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Older Adults Access To Mental Health And Social Care Services During Covid-19 Restrictions In Western Australia, Claire Adams, Eyal Gringart, Daniel Mcaullay, Moira Sim, Brigitta Scarfe, Amy Budrikis, Natalie Strobel

Research outputs 2022 to 2026

Objective: This study aimed to understand the impact of COVID-19 on access to mental health and social services among older adults in Western Australia. Method: A cross-sectional study was conducted with 194 adults aged ≥ 70 years or ≥ 60 years with chronic conditions. A questionnaire co-developed by a consumer reference group was used to collect data on social networks and service access. Frequency analyses were used to assess quantitative data. Qualitative data were assessed using thematic analyses. Results: 62.7 % of participants reported being not at all/slightly affected by COVID-19; 40.7 % reported having three/four people to chat with. …

From 'Pandemic' To 'Endemic' And Beyond: Key Aspects Of Research On Older Singaporeans In A Year Of Transition, Nadya Haifan, Jane Tan, Rachel Wen Yi Ngu, Mindy Eiko Tadai, Yan Er Tan, Grace Cheong, Micah Tan, Wensi Lim

ROSA Research Briefs

The past year has been one marked by transition – as a country we have moved from treating COVID-19 as a pandemic to living with it as an endemic disease. Research conducted by the Centre for Research on Successful Ageing (ROSA) has taken a similar trajectory, expanding the scope of investigations from COVID-19 topics to other areas that are important for the general well-being of older adults in Singapore. This report showcases ROSA’s research involving older Singaporeans and the partnerships that have been forged in the past year. These developments will be presented in two sections. The first outlines the …

Likeability And Perceived Effectiveness Of Messages Designed To Encourage Physical Activity Participation Among Older Adults, Michelle I. Jongenelis, Ben Jackson, Robert U. Newton, Simone Pettigrew

Research outputs 2022 to 2026

Issue addressed: Older adults are significantly less likely than their younger counterparts to engage in physical activity. Comprehensive policies to support healthy ageing thus need to include components encouraging greater participation in physical activity in later life. This study tested potential messages for use in health communication campaigns aimed at increasing physical activity among older adults. Methods: Twelve written messages designed to encourage older adults to increase their levels of physical activity were rated by Australians aged 60-92 years (n = 369; 54 % female) on the variables of likeability and perceived effectiveness. Results: Ratings for all the tested messages …

The Effect Of The Care Transitions Intervention On Ed Revisits And Outpatient Clinic Follow-Up Among Older Adults Who Live Alone, Clara V. Kuranz, Rebecca K. Green, Angela Gifford, Gwen C. Jacobsohn, Thomas V. Caprio, Amy L. Cochran, Jeremy T. Cushman, Courtney M.C. Jones, Amy J. H. Kind, Michael Lohmeier, Manish N. Shah

Journal of Geriatric Emergency Medicine

INTRODUCTION: Older adults frequently return to an emergency department (ED) within 30 days of an initial visit. In this study, we examined the effectiveness of an adapted Care Transitions Intervention (CTI) at reducing risk of ED revisits within 30 days for older adults who live alone. We also explored the interaction between receiving help with healthcare needs and receiving the CTI on the risk of 30-day ED revisits.

METHODS: We conducted a subgroup analysis of community-dwelling older (age≥60 years) ED patients who reported living alone as part of a randomized controlled trial of CTI effectiveness following discharge home from one …

Case Study 6: Yoga Interventions Involving Older Adults

Journal of Nonprofit Innovation

“There is growing scientific evidence that yoga interventions have positive impacts on health in community-dwelling older adults. Older adults are an exponentially growing cohort; efforts to improve their health can also contribute to community health. The objective of the current integrative review was to examine quantitative evidence concerning effectiveness of yoga interventions related to the health of community-dwelling older adults. Six studies met inclusion criteria of community-dwelling older adults, randomized controlled trial (RCT) design, and yoga intervention in the past 10 years. Hatha yoga was most frequently used; interventions were well-received with high adherence rates."

Case Study 7: Effects Of Tai Chi On Patients With Mild Cognitive Impairment

Journal of Nonprofit Innovation

“Background and Purpose. Mild cognitive impairment (MCI) is a common condition, which threatens the quality of life of older adults. Tai Chi (TC) is growing in popularity among patients with MCI. This study is aimed at evaluating the effectiveness and safety of TC in older adults with MCI.”

Association Between Fall History And Gait, Balance, Physical Activity, Depression, Fear Of Falling, And Motor Capacity: A 6-Month Follow-Up Study, Catherine Park, Md Moin Uddin Atique, Ramkinker Mishra, Bijan Najafi

Center on Aging Staff Publications

Maintaining function in older adults is key to the quality of life and longevity. This study examined the potential impact of falls on accelerating further deterioration over time in gait, balance, physical activity, depression, fear of falling, and motor capacity in older adults. 163 ambulatory older adults (age = 76.5 ± 7.7 years) participated and were followed for 6 months. They were classified into fallers or non-fallers based on a history of falling within the past year. At baseline and 6 months, all participants were objectively assessed for gait, balance, and physical activity using wearable sensors. Additional assessments included psychosocial …

Life In An Endemic Covid-19: Older Adults' Well-Being, Activity, And Perceptions, Rachel Ngu, Micah Tan, Jia Ying Low

ROSA Research Briefs

The current research brief provides a preliminary examination of whether older adults have been able to ‘return’ to the pre-pandemic way of life in an endemic COVID-19. To do this, we look at several key indicators, including (1) tracking older adults’ overall life satisfaction, activity levels, and trust in government over the past 3 years, (2) older adults’ confidence to resume activities, as well as subjective perceptions about their safety when leaving the home in an endemic COVID-19, and (3) older adults’ ability to adhere to the Home Recovery Program (HRP), where individuals with COVID-19 are able to recover from …

The Commuting Patterns Of Older Adults, Yen Cong Wong, Yan Er Tan, Grace Cheong

ROSA Research Briefs

This research brief uses data from the Singapore Life Panel (SLP) and provides a general description of the commuting patterns of older adults in November 2021. By outlining the latter, we aim to provide some indication of whether Singapore’s transport infrastructure adequately supports the commute needs of older adults and how older adults’ commute fares against the Land Transport Authority (LTA) of Singapore’s Land Transport Master Plan (LTMP). Key findings: 1. Self-owned car (32.8%) was the most preferred mode of transport, followed by the public bus (25.3%), MRT (24.4%) and walking (8.3%). 2. In terms of utilization, public bus (50.3%), …

What Is The State Of The Literature About Robotic Animal Use Among Older Adults Receiving Hospice Or Palliative Care?, Allyson Miles

Social Work Theses - Archive

Objective: This review aims to assess the extent of the literature on robotic pet use among older adults receivinghospice or palliative care. Introduction: In 2015, in the U.S, an estimated 1,426,00 individuals received hospice; among this population, 94.6% were aged 65 or older (National Center for Health Statistics,2019). According to the literature, a social robot is defined as something that interacts with individuals socio-emotionally during the intervention (Hudson et al., 2020). Social robots, including robotic pets, are promising technological interventions that can benefit the psychosocial health of older adults and people with dementia. Although there are previous reviews on robotic …

Weight Perceptions And Health Education On Obesity Among Older Adults, Seonghoon Kim, Vicky Mengqi Qin, Xuan Zhang, Kanghyock Koh, Mindy Eiko Tadai, Micah Tan

ROSA Research Briefs

The current brief presents preliminary findings from a special module that measures perceptions of weight and receptivity to health education among older adults. Singapore Life Panel® (SLP) data collected in January 2022 (n=2814) were utilized. Two policy recommendations were made: The main findings highlight that weight misperception is prevalent among older adults. More than a third of respondents (39%) incorrectly perceive their weight status, particularly among overweight and obese older adults, as well as Malay and lower educated respondents. This suggests the importance of public health education for older adults to reduce misperceptions about their own over- and under-weight status, …

Masturbatory Behaviors Among Older Adult Populations: A Literature Review, Brandon Tischer

Journal of Undergraduate Research at Minnesota State University, Mankato

Sexual behaviors, such as masturbation, extend into older adulthood (50+ years in chronological age) and are present at all stages of the aging process. Different living situations and circumstances for older adults can affect masturbatory behavior, such as death of spouse, living in long-term care facilities, and cognitive decline. This literature review evaluates extant research on older adult masturbation, comprising 29 articles included in the final review, all published between 1991 and 2021. They consist of literature reviews, meta-studies, cross-sectional studies, semi-structured interviews, systematic reviews, and case studies. Current evidence suggests that masturbatory behaviors are an important part of older …

Respect Your Elders: An Examination Of Elder Care In The United States, Amy Jassman

University Honors Program

Insurance, healthcare, and workplace conditions are concerns of many senior citizens in the United States. This paper examines the repercussions of governmental policies and older adult stereotypes on the overall quality of care for older adults in the United States of America. This quality of care will be determined by analyzing how England’s, South Korea’s, Germany’s, Canada’s, and India’s programs and values with respect to elder care have impacted the health and well-being of the elderly. Studies on insurance systems, long-term care facilities, and workplace discrimination will be reviewed and compared. The findings show the United States to be trailing …

Respect Your Elders: An Examination Of Elder Care In The United States, Amy Jassman

University Honors College

Insurance, healthcare, and workplace conditions are concerns of many senior citizens in the United States. This paper examines the repercussions of governmental policies and older adult stereotypes on the overall quality of care for older adults in the United States of America. This quality of care will be determined by analyzing how England’s, South Korea’s, Germany’s, Canada’s, and India’s programs and values with respect to elder care have impacted the health and well-being of the elderly. Studies on insurance systems, long-term care facilities, and workplace discrimination will be reviewed and compared. The findings show the United States to be trailing …

From Isolation To Connection: A Cross-Sectional Analysis Of Older Adults’ Social Participation Using The Cov19-Qol Scale, Kathleen Melei, Jill Linder

The Open Journal of Occupational Therapy

Background: Social isolation during COVID-19 has the capacity to impact older adults’ physical health, mental health, and quality of life. Using an occupational therapy perspective of social participation as an occupation, the current study explores (a) the extent to which social participation (habits/routines) has changed following the onset of the COVID-19 pandemic, (b) differences in perceptions of social participation in relation to the COVID-19 pandemic, and (c) differences in scores on the COVID-19 Quality of Life (COV19-QoL) scale by demographics, access to health care, and lifestyle routine.

Method: Community-dwelling adults (N = 230) 65 years of age or …

Baseline Differences In Driving Frequency As A Predictor Of Cognitive Decline, Luke R. Miller

LSU Master's Theses

Driving is a complex task heavily dependent on cognitive functions which can decline with age including executive functions and processing speed. Although driving cessation as a predictor of cognitive changes has been studied, driving frequency is understudied in the literature. Thus, the objective of the current study is to evaluate the predictive utility of driving frequency at baseline toward objective cognitive decline beyond other factors associated with cognitive decline (e.g., depression, general functional mobility). The sample included a subset of 1,426 older adults (M age = 77.6, SD = 7.1) from the Rush University Memory and Aging Project. Participants completed …

Evaluating Mindfulness On Loneliness In An Older Adult Population, Jessica Tieskoetter

Dissertations

Problem: Loneliness is a widespread public health concern and has negatively impacted mortality and health outcomes among older adults. This quality improvement project’s purpose was to evaluate mindfulness on loneliness and quality of life among adults aged 65 years and older, participating in a weekly befriending socialization program.

Methods: A descriptive cohort design was utilized to assess loneliness pre-and post-implementation of a mindfulness telephone line over three months. A convenience sample of 22 older adults enrolled in a befriending socialization program was used. The Iowa Model of Evidence-Based Practice framework was applied to guide the implementation of a practice change …

Utilizing Heart Rate And Rpe To Prescribe Cycle Ergometer Hiit In Older Adults: A Feasibility Study, Christopher J. Keating, Pedro Ángel Latorre Román, José Carlos Cabrera Linares, Ana De La Casa Pérez, Juan Antonio Párraga Montilla

International Journal of Exercise Science

International Journal of Exercise Science 15(4): 896-909, 2022. Previous research has provided evidence that aerobic HIIT exercise can induce important physiological adaptations and elicit improvements in health and fitness parameters. However, most of the research has taken place in a laboratory setting with specialized equipment and monitoring devices. It begs the question, is HIIT accessible to the general aging population? The objective of the current research was to employ an age-predicted HRmax to prescribe a minimally invasive 4x4 cycle ergometer HIIT protocol. Ten participants (age: 64.2 ± 6.1) completed a non-weight-bearing cycle ergometer protocol for 6 weeks. Significant Pearson correlations …

Addressing Polypharmacy: Implementing The Medication Appropriateness Index Clinical Tool To Increase Deprescribing By Healthcare Providers, Lori Floyd

Doctor of Nursing Practice Projects

Background: Polypharmacy is a national and local issue of concern within healthcare. Deprescribing medications has been identified as a plausible solution for patients experiencing polypharmacy. However, many healthcare providers are unaware of the practice of deprescribing and, if aware, may not be implementing clinical tools for deprescribing effectively. The family medicine clinical site supplies an opportunity for healthcare providers to utilize an evidence-based clinical tool to review medications, identify if inappropriate, and deprescribe if indicated.

Purpose: The purposes of the Doctor of Nursing Practice (DNP) project were to increase deprescribing activity among prescribing healthcare providers and to increase prescribing healthcare …

Examining The Effects Of Passenger Conversation On Older Adult Driving, Allison Green, Meg Tedder, Amanda J. Mohler, Amanda M. Carpenter

Student Journal of Occupational Therapy

Older adults have impaired driving performance compared to other age groups, and auditory stimuli has adverse effects on driving performance (Karthaus & Falkenstein, 2016). Therefore, the purpose of this study was to expand knowledge of driving and passenger conversation within the older adult population. Participants (n = 17) completed a drive of 7.8 miles on a driving simulator twice; once without conversation and again with conversation. Both drives used the same simulated driving tasks to examine driving performance with and without conversation. Participants exhibited poorer driving performance from the first drive without conversation to the second drive with conversation, …

Ageism, Eldercare, And Healthcare: An Examination Of Growing Old In Costa Rica, Akshaya Vijayasankar

Honors Theses

The world’s aging population and the Covid-19 pandemic have revealed the high level of ageism against older adults around the globe, which has resulted in an overall decreased quality of life for elders. Societies are now faced with the challenge of creating a suitable and equitable model of care to support their aging population. Despite the recent publication of the World Health Organization's Global Report on Ageism, there is still a large gap in the literature regarding ageism. This paper addresses the issues of institutional ageism in the eldercare and healthcare sector. I argue that Costa Rica serves as a …

Reducing Medication Non-Adherence With Improved Health Literacy Interventions: An Evidence-Based Practice Quality Improvement Project, Unity Wiles

DNP Projects

Introduction

Health literacy is the ability to obtain, process, and understand basic health information and services needed to make appropriate healthcare decisions and follow instructions for treatment. Patients with low health literacy have been predicted to have poor health outcomes. The inclusion of the single-item literacy tool into the admission process of this project involved the patient-centered-care characteristics of improved patient experience, lower health cost, improved clinical experience, and better outcomes.

Purpose

The National Action Plan to improve Health Literacy seeks to engage organizations, professionals, policymakers, communities, individuals, and families in a linked multi-sector effort to improve health literacy. Low …

Nurses’ Attitudes Towards Hospitalized Older Adults In A Tertiary Care Setting In Ghana, Yakubu H. Yakubu, Abdul-Ganiyu Fuseini, Eleanor Holroyd

School of Nursing & Midwifery, East Africa

Introduction: The increasing population of older adults and rapid increases in co- morbidities globally has necessitated the need for a healthcare delivery system that meets the multifaceted needs of the growing population of older adults. Concurrent with these rising complex health needs is the importance of positive, non-judgmental attitudes of health services providers towards older adults. Moreover, this is particu-larly important in the nursing profession, given nurses' significant and crucial roles in healthcare settings.

Aim: The study aimed to evaluate nurses’ attitudes towards older adults in a tertiary hospital in Ghana.

Design: It employed a descriptive cross-sectional …

Older Adults Home-Based Care In Cairo: Asset Mapping Towards Community Development, Yomna El-Taweel

Theses and Dissertations

The health and economic consequences of the rapid growth of the older adults’ population above 60 have led to new and more flexible forms of care, including home-based care. In Cairo, Egypt, there seems to be a high demand and preference for home-based care services over other care services like nursing homes. From a policy makers’ perspective, older adults’ needs are sometimes approached in a deficit-oriented way. This might contribute to the disempowerment of older adults and make them feel like people with needs that can only be met by external support. This mixed-method study aimed to contribute to the …

A Photography-Based, Social Media Walking Intervention Targeting Autonomous Motivations For Physical Activity: Semistructured Interviews With Older Women, Michael C Robertson, Maria Chang Swartz, Ursela Christopherson, Jason R Bentley, Karen M Basen-Engquist, Debbe Thompson, Elena Volpi, Elizabeth J Lyons

Faculty, Staff and Students Publications

BACKGROUND: Older adult women are at risk for negative health outcomes that engaging in sustained physical activity can help prevent. However, promoting long-term maintenance of physical activity in this population has proven to be a challenge. Increasing autonomous motivations (ie, intrinsic, integrated, and identified regulations) for physical activity may facilitate enduring behavior change. Digitally delivered games for health that take a celebratory technology approach, that is, using technology to create new ways to experience valued behaviors and express valued beliefs, may be a useful way to target autonomous motivations for physical activity. Formative research with the target population is needed …

Social Security Benefits Continue To Fall Short Of Covering Cost Of Basic Needs For Older Americans, 2021, Jan Mutchler, Nidya Velasco Roldán

Center for Social and Demographic Research on Aging Publications

Social Security benefits fall short of what is required to cover the basic cost of living across the United States, according to new estimates based on the Elder Index, a county-by-county measure of the income older adults need to secure an independent lifestyle. Nationally, the average Social Security benefit covers just 68% of basic living expenses of housing, food, transportation, and health care for a single renter in 2021, and 81% for an older couple. The gap between Social Security benefits and what it takes to get by is especially problematic for older adults who rely largely or entirely on …

Socializing Targets Of Older Adults’ Sns Use: Social Strain Mediates The Relations Between Older Adults’ Sns Use With Friends And Well-Being Outcomes, Yue Qi Germaine Tng, Hwajin Yang

Research Collection School of Social Sciences

Studies have yielded mixed findings regarding the relation between older adults’ social networking site (SNS) use and well-being. Drawing on socioemotional selectivity theory, we sought to examine whether older adults’ SNS use with different socializing targets (i.e., family vs friends) would differentially predict global, social, and mental well-being outcomes indexed by life satisfaction, loneliness, and depressive symptoms, respectively. Furthermore, we examined whether social support and social strain would mediate, in parallel, the relations between SNS use and well-being outcomes. We recruited healthy, community-dwelling older adults (ages 60–93 years, N = 69). Using the PROCESS macro, we found that SNS use …

Longitudinal Implications Of Social Integration For Age And Gender Differences In Late-Life Physical Functioning, Masahiro Toyama, Heather R. Fuller, Jonix Owino

Psychology Faculty Research

Social integration has documented benefits for late-life health; yet, little is known about its impacts on trajectories of physical functioning. This study examines age and gender differences in the longitudinal associations between social integration and activities of daily living (ADLs) using a hierarchical linear model with three waves of survey data collected over 4 years from the Social Integration and Aging Study (N = 400; baseline mean age = 80.3). Findings indicated some interaction effects of age, gender, and/or social integration on ADL trajectories. Among those of more advanced age, women showed greater increases in ADL limitations than men, …

Volunteerism Among Older Adults In Singapore, Micah Tan, John Frederic Pedro Ortega, Nur Syafiqah Abdullah, Mindy Eiko Tadai, Rachel Wen Yi Ngu

ROSA Research Briefs

Volunteerism is recognised as a beneficial activity for individuals for many reasons. Beyond the potential of volunteerism to create new and meaningful communities (Hodge et al., 2013), it offers numerous benefits including improvement to one’s mental health (Willigen, 2000), self-esteem (Russell et al., 2018), and social connectedness (Hodge et al., 2013). Volunteering has also been found to provide a sense of purpose in one’s life (Schwingel et al., 2009). For these reasons and more, voluntary work among older adults may be a meaningful and effective pathway towards successful ageing, particularly for those in retirement. In Singapore, the National Volunteer and …

Gender Role Ideology And Implications For Well-Being Among Older Adults In Singapore, Nadya Haifan, Erra Natalia Sayri, Micah Tan, Mindy Eiko Tadai

ROSA Research Briefs

Gender role ideology, referring to the attitudes that individuals hold with respect to the social roles that different genders should adopt, have been suggested to affect the mental well-being (e.g., Paul & Moser, 2009; Sweeting, 2014) and marital satisfaction (e.g., Amato et al., 2007; Davis & Greenstein, 2009) of individuals. Despite this, gender role ideology and the impact they may have on well-being is understudied among older adults in Singapore. Given this, the current report provides a brief examination of gender role ideology among older adults in Singapore. This includes the following: 1. The demographic distribution of gender role ideology …