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1.
ABSTRACT

As the population ages, so does the number of older patients encountered by paramedics. It is vital that paramedics are adequately prepared to meet the unique and growing needs of these patients. Experience and education play key roles in the formation of attitudes that impact behavior, and ultimately patient care. The aim of this study was to determine the level of student paramedic experience with knowledge of, and attitudes toward, older adults and to examine the relationship between these factors. This was a cross-sectional study utilizing three paper-based questionnaires; Experience with Older Adults Questionnaire, Australian Facts on Aging Quiz 2 (FAQ2), and Aging Semantic Differential (ASD). Of the 871 paramedic student participants, 79% had an oldest living grandparent 65 years old or above, and 63% had encountered older adults on clinical placement. The mean (SD) score for the FAQ2 was 12.7 (3.0) out of a possible 25, indicating a low level of knowledge about older people. The mean (SD) score for the ASD was 120.3 (17.77), indicating slightly positive attitudes toward older adults. Knowledge (β = ?0.06; p = .058) and experience (β = ?0.06; p = .058) had weak associations with attitudes. Student paramedics have some prior experience with older adults, relatively low knowledge and generally positive attitudes. There is some association between these factors; however, the impact on patient care requires further investigation. Paramedic educators should strive to provide students with broad quality experiences and education that increases awareness and understanding of older people.  相似文献   

2.
The aim of this study was to build a structural model to explore the predictors of adjustment to aging (AtA) in a community-dwelling older population. A community-dwelling sample of 1,270 older adults aged between 75 and 102 years answered a questionnaire to determine sociodemographic (sex, age, professional and marital status, education, household, adult children, family's annual income, living setting, and self-reported spirituality), lifestyle, and health-related characteristics (perceived health, recent disease, medication, and leisure). Several instruments were used to assert psychological variables, namely AtA, sense of coherence, and subjective well-being. Structural equation modeling was used to explore a structural model of the self-reported AtA, encompassing all variables. Significant predictors are self-reported spirituality (β = .816, p < .001); perceived health (β = .455, p < .001); leisure (β = .322, p < .001); professional status (β = .283, p < .001); income (β = .230, p = .035); household (β = –.208, p = .007); sense of coherence (β = ?.202, p = .004); and adult children (β = .164, p = .011). The variables explain, respectively, 60.6% of the variability of AtA. Self-reported spirituality is the strongest predictor of AtA. Other predictors are perceived health, leisure, professional status, income, household, sense of coherence, and adult children. This study emphasizes the need for deepening the variables that influence older adults’ AtA—in particular, perceived health and further lifestyle-related characteristics—as being relevant for promoting aging well in later life, within a salutogenic context for health care.  相似文献   

3.
ABSTRACT

The purpose of this study was to determine if the amount and variety of fruits and vegetables consumed increased among community-dwelling older adults participating in Kentucky’s congregate meal site program following a series of five nutrition education lessons. A convenience sample of older adults attending senior centers (n = 35)—two intervention (n = 19) and two control (n = 16) centers—participated in this quasi-experimental pilot study. Following the intervention there was a significant increase in actual fruit and vegetable intake in the intervention group (p < .05) as assessed by platewaste measurements of the congregate lunch meal. In addition, from pre- to post-intervention, a trend towards increased self-reported intake in the variety of fruit and vegetables was observed among the intervention group. As well, a significant increase in the number of days intervention participants self-reported consuming at least 4.5 cups of fruits and vegetables in the last 7 days (2.44 ± 2.09 days to 4.28 ± 1.99 days (p = .004)) was observed; and knowledge pertaining to phytochemicals increased (p < .05). The phytochemical index (PI) score of the lunch meal, taking into account that the older adults' consumption of meal components, including phytochemical-rich foods, was 26.9. Overall, study results indicated that a short theory-based nutrition education program offered to community-dwelling older adults was linked to an increase in fruit and vegetable consumption and phytochemical knowledge.  相似文献   

4.
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5.
ABSTRACT

Objective: Memory loss affects a large proportion of older adults. Research indicates a positive association between memory training and better memory performance as people age. However, studies on specific memory training using an experimental design are limited. This study explored whether memory training has improved memory performance in a group of older adults.

Method: A convenience sample of 48 participants was recruited from two communities. Disregarding dropouts, this left 23 experimental (mean age = 65.4 ± 6.0, range = 56–80) and 19 control participants (mean age = 64.5 ± 4.9, range: 57–72). The intervention consisted of 60-min classes held on a weekly basis continuing for 8 weeks. The class session was held after a 1-h exercise class and before a 1-h session of cognitive games. The pre–post objective memory performances, including associative, list, text, place, grocery learning, and transfer-effect of daily event memory (ecology validity), were examined to determine whether the intervention was effective.

Results: Intragroup: With Wilcoxon test, the findings showed that the intervention of both the list and place learning had significant differences for the experimental group, but not for the control group. Intergroup: The main effects were found for the associative and text learning. The mixed design ANOVA indicated that there is an interaction (time x group) on the dependent variable of the place learning test. Daily events memory: We found within group that the pre–post differences were significant for the experimental group but not for the control group.

Conclusion: The study showed that memory training can help older adults to ameliorate memory loss problems and these findings deserve more attention.  相似文献   

6.
Past research has investigated the development of stereotypes surrounding race and gender in children; however, there is a lack of literature examining the development of children’s stereotypes of older adults. In this study, 163 children from four grades: first (n = 44), fourth (n = 49), fifth (n = 35), and eighth (n = 35) completed a new trait-rating questionnaire assessing their stereotypes of older adults. Children’s stereotypes of older adults were largely positive. Younger children described older adults in more positive, but more stereotyped, ways than older children. Older children’s views shared a stronger relationship with those of their parents and peers compared to younger children. Together, these results support both cognitive development and social influences as contributing factors to the formation of children’s stereotypes of older adults.  相似文献   

7.
To understand the relationship between social background and sex in schooling, we use Bourdieu’s theory of social reproduction and a feminist perspective of gender as practice. We pose two questions: (1) What is the relationship between economic and cultural capital and achievement for 4th-grade females versus males studying in Germany? (2) Is the relationship between school composition and student achievement different for 4th-grade females versus males? We report no differences between females and males in the relationships between social background and achievement (p > 0.05). However, the relationship between class-aggregated social background and achievement is halved in female-majority mathematics classrooms (β = -12.6, p < 0.05).  相似文献   

8.
ABSTRACT

Complementary and alternative medicine (CAM) includes a wide variety of treatments including modalities that are ingestible (e.g., vitamins/minerals), mind/body (e.g., yoga), and physical (e.g., acupuncture). Disclosure of CAM to medical care providers is important for avoiding potential health risks. The aim of the study was to elucidate reasons for CAM nondisclosure to physicians among a population of older adults. A sequential exploratory mixed-methods design utilizing quantitative questionnaires and qualitative interviews was employed. Linear regression was performed to evaluate variables that may contribute to disclosure. Ninety older patients from two primary care clinics – including 12 who completed qualitative interviews were included in this study. Participants were significantly less likely to disclose ingestible types of CAM compared to physical (p < .01) and mind/body modalities (p < .03). Linear regression resulted in a model that explained 25% of the variance in disclosure of ingestible forms of CAM; age, doctor’s opinion of CAM, and participants’ with less concern of their health were significantly related to disclosing CAM use. Qualitative interviews suggested that individuals over 70 years of age with longer lasting chronic conditions were less likely to disclose CAM as compared with those aged 65–69 who tended to use CAM for episodic and preventative care. Rates of CAM disclosure among older adults may be dependent on the participant’s age, their experience with health, and expectations surrounding communication with their physician. Understanding patterns of CAM use can help guide age-appropriate conversations and limit possible adverse outcomes from non-disclosure.  相似文献   

9.
ABSTRACT

Ageism refers to discrimination against individuals based on age, while aging anxiety is defined as fear about getting older. We were interested in whether ageism and aging anxiety had distinct correlates among young adults. The purpose of this study was to explore the effects that knowledge of aging, contact with older adults, fear of death, and optimism have on ageism and aging anxiety in young adults (N = 623). Knowledge of aging and contact with older adults were associated with lower ageism. Aging anxiety was associated with greater fear of death and lower optimism. Results indicate that the positive effects of contact and knowledge on the attitudes of young adults toward the older adult population. Increased education on the aging process and improving quality of contact with older adults could help reduce ageism and ageing anxiety.  相似文献   

10.
ABSTRACT

Health literacy skills are known to be a key mediator of the relationship between education and health in the general population. However, one aspect of health literacy skills—individuals’ actual literacy activities—remains understudied, especially among older adults. Health disparities that are driven by inequalities in education and level of health literacy skills are particularly problematic for older adults since they are exacerbated in old age by disadvantages that accumulate over the life course. This study examined a nationally representative sample of US adults age 50 years and older (n = 2,573) using data from the 2014 Program for International Assessment of Adult Competencies (PIAAC). Parallel mediation analysis was conducted to examine the partial mediation effects of health literacy skills and literacy activity (i.e., reading at home) on the relationship between education and health. Results showed that both health literacy skills and literacy activity mediated the education–health relationship. On average, literacy skills mediated 31.89% and literacy activities mediated 9.59% of the effect of education of self-rated health. Literacy activity, such as reading, is an easily accessible, autonomous, and sustainable option for promoting health in later life. Policies that support the intersection of public health and education may promote lifelong learning and well-being among US adults.  相似文献   

11.
Intergenerational interactions have demonstrated some success at improving attitudes of college students toward older adults. This quasiexperimental study involved undergraduate college students paired with older adults for a six-week e-mail exchange. Student attitudes toward older adults were measured pre- and posttest with Polizzi's revised version of the Aging Semantic Differential (ASD). Students were assigned to an intervention group (n = 23) or a control group (n = 20). The intervention group demonstrated significant improvement in attitude toward older adults as compared to the control group (F 14.694, p < .05). This educational approach holds promise for using readily accessible technology to connect the generations.  相似文献   

12.
This study investigated factors that explain the life satisfaction of Senior Games participants. One 193 older adults from the 2005 Michigan State Senior Games and the 2005 New York State Senior Games participated in the study. The results of the study show that one of the indicators of serious leisure (affective attachment) was positively correlated to optimism (.16, p <.05), age (.28, p <.01), and the number of years participated (.28, p <.01). Regression analysis was also used to identify which variables contribute to predicting life satisfaction. It was found that dispositional optimism (β =.308, p <.001) and perceived health (β =.185, p <.05) were significant predictors of life satisfaction.  相似文献   

13.
ABSTRACT

As public awareness of and exposure to Alzheimer’s disease and related dementias (ADRD) have increased worldwide, the fear of developing ADRD, or dementia-related anxiety (DRA), is expected to increase as well. It was hypothesized that at least part of what makes dementia so anxiety-provoking is the association of ADRD with older adults, an often stigmatized group. To test this hypothesis, two online studies examined how ageist beliefs contribute to DRA; the roles of ADRD-related factors, such as self-perceived risk and personal exposure, were also examined. Study 1 included university students (n = 295, age range: 18 to 58 years, Mage  = 21.16, SDage  = 4.85) to determine what factors may contribute to young adults’ DRA. Study 2 included adults of all ages (n = 352, age range: 18 to 81 years, Mage  = 37.85, SDage  = 12.88) to determine whether Study 1 results were replicable among adults of all ages. Hierarchical multiple regressions were used. Results from both studies demonstrated that being female and having higher self-perceived dementia risk and benevolent ageism uniquely explicated higher levels of DRA. Within Study 2, significant relationships for both benevolent and hostile ageism were observed, suggesting that diverse negative attitudes toward older adults are associated with DRA. It is possible that strong ageist attitudes stigmatize older adults as those who are forgetful and this may contribute to DRA, as age is a major risk factor for developing dementia. Study limitations and directions for future research are discussed.  相似文献   

14.
ABSTRACT

By 2029, 20% of the U.S. population will be ≥65-years-old. American demographics are changing, understanding of the ≥65-year-old demographic has not. We investigated expectation variables of participants born between 1946 and 1964 in the United States, and identified how expectation trends have changed over time also describing gender differences. We used secondary data from a motivation study published in 2015 to identify the expectations of active older adults. Four years of data were used (n = 71) in a self-selection of four adventure activities (rock climbing, flat-water canoeing, white water kayaking and sea kayaking). Older adults expected experiences in the natural environment, with social factors, and where they were either starting a new activity, or honing acquired skills. They were not focused on danger or the use of personal gear. We recommend programming that caters to an aging population, as well as considerations for gender.  相似文献   

15.
Background

Education fundamentally shapes an individual's life chances and social status. Duration and level of education are associated with people's incomes, socio-economic status, living standard, lifestyle and the respect and esteem they enjoy. Failure to fulfil educational potential may have long-term consequences for later occupational and social life, as well as creating problems for society at large.

Purpose

The aim of this prospective follow-up study was to investigate which health, lifestyle, family and school factors in adolescence had the strongest impact on educational level attained in adulthood.

Sample

The original study population included all 9th-grade school pupils aged 16 years attending secondary school in spring 1983 in Tampere, Finland (n = 2269). Subjects were followed up at 32 years of age in 1999 (n = 1471).

Design and methods

In 1983, 2194 pupils (96.7%) with a mean age of 15.9 years (SD 0.3 years) completed questionnaires during school hours. The questionnaire included questions about psychological and somatic health, lifestyle, family background, school factors and life events. In 1999, postal questionnaires were sent to the same study population when they were 32 years old. The follow-up questionnaire included basically the same questions about health and lifestyle as in adolescence and age-appropriate versions of questions about social relations and life events. Education was measured by the highest level of attained education. The follow-up cohort totalled 2091 persons (92%), and the response rate was 70.3% (n = 1471). The univariate associations between independent variables in adolescence and attained educational level in adulthood were analysed using the χ2 test, and Student's t-test where appropriate. Multivariate logistic regression analyses using forward stepwise procedure were used to determine which factors in adolescence had the strongest impact on adult educational level.

Results

Several health, lifestyle, family and school factors in adolescence were univariately associated with educational attainment in adulthood. Multivariate analyses showed that, in both genders, low school achievement and manual class of origin were the strongest predictors of low educational level in adulthood. Additional significant predictors among females were poor perceived health status, spending less leisure-time on hobbies and more on dating, and among males, poor relationships with teachers and heavy drinking.

Conclusions

Mid-adolescence is an important period for future educational life trajectory. Based on our study results, more attention should be paid to adolescents with school difficulties, unhealthy lifestyle and poor perceived health. It is also important to promote educational equality in relation to family background.  相似文献   

16.
ABSTRACT

This study investigated age preferences for 11 different service providers and the age at which workers in these occupational roles were considered to be “too old” by three age groups: young (18–24), middle-aged (35–55), and older adults (65 +). Results indicate that in comparison to middle-aged and older adults, young adults continue to have unrealistic age preferences and, at a time when the workforce is becoming increasingly older, feel that many workers are too old. The hypothesis of a positive relationship between age group and age preference was not supported; there were few significant differences between the middle-age and older adults.  相似文献   

17.
Living in an affordable senior housing site is a viable option for older adults who want to age in a community setting. Affordable senior housing is subsidized housing provided in the United States by the federal government’s Department of Housing and Urban Development (HUD). Such housing is available to people 62-years-of-age and older whose income level is low enough to merit federal assistance. The current study assessed the social convoys of 32 residents of one affordable senior housing site, with interest in the number of co-residents included in participants’ social convoys, as well as participants’ levels of social isolation and loneliness. In the present study, family relationships made up the largest proportion of residents’ social convoys (38.6%); however, co-residents made up 26% of participants’ social convoys. There was a positive correlation between the number of years that participants had lived at the affordable senior housing site and the percent of co-residents in their social convoys r = .39, p = .03. These findings suggest that under certain conditions older adults are willing to invest in creating new relationships with co-residents in congregate settings. The implications of these findings are explored.  相似文献   

18.
Despite the potential benefits of Telehealth (healthcare delivery at a distance), a digital divide among seniors remains prevalent with lesser attention on their acceptance as end-users of technology. Anchored on a theory of technology adoption, Unified Theory of Acceptance and Use of Technology (UTAUT), behavioral intention for Telehealth use among Filipino elderly was determined. The responses of technology-trained older adults (n = 82) were collected using a 12-item questionnaire adapted from Venkatesh, Morris, Davis, Gordon, and Davis (2003) on UTAUT. A Structural Equation Modeling was performed using Partial Least Squares regression for data exploration and model estimation. The study revealed that the UTAUT constructs, particularly effort expectancy (ß = 0.319; p = .000), have yielded a significant influence on the behavioral intention of elderly to participate in Telehealth. Further, gender showed no moderating effect on these variables. Results of the study supported the espousal of UTAUT Model as an indispensable framework in empowering older adults using Telehealth.  相似文献   

19.
ABSTRACT

The psychosocial theory of Gerotranscendence, is proposing an alternative and positive view of aging and states that human development is a lifelong process. Applying the concept of Gerotranscendence into the older adults’ lives may have the potential to provide a more positive view of aging and a better care for a growing population. First; and to do this, we need to use a proper, valid and reliable measure. The purpose of this cross-sectional and methodological study was to assess the psychometric properties of the Persian version of the short-form Gerotranscendence scale (GS-S) in community-dwelling Iranian older adults. First the scale was translated to Persian, and culturally adapted. Then pre-testing and cognitive interviewing implemented in a sample consisted of 10; and stability of the scale in a sample of 30 older adults, respectively. Confirmatory factor analysis and internal consistency of the scale were done with 250 older adults. The three-factor structure was confirmed. The model showed a good fit, and all the indices were satisfactory (RMSEA = 0.063; NNFI = 0.093; CFI = 0.095; IFI = 0.096; GFI = 0.095; and χ2/df = 2). Cronbach’s alpha of the scale was 0.72 and coefficient omega was 0.82. Test-retest reliability (ICC) was 0.88, P < .001; and standard error of measurement was 1.16 (CI = %95). Minimal detectable change (MDC) was 3.2 and minimal important change (MIC) was 1.4. This study supports the use of the GS-S as a measure of life span development among the Iranian older adults.  相似文献   

20.
Abstract

This study explored the relative salience of students’ personal strengths and teacher support in predicting academic risk status. The participants were Secondary One (S1, Grade Seven) students from Singapore who scored below the cohort’s mean score in a national test administered at the end of primary education, and were identified as low risk (n = 309) or high risk (n = 396), based on their S1 achievement score in the English Language subject. Logistic regression analysis was conducted with academic risk status as criterion variable and the following potential predictors: students’ background variables (i.e. socio-economic status, cognitive ability and initial achievement), personal strengths, teacher–student relatedness, and teacher autonomy and competence support. After controlling for the effects of the students’ background variables, teacher trust emerged as the strongest (negative) and most stable predictor of high-risk status; teacher alienation and teacher–student communication were found as significant positive predictors of students’ placement in the high-risk group.  相似文献   

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