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D’Cunha NM, Holloway H. A pilot study of an intergenerational program for people in residential aged care with cognitive impairment and children from a co-located early learning centre during COVID-19. DEMENTIA 2024; 23:927-948. [PMID: 38373711 PMCID: PMC11290022 DOI: 10.1177/14713012241235378] [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] [Indexed: 02/21/2024]
Abstract
Intergenerational programs in residential aged care may improve well-being and combat loneliness and social isolation in older people with cognitive impairment. This pilot study investigated the effects of a semi-structured intergenerational group, including children from a co-located early learning centre and people living in residential aged care with cognitive impairment. This 9-week study used a mixed methods pre- and post-program design. Sessions were designed and delivered once per week by Occupational Therapists and took into account residents' interests and children's developmental needs and interests, identified in pre-program interviews. Nine older people with cognitive impairment and 13 children participated. The program was well attended despite disruptions and complications caused by COVID-19 and weather conditions. Older people valued the opportunity to engage with the children. Children were observed to gain confidence in communicating and forming friendships with older people with different levels of ability. There did not appear to be any change in loneliness or neuropsychiatric symptoms. The intergenerational program benefited participants and received strong support from family members and staff of the early learning centre and aged care home.
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Affiliation(s)
- Nathan M D’Cunha
- Nathan M D’Cunha, School of Exercise and Rehabilitation Sciences, Faculty of Health, University of Canberra, 11 Kirinari St, Bruce, ACT 2617, Australia.
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Meyer C, Golenko X, Cyarto EV, O'Keefe F, Bonney G, Min M, Alrababah S, Robinson E, Lowthian J. Weaving Evidence into Action for Veterans with Dementia (WEAVE): Evaluation of implementation into long-term care practice. J Eval Clin Pract 2023; 29:903-914. [PMID: 37143415 DOI: 10.1111/jep.13852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 04/06/2023] [Accepted: 04/17/2023] [Indexed: 05/06/2023]
Abstract
RATIONALE Veterans living with dementia in long-term care have complex needs, with variable manifestation of symptoms of dementia that interact with their lived experience. Best practice dementia care prioritises nonpharmacological interventions; of which few have strong evidence. Implementation of evidence is complex, with evaluation of outcomes and processes necessary. AIMS AND OBJECTIVES This paper details the evaluation of implementation, at veteran and organisational level, of the Weaving Evidence into Action for Veterans with Dementia (WEAVE) programme. METHODS A Type 2 hybrid effectiveness-implementation design was used, underpinned by the Implementation Framework for Aged Care (IFAC). Programme intervention incorporated music therapy, exercise, reminiscence therapy and/or sensory modulation, offered over a 24-week period. Evaluation components included: (1) programme effectiveness for veterans with dementia for responsive behaviour, physical wellbeing, cognitive status, emotional state, medications and falls (at baseline, 8-week, 16-week and 24-week); and (2) implementation outcomes of reach and adoption, feasibility and acceptability, fidelity (via interviews) and a preliminary cost analysis. RESULTS Thirty-eight veterans participated in the 24-week programme, with high levels of engagement in interventions of their choice. Statistically significant improvements were seen across all veteran-level outcome measures, for functional capacity and reduced neuro-psychiatric and depressive symptoms. Ten staff members were interviewed, highlighting co-designed core elements were feasible and acceptable, and the momentum generated by resident and staff enthusiasm. Cost analysis included costs of programme set-up and running the 24-week intervention. CONCLUSION Key components of programme success were the therapeutic leaders, adherence to core elements of programme design, and veterans' choice in meaningful activity. Cost analysis supports deliberations for upscale across further care homes.
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Affiliation(s)
- Claudia Meyer
- Bolton Clarke Research Institute, Melbourne, Victoria, Australia
- Centre for Health Communication and Participation, La Trobe University, Melbourne, Victoria, Australia
- Rehabilitation, Ageing and Independent Living Research Centre, Monash University, Melbourne, Victoria, Australia
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Xanthe Golenko
- Bolton Clarke Research Institute, Queensland, Brisbane, Australia
- Department of Business Innovation and Strategy, Griffith Business School, Griffith University, Brisbane, Queensland, Australia
| | - Elizabeth V Cyarto
- Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia
- Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia
| | | | - Gwen Bonney
- Bolton Clarke Galleon Gardens care home, Gold Coast, Queensland, Australia
| | - Mina Min
- Bolton Clarke Galleon Gardens care home, Gold Coast, Queensland, Australia
| | - Safa Alrababah
- Bolton Clarke Research Institute, Queensland, Brisbane, Australia
| | | | - Judy Lowthian
- Bolton Clarke Research Institute, Melbourne, Victoria, Australia
- Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia
- School of Public Health & Preventive Medicine, Alfred Hospital, Monash University, Melbourne, Victoria, Australia
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Watching Relationships Build over Time: A Video Analysis of a Hybrid Intergenerational Practice Program. SOCIAL SCIENCES 2023. [DOI: 10.3390/socsci12020096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023] Open
Abstract
Intergenerational programs are devoted to bringing older adults and children together because of their mutual benefits for both parties, such as reduction of ageism, relationship building, and shared learning. This intergenerational practice program included high school children and residents at an over-55 retirement village. The aim of this study was to develop an intergenerational shared learning program during COVID-19 using a hybrid model of face-to-face and videoconferencing technology. As a result of video analysis, researchers observed participant interactions and engagement during face-to-face and video conferencing sessions. The findings highlight the importance of a program structure that adapts to the changing environment and recognises that different settings (video and face-to-face) require different relationship-building activities. In addition, co-collaboration in the development of the program structure was essential to facilitate shared learnings.
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Trotter M, Sanders P, Lindquist M, Miller E, Hajirasouli A, Blake A, Harrington R, Olsen H, Tyvimaa T, Pepping GJ, Kuys S, Drogemuller R. Intergenerational living and learning: The value and risks of co-locating retirement villages on secondary school campuses - Evaluating the GrandSchools vision. Australas J Ageing 2022; 41:e305-e309. [PMID: 35789187 DOI: 10.1111/ajag.13111] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 05/09/2022] [Accepted: 05/11/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVES GrandSchools is a new concept which co-locates retirement villages with secondary schools in one physical environment. Designed to enhance the health and well-being of both younger and older generations, this intergenerational-shared campus model promotes intergenerational inclusivity and active learning and living. In this paper, we explore stakeholder experts' perceptions of current opportunities and impediments to this proposed intergenerational learning and living model. METHODS A qualitative study reporting on findings from an industry seminar (n = 50) and key interviews (n = 10) from stakeholders in education, health, higher education, the management and operation of retirement villages, and design firms. RESULTS Three key themes summarised participants' assessment of the value, risks and what needs to change in order for intergenerational living and learning to become a reality. CONCLUSIONS By bringing younger and older generations together in one shared campus location, GrandSchools is a novel idea to promote intergenerational inclusivity, enhancing the health and well-being of our whole community.
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Affiliation(s)
- Mark Trotter
- School of Architecture and Built Environment, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Paul Sanders
- School of Engineering, Design and Built Environment, Western Sydney University, Penrith, New South Wales, Australia
| | - Marissa Lindquist
- School of Architecture and Built Environment, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Evonne Miller
- School of Design, Faculty of Creative Industries, Education and Social Justice, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Aso Hajirasouli
- School of Architecture and Built Environment, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Andrea Blake
- Faculty of Business and Law, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Rosamund Harrington
- School of Allied Health, Australian Catholic University, Brisbane, Queensland, Australia
| | - Heidi Olsen
- School of Allied Health, Australian Catholic University, Brisbane, Queensland, Australia
| | - Tanja Tyvimaa
- School of Economics and Finance, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Gert-Jan Pepping
- School of Behavioural and Health Sciences, Australian Catholic University, Brisbane, Queensland, Australia
| | - Suzanne Kuys
- School of Allied Health, Australian Catholic University, Brisbane, Queensland, Australia
| | - Robin Drogemuller
- School of Architecture and Built Environment, Queensland University of Technology, Brisbane, Queensland, Australia
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Kirsnan L, Kosiol J, Golenko X, Radford K, Fitzgerald JA. Barriers and Enablers for Enhancing Engagement of Older People in Intergenerational Programs in Australia. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2022. [DOI: 10.1080/15350770.2022.2065400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Han J, Chan EHW, Yung EHK, Qian QK, Lam PTI. A Policy Framework for Producing Age-Friendly Communities from the Perspective of Production of Space. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042031. [PMID: 35206223 PMCID: PMC8872022 DOI: 10.3390/ijerph19042031] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 01/26/2022] [Accepted: 02/08/2022] [Indexed: 02/01/2023]
Abstract
Given various hindrances in the macro context, how to efficiently develop age-friendly community policies requires further research. Currently, such kinds of frameworks are lacking. This paper aims to develop a policy framework to minimise cost and resolve conflict of interest between different generations in age-friendly community development. The study adopted a scientometric method to review the theoretical development of age-friendly community studies. Firstly, with a search for the keywords “age-friendly” and “community” on Web of Science, 72 English academic papers were found containing explicit theories. Most of the studies were conducted in the Global North. Then, a mixed analytical method was used to find a suitable theory, “the production of space”, to develop the policy framework. Lastly, a policy framework was developed to overcome barriers to age-friendly community development strategically. Echoing previous studies, this paper proposes a way to counter financial austerity in age-friendly initiative investment and balance the consideration for older and younger populations in urban development. For practice, the policy framework can provide a reference for more efficient age-friendly community policymaking in different regions. For future research, the framework provides a model for more empirical studies considering the social dynamics in age-friendly community development.
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Affiliation(s)
- Jianbo Han
- Department of Building and Real Estate, The Hong Kong Polytechnic University, Hong Kong SAR, China; (J.H.); (E.H.K.Y.); (P.T.I.L.)
| | - Edwin H. W. Chan
- School of Public Administration, Hunan University, Changsha 410082, China
- Correspondence:
| | - Esther H. K. Yung
- Department of Building and Real Estate, The Hong Kong Polytechnic University, Hong Kong SAR, China; (J.H.); (E.H.K.Y.); (P.T.I.L.)
| | - Queena K. Qian
- Faculty of Architecture and The Built Environment, Delft University of Technology, 2628 Delft, The Netherlands;
| | - Patrick T. I. Lam
- Department of Building and Real Estate, The Hong Kong Polytechnic University, Hong Kong SAR, China; (J.H.); (E.H.K.Y.); (P.T.I.L.)
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Buonsenso A, Fiorilli G, Mosca C, Centorbi M, Notarstefano CC, Di Martino G, Calcagno G, Intrieri M, di Cagno A. Exploring the Enjoyment of the Intergenerational Physical Activity. J Funct Morphol Kinesiol 2021; 6:51. [PMID: 34198610 PMCID: PMC8293167 DOI: 10.3390/jfmk6020051] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 06/05/2021] [Accepted: 06/10/2021] [Indexed: 01/24/2023] Open
Abstract
Intergenerational physical activity could be a pleasant method to prevent elderly sedentary behaviors. The aim of this study is to provide a basis to develop an intergenerational physical activity between preschool children and elderly people. An assessing enjoyment three questionnaire survey was administered to 140 participants (aged 67.8 ± 9.1): the global physical activity questionnaire (GPAQ) assessing the sedentariness degree; the physical activity enjoyment scale (PACES-Q) assessing enjoyment for the physical activity usually practiced; the physical activity enjoyment scale (PACES-INT) assessing the enjoyment for a hypothetical intergenerational program. Successively, the sample was divided into subgroups based on age, gender, marital status, education, employment, sports background, sedentariness level and residential location. Four multichoice questions, aiming to have guidelines in organizing an intergenerational program, were used. A total of 44.3% of the sample found the physical activity practiced pleasant, whereas 81.5% enjoyed the intergenerational program (only 7.1% expressed a negative judgment). A separated one-way ANOVA showed significant differences in PACES-INT for gender, (p = 0.009), residential location, (p < 0.001) and employment (p = 0.004). About 80% of the sample would adhere to the intergenerational programs, despite the fatigue fear and logistic or family relationship problems.
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Affiliation(s)
- Andrea Buonsenso
- Department of Medicine and Health Sciences, University of Molise, v. De Sanctis 1, 86100 Campobasso, Italy; (A.B.); (G.F.); (M.C.); (M.I.)
| | - Giovanni Fiorilli
- Department of Medicine and Health Sciences, University of Molise, v. De Sanctis 1, 86100 Campobasso, Italy; (A.B.); (G.F.); (M.C.); (M.I.)
| | - Cristiana Mosca
- Department of Motor, Human and Health Sciences, University of Rome “Foro Italico”, Lauro de Bosis Square, 15, 00197 Rome, Italy; (C.M.); (C.C.N.); (G.D.M.); (A.d.C.)
| | - Marco Centorbi
- Department of Medicine and Health Sciences, University of Molise, v. De Sanctis 1, 86100 Campobasso, Italy; (A.B.); (G.F.); (M.C.); (M.I.)
| | - Concetta C. Notarstefano
- Department of Motor, Human and Health Sciences, University of Rome “Foro Italico”, Lauro de Bosis Square, 15, 00197 Rome, Italy; (C.M.); (C.C.N.); (G.D.M.); (A.d.C.)
| | - Giulia Di Martino
- Department of Motor, Human and Health Sciences, University of Rome “Foro Italico”, Lauro de Bosis Square, 15, 00197 Rome, Italy; (C.M.); (C.C.N.); (G.D.M.); (A.d.C.)
| | - Giuseppe Calcagno
- Department of Medicine and Health Sciences, University of Molise, v. De Sanctis 1, 86100 Campobasso, Italy; (A.B.); (G.F.); (M.C.); (M.I.)
| | - Mariano Intrieri
- Department of Medicine and Health Sciences, University of Molise, v. De Sanctis 1, 86100 Campobasso, Italy; (A.B.); (G.F.); (M.C.); (M.I.)
| | - Alessandra di Cagno
- Department of Motor, Human and Health Sciences, University of Rome “Foro Italico”, Lauro de Bosis Square, 15, 00197 Rome, Italy; (C.M.); (C.C.N.); (G.D.M.); (A.d.C.)
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Morita K, Kobayashi M, Aoki R, Nagamine H, Yamamoto H, Ohtake F, Hoki M, Sumita H, Maruyama K, Mitsuhashi K, Sasaki A. Factors that facilitate multigenerational exchanges in regional locations: a cross-sectional study in Niigata City, Japan. Arch Public Health 2021; 79:41. [PMID: 33766118 PMCID: PMC7993487 DOI: 10.1186/s13690-021-00563-x] [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] [Received: 11/16/2020] [Accepted: 03/19/2021] [Indexed: 12/02/2022] Open
Abstract
Background In the process of community building, it is important to create a place for multigenerational exchanges. To promote multigenerational exchanges in regional locations, it is essential to clarify whether such exchanges are related to government infrastructure, regional characteristics, and social capital, and how these exchanges contribute to community building. Methods A cross-sectional questionnaire study was conducted with representatives from 455 Chiiki no Cha-no-Ma (literal translation “community living room,” and hereafter “Cha-no-Ma”) in Niigata City, Japan. Responses were received from 405 representatives (response rate: 89.0 %), and 401 agreed to participate (4 declined). The survey details included basic information (e.g., date each location was established, frequency of meetings, number of caretakers and participants, qualifications of the representative), activities reflecting local culture, a social capital scale, the effects of the Cha-no-Ma implemented by the representative (12 items), challenges for management (16 items), and the implementation of multigenerational exchanges. Results Most of the age groups that participated in the Cha-no-Ma were elderly, and multigenerational exchanges took place in 125 locations (31.5 %). Items that had a significant connection to the implementation of multigenerational exchanges were “Frequency of meetings” (p < 0.001) and “Activities reflecting local culture” (p = 0.026). Binomial logistic regression analysis indicated that a high frequency of meetings was associated with the implementation of multigenerational exchanges (Odds ratio = 3.839). There was a significantly higher ratio of implementation of multigenerational exchanges when the effects were a “connection with the region” (p = 0.006) and “conversations with different generations” (p = 0.004), and when the challenge was “no support from residents” (p = 0.002). Conclusions Cha-no-Ma participation is low among young people. The following ideas can be considered in order to increase multigenerational exchanges in regional locations. These exchanges may be promoted by increasing the frequency of meetings with qualified personnel and by adding activities that reflect local culture, such as festivals and making local foods. This community-based study clearly indicates that implementing multigenerational exchanges is an important activity for community building because it is related to connection within the community.
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Affiliation(s)
- Kumiko Morita
- Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima Bunkyo-ku, 113-8519, Tokyo, Japan.
| | | | - Rieko Aoki
- Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima Bunkyo-ku, 113-8519, Tokyo, Japan
| | | | - Harumi Yamamoto
- Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima Bunkyo-ku, 113-8519, Tokyo, Japan
| | - Fumi Ohtake
- Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima Bunkyo-ku, 113-8519, Tokyo, Japan
| | - Mika Hoki
- Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima Bunkyo-ku, 113-8519, Tokyo, Japan
| | - Hiroko Sumita
- Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima Bunkyo-ku, 113-8519, Tokyo, Japan
| | - Kayo Maruyama
- Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima Bunkyo-ku, 113-8519, Tokyo, Japan
| | - Kayoko Mitsuhashi
- Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima Bunkyo-ku, 113-8519, Tokyo, Japan
| | - Akiko Sasaki
- Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima Bunkyo-ku, 113-8519, Tokyo, Japan
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Golenko X, Radford K, Fitzgerald JA, Vecchio N, Cartmel J, Harris N. Uniting generations: A research protocol examining the impacts of an intergenerational learning program on participants and organisations. Australas J Ageing 2020; 39:e425-e435. [PMID: 31919942 PMCID: PMC7687250 DOI: 10.1111/ajag.12761] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2019] [Revised: 06/18/2019] [Accepted: 12/01/2019] [Indexed: 11/30/2022]
Abstract
Economic, health and social issues associated with the ageing population and the disconnect between the generations call for novel approaches to care services. Intergenerational programs are known to enhance engagement between generations, improve health and well-being and create a stronger sense of community. While the health and social benefits are well documented, little attention has been given to the operational aspects of intergenerational programs within care facilities. This paper describes the research protocol used to develop, implement and evaluate an intergenerational learning program for preschool-aged children and older people attending care services. The research focuses on five key areas: (a) impact on older people and children; (b) intergenerational learning; (c) workforce development; (d) socio-economic implications and costs; and (e) program fidelity and sustainability. Findings from this research are expected to contribute to building age-friendly communities through the development of practical operational guidelines for intergenerational learning programs to be implemented more broadly across Australia.
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Affiliation(s)
- Xanthe Golenko
- Department of Business Strategy and InnovationGriffith Business SchoolCold Coast CampusGriffith UniversityGold CoastQldAustralia
| | - Katrina Radford
- Department of Business Strategy and InnovationGriffith Business SchoolCold Coast CampusGriffith UniversityGold CoastQldAustralia
| | - Janna Anneke Fitzgerald
- Department of Business Strategy and InnovationGriffith Business SchoolCold Coast CampusGriffith UniversityGold CoastQldAustralia
| | - Nerina Vecchio
- Department of Accounting, Finance and EconomicsGriffith Business SchoolGriffith UniversityGold CoastQldAustralia
| | - Jennifer Cartmel
- School of Human Services and Social WorkGriffith UniversityLogan CityQldAustralia
| | - Neil Harris
- Public Health, School of MedicineGriffith UniversityGold CoastQldAustralia
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