Innovation in Aging最新文献_第9页

PREPARING STUDENTS FOR A MULTIGENERATIONAL WORKFORCE: PERSPECTIVES FROM OLDER WORKERS AND RETIREES 培养学生适应多代劳动力：老年工人和退休人员的观点

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.0471

Allyson Graf, Katherina A. Nikzad-Terhune

{"title":"PREPARING STUDENTS FOR A MULTIGENERATIONAL WORKFORCE: PERSPECTIVES FROM OLDER WORKERS AND RETIREES","authors":"Allyson Graf, Katherina A. Nikzad-Terhune","doi":"10.1093/geroni/igad104.0471","DOIUrl":"https://doi.org/10.1093/geroni/igad104.0471","url":null,"abstract":"Abstract Workforce diversity can be a major asset for personal, interpersonal, and economic development. Age diversity is prevalent with five generations currently represented in the workforce. Intergenerational tension is common, however, largely fueled by stereotypes centered on age and generation that can infiltrate all workplace processes. Working from the Age-Friendly University framework, our aim was to gather qualitative data to inform the development of a training program for college students, pairing information on age-related bias with opportunities for meaningful intergenerational exchange to mimic workplace interactions. We hosted three community-based focus groups with adults ranging from 60-69 years of age who were either currently employed or recently retired (N = 10) to discuss their intergenerational interactions in the workplace. Participants had an average of 41.06 years of work experience and worked across multiple industries, most commonly administrative work, food services, government, and healthcare. The most common theme reported was the dismissal of participants’ work experience by their younger colleagues, which some equated to a lack of respect due to their age, and others painted as a breakdown in communication. Technology was highlighted as exasperating intergenerational tensions. Participants also reported that younger colleagues often approached them for general life advice, which helped to reduce tensions. The willingness to see the value of older adults’ wisdom in general, but not specific to the work at hand, has implications for the content and structure of future career-readiness training programs. Recommendations for enhancing positive intergenerational exchanges and reducing generational tensions within the workplace will be discussed.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"43 8","pages":"144 - 144"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SOCIAL PARTICIPATION, LONELINESS, AND CIRCADIAN RHYTHMS OF MIDDLE-AGED AND OLDER ADULTS IN TAIWAN 台湾中老年人的社会参与、孤独感和昼夜节律

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2735

M. Taani, Yura Lee, Julie Ellis, Chi Cho, Ammar Hammouri

{"title":"SOCIAL PARTICIPATION, LONELINESS, AND CIRCADIAN RHYTHMS OF MIDDLE-AGED AND OLDER ADULTS IN TAIWAN","authors":"M. Taani, Yura Lee, Julie Ellis, Chi Cho, Ammar Hammouri","doi":"10.1093/geroni/igad104.2735","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2735","url":null,"abstract":"Abstract Loneliness among middle-aged and older adults is a growing public health concern in the aging society. While social participation is known as a protective factor against loneliness, not all older adults enjoy social participation. The purpose of this study is to investigate the social participation and loneliness characteristics in communities and their association with the demographic data, health-related variables, objective sleep parameters and rest-activity circadian rhythms with a sample of 242 Taiwan community-dwelling middle-aged and older adults aged 45 to 89 years. Loneliness and social participation levels were grouped in different clusters via Two-Step Cluster Analysis. Subsequently, Chi-square test and ANOVA were performed to identify the differences between clusters with relevant variables. Results showed that five social participation-loneliness clusters were grouped: Average(40.1%), Active-Lonely(3.8%), Not Active-Lonely(13.1%),Active -Not Lonely(5.9%),Not Active -Not Lonely(37.1%). Age, employment status, property management, self-perceived health, depression, life satisfaction and relative amplitude were related to clusters. The Active-Not Lonely cluster was older, had a higher retirement percentage, and higher life satisfaction. Compared with the Not Active-Lonely cluster, the Not Active -Not Lonely cluster had more power to manage their property, felt healthier and less depressive. The Active-Lonely cluster had a high percentage of unemployment and felt unhealthier. The Not Active-Lonely cluster had the lowest relative amplitude, which meant they had weaker rest-activity circadian rhythms. Objective sleep parameters were no difference between each cluster. These findings provide the potential benefits of developing appropriate social care programs to reduce loneliness for middle-aged and older adults via objective data.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"105 ","pages":"848 - 849"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138989010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COGNITIVE BEHAVIORAL AND VIRTUAL REALITY TREATMENTS FOR INSOMNIA (CBTI AND IVR): OFF-LABEL IMPACT ON COGNITION 失眠的认知行为疗法和虚拟现实疗法（CBTI 和 IVR）：标签外对认知的影响

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1205

Christina McCrae, Melanie Stearns, Ashley Curtis

{"title":"COGNITIVE BEHAVIORAL AND VIRTUAL REALITY TREATMENTS FOR INSOMNIA (CBTI AND IVR): OFF-LABEL IMPACT ON COGNITION","authors":"Christina McCrae, Melanie Stearns, Ashley Curtis","doi":"10.1093/geroni/igad104.1205","DOIUrl":"https://doi.org/10.1093/geroni/igad104.1205","url":null,"abstract":"Abstract Chronic insomnia (CI) is common in mid-to-late life and associated with hyperarousal and impaired cognition and mood. CBTi improves sleep and may also improve cognition, arousal and mood but evidence for these latter outcomes is limited. We examined these outcomes across 3 studies with different delivery platforms (telehealth, digital, VR), dosages (2 sessions, 4 sessions), and (primarily) mid-to-older CI populations (fibromyalgia, dementia caregivers). Study 1 compared 8-week CBTi vs sleep hygiene in women with fibromyalgia (n=43, Mage=44.45). Study 2 piloted 4-session web-based CBTi in caregivers (n=5, Mage=62.40). Study 3 piloted 4-session iVR (n=18, Mage=36.45). Participants completed 2-week daily diaries pre/post treatment (sleep onset latency-SOL; wake after sleep onset-WASO; total sleep time-TST) and Insomnia Severity Index-ISI. Other measures included: study 1(arousal/heart rate variability-RMSDNN), studies 1 and 3(Wisconsin Card Sort Test-WCST, Stroop), study 2(Cognitive Failures Questionnaire-CFQ, Beck Depression Inventory-BDI-II, Perceived Stress Scale). Group x time interactions (study 1) and within-group pre/post differences were examined. CBTi improved sleep across studies (ps<.05). Study 1 found and study 3 trended toward improved cognitive flexibility (WCST %perseverative errors-t(14)=2.65, p=.019 and t(10)=1.76, p=.055, respectively). Study 1 found improved attention and processing speed [Stroop reaction time(RT)-congruent trials-t(14)=2.59, p=.023], inhibition (Stroop RT-incongruent trials-t(14)=2.43, p=.031), and arousal [increased RMSDNN; F(1,41)=4.87, p=.03]. Study 2 found improved subjective cognition-CFQ (t(4)=2.44, p=.04), arousal-RMSDNN (t(4)=2.09, p=.05), and depression-BDI-II (t(4)=2.89, p=.02). CBTi improved sleep, cognition, arousal and mood in mid-to-older CI populations. Research using randomization, active controls, and follow-ups is needed to delineate temporality and explore sleep’s mechanistic contribution to cognition and other “off-label” outcomes.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"54 25","pages":"363 - 363"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138989076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ADVANCE CARE PLANNING FIDELITY TOOL IN THE CONTEXT OF COGNITIVE IMPAIRMENT: THE SHARE TRIAL 认知障碍情况下的预先护理规划忠诚度工具：共享试验

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.0041

John Cagle, David Roth, Cynthia Boyd, Naaz A. Hussain, Ambrym Smith, Jenni Reiff, Daniel Scerpella

{"title":"ADVANCE CARE PLANNING FIDELITY TOOL IN THE CONTEXT OF COGNITIVE IMPAIRMENT: THE SHARE TRIAL","authors":"John Cagle, David Roth, Cynthia Boyd, Naaz A. Hussain, Ambrym Smith, Jenni Reiff, Daniel Scerpella","doi":"10.1093/geroni/igad104.0041","DOIUrl":"https://doi.org/10.1093/geroni/igad104.0041","url":null,"abstract":"Abstract 2. Conducting high-quality advance care planning (ACP) conversations with persons living with ADRD and their family members is inherently challenging. Differing levels of cognitive function, judgment, ability to engage, and care partner involvement adds to the complexity of such ACP conversations, necessitating flexible fidelity monitoring to accommodate contextual factors. This presentation will focus on the process of measuring ACP fidelity. The SHARE ACP fidelity checklist was developed to measure the protocol adherence during ACP meetings, monitor for areas in which ACP facilitators may require re-training or additional support, and to inform analyses of the impact of the overall exposure to the study intervention. The fidelity checklist items are organized into three overarching domains: Meeting Set-Up, ACP Meeting Topics, and Facilitator Communication Skills. For the present study, a fidelity adjudication team from a pool of 7 raters, listened to and independently rated recorded conversations for protocol adherence. Each checklist item is scored ranging from 0 to 2 (0=not done; 1=needs improvement; or 2=effective) with higher scores indicating greater adherence. Fidelity ratings tended to improve over time, suggesting a facilitator experience effect. The goal to achieve an overall fidelity rating of ≥80% was met in 63% of dyad conversations. Based on subscale scores, project targets were most frequently met on the Communication Skills subscale and less frequently accomplished on the Meeting Set Up subscale. Despite some challenges, preliminary assessments of SHARE intervention fidelity appear promising, and evidence suggests the fidelity checklist is both valid and reliable.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"33 1","pages":"13 - 13"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138989093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

MEDICAL STUDENT MOTIVATIONS TO STUDY GERIATRICS AS MEDICAL SPECIALTY IN ECUADOR: A QUALITATIVE APPROACH 厄瓜多尔医学生学习老年医学专业的动机：一种定性方法

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2118

Daniela Belen Sosa Cifuentes, Jonathan Guillemot

{"title":"MEDICAL STUDENT MOTIVATIONS TO STUDY GERIATRICS AS MEDICAL SPECIALTY IN ECUADOR: A QUALITATIVE APPROACH","authors":"Daniela Belen Sosa Cifuentes, Jonathan Guillemot","doi":"10.1093/geroni/igad104.2118","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2118","url":null,"abstract":"Abstract Due to a lack of interest in becoming geriatricians in the medical student community and despite studies showing geriatrics as one of the most fulfilling medical specialties, Ecuador, like many countries globally, lacks geriatricians. Although there are insufficient well-established institutions training geriatricians, the issue essentially lies in the lack of student vocations. We conducted a qualitative and participatory study to identify and describe the motivations and barriers associated with medical students’ interests in becoming geriatricians in Quito, Ecuador. Qualitative interviews between medical students after interviewing technique training were conducted. Audio recordings were transcribed and coded, and then analyzed for patterns. Thirty-two students were interviewed, none of which considered geriatrics as their first medical specialty option, and two of which considered the possibility of such a choice, but not as a first option. Among the most significant patterns associated with disinterest in geriatrics was the lack of exposure as well as a general ignorance of the lives of older adults beyond direct relatives. While most participants recognized the fundamental importance of the specialty, barriers appearing unsurmountable emerged: patterns of gerontophobia as well as thanatophobia were strong hurdles, combined with the perception of an emotional toll associated with the care of older adults. This joined with the view that physicians could not be fulfilling their purpose of “saving lives” in the context of geriatrics. As the Global South ages, universities must improve student exposure to older adults and the professions associated with their care as a first step towards promoting new vocations.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"23 5","pages":"651 - 651"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138989146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ASSET-BASED COMMUNITY DEVELOPMENT FOR DEMENTIA-FRIENDLY COMMUNITIES (ABCD FOR DFC): A PILOT PROJECT IN HONG KONG 以资产为本的社区发展促进老年痴呆症友好社区（ABCD for DFC）：香港试点项目

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1608

C. Chui, Shiyu Lu, O. Chan, Terry Lum

{"title":"ASSET-BASED COMMUNITY DEVELOPMENT FOR DEMENTIA-FRIENDLY COMMUNITIES (ABCD FOR DFC): A PILOT PROJECT IN HONG KONG","authors":"C. Chui, Shiyu Lu, O. Chan, Terry Lum","doi":"10.1093/geroni/igad104.1608","DOIUrl":"https://doi.org/10.1093/geroni/igad104.1608","url":null,"abstract":"Abstract There is little understanding about how a dementia-friendly community can be constructed in East Asian societies, particularly in geographically remote areas characterized with majority older adult residents and limited external support. A pilot project using an asset-based community development (ABCD) approach in constructing a dementia-friendly community in Hong Kong was implemented. Informed by the theoretical tenets of ABCD, the purpose of this paper is to examine the effects of this pilot project in enabling older adult residents and other community stakeholders to better respond to challenges resulting from growing prevalence of dementia. Multiple stakeholder interviews were conducted with older adult residents, church leaders, district councillors, and social workers. Participants were asked to share the strengths and challenges of this ABCD pilot project in building a dementia-friendly community. Data generated from interviews were analyzed using thematic analysis. Four key preliminary themes were identified, including on the individual level: enhanced dementia literacy, and enacted proactive behaviour; and on the community level: strengthened bridging social capital, and improved community caring capacity. Uncertain long-term financial and professional support posed challenges to participants. Nevertheless, findings underscore the importance of departing from traditional service delivery models, to one that infuses ABCD approaches in constructing a dementia-friendly community. Mobilising existing human and social capital in the community, and embedding older adults in co-creating solutions are key to improve dementia-related interventions. We contribute to ongoing theoretical and practice discussions on the intersections between population aging and employing community-based solutions to create a more dementia-friendly society.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"339 ","pages":"489 - 489"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138989705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IN THEIR OWN WORDS – HOW STUDENT RESPONSES TO OPEN-ENDED QUESTIONS CAN IMPROVE GERONTOLOGY EDUCATION 用他们自己的话说--学生对开放式问题的回答如何改善老年学教育

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1214

L. Ayalon, Octavio Bramajo

引用次数: 0

GENDER DIFFERENCES IN THE ASSOCIATION BETWEEN SLEEP AND INFLAMMATORY MARKERS: RESULTS FROM THE EINSTEIN AGING STUDY 睡眠与炎症指标之间的性别差异：爱因斯坦老龄化研究的结果

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1830

Linying Ji, Yuqi Shen, Jennifer Graham-Engeland, Carol Derby, Christopher Engeland, O. Buxton

{"title":"GENDER DIFFERENCES IN THE ASSOCIATION BETWEEN SLEEP AND INFLAMMATORY MARKERS: RESULTS FROM THE EINSTEIN AGING STUDY","authors":"Linying Ji, Yuqi Shen, Jennifer Graham-Engeland, Carol Derby, Christopher Engeland, O. Buxton","doi":"10.1093/geroni/igad104.1830","DOIUrl":"https://doi.org/10.1093/geroni/igad104.1830","url":null,"abstract":"Abstract Prior research links poor sleep and higher systemic inflammation. Gender differences in both sleep and in inflammatory responses have been observed. We investigated gender differences in the association between levels as well as variability of objective sleep health and inflammatory markers (including stimulated inflammatory markers) among a diverse sample of older adults. Participants free of dementia (N=215, Mage=77.5 years, 64% women; 46% White, 39% Black, 15% Hispanic/other) were from The Einstein Aging Study. Actigraphy (2 weeks) yielded wake after sleep onset (WASO), total night sleep time (TST), and midpoint night sleep. Inflammatory markers included circulating C-reactive protein (CRP) and circulating and lipopolysaccharide (LPS)-stimulated levels of interleukin (IL)-1β, IL-4, IL-6, IL-8, IL-10, and tumor necrosis factor (TNF)-𝛼. Bayesian variability models evaluated associations of inflammatory markers with mean and variability of sleep measures, adjusted for BMI, gender, age, education, race/ethnicity. Circulating inflammatory markers were not associated with sleep measures, except higher TST variability with higher circulating IL-6 among women. For stimulated cytokines, among men, higher mean WASO, TST, and later midpoint were associated with higher stimulated IL-8 and TNF-𝛼. All stimulated cytokines except IL-1β were associated with greater variability in WASO, TST, and sleep timing among men. Among women, the only significant association with stimulated cytokines was between higher mean TST and higher stimulated IL-8. We found gender differences in the associations between sleep and inflammation in older adults, primarily in men and for stimulated (not circulating) cytokines. Interestingly, associations were also more frequently observed for sleep variability than mean levels.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"488 1","pages":"558 - 558"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138989824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

DIGITAL DANGERS: TECHNOLOGY-FACILITATED ABUSE AMONG ADULTS AGE 50+ 数字危险：50 岁以上成年人中借助技术的虐待行为

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.0867

A. Bayne, Elizabeth A. Mumford, Caroline Lancaster, Jackie Sheridan-Johnson

{"title":"DIGITAL DANGERS: TECHNOLOGY-FACILITATED ABUSE AMONG ADULTS AGE 50+","authors":"A. Bayne, Elizabeth A. Mumford, Caroline Lancaster, Jackie Sheridan-Johnson","doi":"10.1093/geroni/igad104.0867","DOIUrl":"https://doi.org/10.1093/geroni/igad104.0867","url":null,"abstract":"Abstract Older adults (age 50+ years) are adopting new technologies to increase their independence, prevent social isolation, and help them to age in place. However, digitalization introduces new risks for technology-facilitated abuse (TFA). TFA is any form of online abuse including threats, identity theft, financial fraud, among other forms of victimization. Limited research has explored TFA in general population samples among older adults in the U.S. With support from the U.S. Department of Justice, NORC at the University of Chicago conducted a survey of TFA experiences in a nationally representative sample of n=1,011 U.S. adults aged 50 years and older. Latent class analyses were applied to understand the pattern of older adults’ exposure to ten different forms of TFA, resulting in three classes distinguished by the number of different forms of TFA experienced. This session describes findings from the study, such as socio-economic characteristics associated with TFA profiles, the respondents’ relationship to the perpetrator, behaviors taken in response to TFA, and resulting harms. Among key findings are that six in 10 community-dwelling adults age 50+ have experienced at least one form of TFA in their lifetime. The most common forms of TFA experienced were financial abuses and identity theft. Different demographic groups of older adults experienced different victimization patterns. For example, those who identify as LGBQA were at a much higher risk of experiencing TFA. This session concludes with research and education opportunities for preventing TFA across multiple levels among older adults.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"470 1","pages":"260 - 261"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138989848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

INFRASTRUCTURES OF CAREGIVING: RECONSTITUTING HOMELINESS AND FAMILY IN SINGAPORE 护理的基础设施：在新加坡重建家园和家庭

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1216

Arthur Chia, Rahul Malhotra

{"title":"INFRASTRUCTURES OF CAREGIVING: RECONSTITUTING HOMELINESS AND FAMILY IN SINGAPORE","authors":"Arthur Chia, Rahul Malhotra","doi":"10.1093/geroni/igad104.1216","DOIUrl":"https://doi.org/10.1093/geroni/igad104.1216","url":null,"abstract":"Abstract Caregiving comprises concrete everyday tasks that are built-on and revolve around the home, yet few studies have looked at caregiving as practice(s) that shape the home as a place of/for care. We examined the socio-material arrangements of people, activities, and things that enable caregiving at home, asking how caregiving is orchestrated, sustained, and delivered at home, and how the home is in turn re-constituted by caregiving. In-depth interviews were conducted with 40 family caregivers, aged 55-85 years, caring for their spouse and/or parent(s). Relations, activities, and things that enabled caregiving were analyzed through the theoretical lens of “care infrastructure”. Caregiving is enacted through a network of people and things – including family members, live-in hired helpers, medical and social workers; technologies like surveillance cameras and strategically placed mirrors at home to monitor care recipients; televisions turned-on 24/7; assistive devices such as wheelchairs and ramps, and placement of hospital beds at home, etc. – that change living arrangements and routines. Care tasks, responsibilities, and decisions are marked by negotiations, tensions, and compromises between people and with things. Caregivers appropriate, adapt, and improvise in situations of uncertainty, conflict, and impossible demand. We conclude that new socio-material arrangements of people, activities, and things that emerge because of caregiving change/disrupt the notion of home as a place of safety, familiarity, and comfort for caregivers. Understanding the emplacement/displacement and interconnection of things, activities, and people sheds light on how the home shapes the effects of caregiving and vice versa.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"290 1","pages":"366 - 366"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138991226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0