scholarly journals Presidential Symposium: From Disruption to Transformation: Challenging and Changing the New Normal

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 251-252
Author(s):  
Deborah Waldrop ◽  
Philip Rozario ◽  
Emily Greenfield

Abstract While the refrain “We’re all in this together” is meant to describe a sense of universality of our exposure and adaption to the Covid-19 pandemic life, the deeply rooted racial and economic injustices and ongoing health crises continue to expose the inequities experienced by many older adults. In this symposium, we focus on existing disparities and possibilities for transformation. The first paper discusses systemic racism as a structural driver of practices and policies that influence poverty, poor housing and neighborhood conditions, worse health profiles, relationship loss and social isolation among older Black adults. The second paper illuminates the importance of health equity and collaboration between aging and healthcare systems to improve the well-being outcomes and address disparities of older adults from racial-ly/ethnically diverse backgrounds. The third paper illustrates how the privatization of Medicare has created bureaucratic complexities that increase cost and burdens for beneficiaries. The fourth paper presents the ways that the pandemic has exposed the challenges of a nonexistent Long Term Services and Support system; specifically, in refocusing our attention on the working conditions of in-home and residential workers, such as poor compensation, and high turnover and mounting demands on families. The fifth paper addresses the importance of collaboration between nursing homes and assisted living communities with governmental emergency operations in times of disasters and public health crises. Each paper addresses pressing issues that have created the “new normal” for older adults; together the presenters explore the disruptions and offer solutions for renewed transformation.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S390-S390
Author(s):  
Judith Robertson R Phillips ◽  
Katie E Cherry

Abstract With the increasing occurrences of disasters throughout the world, researchers, communities, and organizations have become interested in how the use of social networks during and after a disaster can ease the psychological recovery of older adults who are affected by traumatic disaster events such as hurricanes and wildfires. This symposium will focus on the power of social networks and highlight the importance of preparedness, informal and formal groups, and interventions to assist recovery of older adults. First, Dr. Judith Phillips will present data on how informal and formal social network groups affected the psychological well-being of older adults who experienced exposure to multiple wildfires. Second, Dr. Denise Eldemire-Shearer will address how both formal and informal social network groups in Jamaica are informed and mobilized to provide support to older adults on the island during hurricanes and other water-related disasters. Third, Dr. Lisa Brown will introduce the Skills for Psychological Recovery intervention and provide an overview and modifications needed when using with older adults; she will also demonstrate an exercise. Fourth, Dr. Debra Dobbs will present themes examining the role of community engagement in hurricane preparedness which were gathered from focus groups and interviews with assisted living administrators in Florida. Lastly, Dr. Mary Helen McSweeney-Feld will address how voluntary organizations active during disasters aid older adults with disaster relief efforts. Together these presenters will provide evidence of the power of various social networks that will lessen the vulnerability of older adults after disasters.


10.2196/14182 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e14182
Author(s):  
Philipp Brauner ◽  
Martina Ziefle

Background Many societies are facing demographic changes that challenge the viability of health and welfare systems. Serious games for health care and ambient assisted living (AAL) offer health benefits and support for older adults and may mitigate some of the negative effects of the demographic shift. Objective This study aimed to examine the acceptance of serious games to promote physical health in AAL environments. Since AAL environments are designed specifically to support independent living in older adults, we studied the relationship among age and user diversity, performance in the game, and overall usability and acceptance evaluation. Methods We developed a motion-based serious exercise game for prototypical AAL environments. In two evaluations, outside (n=71) and within (n=64) the AAL environment, we investigated the influence of age, gender, self-efficacy in interacting with technology, need for achievement on performance, effect of the game, usability evaluation of the game, and overall acceptance. Results Both games were evaluated as easy to use and fun to play. Both game interventions had a strong pain-mitigating effect in older adults (game 1: −55%, P=.002; game 2: −66%, P=.01). Conclusions Serious exercise games outside and inside AAL environments can contribute to individuals’ health and well-being and to the stability of health care systems.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 41-41
Author(s):  
Claudia Rebola ◽  
Bertram Malle

Abstract Robotic animal-like companions for older adults are promising technologies that have shown to have health benefits, especially for individuals with dementia, and good adoption rates in some previous studies. Our project, Affordable Robotic Intelligence for Elderly Support, aims to design new capabilities for companionship and smart care, but at high affordability. In a 6-month longitudinal study of baseline acceptance and well-being, we assessed the impact of an Ageless Innovation Joy for All™ robotic pet on user acceptance and emotional well-being (depression, loneliness, positive emotions). Nineteen participants from independent and assisted living facilities completed three standardized in-person surveys, each 3 months apart, including the CES-D, measures of Loneliness, Emotions, Attitude towards Technology (ATI), and various measures of evaluation of and engagement with robotic technology. The measures showed modest to very good reliability and meaningful construct validity. Participants in this sample showed little depression or loneliness, and these levels did not further decrease over the six months. People welcomed the pet and expressed positive evaluations of it, and these sentiments were stable over time. Attitudes toward technology varied but were unrelated to well-being measures and to robot evaluations. Our current conclusion, on the basis of a small sample, is that the selected robotic pet companion is appreciated and seen as beneficial, and for adults who are already low in depression and loneliness, the robot companion helps maintain the adult’s emotional well-being but does not further increase it.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 48-48
Author(s):  
Jessica Kelley ◽  
Roland Thorpe ◽  
Linda Chatters

Abstract Our renewed urgency and engagement in a national dialogue on issues of systemic racism and racial justice provides a much-needed opportunity to expand the discourses, perspectives, and practices used in the study of aging. This symposium features contributions from the 2021 (Vol 41) Annual Review of Gerontology and Geriatrics focusing on the continued development and maturation of scholarship on the lives of older Black Americans. Building on the scholarship and research contributions of prior generations of eminent African American gerontologists, the volume asks: “What do we know about the lived experience of Black older adults and what is there still to be learned?” The contributing authors continue a tradition of research that examines the life histories and contemporary experiences of older Black adults within their relevant social and personal contexts. Symposium presenters from a range of social science fields (sociology, psychology, social work), explore aspects of physical health, stress, cognition, and social well-being in the context of intersecting social dimensions of marriage, family, gender, and neighborhood.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 712-713
Author(s):  
Lauren Rezac ◽  
Miechelle McKelvey ◽  
Ladan Ghazi Saidi

Abstract Social isolation and loneliness are detrimental risk factors to older adult’s physical and psychological well-being and quality of life. Given the current situation of the COVID-19 pandemic, social isolation has risen. Social isolation affects younger adults as well and may increase the chances of depression and anxiety. In this study, we tested the acceptability and feasibility of an Intergenerational Bonding (IGB) Program with older and younger adults. Participants include students aged 19-29 at the University of Nebraska at Kearney and older adults above the age of 60 residing in the community. First, we surveyed younger and older adults to determine their interest level in participating in an IGB Program. Both groups of participants rated their interest in different activities. The most popular activities among both groups included engaging in conversations, board games, and an exchange of skills. Neither of the groups was in favor of participating in free housing opportunities or sports-related activities. Response rates were high in young adults but low in older adults, due to lack of trust. Then, in a pilot study, we measured the feasibility and acceptability of the IGB Program. Older adults residing in independent dwellings, assisted living environments, nursing homes and members of community groups were invited to participate in the intergenerational program. Response rates of older adults were low. Further, establishing collaboration with institutions such as nursing homes was not easy despite initial interest. Building trust and working with community activity group facilitators would be beneficial in recruiting older adults.


2020 ◽  
pp. bmjstel-2020-000613
Author(s):  
Cathy M Smith ◽  
Lisa Guttman Sokoloff ◽  
Nemat Alsaba

IntroductionAs the global population ages, healthcare providers must prepare for the complexities associated with caring for older adults, defined according to the WHO, as being over the age of 60. Simulation-based education in healthcare allows caregivers to practice and master skills and competencies associated with care of older adults. Simulated patients/participants (SP), well people trained to portray other individuals, are an effective choice when training behavioural skills (eg, communication). When working with older SPs, it is important to recognise unique considerations and requirements related to physiological changes, in physical, cognitive and sensory systems associated with normal ageing.MethodSP educators from two different countries, with diverse backgrounds and contexts, collaborated through an iterative, consensus-based process to create a framework for working with older SPs.ResultsA practical three-phase framework with specific strategies was developed that synthesised elements of best practices related to simulation methodology with relevant clinical evidence.DiscussionEffective collaboration with older SPs is achievable through investing resources in preparing, training and ensuring their well-being. Through faculty development of healthcare simulation educators, we can ensure that older SPs and simulation communities have the right tools and support to safely and effectively contribute to simulation-based education.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 225-226
Author(s):  
Lieke van Heumen ◽  
Kelly Munly ◽  
Patricia Heyn

Abstract The number of older adults with intellectual and developmental disabilities (IDD) in the U.S. is expected to double and potentially triple by 2030. Despite this demographic urgency, there continues to be a lack of research directly addressing aging of people with IDD. Individuals with IDD have on average twice as many health problems than others without IDD, experience earlier age-related declines in health and function than the general population and are more likely to develop secondary conditions as they age. The increase in the number of people aging with IDD and the challenges experienced by this population have demanded new directions for research, practice and policy that promote social justice and improve this population’s health and well-being. This symposium brings together research that critically examines and calls for a “new normal” of supports for healthy aging provided to the population aging with IDD. The first presentation consists of a systematic review of healthy aging interventions for adults with IDD. The authors conclude that such interventions for adults with IDD remain scarce, incipient and sporadic. The second presentation critically reviews an interprofessional education model aimed to address the complex and unique needs of older adults with IDD and dementia. The authors provide recommendations for the future development of interprofessional education in this field. In the third and final presentation the authors offer further transformation toward a new normal as they outline future directions for research on aging with IDD that is informed by positive psychology and disability studies theory.


2021 ◽  
Vol 55 (2) ◽  
Author(s):  
Kaitlin Mueller ◽  
Marieke Van Puymbroeck

Transitions into an assisted living facility (ALF) may have major impacts on the well-being of older adults, both positively and negatively. The purpose of this study was to explore strategies that older adults are implementing to maintain or improve their well-being during their transition into an ALF. A grounded theory, descriptive approach employed 14 individual, in-person interviews at an ALF in the rural, southeastern U.S. Eight central findings emerged as adjustment strategies used by older adults, catorgizied as active and passive strategies. The five active strategies were identified as importance of health promoting activities (subthemes: promoting physical health and promoting mental health), connections to the outside world (subthemes: community integration outings and community visitors), placing possessions, finding a new routine, and engaging in spiritual practices. Three passive strategies were identified: peer support, staff support, and prior familiarity with the ALF. Implications for recreational therapists working with older adults in ALFs are detailed and future research recommendations are provided.


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