scholarly journals Linkages Between Indigenous Cultural Generativity and Sobriety to Promote Successful Aging Among Alaska Natives

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 216-216
Author(s):  
Jordan Lewis
Keyword(s):  
Older Adults ◽  
Alaska Native ◽  
Role Models ◽  
Successful Aging ◽  
Recovery Process ◽  
Role Expectations ◽  
Family Influence ◽  
The People ◽  
Adult Participants ◽  
History Narratives

Abstract This article builds on the People Awakening Project, which explored an AlaskaNative understanding of the recovery process from alcohol use disorder and sobriety. The presentation will explore motivating and maintenance factors for sobriety among older AN adult participants (age 50+) from across Alaska. Ten life history narratives of Alaska Native older adults, representing Alutiiq, Athabascan, Tlingit, Yup’ik/Cup’ik Eskimos, from the PA sample were explored using thematic analysis. AN older adults are motivated to abstain from, or to quit drinking alcohol through spirituality, family influence, role socialization and others’ role modeling, and a desire to engage in indigenous cultural generative activities with their family and community. A desire to pass on their accumulated wisdom to a younger generation through engagement and sharing of culturally grounded activities and values, or indigenous cultural generativity, is a central unifying motivational and maintenance factor for sobriety. The implications of this research indicates that family, role expectations and socialization, desire for community and culture engagement, and spirituality are central features to both Alaska Native Elders’ understanding of sobriety, and more broadly, to their successful aging. Sobriety can put older Alaska Native adults on a pathway to successful aging, in positions to serve as role models for their family and community, where they are provided opportunities to engage in meaningful indigenous cultural generative acts.

scholarly journals LINKAGES BETWEEN INDIGENOUS CULTURAL GENERATIVITY AND SOBRIETY TO PROMOTE ALASKA NATIVE SUCCESSFUL AGING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S347-S347
Author(s):  
Jordan P Lewis
Keyword(s):  
Older Adults ◽  
Alaska Native ◽  
Role Models ◽  
Successful Aging ◽  
Population Based ◽  
Role Expectations ◽  
Family Influence ◽  
Treatment Programs ◽  
Future Research ◽  
History Narratives

Abstract The aim of this study was to explore motivating and maintenance factors for sobriety among older AN adult participants (age 50+) from across Alaska. Ten life history narratives of Alaska Native older adults, representing Alutiiq, Athabascan, Tlingit, Yup’ik/Cup’ik Eskimos, from the PA sample were explored using thematic analysis. AN older adults are motivated to abstain from, or to quit drinking alcohol through spirituality, family influence, role socialization and others’ role modeling, and a desire to engage in indigenous cultural generative activities with their family and community. A desire to pass on their accumulated wisdom to a younger generation through engagement and sharing of culturally grounded activities and values, or indigenous cultural generativity, is a central unifying motivational and maintenance factor for sobriety. The implications of this research indicate that family, role expectations and socialization, desire for community and culture engagement, and spirituality are central features to both AN Elders’ understanding of sobriety and more broadly, to their successful aging. Future research is needed to test these findings in population-based studies and to explore incorpo- ration of these findings into alcohol treatment programs to support older AN adults’ desire to quit drinking and attain long-term sobriety. Sobriety can put older AN adults on a pathway to successful aging, in positions to serve as role models for their family and community, where they are provided opportunities to engage in meaningful indigenous cultural generative acts.

scholarly journals Alaska Native Elder-Centered Research Methodology

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 234-234
Author(s):  
Maria Crouch ◽  
Jordan Lewis ◽  
Rosellen Rosich
Keyword(s):  
Older Adults ◽  
Best Practices ◽  
Capacity Building ◽  
Alaska Native ◽  
Research Methodology ◽  
Role Models ◽  
Cultural Relevancy ◽  
Underrepresented Groups ◽  
Impact Research ◽  
Sustainability Strategies

Abstract Alaska Native (AN) Elders have historically been underrepresented in research. Innovative AN research posits that practice-based evidence is fundamental to culturally grounded, multifaceted methods. AN Elders is a cultural convention distinguishing Elders who continue to serve as an integral part of their family and community and recognized by their community as role models. Several studies will be discussed which employed Elders at every level of the research, ensuring cultural relevancy, outcomes, and dissemination activities. The findings lay the foundation for an Elder-centered research methodology that can be adapted and applied in other studies to encourage engagement of older adults. This methodology has potential to impact research for underrepresented groups and to rethink and reshape Western-centric practices. Findings from this research provides best practices for capacity building and sustainability, strategies for empowerment and prevention, and a framework for supporting the AN community in all phases of research.

Servicing the Senior Swallow: A Family-Centered Private Practice Model of Service Delivery

2020 ◽  
pp. 1-4 ◽  
Author(s):  
Yvette M. McCoy
Keyword(s):  
Older Adults ◽  
Medical Model ◽  
Recovery Process ◽  
Swallowing Disorders ◽  
Current Evidence ◽  
Care Needs ◽  
Skilled Nursing ◽  
Person Centered Care ◽  
Centered Care ◽  
Traditional Medical Model

Purpose Person-centered care shifts the focus of treatment away from the traditional medical model and moves toward personal choice and autonomy for people receiving health services. Older adults remain a priority for person-centered care because they are more likely to have complex care needs than younger individuals. Even more specifically, the assessment and treatment of swallowing disorders are often thought of in terms of setting-specific (i.e., acute care, skilled nursing, home health, etc.), but the management of dysphagia in older adults should be considered as a continuum of care from the intensive care unit to the outpatient multidisciplinary clinic. In order to establish a framework for the management of swallowing in older adults, clinicians must work collaboratively with a multidisciplinary team using current evidence to guide clinical practice. Private practitioners must think critically not only about the interplay between the components of the evidence-based practice treatment triad but also about the broader impact of dysphagia on caregivers and families. The physical health and quality of life of both the caregiver and the person receiving care are interdependent. Conclusion Effective treatment includes consideration of not only the patient but also others, as caregivers play an important role in the recovery process of the patient with swallowing disorders.

scholarly journals Older Adults’ Subjective Well-being Following an Exergame Intervention “Bandit the Dolphin”: Focus Group Findings

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 169-170
Author(s):  
Brittany Drazich ◽  
Breanna Crane ◽  
Kyle Moored ◽  
Karl Shieh ◽  
Janiece Taylor ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Illness ◽  
Focus Groups ◽  
Well Being ◽  
Community Dwelling ◽  
Mental Illness Stigma ◽  
Subjective Well Being ◽  
Future Health ◽  
Adult Participants

Abstract Due to generational mental illness stigma and under diagnosis of mental illness, older adults do not always receive the mental health help that they need. One unique technology that has the potential to improve mood in older adults is exergames, or exercise video games. The objective of this sub-study (main study: Stimulation With Intricate Movements “SWIM” Study) was to explore older adults’ mood following an exergame intervention called “Bandit the Dolphin,” created by the Johns Hopkins KATA Studio. Researchers conducted three focus groups with 14 community-dwelling older adult participants who took part in the SWIM Study exergame intervention. The semi-structured focus groups were transcribed, coded, and analyzed using deductive and inductive techniques described by Ray Maietta’s “sort and sift, think and shift” method. Three themes related to playing “Bandit the Dolphin” and mood emerged. First, participants described their perceived association between activity and mood. Participants felt that both active and passive activities, “Bandit the Dolphin” and otherwise, improved their mood through the “fun” factor, and through feelings of achievement. Second, the participants described that the competition and frustration of playing “Bandit the Dolphin” increased eventual feelings of achievement. Third, participants described how feelings of immersion, or being absorbed in the game, helped them forget their other life concerns. These findings provide a better understanding of older adults’ perceived relationship between an exergame intervention, “Bandit the Dolphin,” and short-term improved mood. Future health and engineering researchers should explore exergames as a potential tool to improve the mental health of older adults.

scholarly journals Usability Testing for the Operation of a Mobile Robotic Telepresence System by Older Adults

2020 ◽  
Vol 64 (1) ◽  
pp. 1191-1195
Author(s):  
Samuel Olatunji ◽  
Andre Potenza ◽  
Tal Oron-Gilad ◽  
Andrey Kiselev ◽  
Amy Loutfi ◽  
...  
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Usability Testing ◽  
Small Sample ◽  
Developmental Factors ◽  
Assistive Robot ◽  
Adult Participants ◽  
Autonomous Mode ◽  
Levels Of Automation ◽  
Local User

Mobile robotic telepresence (MRP) systems feature a video conferencing interface on a mobile robot, enabling pilot users to remotely control the robot while communicating with a local user. For older adults in an assisted living facility, the operators are mostly caregivers or remote family members. This small-sample usability testing aimed to evaluate the use of MRP by the older adult. Participants navigated the robot to locations in the home, e.g., to check if the front-door is closed. Two levels of automation were introduced; assisted teleoperation and autonomous. Observations revealed that the older adults enjoyed the dexterity with which the robot could be teleoperated in the assisted teleoperation mode. Yet, they preferred the operation of the MRP at the autonomous mode where the robot navigated autonomously towards the locations the user indicated. Usability, preference and objective findings raise awareness regarding elder care assistive robot developmental factors. Future experimental plans are discussed.

scholarly journals Meaning of Aging, Gerotranscendence, and Successful Aging in Older Adults With Chronic Health Conditions

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 423-423
Author(s):  
Meredith Troutman-Jordan
Keyword(s):  
Older Adults ◽  
Problem Solving ◽  
Life Events ◽  
Successful Aging ◽  
Stressful Events ◽  
Functional Health ◽  
Major Influence ◽  
Unexpected Death ◽  
Major Life ◽  
Problem Solving Skills

Abstract Aging presents change in the form of opportunities and challenges, from common physical alterations, to major life events. Perception of such events is greatly shaped by one’s mental health, and is a major influence on gerotranscendence, a positive kind of aging involving redefinition of self, relationships, and proposed to be a precursor to successful aging. A mixed-methods cross-sectional descriptive design was used to study 50 older adults. Life Events Checklist, Gerotranscendence Scale, Herth Hope Index, and Successful Aging Inventory were administered. Mean participant age was 70.78 years; there were 9 males (18%), 41 females (82%), 13 were Black (26%), and 37 were White (74%). Participants reported a number of stressful events, most frequently transportation accidents, followed by other very stressful events or experiences, and sudden unexpected death of someone close. Gerotranscendence scores ranged from 0-10 (µ 6.88, a moderate score). Successful aging scores ranged from 40-79 (µ 62.33, a moderate score). A sub-sample of 6 participants engaged in semi-structured interviews, which were transcribed verbatim and subject to content analysis. Faith, displaced longing, temporal anticipation, proactive problem-solving/coping, and concern for future generations were emergent qualitative themes. Findings highlight opportunities for providers from multiple disciplines to target risks and possibilities for aging successfully and to promote hope, optimism, problem-solving skills, and gerotranscendence in all older adults, regardless of physical or functional health status.

scholarly journals A journey to a new stable state—further development of the postoperative recovery concept from day surgical perspective: a qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037755
Author(s):  
Ulrica Nilsson ◽  
Maria Jaensson ◽  
Karin Hugelius ◽  
Erebouni Arakelian ◽  
Karuna Dahlberg
Keyword(s):  
Stable State ◽  
Recovery Process ◽  
Well Being ◽  
Day Surgery ◽  
Physical Symptoms ◽  
Postoperative Recovery ◽  
Four Dimensions ◽  
Adult Participants ◽  
Starting Point ◽  
Patients Experience

ObjectiveThis study aims to further develop the concept analysis by Allvin et al in 2007 and Lundmark et al in 2016 from the perspective of day-surgery patients. Also, to describe how patients experience postoperative recovery in relation to the identified dimensions and subdimensions and to interpret the findings in order to get a deeper understanding of the concept postoperative recovery.DesignDescriptive qualitative design with a theoretical thematic analysis.SettingSix day-surgery departments in Sweden.ParticipantsThirty-eight adult participants who had undergone day surgery in Sweden. Participants were purposively selected.ResultsFour dimensions—physical, psychological, social and habitual—were confirmed. A total of eight subdimensions were also confirmed, two from Allvin et al’s study and six from Lundmark et al’s study. Recovery included physical symptoms and challenges coping with and regaining control over symptoms and bodily functions. Both positive and negative emotions were present, and strategies on how to handle emotions and achieve well-being were established. Patients became dependent on others. They coped with and adapted to the recovery process and gradually stabilised, reaching a new stable state.ConclusionPostoperative recovery was described as a process with a clear starting point, and as a dynamic and individual process leading to an experience of a new stable state. The recovery process included physical symptoms, emotions and social and habitual consequences that challenges them. To follow-up and measure all four dimensions of postoperative recovery in order to support and understand the process of postoperative recovery is, therefore, recommended.

Toward a conceptual model for successful transgender aging

2021 ◽  
pp. 147332502199466
Author(s):  
Steffany Sloan ◽  
Jacquelyn J Benson
Keyword(s):  
Older Adults ◽  
Successful Aging ◽  
Work Practice ◽  
Later Life ◽  
Theoretical Models ◽  
Social Work Practice ◽  
The Body ◽  
Aging Research ◽  
Research Findings ◽  
Resilience Factors

Transgender older adults have been subject to life-long stigma and marginalization, resulting in significant social and health consequences. Despite these challenges, this population commonly reports thriving in later life. In order to attend to nuanced experiences of older transgender adults, theoretical models of successful aging must reflect complexities presented by gender minority status. In order to address theoretical gaps, a systematic qualitative meta-synthesis was conducted to summarize findings across the body of qualitative transgender aging research. Findings indicated that transgender older adults conceptualize successful aging through the process of embracing gender identity. Themes were identified to conceptualize successful transgender aging such as gender expression, shedding internalized stigma, and championing a resilience mindset. Implications for social work practice are provided, suggesting a more comprehensive understanding of both challenges and resilience factors amongst the aging transgender population.

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