scholarly journals Older adults, informal support, and the process of driving cessation

2020 ◽  
Author(s):  
◽  
Amy Murray ◽  

The following thesis is based upon an exploration into the process of driving cessation in later life, with a specific focus upon informal support. Although informal support has been highlighted as a highly important factor across the process of driving cessation (Johnson, 2008; Hanson & Hilldebrand, 2011; Ichikawa et al, 2016; Schryer et al, 2017), there is limited research which has explored this in depth. There is even less literature available which has incorporated the views of informal support network members, to understand their lived experiences of the driving cessation process. Studies which have addressed this gap, have tended to focus upon the views of adult children only (Rosenbloom, 2010; O’Connell et al, 2013). Using a phenomenological line of qualitative inquiry, individual semi-structured interviews with current and retired older drivers (n=15), and their family, friends, and wider community members (n=15) were completed. This was to provide a holistic approach to understand the driving cessation process, for the receivers and providers of informal support. Following a detailed thematic analysis, findings revealed both the process of driving cessation and informal support, to be profoundly complex, multi-faceted phenomena’s, holding multiple meanings for participants. This included a range of practical and psychosocial outcomes, which were both positive and negative. Often, findings were inter-linked, demonstrating the complexity of experiences amongst this far from homogeneous sample. The implications of the study have important messages for a number of individuals and groups, including older adults, their informal networks, policy and practice, and third sector organisations.

Author(s):  
Deepti Adlakha ◽  
Mina Chandra ◽  
Murali Krishna ◽  
Lee Smith ◽  
Mark A. Tully

The World Health Organization and the United Nations have increasingly acknowledged the importance of urban green space (UGS) for healthy ageing. However, low- and middle-income countries (LMICs) like India with exponential ageing populations have inadequate UGS. This qualitative study examined the relationships between UGS and healthy ageing in two megacities in India. Participants were recruited using snowball sampling in New Delhi and Chennai and semi-structured interviews were conducted with consenting participants (N = 60, female = 51%; age > 60 years; fluent in English, Hindi, or Tamil). Interviews were recorded, transcribed, translated, and analysed using inductive and thematic analysis. Benefits of UGS included community building and social capital, improved health and social resilience, physical activity promotion, reduced exposure to noise, air pollution, and heat. Poorly maintained UGS and lack of safe, age-friendly pedestrian infrastructure were identified as barriers to health promotion in later life. Neighbourhood disorder and crime constrained older adults’ use of UGS in low-income neighbourhoods. This study underscores the role of UGS in the design of age-friendly communities in India. The findings highlight the benefits of UGS for older adults, particularly those living in socially disadvantaged or underserved communities, which often have least access to high-quality parks and green areas.


2020 ◽  
pp. 073346482098241
Author(s):  
Ruheena Sangrar ◽  
Kyung Joon Mun ◽  
Lauren E. Griffith ◽  
Lori Letts ◽  
Brenda Vrkljan

Driver training has the potential to keep older adults safe behind-the-wheel for longer, yet there is limited evidence describing factors that influence their willingness to participate in training. Focus groups with community-dwelling older drivers ( n = 23; 70–90 years) and semi-structured interviews with driving instructors ( n = 6) and occupational therapists ( n = 5) were conducted to identify these factors. Qualitative descriptive analyses highlighted how self-awareness of behind-the-wheel abilities in later life can influence an older adult’s motivation to participate in driver training, as well as their willingness to discuss their behaviors. Collision-involvement and near-misses prompted participants to reflect on their driving abilities and their openness to feedback. Participants’ preferences for learning contexts that use a strengths-based approach and validate the driving experience of older drivers, while providing feedback on behind-the-wheel performance, were raised. Older driver training initiatives that consider the needs of the aging population in their design can promote road safety and community mobility.


Gerontology ◽  
2018 ◽  
Vol 64 (6) ◽  
pp. 576-588
Author(s):  
Deirdre A. Robertson ◽  
David Weiss

Background: Social status is the standing of a person or group in the social hierarchy, and is perceived to change across the life span from low social status in early life, to peak in midlife, and to a decline thereafter. As threats to subjective social status are known to be detrimental to individuals’ health, it is important to better understand how older adults perceive themselves and others in terms of age-related social status. Objective: We examined status ambivalence – the potential discrepancy between how older adults’ perceive social status for themselves compared to older adults in general. Method: Study 1 used qualitative data from 37 semi-structured interviews with older adults to assess perceptions of social status. Study 2 used quantitative survey data from 114 older adults who completed explicit and implicit measures of social status. Results: Study 1 (n = 37, meanage = 71.72, SDage = 5.69; 81.1% women) provided preliminary evidence for status ambivalence such that older adults reported unequivocal low social status for other older adults but a more ambivalent perception of their own social status. Study 2 (n = 114, meanage = 64.32, SDage = 8.98, 57.9% women) compared implicit and explicit measures of social status revealing that older adults consistently perceive older adults to have low social status but again show a more ambivalent perception of their own social status. Conclusion: We discuss status ambivalence as a potential protective mechanism in the context of negative societal perceptions of age-related social status that may be important for well-being in later life.


Author(s):  
Laurent Martel ◽  
Jacques Légaré

AbstractIf many efforts have been undertaken by the scientific community in the last years to better understand the interactions between seniors and their informal support network, understanding of their reciprocal relations remain incomplete. In a context of “young” and “old,” where the later group is becoming larger, coexist longer because of increased life expectancy, and where the redistribution of public resources seems to favour seniors, the private inter-generation solidarity takes on considerable importance. These solidarities are especially expressed by helping each other, and this varies depending on the actors involved. This article attempts to describe the orientation and the content of the reciprocal relationships of seniors and to identify the principal determinants of such relations in Quebec. The data come from the Survey of Aging and Independence study undertaken by Statistics Canada in 1991. The results show that about two out of five seniors have this type of relationship and most often with their spouse. For individuals who no longer have a spouse, children, and particularly a daughter become privileged partners. This study also shows that exchanges of help with friends and/or neighbours prove to be essential when seniors live alone. These actors could even become essential in the future for the upholding of the autonomy of these “grandpa-boomers” who are less well surrounded in later life in terms of descendants than the seniors of today. Finally, very old men with small incomes, living alone in an urban setting and with few or no surviving children are the least likely to experience reciprocity with their entourage.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 415-415
Author(s):  
Rennae Wigton ◽  
Shannon Jones ◽  
Austin Prusak ◽  
Andrew Futterman

Abstract The present study examines the impact of traumatic life events on religious complexity in later life. We anticipated that those older adults experiencing stressors that produce significant personal vulnerability (e.g., life threatening illnesses) demonstrate reduced complexity of belief and behavior (e.g., less belief with doubt). From a sample of 278 semi-structured interviews of older adults (aged 55-101 years-old.) from six New England and New York states, we analyzed 166 interviews using grounded theory (Strauss & Corbin, 1990). Individuals who experienced trauma related to war, close familial loss, and/or severe physical illness tended to be “true believers,” (i.e., adhere to rigid belief orthodoxy; Hoffer, 1950). By contrast, those who experienced less severe trauma (e.g., minor illness, job loss) were less apt to describe rigid belief. Temporal proximity of trauma was not consistently associated with greater complexity of belief and behavior, in the sense that with great distance from trauma, individuals were able to “work through” their experiences of trauma, and thereby increase complexity of belief and behavior. This is consistent with findings by Harris and Leak (2015), Krause and Hayward (2012), and Wong (2013) that suggest that trauma leading to personal vulnerability leads to long-term physical, mental, behavioral, and spiritual deficits that rigid religious belief and behavior help to offset. These findings are discussed in terms of psychological theories of grief resolution, personal coping, and terror management.


2021 ◽  
pp. 073346482110487
Author(s):  
Kathy Lee ◽  
Kate Hyun ◽  
Jaci Mitchell ◽  
Troyee Saha ◽  
Nilufer Oran Gibson ◽  
...  

Marginalized older adults are highly vulnerable to COVID-19 due to social isolation and physical and functional limitations. Despite these stressors, they appear to be resilient by leveraging individual, community, and societal resources. This study conducted in-depth interviews with marginalized older adults to understand how COVID-19 affected their mobility and daily lives. We also identified different levels of protective factors affecting their resiliency to pandemic stressors. COVID-19 influenced not only the physical health but also the mental health of older adults. However, they overcame adversity by using technology to continue daily activities, exchanging informal support with family and neighbors, relying on formal support from community organizations, and keeping themselves physically active in their neighborhoods. Our findings suggest a holistic approach to enhance the resilience of older adults during an unprecedented event.


Healthcare ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 86 ◽  
Author(s):  
Hannah Ramsden Marston ◽  
Rebecca Genoe ◽  
Shannon Freeman ◽  
Cory Kulczycki ◽  
Charles Musselwhite

Technology is entwined in 21st Century society, and within the lives of people across all ages. The Technology In Later Life (TILL) study is the first piece of work contributing to the impact, behavior, and perception of technology use, by adults aged ≥70 years, residing in rural and suburban areas. TILL is an international, multi-centred, multi-methods study investigating and conceptualizing how various technologies impact the lives of older adults; residing in urban and rural locations in the United Kingdom (UK) and Canada. This in-depth study recruited 37 participants via a multi-methods approach. Analysis of the findings ascertained two overarching themes: facilitators of technology use (i.e., sharing of information and feeling secure), and detractors of technology (i.e., feelings of apprehension of use). Proposed recommendations include promotion of technology from a strengths-based perspective focusing on positive opportunities technology to improve health and wellbeing, creating a peer support network to assist with learning of new technology, and the need to examine further how intergenerational relationships may be enhanced through the use of technology. The distinction of these themes narrates to the originality of this initial study and milieu of recruited participants, intersecting across the fields of gerontology, geography, social sciences, and gerontechnology.


2016 ◽  
Vol 21 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Samantha Rankin ◽  
Stephanie Petty

Purpose – The perspectives of frontline clinical staff working with individuals in later life within an inpatient mental health setting, of their role in recovery, have not yet been explored. The purpose of this paper is to understand what recovery means within an inpatient mental health setting for older adults. The authors address clear implications for clinical practice. Design/methodology/approach – Semi-structured interviews were conducted with 11 multidisciplinary participants across two specialist older adult recovery units at an independent hospital in the UK. Thematic analysis was applied to the transcripts. Findings – Three main themes were identified: participants identified their normative task as the promotion of “moving on” (clinical recovery) and their existential task as personal recovery. The context in which recovery happens was highlighted as the third theme. These represented competing workplace goals of clinical and personal recovery. This highlights the need to give permission to personal recovery as the process that enables mental health recovery in older adults. Originality/value – Staff working in a inpatient mental health service for older adults discussed the meaning of recovery and their role in enabling recovery. This has implications for sustainable clinical practice in this setting. Recovery-orientated practice in this setting is required but the detail is not yet understood.


2015 ◽  
Vol 36 (8) ◽  
pp. 1668-1689 ◽  
Author(s):  
L. M. ISHERWOOD ◽  
M. A. LUSZCZ ◽  
D. S. KING

ABSTRACTThe exchange of informal support within the social network plays a vital role in enabling older adults to remain living in the community as they age. Following spousal loss in later life, the exchange of instrumental support is of particular importance in order to meet the practical and financial needs of the bereaved spouse. Adult children are typically the primary source of social contact and informal support for older widowed adults following bereavement. However, very little is known of the longitudinal changes that occur in the exchange of instrumental support with children during the transition to late-life widowhood. Trajectories and predictors of change in material and time support exchange in parent–child relationships were modelled over a 15-year period for 1,266 older adults (mean age 76.7 years). Widowed older adults received more material and time support from their children than their married peers. Proximity to children, age at spousal loss, self-rated health, cognitive functioning and income were predictive of levels of exchanged instrumental support in late-life widowhood. Short-term reciprocity appears to continue in parent–child relationships during late-life widowhood. The implications of the findings for policy and practice are discussed, including the role of children in the support networks of older widowed adults and the potential difficulties faced by those who do not have access to informal avenues of support.


2016 ◽  
Vol 37 (9) ◽  
pp. 1849-1873 ◽  
Author(s):  
EVA DUBOVSKÁ ◽  
VLADIMÍR CHRZ ◽  
PETER TAVEL ◽  
IVA POLÁČKOVÁ ŠOLCOVÁ ◽  
JIŘÍ RŮŽIČKA

ABSTRACTSome older adults handle the pitfalls of ageing better than others. One explanation emerges from the concept of resilience, the ability to bounce back from the adversities of later life. In this study, we approached resilience from the narrative perspective. This study is a part of a project based on the DIPEx qualitative methodology, focused on different aspects of ageing. A combination of narrative and semi-structured interviews was conducted with 50 older adults (aged 75 and over). From the total number of interviews, a sub-group of 11 resilient participants was selected on the basis of the criteria set for resilience: (a) past exposure to adversity; and (b) positive adaptation to this adversity in terms of quality of life, happiness and activity. The results of the analysis are presented in the framework of five categories: (a) thematic lines, (b) agency and positioning; (c) values and beliefs; (d) reflections and perspectives; and (e) plot and genre. Both agency and reflections point to actively resisting old age as an important characteristic of resilient older adults in the Czech Republic. This resistance is often allied with irony, but we have also found genres of heroic coping and affirmation of lucky moments. Key thematic lines were love of life, emphasis on the importance of movement and positive social relationships; key values expressed by the participants were relational, existential and spiritual.


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