scholarly journals Developing a Shared Language to Describe the Age-Friendly Ecosystem

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 491-491
Author(s):  
Kim Dash ◽  
Jody Shue ◽  
Tim Driver ◽  
Alice Bonner ◽  
Leslie Pelton ◽  
...  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Group Processes ◽  
Well Being ◽  
Collective Impact ◽  
Measurement Systems ◽  
Shared Language ◽  
International Experts ◽  
Diverse Groups ◽  
Common Agenda

Abstract While multiple sectors—cities and communities, education, employment, health, and public health—have identified and implemented strategies to promote age-friendly systems, their efforts have mainly advanced in siloes. Each sector has met goals specific to its constituents, however, the major transformations required to realize systemic inclusivity and well-being among diverse groups of older adults remains indefinable. To begin to address this gap, we have engaged age-friendly sectors in a process of coordinated planning to define and operationalize an age-friendly ecosystem (AFE) that advances cross-sector and age-friendly solutions to meet the needs of all older adults. Our process borrows from Kania and Kramer (2011) who describe conditions to achieve substantial collective impact when coordinating efforts across sectors: a common agenda, shared measurement systems, mutually reinforcing activities, and continuous communication. In this presentation, we describe our stepwise process to set a common agenda, by engaging older adults and working with experts across sectors, to agree on a series of characteristics that define an AFE. Specifically, we surveyed older adults about their perceptions of an age-friendly ecosystem as well as conducted a review and analysis of relevant activities (i.e., policies, programs, and practices) associated with five age-friendly sectors. Next, activities were organized by common and defining characteristics. We then convened more than 40 international experts representing diverse age-friendly sectors to review and revise the AFE characteristics. Through structured and facilitated group processes, we worked with experts to identify and define six critical AFE characteristics as well as examples of corresponding activities.

scholarly journals Sleep and Mental Health Among Older Adults in the Canadian Longitudinal Study on Aging

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Rodrigues ◽  
K Nicholson ◽  
P Wilk ◽  
G Guaiana ◽  
S Stranges ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Older Adults ◽  
Mental Illness ◽  
Sleep Duration ◽  
Sleep Problems ◽  
Well Being ◽  
Health Initiatives ◽  
Mental Well Being ◽  
Health And Well Being

Abstract Background Global studies have demonstrated consistent associations between sleep problems and mental health and well-being in older adults, however Canadian data are lacking. We investigated associations between sleep quantity and quality with both mental illness symptoms and well-being among older adults in Canada. Methods We used cross-sectional baseline data from the Canadian Longitudinal Study on Aging, a national survey of 30,097 community-dwelling adults aged 45 years and older. Self-reported sleep measures included average past-week sleep duration (short [<6h], normal [6-8h], long [>8h]), and sleep quality (satisfied or dissatisfied vs neutral). Mental illness outcomes included depressive symptoms and psychological distress. Mental well-being outcomes included self-rated mental health and satisfaction with life. We used modified Poisson regression models with adjustment for sociodemographic, behavioural, and clinical factors, and stratification by sex and age to explore effect modification. Results In the unadjusted analysis, short and long sleep duration and sleep dissatisfaction were associated with higher mental illness symptoms and lower well-being across all outcomes. Sleep satisfaction was associated with a lower likelihood of mental illness symptoms and better well-being. Short sleep duration was associated with the largest effects on mental health outcomes. Self-rated mental health and depressive symptoms had the largest associations with sleep measures. Effects were larger in males and the 45 to 54 year age group. Conclusions Preliminary evidence suggests sleep duration and quality are associated with symptoms of depression, psychological distress, and poor mental well-being among older adults. We are unable to determine whether sleep problems are a cause or consequence of poor mental health. Nonetheless, sleep may be an important target for public health initiatives to improve mental health and well-being among older adults. Key messages Our findings contribute further evidence that sleep difficulties are associated with adverse health outcomes including higher mental illness symptoms and lower well-being among older adults. Sleep disturbances are an unmet public health problem, and may be an important target for public health initiatives to improve mental health and well-being among older adults.

scholarly journals Creating an Age-Friendly Public Health System

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Anne De Biasi ◽  
Megan Wolfe ◽  
Jane Carmody ◽  
Terry Fulmer ◽  
John Auerbach
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health System ◽  
Older Adult ◽  
Public Health System ◽  
Adult Population ◽  
Public Health Practice ◽  
State Level ◽  
Well Being ◽  
Health Departments

Abstract Background and Objectives The public health system in America—at all levels—has relatively few specialized initiatives that prioritize the health and well-being of older adults. And when public health does address the needs of older adults, it is often as an afterthought. In consultation with leaders in public health, health care, and aging, an innovative Framework for an Age-Friendly Public Health System (Framework) was developed outlining roles that public health could fulfill, in collaboration with aging services, to address the challenges and opportunities of an aging society. Research Design and Methods With leadership from Trust for America’s Health and The John A. Hartford Foundation, the Florida Departments of Health and Elder Affairs are piloting the implementation of this Framework within Florida’s county health departments and at the state level. The county health departments are expanding data collection efforts to identify older adult needs, creating new alliances with aging sector partners, coordinating with other agencies and community organizations to implement evidence-based programs and policies that address priority needs, and aligning efforts with the age-friendly communities and age-friendly health systems movements. Results, and Discussion and Implications The county health departments in Florida participating in the pilot are leveraging the Framework to expand public health practice, programs, and policies that address health services and health behaviors, social, and economic factors and environmental conditions that allow older adults to age in place and live healthier and more productive lives. The model being piloted in Florida can be tailored to meet the unique needs of each community and their older adult population.

Promoting Mental Health and Well-Being in Public Health Law and Practice

2017 ◽  
Vol 45 (S1) ◽  
pp. 37-40 ◽  
Author(s):  
Jill Krueger ◽  
Nathaniel Counts ◽  
Brigid Riley
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Physical Health ◽  
Cultural Context ◽  
Well Being ◽  
Collective Impact ◽  
Health Law ◽  
Policies And Programs ◽  
The Relationship ◽  
Health And Well Being

This article discusses the relationship between stress, physical health, and well-being in cultural context, offers examples of laws, policies, and programs to promote mental health and well-being, and examines how collective impact supports mental health and well-being.

scholarly journals Start at the Center: Age-Friendly Public Health Systems and Healthy Brain Initiative Frameworks

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 720-720
Author(s):  
Megan Wolfe ◽  
Molly French ◽  
John Shean
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Sector ◽  
Well Being ◽  
Health Departments ◽  
Local Public Health ◽  
The Public ◽  
Community Connections ◽  
State And Local

Abstract SIGNIFICANCE. Older adults can contribute wisdom, skills, and time to communities. The public health sector has unique capabilities for creating conditions that promote health, foster community connections, and quality of life. METHODS. Two frameworks provide public health (PH) with core strategies to improve outcomes for all older adults. The Framework for Creating an Age-Friendly Public Health System (AFPHS) supports the PH role, as demonstrated by 37 of Florida’s 67 county health departments that are piloting the AFPHS Framework. The Healthy Brain Initiative’s (HBI) State and Local Public Health Partnerships to Address Dementia is a framework for action used by PH to promote cognitive health, improve care for cognitive impairment, and increase caregiving supports. Both frameworks call for utilizing regional data and cross-sector partnerships. IMPLICATIONS. PH can contribute to community-wide initiatives to promote well-being and community connections for older adults. Cross-sector partnerships can start by using available tools and planning guides.

scholarly journals The Challenges of Being a Family Caregiver During the COVID-19 Pandemic in Canada

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 552-552
Author(s):  
Gwen McGhan ◽  
Deirdre McCaughey
Keyword(s):  
Public Health ◽  
Older Adults ◽  
At Risk ◽  
Family Member ◽  
Well Being ◽  
Community Dwelling ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
The Public ◽  
Health Measures

Abstract The COVID-19 pandemic has impacted all of our lives, but the population most at risk are older adults. Canadians over the age of 60 account for 36% of all COVID-19 cases but 95% of the deaths, and over two-thirds of ICU admissions. Older adults with chronic health conditions are especially at risk. Prior to COVID-19, family caregivers (FCGs) for older adults were managing their caregiving duties at the limits of their emotional, physical and financial capacity. As such, FCGs need special consideration during these times of uncertainty to support them in their role and enable the continuation of care for their older adult family members. This symposium will report on independently conducted studies from across Canada that have examined how the pandemic and associated public health measures have influenced resource utilization by FCGs and the older adults for whom they provide care. McAiney et al’s study examines the deleterious effect of reduced services on community dwelling FCGs and the wellbeing of their family member with dementia. Parmar & Anderson examined the effect of pandemic restrictions on FCGs of frail older adults and found they were experiencing increased distress and decreased wellbeing. Flemons et al report on the experiences of FCGs managing caregiving without critical services and the effect of restrictive visiting policies and the well-being of the caregiving dyad (FCGs and family member with dementia). Finally, McGhan et al will share how FCGs evaluated the efficacy of public health measures and the public health messaging about the pandemic.

scholarly journals COVID-19 and Social Isolation Endangering Psychological Health of Older Adults: Implications for Telepsychiatry

2020 ◽  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Social Isolation ◽  
Psychological Health ◽  
Aging Population ◽  
Well Being ◽  
Severe Illness ◽  
Older Population ◽  
Social Distancing ◽  
Targeted Interventions

Coronavirus disease-19 (COVID-19) has created a public health emergency and had claimed 911,877 lives at the time of writing this manuscript (September 12, 2020). While everybody is at the risk of acquiring infection following the exposure to SARS-CoV-2, older adults are significantly more likely to experience severe illness, life-threatening complications, hospitalizations, and deaths. As the pandemic evolved, social distancing or shielding efforts as primary prevention were instituted to protect the physical health status of the vulnerable population, with no or limited consideration to the psychological health of the older population. Social isolation and loneliness are the long-standing public health concerns among older adults, which appear to be exacerbating amidst the COVID-19 pandemic. Given the pre-existing risk of late-life psychiatric disorders among older individuals, it is critical to determine challenges posed by COVID-19 and associated social distancing protocols as it relates to the psychosocial well-being of the aging population. Such information is imperative to design targeted interventions to fulfill the unmet needs of the older population. Therefore, this review endeavors to identify the healthcare and emotional needs of the aging population during the COVID-19 pandemic in the context of psychological health and social capital. Additionally, this review also identifies the barriers in the uptake of telepsychiatry and highlights the need for promoting remote counseling services among older people to promote their psychosocial well-being.

scholarly journals Promoting Health Equity Through Partnerships

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 252-252
Author(s):  
Karon Phillips
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Equity ◽  
Healthy Aging ◽  
Well Being ◽  
Adult Health ◽  
Health Departments ◽  
Local Public Health ◽  
Public Health Departments ◽  
State And Local

Abstract Funded by The John A. Hartford Foundation, Trust for America’s Health’s (TFAH) Healthy Aging initiative has supported states as they develop Age-Friendly Public Health Systems (AFPHS). The goal of this national initiative is to make healthy aging a core function of state and local public health departments. Through this initiative, TFAH is working directly with states as they work to improve the health of older adults, with a particular focus on health equity. Given the increased prevalence of health disparities, prioritizing health equity has become important for many organizations. Through new partnerships and collaboration with aging services providers and health care systems, public health departments have developed innovative ways to improve the health and well-being of older adults from racial/ethnically diverse backgrounds. Areas of collaboration between the public health and aging sectors include sharing data on older adult health and working together to address social isolation.

scholarly journals CROSS-GENERATIONAL UNDERSTANDING OF AGEISM AND ITS IMPACT ON PERSONAL-PUBLIC HEALTH

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S893-S893
Author(s):  
Diana Mayo ◽  
Thomas M Meuser ◽  
Regula H Robnett
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Public Transportation ◽  
Health Care Disparities ◽  
Negative Impact ◽  
Public Health Intervention ◽  
Well Being ◽  
World Health ◽  
Silent Generation ◽  
Discriminatory Behavior

Abstract In 2016, the World Health Organization (WHO) declared a call to combat ageism, labeling it “pervasive” and having “profound consequences on older adults’ health and well being.” This study explored generational differences in understanding the WHO’s definition of ageism, between baby boomers (ages 65-72) and silent generation members (ages 78-85), as well as the perceived impact on personal and public health outcomes. A focus group protocol built around the WHO framing of ageism was administered to boomer (n=18) and silent generation members (n=11). Discussion was transcribed, reviewed in depth by each research team member, and themes were extracted by consensus. Members of both cohorts initially denied effects of ageism, stating that they reject discriminatory behavior; later sharing explicit examples of ageism’s negative impact on their lives. Boomers conflated the words “ageism” and “aging”, perhaps implying a lack of awareness of the terms and the issues as presented by WHO. A central finding was that older adults in both groups experienced economic and health care disparities due to their age. In both groups, perceived perpetrators of discriminatory behavior were found in various environments including places of employment, healthcare sites, restaurants, public transportation, retirement communities, and at home among family and care services. Our results are critical to understanding what environments to target for public health intervention efforts, which will include establishing future education and training for people of all ages to help society learn about ageism, and to advocate for inclusive and equitable treatment of older adults in the community.

scholarly journals Testing Online Men’s Groups to Promote Psychological Well-Being and Reduce Despair During the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 526-527
Author(s):  
Paul Links ◽  
Sisira Sarma ◽  
Gordon Flett ◽  
Kimberly Wilson ◽  
Simon Hatcher ◽  
...  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Social Interaction ◽  
North America ◽  
Suicide Risk ◽  
Psychological Intervention ◽  
Well Being ◽  
Psychological Well Being ◽  
Online Delivery ◽  
Reduce Risk

Abstract Suicide prevention is a healthcare and social justice priority. Older adults have the highest rates of suicide and the highest COVID-19 fatality rates in North America. The combined impacts of social isolation, fear of infection, apathy, and hopelessness could amplify suicide risk among older adults, as appears to have been the case during the 2003 SARS epidemic in Hong Kong. Innovative interventions are thus needed to promote social interaction and reduce risk for suicide in these challenging times. We are currently testing an online version of our Meaning-Centered Men’s Group (MCMG; Heisel et al., 2020), an upstream psychological intervention designed to promote psychological well-being and reduce suicide risk among men struggling with the transition to retirement, in the context of pandemic-related public health restrictions. This presentation will focus on adaptations to MCMG for online delivery, and share participant experiences and findings on positive and negative psychological outcomes.

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