Implementing technology literacy programs in retirement homes and residential care facilities: A conceptual framework (Preprint)

2021 ◽  
Author(s):  
Karen See-Wai Li ◽  
Nathan Nagallo ◽  
Erica McDonald ◽  
Colin Whaley ◽  
Kelly Grindrod ◽  
...  
Keyword(s):  
Older Adults ◽  
Knowledge Translation ◽  
Older Adult ◽  
Residential Care ◽  
Literacy Programs ◽  
Technology Literacy ◽  
Smooth Transition ◽  
Residential Care Facilities ◽  
Organizational Infrastructure ◽  
Care Facilities

BACKGROUND The COVID-19 pandemic caused widespread societal disruption, with governmental stay-at-home orders resulting in people connecting more using technology than in person. This shift had a large implication on older adult residents staying in retirement homes and residential care facilities, where older adult residents may lack the technology literacy needed to stay connected. The enTECH Computer Club from the University of Waterloo created a knowledge translation toolkit to support organizations interested in starting technology literacy programs (TLPs) by providing guidance and practical tips. OBJECTIVE This paper aimed to present a framework for implementing TLPs in retirement homes and residential care facilities, through expanding on the knowledge translation toolkit and the Framework for Person-Centred Care. METHODS Major concepts relating to the creation of a technology literacy program in retirement homes and residential care facilities were extracted from the enTECH knowledge translation toolkit. The domains from the Framework for Person-Centred Care were modified to fit a TLP context. The concepts identified from the toolkit were sorted into the three framework categories: Structure, Process, and Outcome. Information from the knowledge translation toolkit were extracted into the three categories and synthesized to form foundational principles and potential actions. RESULTS All 13 domains from the Framework for Person-Centred Care were redefined to shift the focus on TLP implementation, with 7 domains under Structure, 4 domains under Process, and 2 domains under Outcome. Domains in the Structure category focus on developing an organizational infrastructure to deliver a successful TLP; 10 foundational principles and 25 potential actions were identified for this category. Domains in the Process category focus on outlining procedures taken by stakeholders involved to ensure a smooth transition from conceptualization into action; 11 foundational principles and 9 potential actions were identified for this category. Domains in the Outcome category focus on evaluating the TLP to consider making any improvements to better serve the needs of older adults and staff; 6 foundational principles and 6 potential actions were identified for this category. CONCLUSIONS Several domains and its Foundational Principles and Potential Actions from the TLP framework were found to be consistent with existing literatures that encourage taking active steps to increase technology literacy in older adults. Although there may be some limitations to the components of the framework with the current state of the pandemic, starting technology literacy programs in the community can yield positive outcomes that will be beneficial to both older adult participants and the organization in the long-term.

Providing care for older adults with extreme obesity in aged residential care facilities: An environmental scan

2020 ◽  
Vol 36 (3) ◽  
pp. 24-36
Author(s):  
Caz Hales ◽  
◽  
Isaac Amankwaa ◽  
Lesley Gray ◽  
Helen Rook ◽  
...  
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Service Provision ◽  
Aged Care ◽  
Extreme Obesity ◽  
Financial Barriers ◽  
Residential Care Facilities ◽  
Environmental Scan ◽  
Staffing Ratios ◽  
Care Facilities

Little is known about the level of service demand and preparedness of Aotearoa New Zealand’s aged residential care facilities to care for older adults with extreme obesity. The aim of this study was to assess the current state of bariatric (extreme obesity) services within aged residential care. An environmental scan was conducted to identify bariatric resident needs and gaps in service provision to inform the development of policy and service provision. Observational and interview data from three facilities in Aotearoa New Zealand was collected along with a retrospective review of national resident admissions over a three-year period. Poor environmental design that included infrastructure deficiencies and financial barriers impacted on the ability to deliver safe and equitable care for this population. Specifically, equipment procurement and safe staffing ratios were of concern to the sector. There is an increasing need for bariatric level support within aged care, necessitating more equipment and staff, adaptation of physical care environments, and enhanced funding. Significant investment is required to address care concerns of older adults with extreme obesity at government and organisational levels.

scholarly journals Household Accessibility and Residential Relocation in Older Adults

2018 ◽  
Vol 74 (7) ◽  
pp. e72-e83 ◽  
Author(s):  
Marianne Granbom ◽  
Nancy Perrin ◽  
Sarah Szanton ◽  
Thomas K.M. Cudjoe ◽  
Laura N Gitlin
Keyword(s):  
Older Adults ◽  
Environmental Factors ◽  
Residential Care ◽  
The United States ◽  
Multinomial Regression ◽  
Housing Type ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Nationally Representative ◽  
Safety Features

Abstract Objectives It is unclear how home environmental factors influence relocation decisions. We examined whether indoor accessibility, entrance accessibility, bathroom safety features, housing type, and housing condition were associated with relocations either within the community or to residential care facilities. Methods We used prospective data over 4 years from the nationally representative National Health and Aging Trends Study in the United States of Medicare beneficiaries 65 years and older living in the community (N = 7,197). We used multinomial regression analysis with survey weights. Results Over the 4 years, 8.2% of the population moved within the community, and 3.9% moved to residential care facilities. After adjusting for demographics and health factors, poor indoor accessibility was found to be associated with moves within the community but not to residential care facilities. No additional home environmental factors were associated with relocation. Discussion One-floor dwellings, access to a lift, or having a kitchen, bedroom, and bathroom on the same floor may help older adults age in place. Understanding which modifiable home environmental factors trigger late-life relocation, and to where, has practical implications for developing policies and programs to help older adults age in their place of choice.

scholarly journals Agitated Behavior of Elderly and Alternative Simple Treatments: Individualized music – A feasibility study (the ABrEAST-iM feasibility study)

2020 ◽  
Author(s):  
Anastasia Mallidou ◽  
Anne-Marie Boström ◽  
Daphne Kaitelidou ◽  
Jennifer Brett ◽  
Sara John Fowler ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Positive Affect ◽  
Clinical Significance ◽  
Residential Care ◽  
Feasibility Study ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Individualized Music

Abstract Background Behavioral and psychological symptoms of dementia (BPSD) influence older persons’ quality of life. Non-pharmacological interventions such as individualized music (iM) are promising to reduce BPSD and sustain interpersonal connectedness that contributes to quality of life. The purpose of this study was to assess the practicalities (e.g., process, results) of iM activities application on older adults over 65 years of age diagnosed with dementia living in residential care facilities. Our objectives were to: a) evaluate the recruitment process; b) explore the process of iM activity implementation; c) assess the clinical significance of the outcomes. Methods A concurrent mixed methods feasibility study designed and was conducted in two residential care facilities in British Columbia, Canada to assess the practicalities (i.e., recruitment, acceptability of the intervention, adherence to it, and clinical significance) of iM activities implementation on older adults diagnosed with dementia living in residential care facilities. Data were collected from residents, their families and staff using administrative records, observations, surveys, and interviews. Our primary outcomes were affect and quality of life. Results The observed iM activities were feasible, acceptable and adhered to by residents with clinical significance. Specifically, about 47% of eligible residents, their families and staff agreed to participate in and completed the study (recruitment); approximately 86% of participants enthusiastically received and were satisfied with the iM activity (acceptability); more than 70% of participants completed at least seven of the nine iM sessions (adherence); about 55% of participants experienced an increase in positive affect scores and 29% had a decrease in negative affect scores after the intervention; more than 43% of participants had a reduction in BPSD (clinical significance). Finally, participants reported improvement of quality of life and positive effects of iM intervention and provided insights and suggestions to improve it. Conclusions Individualized music activities can be successfully implemented (i.e., feasible, acceptable, adherent) with significant clinical outcomes. Participants reported positive affect emotions, increase in quality of life and well-being. With this feasibility study, we developed a process to identify challenges and their solutions that may assist us in a following pilot study with similar iM intervention.

scholarly journals Bullying Among Older Adults: A Book Review

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Jane Lyons
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Senior Centers ◽  
Residential Care Facilities ◽  
Practical Guide ◽  
Care Facilities ◽  
Bullying Behaviors

In the book<em> Bullying Among Older Adults</em>, Bonifas examines bullying among older adults in senior centers and residential care facilities. Bonifas clearly describes bullying behaviors and presents a practical guide for assessment of bullying and antibullying intervention.

The functions and value of reminiscence for older adults in long-term residential care facilities

Memory ◽  
2016 ◽  
Vol 25 (3) ◽  
pp. 425-435 ◽  
Author(s):  
Linda A. Henkel ◽  
Alison Kris ◽  
Sarah Birney ◽  
Kaitlyn Krauss
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Residential Care Facilities ◽  
Care Facilities

scholarly journals Adequate vitamin B12 and riboflavin status from menus alone in residential care facilities in the Lower Mainland, British Columbia

2019 ◽  
Vol 44 (4) ◽  
pp. 414-419 ◽  
Author(s):  
Kyly C. Whitfield ◽  
Liz da Silva ◽  
Fabio Feldman ◽  
Sonia Singh ◽  
Adrian McCann ◽  
...  
Keyword(s):  
Older Adults ◽  
British Columbia ◽  
Residential Care ◽  
Vitamin B ◽  
Convenience Sample ◽  
Residential Care Facilities ◽  
Age Related ◽  
Increased Risk ◽  
Care Facilities ◽  
Riboflavin Status

Older adults have potential increased risk of nutrient deficiencies because of age-related decreased dietary intake and malabsorption; it is important to ensure nutrient needs are met to avoid adverse health outcomes. B vitamins are of particular interest: vitamin B12 deficiency can cause irreversible neurodegeneration; there is mandatory folic acid fortification in Canada; and suboptimal riboflavin status has been reported among older adults in the United Kingdom. In this exploratory secondary analysis study we assessed vitamin B12 and riboflavin biochemical status (via microparticle enzyme immunoassay and erythrocyte glutathione reductase activity coefficient (EGRac), respectively), and the vitamin B12, riboflavin, and folate content of menus served to a convenience sample of older adults (≥65 years) from 5 residential care facilities within the Lower Mainland of British Columbia, Canada. Diet was assessed from customized 28-day cycle meal plans. Participants (n = 207; 53 men and 154 women) were aged 86 ± 7 years, largely of European descent (92%), and nonsmokers (95%). The menus served had a low prevalence of inadequacy for vitamin B12 and riboflavin (only 4% and 1% of menus contained less than the estimated average requirement (EAR), respectively), but 93% contained less than the EAR for folate. Mean ± SD serum total vitamin B12 concentration was 422 ± 209 pmol/L, and EGRac was 1.30 ± 0.19. The majority of older adults in residential care were provided with adequate vitamin B12 and riboflavin menu amounts, and only 5% were vitamin B12 deficient (<148 pmol/L). However, 26% were riboflavin deficient (EGRac ≥ 1.4), which may warrant further investigation.

Targeting at Risk Older Adults in Residential Care Facilities for Specialized Geriatric Services

2006 ◽  
Vol 29 (3) ◽  
pp. 3-17 ◽  
Author(s):  
Faranak Aminzadeh ◽  
William B. Dalziel ◽  
Frank J. Molnar ◽  
Josee Alie
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Residential Care ◽  
Residential Care Facilities ◽  
Care Facilities

Longitudinal Associations of Falls and Depressive Symptoms in Older Adults

2019 ◽  
Vol 59 (6) ◽  
pp. 1141-1151 ◽  
Author(s):  
Namkee G Choi ◽  
C Nathan Marti ◽  
Diana M DiNitto ◽  
Mark E Kunik
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Depressive Symptoms ◽  
Residential Care ◽  
Negative Binomial ◽  
Residential Care Facilities ◽  
Community Or ◽  
Care Facilities ◽  
Longitudinal Associations ◽  
T1 And T2

Abstract Background and Objectives Fall incidents and associated medical costs are increasing among older adults. This study examined longitudinal associations between older adults’ falls status and depression at 2 time periods to further clarify bidirectional relationships. Methods We used the National Health and Aging Trends Study (NHATS) Waves 5 and 6 data and included sample persons (N = 6,299) who resided in the community or residential care facilities (not nursing homes) at both waves (T1 and T2). We employed multinomial logistic regression analysis to examine the association of T2 falls status with T1 depressive symptoms, and negative binomial regression and logistic regression analyses to examine the association of T2 depressive symptoms with stability/change in T1-T2 falls status. Results Over the study period, 46% of older adults (18 million Medicare beneficiaries) who lived in the community or residential care facilities reported a fall. T1 depressive symptoms were significantly associated with greater odds of T2 multiple falls, and increasing falls or continuing incidents of multiple falls between T1 and T2 were significantly associated with higher depressive symptoms and probable major depression at T2. Discussion and Implications The significant bidirectional relationships between T1 depression and T2 multiple falls point to the importance of incorporating depression treatment in fall prevention programs for older adults at high risk of increasing/multiple falls.

The Influence of Physical Environmental Factors on Older Adults in Residential Care Facilities in Northeast China

2021 ◽  
pp. 193758672110367
Author(s):  
Mu Jingyi ◽  
Zhang Shanshan ◽  
Yue Wu
Keyword(s):  
Older Adults ◽  
Environmental Factors ◽  
Residential Care ◽  
Physical Environment ◽  
Thermal Environment ◽  
Negative Impact ◽  
Lighting Condition ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Physical Environmental Factors

Objectives: To evaluate the aspects of the objective physical environments of five residential care facilities (RCFs) for older adults and the residents’ subjective perceptions of these aspects. Background: The physical environment in RCFs impacts the health and comfort of the residents. However, the design standards for RCFs lack details which can result in insufficient living conditions. Methods: Through questionnaire surveys, older adults’ satisfaction on the degree of the light, acoustic, and thermal environment in the facilities was obtained. Indoor lighting condition was measured by an illuminance meter in lux, sound pressure level (SPL) with sound level meters in dBA, and temperature in °C with a temperature data logger, and an audiometer was used to test the hearing of the older adults. Results: A total of 480 questionnaires were obtained. Results show that (a) older adults need an appropriate light environment to avoid the negative impact of limited light, (b) poor acoustic environment could affect their mood and health, and (c) when the room temperature is within the range of 20–26 °C (68–78.8 °F), they feel most comfortable. When the appropriate temperature and humidity, balanced illumination, and SPL meet the needs of older adults, it can provide a more comfortable physical environment for them. Conclusion: Examining the interaction between the physical environmental factors that affect older adults in RCFs is important for the design of residential housing and provides more theoretical support for research on the influence of the physical environment on the quality of life of older adults.

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