Older Adults’ Self-Reported Barriers to Aging in Place

2021 ◽  
pp. 073346482098880
Author(s):  
Brianna Brim ◽  
Stacy Fromhold ◽  
Shannon Blaney
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Aging In Place ◽  
Community Services ◽  
Health Access ◽  
Personal Health ◽  
Home Improvement ◽  
Analysis Process ◽  
Safety Assessments ◽  
Safety Features

Current literature on aging in place highlights the socioemotional components that act as barriers to remaining in the home, but it often neglects actionable safety features of the home which may also pose a threat. Furthermore, this literature often neglects self-reported barriers to aging in place. Utilizing grounded theory, a retrospective review of home safety assessments completed in Philadelphia analyzed older adult reports to determine what factors older adults view as barriers to their aging in place plans. Overarching categories that were discovered through the data analysis process included barriers related to home mobility and safety, personal health, access to community services, home improvement and maintenance needs, general safety concerns, and bathroom safety. Results indicate that older adults can identify many barriers to aging within their home, but that accessing support and services to overcome these barriers requires additional resources and funding.

Graphic Novela: Mexican American Families’ Use of Community Services for Older Adults

2021 ◽  
pp. 105477382110570
Author(s):  
Lori Martin-Plank ◽  
Mary P. Davis ◽  
Deborah K. Williams ◽  
Jennifer T. May ◽  
Evangeline M. Ortiz-Dowling ◽  
...  
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Support Services ◽  
Mexican American ◽  
Community Services ◽  
Qualitative Description ◽  
Advisory Council ◽  
Structural Barriers ◽  
Mexican American Families

Knowledge gaps exist about how to help Mexican American (MA) families seek assistance when their capacity to assist older family members is challenged. MA families may resist confronting unpleasant but real situations with the older adult, for example, the need to access long term support services (LTSS), because of cultural and structural barriers. The purpose was to describe stakeholders’ reactions to a culturally focused graphic novela created in partnership with a community advisory council. Qualitative description with content analysis of a focus group’s reactions to the graphic novela was used. Results included positive reactions as well as suggestions for improvement and dissemination. Graphic novelas can be an effective medium for modeling conversations about older adults’ needing additional care, and demonstrating how to identify and access available LTSS or other services. Included is a description of the researchers’ process of partnering with diverse stakeholders, which is essential for creating new solutions.

scholarly journals Engaging Stakeholders to Implement an Aging in Place Intervention through an Area Agency on Aging

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 873-873
Author(s):  
Pamela Toto ◽  
Caylee Yanes ◽  
Molly Ennis ◽  
Beth Fields
Keyword(s):  
Older Adults ◽  
Goal Setting ◽  
Home Environment ◽  
Aging In Place ◽  
Community Services ◽  
Evidence Based ◽  
Team Meetings ◽  
Eligibility Requirements ◽  
Stakeholder Input ◽  
Evidence Based Programs

Abstract Community Aging in Place, Advancing Better Living for Elders (CAPABLE) is an interdisciplinary evidence-based intervention for reducing disability, reducing cost, and promoting aging in place for older adults who qualify for Medicaid services. However, implementation of CAPABLE through existing community services and with different older adult populations may require adaptations based on stakeholder input. The purpose of this qualitative study was to adapt CAPABLE for implementation through an Area Agency on Aging (AAA) targeting older adults with disability but who do not meet thresholds for Medicaid services. Data collection occurred with stakeholders from a single AAA. Two, 60-minute focus groups were conducted with frontline providers (n=7) and administrators (n=7). Thematic analysis of the data were completed using NVivo 12 Pro. Stakeholders described three themes to consider for implementing CAPABLE in their AAA: screening and referral process, eligibility, and team meetings. Frontline providers recognized the need to allow care managers “to decide who would be most appropriate for the program because they have a better understanding of the person, their family, and home environment.” Administrators supported expanding eligibility requirements, “Could we offer the program to someone even if they were recently hospitalized?” All stakeholders expressed that an initial interdisciplinary team meeting could be beneficial for goal setting, “If the team and consumer could be together for the first meeting that could save time and help generate ideas for goals.” These perspectives affirm the importance of early stakeholder engagement in adapting to adopt evidence-based programs into “real-world” settings.

scholarly journals Lack of Diversity in Personal Health Record Evaluations with Older Adult Participants: A Systematic Review of Literature

2017 ◽  
Vol 23 (4) ◽  
pp. 789 ◽  
Author(s):  
Laura Kneale ◽  
George Demiris
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Evaluation Studies ◽  
Personal Health Record ◽  
The Body ◽  
Personal Health ◽  
Inclusion Criteria ◽  
Adult Participants ◽  
Full Text Review ◽  
Study Participants

Background: Older adults are not adopting personal health records (PHRs) at the same rates as other adult populations. Disparities in adoption rates are also reported in older adult subgroups. The variability in adoption may be because PHRs are not designed to meet older adult users.Objective: We analyzed PHR evaluation studies to examine the characteristics and perspectives of older adult study participants to identify their self-reported needs.Method: We searched Medline, CINAHL, PsycINFO, and Embase for PHR evaluation studies that involved older adult participants.Results: 1017 abstracts were identified, and 179 publications went through full text review. 10 publications met inclusion criteria. These publications described studies conducted in 3 countries, and evaluated 7 PHRs. Homogeneity was found in the study populations and participant opinions of the systems.Discussion: Many PHR evaluations do not include diverse older adult participants. This may lead to consistency in outcomes, but it also may create gaps in identifying user needs. Additional studies, specifically targeting diverse older adult participants, are needed to gain a more comprehensive understanding of the opinions of older adults on PHRs and how these systems could benefit older adult healthcare consumers.Conclusion: The body of research shows that older adults are highly satisfied using PHRs. These outcomes may be generalizable because most PHR evaluation studies do not include diverse older adult participants. This lack of participant diversity may be contributing to the disparities observed in PHR adoption rates.

Design Lessons for Older Adult Personal Health Records Software from Older Adults

2011 ◽  
pp. 176-185 ◽  
Author(s):  
Juan Pablo Hourcade ◽  
Elizabeth A. Chrischilles ◽  
Brian M. Gryzlak ◽  
Blake M. Hanson ◽  
Donald E. Dunbar ◽  
...  
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Records

Promoting the Resilience of Older Adults Through Participatory Climate Change Adaptation Planning

2019 ◽  
Vol 16 (3) ◽  
Author(s):  
Jason Rhoades ◽  
James Gruber ◽  
Bill Horton
Keyword(s):  
Climate Change ◽  
Older Adults ◽  
Older Adult ◽  
Planning Process ◽  
Community Services ◽  
Adaptation Planning ◽  
Vulnerability To Climate Change ◽  
Raising Awareness ◽  
Adult Participants ◽  
City Agencies

Abstract Despite older adults’ vulnerability to climate change, little research has investigated their preferred adaptation strategies. The purpose of this paper is to provide insight into their perspective and the potential for participatory adaptation to enhance their resilience. This paper presents the results of a collaborative adaptation planning process conducted with older adults in Bridgeport, Connecticut. During two meetings, older adult participants developed recommendations following adaptation best practices. Recommendations focused on encouraging preparedness through workshops and informational materials tailored for older adults. Additional recommendations focused on enhancing community services to provide effective warning mechanisms, shelter access, ride sharing and transportation assistance, and establishing a telephone based clearinghouse for extreme weather and emergency resources for older adults. A prioritization exercise showed that the participants and city staff believed all recommendations were potentially effective and feasible. A summative evaluation showed that the participatory planning enhanced resilience by raising awareness among the older adult participants and city agencies, enhancing communication, and increasing the older adult participants’ ability to self-advocate.

Planning for Aging in Place

2016 ◽  
Vol 37 (1) ◽  
pp. 29-42 ◽  
Author(s):  
Mildred E. Warner ◽  
George C. Homsy ◽  
Lydia J. Morken
Keyword(s):  
Older Adults ◽  
Rural Communities ◽  
Built Environment ◽  
Local Governments ◽  
Regression Models ◽  
Aging In Place ◽  
Community Services ◽  
Influential Factors ◽  
Physical Environments ◽  
Aging Services

Using a national survey of US local governments, we explore the drivers of planning and service delivery for older adults. Our regression models find that planning for aging and elder engagement are the most influential factors explaining the level of community services for elders. Services are lower in less dense suburban and rural communities, and market-based services are lower in communities with more senior poverty. This creates two challenges for planners: to help generate a market response for aging services, and to articulate the link between the built environment and services so communities that lack supportive physical environments can become better places to age.

scholarly journals Using Smart Speakers in Low-Income Senior Housing to Enhance the Aging in Place Experience: Stakeholder Views

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 663-664
Author(s):  
Jane Chung ◽  
Jodi Winship ◽  
Katherine Falls ◽  
Pamela Parsons ◽  
Michael Bleich
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Low Income ◽  
Aging In Place ◽  
Comparative Approach ◽  
Emotional Wellbeing ◽  
Structured Interviews ◽  
Senior Housing ◽  
Target User ◽  
Voice Technology

Abstract Smart speakers provide a platform that can integrate smart home technology and/or safety devices within the home to enhance quality of life and independent living for older adults. However, few attempts to utilize this technology specifically within low-income senior housing (LISH) residents have been documented. Our purpose was to explore different stakeholder perceptions about the use of smart speakers to support aging in place in older adults living alone in LISH. Smart speakers were deployed in individual LISH apartments, equipped with a voice technology-based aging in place solution for the facility. A qualitative analysis of semi-structured interviews using a constant comparative approach for emerging themes was conducted (n=10: older adult users, n=2: housing staff, n=2: voice technology developers). The three participant groups showed diverging perceptions in terms of benefits, uses, and stakeholder interests. Older adults found smart speakers useful in four main areas: assistance with daily tasks, feeling connected, safety measures, and emotional wellbeing. The two other groups showed a broader interest in the use of the smart speaker device, such as residential management tools and communication channels in addition to its potential use as safety and wellness tools. Older adults experienced significant difficulty setting up desired functions or finding instructions, which restricted utilization of the technology to a limited set of tasks. All stakeholder groups addressed a need for formal training or personalized tech support for older adult users. Findings indicate the importance of developing deployment strategies tailored to the needs and characteristics of the target user group.

Talk or Walk? Gait Speed over Self-Report in Association with Cognitive Speed in Healthy Older Adults

GeroPsych ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 41-52
Author(s):  
Matthew C. Costello ◽  
Shane J. Sizemore ◽  
Kimberly E. O’Brien ◽  
Lydia K. Manning
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Gait Speed ◽  
Well Being ◽  
Self Report ◽  
Subjective Report ◽  
Healthy Older Adults ◽  
Relative Value ◽  
Cognitive Speed ◽  
Age Range

Abstract. This study explores the relative value of both subjectively reported cognitive speed and gait speed in association with objectively derived cognitive speed. It also explores how these factors are affected by psychological and physical well-being. A group of 90 cognitively healthy older adults ( M = 73.38, SD = 8.06 years, range = 60–89 years) were tested in a three-task cognitive battery to determine objective cognitive speed as well as measures of gait speed, well-being, and subjective cognitive speed. Analyses indicated that gait speed was associated with objective cognitive speed to a greater degree than was subjective report, the latter being more closely related to well-being than to objective cognitive speed. These results were largely invariant across the 30-year age range of our older adult sample.

Prescription of Exercise in Older Adults, Physiotherapeutic Approach

2017 ◽  
Vol 2 (5) ◽  
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Exercise Prescription

• Identify the changes related to aging that must be taken into account for the prescription of the exercise • Define the appropriate functional assessmentsforthe prescription of the exercise in the older adult • Recognize the factors that influence the adherence to exercise by older adults • Describe according to the objectives the correct exercise prescription for older adults.

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