scholarly journals Personal Assistance for Older Adults (65+) Without Dementia

2008 ◽  
Vol 4 (1) ◽  
pp. 1-52 ◽  
Author(s):  
Paul Montgomery ◽  
Evan Mayo‐Wilson ◽  
Jane Dennis
2007 ◽  
Author(s):  
E Mayo-Wilson ◽  
P Montgomery ◽  
J Dennis

Author(s):  
Paul Montgomery ◽  
Evan Mayo-Wilson ◽  
Jane A Dennis ◽  
Evan Mayo-Wilson

2019 ◽  
Vol 5 ◽  
pp. 233372141988529
Author(s):  
Hongdao Meng ◽  
Lindsay J. Peterson ◽  
Lijuan Feng ◽  
Debra Dobbs ◽  
Kathryn Hyer

Objective: To examine whether mobility device use substitutes for personal assistance among U.S. older adults. Method: Using the National Health and Aging Trends Study, we identified 3,211 community-living older adults (aged 65 and older) who reported mobility difficulties at baseline. We used recursive bivariate probit models to simultaneously estimate the effect of covariates on the likelihood of using (a) mobility devices and (b) personal assistance to accommodate mobility difficulty. Independent variables included age, gender, race, physical/mental health status, cognition, and comorbidities. Results: Predictors of the use of personal assistance and mobility devices exhibit important similarities and differences. Device use reduced the odds of receiving personal assistance by 50% (odds ratio [OR] = 0.50, 95% confidence interval [CI] = [0.29, 0.86]). Discussion: Findings suggest device use substitutes for personal assistance. Practitioners and policymakers should promote the appropriate use of mobility devices while recognizing the importance of assistance with some groups and the potential of increasing mobility device use.


2016 ◽  
Vol 13 (2) ◽  
pp. 63-73 ◽  
Author(s):  
Merril Silverstein ◽  
Ling Xu

Abstract Increased life expectancy in China implies that adults increasingly survive long enough to see their grandchildren reach adulthood and take on elevated importance—even as smaller family size reduces the number of children and grandchildren available. This article examined the prevalence with which older adults received support and care from grandchildren and the family conditions under which the likelihood of this assistance is enhanced. The data for our analysis derived from the 2014 wave of the Chinese Longitudinal Aging Social Survey, limited to 13.4% of respondents (n = 1,551) who reported requiring personal assistance to perform daily activities. Logistic regression revealed that grandparents were more likely to receive assistance from grandchildren when they had no son available or had daughters who did not provide assistance. Results were consistent across urban and rural regions. These findings support the compensatory or substitution role of grandchildren as sources of support and care for their grandparents within a gendered family system. Implications for policies and services serving older people in China are discussed.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 937-937
Author(s):  
Kelly Marnfeldt ◽  
Lilly Estenson ◽  
Julia Rowan ◽  
Kathleen Wilber

Abstract Family caregivers of community-dwelling older adults have faced unprecedented caregiving challenges during the COVID-19 pandemic. Examining the accumulated impact on family caregivers can help health and aging service providers design resources and supports that are resilient to emergency situations, and reduce negative psychological and physical consequences and risk of abuse within caregiving dyads. Data was collected as part of a pilot intervention in which “Care Coaches” provided telephonic coaching sessions to family caregivers of older adults. We examined Care Coach observations documented after coaching sessions with 24 family caregivers between March 2020 and February 2021. Two coders employed thematic analysis to generate codes and themes. The sample was 70% female, 80% were the spouse or significant other of their care receiver, the mean age was 61, and 53% were Non-Hispanic White. Themes and sub-themes included: (1) increased caregiver burden and diminished care networks due to fear of exposure to or contraction of COVID-19, (2) barriers to accessing in-home personal assistance services and home-delivered meals despite intervention efforts, and (3) the exacerbation of caregiver social isolation due to COVID-19 lockdown policies. Findings highlight the ways in which COVID-19 has amplified caregiver burden through the breakdown of formal and informal support systems. Potential adaptations of community-based services for older adults and their caregivers include remote service liaisons and need assessment of caregiver dyads to assure access to home-based personal assistance services and nutrition support for those at greatest risk of negative consequences during emergency service lapses.


2007 ◽  
Vol 3 (1) ◽  
pp. 1-23
Author(s):  
Paul Montgomery ◽  
Evan Mayo‐Wilson ◽  
Jane A Dennis

2001 ◽  
Vol 41 (1) ◽  
pp. 82-88 ◽  
Author(s):  
Mayur M. Desai ◽  
Harold R. Lentzner ◽  
Julie Dawson Weeks

2019 ◽  
Vol 42 ◽  
Author(s):  
Colleen M. Kelley ◽  
Larry L. Jacoby

Abstract Cognitive control constrains retrieval processing and so restricts what comes to mind as input to the attribution system. We review evidence that older adults, patients with Alzheimer's disease, and people with traumatic brain injury exert less cognitive control during retrieval, and so are susceptible to memory misattributions in the form of dramatic levels of false remembering.


2019 ◽  
Vol 62 (5) ◽  
pp. 1258-1277 ◽  
Author(s):  
Megan K. MacPherson

PurposeThe aim of this study was to determine the impact of cognitive load imposed by a speech production task on the speech motor performance of healthy older and younger adults. Response inhibition, selective attention, and working memory were the primary cognitive processes of interest.MethodTwelve healthy older and 12 healthy younger adults produced multiple repetitions of 4 sentences containing an embedded Stroop task in 2 cognitive load conditions: congruent and incongruent. The incongruent condition, which required participants to suppress orthographic information to say the font colors in which color words were written, represented an increase in cognitive load relative to the congruent condition in which word text and font color matched. Kinematic measures of articulatory coordination variability and movement duration as well as a behavioral measure of sentence production accuracy were compared between groups and conditions and across 3 sentence segments (pre-, during-, and post-Stroop).ResultsIncreased cognitive load in the incongruent condition was associated with increased articulatory coordination variability and movement duration, compared to the congruent Stroop condition, for both age groups. Overall, the effect of increased cognitive load was greater for older adults than younger adults and was greatest in the portion of the sentence in which cognitive load was manipulated (during-Stroop), followed by the pre-Stroop segment. Sentence production accuracy was reduced for older adults in the incongruent condition.ConclusionsIncreased cognitive load involving response inhibition, selective attention, and working memory processes within a speech production task disrupted both the stability and timing with which speech was produced by both age groups. Older adults' speech motor performance may have been more affected due to age-related changes in cognitive and motoric functions that result in altered motor cognition.


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