scholarly journals PAEAN: Pain in Aging, Educational Assessment of Need - An Interprofessional Collaboration

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 842-842
Author(s):  
Beth Hogans ◽  
Bernadette Siaton ◽  
Lana Brown ◽  
Laura Frey-Law ◽  
Chris Herndon ◽  
...  
Keyword(s):  
Older Adults ◽  
Needs Assessment ◽  
Working Group ◽  
Large Scale ◽  
Interprofessional Collaboration ◽  
Women Veterans ◽  
Well Being ◽  
Socioeconomic Disadvantage ◽  
Evidence Based ◽  
Adult Women

Abstract Pain is prevalent in older adults limiting independence directly and through comorbidity-related effects on functional domains such as mobility, well-being, sleep, productivity, and oligo-pharmacy. Improved outcomes for older adults with pain depends on provider knowledge and competence; concomitantly, Veterans, women, and others at socioeconomic disadvantage may face increased pain, comorbidities, and complications of treatments. Previous guidance for educational programs, from pre-licensure to post-graduate training, in geriatrics and pain have focused on expert opinion, whereas an evidence-based approach is preferred. Our working group is conducting a structured needs assessment regarding comorbidities of common pain-associated conditions in older adults. Methods To capture expertise in medicine, nursing, pharmacy, clinical psychology, and physical therapy, we extended an open invitation to members of the VA Geriatric Research, Education, Clinical Centers Associate Director-Education network and selected, nationally-recognized clinical education experts outside VA. Results An eight-member working group, interprofessional in composition, through multiple remote meetings has defined goals of the program, evaluated preliminary evidence addressing the clinical needs of older adults with pain, and posed ‘curious questions’ about the available large-scale data. The overarching goal is evidence-based needs assessment of gaps in education about pain in older adults, with purposeful attention to risks of healthcare inequities for older adult women, Veterans, persons of color, those at socioeconomic disadvantage, and caregivers. Conclusions Interprofessional collaboration is effective in framing a broad needs assessment regarding pain and common comorbidities in older adults with the intent of meeting the educational needs of clinical trainees. More study is needed.

scholarly journals Age Moderates Perceived COVID-19 Disruption on Well-Being

2020 ◽  
Author(s):  
Amy Knepple Carney ◽  
Allyson S Graf ◽  
Grace Hudson ◽  
Ellen Wilson
Keyword(s):  
Older Adults ◽  
Negative Affect ◽  
Perceived Stress ◽  
Large Scale ◽  
Negative Impact ◽  
Well Being ◽  
Community Dwelling ◽  
Middle Aged ◽  
Age Related ◽  
Design And Methods

Abstract Background and Objectives It is not fully understood how large-scale events affect well-being. Older adults showed the highest levels of resilience following the September 11th (9/11) terrorist attacks, but during the severe acute respiratory syndrome outbreak, there were no age-related differences in well-being. The current study examined the Coronavirus Disease 2019 (COVID-19) disruption on well-being throughout adulthood. Research Design and Methods Perceived stress and affect were examined in 166 community-dwelling adults (Mage = 35.65; SD = 15.53; range = 18–79) in relation to the perceived disruption of the COVID-19 pandemic to their lives. Results A significant moderation was found for age and COVID-19 disruption on perceived stress [F(5, 153) = 8.88, p < .05, R2 = .22] and negative affect [F(5, 154) = 4.91, p < .05, R2 = .14], but not for positive affect. For participants over 50, those who rated COVID-19 as a low or high disruption had similar scores on stress and negative affect, but with younger aged participants, perceiving high disruption corresponded with higher levels of stress and negative affect. Discussion and Implications Findings are consistent with the strength and vulnerability integration (SAVI) model, wherein older adults try to maintain positive emotional well-being, with middle-aged and older adults in the current study having experienced less negative impact on well-being. Middle-aged and older adults may be better able to regulate negative emotions from COVID-19 than younger adults. SAVI proposes a greater negative impact on older adults when they experience sustained stressors; as the challenges with COVID-19 continue, further data will need to be examined.

scholarly journals Can Sport Really Help to Meet the Millennium Development Goals? Evidence From Children in Peru

2016 ◽  
Vol 19 (4) ◽  
pp. 498-521 ◽  
Author(s):  
Tim Pawlowski ◽  
Ute Schüttoff ◽  
Paul Downward ◽  
Michael Lechner
Keyword(s):  
Millennium Development Goals ◽  
Large Scale ◽  
Sports Participation ◽  
Well Being ◽  
Developed Countries ◽  
Subjective Health ◽  
Evidence Based ◽  
Human Capital Formation ◽  
Development Goals ◽  
Large Scale Survey

In contrast to the popular policy claim that sport might serve as vehicle to meet the Millennium Development Goals, empirical evidence based on large-scale survey data is largely missing. We use panel data based on a cohort of children and employ propensity score matching to identify the effects of sports participation on child development in Peru. Our findings suggest that participation in a sports group has positive impacts on subjective health and a measure of social capital. However, and in contrast to developed countries, we find no statistically significant effects on well-being and human capital formation.

How Sedentary Are Older People? A Systematic Review of the Amount of Sedentary Behavior

2015 ◽  
Vol 23 (3) ◽  
pp. 471-487 ◽  
Author(s):  
Juliet A. Harvey ◽  
Sebastien F.M. Chastin ◽  
Dawn A. Skelton
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behavior ◽  
Successful Aging ◽  
Large Scale ◽  
Well Being ◽  
Self Report ◽  
Sitting Time ◽  
Scale Population ◽  
Data Source

Background/objectives:Sedentary behavior (SB), defined as sitting (nonexercising), reclining, and lying down (posture), or by low energy expenditure, is a public health risk independent to physical activity. The objective of this systematic literature review was to synthesize the available evidence on amount of SB reported by and measured in older adults.Data source:Studies published between 1981 and 2014 were identified from electronic databases and manual searching. Large-scale population studies/surveys reporting the amount of SB (objective/subjective) in older adults aged ≥ 60 years of age were included. Appraisal and synthesis was completed using MOOSE guidelines.Results:349,698 adults aged ≥ 60 within 22 studies (10 countries and 1 EU-wide) were included. Objective measurement of SB shows that older adults spend an average of 9.4 hr a day sedentary, equating to 65–80% of their waking day. Self-report of SB is lower, with average weighted self-reports being 5.3 hr daily. Within specific domains of SB, older adults report 3.3 hr in leisure sitting time and 3.3 hr watching TV. There is an association with more time spent in SB as age advances and a trend for older men to spend more time in SB than women.Conclusion/implications:Time spent sedentary ranges from 5.3–9.4 hr per waking day in older adults. With recent studies suggesting a link between SB, health, and well-being, independent of physical activity, this is an area important for successful aging.Limitations:Different methodologies of measurement and different reporting methods of SB made synthesis difficult. Estimated SB time from self-report is half of that measured objectively; suggesting that most self-report surveys of SB will vastly underestimate the actual time spent in SB.

DISSEMINATING A CLINICALLY EFFECTIVE PHYSICAL ACTIVITY PROGRAM TO PRESERVE MOBILITY IN A COMMUNITY SETTING FOR OLDER ADULTS

2016 ◽  
pp. 1-6
Author(s):  
J. LAUSSEN ◽  
C. KOWALESKI ◽  
K. MARTIN ◽  
C. HICKEY ◽  
R.A. FIELDING ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Large Scale ◽  
Well Being ◽  
Moderate Intensity ◽  
Community Based ◽  
Counseling Intervention

Background: As the population of older adults continues to increase, the dissemination of strategies to maintain independence of older persons is of critical public health importance. Recent large-scale clinical trial evidence has definitively shown intervention of moderate-intensity physical activity (PA) reduces major mobility disability in at-risk older adults. However, it remains unknown whether structured PA interventions, with demonstrated efficacy in controlled, clinical environments, can be successfully disseminated into community settings to benefit wider populations of older adults. Objective: To assess the dissemination of an evidence-based PA program for older adults by evaluating program participation and its impact on mobility, strength and quality of life. Setting: An urban senior center. Participants: Fifty older adults (71.2 ± 8 years aged; BMI: 30.1 ± 7 kg/m2). Intervention: Average of 8.0 ± 1.8 months of participation in the Fit-4-Life Program, a community-based PA and nutrition counseling intervention. Measurements: Mobility (Short Physical Performance Battery (SPPB)), self-reported physical activity (CHAMPS questionnaire), leg strength, grip strength, and quality of life (Quality of Well-Being Self-Administered (QWB-SA) scale) were assessed at baseline and follow-up. Results: Mean attendance was 55.8%. Fourteen participants were lost to follow-up. Those who dropped-out engaged in less PA at baseline (78 ± 108 mins/wk) compared to those who completed follow-up (203 ± 177 mins/wk, P=0.01). Participants exhibited sustained increases of PA (65 ± 153 mins/wk, P= 0.08), and there were meaningful improvements in SPPB (0.5 ± 0.2, P< 0.01), knee extensor strength (2.6 ± 4.4 kg, P< 0.01) and QWB-SA (0.04 ± 0.09, P= 0.05). Conclusion: The dissemination of a clinically efficacious PA intervention into a community-based setting can improve mobility, strength and quality of life for older adults. This knowledge may be helpful for the design and implementation of larger-scale PA intervention studies designed to preserve mobility in older adults within community-based settings.

How well is Canada serving the women who have served us?

2021 ◽  
Author(s):  
Linna Tam-Seto ◽  
Sonia Dussault
Keyword(s):  
Critical Review ◽  
Women Veterans ◽  
Well Being ◽  
Veterans Affairs ◽  
Future Research ◽  
Evidence Based

LAY SUMMARY The Veterans Affairs Canada Well-being Framework describes seven areas of well-being that contribute to a military member’s successful return to the civilian world. This perspective argues that, although there is a plethora of programs, services, and resources available to support military-to-civilian transition, they are currently inadequate to address the unique needs and experiences of servicewomen and women Veterans. In addition, of those programs, services, and resources that are aimed at supporting specifically women, there is little information indicating they consider women’s unique needs and experiences. Future research is required to encourage critical review of existing programs, resources, and services, or to create those based on evidence-based research.

scholarly journals OLDER ADULT WOMEN’S MULTIDIMENSIONAL RESPONSIBILITIES IN SKIPPED GENERATION HOUSEHOLDS IN NIGERIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S37-S37
Author(s):  
Mojirayo Afolabi
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Economic Status ◽  
Economic Value ◽  
Well Being ◽  
Primary Data ◽  
Adult Women ◽  
Adult Participants ◽  
Proper Design ◽  
Qualitative Methodologies

Abstract This contribution studies the roles of grandparents in caring for grandchildren in skipped generation households, from gender perspective. Historical studies often focus on health and economic status of older adults generally, without distinguishing older adult women whose responsibilities are often undervalued. Such assessments assume that both grandparents engage in caring for grandchildren, being the joy of old age. Highlighting women’s roles will ensure proper design and implementation of policies to enhance improvement in overall well-being of skipped generation households in Nigeria. The economic value of this is high. Using detailed data from three major states in Nigeria, - Imo, Lagos and Kano (representing each of the major ethnic groups) this study provides a detailed picture of the areas of women’s responsibilities in skipped generation households, using both quantitative and qualitative methodologies. The quantitative study employed structured questionnaire to collect primary data while the qualitative technique employed the use of in-depth interviews and focus group discussions. The older adult participants are grouped into three; less than sixty five years, between sixty five and eighty and those above eighty years of age. The study reveals that social norms and expectations impact the lives of older adults, ensuring that responsibilities sharing in skipped generation households are strongly impacted by gender roles. The paper concludes that in order to ameliorate the difficulties and challenges faced in performing these roles, governments and other organizations need to put the realities in the skipped generation households into consideration during planning processes.

scholarly journals A cross-sectional survey of a public, evidence-based multimodal program for cognitive health in older adults

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Barbara Studer-Luethi ◽  
Maria Brasser ◽  
Simon Lusti ◽  
Rahel Schaerli
Keyword(s):  
Older Adults ◽  
Cognitive Functions ◽  
Online Survey ◽  
Controlled Trial ◽  
Cognitive Activity ◽  
Well Being ◽  
Evidence Based ◽  
Cross Sectional ◽  
Cognitive Health ◽  
Supportive Program

Abstract Background In recent decades, the proportion of older adults in the population has continued to rise, and with it, the need for intervention programs to maintain cognitive functions into old age. Multiple lifestyle factors, including physical, cognitive, and social activities, are crucial to forestalling a decline in cognitive functions. However, Covid-19 curtailed most activities, and therefore, strategies are needed to support older adults in remaining cognitively healthy. This study describes a newly developed and publicly available multimodal program, called “brain coach”, to support and stimulate cognitive activity in older adults. The autonomy supportive program integrates into daily life recommendations for evidence-based physical, cognitive, social, mindful, and creative activation exercises. Methods The study design corresponds to a correlational, analytical, and cross-sectional study with 660 older adults, who participated in the program for at least 3 months and completed an online survey. Results The survey results demonstrate that the average age of the participants was 71 years and 75 % were female. Participants experienced benefits in memory, well-being, attitudes towards the brain, and lifestyle habits. Importantly, time invested in the intervention and participant’s positive attitude toward brain health and neuroplasticity, show positive relationships with the experienced benefits. Conclusions The results reveal the potential of a public program with a multimodal approach to increase cognitive health and promote an active lifestyle. Further research will explore the effects of such a multimodal intervention in a longitudinal randomized controlled trial study.

scholarly journals Age-Tastic: An Evidence-Based Intervention to Improve Health, Safety, and Well-Being in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 497-497
Author(s):  
Manoj Pardasani ◽  
Jacquelin Berman ◽  
Mebane Powell ◽  
Madison Gates
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Behavioral Change ◽  
Self Efficacy ◽  
Intervention Group ◽  
Health And Safety ◽  
Well Being ◽  
Falls Prevention ◽  
Control Group ◽  
Evidence Based

Abstract Age-Tastic! is a holistic intervention that enhances the well-being, health and safety of older adults. Most evidence-based interventions aimed at older adults have focused on singular aspects of health such as cognitive health, falls prevention, depression, advanced care planning, etc. There are few interventions that encompass a holistic approach to health and safety. Age-tastic! is one such intervention that encompasses various aspects of health – social support, financial well-being, physical safety, mental health, health care management, and nutrition. Designed as a competitive board game to entice older adults, this intervention integrates concepts of cognitive restructuring, behavioral activation and game theory to educate, motivate and encourage healthful behaviors. At the core of this intervention is a focus on increasing awareness of health and safety issues, improving health literacy and changing harmful behaviors. A randomized control trial was conducted with 98 older adults assigned to an experimental and control group. Interviews were conducted at baseline, right after the intervention ended (8 weeks) and again after a short time (8 weeks after intervention ended). The results showed significant increases among experimental group participants in knowledge of healthy behaviors (p=0.05), perception of self-efficacy for engaging in healthful behaviors (p&lt;0.001) and engagement in health behaviors (p=0.001). Regression analyses demonstrated that greater knowledge and self-efficacy were associated with behavioral change within the intervention group (p&lt;0.001). Knowledge about the importance of preventing falls and communication with medical providers was positively correlated with the corresponding behavioral change (p&lt;0.05). Implications for health literacy among older adults will be shared.

scholarly journals ENVIRONMENTALLY SUSTAINABLE DIET AND RECYCLING THERAPY FOR OLDER ADULTS’ WELL-BEING AND HEALTHCARE EXPENDITURES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S734-S734
Author(s):  
Hsinyi Hsiao ◽  
Aaron Hagedorn
Keyword(s):  
Climate Change ◽  
Older Adults ◽  
Health Care ◽  
Environmental Sustainability ◽  
Large Scale ◽  
Health Care Expenditures ◽  
Well Being ◽  
Medical Expenditure ◽  
Environmentally Sustainable ◽  
Longitudinal Effects

Abstract Due to the rapid climate change in recent years, global communities have seen an increased frequency of large-scale natural and man-made disasters. Acknowledging extravagant lifestyles and wasteful consumption of natural resources as prominent factors leading to intensified stress placed on the biosphere and ecosystems, many older adults with chronic medical conditions or disabilities in Taiwan have promoted environmental sustainability through two ways: 1) participating a recycling program in their local communities by collecting, sorting, and reclaiming reusable resources that are regenerated into eco-friendly blankets for disaster survivors and 2) practicing plant-based diet to promote healthy lifestyle and mitigate climate change. These older participants of environmentally sustainable initiatives believe the interconnectedness among humanity, the environment, and sustainable lifestyles. To understand association between the recycling therapy and older adults’ well-being a quasi-experimental design with 72 people age 60 and older (recycling group vs. non-recycling group) and photovoice were used to examine longitudinal effects of the recycling therapy on physical and mental health. To examine the effects of plant-based diet on dementia and health care cost ten-year data from Taiwan’s National Health Insurance Database were used by two studies to compare risk of dementia and medical expenditure between vegetarian and non-vegetarian groups among older adults in Taiwan. Four presentations in the symposium will discuss positive outcomes of environmental volunteering on older adults’ physical and mental wellness and longitudinal effects of a cohort with environmental-friendly diet on dementia risk and lower actual health care expenditures.

Evidence to Support Improved Outcomes for Older Adults From Dual-Task Training Through Interprofessional Collaboration

2019 ◽  
Vol 4 (2) ◽  
pp. 286-298
Author(s):  
Lisa Milliken ◽  
Neely Sullivan
Keyword(s):  
Older Adults ◽  
Executive Functioning ◽  
Dual Task ◽  
Interprofessional Collaboration ◽  
Functional Decline ◽  
Evidence Based ◽  
Aging Research ◽  
Improved Outcomes ◽  
Task Training ◽  
Dual Task Training

Purpose By implementing a plan of care that can simulate dual-task activities carried out in daily life, is it possible to reduce or even avoid functional decline due to aging? Research has illustrated that cognition and executive functioning largely determines how independent someone can be as well as many aspects of their quality of life. Studies have shown that, as people age, cognition and executive functioning predicts one's chance of falling, ability to participate in meaningful life activities, and other aspects of function. One area of promise for interprofessional collaboration (between speech-language pathology, physical therapy, and occupational therapy) is that of dual-tasking to simultaneously target improved outcomes for older adults. Method A state-of-the-art review was conducted for research published on dual-task interventions for older adults from November 2012 through November 2017. Twelve research articles were reviewed and revealed evidence-based dual-task interventions for older adults that were positive for supporting interprofessional collaborative dual-task training for improved clinical outcomes. Results and Conclusion This research examined if dual-task training was recommended for an aging client population. The findings reinforced the need for additional research and adaptation of evidence-based dual-task training in therapy interventions.

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