Older Adults’ Motivations for Participating in a “Tune-Up” of Their Driving Skills: A Multi-Stakeholder Analysis

Driver training has the potential to keep older adults safe behind-the-wheel for longer, yet there is limited evidence describing factors that influence their willingness to participate in training. Focus groups with community-dwelling older drivers ( n = 23; 70–90 years) and semi-structured interviews with driving instructors ( n = 6) and occupational therapists ( n = 5) were conducted to identify these factors. Qualitative descriptive analyses highlighted how self-awareness of behind-the-wheel abilities in later life can influence an older adult’s motivation to participate in driver training, as well as their willingness to discuss their behaviors. Collision-involvement and near-misses prompted participants to reflect on their driving abilities and their openness to feedback. Participants’ preferences for learning contexts that use a strengths-based approach and validate the driving experience of older drivers, while providing feedback on behind-the-wheel performance, were raised. Older driver training initiatives that consider the needs of the aging population in their design can promote road safety and community mobility.

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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041491 ◽

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.

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Using Everyday Technology Independently When Living with Forgetfulness: Experiences of Older Adults in Barcelona

Gerontology and Geriatric Medicine ◽

10.1177/2333721421993754 ◽

2021 ◽

Vol 7 ◽

pp. 233372142199375

Author(s):

Samuel Briones ◽

Louise Meijering

Keyword(s):

Older Adults ◽

Qualitative Methodology ◽

Local Community ◽

Phenomenological Study ◽

Later Life ◽

Learning Opportunities ◽

Individual Characteristics ◽

Community Dwelling ◽

Community Dwelling Older Adults ◽

The Capability Approach

Older adults living with forgetfulness encounter difficulties when engaging with changing and dynamic everyday technology (ET). The capability to use ET is important for independence in later life and is affected by the contextual and individual characteristics of older adults. Using the capability approach as a theoretical lens, this phenomenological study aims to explore the experiences of older adults living with forgetfulness, in order to identify contextual and individual factors that facilitate the use of ET in everyday life. A qualitative methodology was used to interview 16 community-dwelling older adults participating in memory and technology workshops at local community centres in Barcelona. Findings show that motivation and openness to learning played a facilitating role in our participants’ use of ET. The presence of social support in the form of “technology experts” and community centres offering learning opportunities were also enhancing factors that encourage independence when engaging with ET. In conclusion, our study demonstrates the importance of expanding intergenerational ET learning opportunities, through the creation of age-friendly spaces.

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I’m Not Creative in That Way: Older Adults’ Differential Experiences of an Arts-Based Intervention

Innovation in Aging ◽

10.1093/geroni/igaa057.3058 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 835-835

Author(s):

Colette Brown ◽

Andrea Chirino ◽

Cristina Cortez ◽

Cassandra Gearhart

Keyword(s):

Older Adults ◽

Conceptual Art ◽

Community Dwelling ◽

Structured Interviews ◽

Cognitively Normal ◽

Cognitive Improvement ◽

Adult Participants ◽

Art Activities ◽

Future Work ◽

Community Dwelling Older Adults

Abstract A recent 12-week intervention study revealed that making conceptual art is linked to improved cognitive health among community-dwelling older adults (Brown et al., 2020). Unknown, however, is whether the intervention experience differed for participants who exhibited more versus less improvement. This pilot study examined 163 excerpts from semi-structured interviews with cognitively normal, older adult participants (N = 11, Mean age = 72.82). Using thematic analysis and data displays on Dedoose, key themes were distilled regarding intervention acceptability. Participants exhibiting less cognitive improvement more often mentioned personally connecting to topics of dementia and aging through art, but more often mentioned scheduling conflicts. Conversely, participants exhibiting greater cognitive improvement more often mentioned experiencing intellectual enrichment, but feeling insecure about their art capabilities. Novel art activities may be personally meaningful and cognitively stimulating for some participants, but emotionally frustrating for others. Future work should explore ways to optimize arts-based interventions for older participants.

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Older adults, informal support, and the process of driving cessation

10.23889/suthesis.57737 ◽

2020 ◽

Author(s):

◽

Amy Murray ◽

Keyword(s):

Older Adults ◽

Third Sector ◽

Holistic Approach ◽

Later Life ◽

Qualitative Inquiry ◽

Support Network ◽

Informal Support ◽

Structured Interviews ◽

Driving Cessation ◽

Homogeneous Sample

The following thesis is based upon an exploration into the process of driving cessation in later life, with a specific focus upon informal support. Although informal support has been highlighted as a highly important factor across the process of driving cessation (Johnson, 2008; Hanson & Hilldebrand, 2011; Ichikawa et al, 2016; Schryer et al, 2017), there is limited research which has explored this in depth. There is even less literature available which has incorporated the views of informal support network members, to understand their lived experiences of the driving cessation process. Studies which have addressed this gap, have tended to focus upon the views of adult children only (Rosenbloom, 2010; O’Connell et al, 2013). Using a phenomenological line of qualitative inquiry, individual semi-structured interviews with current and retired older drivers (n=15), and their family, friends, and wider community members (n=15) were completed. This was to provide a holistic approach to understand the driving cessation process, for the receivers and providers of informal support. Following a detailed thematic analysis, findings revealed both the process of driving cessation and informal support, to be profoundly complex, multi-faceted phenomena’s, holding multiple meanings for participants. This included a range of practical and psychosocial outcomes, which were both positive and negative. Often, findings were inter-linked, demonstrating the complexity of experiences amongst this far from homogeneous sample. The implications of the study have important messages for a number of individuals and groups, including older adults, their informal networks, policy and practice, and third sector organisations.

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Rising above It: Status Ambivalence in Older Adults

Gerontology ◽

10.1159/000488389 ◽

2018 ◽

Vol 64 (6) ◽

pp. 576-588

Author(s):

Deirdre A. Robertson ◽

David Weiss

Keyword(s):

Older Adults ◽

Social Status ◽

Later Life ◽

Well Being ◽

Preliminary Evidence ◽

Protective Mechanism ◽

Structured Interviews ◽

Age Related ◽

The Social ◽

Implicit And Explicit

Background: Social status is the standing of a person or group in the social hierarchy, and is perceived to change across the life span from low social status in early life, to peak in midlife, and to a decline thereafter. As threats to subjective social status are known to be detrimental to individuals’ health, it is important to better understand how older adults perceive themselves and others in terms of age-related social status. Objective: We examined status ambivalence – the potential discrepancy between how older adults’ perceive social status for themselves compared to older adults in general. Method: Study 1 used qualitative data from 37 semi-structured interviews with older adults to assess perceptions of social status. Study 2 used quantitative survey data from 114 older adults who completed explicit and implicit measures of social status. Results: Study 1 (n = 37, meanage = 71.72, SDage = 5.69; 81.1% women) provided preliminary evidence for status ambivalence such that older adults reported unequivocal low social status for other older adults but a more ambivalent perception of their own social status. Study 2 (n = 114, meanage = 64.32, SDage = 8.98, 57.9% women) compared implicit and explicit measures of social status revealing that older adults consistently perceive older adults to have low social status but again show a more ambivalent perception of their own social status. Conclusion: We discuss status ambivalence as a potential protective mechanism in the context of negative societal perceptions of age-related social status that may be important for well-being in later life.

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Reclaiming Social Space: Adapting Neighbourhoods to Support an Ageing Population

10.26686/wgtn.17057993 ◽

2021 ◽

Author(s):

◽

Lisa McClintock

Keyword(s):

Older Adults ◽

Age Structure ◽

Social Space ◽

Later Life ◽

Community Dwelling ◽

Ageing Population ◽

Age In Place ◽

Creative Solutions ◽

Community Dwelling Older Adults ◽

Unique Potential

<p>The age structure of New Zealand’s population is expected to undergo a dramatic change in the next few decades. By 2050, it is thought that approximately one quarter of the population will be aged 65+. Research indicates that the overwhelming preference of older adults is to age in their own homes and communities if possible. However, loneliness among community-dwelling older adults is widespread. Architecture as a discipline has unique potential to critique existing neighbourhood design and generate creative solutions to provide a more socially fulfilling environment for residents to age in place. Architecture for ageing must combat loneliness and enable continued contact in later life. This research explores the sensitive adaptation of inner suburban Wellington neighbourhoods with the aim of empowering inhabitants to age positively in the community.</p>

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THE DIFFERENTIAL INFLUENCE OF REGIONAL CONTEXT ON LATER-LIFE HEALTH AND MORTALITY

Innovation in Aging ◽

10.1093/geroni/igz038.2970 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S806-S806

Author(s):

Alicia Riley

Keyword(s):

Older Adults ◽

Life Course ◽

Health Effect ◽

Later Life ◽

Community Dwelling ◽

Life Course Perspective ◽

The South ◽

Nationally Representative ◽

Health And Mortality ◽

The U.S

Abstract This study examines regional disparities in later life health from a life course perspective. To sort out when and how region influences health over the life course, I focus on the sharp contrast between the South and the rest of the U.S. in health and mortality. I draw on data from the National Life Health and Aging Project (NSHAP), a nationally representative sample of community-dwelling older adults in the U.S., to estimate the differential risk of multiple health outcomes and mortality by regional trajectory. I find that older adults who leave the South are worse off in multiple outcomes than those who stay. I also find evidence of a protective health effect of community cohesion and dense social networks for the Southerners who stay in the South. My results suggest that regional trajectory influences health in later life through its associations with socioeconomic status, access to healthcare, and social rootedness.

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Robotic Pet Use Among Community-Dwelling Older Adults

The Journals of Gerontology Series B ◽

10.1093/geronb/gbaa119 ◽

2020 ◽

Vol 75 (9) ◽

pp. 2018-2028 ◽

Cited By ~ 2

Author(s):

Janella Hudson ◽

Rachel Ungar ◽

Laurie Albright ◽

Rifky Tkatch ◽

James Schaeffer ◽

...

Keyword(s):

Older Adults ◽

Qualitative Content Analysis ◽

Community Dwelling ◽

Living Alone ◽

Social Connections ◽

Effective Solution ◽

Structured Interviews ◽

Active Lifestyles ◽

Potential Impact ◽

Community Dwelling Older Adults

Abstract Objective The primary purpose of this study was to explore the efficacy of robotic pets in alleviating loneliness for older adults. Method Self-reported lonely individuals with AARP Medicare Supplement plans insured by UnitedHealthcare who participated in a program with a robotic pet (n = 20) were recruited to participate in semi-structured interviews. Participants were asked to provide feedback about their experiences interacting with a robotic pet, their perceptions about the potential impact on loneliness, and recommendations for improving the program. Interviews were audio-recorded and transcribed verbatim. Participants’ responses were analyzed using qualitative content analysis. Constant comparison and consensus-gaining processes were used to develop categories that later formed representative themes. Results Seven themes emerged from analysis: Openness to Adoption of Robotic Pet, Reactions to Pet and its Attributes, Integration of Pet in Daily Life, Strategic Utilization and Forging New Connections, Deriving Comfort and Camaraderie, Advice for Future Users, and Recommendations for Enhancing Ownership Experience. Participants living alone, with fewer social connections and less active lifestyles, derived the most benefit from interacting with their pets. Common responses to pets included cuddling, petting, grooming, and sleeping with them. Some shared or loaned their pets, while others refused to loan their pets to interested peers. Most reported showing their pets to others, which helped some facilitate communication and social connections. Conclusion Robotic pets may be an effective solution for alleviating loneliness in older adults, especially among those who live alone, have fewer social connections, and live less active lifestyles.

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USEFUL FIELD OF VIEW AND DRIVING SIMULATION ACROSS TWO AGE GROUPS

Innovation in Aging ◽

10.1093/geroni/igz038.3511 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S968-S969

Author(s):

Rebecca A Dunterman ◽

Robert C Intrieri ◽

Marisa Guernsey

Keyword(s):

Older Adults ◽

Digit Span ◽

Age Groups ◽

Reaction Times ◽

Community Dwelling ◽

Older Drivers ◽

Field Of View ◽

Driving Simulation ◽

Risk Scores ◽

Useful Field Of View

Abstract The Insurance Information Institute (2017) reports that drivers aged 65 and older have the second highest rate of fatal car crashes. Research with the useful field of view (UFOV) assessment has predicted crashes in older drivers (Ball, 2006). “UFOV is defined as the area from which an individual can extract information quickly without head or eye movement” (Posit Science, 2019). Research demonstrates that older drivers are limited by poorer vision, divided attention and the inability to ignore distractions, and slower reaction time to critical stimuli (Owsley et al. 1998). As a result UFOV is an effective variable in assessing driver safety. We hypothesized that older compared to younger drivers would be less likely to inhibit attention to task irrelevant visual stimuli while engaged in a simulated driving task. Participants were community dwelling older adults and students recruited from a research pool and through word of mouth. Participants completed a series of demographic and health questions, Snellen visual acuity test a series of cognitive measures (e. g., Trails 1 and 2, digit symbol, digit span) and the UFOV assessment. Participants completed a driving simulation task while information on driving performance: number of collisions, speed limit deviations, turn signal use, time spent tailgating another vehicle, and braking reaction times. ANOVA demonstrated that as hypothesized, younger participants had significantly lower UFOV risk scores (p = .000). Older adults’ (M = 2.15, SD = .945) and younger adults’ (M = 1, SD = 0).

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Prevalence of Impaired Kidney Function in the German Elderly: Results from the Berlin Aging Study II (BASE-II)

Gerontology ◽

10.1159/000454831 ◽

2017 ◽

Vol 63 (3) ◽

pp. 201-209 ◽

Cited By ~ 4

Author(s):

Maximilian König ◽

Maik Gollasch ◽

Ilja Demuth ◽

Elisabeth Steinhagen-Thiessen

Keyword(s):

Risk Factors ◽

Older Adults ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

The Elderly ◽

Community Dwelling ◽

Structured Interviews ◽

Cross Sectional ◽

Increased Risk ◽

Aging Study

Background: In aging populations with an ever-growing burden of risk factors such as obesity, diabetes, and hypertension, chronic kidney disease (CKD) is on the rise. However, little is known about its exact prevalence among elderly adults, and often albuminuria is not included in the definition of CKD. Moreover, novel equations for the estimated glomerular filtration rate (eGFR) have recently emerged, which have not been applied comprehensively to older adults. Data on CKD awareness among the elderly are sparse. Objectives: To determine the prevalence of CKD among older adults by eGFR and albumin/creatinine ratio (ACR), compare the performance of 6 established and novel eGFR formulas, explore risk factors, and determine the awareness of CKD in a large cohort of community-dwelling elderly from Germany. Methods: A total of 1,628 subjects from the Berlin Aging Study II (BASE-II) were included in this analysis (mean age 68.7 years; 51.2% female). Extensive cross-sectional data on sociodemographics, lifestyle, medication, and diagnoses were inquired during structured interviews and a medical examination, and blood and urine parameters were measured. Results: In all, 77.1% of the subjects had hypertension, 12.4% had diabetes, and 18.3% were obese. The prevalence of CKD strongly depended on the eGFR equations used: 25.4% (full age spectrum [FAS] equation), 24.6% (Berlin Initiative Study), 23.1% (Lund-Malmö revised), 19.3% (Cockcroft-Gault), 16.4% (Chronic Kidney Disease-Epidemiology Collaboration [CKD-EPI]), and 14.7% (Modification of Diet in Renal Disease [MDRD]). Of the subjects with an eGFRFAS <60 mL/min/1.73 m2 and/or an ACR >30 mg/g, only 3.9% were aware of having CKD. Polypharmacy, age, BMI, coronary artery disease, non-HDL cholesterol, and female sex were independently associated with CKD. Conclusions: CKD is prevalent among older adults in Germany, but awareness is low. The FAS equation detects higher rates of CKD than MDRD and CKD-EPI, which are most widely used at present. Also, when CKD is defined based on eGFR and albuminuria, considerably more people are identified than by eGFR alone. Finally, polypharmacy is associated with an increased risk for CKD in the elderly.

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