Title: Intergenerational interaction and social roles of old age
Authors: Megumi Tabuchi 1, Asako Miura 2
Affiliations: School of Psychology, Chukyo University, Japan
2 Kwansei Gakuin University, Japan
Title: Does dementia have a silver lining?: Positive life experiences following a diagnosis
Authors: Shoshana H. Bardach, PhD, Christina Moore, BA, Sarah D. Holmes, MSW, Richard R. Murphy, MD, Allison Gibson, PhD, Gregory A. Jicha
Title: Acceptance of Information and Communication Technologies for Healthy and Active Aging: Results from Three Field Studies
Authors: Filomena Papa, Bartolomeo Sapio, Enrico Nicolò
Affiliation: Fondazione Ugo Bordoni, viale del Policlinico 147, 00161 Roma, Italy
Increasing life expectancy has led to higher expectations amongst people not only to live longer, but to live longer with a high quality of life. In this respect Information and Communication Technologies (ICTs) can provide useful and effective tools. The main focus of current technological trends in health care is usually on the technological solutions to support disease management and to support medical records. ICTs may also enhance communication between users, playing a significantly positive role in the social and mental well-being of elderly people.
Several barriers like access, performance, psychological, and privacy issues still exist against fully deploying ICT solutions for the elderly. In particular, rejection attitudes toward new ICT services can arise in groups with low income and poor education. In order to overcome the above mentioned barriers, the investigation of factors affecting acceptance of ICT services by elderly people provides useful insight to identify adequate policies to promote acceptance of innovative ICT solutions by older adults. As for user acceptance, one of the most recognized models for innovative and emerging new technologies is the Unified Theory of Acceptance of Use of Technology (UTAUT) extensively used in various application fields. This model comprises different aspects of usage behavior, including intention to use the system, perceived usefulness, and perceived ease of use of ICT services. Using the UTAUT model as general reference framework, the present paper discusses factors affecting acceptance of ICT services by elderly people, starting from the results of three field studies realized in recent years with the direct involvement of elderly people.
Field study 1. This study presents a qualitative investigation of user reactions, opinions, and sentiments about a TV-based technological solution to promote social interaction of less educated elderly people, i.e. those individuals who, because of poor education, low income, and, possibly, linguistic barriers, still find it difficult to use computers in order to improve their socialization. Experimental data were collected by extensive trials involving 40 end users in the European AAL project Easy Reach. A methodology called “scenario engagement” was applied to get participants engaged in a live demonstration with the mediation of a facilitator who assisted elderly people to interact with the system. Results point out that the investigated solution can be effectively employed to foster social interaction, particularly when it is introduced in a collective use environment (e.g. Senior Center). Although the focus of the investigation was on information and communication technology-enabled social environments, the end users themselves strongly suggested to include in future system releases extra functions, considered as essential opportunities for their potential digital lives: medical or health services and bridges toward Public Administrations. Field study 2. This study shows a quantitative investigation about the acceptance by citizens of one of the most advanced implementations of the Electronic Health Record (EHR) in Italy. The UTAUT model and its extension UTAUT2 were adopted as general reference frameworks. The investigation was conducted using the CAWI method with a total number of 15,102 users completing the web interview. Among these citizens, 5664 were over 55 years old. This exploratory study allows to investigate factors facilitating or hampering the acceptance of an EHR by citizens and also to compare the results obtained for the overall sample and for the group of adults over 55. At the same time, it provides useful input to define specific public policies to promote acceptance of innovative e-health solutions by older adults. Field study 3. This qualitative study is focused on elderly acceptance of Digital Terrestrial Television (DTT) in Italy after the analogue switch-off. In order to identify the main predictors of frequency of use by elderly people, the UTAUT model was applied, with a focus group discussion analysis. The results suggest that the behavior of the elderly group is not homogeneous. In some people fear towards DTT and new ICT technologies prevails against curiosity or vice versa, to the extent that we can identify two main different sub-groups based on the following cultural characteristics: a) Inadequate elderly: the main feature of people belonging to this group is the sense of inadequacy, incompetence, clumsiness with new technologies. b) Curious elderly: elderly in this subclass are unskilled in new technologies as the “inadequate elderly”, but they are not really hampered by fear and by sense of inadequacy; their personal interests and passions allow them to overcome the psychological and physical barriers due to age. The results suggest that those elderly individuals extensively exploring new DTT channels are the same utilizing their explorative abilities over the Internet and in the use of ICT services.
Title: How Healthy Policy could Help People With Dementia in Bureaucratic System: Preliminary Analysis from “Carlo Poma-Dementia Care Pathway”
Authors: V. Frisardi, S Faroni, A,Ventura, G. Gazzoni, G. Simoncelli, A.Bellani, F. Biagi, E. Galante,A. Balzanelli, E Talassi, L. Frittoli, G. Capiluppi, E. Campagnari, C. D’angelis; A. Taragnani, D. Terzi; C Matarazzo, M Avesani, D Roccatagliata, C. Basili, M.Galavotti, A. Ciccone; and the whole staff of “Dementia Care Pathway” of ASST “Carlo-Poma
Title: Forget-Me-Not! A Case for Healthcare Workers to Confront Their Attitudes, Understandings and Practices Surrounding Ageing and Disability
Author: Terence Seedsman
Affiliation: Victoria University / Melbourne- Australia
Title: An examination of how the household model' contributes to positive ageing for residents
Authors: Anya Ahmed, Maaike Seekles & Paula Ormandy
Affiliation: University of Salford
Promoting a good quality of life for the oldest members of society has become a top priority as evidenced in UK policy and legislation. The ‘household’ model is a departure from traditional approaches to care provision since it offers person-centred support, health and social care to older people in specially-designed, small, homelike environments. Having gained increasing popularity in care homes across developed countries, the impact of this model of service delivery on residents’ quality of life its contribution to positive ageing is of increasing interest.
Belong is a not-for-profit, UK care organisation currently operating several villages under a household model. The scope of services Belong offer covers a wide spectrum. The villages comprise independent living apartments (bought or rented) and residential/nursing care households offering 24 hour personalised, on-site care for residents with some degree of personal, dementia or nursing care needs. In each village there is a range of facilities open to the public (including a Bistro, hairdressers and gym facilities). Belong also offers a domiciliary community service.
In this paper we present data generated from qualitative interviews with a sample of Belong residents and relatives across two villages. Drawing on positive ageing theories influenced by classical activity theory, we explore how the household model as operated at Belong facilitates the maintenance of independence and agency among residents and how this contributes to positive ageing.
Title: Effect of six-month supplementation with cholecalciferol on glycemic and blood pressure control in type 2 diabetic patients with hypovitaminosis D
Author: Marco Barale, Ruth Rossetto Giaccherino, Ezio Ghigo, Massimo Procopio
Title: Diversity in active ageing: A new classification’s proposal
Author: Feliciano Villar
Abstract: The concept of active ageing has been proposed as a way to describe and promote lifestyles which contribute to ageing well. However, these lifestyles are diverse, and there are many activities that may be included within the concept of active ageing.
The aime of the article is to propose a way to classify the range of activities that could contribute to age actively. Two axes were proposed: (1) amount of resources needed to carry out those activities and (2) orientation (individual or collective) of the activity.
Three main activities were analyzed to illustrate that classification: participation in leisure activities, participation in high-demanding sport activities and participation in political organizations.
Discussion revolves around the comparison within these three activities in terms of motives and outcoumes, challenges for future research using this new classification, and highlights practical implications to take into account diversity while promoting active ways of ageing.
Title: A Pragmatic Approach to Active Ageing; The Case of Older Migrants in Portugal
Author: Ruxandra Oana Ciobanu
Affiliation: Centre for the Interdisciplinary Study of Gerontology and Vulnerability and Swiss National Centre of Competences in Research LIVES, University of Geneva
Key words: Older migrants, Active ageing, Portugal, Care provisions, Informal work
The article problematizes the concept of active ageing by discussing it in relation to the diversity in the older migrant population. In doing so, it answers two questions: 1) what are the activities older migrants engage in? and 2) how can the concept of active ageing contribute to the analysis? The article draws on fieldwork research in Portugal in the area of greater Lisbon and the Algarve, the regions with the highest concentration of migrants. There were conducted twenty interviews of which half with leaders of associations and half with older migrants. Additionally, there were done two focus groups with Cape Verdeans and three workshops with various stakeholders included in the analysis as expert discussions. The article brings to the foreground a more pragmatic side of active ageing, reframing it as a way of coping with small incomes, lack of social insurances and loneliness.
Title: A consideration on the current treatment methods for dementia
Author: Miyako Tazaki
Affiliation: Department of psychology, Faculty of Medicine, Toho University, Tokyo, Japan
Background: The number of people with dementia has been steadily increasing in developed countries. Particularly in Japan, 55 % of more than 85 years old are diagnosed as dementia. Although various experiments and researches have been conducted, no definitive treatment has been established to date. Current research indicates metabolic dysfunction may play an important role of occurrence of the disease.
Methods: The author first conducted database search with key words of dementia, Alzheimer’s disease, and prevention of dementia so on in the databases of Cochran, PubMed, and J-Stage, then selected methods which proof of effectiveness.
Results: The author summarises the recommended methods in six fields as follows;
1) Diet: the Mind-Dash diet and omega-3 intake, 2) Exercise: walking and “cogni-cises”, an exercise developed in Japan, 3) Appropriate communication, 4) Drugs controlling of Aβ of the brain, 5) Neurofeedback and 6) Control of insulin resistance, whose extensive clinical researches are currently underway.
Conclusions: To keep healthy life style with good communication are the key for the prevention of the disease. The research results of control of insulin resistance and neurofeedback are anticipated as potential tools for drastic improvement of the disease.
Keywords: dementia, Alzheimer’s disease, prevention and treatment methods of dementia
Title: Wrinkles and smiles — What is good ageing? A technology assessment perspective
Authors: Niklas Gudowsky, Ulrike Bechtold, Leo Capari, Mahshid Sotoudeh
Affiliation: Institute of Technology Assessment, Austrian Academy of Sciences
Abstract: In the light of recent changes in the discourse on positive ageing approaches, it seems worthwhile to take a closer look at the way “quality ageing” is understood, expressed and dealt with in technology assessment (TA). To do so, we employ bottom up qualitative text analysis to identify positive ageing concepts. The investigated data derives from final reports of a sample of national and international (predominantly participatory) TA projects we conducted over the course of the past ten years. These projects show a high variability with regard to contexts, methods, topics and funding schemes, however display a common core of investigating desirable frameworks and futures for an ageing society from a citizen, stakeholder and expert perspective and identified possible pitfalls for assistive technologies for older adults. In terms of constructing a TA perspective, we search for overarching patterns across the different reports, thus integrating multiple actor groups’ views combined with scientific analysis. Results show that…
Title: Health related quality of life among elderly - an evolutionary perspective
Author: Sylvia Kirchengast