scholarly journals Intergenerational Communication as Intervention: Social Isolation in Older Adults During COVID-19

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 78-78
Author(s):  
Laura Kirk ◽  
Penny Kessler ◽  
Stephanie Gingerich ◽  
Sharon McGill ◽  
Hanna Pryor

Abstract Social isolation and loneliness are prevalent and impactful in the lives of older adult across care settings, and the emergence of a deadly global pandemic requiring social distancing and quarantining exacerbated these experiences significantly in 2020. A semester-long communication-focused clinical project was developed and piloted for sophomore bachelor of nursing science (BSN) students during fall 2020. Affording preclinical nursing students the opportunity to develop communication skills early in their program of study holds potential, and learning the story of older adults appears to be mutually beneficial; older adults serve as mentors and share their story, and preclinical nursing students have an opportunity to learn about their mentor’s life, challenging some prevalent stereotypes about aging. A pre- post-clinical survey of student attitudes toward older adults suggests a dramatic positive shift in perspective, and unsolicited, anecdotal comments in student reflections support this finding: “...it helped me feel much more open to working with older adults in the future”; “This conversation taught me that my assumptions about the older generation are not always correct”. Of older adult participants, 96% reported the experience enriched and enhanced their social connectedness, with 88% requesting to participate in the program again. Narrative comments from residents indicated that their involvement enabled them to feel engaged and purposeful: “I was a mentor”; “Conversations were so alive. Connections with curious young people fill my heart and soul.” Intergenerational sharing of life stories has the potential for both healing and growth and may provide an antidote to ageism.

2021 ◽  
Vol 5 (1) ◽  
pp. 1-14
Author(s):  
Diana Amundsen

Abstract This article explores whether digital communication technologies have applicability in reducing social isolation and loneliness among older adults. Issues of social isolation and loneliness among older adults are important as they are identified risk factors for mortality, disability, cognitive ability, depression and poor wellbeing. This problem is more urgent due to the Covid-19 pandemic which has required older adults to physically and socially distance from family, friends, neighbours, communities and health services. In the context of the present Covid-19 pandemic, this article is of interest to educators, social workers, community service providers, health service practitioners, gerontological scholars involved in preparing older adult communities for present and future traumatic events resulting in socially isolating experiences. The literature identified that use of technology to promote social connection and enhance wellbeing for older adults can be an effective intervention, but more information is needed as to what aspects of such interventions make them effective. This research advocates for improvement in wellbeing and social connectedness of older adults through consideration of interventions through a model for flourishing and wellbeing. The research contributes to our growing understanding of how to change the way we think, feel and act towards older adults, ageing and flourishing.


Author(s):  
Rochell R. McWhorter ◽  
Julie A. Delello ◽  
Christine S. Gipson ◽  
Beth Mastel-Smith ◽  
Kleanthe Caruso

About one-fifth of the population in the United States in 2015 will be age 65 or older in 2050 and loneliness may be a contributing factor that inhibits their well-being and overall health. As the number of older adults continues to escalate, information and communication technologies such as smartphones and computers may create an increase in social connectedness leading to a decline in loneliness and social isolation. Results from this pilot study suggest that the older adult participants demonstrated some degree of loneliness. As the older adults used social media to connect with friends, family, and other information of interest, there was an increase in social connectedness for many of the participants, but the intensive iPad intervention was not significant in terms of reducing loneliness for either group over time.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 14-14
Author(s):  
Lynn Brown ◽  
Pao-feng Tsai

Abstract False ideas about the physical and psychosocial characteristics of older adults exist in America. It is especially important that nurses are not susceptible to myths and stereotypes as these myths can affect the quality of patient care. For example, some people stereotype older adults as forgetful, disabled, ill, and unable to understand new information. Misconceptions and negative stereotypes are also present in first year nursing students. It is vital that students assess their own attitudes about older adults to form positive attitudes and gain knowledge about aging and health care needs. To achieve this goal, the older adult lecture in a first semester theory and fundamental course begins with a PowerPoint slide presentation asking students to distinguish truths and myths. The truth or myth topics include a) developmental tasks; b) common physiological changes; c) a comparison of delirium, dementia, and depression; and d) addressing health concerns of older adults. Active discussion follows the activity. Seventy to ninety percent of students correctly answered nine of ten questions related to older adult content on the final exam. Considering the increasing number of older adults in the health care setting, nurse educators must dismantle negative stereotypes with creative teaching strategies.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 93-93
Author(s):  
Tobi Abramson ◽  
Jacquelin Berman ◽  
Madison Gates

Abstract The mental health needs of older adults are largely unmet, a finding even more prevalent within culturally diverse older adult populations. Added to this is the high rate of social isolation. Research has indicated increased connection to mental health services when services are embedded within physical health care settings. For those attending community centers, 85% indicate that they are socially isolated, 68% indicate they are lonely, and 53% have a mental health need (compared to 20% nationally). The need for innovative programming is evident. When examining the needs of diverse older adults, it is increasingly important that new and innovative approaches address social isolation, loneliness, and mental health problems experienced by this cohort. Utilizing this knowledge an innovative model of embedding and integrating mental health services, provided by bilingual and bicultural clinicians, into congregate sites (older adult centers) was implemented. Those that participated were mainly female (72.1%), 68.5% English-speaking, 14.5% Spanish-speaking, 13.6% Chinese-speaking and 3.4% other. Spanish-speakers had more depression than English-speakers and both had more depression than Chinese-speakers. English and Spanish-speakers reported more social isolation and Chinese-speakers compared were more likely to participate in engagement. Chinese-speakers were less likely to be in clinical services with a positive screen compared to English-speakers. Overall, 75% engaged in treatment; 37.3% and 41% showed a 3-month improvement of depression and anxiety, respectively. This presentation focuses on the innovative components of this model, how to engage diverse older adults to utilize treatment, steps needed for replication, and policy implications around integrated mental health treatment.


Author(s):  
Maurita T. Harris ◽  
Kenneth A. Blocker ◽  
Wendy A. Rogers

Smart technologies have increased dramatically within the last decade. Their availability has improved opportunities for productivity, health, and entertainment, and this is especially true for technologies that act as central hubs to link other devices and applications that expand their capabilities (e.g., smartphones and digital home assistants). Older adults may significantly benefit from integrating these devices into their lives to mitigate the various challenges they face with increasing age (e.g., cognitive, mobility changes). To understand the potential of these technologies for this population, we investigated use patterns, learning preferences, and other perceptions related to the adoption of these devices. Seventy older adult participants responded to an online survey regarding their use and preferences with smartphones and digital home assistants. The results informed our understanding of current adoption rates as well as provided key perspectives to inform their design for older adults.


Author(s):  
Dan Dumbrell ◽  
Robert Steele

Social media technologies represent an emerging means by which older adults can access health and community information, engage in peer-to-peer information sharing, and also potentially decrease social isolation. Privacy concerns, however, have been consistently identified as a barrier for older adults' use of the Web and social media technologies. The authors conduct a preliminary study involving 150 older adult participants, investigating their use and perceptions of social media technologies. The trial involved first providing the participants with brief training in three common social media technologies: Facebook, Twitter, and Skype. The authors carried out a quantitative and qualitative analysis of the participant's use and privacy perceptions of these technologies. Overall, the results are promising as to the potential to address privacy concerns to enable older adults to further utilize these technologies for improved mental, physical, and social health. Implications for future research and usage within the older adult community are also discussed.


2019 ◽  
pp. 1748-1764
Author(s):  
Dan Dumbrell ◽  
Robert Steele

Social media technologies represent an emerging means by which older adults can access health and community information, engage in peer-to-peer information sharing, and also potentially decrease social isolation. Privacy concerns, however, have been consistently identified as a barrier for older adults' use of the Web and social media technologies. The authors conduct a preliminary study involving 150 older adult participants, investigating their use and perceptions of social media technologies. The trial involved first providing the participants with brief training in three common social media technologies: Facebook, Twitter, and Skype. The authors carried out a quantitative and qualitative analysis of the participant's use and privacy perceptions of these technologies. Overall, the results are promising as to the potential to address privacy concerns to enable older adults to further utilize these technologies for improved mental, physical, and social health. Implications for future research and usage within the older adult community are also discussed.


Author(s):  
Fereshteh Mehrabi ◽  
François Béland

This research investigated the effects of social isolation on frailty and health outcomes and tested whether these associations varied across different levels of frailty. We performed a multivariate analysis of data from the first wave of the FRéLE study among 1,643 Canadian older adults aged 65 years and over. We assessed social isolation using social participation, social networks, and support from various social ties, namely, friends, children, extended family, and partner. Frailty predicted disability, comorbidity, depression, and cognitive decline. Less social participation was associated with IADLs, depression, and cognitive decline. The absence of friends was associated with depression and cognitive impairment. Less social support from children and partner was related to comorbidity, depression, and cognitive decline. Overall, social isolation is linked to mental health, rather than physical health. The associations of having no siblings, receiving less support from friends, and participating less in social activities with ADL limitations, depression, and cognitive decline were higher among frail than pre-frail and robust older adults. This study corroborates the pivotal role of social connectedness, particularly the quality of relationships, on the mental health of older adults. Public health policies on social relationships are paramount to ameliorate the health status of frail older adults.


2019 ◽  
Vol 5 (6) ◽  
pp. 212-217
Author(s):  
Minnie Besin Mamauag

Objective: This study explored the religious or spiritual beliefs and behaviors of the elderly that could somehow translate to their level of death acceptance or lack thereof.Methods: A total of four (4) elderly participants, ages 60 and above whom meet the criteria set for this study was interviewed to assess their spiritual upbringing and experiences that resulted to their death acceptance. The study involves qualitative approach using thematic analysis. The narrative testimony of the old adult participants in this study which includes cases of older adult that believes in God, older adult having shifted from one religious organization to another, and older adults’ instilled spirituality comes from religious imprint from family members during childhood describes the three important patterns in the religious or spiritual standing of the participants.Results: The themes signified that (1) older adults are inherently religious and this nature is a subsequent factor in (2) their faith in God basing on their life experiences and life’s meaning. Furthermore, this (3) belief or faith in God offers them a sense of security and hope in the afterlife.Conclusion: These themes explain the pattern in the creation of a religious/ spiritual standing that leads to death acceptance among participants as evident in their interview results.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 205-205
Author(s):  
Samantha Hack ◽  
Anjana Muralidharan ◽  
Amanda Peeples

Abstract The Connection Plan intervention was created as a brief intervention to assist older adults experiencing social isolation during COVID-19. Based in Cognitive Behavioral Therapy (CBT), it is designed to help older adults create a “Connection Plan” to cope with distress related to social isolation. In 1-2 sessions, interventionists work with the older adult to create a Connection Plan with three parts: Mind (ways to change negative thoughts), Body (ways to change unpleasant body sensations), and Connections (ways to increase social engagement). Through soliciting feedback from key stakeholders (Veterans and VA clinicians), the Connection Plan intervention was adapted for the VA context. This paper will present this process of creating the VA Connection Plans manual, as well as associated efforts to disseminate the intervention to 900 VA staff and deliver it to 600 older Veterans with (age 50+) and without (age 65+) serious mental illness.


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