scholarly journals BARRIERS AND OPPORTUNITIES TO HEALTHY AGING IN ANCHORAGE, ALASKA, USING CONCEPT MAPPING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S422-S423
Author(s):  
Britteny M Howell ◽  
Daniel McLinden

Abstract Alaska currently has the fastest growing proportion of older adults than any state in the country, and seniors are choosing to age-in-place in Anchorage in record numbers. Research shows that including older adults with community-based professionals (aging advocates, researchers, service providers) in focus group activities can provide a rich and holistic model of aging that demonstrates a robust foundation for supporting aging and addressing health disparities. This paper presents the results of a project conducted with older adults (50+ years), advocates, and other stakeholders in Anchorage using Concept Mapping (CM) methodology, a technique not often used in the gerontology literature. CM is a mixed-method, participatory approach that uses brainstorming and unstructured card-sorting combined with multivariate statistics (multi-dimensional scaling, hierarchical cluster analysis) to create a data-driven visual representation of thoughts or ideas of a community. CM is well suited to integrating perspectives from multiple points of view. Participants were prompted to address the research question: how do we think about aging in Anchorage & what are the barriers and facilitators to aging well? Results indicate services for seniors should include culturally responsive health programming, low-cost opportunities for social engagement, inclusion of older adults with intellectual/developmental disabilities, transportation considerations, navigators to locate services in Anchorage, and more. CM allowed the researchers to identify how residents view healthy aging in this urban subarctic location and brainstorm practical solutions with stakeholders and local policy-makers. This presentation will also share lessons-learned regarding the use of this participatory approach with older adults.

2020 ◽  
pp. 073346481989864 ◽  
Author(s):  
Britteny M. Howell ◽  
Mariah Seater ◽  
Daniel McLinden

This exploratory research project captured a multidimensional model of healthy aging in Anchorage, Alaska, by utilizing the Concept Mapping (CM) methodology with a sample of 53 older adults (aged 55+), aging advocates, public health professionals, and senior service providers. Multidimensional scaling and cluster analyses were conducted to map the relationship between 100 aspects of healthy aging, resulting in 12 distinct concepts of healthy aging. Study participants identified both lifestyle factors and aspects of their environment, providing results that can inform future research and policy development. The perspectives of older adults are scarce in the literature, but how they conceptualize the factors that contribute to healthy aging can have profound influence on behaviors and health outcomes. In addition, CM is a little-used methodology in gerontology that fosters community capacity building, meaningful contributions, and trusting research partnerships. We also provide recommendations for using these methods with older adults.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Zastrow ◽  
K Neher ◽  
H Hassel

Abstract Background Healthy aging is one of the major challenges currently faced by an aging population. Food literacy (FL) refers to the ability to apply knowledge and practical skills regarding healthy and sustainable nutrition into everyday life. The project “GUSTO” is sponsored by the Bavarian State Ministry of Health and Care and aims to contribute to enjoyable aging by developing the nutritional skills of people aged 65 and over. This community-based program comprises independent working groups of older adults guided by peer moderators. The FL intervention is developed in cooperation with the target group. Methods The nutritional situation of older adults was first established through a literature research. The results of this research were compared to the “self-perceived food literacy scale” by Poelman et al. (2018) and the “nutritional framework for literacy courses” by Johannsen et al. (2019). The resulting data provided a basis for focus group discussions carried out in six municipalities, supported by local practice partners. In six guided focus group discussions, a number of recurring themes were identified and summarized. Results The focus groups consisted of a total of 44 people between 62 and 88 years of age (average age: 73.1 ± 6.1 years). 22.7 % were men. The group discussions revealed resources used and barriers encountered in terms of FL and interests of older adults. It was evident that, due to the high density of information available, the participants found it difficult to identify reliable information and to implement it in their everyday life. At the request of the focus groups, topics such as the best before date and the use of food waste were added to the intervention. Conclusions Older adults find it challenging to identify reliable nutritional information and implement it in their everyday life. With the help of the participatory approach outlined in this study, target group-related issues can be identified and taken into account in the intervention. Key messages Older adults can be involved in the development of an FL intervention. A participatory approach allows target group-related issues and specific needs to be taken into account in the intervention.


Dementia ◽  
2020 ◽  
pp. 147130122092723 ◽  
Author(s):  
Habib Chaudhury ◽  
Tanveer Mahal ◽  
Kishore Seetharaman ◽  
Haakon B. Nygaard

Availability of community-based destinations and amenities can facilitate healthy aging by supporting older adults’ functional abilities and enabling their participation in society, especially for those experiencing declining cognitive abilities. This study used a survey tool called participation in ACTivities and places OUTside the Home for older adults, specifically designed to examine the out-of-home participation of older adults living with or without dementia, to collect data on specific places and activities that individuals participate in over time. Thirty cognitively intact participants and 29 participants living with dementia were recruited. The past/present net participation figures indicate that all destinations are likely to be abandoned by persons with dementia over time. The findings indicate that both groups of participants were most likely to abandon recreation and physical activity places, although a higher number of persons with dementia reported that they would likely abandon these places in the future than the cognitively intact participants. Participants with dementia indicated multiple en route and at destination challenges, as well as their coping strategies. This study adds to our understanding of the out-of-home places visited by persons living with and without dementia and the patterns of changes in those visits over time. The findings are useful for health and social care professionals, including occupational therapists, social workers, as well as family caregivers, in recognizing the relative importance of certain out-of-home places and activities over others and the challenges faced by persons with dementia in getting to those places. This knowledge can inform programme and service providers to develop targeted interventions to support continued engagement by older adults with dementia and cognitively intact older adults.


2020 ◽  
Vol 28 (6) ◽  
pp. 854-863 ◽  
Author(s):  
Kirsten Ward ◽  
Anne Pousette ◽  
Chelsea A. Pelletier

Although the benefits of maintaining a physical activity regime for older adults are well known, it is unclear how programs and facilities can best support long-term participation. The purpose of this study is to determine the facilitating factors of physical activity maintenance in older adults at individual, program, and community levels. Nine semistructured interviews were conducted with individuals aged 60 years and older and long-term participants (>6 months) in community-based group exercise at a clinical wellness facility in northern British Columbia, Canada. Interviews were audio recorded, transcribed, and analyzed via inductive thematic analysis. Themes identified as facilitators of physical activity included (a) social connections, (b) individual contextual factors, and (c) healthy aging. Older adults are more likely to maintain physical activity when environments foster healthy aging and provide opportunity for social engagement.


2020 ◽  
Author(s):  
Rubee Dev ◽  
Oleg Zaslavsky ◽  
Barbara Cochrane ◽  
Thomas Eagen ◽  
Nancy F Woods

Abstract Background Nearly one in every seven Americans is 65 years and older, facing day-to-day challenge of aging. Although interest in healthy aging is growing, most of the efforts are directed towards understanding the perceptions of older adults. Little is known about the perspectives of community-based practitioners who work with older adults and deliver programs to promote healthy aging. The purpose of this project was to expand knowledge on healthy aging by exploring the perspectives of community-based practitioners working directly with older adults. Methods We purposively sampled community-based practitioners (n=12, including nurses, physician, social workers, and other community services professionals), who then participated in one of three in-depth focus group discussions. Results Three core categories were identified: (1) characteristics of healthy aging; (2) healthy aging attainment; and (3) programs and activities for healthy aging. Participants identified a number of characteristics under person-specific, social, and spiritual dimensions of healthy aging. Healthy aging attainment was represented as facilitators and barriers, and programs and activities through promoting fitness and wellness. Conclusions Although practitioners’ perspectives had some overlap with traditional research and medical views on healthy aging, the unique and holistic model derived provides a more refined foundation for supporting healthy aging.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 794-794
Author(s):  
Cynthia Felix ◽  
Briana Sprague

Abstract In line with the GSA 2020 Annual Scientific Meeting theme of “Turning 75: Why Age Matters”, our symposium highlights the fact healthy aging is relevant to maintaining reserve- be it brain/cognitive reserve or physiological reserve. Even among older adults 75 or older, continuing to practice healthy aging habits, helps with reserve. In this symposium, Drs. Felix and Carlson discuss how positive neuroplastic processes such as social engagement and social volunteering may aid in brain/cognitive reserve. Dr. Lin discusses how negative neuroplastic processes such as hearing loss may hamper the same. The “use-it-or-lose-it” hypothesis may be a common pathway in effecting brain reserve, regardless of whether the inputs are social or sensory stimuli. Physiological reserve is also important in aging, and Dr. Sprague talks about energy and frailty, with frailty being an accelerated decline of physiological reserve. While the studies presented are from older adult populations, reserve often takes a lifetime of effort to build and maintain. The symposium speakers present several hypotheses such as brain reserve, cognitive reserve, cognitive load, information degradation, sensory deprivation and frailty. An application of these concepts, would help older adults practice aging habits that promote reserve, into advanced old age, at individual and community levels. Brain Interest Group Sponsored Symposium


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 95-96
Author(s):  
Yuekang Li

Abstract Psychological health and health-related quality of life of older adults have been long minimized by caregivers, service providers and the society in developing countries, such as China. According to the Stress Process Model, the stress of physical disadvantages influences mental health outcomes directly and indirectly. However, being socially engaged has the potential to reduce disease burden and improve psychological wellbeing of older adults. The purpose of this study is to examine the role played by social engagement in the pathway through which physical health predicts mental health. Using the WHO Study on Global AGEing and Adult Health China wave 2010, 6,276 individuals ages 60 years and older were included for analyses. Structural equation modeling was used to construct a directional path leading from the functioning and chronic disease, impacting the social engagement, in turn impacting the psychological wellbeing. All variables in this model are latent constructs. Functioning and chronic diseases in later life were associated with social engagement and psychological wellbeing, and the link between social engagement and psychological wellbeing was also significant. The effect of function was greater than that of chronic diseases. Though the significant indirect effect of physical health on psychological wellbeing was not supported in this study, this study suggests the multiple roles of social engagement as coping resources in the stress process of physical impairment and illness of older adults. This present study also adds to the existing literature by exploring how SEM methods can be applied to studies of social engagement.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 97-97
Author(s):  
Alexis Travis

Abstract The vision of the Michigan state unit on aging is for residents to live well and thrive as they age. The COVID-19 pandemic exacerbated the existing problem of older adult social isolation. Social engagement and community involvement are keys to healthy aging. Combining state resources with the GetSetUp virtual community allowed for statewide connections and extended resources, creating an almost around-the-clock virtual senior center. Through customized courses the state was able to offer vaccine navigation sign-up classes, among other classes, to help older adults interact with essential health and aging services. As Michigan continues to work to address health equity and social determinants of health beyond the pandemic, technology designed specifically for older adults is an important component of programmatic offerings. It also allows for a public-private partnership opportunity to support older adults as they age.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S408-S408
Author(s):  
Su-I Hou ◽  
Carrie Graham ◽  
Emily Greenfield

Abstract This symposium introduces key aging-in-community models and programs, with a particular focus on program and policy planning strategies. Villages are a new, consumer-directed model that aim to promote aging -in-community through a combination of facilitated social engagement, member-to-member support, volunteer opportunities, and collective bargaining for services. Dr. Graham from the University of California will share results from both a national survey of Village directors and a survey of village members, summarizing Village organizational development trends and members’ perceived impacts. Dr. Gilcksman from Philadelphia Corporation for Aging will share how older adults who do not participate in a Village create their own informal social and service network to maintain themselves and to accomplish the same goals as a Village, building community at the neighborhood level. Additionally, Dr. Hou from the University of Central Florida will discuss lessons learned on program planning strategies among older adults participating in three programs promoting aging-in-community: a university-based lifelong learning program (LLP), a county neighborhood lunch program (NLP), and a Florida Village program as a comparative case study. Finally, Dr. Glass from the University of North Carolina Wilmington will share the current trend of the new senior cohousing model, promises and challenges for older adults providing mutual support to each other as they age together. This symposium will further discuss strengths and weakness, and planning strategies of the various AIC models and programs.


2021 ◽  
Author(s):  
Samantha M Harden ◽  
Anna Murphy ◽  
Kathryn Ratliff ◽  
Laura E Balis

BACKGROUND More attention has been given to researchers’ role in dissemination than to information-seeking practices of lay audiences to date. In particular, older adults’ interactions with online platforms for health-related information was nascent. This may be part of the reason only 13% of Americans aged 65+ years are meeting physical activity recommendations, with approximately the same low compliance rate worldwide. OBJECTIVE To determine what information was readily available (i.e., open access) to older adults who may casually search the internet for physical activity recommendations. METHODS Engaged in a 6-part scoping review to determine the research question, available evidence, and extract data within open-access top hits using popular online search engines. Results were categorized by a dissemination model that has categories of: sources, channels, audience, and messages. RESULTS After the iterative search process, 92 unique articles were included and coded. Only 5% cited physical activity guidelines, and 90% were coded as promoting healthy aging and positive framing. Most articles were posed as educational, but the authors’ credentials were rarely reported (i.e., reported 22% of the time). Muscle strengthening and balance components of the physical activity guidelines for older adults were rarely reported (78%, 86%) or inaccurately reported (3%, 3%), respectively. CONCLUSIONS Inconsistent messages lead to mistrust of science and public health representatives. This work highlights the lack of evidence within existing open access resources. Further efforts are needed to ensure evidence-based public health messages are in the sources and channels older adults are using to inform their knowledge and behaviors. CLINICALTRIAL N/A


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