Aging Strong: Promoting Resilience Through Optimism, Purpose, and Social Connections

Resilience is defined as the ability to adapt and cope with circumstances in a way that empowers one to emerge stronger, thrive, and incorporate lessons learned. Resilience as a trait can be learned and modified and have a significant impact on healthy aging. UnitedHealthcare (UHC) and AARP Services, Inc. (ASI) are committed to the health and well-being of participants in UHC’s Medicare Supplement insurance plans, recognizing that health and wellness need to be promoted on a holistic level to ensure successful aging. In this effort, an initiative titled Aging Strong 2020 was developed to promote health, well-being, and increase resilience by focusing on the key individual pillars of enhanced purpose in life, social connectedness, and optimism. To accomplish this goal, a series of eight interventions over three years were created and delivered, with a focus on the key pillars in order to improve clinical and psychological health outcomes and participants’ satisfaction with health care. This symposium will specifically discuss efforts related to the Aging Strong 2020 program. First, we will describe the prevalence and outcomes of the pillars in a large national survey. Next, key challenges and successes in recruitment and retention for the various interventions will be highlighted, followed by overall findings from the eight interventions targeting the pillars. Finally, qualitative findings on participant experience as a result of participation will be discussed. Results from these initiatives demonstrate that interventions designed to improve well-being among older adults contribute to the holistic model of health.

Culture of Health Leaders: Building a Diverse Network to Advance Health Equity

The Culture of Health Leaders Program takes a holistic approach to leadership development, having participants work through a three-year process centered around four Areas of Mastery (self, relationships, environment, and change). Applying an equity lens to their leadership style and systems-level change work, a focus on the inner world, and network activation are some of the unique approaches the program uses that have resulted in advancing equitable leadership and a culture of health around the country. Use of rapid cycle learning and participant-led activities has allowed program staff to build upon lessons learned and adapt to participant needs in order to evolve the programming and participant experience since its inception in 2016.

828 STITCH And B**** - A Novel Programme Combining Pastoral Support and Surgical Skills

Aim Foundation training can be a challenging time for Junior doctors; though help and support is offered, it is not always taken up. This programme aims to create a safe environment to facilitate discussion and provide pastoral support alongside teaching them new surgical skills. Method Four different sessions were organised over the period of four months (August 2020 – November 2020) and FY1/FY2 doctors working in the Orthopaedic department at the GWH, Swindon were invited to attend. Each session focussed on assorted suturing techniques and knot tying. In addition, the facilitator directed conversation towards opportunities to discuss frustrations, challenges, queries as well as positive occurrences. A questionnaire was distributed at the final session to evaluate participant experience. Results 100% of attendees agreed or strongly agreed that they found their FY1 rotation challenging so far. 100% also scored 9/10 when asked how comfortable they were talking about concerns, worries or issues at these sessions. All the participants recorded ‘yes’ when asked if the session provided them with a listening ear, helpful advice, feeling supported, understanding/empathy and reassurance. 100% of the attendees scored that their confidence at suturing had improved (average: 4 points on a scale of 1-10). Conclusions Through these sessions, practical changes and improvements were achieved in the running of the Trauma and Orthopaedic department. Placement feedback was obtained, suggestions on things to improve or change and key issues were escalated to supervisors. There do not appear to be any similar programmes run that combine directed pastoral support and surgical skills teaching.

Opportunity, support and understanding: the experience of four early trainee nursing associates

Aims: This study aimed to capture the lived experience of some of the first trainee nursing associates (TNAs) during the pilot of the role in the January 2017 cohort of TNAs, based at the University of Derby. Methods: A convenience sampling approach was used to recruit participants to this phenomenological study. In-depth, semi-structured interviews were carried out with four participants to capture the experience, as lived by the first cohort of TNAs. Transcripts were transcribed verbatim and were analysed using interpretive phenomenological analysis. Results: Analysis suggests that the participant experience was characterised by six themes, namely: challenges relating to NA training; developing new skills; opportunity; the importance of support; impact of the NA role; and understanding the NA role. Conclusion: This study adds to our understanding relating to the lived experience of some of the first TNAs taking up training for this role within healthcare, and highlights some of the factors that were most pertinent, according to the lived experience of the trainees themselves. The authors hope that the findings of this study will prove useful for those considering taking up training for the role, or indeed establishments considering implementing the role with their settings.

Personal, Cultural, and Institutional Perspectives of Special Education Technology Integrators: A Narrative Inquiry

The purpose of this narrative inquiry was to gain a deep understanding of the lived experiences of four special education technology integrators from personal, cultural, and institutional perspectives. Two semi-structured, recorded interviews were conducted with each participant, followed by a focus group with all participants. Data analysis included continuous memoing, coding, cross coding, raw data triangulation, investigator triangulation, and member checking as a means of deeply understanding participant experience within the larger educational system. Study findings can be used to inform educational stakeholders and policy makers of the challenges found within special education, the unique benefits that special educators bring to the system, and how through collaboration, we might initiate systemic change in support of special education teachers.

Sensus: A Cross-Platform, General-Purpose System for Mobile Crowdsensing in Human-Subject Studies

The burden of entry into mobile crowdsensing (MCS) is prohibitively high for human-subject researchers who lack a technical orientation. As a result, the benefits of MCS remain beyond the reach of research communities (e.g., psychologists) whose expertise in the study of human behavior might advance applications and understanding of MCS systems. This paper presents Sensus, a new MCS system for human-subject studies that bridges the gap between human-subject researchers and MCS methods. Sensus alleviates technical burdens with on-device, GUI-based design of sensing plans, simple and efficient distribution of sensing plans to study participants, and uniform participant experience across iOS and Android devices. Sensing plans support many hardware and software sensors, automatic deployment of sensor-triggered surveys, and double-blind assignment of participants within randomized controlled trials. Sensus offers these features to study designers without requiring knowledge of markup and programming languages. We demonstrate the feasibility of using Sensus within two human-subject studies, one in psychology and one in engineering. Feedback from non-technical users indicates that Sensus is an effective and low-burden system for MCS-based data collection and analysis.

Single-Employer and Multiemployer Pension Plans: Problems and Prognosis

This article examines the state of single-employer and multiemployer pension plans for the period 1980s to 2020 with particular attention to funding, Pension Benefit Guaranty Corporation benefit guarantees and intervention procedures, financial status, participant experience, employer premiums, and benefit payments. It then shifts to congressional efforts to save the plans beginning with the Multiemployer Pension Reform Act of 2014 and continuing through the complex development of the HEROES Act with its conflicting EPPRA and GROW Act provisions. Due to an unresolved conflict between the Senate Republicans and the House Democrats, the pension provisions were removed from the compromise legislation that was signed into law at the very end of the Trump Administration. The matter will be further addressed by the new Democratic-controlled Congress and the Biden/Harris Administration. However, that may take a while. The issues are complicated and the Congress may be busy with more pressing matters for some time to come.

A Preliminary Comparison of In-Person and Telepractice Evaluations of Stuttering

Purpose The purpose of this study was to compare in-person and telepractice evaluations of stuttering with adult participants. The research questions were as follows: Is an evaluation for stuttering via telepractice equivalent to an in-person evaluation in terms of (a) duration of individual evaluation tasks and overall length of the evaluation, (b) clinical outcomes across evaluating clinicians, and (c) participant experience? Method Participants were 14 adults who stutter (males = 11; age range: 20–68) who were simultaneously assessed via telepractice and in-person. Comprehensive evaluations included analysis of the speaker's stuttering, evaluation of the speaker's perceptions and attitudes about stuttering, and language testing. Evaluations were administered by either an in-person clinician or a telepractice clinician but were simultaneously scored by both clinicians. Participants were randomly assigned to the in-person-led assessment condition or the telepractice-led assessment condition. Results No statistically significant differences were found between the in-person and telepractice-led evaluations in terms of overall evaluation task duration, evaluation clinical outcomes, or participants' reported experiences. That is, telepractice evaluations for stuttering in adults may be an equivalent option to in-person evaluations. Conclusions Results of this preliminary study indicate that telepractice evaluations of stuttering may be comparable to in-person evaluations in terms of duration, clinical outcomes, and participant experiences. The current study supports the notion that telepractice evaluations may be a viable option for adult clients who stutter. Clinical considerations and future directions for research are discussed.