Gerontology Commons^™

Aging In Maynard: A Community Needs Assessment, Caitlin E. Coyle, Mary Krebs

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA), within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Maynard. The report supports the Council on Aging’s objective to identify and serve the needs of residents age 50 and older. The contents of this report are meant to inform the Town of Maynard, the Maynard Council on Aging (COA), the Senior Center, and organizations that work with and on behalf of older residents of Maynard for the purposes of COA mission fulfillment alongside planning and coordination of …

Providing End-Of-Life Counseling: A Narrative Inquiry, Carol Hecht, Sibyl West

Adultspan Journal

This qualitative study aimed to address the gap in the research related to end-of-life counseling by exploring the experiences of counselors working with clients at end of life. While counseling literature and education are lacking regarding end of life, many counselors will work alongside clients approaching death. The purpose of this study was twofold: (a) to better understand the nuanced experiences of counselors providing end-of-life counseling and (b) to explore the supports and preparations helpful for counselors to provide end-of-life counseling. A narrative approach, using the Listening Guide (Gilligan, 2015), was employed to analyze and present the stories of three …

Intersecting Inequities For Older Lgbtq+ Adults Of Color In The Advent Of Medicare Access: A Structural Vulnerability Framework, Christian D. Chan

Adultspan Journal

Although advances in Medicare legislation provide access for beneficiaries to professional counselors, older LGBTQ+ adults of Color face a litany of concerns that heighten stigma and inhibit their access to mental health services. The structural vulnerability framework identifies multiple domains that support the interface between Medicare coverage and access to care for older LGBTQ+ adults of Color. In this conceptual article, I outline (a) interdisciplinary scholarship that contextualizes the key issues facing older LGBTQ+ adults of Color; (b) the core tenets of the structural vulnerability framework; (c) implications for practice addressing structural vulnerability for older LGBTQ+ adults of Color with …

Mental Health Distress And Suicide Risk Among Older Adults Who Receive Nutrition Services Programming: Implications For Licensed Professional Counselors., Brittany R. Jones-Cobb, Jihee Hong, Mary Chase Breedlove Mize, Laura Shannonhouse

Adultspan Journal

Licensed professional counselors (LPCs) are now eligible to provide mental health counseling to older adults as Medicare providers. Many older adults receive home delivered (HDM) and congregate (CM) meal services through the Aging Services Network, though their mental health impact remains under examined. This study compared the mental health and suicide risk of older adults receiving HDM or CM services. Our cross-sectional study of 221 HDM and 150 CM recipients from 2018-2020 found significant group differences in psychological distress, t(366) = 3.28, p = .001, perceived burdensomeness; t(357.31) = 2.77, p = .006, and thwarted belongingness, t(357.96) …

Considerations Of Medicare Telehealth Services With Older Adults, Sonah Kho, Amanda Dediego

Adultspan Journal

The onset of the COVID-19 pandemic set in motion a rapid expansion of mental health services offered via telehealth. With this rapid expansion came the need to examine how policy and practice should be shaped in a future where telehealth is considered common in counseling practice. For counselors to understand how to support older adult clients in using telehealth services, they must understand telehealth policy. Following the eligibility of licensed counselors to participate in Medicare, counselors need to stay abreast of regulatory changes regarding restrictions and regulations on use of telehealth for mental and behavioral health services, including video and …

孫輩照顧者面對的挑戰研究報告, Chak Kwan, Dickon Chan, Kong Sang Lou, Meng Soi, Florence Fong, Sheung Wan, Wanda Wong, Ka Chung, Tom Kwong

APIAS Research Report 研究報告

背景和目的
香港人口老齡化和長期病患者的增加，令到更多老年人需要人照顧。現時社會對孫輩照顧者的認識不足，使到他們缺乏適切支援服務。本研究旨在探索孫輩照顧殘疾或患有慢性疾病的祖父母的情況，並提出政策與服務建議。嶺南大學亞太老年學研究中心聯同救世軍護老者協會及救世軍護老者服務於2024年4月25日舉辦了「孫輩照顧者的需要、實踐及政策」研討會，各方持份者分享他們對支援孫輩照顧者的經驗和看法，共同尋找方案支援這類照顧者。

研究方法
本研究於2023年4月至12月期間，採用深度訪談 (in-depth interview) 方式，訪問了共40位年齡介乎13至63歲的孫輩照顧者，瞭解他們成為照顧者的主要原因、提供了甚麼照顧，以及照顧過程中面對的困難。

研究結果

• 大部分受訪的孫輩照顧者 (67.5%) 為次照顧者，近半受訪者每周提供20小時以上的照顧工作。
• 共有47位祖父母/外祖父母受到照顧，年齡介乎62至99歲。大部分被照顧者 (91.5%) 行動不便，或患有長期病患 (76.6%)。被照顧祖父母當中過半 (57.4%) 沒有與孫輩同住，8.5%為獨居。
• 孫輩成為照顧者有數個原因，包括家庭成員無法提供照顧、減輕父母的壓力和回饋祖父母過往照顧之恩。
• 孫輩照顧者的照顧角色與他們的年齡、生活狀態、能力，以及被照顧者的需要有關。大部分孫輩照顧者和家人分擔照顧工作，並得到他們的協助。孫輩照顧者會主動運用各種輔助設備，以提高照顧成效。
• 孫輩照顧者除了要面對一般照顧者的困難外 (如支援服務及資訊不足、身心壓力和社交限制)，他們面對的壓力還包括學業及就業、家庭角色的衝突、「夾心」照顧者面對多重壓力，以及缺乏社會的認同。
• 政策建議
  研究報告建議政府須加強院校對就學照顧者的支持、提供額外假期予在職照顧者、將照顧者主題納入中學課程、推廣朋輩支援小組、提供線上及晚間照顧技巧課程、開發多元化暫託服務、建立個案管理制度，以及推動樂齡科技之運用。

Promoting Cultural Humility, Belonging, And Inclusion To Improve Well-Being Among Direct Care Staff In Oregon Assisted Living, Residential Care, And Memory Care Communities, 2024, Jacklyn Kohon, Dani Himes, Laura Rodriguez, Sarah Dys, Paula Carder, Diana Jacoby, Madeline Fox

Institute on Aging Publications

The voices and experiences of those working and living in assisted living, residential care, and memory care (AL/RC) settings in Oregon are highlighted in this study to understand cultural humility, belonging, inclusion, and intersectional experiences related to sustaining the workforce and promoting quality care. This qualitative study collected data through individual and focus group interviews with a total of 68 people, including 25 direct care staff, voice memos or interviews with 9 former direct care staff, interviews with 9 administrators, interviews with 7 management representatives (owner/operators, human resources specialists, directors of operations, among other titles), and interviews with 18 current …

Climate And Extreme Weather Event Impacts On Administrators, Direct Care Staff, And Residents In Oregon Assisted Living, Residential Care, And Memory Care Communities, 2024, Dani Himes, Jacklyn Kohon, Madeline Fox, Laura Rodriguez, Sarah Dys, Diana Jacoby, Paula Carder

Institute on Aging Publications

This brief report on AL/RC staff and resident experiences with climate events highlights the voices of AL/RC direct care staff, former direct care staff, residents, administrators, and management representatives to promote well-being in these care settings. This study can inform Oregon’s efforts to support long-term care workforce readiness for future climate emergencies and inform future quantitative data collection on AL/RC and other long-term care workers, including those employed in home health agencies, nursing facilities, and adult foster homes.

How Can America Support The Health Of Its Diverse Aging Population?, Catherine García, Lauren L. Brown, Marc A. Garcia

Population Health Research Brief Series

By 2030, one in five Americans will be 65 or older. Rapid population aging in the United States is unfolding alongside a parallel trend of rising racial and ethnic diversity. In the coming decades, African American, Native American, Asian, Native Hawaiian and Pacific Islander, Hispanic/Latino, and multiracial groups are projected to experience significant growth in their proportions of adults who survive past age 65. Despite improvements in health and gains in longevity in recent decades, minorized groups continue to experience significant barriers to healthy aging. This brief provides an overview of the social determinants of healthy aging, provides recommendations for …

Framing The Path To Fitness: Age Differences In Response To Framed Exercise Messages, Iliya Sherif, David B. Taullahu, Alyssa R. Minton, Joseph A. Mikels

DePaul Discoveries

Physical activity is one of the most protective health behaviors one can engage in, yet 75% of active adults in the US, meaning those who exercise regularly, fall short of the recommended levels of physical activity, with an even greater percentage of older adults living inactive lives, meaning they exercise minimally and engage in prolonged sedentary behavior (CDC, 2019). The goal of the current study was to explore different types of message framing targeted at encouraging older and younger adults to exercise. We recruited older adults (n = 184; Mage = 69.45 years, age range: 65- 80 years) and younger …

America Is Unprepared To Meet The Needs Of Its Growing Older Adult Population, Sierra Kaplan

Population Health Research Brief Series

In 2030, nearly 73 million Americans will be aged 65 years or older. As Americans continue to have fewer children than in the past, the number of older adults will outnumber children. Thus, fewer young adults will be around to support and care for the older adult population. Coupled with COVID-19 pandemic-driven disruptions to the healthcare industry, America’s health and aging care system is unprepared to support its large and growing older adult population. Over time, we will see increased health care scarcity and inequality in the distribution of elder care services, especially with continued healthcare worker shortages and drastic …

Report On Findings From Household Needs Study, Paulin T. Straughan, Mathew Mathews

ROSA Research Briefs

The Household Needs Study (HNS) aimed to capture public perspectives on essential items and activities that are deemed necessary for a normal life in Singapore and to understand the extent to which Singaporeans are able to access these items and activities. To do so, the study adopted the Living Standards Approach (Saunders, Naidoo & Wong, 2022), which purports that individuals experience relative deprivation and/or social exclusion if they do not have access to items and activities that are deemed to be essential by society. In this study, a survey was conducted with a nationally representative sample of around 4,000 respondents …

How Did Cognitive Status Impact Health Care Use Among Older Adults During The Covid-19 Pandemic?, Katarina Sako, Janet Wilmoth

Population Health Research Brief Series

Physical distancing measures during the COVID-19 pandemic disrupted the lives of older adults. Older adults experiencing dementia and other forms of cognitive decline have impaired executive functioning that made it even more difficult to contend with these disruptions. This brief presents findings from research that used data from the 2021 Health and Retirement Study to examine differences in health care delays and health outcomes during the COVID-19 pandemic among a nationally representative sample of U.S. older adults (ages 50+) with versus without cognitive decline. Results show that most older adults did not delay getting health care and did not experience …

Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic exacerbated many illnesses afflicting older adults in U.S. communities, including mental health wellness. Since 2020, at the inception of the pandemic, older adults living in residential settings, including assisted living and skilled nursing homes, experienced harsh limitations in their everyday lives. The conditions included prolonged periods of isolation and reduced interactions between caregivers and loved ones. Therefore, it is important to understand the experiences of older adults living in facilities and their ability to adapt to the environment. The research question addressed in this study gained insight into the effects of mandated isolation on older adults. Using …

Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic exacerbated many illnesses afflicting older adults in U.S. communities, including mental health wellness. Since 2020, at the inception of the pandemic, older adults living in residential settings, including assisted living and skilled nursing homes, experienced harsh limitations in their everyday lives. The conditions included prolonged periods of isolation and reduced interactions between caregivers and loved ones. Therefore, it is important to understand the experiences of older adults living in facilities and their ability to adapt to the environment. The research question addressed in this study gained insight into the effects of mandated isolation on older adults. Using …

Childlessness, Social Network Profiles In Midlife And Late Adulthood, And Their Implications For Subjective Well-Being, Bussarawan Teerawichitchainan, Dahye Kim, Christine Ho

Research Collection School Of Economics

Objectives: Despite the rising prevalence of individuals reaching advanced age without children, little is known about the diversity of support networks within childless populations. We examine the network profiles of childless adults aged 50+ in Singapore, which observes high childlessness rates despite societal emphasis on familism. Methods: We employ latent class analysis to derive network typology based on a 2022 nationwide survey in Singapore. Additionally, we use logistic regression analyses to investigate the sociodemographic correlates of childless individuals' network types and the associations between these network types and subjective well-being. Results: Childless Singaporeans form a heterogeneous group characterized by different …

How Is Our Mobility Affected As We Age? Findings From A 934 Users Field Study Of Older Adults Conducted In An Urban Asian City, Yi Zhen Tan, Ngoc Doan Thu Tran, Sapphire Lin, Fang Zhao, Yee Sien Ng, Dong Ma, Jeonggil Ko, Rajesh Krishna Balan

Research Collection School Of Computing and Information Systems

In this paper, we analyze the results of a large study involving 934 older adults living in an urban Asian city that collected their mobility patterns, in the form of logged GPS data, along with a multitude of demographic and health data. We show that mobility, in terms of average distance travelled per day, is greatly affected by age and by employment status. In addition, other factors such as type of day, household size, physical and financial conditions and the onset of retirement also play a significant role in determining the mobility of an individual. These results will have high …

The Hidden Struggle: Challenges Older Women Face In Nevada, Annie Vong

Student Research

In 2020, almost one in five Nevadans was over the age of 65.[1] However, within this age group, women outnumber men due to longer life expectancies[2] and migration patterns. Women over 65 years of age make up an estimated 18.1% of the female population in Nevada.[3] Of the male population in Nevada, 15.1% are over 65 years of age.[4] Older women are less likely to be married, are less likely to have completed a bachelor’s degree, are more likely to drop out of the labor force, and are more likely to be living in poverty in …

A Qualitative Exploration Of Well-Being In Cancer Survivorship: Implications For Counselors, Hallie M. Sylvestro, Lindsey K. Umstead, Heather Delgado, Christopher Lawrence, Keith Mobley, Kelly L. Wester, Andrew Wood

Adultspan Journal

Adult cancer survivors represent an important–and growing–population that could benefit from counseling services. This study employed consensual qualitative research to examine the well-being experiences of eight cancer survivors. Findings suggest a broad range of changes to individual well-being following cancer diagnosis and treatment, and indicate counseling can provide an ideal setting for processing such changes. Recommendations for counseling practice and future research are provided.

Supporting South Korea’S Aging Population: How Ai And Iot Acceptance Connects The Young And Old, Bobby Im

Master's Projects and Capstones

In 2024, South Korea surpassed every other nation by becoming the country with the lowest fertility rate (below 0.7%). Population decline will hinder future ability to care for their aging population and although the government and private corporations are investing millions of dollars on developing Artificial Intelligence-Internet of Things (AI-IoT) devices to support the aging, the acceptance levels and the amount of family support required is undervalued. By examining AI-IoT’s current use and role in South Korea’s public health system this paper shows how intergenerational support helps optimize existing procedures and equipment, increases the level of acceptance and use, and …