scholarly journals Feasibility, Acceptability, and Impact of a Self-guided e-Learning Memory Program for Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 977-978
Author(s):  
Danielle D'Amico ◽  
Iris Yusupov ◽  
Lynn Zhu ◽  
Jordan Lass ◽  
Cindy Plunkett ◽  
...  
Keyword(s):  
Older Adults ◽  
Goal Attainment ◽  
Healthy Lifestyle ◽  
Retention Rate ◽  
Later Life ◽  
Subjective Cognitive Decline ◽  
Age Related ◽  
E Learning ◽  
Feedback Data ◽  
High Level

Abstract Clinician-led memory interventions have been shown to increase knowledge, reduce anxiety, promote memory-strategy use, and increase brain-healthy lifestyle behaviours in older adults with normal age-related memory changes. A self-guided, e-learning version of the Baycrest Memory and Aging Program® was recently developed to increase accessibility to memory interventions. The objectives of the current study were to assess program feasibility (retention rate), acceptability (satisfaction), and participant-reported impact (memory concerns, behaviour change, goal attainment). As part of a larger study, participants were 139 healthy older adults (mean age: 73±7, 73% female). Ninety-two individuals completed the program (retention rate=66%). Anonymous feedback data indicated a high level of satisfaction with the program overall (98%), the pace and clarity of the learning modules (100%), and the organization and navigation of the interface (92%). Suggested improvements included offering more interaction with others and addressing minor platform glitches. There was a decrease in the level of concern about memory change, with 64% expressing concern at a level consistent with the Jessen et al. (2014) criteria for Subjective Cognitive Decline at baseline, and 23% expressing the same at post-test. The majority of participants reported increases in using memory-strategies (63-97%) and lifestyle-promoting behaviours (40-72%). All participants reported moderate to high satisfaction with personal goal attainment. Results support feasibility, acceptability, and impact of a self-guided e-learning adaptation of memory intervention. E-learning tools may be a promising avenue to deliver accessible brain health promotion in later life, especially in the context of the shift to virtual care during and beyond COVID-19.

scholarly journals Developing a recovery-focused therapy for older people with bipolar disorder: a qualitative focus group study

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e049829
Author(s):  
Elizabeth Tyler ◽  
Fiona Lobban ◽  
Rita Long ◽  
Steven H Jones
Keyword(s):  
Older Adults ◽  
Bipolar Disorder ◽  
Focus Group ◽  
Older People ◽  
Focus Groups ◽  
Later Life ◽  
Focus Group Study ◽  
Age Related ◽  
Health Related ◽  
Age Related Changes

ObjectivesAs awareness of bipolar disorder (BD) increases and the world experiences a rapid ageing of the population, the number of people living with BD in later life is expected to rise substantially. There is no current evidence base for the effectiveness of psychological interventions for older adults with BD. This focus group study explored a number of topics to inform the development and delivery of a recovery-focused therapy (RfT) for older adults with BD.DesignA qualitative focus group study.SettingThree focus groups were conducted at a university in the North West of England.ParticipantsEight people took part in the focus groups; six older adults with BD, one carer and one friend.ResultsParticipant’s responses clustered into six themes: (1) health-related and age-related changes in later life, (2) the experience of BD in later life, (3) managing and coping with BD in later life, (4) recovery in later life, (5) seeking helping in the future and (6) adapting RfT for older people.ConclusionsParticipants reported a range of health-related and age-related changes and strategies to manage their BD. Participants held mixed views about using the term ‘recovery’ in later life. Participants were in agreement that certain adaptations were needed for delivering RfT for older adults, based on their experience of living with BD in later life. The data collected as part of the focus groups have led to a number of recommendations for delivering RfT for older adults with BD in a randomised controlled trial (Clinical Trial Registration: ISRCTN13875321).

Rising above It: Status Ambivalence in Older Adults

Gerontology ◽  
2018 ◽  
Vol 64 (6) ◽  
pp. 576-588
Author(s):  
Deirdre A. Robertson ◽  
David Weiss
Keyword(s):  
Older Adults ◽  
Social Status ◽  
Later Life ◽  
Well Being ◽  
Preliminary Evidence ◽  
Protective Mechanism ◽  
Structured Interviews ◽  
Age Related ◽  
The Social ◽  
Implicit And Explicit

Background: Social status is the standing of a person or group in the social hierarchy, and is perceived to change across the life span from low social status in early life, to peak in midlife, and to a decline thereafter. As threats to subjective social status are known to be detrimental to individuals’ health, it is important to better understand how older adults perceive themselves and others in terms of age-related social status. Objective: We examined status ambivalence – the potential discrepancy between how older adults’ perceive social status for themselves compared to older adults in general. Method: Study 1 used qualitative data from 37 semi-structured interviews with older adults to assess perceptions of social status. Study 2 used quantitative survey data from 114 older adults who completed explicit and implicit measures of social status. Results: Study 1 (n = 37, meanage = 71.72, SDage = 5.69; 81.1% women) provided preliminary evidence for status ambivalence such that older adults reported unequivocal low social status for other older adults but a more ambivalent perception of their own social status. Study 2 (n = 114, meanage = 64.32, SDage = 8.98, 57.9% women) compared implicit and explicit measures of social status revealing that older adults consistently perceive older adults to have low social status but again show a more ambivalent perception of their own social status. Conclusion: We discuss status ambivalence as a potential protective mechanism in the context of negative societal perceptions of age-related social status that may be important for well-being in later life.

scholarly journals AGE-BASED STEREOTYPE THREAT: A SYSTEMATIC REVIEW OF PRIMING TECHNIQUES AND THEIR EFFECTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S455-S456
Author(s):  
Francesco Vailati Riboni ◽  
Francesco Pagnini
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Stereotype Threat ◽  
Functional Performance ◽  
Later Life ◽  
Experimental Methods ◽  
Experimental Manipulation ◽  
Older Individuals ◽  
Negative Stereotypes ◽  
Age Related

Abstract Age-based stereotype threat (ABST) occurs when older adults are influenced by negative stereotypes about age-related decline and functional losses and ironically behave in disengaging and self-defeating ways that confirm the stereotype (Steele & Aronson, 1995). Aging stereotypes are found to be strong predictors of health and illness outcomes in later life, and are associated with performance in specific areas, mainly in cognitive and physical domains. The current study reviewed the experimental methods and their reported effects previously published in the literature to determine if there were different ABST methods were associated with different types of age-related outcomes. We conducted a systematic review, screening the scientific literature for papers that included experimental manipulation of age-related stereotypes as an independent variable, focusing on samples of older adults (1113 articles, most published after 2003). Through a classification of the common and distinctive characteristics of the different stereotype manipulation techniques, we were able to identify three specific types of experimental methods: by instruction, tests, and interpersonal exposure. Although the mechanism by which stereotypes are associated with functional outcomes in older adults remains unclear, our review suggests it is possible to experimentally control the activation of the stereotype by manipulating its specific characteristics and the way older participants are exposed to it. Findings also highlight the possibility that specific experimental methods used to induce ABST in older individuals may lead to unique and different consequences on functional performance variation.

scholarly journals USING VR FOR NAVIGATION ASSESSMENT IN OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S240-S240
Author(s):  
Scott Moffat
Keyword(s):  
Older Adults ◽  
Age Differences ◽  
Large Scale ◽  
Empirical Studies ◽  
Science Research ◽  
Later Life ◽  
Functional Independence ◽  
Spatial Strategies ◽  
Age Related ◽  
Field Of Inquiry

Abstract There has been a long tradition of wayfinding and orienteering studies in humans but these have mostly neglected possible age-related differences in navigation. This field of inquiry is experiencing something of a resurgence of interest due to the development of VR technology which has brought the systematic study of large scale navigation into the laboratory and into the MRI scanning environment. Empirical studies to date identify navigation as an aspect of cognition that is vulnerable to the aging process. Functional and structural neuroimaging studies in humans suggest that age-related changes in the brain’s “navigation circuit” may underlie these behavioral age differences. Older adults also adopt unique spatial strategies and knowledge of these strategy preferences could enlighten both basic science research in spatial cognition and also inform the development of age-specific technological assistance that may extend functional independence of older adults into later life.

scholarly journals Religiosity and Perceived Social Support Enhance Older Adults’ Resilience after the 2016 Flood

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 929-929
Author(s):  
Katie Cherry ◽  
Matthew Calamia ◽  
Emily Elliott ◽  
Angelina Cantelli
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Perceived Social Support ◽  
Later Life ◽  
Well Being ◽  
Severe Weather ◽  
Post Traumatic Stress ◽  
Middle Aged ◽  
Age Related

Abstract In 2016, catastrophic flooding destroyed homes and property across south Louisiana. This study is part of a larger program of research that addresses the role of prior hurricane and flood experiences on current health and well-being in later life. Participants were predominately middle-aged and older adults who varied in current and prior severe weather experiences (M age=49.6 years, age range 18-88 years). All were tested during the immediate aftermath of the 2016 flood (Wave 1; N=223) and most participated in a follow-up assessment 9 (+/- 3) months later (Wave 2; N=202). Cherry et al. (2021) reported that greater flood stressors at Wave 1, such as displacement, flood-related losses, and damage to homes and property, were associated with more symptoms of post-traumatic stress disorder (PTSD). In this study, we tested the hypothesis that age, religiosity, and perceived social support would be positively associated with post-flood resilience at the Wave 2 follow-up. Results indicated that age was positively associated with religiosity and resilience, and negatively correlated with symptoms of PTSD. Additionally, faith community involvement, non-organizational religiosity, and religious beliefs and practices were all significantly correlated with post-flood resilience. Perceived social support was positively associated with resilience, and inversely correlated with PTSD symptoms. These data suggest that religiosity and perceived social support are valuable resources that foster post-disaster resilience among middle aged and older adults. Implications of these data for current views on age-related strengths and vulnerabilities after severe weather events are discussed.

scholarly journals Using Participant Observation to Enable Critical Understandings of Disability in Later Life: An Illustration Conducted With Older Adults With Low Vision

2019 ◽  
Vol 18 ◽  
pp. 160940691989129
Author(s):  
Colleen McGrath ◽  
Debbie Laliberte Rudman
Keyword(s):  
Older Adults ◽  
Vision Loss ◽  
Low Vision ◽  
Participant Observation ◽  
Later Life ◽  
Ethnographic Study ◽  
Social Constructions ◽  
New Methods ◽  
Age Related ◽  
Holistic Understanding

Research with older adults aging with vision loss has typically been informed by a biomedical theoretical framework. With a growing focus, however, on critical disability perspectives, which locates disability within the environment, new methods of data collection, such as participant observation, are needed. This article, which reports on the findings from a critical ethnographic study conducted with older adults with age-related vision loss (ARVL), aims to share those insights gained through participant observation and to demonstrate the utility of this method. Three insights were gained including the adaptive strategies tacitly employed to navigate the physical environment, a grounded understanding of social interactions that transpire in everyday contexts, and negating the presence of older adults with ARVL when accompanied by a perceived caregiver. The study findings unpack how participant observation can be used to understand social constructions of disability and gain a holistic understanding of environmental influences on the disability experience of older adults with ARVL.

scholarly journals When the “Golden Years” turn blue

2016 ◽  
Vol 41 (2) ◽  
pp. 295-307 ◽  
Author(s):  
Jennifer S. Green ◽  
Joshua C. Magee ◽  
Amanda R.W. Steiner ◽  
Bethany A. Teachman
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Healthy Aging ◽  
Later Life ◽  
Anxiety And Depression ◽  
Future Research ◽  
Younger Adults ◽  
Age Related ◽  
Pathological Anxiety ◽  
Age Related Changes

Current treatments for disorders of emotion, such as pathological anxiety, are often less effective in older adults than in younger adults and have poorly understood mechanisms, pointing to the need for psychopathology models that better account for age-related changes in normative emotional functioning and the expression of disordered emotion. This article describes ways in which the healthy aging and emotion literature can enhance understanding and treatment of symptoms of anxiety and depression in later life. We offer recommendations on how to integrate the theories and findings of healthy aging literature with psychopathology research and clinical practice and highlight opportunities for future research.

Volunteering, Self-Perceptions of Aging, and Mental Health in Later Life

2020 ◽  
Author(s):  
Meng Huo ◽  
Lisa M Soederberg Miller ◽  
Kyungmin Kim ◽  
Siwei Liu
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Later Life ◽  
Well Being ◽  
Self Perceptions ◽  
Panel Model ◽  
Age Related ◽  
Perceptions Of Aging ◽  
Design And Methods

Abstract Background and Objectives Scholars argue that volunteering enhances social, physical, and cognitive activities that are increasingly valued as people age, which in turn improves older adults’ well-being via a host of psychosocial and neurobiological mechanisms. This study explicitly tested older adults’ self-perceptions of aging as a mechanism underlying the mental health benefits of volunteering. Research Design and Methods Using 2-wave data from the Health and Retirement Study (2008/2010 for Wave 1 and 2012/2014 for Wave 2), we analyzed reports from a pooled sample of older adults aged 65 or older (N = 9,017). Participants reported on demographic characteristics, volunteer work (did not volunteer, 1–99 h/year, 100+ h/year), self-perceptions of aging, and depressive symptoms. We estimated an autoregressive cross-lagged panel model. Results Volunteering for 100 h or more per year was associated with older adults’ more positive and less negative self-perceptions of aging in the subsequent wave (i.e., 4 years later), which in turn predicted fewer depressive symptoms. Discussion and Implications This study suggests the promising role of volunteering in shaping older adults’ self-perceptions of aging on a sustained basis and refines our understanding of the benefits volunteering brings. Findings shed light on future interventions aimed at improving older adults’ adjustment to age-related changes and lessening ageism in society.

scholarly journals Transitions in loneliness in later life: the role of social comparisons and coping strategies

2020 ◽  
pp. 1-22
Author(s):  
Deborah Morgan ◽  
Vanessa Burholt ◽  
Keyword(s):  
Older Adults ◽  
Coping Strategies ◽  
Social Comparison ◽  
Coping Styles ◽  
Social Comparisons ◽  
Later Life ◽  
Well Being ◽  
Life Study ◽  
Age Related ◽  
Adaptive Consequences

Abstract This study explored the coping strategies and social comparisons used by older adults on different loneliness trajectories (decreased loneliness, stable loneliness and degenerating loneliness). The adaptive consequences of social comparison in later life are recognised as an important strategy for preserving life satisfaction regardless of age-related losses. Coping strategies are also important in managing loneliness. Narrative interviews were conducted with lonely older adults (N = 11) who had participated in Wave One of the Maintaining Function and Well-being in Later Life Study Wales (CFAS Wales). The study found key differences in the coping strategies employed by older adults on different loneliness trajectories. Differences in coping styles between those who reported decreased loneliness and those who were chronically lonely stemmed from perceptions as to whether loneliness was modifiable or not. Different types of social comparison were also found to modulate the loneliness experience. The findings indicate that higher-order strategies (problem, emotional and meaning focused) are not distinct entities but are part of a dynamic process. The management of loneliness in later life may be dependent on several factors, including older adults’ interpretations of the cause of loneliness. These interpretations will have implications for interventions aimed at alleviating chronic loneliness, where the focus may have to be on changing older adult's perceptions of unmodifiable loneliness.

scholarly journals Association Between Components of Cognitive Reserve and Serum BDNF in Healthy Older Adults

2021 ◽  
Vol 13 ◽  
Author(s):  
Jessica M. Collins ◽  
Edward Hill ◽  
Aidan Bindoff ◽  
Anna E. King ◽  
Jane Alty ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Reserve ◽  
Later Life ◽  
Education And Training ◽  
Age Related ◽  
University Level ◽  
Life Education ◽  
The Brain ◽  
And Training ◽  
Serum Bdnf

Background: The brain-derived neurotrophic factor (BDNF) protein has been shown to have a prominent role in neuron survival, growth, and function in experimental models, and the BDNF Val66Met polymorphism which regulates its expression has been linked to resilience toward the effects of aging on cognition. Cognitively stimulating activity is linked to both increased levels of BDNF in the brain, and protection against age-related cognitive decline. The aim of this study was to investigate the associations between serum BDNF levels, the BDNF Val66Met genotype, and components of cognitive reserve in early and mid-life, measured with the Lifetime of Experiences Questionnaire (LEQ).Methods: Serum BDNF levels were measured cross-sectionally in 156 participants from the Tasmanian Healthy Brain Project (THBP) cohort, a study examining the potential benefits of older adults engaging in a university-level education intervention. Multiple linear regression was used to estimate serum BDNF’s association with age, education, gender, BDNF Val66Met genotype, later-life university-level study, and cognitively stimulating activities measured by the LEQ.Results: Serum BDNF in older adults was associated with early life education and training, increasing 0.007 log(pg/ml) [95%CI 0.001, 0.012] per unit on the LEQ subscale. Conversely, education and training in mid-life were associated with a −0.007 log(pg/ml) [−0.012, −0.001] decrease per unit on the LEQ subscale. Serum BDNF decreased with age (−0.008 log(pg/ml) [−0.015, −0.001] per year), and male gender (−0.109 log(pg/ml) [−0.203, −0.015]), but mean differences between the BDNF Val66Met polymorphisms were not significant (p = 0.066). All effect sizes were small, with mid-life education and training having the largest effect size (ηp2 = 0.044).Conclusion: Education in both early and mid-life explained small but significant amounts of variance in serum BDNF levels, more than age or gender. These effects were opposed and independent, suggesting that education at different stages of life may be associated with different cognitive and neural demands. Education at different stages of life may be important covariates when estimating associations between other exposures and serum BDNF.

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