Gerontology Professionals Research Articles

Implementation of equine-assisted intervention for older adults with Alzheimer's disease residing in a nursing home: Brakes and levers.

Although research on equine-assisted intervention (EAI) for older adults is beginning to be published, no scientific study has examined the various elements that can limit or facilitate the implementation of EAI with older adults suffering from Alzheimer's disease (AD) residing in nursing homes. The aim of this study was to identify the possible brakes and levers of implementing EAI with AD patients. A focus on professional affiliation was conducted. The survey was posted online on 2 February 2021 via the Sphinx software. As this study was aimed at gerontology professionals working in nursing homes, they were contacted through various specialized social networks. A total of 663 people answered the survey. The results indicate that for 45% of the participants, the main brake to implementing EAI is related to the institutional burden. As for the levers, 29% of the people indicated that it would mainly be beneficial due to the cognitive stimulation that EAI would provide. People who were not familiar with EAI reported more brakes to its implementation. Finally, it was observed that the caregivers were those who put forward the most levers for the implementation of EAI with AD patients living in nursing homes. Thus, this study allows us to understand some of the reasons why nursing homes are reluctant to set up EAI. Communication on this subject is currently a lever to be developed. By highlighting the brakes and levers on the implementation of EAIs, we are able to identify suitable guidelines for developing this type of intervention in nursing homes, which could be used as a complement to nursing care to help Alzheimer's patients overcome physical or psychological health problems.

Attitudes toward death and burnout syndrome in geriatrics and gerontology healthcare personnel

IntroductionGeriatric and gerontology healthcare workers are associated with a series of psychosocial risks such as death, bereavement and illness, and this implies a significant emotional and work overload, which can lead to negative attitudes toward death. ObjectiveThe aims of this study were to assess attitudes toward death, the level of burnout and the relationship between geriatrics and gerontology professionals. MethodA correlational, cross-sectional study was conducted, in which the 42 participants in the sample completed an online questionnaire including the Revised Profile of Attitudes to Death (PAM-R) and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). ResultsThe results obtained show that the predominant attitude toward death in the sample is that of neutral acceptance, and with regard to burnout syndrome, moderate average levels are found in the dimensions of emotional exhaustion and personal accomplishment, but a low level of depersonalisation. ConclusionHealthcare workers with attitudes of greater fear of death or acceptance of escape tend to experience higher levels of emotional exhaustion and depersonalisation, as do those with an attitude of death avoidance, who also have lower personal fulfillment.

A novel online training programme for healthcare professionals caring for older adults

The proportion of older people in the world population is growing rapidly. Training and retaining healthcare professionals in sufficient numbers in the field of ageing represents a major challenge for the future, to deal with the healthcare needs of this ageing population. The COVID pandemic has unfortunately compounded shortages of healthcare workers worldwide. There is therefore a pressing need to scale-up the education of healthcare professionals in geriatrics and gerontology. Over the last 30 years, a group of motivated geriatrics physicians from Europe have been striving to educate healthcare professionals in geriatrics and gerontology through various initiatives, and using innovative pedagogic approaches to train physicians, nurses and other healthcare professionals around the world. The COVID-19 pandemic unfortunately put a stop to presence-based training programmes, but prompted the development of the online International Association of Gerontology and Geriatrics (IAGG) eTRIGGER (e-Training In Geriatrics and GERontology) course, a new training course in geriatrics and gerontology for healthcare professionals from a wide range of backgrounds. We outline here the history of the educational initiatives that have culminated in the roll-out of this new programme, and the perspectives for the future.

Aging in Nigeria: A Growing Population of Older Adults Requires the Implementation of National Aging Policies.

While the continent of Africa currently has the lowest share of adults aged 60 and older in its population among all world regions, the total number of older Africans is projected to triple between 2020 and 2050. Nigeria-Africa's leading economy and most populated country-has the highest number of older people in the continent and the 19th highest across the globe, with the population of Nigerians aged 65 and older projected to nearly triple by 2050. However, the increase in older Nigerians is occurring against the backdrop of extreme poverty, unsolved development problems, socioeconomic inequality, the HIV/AIDS epidemic, and a decline in the traditional care and support of older adults. Additionally, the absence of an operational national aging policy or safety net services and programs poses a unique challenge to older Nigerians and their families. In this article, we examined social statistics and the current literature to describe aging in the Nigerian context. Our findings highlight the importance of establishing effective governmental policy interventions for the adequate care and support of older Nigerians and the training of gerontological professionals. This article will describe the demography of aging in Nigeria, significant areas of research, key scholars and publicly available data sets, public policy issues, and emerging issues affecting the health and well-being of older Nigerians.

Diversity, Equity, and Inclusion in Gerontological Research Mentoring and Methodologies

With a rapid increase in our nation's diversity and in particular the diversity of the aging population, research focused on the well-being and quality of life for all older adults is imperative. Within GSA, The Minority Issue in Gerontology Advisory Panel is charged with providing support to the membership that ultimately will yield an increase in the quantity and quality of research related to minority aging issues. Therefore, understanding best practices for minority-focused gerontological research and gerontological education curriculum is warranted. The advancement of the field is predicated on the ability to have trained professionals with skills and competencies that effectively meet the needs of a diverse aging population. This symposium will include a presentation highlighting practical strategies for strengthening gerontology research by intentionally incorporating anti-racist methodological approaches. The second presentation will consist of recommendations on how to support, promote, and advance gerontology education in a manner that increases the diversity of those pursuing a research or an applied career in this area of study. Presenters will share an overview of the literature, findings from program implementation focus groups, and recommendations for tailoring strategies to fit your intended audience. This session will prove beneficial as we make strides to ensure that diversity, equity, and inclusion remain a core value and an inherent practice of all gerontology professionals.

Community College Gerontology Programs: Revisiting and Re-Visioning Workforce, Career Pathways, and Transfer

The session will focus on new and existing innovative ways that Community Colleges are effectively addressing workforce needs resulting from a rapidly aging population; the ever-expanding career pathways available to students in the field of gerontology; as well as the continuing higher education needs of students transferring to bachelor’s and graduate-level gerontology programs. A panel of Community College and University gerontology professionals, representing both the GSA Community College and Aging Workforce Interest Groups, will share the innovative ways that they are working to address the three focus areas of this symposium. We will also include opportunities for discussion with participants about their experiences with and ideas for addressing these issues.

Use of existing aids for caregivers of the elderly: Representations and practices of professionals in gerontology

The help provided by informal caregivers undoubtedly contributes to home support for the elderly with loss of autonomy. Based on this observation, the offer of support for the informal caregivers has grown considerably in recent years. It is therefore relevant to identify the potential obstacles for family caregivers to use existing aids from the perspective of the representations and practices of professionals in gerontology. These are key links to identify the needs and facilitate care orientation towards existing offers in the territory. Therefore, the knowledge of actual obstacles and practices proposed by professionals is necessary in order to adapt at best the support systems for informal caregivers.

Tasa de retorno y características asistenciales de pacientes mayores de 65 años en un servicio de Urgencias en Atención Primaria

ObjectiveTo determine the unexpected return rate to the Primary Care Emergency Service of elderly patients over 65 years old within the following 72h of a previous visit, as well as to determine the clinical and assistance requirements of these patients. ProcedureRetrospective and observational epidemiologic study. LocationCotolino's Primary Care Emergency Service in Cantabria, Spain. Participants1940 elderly patients over 65 years old were included. These patients returned to the Primary Care Emergency Service in 2016. Main data for the studyThe dependent variable was the return rate to the Primary Care Emergency Service. The independent variables were socio-demographic characteristics, health details and medical assistance information. All data was collected from the Primary Care Emergency Service Management Office database. All variables were analysed applying Pearson's chi-squared test and Fisher's exact test, with statistical significance P≤.05. ResultsThe rate of unexpected return was 2.3%. The average age was 77.4 years old (standard deviation (SD): 8.4), of which the 37.6% were male. The most frequent range of age was from 75 to 84 years old, with males being the predominant group. A history of polymedication was detected in 54.4% of the cases, as well as a medium cardiovascular risk within this group. Nursing professionals attended the 42.2% of these return cases (P<.001). Patients with dysnea (P=.015), scheduled care or scheduled injection returned with a higher frequency (P<.001). It was as well noticed a higher frequency of return for subsequent attention during the months of December and January (P<.001). ConclusionsThe rate of unexpected return is low. The main causes why elderly patients returned to the service requiring urgent assistance were issues categorised as unspecific general health indicators and/or respiratory system illnesses. Our proposal is to develop specific protocols combining the work from both Geriatrics and Gerontology professionals, in order to improve the support to this group of population at every Primary Care Emergency Service.

Identifying Communities of Concern for Older Adults Using Spatial Analysis: Focusing on Accessibility to Health, Social, and Daily Services.

Ensuring accessibility to necessary services is critical for older adults. However, there often exist spatial disparities in the levels of accessibility to services. Because the application of Geographic Information System (GIS) has gained attention in the gerontology field, we used spatial analysis to identify communities of concern for older adults from the perspective of accessibility. We defined the communities of concern based on the proportion of older adults and the level of accessibility to health, social, and daily services via two specific modes of transportation-walking and public transit. Our findings show that newly developed communities tend to have less accessibility to necessary services, and aging communities are randomly distributed across the city. Our results call for interdisciplinary collaboration, between urban planning and gerontology professionals, to better understand the spatial pattern of aging communities and its implication for properly addressing the mobility needs of older adults in the communities.

Creative interventions: increasing enrollment, serving students &amp; community, reaffirming gerontology education

The session will focus on innovative ways to increase student enrollment, better meet the needs of students and the communities served, and raise awareness of the crucial role of gerontology education in addressing the needs of a rapidly aging society. A panel of Community College and University gerontology professionals will share the innovative ways that they are working to address the three focus areas of this symposium. We will also include opportunities for discussion with participants about their experiences with and ideas for addressing these issues. Community College Interest Group Sponsored Symposium.

In the Red: Debt, Financial Well-Being, and Retirement Preparedness Among Older Adults

Over the past twenty years, total debt for Americans ages 70 and over has increased more relative to all other ages group- by 543% according to the Federal Reserve Bank of New York (2019). Higher rates of debt among older adults have been attributed to a range of factors including expanded access to consumer credit, the capability for people to borrow from 401(k) plans, increases in costs of living, and limited financial literacy, among others. Related research of adults nearing retirement age who carry debt points to delayed retirement timing, lower levels of retirement savings, and higher risk and rates of bankruptcy. This symposium introduces timely investigations of retirement planning and economic security among older adults with debt. The first presentation will provide an overview of the impact of financial hardship on health among older adults in the United States over a recent ten-year period. The second presentation will focus on over-indebtedness among pre-retirees. The third presentation will examine the role of safety net services and borrowing from retirement plans among older adults with debt, particularly among older adults of color. The fourth and final presentation will focus on student loan debt as a hurdle to near-term and long-term financial security for older women in particular. A discussant will comment on how, together, the aforementioned papers contribute to our understanding of economic wellbeing and retirement preparedness in this era of increasing longevity. The session will integrate policy and programming implications for gerontological professionals.

Addressing stereotypes of aging and interest in careers working with older adults through education

ABSTRACT Negative stereotypes about older adults are increasing and contributing to a shortage of professionals in gerontology. Building on the PEACE model (Positive Education about Aging and Contact Experiences), two experiments used education to address stereotypes associated with older adults. Participants were randomly assigned to read brief articles that: challenged stereotypes about older adults (condition 1), challenged stereotypes about careers working with older adults (condition 2), challenged both stereotypes (condition 3), or described careers in general (control; condition 4). In Study 1, 399 undergraduates in all 3 experimental conditions (vs. control participants) reported lower levels of ageism, more positive age perceptions, and more aging knowledge in an immediate and delayed (1–2 weeks) post-test. In Study 2, 446 national community participants (ages 18– 25) in all experimental conditions (vs. control participants) reported greater positive age perceptions, aging knowledge, and interest in psychology and social work careers with older adults in an immediate post-test. These findings highlight the promise of using brief online methods to challenge stereotypes, provide more positive and accurate views of aging and older adults, and increase interest in careers working with older adults. Implications are discussed.

Exploring gaps in positive solitude perceptions: older adults vs. gerontology professionals

The aim of this study was to explore old persons' experiences of positive solitude (PS) and the gaps between their experience and professional caregivers' perceptions of older adults' experiences of PS. Moreover, we attempt to understand the basic mechanism that may explain these gaps. A qualitative method was used. Fourty-one older adults (aged 65-103 years) and 2 groups of professionals: 16 occupational therapists with a specialization in gerontology and 41 gerontology graduate students from other occupations. Four open-ended questions about PS were asked. The older adults described their views on PS and experiences during solitude. The two caregiver groups, who are familiar with older adults, answered the questions twice, referring once to themselves and once to older adults in general. A. Gaps exist between old peoples' and caregivers' perceptions and experience of PS. B. The caregivers believe that older adults cannot easily enjoy PS. C. Caregivers believe that there are certain preconditions for older adults' experience of PS. D. Differences in attitude toward older adults between the caregiver groups were found. Although old people occasionally prefer PS, culture and age bias may prevent caregivers from accepting older adults' need for PS. Practical implications include the need to raise awareness of age bias among caregiving staff, in particular regarding their acceptance of older adults' PS experiences. This may improve the staff's willingness to enable older adults to experience PS without interruption.

What Does "Successful Aging" Mean to you? - Systematic Review and Cross-Cultural Comparison of Lay Perspectives of Older Adults in 13 Countries, 2010-2020.

Successful aging is a concept that has gained popularity and relevance internationally among gerontologists in recent decades. Examining lay older adults' perspectives on successful aging can enhance our understanding of what successful aging means. We conducted a systematic review of peer reviewed studies from multiple countries published in 2010-2020 that contained qualitative responses of lay older adults to open-ended questions such as "What does successful aging mean to you?" We identified 23 studies conducted in 13 countries across North America, Western Europe, the Middle East, Asia, and Oceania. We identified no studies meeting our criteria in Africa, South America, Eastern Europe, North Asia, or Pacific Islands. Across all regions represented in our review, older adults most commonly referred to themes of social engagement and positive attitude in their own lay definitions of successful aging. Older adults also commonly identified themes of independence and physical health. Least mentioned were themes of cognitive health and spirituality. Lay definitions of successful aging varied by country and culture. Our findings suggest that gerontology professionals in fields including healthcare, health psychology, and public health may best serve older adults by providing services that align with older adults' priority of maintaining strong social engagement as they age. Lay perspectives on successful aging acknowledge the importance of positive attitude, independence, and spirituality, in addition to physical and cognitive functioning.

The Definition and Categories of Positive Solitude: Older and Younger Adults' Perspectives on Spending Time by Themselves.

This paper attempts to develop a better understanding of the positive solitude (PS) phenomenon and its meaning among age groups, as well as formulate a unanimous definition for PS. A qualitative study (N = 124) was conducted. Participants were gerontology professionals and laypeople. Interviews were conducted and content was analyzed in order to understand the essence of PS, themes, and subthemes. Two major categories were found: the essence and the components of the PS experience. Seven PS content categories and three meta-themes were raised: (1) PS is a matter of choice; (2) PS is satisfying and enjoyable; and (3) PS is meaningful. Differences in PS categories between younger and older adults were found. The meta-themes served as the foundation of a new definition. PS has different attributes in old age. A unified definition of PS may help distinguishing between PS and other forms of being alone. Recognizing and facilitating the PS experience among older adults might be beneficial and contribute to their quality of life.

Influencia de la comunicación técnica en la coordinación de la atención geriátrica durante la crisis del COVID-19 en la provincia de Lugo. Estudio prospectivo

Introducción: La pandemia producida por el coronavirus SARS-CoV-2 supone un gran reto sanitario con efectos económicos y sociales patentes. La salud de la población mundial peligra y las formas habituales de afrontar situaciones epidémicas son puestas en cuestión, lo que hace necesario un esfuerzo de coordinación en la atención a las personas mayores. Objetivo: Conocer la influencia que la comunicación técnica producida durante la crisis sanitaria generada a raíz del COVID-19 podrá ejercer sobre la coordinación de la atención geriátrica en la provincia de Lugo. Metodología: Estudio prospectivo Delphi empleando un cuestionario de doble circulación a cumplimentar por expertos en Geriatría y Gerontología de la provincia de Lugo constituidos en dos paneles. Resultados: N = 26 (20 mujeres, 6 hombres). Rango de edad: 25 – 63 años. Las respuestas medias de ambos paneles se han aproximado y los rangos se han estrechado en la segunda circulación de la encuesta. Conclusión: Una estrategia de comunicación bidireccional entre los profesionales de la Geriatría y la Gerontología, basada en documentación técnica y científica, facilitará la coordinación entre niveles asistenciales y mejorará las expectativas de salud de las personas mayores en situaciones de crisis aunque también en la cronicidad.

Diseño y validación de dos escalas sobre actitudes y conocimientos ante la terapia con muñecas en demencias

IntroductionNon-pharmacological interventions are often the subject of debate in the scientific field. Therefore, it is essential to know the attitudes that health professionals have towards the novel Doll Therapy in Dementia (DTD). The objective of this study was to design and validate two questionnaires to find out the attitudes and knowledge on DTD in health professionals. Material and methodsA total of 120 Spanish-speaking Geriatrics and Gerontology professionals, with a mean age of 38.3 years (DT = 10.99), participated, mostly women (88.3%). A questionnaire (TCM_DEMCO) on knowledge about the DTD and a questionnaire (TCM_DEMAC) on attitudes towards the DTD were designed and applied. The construct validity was assessed by exploratory factor analysis, and reliability was calculated using Cronbach's α. ResultsThe exploratory factor analysis of the TCM_DEMCO questionnaire retained 10 items in 5 factors (“environment and dementia”, “therapeutic application”, “activities”, “methodology” and “benefits and implications”) that explained 70.1% of the total variability, giving a Cronbach α coefficient value > 0.50. The exploratory factor analysis of the TCM_DEMAC questionnaire retained 10 items in two factors (“positive attitudes” and “negative attitudes”) that explained 61.2% of the total variability, giving a Cronbach α value > 0.85. ConclusionsBoth questionnaires are a brief tool to learn about the attitudes and knowledge of Spanish-speaking Geriatrics and Gerontology professionals in matters of DTD. The reliability and validity analyses performed showed good psychometric properties of these tools.

So near and yet so far: a grounded theory study of incarcerated Filipino elderly’s experiences of emotional geography

ABSTRACTEmotional geography defines how emotions affect the interaction of individuals within their setting. Considering that prison has been described as a place saturated with negative emotions, previous studies have only dwelt on the negative impact of incarceration on the emotional well-being and interactions of the inmates. However, no attempt has been made that dilates on how emotional geography facilitates the establishment of good relationships inside the penal institution, hence this investigation. The overall intent of this investigation is to describe the process of emotional geography among a select group of incarcerated Filipino elderly. This study utilized the qualitative, grounded theory design. A purposive sample of 25 incarcerated Filipino elderly from the New Bilibid Prison in Muntinlupa City, Philippines participated in this study. Interestingly, this study afforded the development of de Guzman, Henson, Gumba, Fradejas, and Valdez Shoelace Model of Emotional Geography which describes how the incarcerated Filipino elderly’s emotions affect their interactions in achieving positive relationships with other inmates while inside the penal institution. This emerged model is comprised of three phases, namely: isolating (embracing a wall of mistrust), integrating (making connections through shared stories), and intertwining (strengthening the bonds thru emotional understanding). The emerged theoretical model has successfully described the process of emotional geography, which can be utilized by gerontological workers, nurses and other health professionals in addressing and accommodating the social and custodial needs of this vulnerable group.

Preliminary Evidence for the Validity of the Family Caregiver Identity Scale.

The purpose of this study was to develop and evaluate the Family Caregiver Identity Scale (FCIS), an instrument designed to measure the extent to which an individual identifies with the family caregiver role. The process of instrument development outlined in the Standards for Educational and Psychological Testing was combined with Dillman's four stages of pretesting. This was a multistage, iterative process, including several revisions based on feedback from experts, interviews, and pilot testing. Factor analyses were performed to test the hypothesized model of caregiver identity. A version of the FCIS consisting of 18 items was created and demonstrated initial evidence of validity. The FCIS will enable gerontological professionals to assess caregiver identity. The absence of caregiver identity is a factor in caregivers not accessing support services. This study contributes to the growing body of research connecting caregiver identity and support service utilization by caregivers.

CREATING THE CT GERONTOLOGY CONSORTIUM TO BRING FACULTY AND STUDENTS TOGETHER TO PROMOTE GERONTOLOGICAL EDUCATION

Although commonplace for faculty across universities to collaborate on research, it is less common to bring faculty and students from different institutions together for pedagogical purposes. In this poster, we describe the development of the Connecticut Gerontology Consortium, comprised of gerontology instructors at several academic institutions. We created this consortium in order to 1) develop a support network for faculty interested in teaching about aging, and 2) to support collaboration on efforts to promote creative, interdisciplinary student experiences that foster a passion for gerontology. In addition, we describe one endeavor, a student project, from the planning stages to post-project reflections. The intercollegiate and interdisciplinary “Careers in Aging” project brought together 62 students from four academic institutions with a broad range of experiences and interests. Students were assigned to groups from different schools to investigate careers in the aging network in Connecticut. Each student group interviewed a professional, delivered a presentation about their career path and day-to-day experiences, and created an informational brochure about the profession. Students indicated that they valued the experience of learning about the aging network and engaging with other students who shared an interest in gerontology. However, they cited challenges in communicating with students from other classes and at other institutions. This project has the potential to build networking opportunities for students as well as strengthening the community of gerontology professionals. The presentation will include lessons learned and how the consortium plans to move forward.