Ra Han ◽  
Nicole Marrone ◽  
Jonathan Suen ◽  
Sarah Szanton ◽  
Jami Trumbo ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
African American ◽  
Affordable Housing ◽  
Low Income ◽  
Controlled Trial ◽  
Annual Household Income ◽  
Human Centered Design ◽  
Age Related ◽  
Intervention Trials

Abstract Within hearing care, significant disparities persist despite the highly prevalent nature of age-related hearing loss and relatively few trials include representation of racial/ethnic minorities. HEARS is an affordable, accessible hearing care intervention delivered by older adult peer mentors. The HEARS randomized controlled trial (NCT03442296) is a community-engaged RCT with an embedded human-centered design practitioner. Recruitment efforts occurred over 18 months in partnership with 13 affordable housing and social centers. The cohort (n=151) includes 43% (n=65) who self-identify as African American and 63.6% (n=96) with <$25,000 annual household income. The cohort represents the largest to-date of African American and low-income older adults with hearing loss. Recruitment efforts entailed 470.5 staff hours and $4,917.26 in supplies, equating to 1.4 hours and $14.13 per 1 individual screened and 3.1 hours and $32.56 for 1 participant randomized. Community-engaged research, partnered with human-centered design, may offer critical approaches to increasing representation within behavioral intervention trials.

scholarly journals Lessons Learned in the Delivery of Live Remote Group Weight Loss and Physical Activity Interventions for Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 281-281
Author(s):  
Jason Fanning ◽  
Barbara Nicklas
Keyword(s):  
Older Adults ◽  
Weight Loss ◽  
Exercise Program ◽  
Health Behavior Change ◽  
Careful Consideration ◽  
Lessons Learned ◽  
Technology Selection ◽  
Exercise Interventions ◽  
Aerobic Activity ◽  
Effective Group

Abstract Social connection lies at the root of lasting health behavior change, and as such most effective interventions are built around social tools. Group leaders and peers provide education, and act as models of successful change and collaborators in addressing common barriers to behavioral adoption and maintenance. Unfortunately, many older adults do not have access to high quality group programs due to factors such as limited transport options, lack of local availability, or worries over personal safety. Importantly, developing effective, synchronous remote group programming is not as simple as delivering an in-person session via teleconference software. Instead, careful consideration must be paid to technology selection, fostering effective group communication, and developing confidence for use of remote intervention tools. This symposium provides key lessons learned from three group-based activity and weight loss interventions for older adults that focused on live, remote interaction. Jason Fanning will share lessons from the MORPH study, which paired remote group-mediated behavioral counseling with dietary weight loss and the accumulation of aerobic activity across the day. Christina Hugenschmidt will share her experiences adapting a group program involving improvisational dance or social gaming for remote delivery. Kushang Patel will present results from a mixed-methods study on the feasibility and acceptability of a remotely-delivered exercise program for older adults with knee osteoarthritis. Finally, Barbara Nicklas will place these experiences in the context of the development of exercise interventions for older adults over time, and highlighting vital next steps for ensuring more older adults have access to this important behavioral medicine.

scholarly journals STRENGTHENING LATE-LIFE DEPRESSION COLLABORATIVE CARE THROUGH COMMUNITY ENGAGEMENT: CARE PARTNERS INITIATIVE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S572-S573
Author(s):  
Ladson Hinton ◽  
Theresa J Hoeft ◽  
Stuart Henderson ◽  
Melissa M Gosdin ◽  
Laura Rath ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Collaborative Care ◽  
Late Life ◽  
Lessons Learned ◽  
Successful Implementation ◽  
Depression Care ◽  
Late Life Depression ◽  
Primary Care Clinics ◽  
Care Partners

Abstract Despite the availability of effective treatments for late life depression, many older adults with depression either do not access or fully engage in treatment. The goal of this study was to examine the feasibility and two-year outcomes from an Archstone Foundation funded Care Partners Initiative to strengthen depression care for adults 65 years of age and older. Seven sites throughout California implemented evidence-based collaborative care through partnerships between primary care organizations, community-based organizations (CBOs), and families of older adults with depression. Evaluation used a mixed-methods approach incorporating both qualitative and quantitative data. Of the seven sites, six formed partnerships between primary care clinics and CBOs and one site only focused on engaging family members in treatment. In the first two years, 274 patients were enrolled and rates of depression improvement were comparable to prior depression care effectiveness trials. Overall, 49% of patients at CBO sites interacted 3+ times with CBO staff/clinicians, while at the family site, 79% of patients had 3+ contacts including a family member. Using data from key informant interviews, focus groups, and site progress documents, seven core components were identified that facilitated successful implementation and delivery of partnered collaborative care, including three foundational components: strong stakeholder buy-in, effective patient engagement, and the promotion of depression treatment as a core value across organizations. Multiple complexities of partnering between primary care clinics and CBOs or families were identified. Challenges and lessons learned from this initiative will also be discussed.

scholarly journals Challenges and Supports to Aging in Place in a Gentrifying Context

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 873-873
Author(s):  
Manish Kumar ◽  
Laura Richman
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Affordable Housing ◽  
Low Income ◽  
Healthy Aging ◽  
Aging In Place ◽  
Well Being ◽  
Neighborhood Change ◽  
Structured Interviews ◽  
Age In Place

Abstract Neighborhoods play a central role in healthy aging, with changes to neighborhoods having a profound impact on older adults’ ability to age in place. Using gentrification as an indicator of neighborhood change and applying the theoretical framework of the Environmental Press model (Lawton and Nahemow, 1973), this study examined the relationship between changing environments, affordable housing, and environmental attributes that support and hinder the health and well-being of older adults. A qualitative, case-study approach was used to interview low-income, majority Black older adults in a gentrifying area of Washington DC. 32 individuals (16 in non-profit and 16 in for-profit affordable housing) aged 55 and older participated in semi-structured interviews on perceptions of gentrification, neighborhood change, and challenges and supports to aging in place. Transcripts were then analyzed using the framework method of analysis. Although participants generally reported that gentrification improved their neighborhood’s built environment, many attributed it to a decline in social capital. Affordable housing provided an ability to age in place, though participants expressed uncertainty over their long-term ability to age in the context of continuing change. These findings suggest that while the physical changes accompanying gentrification may support older adults’ ability to age in place, its detrimental impact on social capital further increases their risk for social isolation. While affordable housing may enable older adults to age in place, fostering a greater sense of permanence and well-being will require additional policies that both increase accessibility to the physical amenities provided by gentrification and preserve older adults’ social capital.

scholarly journals Affordable Rental Housing and Older Adults: A Case Study for Community Development Initiatives

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 708-708
Author(s):  
Muhammad Qureshi ◽  
Atiya Mahmood ◽  
Ghazaleh Akbarnejad ◽  
Rahil Adeli ◽  
Dana Sharon
Keyword(s):  
Older Adults ◽  
Community Development ◽  
Affordable Housing ◽  
Low Income ◽  
Social Engagement ◽  
Community Gardens ◽  
Rental Housing ◽  
Social Events ◽  
Development Initiatives ◽  
The Right

Abstract Older adults living in rental housing with limited income are at-risk for experiencing life-course disruptions, including social isolation, loneliness and homelessness. To address these needs, one Vancouver-based affordable housing provider for older adults has implemented community development initiatives (CDIs), including resident-led community gardens, workshops, and social events. Based on data from three focus groups, resulting in a total of fifteen participants, this study explored the efficacy of five different CDIs in supporting residents’ social connection and sense of community. Findings revealed that CDIs contribute to increased social engagement and inclusion of older adults living in affordable rental housing. In particular, resident-led community gardens were identified as the most impactful CDI in supporting both social engagement and inclusion, with the added benefit of addressing resident’s food insecurity. We discuss how CDIs can be implemented in various housing settings for low-income older adults as an effective method of supporting aging-in-the-right place. Part of a symposium sponsored by the Environmental Gerontology Interest Group.

scholarly journals Implementation of perinatal collaborative care: a health services approach to perinatal depression care

2020 ◽  
Vol 21 ◽  
Author(s):  
Emily S. Miller ◽  
Rebekah Jensen ◽  
M. Camille Hoffman ◽  
Lauren M. Osborne ◽  
Katherine McEvoy ◽  
...  
Keyword(s):  
Health Services ◽  
Collaborative Care ◽  
Implementation Strategies ◽  
Behavioral Health Care ◽  
The United States ◽  
Evidence Base ◽  
Lessons Learned ◽  
Successful Implementation ◽  
Health Services Delivery ◽  
Services Delivery

Abstract Aim: Our objective was to integrate lessons learned from perinatal collaborative care programs across the United States, recognizing the diversity of practice settings and patient populations, to provide guidance on successful implementation. Background: Collaborative care is a health services delivery system that integrates behavioral health care into primary care. While efficacious, effectiveness requires rigorous attention to implementation to ensure adherence to the core evidence base. Methods: Implementation strategies are divided into three pragmatic stages: preparation, program launch, and program growth and sustainment; however, these steps are non-linear and dynamic. Findings: The discussion that follows is not meant to be prescriptive; rather, all implementation tasks should be thoughtfully tailored to the unique needs and setting of the obstetric community and patient population. In particular, we are aware that implementation on the level described here assumes commitment of both effort and money on the part of clinicians, administrators, and the health system, and that such financial resources are not always available. We conclude with synthesis of a survey of existing collaborative care programs to identify implementation practices of existing programs.

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