The Feasibility and Acceptability of an Intergenerational, Web-Based Intervention to Enhance Later-Life Family Care Planning

2020 ◽  
Author(s):  
Elissa Kozlov ◽  
Meghan McDarby ◽  
Paul Duberstein ◽  
Brian D Carpenter
Keyword(s):  
Older Adult ◽  
Adult Children ◽  
Repeated Measures ◽  
Family Care ◽  
Later Life ◽  
Intergenerational Communication ◽  
Care Needs ◽  
Web Based ◽  
Older Parents ◽  
Survey Responses

Abstract Background and Objectives Adult children collaborate with older parents on care needs, yet later-life families are often uncertain about how to approach these conversations. Using the McMaster Model of Family Functioning as a framework, we developed a web-based tool for later-life families to enhance communication, knowledge, and problem solving around parent preferences for care. Research Design and Methods Participants were older adult parents aged 65+ and at least one of their adult children. Families answered questions about the parent’s care preferences via a web-based survey. Responses were aggregated in a tailored PDF that was distributed to each participant. Descriptive statistics were calculated to examine recruitment, retention, and satisfaction with the program. Repeated measures analyses of variance were calculated to determine preliminary efficacy of the intervention. Results This study included 142 participants across 49 families (n = 49 older adult parents, n = 93 adult children). Of them, 75.4% completed all three phases of the study while 18.3% completed two phases and 6.3% completed only one phase. Seventy-four percent of participants reported being satisfied or very satisfied with the intervention. At baseline, most families were modestly incongruent in their ratings of future care preferences. Participants reported increased conversations about care across the course of the study (F(1.71,179.32) = 42.18, p < .001). Discussion and Implications This study demonstrated that a web-based intervention to enhance intergenerational communication is feasible, acceptable, and has preliminary efficacy to improve intergenerational communication. Despite recruitment challenges, similarly designed web-based resources may improve accessibility and scalability of intergenerational communication-enhancing interventions.

(No) Migrating for Family Care in Later Life: Senchishak v Finland, Older Parents and Family Reunification

2016 ◽  
Vol 18 (3) ◽  
pp. 351-372 ◽  
Author(s):  
Heli Askola
Keyword(s):  
Human Rights ◽  
Old Age ◽  
Economic Burden ◽  
Public Services ◽  
Family Care ◽  
Later Life ◽  
Family Reunification ◽  
Older Parents ◽  
Immigrant Background ◽  
European Court

This article discusses the implications of family reunification policies for naturalised citizens and their older parents (usually mothers) in light of the illuminating case Senchishak v Finland from the European Court of Human Rights. As migration by parents wishing to join their adult children is usually motivated at least in part by considerations of care in old age, policies in many European states, including Finland, put strict limits on family reunification on the assumption that such migrants constitute a future economic burden to ageing societies and their already stretched public services. This article argues, firstly, that current policies rely on generalisations that disregard the nature of parental ties and dependency in families as well as the complex caregiving triad involving families, markets and the state and, secondly, that these policies contain largely hidden yet significant costs for citizens of immigrant background, especially women, giving rise to questions over their equality as citizens.

scholarly journals Older parents and filial support obligations: a comparison of family solidarity norms between native and immigrant populations in Italy

2021 ◽  
pp. 1-32
Author(s):  
Marco Albertini ◽  
Debora Mantovani
Keyword(s):  
Gender Bias ◽  
Later Life ◽  
Adult Daughters ◽  
Care Needs ◽  
Older Parents ◽  
Immigrant Populations ◽  
Qualitative Survey ◽  
The Social ◽  
Filial Obligations ◽  
Using Data

Abstract Although older migrants in Southern Europe are increasing in number, relatively little attention has been paid to their care needs and resources. The availability of informal care is an important determinant of wellbeing in later life and norms regulating filial obligations have an important role in affecting the quality and quantity of support received. Using data from a qualitative survey conducted in Italy, this article sheds light on the social norms regulating filial obligations towards older parents among natives and three groups of immigrants: Maghrebis, Chinese and Filipinos. The results indicate a number of commonalities between the four different groups considered, such as: the principle of delayed reciprocity at the basis of filial support obligations; a gender bias in attributing the most psychologically, physically and time-demanding caring obligations to adult daughters and daughters-in-law; and a preference for intergenerational residential autonomy shared by Italian, Filipinos and, to a lesser extent, Maghrebi respondents. At the same time, numerous differences emerge between natives and immigrants, and between immigrant groups. The most significant differences are observed regarding: the possibility of resorting to a paid care-giver, which is more common among Italians and, to a lesser extent, Filipino respondents; and a stronger gender bias among the Chinese and Maghrebi groups, i.e. they attribute the majority of personal care responsibilities to daughters and daughters-in-law.

scholarly journals Household changes and diversity in housing consumption at older ages in Scotland

2017 ◽  
Vol 39 (1) ◽  
pp. 161-193 ◽  
Author(s):  
FRANCESCA FIORI ◽  
ELSPETH GRAHAM ◽  
ZHIQIANG FENG
Keyword(s):  
Adult Children ◽  
Later Life ◽  
Older Individuals ◽  
Housing Consumption ◽  
Older Parents ◽  
Scottish Population ◽  
Using Data ◽  
Union Transitions ◽  
Household Changes

ABSTRACTThis paper contributes to understanding housing adjustments in later life by investigating the role of four key lifecourse transitions experienced by older individuals and their households, namely changes in health, retirement, union transitions and adult children leaving the household. Using data from a representative sample of the Scottish population for the decade 2001–2011, the study examines who moves and, for movers, whether they adjust their housing size in response to changes in their personal and household circumstances. In particular, the study explores diversity in housing consumption at older ages by investigating whether the triggers of upsizing or downsizing differ across tenure groups. The majority of older adults in Scotland do not change their place of residence during the study decade. For the minority who do move, all four lifecourse transitions are significant triggers for residential relocation but there is considerable diversity across the two major tenure groups in the influence of household changes on their housing consumption adjustments. In both tenure groups, however, the presence of children in the household is associated with upsizing and is a significant impediment to downsizing. Given the relative rootedness of older parents with co-resident adult children and their propensity to upsize rather than downsize if they move, our findings raise concerns over the interdependencies between younger and older generations in the housing market.

scholarly journals IT’S BETTER TO GIVE THAN RECEIVE, OR IS IT? THE EFFECT OF SOCIAL SUPPORT ON THE PSYCHOLOGICAL WELL-BEING OF OLDER PARENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S490-S490
Author(s):  
Erik Blanco
Keyword(s):  
Social Support ◽  
Adult Children ◽  
Negative Mood ◽  
Secondary Data ◽  
Positive Mood ◽  
Later Life ◽  
Well Being ◽  
Life Transitions ◽  
Psychological Well Being ◽  
Older Parents

Abstract The longevity revolution has led to more years of shared lives between older parents and adult children. Having these extra years together can be offset by the stressful life transitions of widowhood, health declines, and increased level of disability experienced by older parents. These transitions can lower older parents’ psychological well-being. Although social support to/from adult children has the potential to buffer these effects, most older parents wish to remain independent, even in later life, making them reluctant to accept social support from their adult children. The purpose of this paper is to examine whether the provision or receipt of social support between older parents and adult children, influences positive mood and negative mood. Secondary data on older adults (n = 461) with adult children who participated in the 2004 wave of the LSOG were used. The results revealed that the provision of social support by older parents to adult children significantly increased parents’ positive mood showing that it is better to give than receive. The results for the receipt of social support were more complex. Results suggest that when someone has a higher level of disability and does not receive social support their negative mood increases, but when someone has a high level of disability and does receive social support there is no effect on negative mood. This proposes that the receipt of social support is particularly important when the parent is in need of support and it is better to receive than give when parents are in need.

Mothering in later life: Older mothers and their challenging adult children

2021 ◽  
pp. 1-22
Author(s):  
Judith R. Smith
Keyword(s):  
Adult Children ◽  
Family Care ◽  
Later Life ◽  
Constructivist Grounded Theory ◽  
Self Blame ◽  
Care Givers ◽  
Gerontological Research ◽  
Intergenerational Ambivalence ◽  
Structural Variables ◽  
Children’S Behaviour

Abstract This study uses constructivist grounded theory to explore older women's responses to the unexpected need to provide financial, emotional and residential support to their adult children who were experiencing problems with mental illness, substance abuse and/or absence of employment. Twenty-nine American women (>60) were interviewed:55 per cent were poor and half were women of colour. Using the theoretical model of intergenerational ambivalence, three types of structural ambivalence are discovered: mothers’ reactions to their adult children's behaviour that violate expectations for reciprocity; women's dismayed reactions to their adult children's aggressive behaviours towards themselves as their mothers; and the women's struggle regarding balancing their role as a mother to protect their adult children alongside their wish and identified needs for self-care. All of the conflicts were expressed within the frame of their role of mother. The internalised mandate to be ‘a good mother’ resulted in many experiencing shame, self-blame and guilt, and this self-blame was an obstacle to reaching out for help. This study adds to the growing body of feminist gerontological research and examines the ideological and structural variables that influence the predominance of female unpaid family care-givers in later life. The dilemma for older women with troubled adult children is both personal and political.

Providing instrumental support to older parents of multi-child families in China: are there different within-family patterns?

2021 ◽  
pp. 1-18
Author(s):  
Jia Chen ◽  
Xiaochen Zhou ◽  
Nan Lu
Keyword(s):  
Adult Children ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Multinomial Logistic Regression ◽  
Adult Child ◽  
Instrumental Support ◽  
Older Parents ◽  
Older Mothers ◽  
Family Patterns ◽  
Using Data

Abstract Older parents in China rely heavily on their adult children for instrumental assistance. In different multi-child families, multiple offspring may co-operate in providing instrumental support to older parents in distinct ways in terms of how much support they provide on average and how much differentiation exists between them when they provide such support within a family. We aimed to identify different within-family patterns in relation to multiple offspring's instrumental support to an older parent in Chinese multi-child families, and to investigate potential predictors for different within-family patterns. Using data from the China Family Panel Studies (2016), we had a working sample of 5,790 older adults aged 60+ (mean = 68.54, standard deviation = 6.60). We employed latent profile analysis (LPA) to classify within-family patterns and multinomial logistic regression to investigate predictors. Our findings identified three within-family patterns: dissociated (59.10%), highly differentiated (29.60%) and united-filial (11.30%). Older parents in the highly differentiated families tended to be older, mothers, divorced/widowed and to have poorer physical health compared to their counterparts in the dissociated families. In contrast, the composition characteristics of multiple adult children played more important roles in determining the united-filial within-family pattern. The united-filial families were more likely to have fewer adult children, at least one adult daughter and at least one co-residing adult child.

scholarly journals Long-Term Effects of Abuse in Later Life Perpetrated by Family Members

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 444-445
Author(s):  
Naomi Meinertz ◽  
Pi-Ju Liu ◽  
Ron Acierno
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Family Member ◽  
Older Adult ◽  
Family Members ◽  
Later Life ◽  
Adult Health ◽  
Long Term Effects ◽  
Long Term Impact

Abstract Abuse in later life could potentially lead to lower levels of social support, especially when perpetrated by family members who are charged with protecting the older adult in their care. Using both waves of the National Elder Mistreatment longitudinal data (wave one collected in 2008 and wave two in 2015; N=774), long-term effects of abuse (i.e., physical, emotional, sexual, and financial) on levels of social support, physical health, and clinical depressive symptoms for respondents at or above the age of 60 years were analyzed. A multivariate analysis of variance showed that respondents abused at wave one (n=261) by a family member (B=-0.55, p≤0.001), a spouse or ex-partner (B=-0.349, p=0.02), or a non-relative or stranger (B=-0.301, p=0.026) had lower levels of social support eight years later at wave two. Those abused by a family member at wave one also experienced higher levels of depressive symptoms at wave two (B=-0.187, p=0.01). Perpetrator type did not predict general health at wave two. These results emphasize the long-term impact of abuse on the lives of older adults and highlight the importance trusted relationships, such as with family members, have on older adult health and wellbeing.

scholarly journals Contributors to and Consequences of Poor Sleep in Older Adults: Biopsychosocial Perspectives

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 578-578
Author(s):  
Adam Spira ◽  
Katie Stone
Keyword(s):  
Older Adults ◽  
Sleep Problems ◽  
Later Life ◽  
Poor Sleep ◽  
Physical And Mental Health ◽  
Older Parents ◽  
Use Patterns ◽  
Health Related ◽  
Objectively Measured ◽  
Ecological Momentary

Abstract Sleep is a significant contributor to health and wellbeing across the lifespan, especially in later life. Poor sleep is common among older adults and can be both a risk factor for and consequence of numerous physical and mental health-related outcomes. In this symposium, we will present novel results from four studies that will advance understanding of the biological, psychological, and social factors that may contribute to or result from poor sleep in older adults. Specifically, Study 1 will present findings tying objectively measured sleep to performance on cognitive tasks administered using ecological momentary assessment (EMA) in the day-to-day lives of older adults with or without mild cognitive impairment (MCI). Study 2 will examine associations of personality dimensions and facets with insomnia symptoms in well-functioning older adults. Study 3 will examine psychological pathways linking parent-child relationships to subjective and objective sleep characteristics among older parents. Finally, study 4 will examine use patterns of cannabis for the treatment of sleep problems in older adults, and the ways in which this might differ from patients using cannabis for other reasons (e.g., pain). Together, this symposium will highlight novel links of an array of factors with sleep health in the aging population and their implications for prevention. Sleep, Circadian Rhythms and Aging Interest Group Sponsored Symposium.

scholarly journals Married Adults Coresiding with Older Parents: Implications for Paid Work and Domestic Workloads

2021 ◽  
Author(s):  
Ekaterina Hertog ◽  
Man-Yee Kan
Keyword(s):  
Older Adults ◽  
Time Use ◽  
Leisure Activities ◽  
Married Couples ◽  
Seemingly Unrelated Regression ◽  
Intergenerational Solidarity ◽  
Care Needs ◽  
Older Parents ◽  
Working Age ◽  
Intergenerational Coresidence

AbstractThe rise of life expectancy throughout the developed world has meant that older adults play an increasingly important role in their grown-up children’s lives. We evaluate whether the intergenerational solidarity theory is useful for understanding the intergenerational transfers of time in Japan given the relatively generous welfare provision for the older adults and the fall in intergenerational coresidence. We apply seemingly unrelated regression models to data of the 2006 Japanese Survey on Time Use and Leisure Activities (Statistics Bureau Japan, 2006) to investigate how coresidence patterns are associated with paid and unpaid work time of adult married children. The sample contains 23,226 married couples where both husband and wife are aged 20 to 59. We find evidence of intergenerational solidarity in coresident households. We also find that “doing gender” is layered through intergenerational exchanges of support between married working-age children and their older parents. Working-age women’s time use patterns are associated with coresidence arrangements and care needs of their older relatives to a much greater extent than working-age men’s. The observed patterns are consistent with healthy older women supporting their daughters’ careers in exchange for care when they need help themselves. For working-age men, the patterns are not very pronounced. Notably, working-age husbands without children appear to be more responsive to their older the parents’ care needs, suggesting that fatherhood may be associated with solidifying gendered role performance within Japanese couples.

scholarly journals Starting an Older Adult Lecture for First Semester Nursing Students With a Truth or Myth Game

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 14-14
Author(s):  
Lynn Brown ◽  
Pao-feng Tsai
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Nursing Students ◽  
Older Adult ◽  
Care Needs ◽  
Final Exam ◽  
Negative Stereotypes ◽  
First Semester ◽  
Positive Attitudes ◽  
New Information

Abstract False ideas about the physical and psychosocial characteristics of older adults exist in America. It is especially important that nurses are not susceptible to myths and stereotypes as these myths can affect the quality of patient care. For example, some people stereotype older adults as forgetful, disabled, ill, and unable to understand new information. Misconceptions and negative stereotypes are also present in first year nursing students. It is vital that students assess their own attitudes about older adults to form positive attitudes and gain knowledge about aging and health care needs. To achieve this goal, the older adult lecture in a first semester theory and fundamental course begins with a PowerPoint slide presentation asking students to distinguish truths and myths. The truth or myth topics include a) developmental tasks; b) common physiological changes; c) a comparison of delirium, dementia, and depression; and d) addressing health concerns of older adults. Active discussion follows the activity. Seventy to ninety percent of students correctly answered nine of ten questions related to older adult content on the final exam. Considering the increasing number of older adults in the health care setting, nurse educators must dismantle negative stereotypes with creative teaching strategies.

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