scholarly journals Transnational Caregiving for Older Adults and Caregivers’ Wellness in Japanese Americans during the Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 994-994
Author(s):  
Kazumi Hoshino ◽  
Winston Tseng ◽  
Kei Kamide
Keyword(s):  
Older Adults ◽  
Cultural Identity ◽  
Family Caregiving ◽  
Home Country ◽  
Japanese Americans ◽  
Intergenerational Support ◽  
Structured Interviews ◽  
Elderly Parents ◽  
Transnational Family ◽  
Number Of Patients

Abstract Global migration has greatly affected intergenerational family support beyond national borders, in particular adult children’s transnational family caregiving for elderly parents. Specifically, the COVID-19 pandemic has largely influenced transnational caregiving due to the travel restrictions. Transnational caregiving for older adults includes adult children’s periodical returning to their home country and/or adult children’s caregiving for their parents in their settled country. The goal of this study was to identify trajectories between adult children’s transnational caregiving for their parents and caregivers’ wellness in Japanese Americans before and during the pandemic. We conducted semi-structured interviews with Japanese Americans 40 to 59 years of age (N=20) in California before the lockdown and during the increasing number of patients infected with the Delta variant. The qualitative data analysis showed some Japanese Americans periodically returned to Japan to provide caregiving for their parents before the pandemic, while others didn’t. However, the former group currently relied on their families in their home country more than before. The limitations led to not only distress over uncertainty but also release from a strong sense of reciprocity and filial responsibility, by changing from physical support to emotional and financial support via online. They also enhanced cultural identity as Japanese Americans, by thriving from discrimination against Asian Americans. Thus, our findings demonstrate important factors that impacted on transnational caregiving and caregivers' wellness, including cultural identity, family norms, beliefs and practices of intergenerational support, social and historical contexts, financial remittance, ICT use, and healthcare policies among the underrepresented populations across the Pacific.

scholarly journals INTERRELATIONSHIPS AMONG COLLECTIVE PERSONALITY, ATTITUDES TOWARD INTERGENERATIONAL SUPPORT, AND CO-RESIDENCE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S456-S457
Author(s):  
Yooumi Lee
Keyword(s):  
Undergraduate Students ◽  
Classroom Environment ◽  
Family Caregiving ◽  
Positive Attitude ◽  
Intergenerational Support ◽  
Older Parents ◽  
Elderly Parents ◽  
Positive Attitudes ◽  
The Family ◽  
Intergenerational Coresidence

Abstract This study investigates if collective personality influences positive attitude towards family caregiving and support for elderly parents, which, in turn, engenders positive attitude toward intergenerational coresidence. To test the hypothesis, the author examines the interconnections among collective personality; attitude towards family caregiving, and attitude towards support for aged parents; and attitude towards intergenerational coresidence in the U.S. The survey data is collected from total 67 undergraduate students in classroom environment. Particular attention is given to their attitude towards family caregiving and aged parents support. Results show that those three predictors are positively correlated with the attitude towards intergenerational coresidence i.e. respondents with more positive attitude towards family caregiving and aged parents support and with collective personality are more likely to have positive attitude towards intergenerational coresidence. Among the three predictors, collective personality is positively connected to the attitudes towards family caregiving and support for aged parents. A positive correlation is also observed between two attitude predictors i.e. respondents with more positive attitudes towards the family caregiving are likely to have positive attitude towards the support for aged parents and vice versa. The results highlights the important influence of collective personality, and attitude towards family caregiving and support for older parents on the intergenerational coresidence, even in the individualistic society.

scholarly journals Changes to Family Caregiving of Older Adults and Adults with Disabilities during COVID-19

2021 ◽  
Vol 7 ◽  
pp. 233372142110024
Author(s):  
Elizabeth Lightfoot ◽  
Heejung Yun ◽  
Rajean Moone ◽  
Jacob Otis ◽  
Kamal Suleiman ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Family Caregivers ◽  
Thematic Analysis ◽  
Family Caregiving ◽  
Structured Interviews ◽  
Adults With Disabilities ◽  
Services And Supports ◽  
Inductive Thematic Analysis

The strict restrictions to reduce the spread of COVID-19 have disrupted the lives of many at-risk people and their family caregivers. This study explored how family caregivers perceived that family caregiving had changed during COVID-19 and the strategies they used to cope with these changes. We conducted 52 semi-structured interviews with family caregivers of adults over age 65 or adults with disabilities and analyzed the data through an inductive thematic analysis. Caregivers perceived the largest COVID-19-related caregiving changes to be limited social and physical contacts, changed caregiving tasks, reduced services and supports, and a new focus on vigilance and safety. Caregivers made numerous changes to caregiving, including keeping connected, keeping relatives occupied, getting support and services in new ways, and reducing caregiver stress.

scholarly journals LANGUAGE PROFICIENCY AS A UNIVERSAL SKILL IN THE IMPRESSION OF EXPATRIATE ACADEMIC CONFIDENCE AND SELF-ESTEEM AT PUBLIC UNIVERSITIES MALAYSIA

2019 ◽  
Vol 2 (10) ◽  
pp. 91-106
Author(s):  
Irma Wani Othman
Keyword(s):  
Cultural Identity ◽  
Language Proficiency ◽  
Public Universities ◽  
Home Country ◽  
Self Esteem ◽  
Structured Interviews ◽  
Local Language ◽  
Academic Confidence ◽  
Self Confidence ◽  
The Relationship

The fundamental discussion in this paper focuses and explores the elements of identity associated with local language mastery among individuals who are self-initiated expatriates. As a result, they are taking proactive initiatives to put themselves in a good position in the organization for career enhancement in the home country. The discussion in this paper is therefore aimed at exploring the relationship between the elements of language skills in the transformation of identity and confidence among expatriate academics in Malaysian public universities. In other words, the situation refers to the expatriate academic proactive attitude of trying to replace the country's cultural identity and values such as releasing the native language and mastering the local language to improve communication skills in the future. The study utilises qualitative methods that included semi-structured interviews of 30 international staff status lecturers at Malaysian public universities. The findings of this study prove that self-confidence plays a role in developing one's thoughts and actions in communicating and interacting with social and phenomenological structures that bind one to another. Thus, in the context of this study, self-confidence is seen as more personal and dynamic. In line with the discussion of this paper, the expatriate's interpretation of the improvisation of confidence and self-esteem and helps the researcher better understand the expatriate's actions in interpreting the self-confidence gained from the experiment.

scholarly journals 346 How Do we Increase Adherence to Home Exercise Programmes? Interviews with Older Adults and Physiotherapists

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Siti Khalijah ◽  
Suzanne Timmons
Keyword(s):  
Older Adults ◽  
Cardiovascular Health ◽  
Home Exercise ◽  
Video Content ◽  
Structured Interviews ◽  
Timed Up And Go ◽  
Convenience Sample ◽  
Improve Compliance ◽  
Exercise Programmes ◽  
Purposive Sample

Abstract Background Regular exercise and physical activity can maintain function and cardiovascular health, and prevent cognitive decline, in older adults. However, studies show that there is often poor adherence to home exercise programmes (HEP). The purpose of this study was to explore how HEP are perceived by both older adults and physiotherapists. Methods A convenience sample of 28 older adults attending outpatient physiotherapy clinics were given an exercise journal to record their adherence to the HEP prescribed by their physiotherapists for six weeks. Subsequently, semi-structured interviews were conducted with a purposive sample, and the corresponding prescribing physiotherapists, to achieve maximal variation in terms of HEP adherence, age and sex. The interviews were audio recorded, transcribed, and simple content analysis performed. Results Fourteen participants returned their exercise journal. Median age was 80; half were female; median Berg Balance Score and Timed-up-and-Go-Test were 49 and 16 seconds respectively. Participants exercised a median 79.8% of the prescribed dose, or 5.6 days per week. Seven older adults were interviewed; about half had a positive attitude towards exercise. They were also moderately positive about their HEP (comments ranged from “doable” and “nothing bad about it” to “enjoyable”). Barriers included time, mood, boredom, remembering to do the HEP, and variable health status. Enablers included simple instructions and design, family encouragement, and sense of achievement. Physiotherapists (n=5) perceived that many older adults aren’t compliant with HEPs, but there was some therapeutic nihilism (“you can’t force them”). Their HEP instructions varied from verbal to written instructions/diagrams; one physiotherapist used individualised video content. Notably, participants with good adherence understood their HEP well in terms of content and purpose, although this may be cause or effect. Conclusion To improve compliance with HEP, healthcare professionals need to take time to motivate the recipient, simplify their instructions, and trouble-shoot potential barriers at the time of prescription.

Perceived barriers and contributors to sense of purpose in life in retirement community residents

2020 ◽  
pp. 1-17
Author(s):  
Nathan A. Lewis ◽  
Naomi Reesor ◽  
Patrick L. Hill
Keyword(s):  
Older Adults ◽  
Purpose In Life ◽  
Retirement Community ◽  
Retirement Communities ◽  
Structured Interviews ◽  
Contributing Factors ◽  
Sense Of Purpose ◽  
The Social ◽  
Continuing Care Retirement Communities ◽  
Retirement Facilities

Abstract Despite the growing use of retirement communities and ageing care facilities, little is known about how residing in retirement residences may impact aspects of older adult wellbeing. Living in these communities may hold particular influence on residents’ sense of purpose, if they feel limited in their opportunities for individual action, or could serve to promote purposefulness depending on the social connections available. The current study sought to explore contributing factors as well as barriers to purpose in older adults living in three continuing care retirement communities. Using brief semi-structured interviews, 18 older adults were asked to describe their purpose in life, community-related activities and any perceived challenges limiting their ability to pursue this purpose. Thematic analysis was used to examine themes common across interviews. Interviews presented a mixed picture of the nature of purposefulness in retirement facilities. Residents espoused several benefits of community living such as social and leisure opportunities, while also noting several obstacles to their purpose, including health concerns and the belief that purpose in life was not relevant for older adults. These findings provide insight into how older adults can derive a sense of purpose from activities within their retirement community and how facilities can better tailor programmes to promote purposefulness and support personally valued roles for residents.

scholarly journals Designing Age-Friendly Communities: Exploring Qualitative Perspectives on Urban Green Spaces and Ageing in Two Indian Megacities

2021 ◽  
Vol 18 (4) ◽  
pp. 1491
Author(s):  
Deepti Adlakha ◽  
Mina Chandra ◽  
Murali Krishna ◽  
Lee Smith ◽  
Mark A. Tully
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Later Life ◽  
Healthy Ageing ◽  
World Health ◽  
Social Resilience ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Urban Green ◽  
Activity Promotion

The World Health Organization and the United Nations have increasingly acknowledged the importance of urban green space (UGS) for healthy ageing. However, low- and middle-income countries (LMICs) like India with exponential ageing populations have inadequate UGS. This qualitative study examined the relationships between UGS and healthy ageing in two megacities in India. Participants were recruited using snowball sampling in New Delhi and Chennai and semi-structured interviews were conducted with consenting participants (N = 60, female = 51%; age > 60 years; fluent in English, Hindi, or Tamil). Interviews were recorded, transcribed, translated, and analysed using inductive and thematic analysis. Benefits of UGS included community building and social capital, improved health and social resilience, physical activity promotion, reduced exposure to noise, air pollution, and heat. Poorly maintained UGS and lack of safe, age-friendly pedestrian infrastructure were identified as barriers to health promotion in later life. Neighbourhood disorder and crime constrained older adults’ use of UGS in low-income neighbourhoods. This study underscores the role of UGS in the design of age-friendly communities in India. The findings highlight the benefits of UGS for older adults, particularly those living in socially disadvantaged or underserved communities, which often have least access to high-quality parks and green areas.

The Socialization of Unpaid Family Caregivers: A Scoping Review

2021 ◽  
pp. 016402752110050
Author(s):  
Kirstie McAllum ◽  
Mary Louisa Simpson ◽  
Christine Unson ◽  
Stephanie Fox ◽  
Kelley Kilpatrick
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Scoping Review ◽  
Family Caregiving ◽  
Family Processes ◽  
Future Research ◽  
Socialization Process ◽  
Role Negotiation ◽  
Role Learning ◽  
Socialization Agents

As unpaid family caregiving of older adults becomes increasingly prevalent, it is imperative to understand how family caregivers are socialized and how they understand the caregiving role. This PRISMA-ScR-based scoping review examines the published literature between 1995–2019 on the socialization of potential and current unpaid family caregivers of older adults. Of 4,599 publications identified, 47 were included. Three perspectives of socialization were identified: (1) role acculturation; (2) role negotiation and identification; and (3) specialized role learning. The findings show how socialization involves different contexts (e.g., cultures), imperatives for action (e.g., circumstances), socialization agents (e.g., family), processes (e.g., modeling), and internal (e.g., normalization) and external (e.g., identification) consequences for caregivers. Future research could fruitfully explore how caregivers manage key turning points within the socialization process, disengage from the caregiving role, and negotiate the socialization and individualization processes within diverse cultural and funding contexts.

“There Was No ‘That’s Not My Job’”: New York Area Agencies on Aging Approaches to Supporting Older Adults During the COVID-19 Pandemic

2021 ◽  
pp. 073346482199102
Author(s):  
Claire Pendergrast
Keyword(s):  
Older Adults ◽  
New York ◽  
New York State ◽  
Well Being ◽  
Contextual Influences ◽  
Structured Interviews ◽  
Response And Recovery ◽  
Pandemic Response ◽  
Increasing Demand ◽  
Priority Needs

The COVID-19 pandemic has disrupted many older adults’ traditional sources of formal and informal supports, increasing demand for Area Agency on Aging services (AAAs). This study examines strategies used by AAAs to support older adults’ health and well-being during COVID-19 and identifies contextual influences on AAA pandemic response activities. Semi-structured interviews were conducted with representatives of 20 AAAs in New York State. A combined inductive and deductive approach was used to code and thematically analyze the data. AAAs rapidly expanded capacity and dramatically modified program offerings, communications activities, and service delivery protocols to address emergent needs and minimize COVID-19 exposure risk for clients. AAAs’ trusted relationships with older adults and community partners improved their capacity to identify priority needs and coordinate appropriate supports. Policymakers should ensure that AAAs receive sustained financial and technical support to ensure critical community-based services are available for older adults throughout pandemic response and recovery.

scholarly journals 1415. A qualitative study of intersectional stigma among older adults living with HIV who are victims of childhood sexual abuse

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S715-S715
Author(s):  
Chigozie A Nkwonta ◽  
Monique Brown ◽  
Titilayo James ◽  
Amandeep Kaur
Keyword(s):  
Older Adults ◽  
Sexual Abuse ◽  
South Carolina ◽  
Childhood Sexual Abuse ◽  
Hiv Disclosure ◽  
Structured Interviews ◽  
Public Health Programs ◽  
Intersecting Identities ◽  
Living With Hiv ◽  
The Impact

Abstract Background Intersectional stigma is based upon co-occurring and intersecting identities or conditions and occurs at multiple levels of influence. Intersectional stigma has been repeatedly associated with poor health behaviors and outcomes. The effect of intersectional stigma among older adults are particularly challenging due to issues related to ageism, loss of social support, and comorbidities. We examined the impact of multiple stigmas on older adults living with HIV who are victims of childhood sexual abuse. Methods Semi-structured interviews were conducted with a purposefully selected heterogeneous sample of 24 adults living with HIV who are 50 years and older in South Carolina. Interviews were audio-recorded, transcribed verbatim, and coded using thematic analysis. Results Participants shared experiences and perceptions of stigma and discrimination most commonly related to their HIV status and sexuality at the interpersonal/familial and community levels. Four themes emerged to explain the impact of intersectional stigma: depression, lack of HIV disclosure, limited support, and reduced intimacy. Conclusion The complexity of multiple stigmas profoundly shapes life experiences, opportunities, and mental health of older adults living with HIV. This study highlights that public health programs need to consider the impact of intersectional stigma in order to promote the wellbeing of and improve quality of life for older adults living with HIV. Disclosures All Authors: No reported disclosures

Experience and expression of social isolation by inner-city high-rise residents

2014 ◽  
Vol 17 (3) ◽  
pp. 151-166 ◽  
Author(s):  
Love M. Chile ◽  
Xavier M. Black ◽  
Carol Neill
Keyword(s):  
Older Adults ◽  
Inner City ◽  
Social Isolation ◽  
Age Groups ◽  
Evidence Base ◽  
Structured Interviews ◽  
Content Type ◽  
High Rise ◽  
Starting Point ◽  
Health And Social Care

Purpose – The purpose of this paper is to examine the significance of social isolation and the factors that create social isolation for residents of inner-city high-rise apartment communities. We critically examine how the physical environment and perceptions of safety in apartment buildings and the inner-city implicate the quality of interactions between residents and with their neighbourhood community. Design/methodology/approach – The authors used mixed-methods consisting of survey questionnaires supplemented by semi-structured interviews and focus group discussions using stratified random sampling to access predetermined key strata of inner-city high-rise resident population. Using coefficient of correlation we examine the significance of the association between social isolation, age and ethnicity amongst Auckland's inner-city high-rise residents. Findings – The authors found the experience and expression of social isolation consistent across all age groups, with highest correlation between functional social isolation and “being student”, and older adults (60+ years), length of tenure in current apartment and length of time residents have lived in the inner-city. Research limitations/implications – As a case study, we did not seek in this research to compare the experience and expressions of social isolation in different inner-city contexts, nor of inner-city high-rise residents in New Zealand and other countries, although these will be useful areas to explore in future studies. Practical implications – This study is a useful starting point to build evidence base for professionals working in health and social care services to develop interventions that will help reduce functional social isolation amongst young adults and older adults in inner-city high-rise apartments. This is particularly important as the inner-city population of older adults grow due to international migration, and sub-national shifts from suburbs to the inner-cities in response to governmental policies of urban consolidation. Originality/value – By identifying two forms of social isolation, namely functional and structural social isolation, we have extended previous analysis of social isolation and found that “living alone” or structural social isolation did not necessarily lead to functional social isolation. It also touched on the links between functional social isolation and self-efficacy of older adults, particularly those from immigrant backgrounds.

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