scholarly journals Remain Independence and Neighborhood Social Cohesiveness Among Older Adults Participating in Three Community-Based Programs Promoting Aging-in-Community in the USA

2020 ◽  
Vol 6 ◽  
pp. 233372142096025
Author(s):  
Su-I Hou
Keyword(s):  
Older Adults ◽  
Inverse Relationship ◽  
Group Differences ◽  
Learning Program ◽  
Community Based ◽  
Community Based Programs ◽  
Aging In Community ◽  
The Usa ◽  
Lunch Program ◽  
Community Based Services

Objectives: Aging-in-community has been a preferred way to aging. This study examines and compares remain independence (RI) and neighborhood social cohesiveness (NSC) among three programs promoting aging-in-community (AIC). Methods: Older adults from three AIC programs were surveyed: a village program, a county neighborhood lunch program, and a university-based lifelong learning program. Previously validated RI (3-item) and NSC (4-items) measures were used. Results: Mean age was 72.4 ( SD = 8.68) years ( n = 289). Both the RI and NSC scales showed satisfactory reliabilities, with Cronbach’s alphas of .81 and .88, respectively. Analyses showed significant inter-group differences on both RI and NSC. After controlling for demographics, regressions showed inter-group differences remained for RI, while disappeared for NSC. Education level had an inverse relationship with RI, whereas married status had a positive relationship with NSC scores. Discussion: Findings call attentions to RI among higher education and NSC among single older adults for community-based services and programs promoting aging-in-community.

scholarly journals PROGRAM PLANNING STRATEGIES AMONG OLDER ADULTS PARTICIPATING IN THREE PROGRAMS PROMOTING AGING-IN-COMMUNITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S408-S409
Author(s):  
Su-I Hou
Keyword(s):  
Older Adults ◽  
Health Information ◽  
New Technology ◽  
Program Planning ◽  
Learning Program ◽  
New Technology Adoption ◽  
Aging In Community ◽  
Planning Strategies ◽  
Risk Takers ◽  
Lunch Program

Abstract This study examines program planning strategies among older adults participating in programs promoting aging-in-community (AIC) programs. Older adults from three programs were recruited (n=290): a university-based lifelong learning program (LLP; n=110), a county neighborhood lunch program (NLP; n=84), and a village program (n=96). Mean age was 72.4 (SD=8.68) years and 78% female. Findings showed NLP participants were more likely to obtain health information from TV (p=.030), friends and neighbors (p=.016), family members (p<.001), or mailed advertisement (p<.001); while less likely to obtain health information online (p<.001). Village members preferred afternoon while NLP participants preferred morning programs (p=.025). Most desired frequency was weekly (45%) and delivered in small group modes (68%). NLP participants were more likely to report self as risk takers (29% vs. 17%) or old tradition (23% vs. 3-8%) towards new technology adoption (p<.001). Results have implications on tailored program planning for older adults in different AIC programs.

scholarly journals Behavioral Health and Most-Interested Topics Among Older Adults in Three Aging-in-Community Programs in Florida

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 349-349
Author(s):  
Su-I Hou
Keyword(s):  
Older Adults ◽  
Behavioral Health ◽  
Fruits And Vegetables ◽  
Learning Program ◽  
Total N ◽  
Healthy Older Adults ◽  
Aging In Community ◽  
Program Sample ◽  
Lunch Program

Abstract This study compares behavioral health and most-interested topics among older adults in three aging-in-community (AIC) programs: a university-based lifelong learning program (LLP; 38%), a county neighborhood lunch program (NLP; 29%), and a village program sample (33%) (total n=289). Mean age was 72.4 (SD=8.68) years. Although perceived health was similar (mean=3.76), LLP and village members reported higher quality of life than NLP participants (p=.004). Two-thirds of the participants indicated at least half of their daily plates filled with fruits and vegetables, and at least 10 min. walking in 4.5 days during a typical week. The duration of each walking was lower among NLP members (23 min.), compared with village (31 min.) or LLP members (35 min.) (p=.002). The top three most interested topics were brain health, giving back, and keep community healthy. Older adults in AIC programs were overall healthy and active. Results have implication on tailored program development.

scholarly journals ELDER ABUSE AMID THE OPIOID EPIDEMIC: APS CASES IN RURAL AMERICA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S763-S763
Author(s):  
Pamela B Teaster ◽  
Karen A Roberto ◽  
Jyoti Savla
Keyword(s):  
Older Adults ◽  
Elder Abuse ◽  
Standard Errors ◽  
Opioid Misuse ◽  
Rural America ◽  
Opioid Use ◽  
Care Needs ◽  
Community Based ◽  
Community Based Services ◽  
Physical Care

Abstract Older adults are hidden victims of the opioid crises, suffering abuse at the hands of those who seek resources to support their addiction. Using APS data from 2015-2017 provided by the Kentucky Department for Community-Based Services, we used a logistic regression model with robust standard errors to examine whether substantiated cases of elder abuse were associated with opioid misuse by perpetrators. Overall, 9% of the 462 substantiated cases over the three-year period involved perpetrators were substance users. The percentage of these cases rose from 5% in 2015 to 13% in 2016 before dropping to 7% of elder abuse cases in 2017. Opioid use was most prevalent among perpetrators of financial abuse of older adults with cognitive and/or physical care needs. The current study offers a first look at empirical linkages between opioid misuse and elder abuse and revealed consistencies across cases that call for further investigation.

scholarly journals THE INTERSECTION OF ETHICS AND VULNERABLE ELDERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S238-S238
Author(s):  
Pamela B Teaster ◽  
Georgia Anetzberger
Keyword(s):  
Older Adults ◽  
Social Services ◽  
Ethical Issues ◽  
Elder Abuse ◽  
Cognitive Status ◽  
Ethical Challenges ◽  
Community Based ◽  
Conducting Research ◽  
Definition Of ◽  
Community Based Services

Abstract Researchers, practitioners and policymakers are daily confronted with multiple and competing situations regarding vulnerable older adults and the complex issues that they face in all aspects of their lives. Challenges can arise in the provision of social services, dispensing justice, conducting research, or addressing legal issues. The purpose of this symposium is to discuss dilemmas that vulnerable older adults and concerned others face by elucidating current and future challenges facing this population, particularly in the realms of compromised health (cognitive impairment); effective status (gender); care arrangements (home and community-based services); and abuse, neglect, and exploitation. Teaster and Anetzberger discuss relevant ethical theories and principles as well as a definition of vulnerability. Santos and Nichols-Hadeed report on ethical issues embedded in vulnerable elders’ cognitive status. Bowland and Halaas highlight the intersection of ethics, gender and vulnerable elders. Niles-Yokum and Beaumaster discuss the nexus of ethics and the provision of home and community based services for vulnerable older adults. Heisler considers vulnerabilities of older adults and ethical challenges when addressing elder abuse. Throughout the papers, we weave the ethical principles of autonomy, beneficence, nonmaleficence, and justice.

Community-Based Aging Services

2020 ◽  
Author(s):  
Jan Ivery
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Social Workers ◽  
Healthy Aging ◽  
Community Based ◽  
Limited Mobility ◽  
Age In Place ◽  
Increased Risk ◽  
Aging Services ◽  
Community Based Services

As individuals age, their physical community continues to be a primary entry point of intervention because of their attachment to place, social connections, and limited mobility to travel as far and as often as they would like or desire. The environment provides a context for understanding an older adult’s social interactions and the availability of and access to supportive services that reduce isolation and increased risk for reduced health status. When individuals age in place, social workers need to understand how community-based services can work with older adults in their community where they have lived for some time and have developed social networks. This knowledge will better assist social workers in their ability to effectively connect clients with appropriate resources. Unfortunately, it is not uncommon for an older adult’s environment to not reflect or adapt to their changing health status and physical mobility. Healthy aging (also referred to as age-friendly) and NORC (naturally occurring retirement communities) initiatives have emerged as examples of how to provide supportive, community-based services that will enable older adults to remain engaged in their community as they experience changes in their health status, mobility, and financial security. These community-level interventions emphasize the adaptability to an older adult’s changing lifestyle factors that influence how they navigate their community. These initiatives engage older adults in planning and implementing strategies to connect older adults with services and activities that promote aging in place. Social workers play a very important role in the provision of community-based aging services because they can serve as a bridge between older adults and the local, state, and federal level programs that may be available to them.

scholarly journals Use of Informal Support as a Predictor of Home- and Community-Based Services Utilization

2020 ◽  
Vol 76 (1) ◽  
pp. 133-140
Author(s):  
Kristen N Robinson ◽  
Heather L Menne ◽  
Raphael Gaeta
Keyword(s):  
Older Adults ◽  
Informal Caregivers ◽  
Behavioral Model ◽  
Study Data ◽  
Informal Support ◽  
Health Services Use ◽  
Community Based ◽  
Logistic Regression Models ◽  
Andersen Behavioral Model ◽  
Community Based Services

Abstract Objectives Home- and community-based services (HCBS) help older adults remain living safely in their homes by delaying or preventing the need for institutionalization. This analysis is guided by the Andersen Behavioral Model of Health Services Use to examine the association between informal support and use of HCBS. Method Health and Retirement Study data from 2011 and 2012 are used in the bivariate analyses and multivariate logistic regression models to examine differences in HCBS utilization among extremely vulnerable older adults who have informal caregivers and those who do not. Results For extremely vulnerable older adults who report difficulties with any instrumental or basic activities of daily living, use of HCBS is not strongly associated with access to informal caregivers. However, for this same population of extremely vulnerable older adults, those who live alone have roughly 3 times the odds of using any HCBS compared to those who do not live alone. Discussion Among already vulnerable older adults, this study revealed that living alone is an important enabling factor of the Andersen Behavioral Model as applied in HCBS research. Further investigation is needed to see if more resources should be allocated to senior centers and local providers to identify vulnerable older adults who live alone and may have unmet needs.

scholarly journals Self-Reported Dental Visits Among Older Adults Receiving Home- and Community-Based Services

2020 ◽  
pp. 073346482092532
Author(s):  
Steffany Chamut ◽  
Shahdokht Boroumand ◽  
Timothy J. Iafolla ◽  
Margo Adesanya ◽  
Elena M. Fazio ◽  
...  
Keyword(s):  
High School ◽  
Older Adults ◽  
Health Knowledge ◽  
Health Indicators ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Older Americans ◽  
Older Americans Act ◽  
Community Based Services

Objective: To investigate factors associated with infrequent dental use among older adults receiving home- and community-based services. Method: This cross-sectional study analyzed responses from the 2014 National Survey of Older Americans Act participants who received home- and community-based services. Descriptive and multivariable analyses were conducted to examine the association between infrequent dental use and key sociodemographic and health indicators. Results: Infrequent dental use was highest among adults participating in case management and home-delivered meals (63%); the lowest among those participating in congregate meals (41%). Participants who did not complete high school were 2 to 5 times more likely to be infrequent dental users compared to those with educational attainment beyond high school. Discussion: Among older adults receiving home- and community-based services, improving oral health knowledge and health literacy may reduce infrequent dental use.

Sign in / Sign up

Export Citation Format

Share Document