Gerontology Commons^™

Older Artists And Acknowledging Ageism, Liz Langdon

International Journal of Lifelong Learning in Art Education

Intergenerational (IG) learning has the potential to reinforce ageist ideas, through the culturally produced binary of old and young which often describes IG learning. This research with older artists revealed implicit age bias associated with a modernist tradition in art education which minimized the value of art production viewed as feminine. Language associated with ageism shares the descriptors of the feminine and seep into our perceptions. Cooperative action research with multi-age participants facilitated personal growth and through critical reflection, implicit ageism revealed in the researcher’s prior perspective is revealed.

Leaf-Ing A Legacy, Susan R. Whiteland

International Journal of Lifelong Learning in Art Education

Leaf-ing a Legacy is the story of a university art education class that joined with an elementary classroom and residents in a long term health/rehabilitative center through a service-learning project that utilized digital technology and art making in a problem-based learning format to explore the concept of legacy. Evidence was found that the experience promoted socio-emotional learning and fostered the building of socio-emotional capital for the participants involved.

Editorial, Pamela H. Lawton

International Journal of Lifelong Learning in Art Education

No abstract provided.

International Journal Of Lifelong Learning In Art Education 2018 Full Issue, Pamela H. Lawton

International Journal of Lifelong Learning in Art Education

No abstract provided.

Smart Eldercare In Singapore: Negotiating Agency And Apathy At The Margins, Lily Kong, Orlando Woods

Research Collection School of Social Sciences

Around the world, smart technologies are being embraced as a cost-efficient means of enabling the elderly to be cared for in new, more non-proximate ways. They can facilitate ageing-in-place, and have the potential to relieve pressure on the providers of care. Yet, the fact is that the interface of technology and society is a negotiated one. These negotiations are most acutely felt when technology is used to supplement the hitherto human-centred process of caregiving, especially amongst “marginalised” societal cohorts, like the elderly. With this, there is a need to better understand the ways in which smart eldercare technologies are used, …

Caring For Thai Older Persons With Long-Term Care Needs, John Knodel, Bussarawan Teerawichitchainan, Wiraporn Pothisiri

Research Collection School of Social Sciences

Objective: To provide a situation analysis of recent long-term care (LTC) needs among older persons in Thailand. Method: The 2014 Survey of Older Persons in Thailand (SOPT) provides data to assess patterns of caregiving,whether care needs are met, and who are main caregivers for older Thais. We examine how types of familial and non-familial caregivers are associated with the wellbeing of older persons. Results:The need for LTC increases sharply with age and is more common among women than men. Spouses and children constitute approximately 90% of main caregivers. The association of a family member as the main caregiver and education …

Seniors Bullying In Ontario, The Sheridan Centre For Elder Research Preliminary Research Data, Liza Franses, Kirsten Madsen

Investigation One: Bullying Between Older Adults: What is happening in Ontario. Investigation Two: Seniors Anti-bullying Implementation and Evaluation Project

This webinar provides a project overview, demographic representation, preliminary statistics, and next steps of the Senior Bullying Project at Sheridan College in partnership with Elder Abuse Ontario and the Centre for Elder Research at Sheridan College.

Informing Care: Mapping The Social Organization Of Families’ Information Work In An Aging In Place Climate, Nicole K. Dalmer

Electronic Thesis and Dissertation Repository

Within an institutional ethnography method of inquiry, this dissertation makes visible the information work that permeates the care work of families of people living with dementia who are also aging at home. An institutional ethnography privileges people’s everyday work and acknowledges that local contexts are influenced by translocal, ruling relations. To map out the social organization of family caregivers’ information work, this dissertation details four separate, yet interrelated studies. The first study comprises two sets of interviews: one with 13 family caregivers of older adults to understand their experiences of the information work they do and a second with five …

An Integrative Approach To Investigating Bilingual Advantages In Cognitive Decline: The Australian Longitudinal Study Of Ageing, Wei Xing Toh, Andree Hartanto, Joanne Qin Ying Tan, Hwajin Yang

Research Collection School of Social Sciences

A commentary on “The relationship of bilingualism to cognitive decline: The Australian Longitudinal Study of Ageing” by Mukadam N, Jichi F, Green D, Livingston G (2018). International Journal of Geriatric Psychiatry, 33(2), e249‐e256, .

Labour Research Conference 2018: Upskilling Of Mature Workers, Stephen Hoskins, Luca Facchinello

Research Collection School Of Economics

Many developed countries are approaching an era of ageing population due to an increase in longevity and decrease in fertility rates. Singapore is no exception, having one of the fastest ageing populations in Asia, which is driven by low fertility rates and the third longest life expectancy in the world. The number of elderly citizens, defined as those aged 65 and above, is expected to triple to 900,000 by 2030, making up about 28% of the total population in Singapore (Population SG, 2016). This changing population age profile, combined with a competitive labour market, means it makes business sense to …

The Multi-Scalar Organization Of Aging-Related Services In Us Rural Places, David L. Brown, Nina Glasgow, Laszlo J. Kulcsar, Scott R. Sanders, Brian C. Thiede

Faculty Publications

Many rural communities in the United States are experiencing significant population aging, and these changes in age structure are often associated with shifts in economic activity. The demands for certain goods and services are expected to vary across age groups, and public- and private-sector service providers may make decisions based on their interpretation of demographic trends. The extent to which these perceived changes in the demand for services align with their provision has significant implications for the well-being of the older residents of aging communities. In this article, we draw on case studies of four aging communities across the rural …

Wenham Connects: An Age And Dementia Friendly Needs Assessment, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

Wenham is a small residential community of approximately 5,000 residents located about 22 miles north of Boston. Public transit access to downtown Boston located in the neighboring town of Hamilton provides access to employment and recreational activities outside of the town’s boundaries. In addition, Wenham is home to abundant green space (e.g., wetland systems and Wenham Lake) that provide residents with opportunities to enjoy the natural beauty of the area. The Wenham Council on Aging (COA)is a municipal department designed to serve the needs of Wenham’s residents age 60 and older. It is responsible for advocating on behalf of Wenham’s …

Build Your Own Nest: Singapore's First Study On Matched Savings Schemes For Lower Income, Older Women, David Chan, Benedict S. K. Koh

Research Collection School of Social Sciences

Matched Savings Scheme is a research study, commissioned by the International Longevity Centre – Singapore (ILC – Singapore) of the Tsao Foundation and funded by the Tote Board, found that a monthly matched savings scheme is effective in sustaining the retirement savings behaviour among a group of 377 elderly women from low-income households over the study period of 18 months. The research, conducted by principal investigator psychology professor David Chan and co-investigator finance professor Benedict Koh, used an experimental design and longitudinal tracking to examine the effects that different factors of a matched savings scheme have on the participants’ decision …

Easthampton Council On Aging Planning Study, Caitlin Coyle, Jan Mutchler, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report describes collaborative efforts undertaken by the City of Easthampton Council on Aging (ECOA) and the Center for Social and Demographic Research on Aging (CSDRA), within the Gerontology Institute at the McCormack Graduate School, University of Massachusetts Boston. Beginning in Fall 2017, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of the City’s residents age 55 and older. During this assessment, multiple approaches were utilized to compile information that could be used to plan and implement current and future services. We examined data from the U.S. Census Bureau and from projections generated …

A Comprehensive Database Of Senior Centers In Massachusetts, Jan E. Mutchler, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report was produced by the Center for Social and Demographic Research on Aging (CSDRA), a research unit within the Gerontology Institute at UMass Boston, in partnership with the Massachusetts Association of Councils on Aging (MCOA).

The goal of this project is to develop and distribute a comprehensive database that will contribute to successfully meeting the shared goals of MCOA and EOEA. It will facilitate clearer explanations about what COAs do, supporting more effective advocacy efforts on the part of MCOA and stronger reporting by EOEA. It will be a resource for MCOA staff, helping member COAs identify relevant models …

Older Adults' Health Care Utilization A Year After Experiencing Fear Or Distress From Hurricane Sandy, Laura P Sands, Yimeng Xie, Rachel Pruchno, Allison Heid, Yili Hong

Rowan-Virtua School of Osteopathic Medicine Faculty Scholarship

OBJECTIVE: To determine whether self-reports of disaster-related psychological distress predict older adults' health care utilization during the year after Hurricane Sandy, which hit New Jersey on October 29, 2012.

METHODS: Respondents were from the ORANJ BOWL Study, a random-digit dialed sample from New Jersey recruited from 2006 to 2008. Medicare hospital, emergency department (ED) and outpatient claims data from 2012 and 2013 were matched to 1607 people age 65 and older in 2012 who responded to follow-up surveys conducted from July 2013 to July 2015 to determine their hurricane-related experiences.

RESULTS: In total, 7% (107) of respondents reported they experienced …

Older Workers In Boston: An Age-Friendly Perspective, Jan Mutchler, Brittany Gaines, Ping Xu, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

As this report makes clear, work challenges experienced by older people are not uncommon in Boston. Retraining and upgrading skills are required for some people to retain or secure employment. For those who have not participated in job search for some time, support with job seeking strategies may be necessary. Programs that also offer socioemotional support are helpful to some older job-seekers. Yet while training and job search support is an important part of the solution, these are not the only targets of intervention required. Employers need to be educated about successful strategies that will help them to retain their …

Too Many Choices Confuse Patients With Dementia, Ronald C. Hamdy, J. V. Lewis, Amber Kinser, Audrey Depelteau, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

Amber E. Kinser

Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.

Repetitive Questioning Exasperates Caregivers, Ronald C. Hamdy, J. V. Lewis, Rebecca Copeland, Audrey Depelteau, Amber Kinser, Tracey Kendall-Wilson, Kathleen Whalen

Amber E. Kinser

Repetitive questioning is due to an impaired episodic memory and is a frequent, often presenting, problem in patients with Alzheimer’s disease (amnestic type). It is due to the patients’ difficulties learning new information, retaining it, and recalling it, and is often aggravated by a poor attention span and easy distractibility. A number of factors may trigger and maintain repetitive questioning. Caregivers should try to identify and address these triggers. In the case discussion presented, it is due to the patient’s concerns about her and her family’s safety triggered by watching a particularly violent movie aired on TV. What went wrong …

Visual Hallucinations And Paranoid Delusions, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen, J. Culp

Amber E. Kinser

Visual well-formed hallucinations, fluctuations in the level of cognition, and alertness and extrapyramidal signs are core features of dementia with Lewy bodies. Some patients realize that what they are seeing or hearing are just hallucinations and learn to accept them. Others, however experience these hallucinations as quite real and cannot be dissuaded from the firm belief that they are. In fact, efforts to dissuade them often serve only to confirm the often associated paranoid delusions and this may lead to a catastrophic ending. Hence, it is best not to contradict the patient. Instead, attempts should be made to distract the …

Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp

Amber E. Kinser

Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the …

Patients With Dementia Are Easily Distracted, Ronald C. Hamdy, Amber Kinser, Audrey Depelteau, Tracey Kendall-Wilson, J. V. Lewis, Kathleen Whalen

Amber E. Kinser

Mild cognitive impairment (MCI) is the middle ground between normal, age-appropriate memory impairment, and dementia. Whereas patients with MCI are able to cope with the memory deficit, those with dementia are not: Their memory impairment and other cognitive deficits are of sufficient magnitude to interfere with the patients’ ability to cope independently with daily activities. In both MCI and dementia, there is evidence of declining cognitive functions from a previously higher level of functioning. In both the conditions, there is also an evidence of dysfunction in one or more cognitive domains. There are two subtypes of MCI depending on whether …

Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

Amber E. Kinser

Insomnia is a common problem in older people, especially in patients with mild cognitive impairment (MCI) whose circadian rhythm is often compromised. Insomnia exerts such a toll on caregivers that it is frequently the primary reason for seeking to institutionalize their loved ones. Three different types of insomnia are recognized: sleep-onset or initial insomnia, sleep maintenance or middle insomnia, and early morning awakening or late insomnia. Nocturnal hypoglycemia, as a cause of middle insomnia, is the main focus of this case study. Other types of insomnia are also briefly reviewed. The management of insomnia is then discussed including sleep hygiene, …

"We Were Meant To Go Down One Road, But Now We Have Rerouted": A Phenomenological Inquiry Into The Experience Of Aging Out-Of-Place, Sachindri Wijekoon

Electronic Thesis and Dissertation Repository

In an age of globalization, the experience of aging in a foreign land is part of the late-life experience of many older adults. However, studies of aging and migration have largely failed to conceptualize the unique resettlement experiences of immigrants entering North America as older adults. This dissertation asked, “What is the experience of aging out-of-place?” Specifically, this research question aimed to understand how late-life immigrants relate to, and connect and engage with places through aging processes, and the essentiality of daily occupations within such engagement. An interpretive paradigm and a hermeneutic phenomenological methodology guided this inquiry. The hermeneutic phenomenological …

Gerontological Social Work Roles In Disaster Preparedness And Response, Nancy Kusmaul, Allison Gibson, Skye N. Leedahl

Social Work Faculty Publications

No abstract provided.

Higher Quality At Lower Cost: Community Health Worker Interventions In The Health Care Innovation Awards, Caitlin Cross-Barnet, Sarah Ruiz, Megan Skillman, Rina Dhopeshwarkar, Rachel Singer, Rachel Carpenter, Suzanne Campanella, Maysoun Freij, Lynne Snyder, Erin Colligan

Journal of Health Disparities Research and Practice

Background: Published evidence regarding cost savings, reduced utilization, and improved quality associated with employing community health workers (CHWs) is largely lacking. This paper presents findings from the Centers for Medicare & Medicaid Services Health Care Innovation Awards (HCIA), with a focus on six diverse programs that employ CHWs. We examine outcomes associated with programs incorporating CHWs into care teams for a broad age range of patients with various health issues such as cancer, asthma, and complex conditions.

Methods: This mixed-methods study used data from claims and site visits to assess the effectiveness of CHW programs. In difference-in-differences analyses of Medicare …

Developing A Mixed-Methods Method To Model Elderly Health Technology Adoption With Fuzzy Cognitive Map, And Its Application In Adoption Of Remote Health Monitoring Technologies By Elderly Women, Noshad Rahimi

Dissertations and Theses

Providing healthcare to the ever-rising elderly population has become a severe challenge and a top priority. Emerging innovations in healthcare, such as remote health monitoring technologies, promise to provide a better quality of care and reduce the cost of healthcare. However, many elderly people reject healthcare innovations. This lack of adoption constitutes a big practical problem because it keeps the elderly from benefiting from technology advances. The phenomenon is even more pronounced among elderly women, who represent the majority of the elderly population.

A plethora of studies in the field of technology adoption resulted in sound, but highly generalized theories …

Marshfield Council On Aging Planning Study, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

This report describes collaborative efforts undertaken by the Town of Marshfield Council on Aging (COA) and the Center for Social and Demographic Research on Aging (CSDRA), within the Gerontology Institute at the McCormack Graduate School, University of Massachusetts Boston. Beginning in Fall 2017, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of the Town’s residents age 50+, and also of participants at the Marshfield COA/Senior Center. During this assessment, several approaches were utilized to compile information that could be used to plan and implement current and future services. We examined data from the …

Technology-Enabled Medication Adherence For Seniors Living In The Community: Experiences, Lessons, And The Road Ahead, Hwee Xian Tan, Hwee-Pink Tan, Huiguang Liang

Research Collection School Of Computing and Information Systems

Medication non-adherence in seniors can lead to severe health complications, including morbidity, mortality and decreased quality of life. In view of ageing populations worldwide, there is significant interest among the healthcare sector and researchers to improve medication adherence rates for seniors. However, existing studies in the literature focus primarily on identifying the predictors of medication non-adherence. In this paper, we present our work on technology-enabled medication adherence for 24 community-dwelling seniors over a period of more than 2 years. We leverage Internet of Things (IoT) devices to track inferred medication consumption in the seniors’ homes, and provide quasi real-time alerts …

Identifying Elderlies At Risk Of Becoming More Depressed With Internet-Of-Things, Jiajue Ou, Huiguang Liang, Hwee Xian Tan

Research Collection School Of Computing and Information Systems

Depression in the elderly is common and dangerous. Current methods to monitor elderly depression, however, are costly, time-consuming and inefficient. In this paper, we present a novel depression-monitoring system that infers an elderly’s changes in depression level based on his/her activity patterns, extracted from wireless sensor data. To do so, we build predictive models to learn the relationship between depression level changes and behaviors using historical data. We also deploy the system for a group of elderly, in their homes, and run the experiments for more than one year. Our experimental study gives encouraging results, suggesting that our IoT system …