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Somerville, Ceara, Saralyn Collins und Caitlin E. Coyle. „LGBTQ PROGRAMMING AT SENIOR CENTERS IN MASSACHUSETTS“. Innovation in Aging 3, Supplement_1 (November 2019): S157. http://dx.doi.org/10.1093/geroni/igz038.563.
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Abstract LGBTQ seniors have some different needs for programs and services, are at a higher risk of social isolation, and are often underserved in the community. Senior centers serve as a hub of resources in a community and are purposefully situated to address the needs and interests of all seniors in a community; they are a natural outlet for targeted programming for LGBTQ seniors. The purpose of this project is to demonstrate what municipal senior centers across Massachusetts are doing to meet the needs of their LGBTQ seniors. A total of 24 senior centers were identified by the Massachusetts Association of Councils on Aging (MCOA) as providing LGBTQ programming. Semi-structured interviews were conducted with 14 senior center directors or programming staff from different communities across Massachusetts to learn more about their specific programming. For almost all senior centers in this study, the main LGBTQ-specific programming was a congregate meal with an activity. Activities included both recreational activities like a film-screening and educational engagements such as guest speakers or specialists on housing, legal services, and health promotion. Distinguishing characteristics included whether or not programming had an intergenerational component, type of recruitment methods, and geographic clustering of programs. For example, two regions emerged as having shared activities for LGBTQ seniors. Results from this study will be used to illustrate models of best practice when it comes to LGBTQ programming for older people.
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Miller, Vivian, Jordan Wilfong, Melissa Burek und Logan Lanson. „Identifying the Transportation Needs of a Rural Aging Community: Findings From a Community Assessment“. Innovation in Aging 4, Supplement_1 (01.12.2020): 702. http://dx.doi.org/10.1093/geroni/igaa057.2465.
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Abstract Community senior centers are tasked with providing aging adults services and programs, congregate meals, and transportation, set forth by the Older Americans Act. The overall function of senior centers is especially critical for rural communities, as rural communities are home to a greater proportion of older adults compared to metropolitan and low-density urban areas. To assess the current needs of the aging population in rural Northwest, OH, a total of 9 focus groups were held (N=45) as part of a larger mixed-methodological study. Through this work, older adults identified limitations of the current senior center transportation. A lack of transportation and accessibility of current transportation were noted as barriers to full senior center use. Findings from this study confirm disparities in rural transportation; a lack of transportation is a major obstacle to program completion. Recommendations address the unique challenges and needs for transportation services for in rural communities are presented.
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Burkiewicz, Jill S., und Brooke L. Sweeney. „Medication Reviews in Senior Community Housing Centers“. Consultant Pharmacist 21, Nr. 9 (01.09.2006): 715–18. http://dx.doi.org/10.4140/tcp.n.2006.715.
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Shendell, Derek, und Alexandra C. H. Nowakowski. „Senior safety zones: Community built environment factors around senior wellness centers“. Journal of Public Health Policy 31, Nr. 1 (04.03.2010): 115–18. http://dx.doi.org/10.1057/jphp.2009.44.
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Noël, Polly Hitchcock, Chen-Pin Wang, Erin P. Finley, Sara E. Espinoza, Michael L. Parchman, Mary J. Bollinger und Helen P. Hazuda. „Provider-Related Linkages Between Primary Care Clinics and Community-Based Senior Centers Associated With Diabetes-Related Outcomes“. Journal of Applied Gerontology 39, Nr. 6 (20.06.2018): 635–43. http://dx.doi.org/10.1177/0733464818782853.
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The Institute of Medicine (IOM) suggests that linkages between primary care practices and community-based resources can improve health in lower income and minority patients, but examples of these are rare. We conducted a prospective, mixed-methods observational study to identify indicators of primary care–community linkage associated with the frequency of visits to community-based senior centers and improvements in diabetes-related outcomes among 149 new senior center members (72% Hispanic). We used semistructured interviews at baseline and 9-month follow-up, obtaining visit frequency from member software and clinical assessments including hemoglobin A1c (HbA1c) from colocated primary care clinics. Members’ discussion of their activities with their primary care providers (PCPs) was associated with increased visits to the senior centers, as well as diabetes-related improvements. Direct feedback from the senior centers to their PCPs was desired by the majority of members and may help to reinforce use of community resources for self-management support.
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Somerville, Ceara, Saralyn Collins, Shayna Gleason und Caitlin Coyle. „How do Senior Center Attendees Rate the Importance of Programs and Services Compared to Non-Attendees?“ Innovation in Aging 4, Supplement_1 (01.12.2020): 116. http://dx.doi.org/10.1093/geroni/igaa057.383.
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Abstract Senior centers provide a wide range of programs and services to meet the needs of the growing aging population. As senior centers aim to serve all older community-members, it is important to assess the value of these services through the lens of both attendees and non-attendees of senior centers. Using a sample of 4,750 community-dwelling adults age 60 or older from Massachusetts, this project aims to analyze perceptions of program importance by center attendees versus non-attendees. Almost 60% of the sample never attend a senior center. Nearly a third of center attendees ranked exercise classes and education opportunities as important, compared to about 20% of non-attendees. Almost half of attendees rated application assistance and nutrition programs as not important, compared to 38% and 40% of non-attendees, respectively. Conversely, for all programs listed, non-users more frequently checked “unsure” of program/service importance. This was especially true for exercise classes, professional services, social or recreational activities, educational opportunities, and trips, for which 18% of non-attendees selected unsure. Center attendees more frequently view the programs/services offered at the senior center as important or very important, likely because they have greater awareness. Results highlight that that non-attendees are unsure of the value of programs or have no interest the programs and services provided. Not only do these results provide an opportunity to senior centers to assess how valuable certain programs and services are, they also emphasize the need for continued information streams regarding programs and services offered at senior centers to those who are unfamiliar.
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Skarupski, Kimberly A., und Jennifer J. Pelkowski. „Multipurpose Senior Centers: Opportunities for Community Health Nursing“. Journal of Community Health Nursing 20, Nr. 2 (Januar 2003): 119–32. http://dx.doi.org/10.1207/s15327655jchn2002_05.
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Somerville, Ceara, Nidya Velasco Roldan, Cindy N. Bui und Caitlin E. Coyle. „WHY DON’T OLDER ADULTS USE SENIOR CENTERS? EVIDENCE FROM A SAMPLE OF MASSACHUSETTS ADULTS AGE 50 AND OLDER“. Innovation in Aging 3, Supplement_1 (November 2019): S498. http://dx.doi.org/10.1093/geroni/igz038.1845.
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Abstract Senior centers are an integral community resource, providing programs and services intended to meet the vast range of needs and interests of older adults. There is a growing literature describing senior center participants and benefits to participation, but little is known about those who choose not to participate at a local senior center. This presentation uniquely characterizes non-users of senior centers, based on a sample of community-dwelling adults aged 50+ from seven communities in Massachusetts (N = 9,462). To date, this is the largest data set that describes senior center usage. Most of the sample were women (60%) and in the 60-69 age group (36%). More than three quarters of the sample do not use the local senior center (77%). The most common reasons for non-usage were lack of interest (27%) and not feeling old enough (26%). There are significant differences in reasons of non-usage among age groups and gender (p < .001). Younger age groups’ (50-69) most popular reasons for non-usage were not feeling old enough, not having time, inconvenient senior center hours, and not knowing what is offered. In contrast, older age groups (80+) more frequently reported having no interest or using programs elsewhere. Men were more likely to report not being interested and not being familiar with what is offered. Women were more likely to report not having time, inconvenient hours of programming, and using programs elsewhere. Based on results from this study, this presentation will outline implications for the future of senior centers and their programming.
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Melnick, Janet, und Heather Shanks-McElroy. „Evaluation of Senior Community Centers in Rural and Urban Pennsylvania“. Innovation in Aging 4, Supplement_1 (01.12.2020): 36. http://dx.doi.org/10.1093/geroni/igaa057.116.
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Abstract This is a state-wide study of rural and urban Senior Community Care Centers in PA. The study focused on five key outcomes: To create an inventory of PA’s rural and urban SC locations, To analyze SC attendance and program participation, To analyze the challenges and opportunities that SCC’s face in providing services in rural and urban PA for a growing senior population. To identify innovative and successful models of senior community care centers within the state. To formulate policy recommendations for the state. Particular attention was placed on innovative programs who are attracting and serving the needs of Baby Boomers,
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Coyle, Caitlin, und Shayna Gleason. „Which Seat at the Table? The Ways That Senior Service Organizations Are Engaged in Age-Friendly Community Efforts“. Innovation in Aging 4, Supplement_1 (01.12.2020): 23–24. http://dx.doi.org/10.1093/geroni/igaa057.076.
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Abstract Senior centers across the nation continue to serve as important access and focal points for older adults to voice their desires, get basic needs met, and to engage in opportunities that support many of the key concepts of Age-Friendliness (i.e. social participation, respect and social inclusion, civic engagement, transportation, and community supports and health services). Senior centers are the front line of aging services and thus in a position to implement programs and raise public awareness about age-friendly initiatives. The purpose of this presentation is to present and discuss the involvement of senior centers or other senior service agencies, as well as to characterize the mobilization of a community after joining the movement. We will present 5 case studies of age-friendly communities who are in the implementation phase of their initiative, to illustrate the challenges, opportunities, and outcomes associated with placing a senior center at the forefront of the movement. Based on the results of this work, we will present a typology of age-friendly community initiatives as a mechanism for supporting other communities make this transition. We conclude with a discussion of how age-friendly communities are part of the paradigm shift of aging in community and the ways in which this work intersects with other health policy initiatives with which cities and towns engage.
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Shin, Jin-Ui, und Seolhyang Baek. „Factors Affecting Suicidal Ideation in Elderly Attending Community Senior Centers“. Journal of agricultural medicine and community health 38, Nr. 2 (30.06.2013): 71–84. http://dx.doi.org/10.5393/jamch.2013.38.2.071.
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Berisha, Vjollca, David Hondula, Matthew Roach, Jessica R. White, Benita McKinney, Darcie Bentz, Ahmed Mohamed, Joshua Uebelherr und Kate Goodin. „Assessing Adaptation Strategies for Extreme Heat: A Public Health Evaluation of Cooling Centers in Maricopa County, Arizona“. Weather, Climate, and Society 9, Nr. 1 (21.12.2016): 71–80. http://dx.doi.org/10.1175/wcas-d-16-0033.1.
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Abstract Preventing heat-associated morbidity and mortality is a public health priority in Maricopa County, Arizona (United States). The objective of this project was to evaluate Maricopa County cooling centers and gain insight into their capacity to provide relief for the public during extreme heat events. During the summer of 2014, 53 cooling centers were evaluated to assess facility and visitor characteristics. Maricopa County staff collected data by directly observing daily operations and by surveying managers and visitors. The cooling centers in Maricopa County were often housed within community, senior, or religious centers, which offered various services for at least 1500 individuals daily. Many visitors were unemployed and/or homeless. Many learned about a cooling center by word of mouth or by having seen the cooling center’s location. The cooling centers provide a valuable service and reach some of the region’s most vulnerable populations. This project is among the first to systematically evaluate cooling centers from a public health perspective and provides helpful insight to community leaders who are implementing or improving their own network of cooling centers.
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Hamel, Corey, Natan Hekmatjah, Ben Hakakian, Matthew Banooni, Jonathan Lalezari, Matthew S. Simino, Jacob Azizi, David Zaghi, Leon Kamen und Levan Atanelov. „Evidence‐Based Community Fall Prevention Programs at Senior Centers Near 10 US Academic Centers“. Journal of the American Geriatrics Society 67, Nr. 7 (03.05.2019): 1484–88. http://dx.doi.org/10.1111/jgs.15961.
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Bui, Cindy, und Caitlin Coyle. „Having a Casino in the Community: Implications for Older Residents“. Innovation in Aging 4, Supplement_1 (01.12.2020): 53–54. http://dx.doi.org/10.1093/geroni/igaa057.174.
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Abstract Casino-going has been acknowledged as a common leisure activity for older adults, but what having a casino in the community means for the local older population has been understudied. Previous research has focused on problem gambling among older adults, but little is understood about how older residents perceive having a casino nearby and further how it impacts relevant senior services. This mixed-methods study gathered perspectives from 14 senior center directors and older residents (N = 411) of communities in Massachusetts that surround Plainridge Park Casino, the first casino that opened in the state in 2015. We conducted qualitative interviews with senior center directors and distributed a quantitative survey to older residents of the surrounding communities and those who visited the casino during the study period. We found that while most senior centers did not engage in trips to this “hometown” casino, many had other creative interactions with the casino, such as using casino space to host senior center events or seeking funding support from the casino. Older residents exhibited low rates of problem gambling risk, preferred to go to casinos outside of the state as an excursion, and attributed their reasoning to go to casinos to socializing rather than gambling aspects. While we must be aware of risks for problem gambling, this study also highlights the possibility of reframing a local casino as a potential asset that could contribute back to the community by providing resources for senior service providers and expanding social engagement opportunities for the older population.
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Ye, Minzhi, Lin Chen und Eva Kahana. „Mealtime Interactions and Life Satisfaction Among Older Adults in Shanghai“. Journal of Aging and Health 29, Nr. 4 (21.04.2016): 620–39. http://dx.doi.org/10.1177/0898264316641080.
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Objective: We examined the association between older adults’ mealtime interactions at senior centers in Shanghai and their life satisfaction. Competing hypotheses, derived from socioemotional selectivity theory and activity theory, were tested. Method: Data were obtained from the 2011 Shanghai senior center service utilization survey ( N = 320). Relationships between respondents’ mealtime interactions and life satisfaction were tested using multilevel regression modeling. Results: After adjusting for demographics, interactions with tablemates (companionship, self-disclosure, and instrumental support) were positively associated with respondents’ life satisfaction. These associations varied by senior centers. However, the number of tablemates was not significantly associated with respondents’ life satisfaction. Discussion: Findings support the activity-theory-based hypothesis that mealtime interactions are related to older adults’ life satisfaction independent of the number of tablemates. This study illuminates the value of social interactions in the context of community dining programs for the rapidly increasing older population in urban China.
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Zheng, Li Na, Chang An Zuo, Yue Wu He, Xia Liu und Ming Liu. „Study on the Construction of Commercial Centers in Communities Centered on Senior Citizens“. Advanced Materials Research 671-674 (März 2013): 2500–2503. http://dx.doi.org/10.4028/www.scientific.net/amr.671-674.2500.
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Through the analysis of both the daily needs of the senior citizens and their physical and psychological behavior characteristics as well the current situations of community commercial centers, this essay put forward the necessity and superiority of building community commercial centers. Also the essay made several proposes as to how to build agreeable commercial centers in such communities.
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Li, Fuzhong, Peter Harmer und Kathleen Fitzgerald. „Implementing an Evidence-Based Fall Prevention Intervention in Community Senior Centers“. American Journal of Public Health 106, Nr. 11 (November 2016): 2026–31. http://dx.doi.org/10.2105/ajph.2016.303386.
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Pettigrew, Kate A. „Senior Community Centers of San Diego As a Preventive Care Model“. American Journal of Preventive Medicine 44, Nr. 1 (Januar 2013): S34—S38. http://dx.doi.org/10.1016/j.amepre.2012.09.017.
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Atanelov, Levan. „Statewide Prevalence of Stepping on, Tai Chi, and a Matter of Balance Community Fall Prevention Programs at Maryland Senior Centers in 2017 and 2020“. Gerontology and Geriatric Medicine 7, Nr. 2 (04.06.2021): 1–5. http://dx.doi.org/10.24966/ggm-8662/100097.
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Study background: Older adults suffer from fall-related injuries and deaths at disproportionate rates. One recommendation by the Center for Disease Control and Prevention to help prevent falls is that patients utilize Community Fall Prevention Programs (CFPPs). Little is known about the offering of these programs at Senior Centers (SCs).
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Brent, Doug. „Senior Students’ Perceptions of Entering a Research Community“. Written Communication 34, Nr. 3 (16.06.2017): 333–55. http://dx.doi.org/10.1177/0741088317710925.
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Most of the literature on the assignment traditionally called the research paper focusses on first-year students, and often centers on what they don’t know or can’t do. This article seeks to expand the conversation to one about the skills and knowledge displayed by senior students, and about their perceptions of the universe of academic research and their place in it. It does so by means of a qualitative study of 13 senior students at the University of Calgary. Through interviews, I probe their understanding of their own research processes, how they think they learned to do what they do, and, most important, their understanding of what it means to conduct academic research.
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Park, Sin-Ae, A.-Young Lee, Ki-Cheol Son, Wang-Lok Lee und Dae-Sik Kim. „Gardening Intervention for Physical and Psychological Health Benefits in Elderly Women at Community Centers“. HortTechnology 26, Nr. 4 (August 2016): 474–83. http://dx.doi.org/10.21273/horttech.26.4.474.
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The present study aimed to assess the physical and psychological health benefits of a 15-session gardening intervention in elderly women and to investigate satisfaction of the gardening intervention. Fifty elderly women (age >70 years) at two senior community centers located in Seoul, South Korea, were selected to participate in this study. Twenty-four elderly women at senior community center “A” participated in a twice-weekly gardening intervention (≈50 minutes per session) during the period Sept. to Nov. 2015; 26 elderly women at senior community center “B” comprised a control group. At the completion of the 15-session gardening intervention, physical health parameters such as body composition, physical functional ability, and hand function ability were assessed in both groups. Additionally, psychological health conditions, such as cognitive ability, depression, and sociality, were assessed. The elderly women also answered a questionnaire to assess the amount of physical activity experienced during daily life. Elderly women in the gardening intervention group exhibited significantly improved muscle mass, aerobic endurance, hand dexterity, cognitive ability, and decreased waist circumference (P < 0.05). In contrast, significantly decreased muscle mass and agility and increased depression were observed in the control group (P < 0.05). Moreover, elderly women in the gardening intervention group reported a significantly higher amount of daily physical activity compared with those in the control group (P < 0.05). Additionally, 95.8% of elderly women in the gardening intervention group reported of being very satisfied with the gardening intervention. In conclusion, the gardening intervention maintained and improved the physical and psychological health of elderly women at a senior community center, whereas elderly women in the control group experienced age-related reduced physical and psychological health conditions. More studies are needed to evaluate the effects of a gardening intervention in a larger population of elderly women; in addition, a longer intervention period would provide a better measure of health in elderly women.
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Hostetler, Andrew J. „Senior centers in the era of the “Third Age:” Country clubs, community centers, or something else?“ Journal of Aging Studies 25, Nr. 2 (April 2011): 166–76. http://dx.doi.org/10.1016/j.jaging.2010.08.021.
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Yoo, Jae Soon, Sun Ju Chang und Hyun Sook Kim. „Prevalence and Predictive Factors of Depression in Community-Dwelling Older Adults in South Korea“. Research and Theory for Nursing Practice 30, Nr. 3 (2016): 200–211. http://dx.doi.org/10.1891/1541-6577.30.3.200.
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The aims of the study were to investigate the levels of depression and to identify the predictors of depression among older adults in 3 different environments based on their primary place of leisure time activity, including their homes, small community halls, and senior welfare centers. A convenience sample of 833 older adults participated in the study. Instruments for measuring functional independence, social support, life satisfaction, and depression were used. The data were analyzed using a one-way analysis of variance (ANOVA) and multiple hierarchical regressions. The level of depression in older adults at home was significantly greater than the level of depression in those in both small community halls and senior welfare centers. Life satisfaction was the strongest negative predictor of depression in older adults both at home and in senior welfare centers, whereas employment status was the one in those in small community halls. Across the 3 groups, poor subjective health was the strongest positive predictor of depression. The levels of depression and predictors differed among the settings. Nurses should have a thorough understanding of these differences when planning effective strategies for managing depression in older adults.
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Reisman, Susan I., und Lenard W. Kaye. „A Programmatic Framework for Designing Gerontological Field Practica in Community Senior Centers“. Gerontology & Geriatrics Education 8, Nr. 1-2 (10.08.1988): 23–34. http://dx.doi.org/10.1300/j021v08n01_03.
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Carlock, Ann, Susanne Beier und John Sienrukos. „EASE: A Method to Integrate Older Adults back into Senior Centers post COVID-19“. Archives of Business Research 8, Nr. 9 (11.10.2020): 146–50. http://dx.doi.org/10.14738/abr.89.9139.
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One in six senior citizens (age 65 years and older) living alone in the United States faces physical, cultural, and/or geographical barriers that isolate them from their peers and communities. This isolation can prevent them from receiving benefits and services that can improve their economic security and ability to live healthy, independent lives. Although it is generally known that depression is not directly related to the aging process, adults 65 years and older are more likely to experience depression due the onset of physical limitations, living alone, decreases in mobility, feelings of purposeless, cognitive decline, and fear of dying (Neff 2020). Prior to COVID-19, older adults attending senior activities centers (SAC) were instrumental in decreasing episodes of depression. This is largely based on socialization with peers, getting out of the home and, and listening to the life experiences of the much older adults.
Since COVID-19, social distancing has been encouraged and the elimination of social gathering has been emphasized, which was, heretofore, expected in senior activities center settings. In the authors’ combined experience, the primary goal of successfully transitioning senior citizens returning to senior activities centers can best be accomplished by mental health care workers use of the EASE method. EASE stands for E: educate: Mental health care workers must educate older adults on the importance of social distancing in decreasing the spread of COVID-19 to the most vulnerable population (based on age and pre morbid conditions). By training staff to educate older adults on CDC guidelines relative to COVID-19 on proper handwashing, the wearing of facemasks to cover the mouth and nose, and to seek medical attention if Covid-19 symptoms are present, is essential. A: avoid: mental health care workers must constantly remind older adults to avoid the touching of the face and eyes. From picking up objects to turning doorknobs, people are constantly touching surfaces contaminated with pathogens. These pathogens can be picked up by our hands and get into the body through mucous membranes on the face — eyes, nose, and mouth — that act as pathways to the throat and lungs (Elder NC, Sawyer W, Pallerla H, Khaja S, Blacker M, 2014).
S: support: Mental health care workers who work in senior activities centers. Senior should strive to support and provide an environment for older adults engaging them in opportunities for socialization, exercise, and education. The more active a senior citizen is, the healthier they will be. Recent research suggests when older adults consistently engage in social activities, they experience significant improvements in their physical, mental, and emotional health. Much of this improvement results from the ability to maintain healthy relationships and a continued sense of being part of society. E: Eliminate: mental health care workers should convey to older adults the need to eliminate activities that may contribute to contracting Covid-19, such as smoking and decreasing contact with those that smoke.
Educating mental health workers on the benefits of transitioning the (EASE) of senior citizens back to attending the senior activities center will better assist this population to return to and overcome their fears to participate in the “new normal” beyond convid-19. Senior activities centers have been and will continue to be valuable community assets providing significant benefit to older adults and their families. Change in these programs will have to be significant enough to make a difference for this large demographic group. Using the EASE Method will assist with meeting the scale of change with the scale of the demand for Seniors to feel safe to return to Senior activities Centers.
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Ko, Hana. „Daily Time Use by Activity of Community-Dwelling Older Koreans: Focus on Health Management“. International Journal of Environmental Research and Public Health 18, Nr. 4 (10.02.2021): 1688. http://dx.doi.org/10.3390/ijerph18041688.
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This study aimed to examine the daily time use by activity and identified factors related to health management time (HMT) use among 195 older adults (mean age = 77.5, SD = 6.28 years; 70.8% women) attending a Korean senior center. Descriptive statistics were analyzed and gamma regression analyses were performed. Participants used the most time on rest, followed by leisure, health management, daily living activities, and work. The mean duration of HMT was 205.38 min/day. The mean score for the subjective evaluation of health management (SEHM) was 13.62 and the importance score for SEHM was 4.72. Factors influencing HMT included exercise, number of chronic conditions, fasting blood sugar level, low density lipoprotein level, and cognitive function. HMT and frailty significantly predicted SEHM. HMT interventions focus on promoting exercise and acquiring health information to improve health outcomes among older adults in senior centers.
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Cho, Ji Hyun. „Building up Functions of Senior Community Centers: From Infrastructure Expansion to Content Expansion“. Korean Journal of Research in Gerontology 27, Nr. 2 (15.12.2018): 125–32. http://dx.doi.org/10.25280/kjrg.27.2.6.
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Abramson, Tobi A., Berman Jacquelin und Jo Anne Sirey. „HARNESSING THE POWER OF NETWORKS TO ADDRESS SOCIAL ISOLATION, LONELINESS, DEPRESSION, AND ELDER ABUSE“. Innovation in Aging 3, Supplement_1 (November 2019): S535. http://dx.doi.org/10.1093/geroni/igz038.1966.
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Abstract Challenges to aging and risks to physical health and mortality arise when older adults have untreated mental health needs, experiences social isolation, loneliness, or is a victim of elder abuse. This symposium presents three innovative models that harness the power of networks and collaboration between aging services and an academic medical center to meet the needs of ethnically diverse community seniors. These model programs include: embedded mental health services on-site in community senior centers; Friendly Visiting to homebound seniors; and PROTECT intervention to treat elder abuse victims’ mental health needs. Research from these innovative, collaborative programs indicate that over 50% of senior center members screened positive for depression and anxiety (higher than the national average of 3-20%), social isolation, loneliness, and elder abuse. Of the 75% who engage in treatment, 37.3% and 41% showed a 3-month improvement of depression and anxiety, respectively. For seniors who have a friendly visitor, one-third also suffer from depression and/or anxiety. Three months after being visited by a friendly visitor, 42% and 53% see improvement in loneliness and social isolation, respectively. Among victims of elder mistreatment, 33% screened positive for depression or anxiety and 16% reported suicidal ideation. Clients receiving the PROTECT intervention had a greater decrease in depression, felt services were more useful, and reported greater improvement in the abuse. To find and build strength in age, it is essential that programs and policy be developed to support collaboration and provide the opportunities for building and utilizing networks across different domains of aging.
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Farias, Maiara Lohn, Lisiane Piazza Luza, Bianca Andrade Sousa und Ediane Roberge Zampirolo. „Equilíbrio, mobilidade funcional e qualidade de vida em idosos participantes e não participantes de um centro de convivência“. Scientia Medica 27, Nr. 4 (13.10.2017): 27400. http://dx.doi.org/10.15448/1980-6108.2017.4.27400.
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***Balance, functional mobility and quality of life in eldery participants and non-participants of a community center***AIMS: To evaluate balance, functional mobility and quality of life in elderly participants and non-participants of a senior citizen center.METHODS: Subjects aged 60 or over, participating in a senior citizen center in the city of Santo Amaro da Imperatriz, in Santa Catarina (Participating Group: PG) were evaluated. As a control group for comparison, elderly residents of the same community who did not participate in any senior center (Non-Participating Group: NPG) were included. Subjects with locomotion disabilities, neurological diseases that affected the gait or balance, and inability to understand the general commands indispensable to the tests were excluded. The sample was non-probabilistic intentional. To evaluate the balance, the Berg Balance Scale was applied, and for assess functional mobility we used the Timed Up and Go and the Anterior Functional Scope tests. Quality of life was assessed by the SF-36 questionnaire. The data were treated by descriptive and inferential statistics, considering p≤0.05 as significant.RESULTS: Fifty-six elderly participated, being 28 of PG and 28 of NPG. By means of the Berg Balance Scale, we found a better balance in PG (mean 53.2±2.1 points) compared to NPG (mean 48.8±6.2 points) (p=0.001). In the Timed Up and Go test, PG spent in average less time to perform the test (9.5±1.5 seconds) than NPG (13.1±5.1 seconds) (p=0.001). We observed a better quality of life in all domains of SF-36 in PG when compared to NPG (p<0.05).CONCLUSIONS: Elderly people who participated in a senior citizen center presented better balance, functional mobility and quality of life than elderly people from the same community who did not participate in senior centers.
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Sposito, Jennifer, Amy Zipf, Fahad Alhowaymel, Mohammed Tala Almutairi und Karen Breda. „Community-Based Stroke Recognition Education and Response: An Evidence-Based Intervention Project“. Creative Nursing 24, Nr. 4 (November 2018): 251–57. http://dx.doi.org/10.1891/1078-4535.24.4.251.
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Background:Stroke has a significant impact on mortality and disability in the United States. This led the aforementioned master’s students to create a community-based educational intervention using stroke curriculum from the American Heart Association/American Stroke Association (AHA/ASA).Purpose:The purpose of this evidence-based intervention project was to examine the effectiveness of public stroke education utilizing the AHA/ASA’s Face, Arm, Speech, Time (FAST) curriculum for stroke symptom recognition and response (Jauch, et al., 2013) at three central Connecticut senior centers.Design:This evidence-based intervention project was based on the theoretical framework of Dorothea Orem’s Self-Care Deficit Theory (Petiprin, 2016). Nurses can provide stroke based education to older adults in the community, ultimately empowering participants to recognize and respond to stroke symptoms.Methods:An educational session on the AHA/ASA FAST curriculum was presented by master’s students to groups of senior adults at three different senior centers, followed by a post teach-back session conducted by the students in smaller groups to assess learning. The total number of participants was 62 (n = 62).Results:The majority of participants (87%) were able to accurately teach back the four components of the FAST curriculum after the educational intervention.Conclusions:FAST was simple to teach and engaging for participants. Using the FAST curriculum in senior center populations increased the participants’ awareness of stroke signs and symptoms, and their willingness to activate the 911 emergency system.Implications for Practice:Educational interventions in the community with older adults can produce increased awareness of stroke symptoms and willingness to respond when necessary.
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Pendergrast, Claire, Basia Belza, Ann Bostrom und Nicole Errett. „BUILDING DISASTER RESILIENCE FOR OLDER ADULTS AGING IN PLACE: THE ROLE OF COMMUNITY-BASED ORGANIZATIONS“. Innovation in Aging 3, Supplement_1 (November 2019): S340—S341. http://dx.doi.org/10.1093/geroni/igz038.1234.
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Abstract Older adults are more susceptible to adverse health outcomes during and after a disaster compared with their younger counterparts. Developing community resilience, or strengthening communities to reduce the negative impacts of disasters, has the potential support older adults’ health and well-being. Community-based organizations (CBOs), such as senior centers and Villages, provide social services and programming that support aging in place and may support older adults’ resilience to disasters. This study examines CBO leadership perspectives on the role of CBOs in building disaster resilience for older adults aging in place, as well as perceived barriers and facilitators to incorporating disaster resilience activities into organizational programming. In-depth interviews were conducted with a purposive sample of staff-members of CBOs serving older adults aging in place in King County, Washington. Participants included representatives from 14 organizations that varied in size, geographic setting, organizational structure, and ethnic, linguistic, and socio-economic backgrounds of organizational members. The sample included five government-run senior centers, seven non-profit senior centers, and two Villages. Interviews were audio-recorded and transcribed verbatim. We used a combined inductive and deductive approach to code and thematically analyze the data. Results indicate that local context, leadership risk perception, collaborations, and existing services and programming influence CBOs’ willingness to engage in activities supporting disaster resilience for older adults aging in place. Findings suggest that CBOs supporting aging in place may support disaster resilience for older adults by serving as a trusted source of disaster preparedness information and tailoring disaster-related messages for an older adult audience.
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Vasquez, Kimberly, Dozene Guishard, Rina Desai, Moufd Naji, Caroline Jiang, Andrea Ronning, Glenis George-Alexander et al. „3310 A Community-Academic Partnership to Understand the Association Among Health Status and Senior Services Utilization to Improve Nutrition and Blood Pressure Control for Low Income Seniors Aging in Place“. Journal of Clinical and Translational Science 3, s1 (März 2019): 79–80. http://dx.doi.org/10.1017/cts.2019.185.
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OBJECTIVES/SPECIFIC AIMS: The Rockefeller University Center for Clinical and Translational Science (RU-CCTS), Clinical Directors Network (CDN), and Carter Burden Network (CBN), a multi-site senior services organization serving East Harlem, NY, formed a community-academic research partnership to characterize the health of the CBN seniors (many who are racial/ethnic minorities, low-income, and suffering from multiple chronic conditions) and to explore the use and associations of a measure of overall health status and frailty in this population. A simple validated measure of health status could standardize and streamline community-based translational research to study the impact of CBN’s services on health outcomes. The CCTS-funded Pilot Project aims to: 1) Engage CBN seniors and stakeholders in priority-setting, joint protocol development, research conduct, analysis and dissemination; 2) Characterize the health status of the CBN seniors using validated measures; 3) Establish an electronic database infrastructure for current and future research; 4) Understand how health and senior activities information can be used to implement programs to improve senior health and well-being. METHODS/STUDY POPULATION: 1) We used Community Engaged Research Navigation (CEnR-Nav) methods to facilitate partnership development, and to engage CBN seniors and stakeholders in each step of the research; 2) Research staff conducted recruitment, informed consent, and physical assessments (e.g., pulse, blood pressure, BMI); and administered validated surveys to collect health status information. 3) Data were captured on a REDCap-based platform. The primary outcome, frailty, was measured by the validated Short Physical Performance Battery (SPPB). 4) Secondary outcomes include the association of use of services/activities with the primary outcome. Research participants consented to sharing of their health, demographic and services utilization data compiled by CBN staff and the NYC Department for the Aging (DFTA). DFTA provided comparison datasets of de-identified health and demographic data for clients attending other NYC DFTA-funded senior centers. RESULTS/ANTICIPATED RESULTS: 1) 43 residents and stakeholders engaged in partnership-building, study design and implementation. 2) 218 participants from two senior centers were enrolled. Mean age, 68 ± 11 years; 58% Hispanic; 33% African American, 23% White, 1% Asian, 18% Unknown, 17% Other; 69% reported <$20000 annual income; 40% had not completed high school; 30% scored as moderately or severely frail; 83% were overweight or obese; and 33% reported a history of diabetes. 84% had uncontrolled high blood pressure; many participants were previously aware of their hypertension diagnosis. 3) A REDcap database was developed to store historical and prospective data. 4) Across frailty categories, there was a significant difference in utilization of non-meal (p = 0.0237) and meal services (p = 0.0127) and there was an inverse proportional relationship between the number of meal and non-meal visits, and frailty. Additional associations among health status measures (e.g., SPPB, demographics, biological measures: pulse, blood pressure, BMI; psychosocial and nutritional scales) and CBN service utilization (i.e., meals vs. non-meals activities) will be presented. DISCUSSION/SIGNIFICANCE OF IMPACT: We developed a community-academic research partnership, infrastructure and capacity, built through our Community-Engaged (CEnR-Nav) model, to conduct a pilot study characterizing the health status and services utilization of low-income minority seniors. Our pilot study identified an urgent health priority, uncontrolled hypertension in 84% of CBN’s seniors. We then leveraged the team’s expertise and CBN’s meal services program to develop a research proposal for external funding to conduct a community-based multi-component intervention study. Replacement of a typical Western diet with the Dietary Approaches to Stop Hypertension (DASH) diet has been proven to reduce blood pressure in hypertensive and normotensive individuals in as little as 14 days, yet effective implementation has been lacking, and it is relatively untested in community-living seniors who receive their meals in settings such as CBN. We are also exploring mechanistic questions that relate to blood pressure control, such as the impact of the DASH diet on inflammation, which may lead to a better understanding of the underlying mechanism of action of the DASH diet. Our community partner, CBN, was awarded the DHHS-ACL nutrition innovation grant to conduct this 2-year study with CDN and RU-CCTS. The resulting study developed out of the community engaged pilot study represents a unique combination of community-centered care, within an implementation science framework (with embedded mechanistic measures under development). This is an example of the novel, full-spectrum approach to translational research that the RU-CCTS/CDN Community Engaged Research Core has been developing over the last decade. The research to characterize CBN clients’ health status is now being extended to address cardiovascular health by way of intervening on diet quality and food insecurity, a key component of the social determinants of health, in partnership with agencies outside of the healthcare delivery system. The outcomes of the DASH Diet implementation study will also serve to inform the broader aging service provider network and the healthcare community about the impact of senior center congregate meal composition and services on health outcomes.
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ZHANG, Haiyan, Shiro KASHIHARA, Hidemasa YOSHIMURA, Takashi YOKOTA, Tadasu IIDA und Takuya ONO. „SENIOR CITIZENS' OPINION OF COMMUNITY CENTERS IN SENRI NEW TOWN AS THEIR USERS : A study_ on systematic preparation of community centers in new town“. Journal of Architecture and Planning (Transactions of AIJ) 69, Nr. 583 (2004): 23–30. http://dx.doi.org/10.3130/aija.69.23_2.
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Guerrero, Lourdes R., Josephine A. Menkin, Carmen A. Carrillo, Carmen E. Reyes, Laura Trejo, Cynthia Banks und Catherine A. Sarkisian. „Community-Partnered Evaluation of the Aging Mastery Program in Los Angeles Area Senior Centers“. Health Education & Behavior 47, Nr. 1 (19.10.2019): 57–66. http://dx.doi.org/10.1177/1090198119882992.
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Background. The National Council on Aging’s Aging Mastery Program (AMP) aims to help older adults implement health behavior and lifestyle changes to promote healthy aging and social engagement. The purpose of the present community-partnered evaluation was to test the effectiveness of AMP implementation in Los Angeles County to improve participants’ quality of life, global physical and mental health, and patient activation. Method. A modified randomized wait-list controlled trial design was used to examine experimental, quasi-experimental, and dose-response evidence in five senior centers. Participants completed questionnaires at baseline and after the 10-week intervention, self-reporting their overall quality of life, physical health, mental health, and patient activation. Results. Experimental, intention-to-treat analyses found AMP assignment did not affect any measured outcomes ( n = 71). Quasi-experimental, “as treated” analyses ( n = 106) controlling for study site and sociodemographic characteristics indicated that participants who attended AMP reported more positive changes in global mental health than the control group. Attending AMP was not associated with changes in quality of life, physical health, or patient activation. Dose-response analyses among AMP participants who attended at least one class ( n = 75) found that attending more classes was not significantly associated with greater improvements in mental health. Conclusions. Experimental, intention-to-treat analyses did not support effectiveness of AMP on quality of life, physical or mental health, or patient activation; quasi-experimental analyses found attending AMP was associated with improvements in mental health. Recruitment challenges and participants’ nonadherence with condition assignment decreased our ability to detect effects. https://clinicaltrials.gov/ct2/show/NCT03342729?term=Aging+Mastery+Program&rank=1 .
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Moreno, MD, MSHS, Gerardo, Carol M. Mangione, MD, MSPH, Carlos E. Meza, BS, Ivy Kwon, MPH, Teresa Seeman, PhD, Laura Trejo, MPA, Mignon Moore, PhD und Catherine A. Sarkisian, MD, MSHS. „Perceptions from Latino and African American Older Adults about Biological Markers in Research“. Ethnicity & Disease 25, Nr. 3 (05.08.2015): 355. http://dx.doi.org/10.18865/ed.25.3.355.
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<p>Although older adult minorities face disparities in health and health care, they continue to be underrepresented in health research. Studies with biological markers of health often lack representation of older minority adults. The purpose of this study was to describe perceptions of biomarkers among ethnic minority seniors who might participate in studies of biological markers of health and to document barriers and facilitators to acceptance of biomarkers. Six focus groups (3 of Spanish-speaking Latinos and 3 of African Americans) were conducted in three community senior service organizations (two senior centers and one church). Ten semi-structured interviews were conducted to support and augment focus group data. Seventy-two community-dwelling minority older adults aged 62 years and older and 10 community stakeholders participated. A community-based partnered research approach was used and two community partners participated in the analysis and interpretation of results. Standard qualitative content-analysis methods were used to identify and organize themes in domains. Focus group participants were 49% Latino and 51% African American. Results included barriers: 1) mistrust, 2) fear of specimen collection/storage, 3) perceived harms, 4) competing demands, and 5) costs. Older Latinos cited issues of language as barriers to awareness and acceptance of biomarkers. African Americans had concerns over perceived harms of biomarkers. Facilitators to acceptance of biomarkers were community engagement through church and community leaders. Older Latino and African Americans identified many barriers and facilitators to the collection and storage of biomarkers. Participants identified community-partnered recommendations to overcome barriers to the acceptance, collection, and storage of biomarkers. <em>Ethn Dis.</em>2015;25(3):355-362.</p>
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Bontsevich, Roman A., Anna A. Gavrilova, Anna V. Adonina, Yana R. Vovk, Natalya Y. Goncharova, Galina A. Batisheva, Olga V. Cherenkova et al. „Pharmacotherapy and other aspects of senior medical students’ knowledge in community-acquired pneumonia: the final results of the KNOCAP II project“. Research Results in Pharmacology 6, Nr. 1 (31.03.2020): 93–99. http://dx.doi.org/10.3897/rrpharmacology.6.49977.
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Introduction: Community-acquired pneumonia (CAP) remains an extensive medical and social problem. It is the most common human disease and one of the leading causes of death from infectious diseases. Increasing the level of senior medical students’ knowledge of the diagnosis, treatment and prevention of CAP will improve the level of medical care to the population. The aim of the study: to determine the level of senior medical students’ basic knowledge of CAP prevention, diagnosis and treatment with the help of a pharmacoepidemiological study. Materials and methods: The multicenter study “KNOCAP” (the full name of the project “The Assessment of Physicians’ and Students’ Knowledge of Community-acquired Pneumonia Basics”) presents the results of an anonymous prospective survey aimed at assessing the knowledge and preferences of senior medical students in terms of the CAP pharmacotherapy. In the second stage of the project (2017–2019). The results from 394 senior students from 8 centers of Russia, Ukraine and Kyrgyzstan were received and analyzed. An original questionnaire was developed for this study on the basis of the current clinical guidelines. Conclusion: The final results of a prospective survey revealed an insufficient level of students’ basic knowledge of diagnosis, treatment and prevention of CAP. The study revealed a statistically significant heterogeneity of knowledge levels in different centers, which indicates the need for the introduction of unified and in-depth training programs in this area.
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Finlay, Jessica, Michael Esposito, Mao Li, Lindsay C. Kobayashi, Anam M. Khan, Iris Gomez-Lopez, Robert Melendez, Natalie Colabianchi, Suzanne Judd und Philippa J. Clarke. „Can Neighborhood Social Infrastructure Modify Cognitive Function? A Mixed-Methods Study of Urban-Dwelling Aging Americans“. Journal of Aging and Health 33, Nr. 9 (23.07.2021): 772–85. http://dx.doi.org/10.1177/08982643211008673.
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Objectives: Socialization predicts cognitive aging outcomes. Neighborhoods may facilitate socially engaged aging and thus shape cognition. We investigated places where older adults socialized and whether availability of these sites was associated with cognitive outcomes. Methods: Qualitative analysis of interviews and ethnography with 125 older adults (mean age 71 years) in Minneapolis identified where participants socialized outside of home. This informed quantitative analysis of a national sample of 21,151 older Americans (mean age at baseline 67 years) from the Reasons for Geographic and Racial Differences in Stroke study. Multilevel generalized additive models described associations between access to key social places and cognitive function and decline. Results: Qualitative analysis identified eateries, senior centers, and civic groups as key places to socialize. We identified significant positive associations between kernel density of senior centers, civic/social organizations, and cognitive function. Discussion: Specific neighborhood social infrastructures may support cognitive health among older adults aging in place.
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Kramer, M. Kaye, Karl K. Vanderwood, Vincent C. Arena, Rachel G. Miller, Rebecca Meehan, Yvonne L. Eaglehouse, Gerald Schafer, Elizabeth M. Venditti und Andrea M. Kriska. „Evaluation of a Diabetes Prevention Program Lifestyle Intervention in Older Adults: A Randomized Controlled Study in Three Senior/Community Centers of Varying Socioeconomic Status“. Diabetes Educator 44, Nr. 2 (07.03.2018): 118–29. http://dx.doi.org/10.1177/0145721718759982.
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Purpose The purpose of this study is to evaluate the feasibility and effectiveness of an adapted Diabetes Prevention Program (DPP) lifestyle program, DPP Group Lifestyle Balance (GLB), delivered in 3 economically diverse senior/community centers. Methods The DPP-GLB was implemented in 3 senior/community centers in Allegheny County, PA. A 6-month delayed control intervention design was used. Participants were randomized to begin the DPP-GLB immediately (immediate) or after a 6-month delay (delayed). Adults (n = 134; mean age = 62.8 years) with BMI ≥24 kg/m2 and prediabetes and/or the metabolic syndrome took part. Weight, physical activity (PA), and diabetes and cardiovascular disease (CVD) risk factors were assessed at 6, 12, and 18 months from baseline. Results At 6 months, the immediate group demonstrated greater mean weight loss than the delayed control group as well as significantly greater improvements in PA, A1C, fasting insulin, and waist circumference. In pre-post analyses, both randomized groups showed similar success that was maintained at 18 months. Conclusions The DPP-GLB delivered in economically diverse community centers was effective in this group of older adults. These findings support provision of coverage for prevention programs in older adults at risk for diabetes/CVD, which is important considering the large number of individuals who will be Medicare eligible in the near future.
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Coyle, C., C. Somerville, C. Wickersham und J. E. Mutchler. „THE EVOLVING ROLE OF SENIOR CENTERS IN AN ERA OF THE AGE-FRIENDLY COMMUNITY MOVEMENT“. Innovation in Aging 1, suppl_1 (30.06.2017): 771. http://dx.doi.org/10.1093/geroni/igx004.2796.
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Plotkin, Elana, Lorna Lucas, Peggy Sue Burhenn, Ginah Nightingale, Kah Poh Loh, Priscilla D. Allen und Efrat Dotan. „GERIATRIC ASSESSMENT ADOPTION IN COMMUNITY CANCER CENTERS: TRENDS, BARRIERS, AND RECOMMENDATIONS“. Innovation in Aging 3, Supplement_1 (November 2019): S122. http://dx.doi.org/10.1093/geroni/igz038.446.
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Abstract Addressing the needs of older adults with cancer is critical for the delivery of high-quality, patient-centered care. The Association of Community Cancer Centers (ACCC) has identified barriers and best practices for serving this growing patient population in order to help support the multidisciplinary team in understanding and proactively preparing for this large subgroup of patients. A survey was administered to 332 cancer professionals. 95% agreed that their older adult patients would benefit from a comprehensive geriatric assessment, yet only 17% of respondents are performing CGAs. 74% of respondents are not using any screening tool to identify high risk patients. The top three barriers to this were time/personnel and limited familiarity with available, validated tools. 61% are not focused on increasing older adult participation in clinical trials which leads to a disparity in care. Techniques for evaluating fitness, cognitive status, psychological status, comorbidities, and toxicity risk were often informal and not recorded in an EMR. Three in-depth focus groups were completed at programs demonstrating effective, yet different models of care for an older population. City of Hope Cancer Center is running a Senior Adult program under a grant where patients receive care in concordance with a score (CARG toxicity calculator) and a team review with a geriatrician. Sidney Kimmel Cancer Center has a consultative clinic where patients attend a 2-hour appointment to complete a comprehensive geriatric assessment with oncology, geriatrics, and specialists including pharmacy and nutrition. ACCC has recommended resources to address deficits in care, particularly in the community setting.
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Kozlov, Elissa, Anna Cai, Jo Anne Sirey, Angela Ghesquiere und M. Carrington Reid. „Identifying Palliative Care Needs Among Older Adults in Nonclinical Settings“. American Journal of Hospice and Palliative Medicine® 35, Nr. 12 (23.05.2018): 1477–82. http://dx.doi.org/10.1177/1049909118777235.
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Though palliative care is appropriate for patients with serious illness at any stage of the illness and treatment process, the vast majority of palliative care is currently delivered in inpatient medical settings in the past month of life during an acute hospitalization. Palliative care can have maximal benefit to patients when it is integrated earlier in the illness trajectory. One possible way to increase earlier palliative care use is to screen for unmet palliative care needs in community settings. The goal of this study was to assess the rates of unmet palliative care needs in older adults who attend New York City–based senior centers. The results of this study revealed that 28.8% of participants screened positive for unmet palliative care needs. Lower education and living alone were predictors of positive palliative care screens, but age, gender, marital status, and race were not. This study determined that the rate of unmet palliative care needs in community-based older adults who attend senior center events was high and that living arrangement and education level are both correlates of unmet palliative care needs. Screening for unmet palliative care needs in community settings is a promising approach for moving palliative care upstream to patients who could benefit from the additional supportive services prior to an acute hospitalization.
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Kramer, B. Josea, Beth Creekmur, Michael N. Mitchell, Debra J. Rose, Jon Pynoos und Laurence Z. Rubenstein. „Community Fall Prevention Programs: Comparing Three InSTEP Models by Level of Intensity“. Journal of Aging and Physical Activity 22, Nr. 3 (Juli 2014): 372–79. http://dx.doi.org/10.1123/japa.2012-0344.
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The Fall Prevention Center of Excellence designed three progressive-intensity fall prevention program models, Increasing Stability Through Evaluation and Practice (InSTEP), to reduce risk in community-dwelling older adults. Each model included physical activity, medical risk, and home safety components and was implemented as a 12-week program for small class sizes (12–15 people) in community and senior centers. Change in fall rates and fall risk factors was assessed using a battery of performance tests, self-reports of function, and fall diaries in a 3-group within-subjects (N = 200) design measured at baseline, immediately postintervention, and at 3 and 9 months postintervention. Overall, participants experienced a reduction in falls, improved self-perception of gait and balance, and improved dynamic gait function. The medium-intensity InSTEP model signifcantly (p = .003) reduced self-reported falls in comparison with the other models. InSTEP is a feasible model for addressing fall risk reduction in community-dwelling older adults.
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Maton, Kenneth I. „Community settings as buffers of life stress? Highly supportive churches, mutual help groups, and senior centers“. American Journal of Community Psychology 17, Nr. 2 (April 1989): 203–32. http://dx.doi.org/10.1007/bf00931008.
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Yu, Yifan, Zheng Chen, Jiatian Bu und Qinglai Zhang. „Do Stairs Inhibit Seniors Who Live on Upper Floors From Going Out?“ HERD: Health Environments Research & Design Journal 13, Nr. 4 (15.07.2020): 128–43. http://dx.doi.org/10.1177/1937586720936588.
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Background: Walk-up buildings are common in China today since they were almost the only type of residential buildings constructed from the 1950s to the 1990s. Objectives: This study examined how a vertical mobility obstacle, that is, mandatory stair climbing in walk-up residential buildings, may impact whether seniors go outdoors. Methods: We collected and examined 1,608 valid data records from 64 Chinese senior participants in Shanghai wearing Fitbit HR wristbands that tracked their mobility and physical activity for 31 consecutive days. Multilevel mixed-effects logistic regressions were performed on the binary leaving-home-or-not probability by the level of vertical obstacles controlled for physical–demographic factors, socioeconomic factors, outdoor activity habits, and weather. Results: Our observations revealed that each floor above ground level reduced the likelihood of outdoor trips by approximately one third per floor. After controlling for the physical, demographic, and socioeconomic factors of the participants as well as weather and holidays, we found that significantly fewer going-out incidents were also associated with more frequent outdoor activities within the community, especially in paved areas, but no associations were observed with self-reported visit frequencies to green spaces, senior centers within the community, or other places outside the community. Conclusion: This study offered the in situ observation that seniors’ probability of leaving their homes is correlated with the degree of vertical circulation as a mobility barrier (i.e., the number of stairs between their living space and access to the outdoors), which may impact policy making for regulations concerning elevators in residential codes and renovations.
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Cabin, William D., und Marianne C. Fahs. „Eyes Wide Open or Not“. Home Health Care Management & Practice 23, Nr. 5 (21.10.2010): 342–55. http://dx.doi.org/10.1177/1084822310384924.
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Depression is significant among older Americans in the United States. A literature review found only five studies on the interrelationship between individual and neighborhood effects in predicting depression among older Americans. This article presents the results of exploring this interrelationship using data from the Brookdale Demonstration Project Initiative on Healthy Urban Aging (BDI). The BDI database is from a sample of 1,870 enrollees in New York City senior centers in 2008. The BDI analysis finds the association with depression is highest with visual impairment ( p = .000); frequent falling ( p = .000); lower income ( p = .000); little leisure-time physical activity ( p = .000); low neighborhood satisfaction ( p = .000); trouble hearing ( p = .000); arthritis/rheumatoid arthritis ( p = .001); and being disabled ( p = .005). Implications for senior center and home care provider collaboration on early preventive interventions relating to sensory impairment, depression, and conditions related to falls and the built environment are discussed.
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Shrestha, Sabita, und Tina Colson. „SENIOR COMMUNITY CENTER AS A SOCIAL ENGAGEMENT PLATFORM FOR OLDER ADULTS IN NEPAL: AN ADAPTATION OF WESTERN CONCEPT“. Innovation in Aging 3, Supplement_1 (November 2019): S979. http://dx.doi.org/10.1093/geroni/igz038.3548.
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Abstract Older adults around the world are living longer. Similarly, in Asian countries longevity of older adults have significantly altered the demographics shift as well as the cultural landscape and needs of the society. These changes have compounded with challenges and needs as a community grapples with how to best take care of aging population. Nepal, a developing country, is also faced with a similar demographic shift among the geriatric population. This shift has brought challenges and needs to communities such as health care, daily living needs, social support systems, economic needs, etc. The geriatric population will require social support systems as they age. Historically, older adults have relied on traditional family support systems for their care and needs maintaining cultural values and norms which may burden immediate or extended family members. Recently, traditional family structures along with social support systems are breaking away from their family trees due to community advancement and modernization, and many are leaving for better economic opportunities. This trend has left many older adults alone in social isolation. Despite challenges in the community, Nepal government doesn’t offer infrastructure for social engagement for older adults. One solution to prevent isolation and loneliness is to establish “senior community centers” (western based concept) for social engaging older adults. Based on ecological framework, this presentation proposes a need of “Senior Community Centers” for older adults where they can become involved in social engagements and receive social supports outside traditional family support systems; thus, optimizing their health and well-being.
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Li, Wenjun, Linda Churchill, Jie Cheng, Rachel Siden und Annabella Aguirre. „APPROACHES TO RECRUITING NON-ENGLISH-SPEAKING LATE-LIFE CHINESE IMMIGRANTS FOR HEALTHY AGING STUDIES“. Innovation in Aging 3, Supplement_1 (November 2019): S364—S365. http://dx.doi.org/10.1093/geroni/igz038.1330.
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Abstract Non-English Speaking late-life Chinese immigrants are hard to reach. We developed a staged, multi-facet, community-engaged approach to recruiting participants for aging research. We first used a direct mail campaign targeting neighborhoods with high concentrations of racial minorities, and sent mails to households with a possible Chinese family name. Invitational letter, interest survey and flyers are printed in traditional and simplified Chinese using large font. Flyers include a colorful graphic portraying diverse racial background. Prior to the mailing, we presented the study at senior centers, faith-based organizations, community centers and bingos that hosted higher rates of minority older adults. We posted study materials in Chinese language schools and Chinese “WeChat” groups. We also encouraged current participants to “tell a friend”. Chinese-English bilingual staff are trained and certified as recruiters. Within two months, over 50 participants from diverse neighborhoods are recruited. Our community-engaged, linguistically and culturally appropriate approach has been highly effective.
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Klima, Dennis W., Emily Wehlandl, Aspen Holmes, Jessica Weimert, Nicholas Rhoten, Jestine Wolfe, Katherine Avila und Nate Austin. „ACADEMIC PARTNERING IN A COMMUNITY-BASED FALL PREVENTION PROGRAM“. Innovation in Aging 3, Supplement_1 (November 2019): S474. http://dx.doi.org/10.1093/geroni/igz038.1767.
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Abstract Falls are a major cause of disability nationally are and linked to both fractures and fear of falling. The purpose of this study was to assess the effectiveness of a rural community-based fall prevention program using an academic partnership model with seven physical therapy students rotating through six senior centers. One hundred and fifty-four older adults (Mean age: 76.1+/- 8.5) completed Stepping On at six locations. A mixed-methods design was utilized. Physical therapy students partnered with older adult participants to teach exercises, strategize floor recovery techniques, and identify community safety barriers. A descriptive survey tool assessed demographic profiles, falls efficacy, and program effectiveness among participants. Students participated in a follow-up focus group to discuss perspectives on their role in the fall prevention program. Most participants were female (86.4%), lived alone (50.0%) and taking four or more medications (74%). Thirty-eight participants (24.7%) had fallen over the past year. Eighty-eight (57.1%) subjects noted they had less fear of falling following the community-based intervention; moreover, most subjects (74.7%) reported having an improved plan for floor rise after a fall. Major focus group themes underscored students’ enhanced ability to teach exercise and mobility activities with an increased awareness of interdisciplinary fall prevention. Following a collaborative community-based fall prevention program, seniors have a better understanding of fall causes and plan to seek floor recovery assistance. In turn, student teaching and communication skills are reinforced. Student partnering with seniors promotes fall prevention strategies and affords benefits to both students and participants.
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Roy, PhD, Shreya, Sarbinaz Bekmuratova, PhD, Sharon Medcalf, PhD, Harlan Sayles, MS, Wael ElRayes, MD, PhD, FACHE, Jeanne S. Ringel, PhD und Ronald J. Shope, PhD. „Emergency preparedness: Interviews with senior leadership in Nebraska hospitals“. Journal of Emergency Management 18, Nr. 5 (01.09.2020): 399–409. http://dx.doi.org/10.5055/jem.2020.0488.
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Objective: The objective of this study was to explore perceptions of senior leadership in hospitals on the motivations, cost, benefits, barriers, and facilitators of investment in emergency preparedness. Study design: This is a qualitative study which used a grounded theory approach to develop a theory of hospital emergency preparedness. Setting and study participants: A purposive sample of hospital leaders (n = 11) in the US state of Nebraska were interviewed.Results: Results showed that the environmental risk associated with the hospital location, the hospital’s position in the community, and the preparedness requirements of the Centers for Medicare and Medicaid Services contribute to investment decisions. Rural hospitals face unique challenges in preparing for disasters, for example, lack of trained personnel. Facilitators of disaster preparedness include the availability of federal funds, the commitment of leadership, and an organizational mission aligned toward emergency preparedness. Hospitals invest in hazard vulnerability assessments; partnerships with other organizations in the community; staff trainings and infrastructure.Conclusions: The authors concluded that hospitals in Nebraska are committed toward investing in preparedness activities. The theory of hospital emergency preparedness developed will be used in a subsequent study to develop a decision-support framework for hospital investment in preparedness.
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Kim, Oksoo. „Cognitive Impairment and Depression in Community-Dwelling Older Korean Women“. Psychological Reports 105, Nr. 2 (Oktober 2009): 569–74. http://dx.doi.org/10.2466/pr0.105.2.569-574.
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Cognitive impairment and depression were investigated in older Korean women. 143 Korean women ( M age = 75.8) attending four senior service community centers in Seoul participated. 27% scored as possibly demented and 15% as demented on the Korean version of the Mini-Mental State Examination. 57% scored as depressed on the Korean Geriatric Depression Scale. Younger elderly women (ages 65–74 years) displayed less cognitive impairment than older women. Older elderly Korean women (> 75 yr.) who lived with their spouses scored as more cognitively stable than those who lived without spouses. Those with inadequate income scored higher on Depression, which was inversely correlated with cognitive function in the entire sample. Dementia and depression were found to be more frequent in this elderly sample than previously reported by the Korean government.