Understanding Social Isolation Among Urban Aging Adults: Informing Occupation-Based Approaches

2017 ◽  
Vol 37 (4) ◽  
pp. 188-198 ◽  
Author(s):  
Carri Hand ◽  
Jessica Retrum ◽  
George Ware ◽  
Patricia Iwasaki ◽  
Gabe Moaalii ◽  
...  
Keyword(s):  
Social Isolation ◽  
Low Income ◽  
Social Engagement ◽  
Information Access ◽  
Community Based Participatory Research ◽  
Well Being ◽  
Poor Health ◽  
Policy And Practice ◽  
Related Factors ◽  
Aging Adults

Socially isolated aging adults are at risk of poor health and well-being. Occupational therapy can help address this issue; however, information is needed to guide such work. National surveys characterize social isolation in populations of aging adults but fail to provide meaningful information at a community level. The objective of this study is to describe multiple dimensions of social isolation and related factors among aging adults in diverse urban neighborhoods. Community-based participatory research involving a door-to-door survey of adults 50 years and older was used. Participants ( N = 161) reported social isolation in terms of small social networks (24%) and wanting more social engagement (43%). Participants aged 50 to 64 years reported the highest levels of isolation in most dimensions. Low income, poor health, lack of transportation, and infrequent information access appeared linked to social isolation. Occupational therapists can address social isolation in similar urban communities through policy and practice that facilitate social engagement and network building.

scholarly journals Social Volunteering in Aging Adults Increases Regions of the Amygdala and Correlates With Enhanced Generativity

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 795-795
Author(s):  
Michelle Carlson
Keyword(s):  
Social Engagement ◽  
Controlled Trial ◽  
Well Being ◽  
Health Study ◽  
Brain Health ◽  
Volunteer Program ◽  
Intention To Treat ◽  
Intervention Impact ◽  
Aging Adults ◽  
The Brain

Abstract The Brain Health Study (BHS) of the Baltimore Experience Corps Trial (BECT) examined whether a randomized, controlled trial of an intergenerational social volunteer program, entitled Experience Corps, increased subregions of the amygdala related to socioemotional memory and risk for Alzheimer’s disease in aging adults. We further assessed functional correlates of these intervention-related changes and changes in aging adults’ developmental need to be generative, or, to give back to the well-being of others. The BHS simultaneously randomized 112 men and women (59 intervention; 53 control) within BECT to evaluate intervention impact on biomarkers of brain health at baseline and annual follow-ups during the two-year trial. Intention-to-treat analyses revealed program-specific increases in the shape of the centromedial and basomedial regions of the left amygdala (p’s≤0.05 adjusted), which were correlated with increases in generativity (p’s =0.06). Meaningful social engagement buffered amygdalar declines important to preservation of emotionally salient memory and risk for dementia. Part of a symposium sponsored by Brain Interest Group.

Overcoming Barriers: Practical Strategies to Assess Latinos Living in Low-Income Communities

2019 ◽  
Vol 21 (3) ◽  
pp. 355-362 ◽  
Author(s):  
Alejandra Calva ◽  
Rebecca A. Matthew ◽  
Pamela Orpinas
Keyword(s):  
Data Collection ◽  
Participatory Research ◽  
Low Income ◽  
Community Based Participatory Research ◽  
Well Being ◽  
Community Members ◽  
Community Based ◽  
Leverage Points ◽  
Communities Of Interest ◽  
Health And Well Being

The value of community assessments depends on the researchers’ ability to reach a diverse and representative sample of participants. This process is particularly challenging when assessing the health and well-being of vulnerable populations that are reticent to participate in research because of demographic and sociopolitical factors. One such group is Latinxs (the gender-neutral version of Latinos or Latinas) of mixed immigration status who live in low-income, socially and geographically isolated enclaves in the Southeast. Framed by community-based participatory research and social marketing theories, this study describes practical strategies for health researchers, practitioners, and advocates seeking to engage and build trusting relationship within U.S. Latinx communities. First, identify and leverage points of entry to different segments of the communities of interest by engaging meaningful gatekeepers from different sections of the population and searching for places where potential participants gather. Second, reduce the burden of assessments by using incentives and creating intentional reciprocity. Third, establish critical, long-lasting trust with community members, leaders, and allies by adapting data collection procedures, ensuring confidentiality, engaging bilingual facilitators, and most important, being present with and for the community. Finally, presenting the findings back to the community can increase the ownership of the process.

scholarly journals Alzheimer's Association Project VITAL: A Florida Statewide Initiative Using Technology to Impact Social Isolation and Well-Being

2021 ◽  
Vol 9 ◽  
Author(s):  
Lorna E. Prophater ◽  
Sam Fazio ◽  
Lydia T. Nguyen ◽  
Gizem Hueluer ◽  
Lindsay J. Peterson ◽  
...  
Keyword(s):  
Online Education ◽  
Family Caregivers ◽  
Social Isolation ◽  
Social Engagement ◽  
Well Being ◽  
Care Staff ◽  
Project Echo ◽  
Learning Platform ◽  
People With Dementia ◽  
The Impact

Lack of social engagement and the resulting social isolation can have negative impacts on health and well-being, especially in senior care communities and for those living with dementia. Project VITAL leverages technology and community resources to create a network for connection, engagement, education, and support of individuals with dementia and their caregivers, and explores the impact of these interventions in reducing feelings of social isolation and increasing mood among residents during the COVID-19 pandemic. Through two phases, 600 personalized Wi-Fi-enabled iN2L tablets were distributed to 300 senior care communities (55% assisted living communities, 37% skilled nursing communities, 6% memory care communities, and 2% adult family-care homes) to connect and engage residents and their families. Different phases also included Project ECHO, a video-based learning platform, Alzheimer's Association virtual and online education and support for family caregivers, evidence-based online professional dementia care staff training and certification, and Virtual Forums designed to explore ways to build sustainable, scalable models to ensure access to support and decrease social isolation in the future. Tablet usage was collected over an 11-month period and an interim survey was designed to assess the effectiveness of the tablets, in preventing social isolation and increasing mood among residents during the COVID-19 pandemic. A total of 105 care community staff (whose community used the tablets) completed the survey and overall, these staff showed a high level of agreement to statements indicating that residents struggled with loneliness and mood, and that the tablet was useful in improving loneliness and mood in residents and allowing them to stay in touch with family and friends. Additional positive results were seen through a variety of other responses around the tablets and Project ECHO. Overall, the tablets were shown to be an effective way to engage residents and connect them with friends and family, as well as being a useful tool for staff members. A third phase is currently underway in the homes of people with dementia and their family caregivers, which includes tablets and direct access to Alzheimer's Association virtual and online education and support programs.

scholarly journals Economic precarity, social isolation, and suicidal ideation during the COVID-19 pandemic

2020 ◽  
Author(s):  
Julia Raifman ◽  
Catherine K. Ettman ◽  
Lorraine Dean ◽  
Colleen Barry ◽  
Sandro Galea
Keyword(s):  
Suicidal Ideation ◽  
Social Isolation ◽  
Low Income ◽  
Job Loss ◽  
Well Being ◽  
Health And Nutrition ◽  
The Us ◽  
Nationally Representative ◽  
Policies And Programs ◽  
The Relationship

AbstractImportanceThe US population faces stressors associated with suicide brought on by the COVID-19 pandemic. Understanding the relationship between stressors and suicidal ideation may inform policies and programs to prevent suicide.ObjectiveTo evaluate the relationship between stressors and suicidal ideation during the COVID-19 pandemic.DesignWe compared suicidal ideation in 2017-2018 to suicidal ideation in 2020. We estimated the association between stressors and suicidal ideation in bivariable and multivariable Poisson regression models with robust variance.SettingUnited StatesParticipantsParticipants were from two, nationally representative surveys of US adults: The 2017-2017 National Health and Nutrition Examination Survey and the 2020 COVID-19 and Life Stressors Impact on Mental Health and Well-being study (conducted March 31 to April 13), analyzed April 28 to September 30, 2020.ExposuresEconomic precarity as measured through job loss or difficulty paying rent and social isolation based on reporting “feeling alone.”Main outcome measureSuicidal ideation based on reporting “Thoughts that you would be better off dead or of hurting yourself in some way” over the past two weeks.ResultsSuicidal ideation increased more than fourfold, from 3.4% in the 2017-2018 NHANES to 16.3% in the 2020 CLIMB survey, and from 5.8% to 26.4% among participants in low-income households. Suicidal ideation was more prevalent among people facing difficulty paying rent (31.5%), job loss (24.1%), and loneliness (25.1%), with each stressor associated with suicidal ideation in bivariable models. In the multivariable model, difficulty paying rent was associated with suicidal ideation (aPR: 1.5, 95% CI: 1.2 to 2.1), while losing a job was not (aPR: 0.9, 95% CI: 0.6 to 1.2). Feeling alone was associated with suicidal ideation (aPR: 1.9, 95% CI: 1.5 to 2.4).Conclusions and relevanceSuicidal ideation increased more than fourfold during the COVID-19 pandemic. Difficulty paying rent and loneliness were most associated with suicidal ideation. Policies and programs to support people experiencing economic precarity and loneliness may contribute to suicide prevention.

Employee Ownership: Structuring Opportunities for Racial Wealth Building and Family Well-Being

2021 ◽  
pp. 104438942110230
Author(s):  
Janet Boguslaw ◽  
Tanya Smith Brice
Keyword(s):  
Low Income ◽  
Wealth Inequality ◽  
Well Being ◽  
Employee Ownership ◽  
Economic Security ◽  
Policy And Practice ◽  
Racial Wealth Gap ◽  
Wealth Gap ◽  
Black Employees ◽  
Wealth Building

Policies and practices of the 19th and 20th centuries have had a lasting impact into this century. This is most evident when examining racialized wealth inequality between Black and White families. This study of low-income employee owners examines the following questions: (1) Does employee ownership reduce the racial wealth gap? (2) How does employee ownership reduce the racial wealth gap, and (3) To what effect does employee ownership reduce the racial wealth gap? Findings indicate employee ownership impacts wealth building, advancement opportunities, and family economic security among Black employees and other marginalized populations. Policy and practice implications to advance employee ownership to address racial wealth inequality are highlighted.

scholarly journals Public perceptions and experiences of social distancing and social isolation during the COVID-19 pandemic: a UK-based focus group study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e039334 ◽  
Author(s):  
Simon N Williams ◽  
Christopher J Armitage ◽  
Tova Tampe ◽  
Kimberly Dienes
Keyword(s):  
Mental Health ◽  
Focus Groups ◽  
Social Isolation ◽  
Social Engagement ◽  
Social Activity ◽  
Well Being ◽  
Public Perceptions ◽  
Focus Group Study ◽  
Social Distancing ◽  
Early Stages

ObjectiveThis study explored UK public perceptions and experiences of social distancing and social isolation related to the COVID-19 pandemic.DesignThis qualitative study comprised five focus groups, carried out online during the early stages of the UK’s stay at home order (‘lockdown’), and analysed using a thematic approach.SettingFocus groups took place via online videoconferencing.ParticipantsParticipants (n=27) were all UK residents aged 18 years and older, representing a range of gender, ethnic, age and occupational backgrounds.ResultsQualitative analysis revealed four main themes: (1) loss—participants’ loss of (in-person) social interaction, loss of income and loss of structure and routine led to psychological and emotional ‘losses’ such as loss of motivation, loss of meaning and loss of self-worth; (2) criticisms of government communication—participants reported a lack of trust in government and a lack of clarity in the guidelines around social distancing and isolation; (3) adherence—participants reported high self-adherence to social distancing guidelines but reported seeing or hearing of non-adherence in others; (4) uncertainty around social reintegration and the future—some participants felt they would have lingering concerns over social contact while others were eager to return to high levels of social activity.Most participants, and particularly those in low-paid or precarious employment, reported feeling that the social distancing and isolation associated with COVID-19 policy has had negative impacts on their mental health and well-being during the early stages of the UK’s ‘lockdown’.ConclusionsA rapid response is necessary in terms of public health programming to mitigate the mental health impacts of COVID-19 social distancing and isolation. Social distancing and isolation ‘exit strategies’ must account for the fact that, although some individuals will voluntarily or habitually continue to socially distance, others will seek high levels of social engagement as soon as possible.

scholarly journals Contextual and Social Characteristics Relevant to Health and Well-Being in African American and White Adult Populations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 577-577
Author(s):  
Angela Sardina ◽  
Adrienne Aiken-Morgan ◽  
Alyssa Gamaldo
Keyword(s):  
Older Adults ◽  
African American ◽  
Social Services ◽  
Low Income ◽  
Social Engagement ◽  
Well Being ◽  
Grocery Stores ◽  
Community Resources ◽  
Housing Developments ◽  
Health And Well Being

Abstract With the burgeoning older adult population, there will be an increased demand for neighborhood and housing developments conducive to the interests and needs of older adults from diverse backgrounds of varying health and functional status. Several initiatives have sought to develop age-friendly neighborhoods, which focused on improving access and affordability of community resources. However, limited effort has focused on physical and social attributes of immediate housing environments, particularly amongst lower-income older adults. The need for affordable and usable housing developments for older adults that provide greater opportunities for social engagement, social services, and convenience to neighborhood resources (e.g., grocery stores, healthcare) will continue to rise. The objectives of the proposed symposium are the following: (1) to explore the physical and social attributes of older and low-income residents’ housing and their surrounding community; and (2) discuss how older and low-income residents’ housing and community resources relates to their health and well-being. This symposium will include presentations from three pilot investigations that highlight relevant subjective and objective contextual metrics related to health and well-being in underserved older populations. Tan and colleagues explored the role of well-being (i.e., purpose in life) in the relationships among sociodemographics, health, housing and community resources. Sardina and colleagues explored perceived leisure barriers and their relationship to sociodemographic, health, and psychosocial characteristics. Aiken-Morgan and colleagues examined associations between neighborhood socioeconomic disadvantage and health status among low-income African American older adults. Wright and colleagues explored associations between neighborhood disadvantage, brain health, and neurocognitive function in cognitively normal older adults.

scholarly journals Participants’ experiences of engagement in community-centred mental health and psychosocial support programmes in conflict-affected communities within sub-Saharan Africa: a qualitative systematic review

2021 ◽  
Vol 6 (12) ◽  
pp. e005388
Author(s):  
Cleothia Caroline Alford ◽  
Yuko Otake
Keyword(s):  
Mental Health ◽  
Sierra Leone ◽  
Low Income ◽  
Psychosocial Support ◽  
Well Being ◽  
Sub Saharan Africa ◽  
Policy And Practice ◽  
Middle Income ◽  
Republic Of The Congo ◽  
Sub Saharan

BackgroundSub-Saharan Africa (SSA) experienced a burden of organised violence within 18 low-income and middle-income countries and hosted over 33 million displaced persons in 2019. Community-centred mental health and psychosocial support (cc-MHPSS) programmes may provide insights to address the psychosocial well-being of conflict-affected individuals, though literature is mixed on community impact. This review aimed to synthesise qualitative evidence to understand the kind of experiences conflict-affected participants have and how these experiences occur during cc-MHPSS programme engagement in SSA.MethodsWe searched Global Health, MEDLINE, Psychological Information Database, Embase Classic+Embase, Social Policy and Practice, Web of Science, Africa-Wide Information, PubMed and Global Index Medicus databases. Eligible publications qualitatively reported on conflict-affected participants’ experiences of engagement in cc-MHPSS programmes. Data were extracted to summarise publication characteristics. The results were synthesised using a thematic synthesis analysis.ResultsThe search yielded 953 records, of which 20 publications were included in the review. Included publications were located in Rwanda (n=8), the Democratic Republic of the Congo (n=3), Mozambique (n=3), Sierra Leone (n=1), Ghana (n=1), Uganda (n=1), Zimbabwe (n=1) and South Sudan (n=1); one publication included three countries (Sierra Leone, Liberia and Uganda). Findings include the themes of (1) the experience of change in time and space, and (2) the sharing and silence of participants’ experiences. Findings demonstrate that elements transferred by participants from a cc-MHPSS programme to a natural community, and vice versa, contribute to participants’ healing. Elements’ transfer, or non-transfer, was often related to participants’ disclosure, or non-disclosure, of experiences.DiscussionFindings suggest that there are elements from a cc-MHPSS programme and a wider community which aid participant engagement and work therapeutically. More rigorous research is needed concerning how participants experience change during cc-MHPSS programme engagement in proximity to their relationship with the wider community.PROSPERO registration numberCRD42020197300.

scholarly journals Video Calls for Older Adults: A Narrative Review of Experiments Involving Older Adults in Elderly Care Institutions

2022 ◽  
Vol 9 ◽  
Author(s):  
Bérangère Naudé ◽  
Anne-Sophie Rigaud ◽  
Maribel Pino
Keyword(s):  
Older Adults ◽  
Information And Communication Technologies ◽  
Social Isolation ◽  
Elderly Care ◽  
Family Members ◽  
Well Being ◽  
Narrative Review ◽  
Remote Communication ◽  
Related Factors ◽  
Geriatric Settings

Social isolation in geriatric institutions is a real threat to older adults' (OAs) well-being. Visits from family members, when they are not impacted by geographical distance or illness, sometimes fail to provide sufficient opportunities for social connectedness and interaction to prevent and/or combat OAs' loneliness and social isolation. Information and Communication Technologies (ICTs) offer promising solutions to this problem. Video calls provide a quick and convenient way for remote communication between OAs and their families, and a complement to face-to-face visits in geriatric settings. Over the last months, during the several confinements imposed to stop the transmission of COVID-19 over the world, several care homes and long-care facilities have equipped themselves with laptops, tablets and video call applications to help OAs remain in contact with their relatives. However, numerous technical and human-related factors may hinder the use of video calls in these settings. The complexity of technological devices, as well as OAs limited digital skills, low confidence and experience in the use of technology are some examples. Furthermore, the specific context of use and the required implication of multiple actors (care professionals, family members) should also be considered when examining the use and implementation of video calls in geriatric institutions. We conducted a narrative review of literature describing the use of video calls in geriatric institutions between 2000 and 2021, especially because of the little information related to OAs' use of video calls in geriatric settings. One thousand one hundred ninety-seven references were screened and 15 studies focusing on the usability, acceptability and effectiveness of video calls were included. A qualitative, deductive thematic analysis inspired by a Health Technology Assessment (HTA) multidimensional model was used to identify barriers, enablers and solutions to video calls implementation in geriatric institutions. The results from the HTA-based analysis provide encouraging evidence for the feasibility of video call use in geriatric settings, and its efficacy on reducing social isolation among residents. However, numerous technical, human-related, ethical and organizational barriers persist and should be addressed in future works. The present analysis has also allowed the identification of potential solutions to overcome these barriers, which are discussed in this publication.

scholarly journals The little things are big: evaluation of a compassionate community approach for promoting the health of vulnerable persons

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kathryn Pfaff ◽  
Heather Krohn ◽  
Jamie Crawley ◽  
Michelle Howard ◽  
Pooya Moradian Zadeh ◽  
...  
Keyword(s):  
Social Isolation ◽  
Low Income ◽  
Social Care ◽  
Community Intervention ◽  
Well Being ◽  
Safety Net ◽  
Care Services ◽  
Health And Social Care ◽  
Student Volunteers ◽  
Vulnerable Persons

Abstract Background Vulnerable persons are individuals whose life situations create or exacerbate vulnerabilities, such as low income, housing insecurity and social isolation. Vulnerable people often receive a patchwork of health and social care services that does not appropriately address their needs. The cost of health and social care services escalate when these individuals live without appropriate supports. Compassionate Communities apply a population health theory of practice wherein citizens are mobilized along with health and social care supports to holistically address the needs of persons experiencing vulnerabilities. Aim The purpose of this study was to evaluate the implementation of a compassionate community intervention for vulnerable persons in Windsor Ontario, Canada. Methods This applied qualitative study was informed by the Consolidated Framework for Implementation Research. We collected and analyzed focus group and interview data from 16 program stakeholders: eight program clients, three program coordinators, two case managers from the regional health authority, one administrator from a partnering community program, and two nursing student volunteers in March through June 2018. An iterative analytic process was applied to understand what aspects of the program work where and why. Results The findings suggest that the program acts as a safety net that supports people who are falling through the cracks of the formal care system. The ‘little things’ often had the biggest impact on client well-being and care delivery. The big and little things were achieved through three key processes: taking time, advocating for services and resources, and empowering clients to set personal health goals and make authentic community connections. Conclusion Compassionate Communities can address the holistic, personalized, and client-centred needs of people experiencing homelessness and/or low income and social isolation. Volunteers are often untapped health and social care capital that can be mobilized to promote the health of vulnerable persons. Student volunteers may benefit from experiencing and responding to the needs of a community’s most vulnerable members.

Sign in / Sign up

Export Citation Format

Share Document