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Ross SE, Severance JJ, Murphy SC, Yockey RA, Morkos J, Johnson S, Knebl JA. Primary care and community partnerships to promote age-friendly care for Hispanic older adults. J Am Geriatr Soc 2024. [PMID: 38828999 DOI: 10.1111/jgs.19034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Revised: 04/03/2024] [Accepted: 04/29/2024] [Indexed: 06/05/2024]
Abstract
BACKGROUND Healthcare and community collaborations have the potential to address health-related social needs. We examined the implementation of an educational initiative and collaborative intervention between a geriatric clinic and Area Agency on Aging (AAA) to enhance age-friendly care for a Hispanic patient population. METHODS As part of a Health Resources and Services Administration (HRSA)-funded Geriatric Workforce Enhancement Program, a geriatric clinic partnered with AAA to embed an English- and Spanish-speaking Social Service Coordinator (SSC). The SSC met with patients during new and annual visits or by referral to address What Matters and Mentation in the patient's primary language, provide education, and make social service referrals. Patients aged 60 and older, who received SSC services during a 12-month period, were defined as the intervention group (n = 112). Using a retrospective chart review, we compared them to a non-intervention group (n = 228) that received primary care. We examined available demographic and clinical data within the age-friendly areas of What Matters and Mentation. Measures included cognitive health screenings, advance care planning, patient education, and community referrals. RESULTS Most of the intervention groups were eligible for AAA services and had the opportunity for service referrals to address identified needs. A higher proportion of patients within the intervention group completed screenings for cognitive health and advance care planning discussions. CONCLUSION Interagency partnerships between ambulatory care settings and community-based organizations have the potential to expand access to linguistically and culturally competent age-friendly primary care for older adults.
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Affiliation(s)
- Sarah E Ross
- Department of Internal Medicine and Geriatrics, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - Jennifer J Severance
- Department of Internal Medicine and Geriatrics, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - Sara C Murphy
- Department of Internal Medicine and Geriatrics, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - Robert A Yockey
- Department of Biostatistics and Epidemiology, School of Public Health, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - Johny Morkos
- Department of Internal Medicine and Geriatrics, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - Shakita Johnson
- United Way of Tarrant County's Area Agency on Aging, Fort Worth, Texas, USA
| | - Janice A Knebl
- Department of Internal Medicine and Geriatrics, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, Texas, USA
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2
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Gallo HB. "The Real Impacts That AAAs are Making:" Developing Measures of Area Agency on Aging Success. J Aging Soc Policy 2024; 36:399-422. [PMID: 37002684 PMCID: PMC10544741 DOI: 10.1080/08959420.2023.2197563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Accepted: 12/19/2022] [Indexed: 04/03/2023]
Abstract
The more than 600 Area Agencies on Aging (AAAs) throughout the U.S. are as diverse as the communities they serve, making it challenging to establish indicators of success that are not simply compliance-focused. This study builds agreement among AAAs to identify impactful, feasible, and measurable indicators of success. A mixed methods study was conducted with two surveys of AAA experts to identify indicators of success; assessments of those indicators' impact, feasibility, and measurability; and virtual focus groups to interpret findings. Most indicators that had the potential for high impact received low feasibility and measurability scores. AAAs want more technical assistance, funding, and staffing resources from their states and the Administration on Aging to make data collection and analysis less burdensome and more outcome-oriented. State Units on Aging and the Administration on Aging can use the study findings to improve assessments of AAAs without placing undue burdens on staff attempting to demonstrate their impact. This study can help to identify future priorities regarding AAA assessments and innovations.
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Affiliation(s)
- Haley B Gallo
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA
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3
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2024 Alzheimer's disease facts and figures. Alzheimers Dement 2024; 20:3708-3821. [PMID: 38689398 PMCID: PMC11095490 DOI: 10.1002/alz.13809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2024]
Abstract
This article describes the public health impact of Alzheimer's disease (AD), including prevalence and incidence, mortality and morbidity, use and costs of care and the ramifications of AD for family caregivers, the dementia workforce and society. The Special Report discusses the larger health care system for older adults with cognitive issues, focusing on the role of caregivers and non-physician health care professionals. An estimated 6.9 million Americans age 65 and older are living with Alzheimer's dementia today. This number could grow to 13.8 million by 2060, barring the development of medical breakthroughs to prevent or cure AD. Official AD death certificates recorded 119,399 deaths from AD in 2021. In 2020 and 2021, when COVID-19 entered the ranks of the top ten causes of death, Alzheimer's was the seventh-leading cause of death in the United States. Official counts for more recent years are still being compiled. Alzheimer's remains the fifth-leading cause of death among Americans age 65 and older. Between 2000 and 2021, deaths from stroke, heart disease and HIV decreased, whereas reported deaths from AD increased more than 140%. More than 11 million family members and other unpaid caregivers provided an estimated 18.4 billion hours of care to people with Alzheimer's or other dementias in 2023. These figures reflect a decline in the number of caregivers compared with a decade earlier, as well as an increase in the amount of care provided by each remaining caregiver. Unpaid dementia caregiving was valued at $346.6 billion in 2023. Its costs, however, extend to unpaid caregivers' increased risk for emotional distress and negative mental and physical health outcomes. Members of the paid health care and broader community-based workforce are involved in diagnosing, treating and caring for people with dementia. However, the United States faces growing shortages across different segments of the dementia care workforce due to a combination of factors, including the absolute increase in the number of people living with dementia. Therefore, targeted programs and care delivery models will be needed to attract, better train and effectively deploy health care and community-based workers to provide dementia care. Average per-person Medicare payments for services to beneficiaries age 65 and older with AD or other dementias are almost three times as great as payments for beneficiaries without these conditions, and Medicaid payments are more than 22 times as great. Total payments in 2024 for health care, long-term care and hospice services for people age 65 and older with dementia are estimated to be $360 billion. The Special Report investigates how caregivers of older adults with cognitive issues interact with the health care system and examines the role non-physician health care professionals play in facilitating clinical care and access to community-based services and supports. It includes surveys of caregivers and health care workers, focusing on their experiences, challenges, awareness and perceptions of dementia care navigation.
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Menne HL, Osborne J, Pendergrast C. Increases in loneliness among Older Americans Act participants during COVID-19. Front Public Health 2024; 12:1391841. [PMID: 38751593 PMCID: PMC11094286 DOI: 10.3389/fpubh.2024.1391841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Accepted: 04/16/2024] [Indexed: 05/18/2024] Open
Abstract
Loneliness is increasingly understood as a public health crisis, and older adults are experiencing particularly severe impacts. Social distancing efforts during the COVID-19 pandemic may have increased loneliness among older adults. Guided by the Social Ecological Model, this study uses two cross-sectional waves of the National Survey of Older Americans Act Participants (NSOAAP) from 2019 and 2021 to expand understanding and identify possible points of intervention to increase social support for vulnerable older adults. Results reveal that while home-delivered meal participants have higher levels of loneliness than congregate meal participants, levels of loneliness did not increase during the COVID-19 pandemic and their loneliness levels did not differ significantly by age, geographic location, or living arrangement. Congregate meal participants' loneliness increased during the first year of the pandemic, particularly for participants aged 65-74, those living in suburban or rural areas, and those living alone. These findings suggest opportunities for policymakers and aging services providers who seek to increase social engagement among older adults who participate in Older Americans Act (OAA) nutrition programs. The evidence suggests a need for increased social engagement initiatives through OAA programs that prioritize social support for groups who are disproportionately burdened by loneliness.
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Affiliation(s)
- Heather L. Menne
- Department of Sociology and Gerontology, Miami University, Oxford, OH, United States
| | - Jason Osborne
- Department of Statistics, Miami University, Oxford, OH, United States
| | - Claire Pendergrast
- Department of Sociology, Syracuse University, Syracuse, NY, United States
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5
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Schultz S, Francis SL, Shelley M, Datta M. Ageism webinars: a needs-based continuing education training for the national aging network. GERONTOLOGY & GERIATRICS EDUCATION 2024:1-16. [PMID: 38598415 DOI: 10.1080/02701960.2024.2340982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2024]
Abstract
To combat ageism, the National Resource Center on Nutrition and Aging (NRCNA) launched two Ageism Webinars (AWs). The study's aims were to 1) assess the effectiveness of the AWs for increasing participants' perceived familiarity (FAM) and knowledge (KNOW) and producing high behavioral intent to implement recommended action steps and quality among participants, and 2) practice equitable evaluation by ascertaining whether outcomes were fairly achieved by participants regardless of race, age, and education. A convenience sample of mostly educated non-Hispanic females with an average age of 52 years (n = 193) completed a retrospective online survey post-webinar. A retrospective Likert scale noted an overall increase in perceived FAM and KNOW (p < 0.001). However, these changes were significantly smaller (p < 0.05) among those from historically marginalized races and ethnicities. The theory of planned behavior (TPB) items predicted high intention to complete the recommended action step following the webinars. High satisfaction for webinars was reported, with 98.7% wanting to attend future NRCNA training. This study provides evidence of an effective training modality for addressing ageist perspectives, and the demonstrated differences provide insight into how to improve the AWs and the evaluation of future webinars.
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Affiliation(s)
- Savannah Schultz
- Department of Food Science and Human Nutrition, Iowa State University, Ames, Iowa, USA
| | - Sarah L Francis
- Department of Food Science and Human Nutrition, Iowa State University, Ames, Iowa, USA
| | - Mack Shelley
- Department of Statistics, Iowa State University, Ames, Iowa, USA
| | - Mridul Datta
- Department of Food Science and Human Nutrition, Iowa State University, Ames, Iowa, USA
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6
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Cherlin EJ, Brewster AL, Ayedun AA, Straker J, Curry LA. Sustaining Area Agency on Aging Services During a Pandemic: Innovation Through Community-Based Partnerships. THE GERONTOLOGIST 2023; 63:1518-1525. [PMID: 36757331 DOI: 10.1093/geront/gnad009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Indexed: 02/10/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Area Agencies on Aging (AAAs) have funded, coordinated, and provided services since the 1960s, evolving in response to changes in policy, funding, and the political arena. Many of their usual service delivery programs and processes were severely disrupted with the onset of the coronavirus disease 2019 pandemic. Increasing evidence suggests the importance of partnerships in AAA's capacity to adapt services; however, specific examples of adaptations have been limited. We sought to understand how partnerships may have supported adaptation during the pandemic, from the perspectives of both AAAs and their partners. RESEARCH DESIGN AND METHODS We conducted a secondary analysis of qualitative data from an explanatory sequential mixed-methods parent study. Data were collected from 12 AAAs diverse in terms of geographic region, governance structure and size, as well as a range of partner organizations. We completed 105 in-depth interviews from July 2020 to April 2021. A 5-member multidisciplinary team coded the data using a constant comparative method of analysis, supported by ATLAS.ti Scientific Software. RESULTS AAAs and their partners described strategies and provided examples of ways to rapidly transform service delivery including reducing isolation, alleviating food insecurity, adapting program design and delivery, and leveraging partnerships and repurposing resources. DISCUSSION AND IMPLICATIONS AAAs and partner organizations are uniquely positioned to innovate during times of disruption. Findings may enhance AAA and partner portfolios of evidence-based and evidence-supported programs.
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Affiliation(s)
- Emily J Cherlin
- Global Health Leadership Initiative, Yale School of Public Health, New Haven, Connecticut, USA
| | - Amanda L Brewster
- Division of Health Policy and Management, School of Public Health, University of California, Berkeley, Berkeley, California, USA
| | - Adeola A Ayedun
- Global Health Leadership Initiative, Yale School of Public Health, New Haven, Connecticut, USA
| | - Jane Straker
- Scripps Gerontology Center and Department of Sociology and Gerontology, Miami University, Oxford, Ohio, USA
| | - Leslie A Curry
- Global Health Leadership Initiative, Yale School of Public Health, New Haven, Connecticut, USA
- Yale School of Management, New Haven, Connecticut, USA
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7
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Turner NR, Freitag C, Johnson I, Parsey CM, Ramirez M, Berridge C. The Role of Trust in Older Adult Service Provision at the Onset of the COVID-19 Pandemic. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2023; 66:739-762. [PMID: 36617864 PMCID: PMC10329095 DOI: 10.1080/01634372.2022.2164821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Revised: 12/29/2022] [Accepted: 12/30/2022] [Indexed: 06/17/2023]
Abstract
The COVID-19 pandemic caused near immediate service delivery adaptation among social service and healthcare sectors. Findings from in-depth interviews with 45 senior leaders of social services and healthcare organizations serving older adults in Washington State elucidate the role of trust in service provision at the onset of the pandemic. First, a history of trust facilitated service adaptation. Intentional outreach, programs, and culturally responsive services sustained trust with service recipients. Providing services and information in an older adult's preferred language built trust. Community networks facilitated and reflected trust between organizations and older adults. Finally, mistrust was prevalent for clients who perceived a high risk of experiencing negative consequences from accessing services. Our findings support the need for culturally and linguistically diverse services. To improve trust, the aging network should strengthen and expand partnerships with community-based organizations who have established trust through history, intentionality, and relevance to their service populations..
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Affiliation(s)
- Natalie R. Turner
- School of Social Work, University of Washington, Seattle, Washington, USA
| | - Callie Freitag
- Evans School of Public Policy & Governance, University of Washington, Seattle, Washington, USA
| | - Ian Johnson
- College of Social Work, University of Tennessee Knoxville, Tennessee, USA
| | - Carolyn M. Parsey
- School of Medicine, Department of Neurology, University of Washington, Seattle, Washington, USA
| | - Magaly Ramirez
- School of Public Health, Department of Health Systems and Population Health, University of Washington, Seattle, Washington, USA
| | - Clara Berridge
- School of Social Work, University of Washington, Seattle, Washington, USA
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8
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Greer V, Canham SL, Hong A, Agutter J, Garcia Zambrana I, Van Natter JM. Aging in Place Through the COVID-19 Pandemic: Perspectives from Aging Service Providers. J Appl Gerontol 2023:7334648231159375. [PMID: 36856262 PMCID: PMC9982397 DOI: 10.1177/07334648231159375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023] Open
Abstract
Formal and informal networks of resources are critical to supporting the growing number of older adults aging in place (AIP). Data are needed from aging-service providers about assets and barriers that impact their abilities to support AIP during the pandemic, as well as emergent needs resulting from response measures. A series of World Café workshops were conducted with aging-service providers in Salt Lake City, Utah, to understand supportive factors, service gaps, and future needs. Novel domains to support AIP in the context of the pandemic were identified: digital access and literacy, social isolation and mental health, and emergency preparedness. Issues related to access, equity, and affordability were identified as overarching themes across domains. Issues reflect concern over how the pandemic exacerbated socioeconomic and cultural disparities impacting older adults who benefit from aging services. Networks of advocacy and support are needed to bolster resources for older adults, caregivers, and aging-service providers.
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Affiliation(s)
- Valerie Greer
- College of Architecture and
Planning, 7060University of Utah, Salt Lake City, UT, USA,Valerie Greer, College of Architecture and
Planning, University of Utah, 375 1530 E, Salt Lake City, UT 84112, USA.
| | - Sarah L. Canham
- College of Architecture and
Planning, 7060University of Utah, Salt Lake City, UT, USA,College of Social Work, 7060University of Utah, Salt Lake City, UT, USA
| | - Andy Hong
- College of Architecture and
Planning, 7060University of Utah, Salt Lake City, UT, USA,Healthy Aging and Resilient Places
Lab, College of Architecture and Planning, 7060University of Utah, Salt Lake City, UT, USA
| | - James Agutter
- College of Architecture and
Planning, 7060University of Utah, Salt Lake City, UT, USA
| | - Ivis Garcia Zambrana
- Department of Architecture and
Urban Planning, 14736Texas a&M
University, College Station, TX, USA
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9
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Orsega-Smith E, Beiman A, Wolfle B. Snapshot of Delaware Senior Centers:COVID-19 Restrictions, Challenges and Successes. ACTIVITIES, ADAPTATION & AGING 2022. [DOI: 10.1080/01924788.2022.2160687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- Elizabeth Orsega-Smith
- Department of Behavioral Health and Nutrition, University of Delaware, Newark, United States
| | - Alana Beiman
- Department of Behavioral Health and Nutrition, University of Delaware, Newark, United States
| | - Brianna Wolfle
- Department of Behavioral Health and Nutrition, University of Delaware, Newark, United States
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10
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Gallo HB, Marnfeldt KA, Navarro AE, Wilber KH. It's Time We Looked Under the Hood: An In-Depth Examination of Five Public California Area Agencies on Aging. THE GERONTOLOGIST 2022; 62:1420-1430. [PMID: 35968562 PMCID: PMC9710244 DOI: 10.1093/geront/gnac124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND AND OBJECTIVES As the older adult population grows, it is important to understand the effectiveness of service delivery systems that support aging in place. Studying service delivery processes and organizational structures of Area Agencies on Aging (AAAs) is essential for future efforts to understand service delivery outcomes and innovations. RESEARCH DESIGN AND METHODS We conducted site visits with 5 government-run California AAAs. We used a template and constant comparative analysis to analyze transcripts from site visits and focus groups with key informants. RESULTS AAA representatives discussed how their organizational structure was related to (a) which services and programs they provided; (b) administrative cost savings and access to funding sources; (c) inter- and intra-agency coordination; and (d) visibility among clients and community partners. DISCUSSION AND IMPLICATIONS These findings can be used to guide decisions surrounding how changes in AAA structure may affect funding, coordination, service delivery, and visibility, among other factors. Consolidating the AAA with other departments and programs facilitates coordination and shared administrative costs, yet consolidation may reduce standalone AAAs' visibility and ability to innovate. AAA structure should be tailored to fit community resources, local government organization, and the needs of older residents.
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Affiliation(s)
- Haley B Gallo
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA
| | - Kelly Ann Marnfeldt
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA
| | - Adria E Navarro
- School of Behavioral and Applied Sciences, Azusa Pacific University, Azusa, California, USA
| | - Kathleen H Wilber
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA
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11
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Lapierre N, Olatona O, Labrie D, Gagnon M, Paquette Raynard E, Mortenson WB, Routhier F. Providing community services for persons with disabilities during the COVID-19 pandemic: A scoping review. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e3746-e3760. [PMID: 36168783 DOI: 10.1111/hsc.14050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 08/01/2022] [Accepted: 09/12/2022] [Indexed: 06/16/2023]
Abstract
Community organisations and municipalities support people with disabilities by providing resources and services that are essential for their engagement in the community. Their services were particularly impacted by restrictions related to the COVID-19 pandemic. The aim of the study is to identify scientific literature that examines how community organisations and municipalities adapted services and resources provided to people with disabilities as a result of the COVID-19 pandemic. A scoping review was conducted by searching the databases Medline, Embase, CINAHL, PsycINFO and Web of Science Core Collection in January 2021. Fifteen studies were included from the initial search strategy of 7651 individual studies. Most of the studies were quantitative studies (73.3%; n = 11) and aimed at describing the adaptations put in place during the COVID-19 pandemic (66.7%; n = 10). Most services and resources involved some form of preventive healthcare (66.7%; n = 10). The adaptation of modalities for delivering resources and services varied widely across organisations (e.g. online or a combination of online and in-person) but mostly led to an improvement of the studied outcome (e.g. social skills, quality of life). Barriers (e.g. need for a reliable internet connection, lack of technology literacy from the member) and facilitators (e.g. flexibility and planning from the organisations) for these adaptations have been identified, but there is little information surrounding their cost. The results highlight that the delivery of online services has increased since the inception of the COVID-19 pandemic with valuable outcomes. However, further research is needed to better identify the barriers, facilitators and outcomes of remote services to better face future large-scale disasters like the COVID-19 pandemic and to better support individuals who cannot reach in-person services.
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Affiliation(s)
- Nolwenn Lapierre
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec City, Québec, Canada
- Department of Rehabilitation, Faculty of Medicine, Université Laval, Québec City, Québec, Canada
- Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, British Columbia, Canada
- International Collaboration on Repair Discoveries, Vancouver, British Columbia, Canada
- Rehabilitation Research Program, GF Strong Rehabilitation Research Lab, Vancouver, British Columbia, Canada
| | - Olatioluwase Olatona
- Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, British Columbia, Canada
- International Collaboration on Repair Discoveries, Vancouver, British Columbia, Canada
- Rehabilitation Research Program, GF Strong Rehabilitation Research Lab, Vancouver, British Columbia, Canada
| | - Dylane Labrie
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec City, Québec, Canada
| | | | | | - William Ben Mortenson
- Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, British Columbia, Canada
- International Collaboration on Repair Discoveries, Vancouver, British Columbia, Canada
- Rehabilitation Research Program, GF Strong Rehabilitation Research Lab, Vancouver, British Columbia, Canada
| | - François Routhier
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec City, Québec, Canada
- Department of Rehabilitation, Faculty of Medicine, Université Laval, Québec City, Québec, Canada
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12
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Yeh J, Holley L, Ford CD, Guest MA. Engagement and Advocacy of Community-Based Organizations Serving Older Adults in Native American, Rural, and Homeless Communities During the COVID-19 Pandemic. J Aging Soc Policy 2022:1-13. [PMID: 36208458 DOI: 10.1080/08959420.2022.2133317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 05/24/2022] [Indexed: 10/10/2022]
Abstract
Older adults in Native American, rural, and homeless communities have been disproportionately affected by the Coronavirus Disease 2019 (COVID-19) pandemic due to structural and systemic inequities. However, community-based organizations (CBOs) serving these older adults are well positioned as frontline responders and trusted messengers to support their needs and provide vital services that enable them to stay safe. This commentary argues that CBOs are essential for engaging with and responding to community needs during a pandemic. The work of three CBOs is spotlighted to elucidate the importance of partnerships and trust in disseminating strategies for responding to and mitigating pandemic impacts.
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Affiliation(s)
- Jarmin Yeh
- Assistant Professor, Institute for Health & Aging, Department of Social & Behavioral Sciences, School of Nursing, University of California, San Francisco, California, USA
| | - Lyn Holley
- Professor, Department of Gerontology, University of Nebraska, Omaha, Nebraska, USA
| | - Cassandra D Ford
- Associate Professor, Capstone College of Nursing, The University of Alabama, Tuscaloosa, Alabama, USA
| | - M Aaron Guest
- Assistant Professor, Edson College of Nursing and Health Innovation, Arizona State University, Arizona, USA
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13
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Valliant JC, Burris ME, Czebotar K, Stafford PB, Giroux SA, Babb A, Waldman K, Knudsen DC. Navigating Food Insecurity as a Rural Older Adult: The Importance of Congregate Meal Sites, Social Networks and Transportation Services. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2022. [DOI: 10.1080/19320248.2021.1977208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | - Mecca E. Burris
- Sustainable Food Systems Science, The Ostrom Workshop, Indiana University, Bloomington, Indiana USA
| | - Kamila Czebotar
- Food Institute, Indiana University, Bloomington, Indiana USA
| | - Philip B. Stafford
- Sustainable Food Systems Science, The Ostrom Workshop, Indiana University, Bloomington, Indiana USA
| | - Stacey A. Giroux
- Department of Anthropology, Indiana University, Bloomington, Indiana USA
- Sustainable Food Systems Science, The Ostrom Workshop, Indiana University, Bloomington, Indiana USA
| | - Angela Babb
- Department of Anthropology, Indiana University, Bloomington, Indiana USA
| | - Kurt Waldman
- Food Institute, Indiana University, Bloomington, Indiana USA
| | - Daniel C. Knudsen
- Food Institute, Indiana University, Bloomington, Indiana USA
- Department of Geography, Indiana University, Bloomington, Indiana USA
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14
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‘Can't always get what you want’: Allocation of community-based services for older adults. AGING AND HEALTH RESEARCH 2022. [DOI: 10.1016/j.ahr.2022.100094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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15
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Masters JL, Wilkinson LR, Kelly CM, McKelvey M, Ghazi Saidi L, Hill TL, Drozd D, Wu H, O’Brien T. COVID-19 and the Vulnerabilities of Community-Dwelling Other Adults: Findings From a Statewide Survey of Home-Delivered Meals Recipients*. Gerontol Geriatr Med 2022; 8:23337214221086465. [PMID: 35382451 PMCID: PMC8977429 DOI: 10.1177/23337214221086465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 02/18/2022] [Accepted: 02/22/2022] [Indexed: 11/15/2022] Open
Abstract
COVID-19’s impact on community-dwelling older adults, especially those in rural
and underserved areas, as well as those who are homebound, is of interest to
policy makers and clinicians, now and in the future. This study aims to examine
the consequences of the COVID-19 pandemic on community-dwelling older adults
with the greatest social and economic needs residing in a mostly rural state.
Using a self-administered survey, we collected data from 1852 home-delivered
meal recipients, age 60 years and older, served by Nebraska’s eight Area
Agencies on Aging. Results highlight three areas of importance: social
connections, healthcare access and utilization, and technology. We found that
while most older adults maintained social interaction, despite the restrictions
imposed by the pandemic, feelings of loneliness persisted or even increased,
with 35% of respondents feeling lonelier because of the pandemic. Our findings
further reveal that 42% of older adults skipped or postponed healthcare visits
during the pandemic, although the majority expressed interest in using
telehealth. Finally, the rural‐urban divide was evident in our data, with less
than one-half of respondents (45%) having access to reliable internet.
Suggestions on how to prepare the most vulnerable people for similar crises are
included.
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Affiliation(s)
| | | | | | | | | | - Toni L. Hill
- University of Nebraska at Kearney, Kearney, NE, USA
| | - David Drozd
- Community Health Development Partners, Omaha, NE, USA
| | - Heng Wu
- University of Nebraska at Omaha, Omaha, NE, USA
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16
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Sharma A. Older Adult Mortality From COVID-19: Food Access as a Determinant Within a Socio-ecological Framework. THE GERONTOLOGIST 2022; 62:452-463. [PMID: 35072729 PMCID: PMC8807209 DOI: 10.1093/geront/gnab159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Low access to food can have an adverse impact on health yet there is limited research on how it is related to coronavirus disease 2019 (COVID-19). The objective of this study was to (a) better understand how inadequate food access was associated with older adult mortality from COVID-19 and (b) determine the spatial distribution of mortality from low food access utilizing a socio-ecological framework. RESEARCH DESIGN AND METHODS This study area was the larger Midwest, a region of the United States, which included the following states: Minnesota, Wisconsin, Iowa, Illinois, Indiana, Michigan, Ohio, and Pennsylvania. Data were aggregated from multiple sources at the county-level. Because the spatial data used in this study violated several assumptions of the global regression framework, geographically weighted regression (GWR) was employed. RESULTS Results from GWR revealed low access to food was positively associated with mortality from COVID-19 for older adults but the association varied in (a) magnitude and (b) significance across the larger Midwest. More specifically, the socio-ecological framework suggested low access to food, female-headed households, and percentage Hispanic played a meaningful role in explaining older adult mortality for the western region of the larger Midwest. This was not as evident for the eastern portion. DISCUSSION AND IMPLICATIONS Such a finding calls attention to the importance of capturing the local context when devising policies to reduce mortality for older adults from COVID-19. Regional policymakers can collaborate with public health professionals when applying these results to formulate local action plans that recognize variations across geographic space.
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Affiliation(s)
- Andy Sharma
- Public Policy Studies, Northwestern University, Chicago, Illinois, USA
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17
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Peterson LJ, Rouse HJ, Slater C, Ayala J. State Policies Concerning Disaster Preparedness for Home- and Community-Based Service Providers. J Appl Gerontol 2022; 41:1520-1527. [PMID: 35232311 DOI: 10.1177/07334648221075619] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Older adults are among those most vulnerable to harm in disasters, such as hurricanes and wildfires. Nursing homes and other Medicare providers are subject to federal requirements to develop detailed disaster plans. However, millions of older adults receive care at home from non-Medicare providers who are under federal disaster preparedness rules that are less prescriptive than Medicare rules and subject to state interpretation. This study assessed the disaster preparedness policies for Older Americans Act-funded home- and community-based programs in 10 states with high numbers of older adults and experience with disasters. We found considerable variation by state. The results raise questions about the protection provided to vulnerable individuals who receive care at home in some states. However, the policies of some other states indicate an awareness that government has a significant role in protecting older adults exposed to disasters and that disaster preparedness is a component of aging in place.
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Affiliation(s)
- Lindsay J Peterson
- School of Aging Studies, Florida Policy Exchange Center on Aging, 7831University of South Florida, Tampa, FL, USA
| | - Hillary J Rouse
- School of Aging Studies, Florida Policy Exchange Center on Aging, 7831University of South Florida, Tampa, FL, USA
| | - Christian Slater
- School of Aging Studies, Florida Policy Exchange Center on Aging, 7831University of South Florida, Tampa, FL, USA
| | - Joey Ayala
- School of Aging Studies, Florida Policy Exchange Center on Aging, 7831University of South Florida, Tampa, FL, USA
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18
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Vervaecke D, Owaisi RB, Meisner BA. Adult Day Program Directors' Experiences Managing the COVID-19 Pandemic. Can J Aging 2021; 40:1-12. [PMID: 34676814 DOI: 10.1017/s0714980821000490] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Adult day programs (ADPs) provide community-based supervised recreational services to older adults living with chronic conditions and their caregivers. Most ADPs continued operating during the pandemic, tasking directors with the responsibility of managing the complexities of the coronavirus disease (COVID-19) pandemic. This study explored how ADP directors managed and experienced the COVID-19 pandemic. Semi-structured interviews were conducted with 18 ADP directors from a large health care region in Ontario. Thematic analysis resulted in four themes that detailed how participants: 1) responded to the pandemic with adapted services; 2) navigated the pandemic responses within systems and organizations, and with each other, clients, and caregivers; 3) felt personally during the pandemic; and 4) gained new insights on their clients and the importance of ADPs in the health care system due to the pandemic. Findings highlight pre-existing and emerging gaps and opportunities within ADP service provision for clients and caregivers, as well as service providers and directors.
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Affiliation(s)
- Deanna Vervaecke
- School of Kinesiology & Health Science, York University, Toronto, ON, Canada
| | - Rumia B Owaisi
- School of Global Health, York University, Toronto, ON, Canada
| | - Brad A Meisner
- School of Kinesiology & Health Science, York University, Toronto, ON, Canada
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19
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Paananen J, Rannikko J, Harju M, Pirhonen J. The impact of Covid-19-related distancing on the well-being of nursing home residents and their family members: a qualitative study. INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES 2021; 3:100031. [PMID: 34095858 PMCID: PMC8166157 DOI: 10.1016/j.ijnsa.2021.100031] [Citation(s) in RCA: 38] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 05/04/2021] [Accepted: 05/21/2021] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES The aim of this study is to examine the consequences of Covid-19-related isolation and social restrictions on the well-being of nursing home residents and their family members, and to analyze how distancing has affected the relationships of family members with residents and the nursing home staff. DESIGN The data consist of 41 thematic one-on-one interviews conducted during May-December 2020 with family members of nursing home residents. Convenience sampling was utilized by asking several nursing homes in different parts of Finland to relay a contact request from the researchers to the residents' family members. The main themes of the interviews were lockdown and visiting restrictions. Subthemes included the frequency of visits, other means of interaction, changes in the relationships of family members with their loved ones and with nursing home staff, and the feelings aroused by the situation. The interviews were audio recorded and transcribed verbatim, resulting in 794 pages of data. METHOD The qualitative study uses inductive content analysis. NVivo12 software facilitated the systematic coding of the data. RESULTS According to the family members, distancing aggravated the residents' pre-existing conditions: they reported a sudden progression in memory disorders and significant deterioration in physical abilities, for example. Both residents and family members experienced anxiety, grief, and severe stress, and family members expressed concern that residents might die due to a lack of social contact and activity. Family members were also frustrated about not being able to touch their relatives or participate in their care, and therefore sometimes thought that their visits were useless. New forms of interaction with family members, introduced by the nursing homes, were appreciated. However, some family members perceived the interactional protocols as unfair and complained about insufficient information. CONCLUSIONS The findings underline the need for nursing homes to implement a good interactional protocol. Overall, the results show that the measures taken to protect residents' health during the Covid-19 outbreak were short-sighted in terms of the social dimension of well-being. It is therefore important to continue developing safe and humane solutions for interaction when social restrictions are in place. Tweetable abstract: Covid-19-related distancing has caused anxiety, grief, and severe stress for nursing home residents and their family members.
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Affiliation(s)
- Jenny Paananen
- Department of Nursing Science, University of Turku, 20014, Finland
| | - Johanna Rannikko
- Department of Nursing Science, University of Turku, 20014, Finland
| | - Maija Harju
- Faculty of Social Sciences, University of Helsinki, P.O Box 9, 00014, Finland
| | - Jari Pirhonen
- Faculty of Social Sciences, University of Helsinki, P.O Box 9, 00014, Finland
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20
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Resnick B, Zimmerman S. COVID-19 Recommendations for Research From the Gerontological Society of America COVID-19 Task Force. THE GERONTOLOGIST 2021; 61:137-140. [PMID: 33313645 PMCID: PMC7799050 DOI: 10.1093/geront/gnaa200] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
| | - Sheryl Zimmerman
- Cecil G. Sheps Center for Health Services Research and Schools of Social Work and Public Health, University of North Carolina at Chapel Hill, USA
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21
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Horta NDC, Boas PV, Carvalho ADFSD, Torres SVDS, Campos GCD, Angiolettif ADC, Tessarolo MMM, Alves WCB, Sabbii EH, Giacomin KC. Brazilian National Front for Strengthening Long-Term Care Facilities for Older People: history and activities. GERIATRICS, GERONTOLOGY AND AGING 2021. [DOI: 10.53886/gga.e0210064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
In April 2020, the COVID-19 pandemic became a severe threat to long-term care facility patients worldwide. A national front was urgently organized to integrate regional oversight and workgroups, coordinate activities, and develop educational materials, meetings, and communication strategies with these institutions. As of August 2021, the front’s initiatives have demonstrated its relevance for helping long-term care facilities cope with the COVID-19 pandemic, as well as for the ongoing struggle to include this issue in the public agenda, given that these facilities are an indispensable link in the development of a national policy for continuing care. This paper describes the history and initiatives of the National Front for Strengthening Long-Term Care Facilities regarding the COVID-19 pandemic, as well as its successful volunteer initiatives regarding the care of institutionalized older adults.
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