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Partnering a local nonprofit social agency, the authors developed and implemented a learning program for a group of older persons preparing them to conduct qualitative research within a healthcare setting as community researchers in Singapore. This paper illustrates how learning for new occupations, job identities, and work can be supported via a competency-based approach that enables and clarifies links between research work, older adult learning, and assessment. It demonstrates how learning processes and contexts matter as much, if not more than outcomes, skills, and tasks typical of conventional competency-based training. Thus, the paper builds upon but also challenges the paradigm of competency-based training. It offers a more developmental approach or strategy for older adult learning that promotes dialogic, reflexive, and hands-on/applied learning, corresponding with educational gerontology principles. [ABSTRACT FROM AUTHOR]

\nHIGHLIGHTSThe development of education for older adults through policy measures has become an important means for governments to actively cope with population aging. Taking the number of education policies for older adults adopted in 31 provinces of China from 2016 to 2023 as an example, this study empirically analyzes the factors influencing the diffusion of education policies from dimensions of internal tension and external pressure. The results showed that the level of economic development, natural population growth rate, older adults dependency ratio, child dependency ratio, illiterate population over 15 years old, number of local libraries inside the province and the adoption of education policies for older adults in adjacent provinces significantly affected the adoption of education policies for older adults in each province. After the introduction of regional variables, it is found that there are significant differences in the adoption of education policies for older adults by provincial governments in different regions of China. The policy responsiveness of eastern provinces is the best, followed by the central, and the western is the worst. The above results indicate that provincial governments in China are not only affected by the supply level of education services for older adults and their service demand within the province, but also affected by the adoption behavior of other provinces when making decisions, which is the result of rational thinking and competitive pressure. The above results provide China’s experience for the diffusion and implementation of education policies for older adults in a wider range. The research focus of education policy for older adults is shifted from the content, value demands and implementation effects of central policy texts to the innovation and diffusion of policies at the local level, which expands the theoretical vision of education policy research for older adults. The empirical analysis results of this paper show that the combination of the education policy for older adults with the internal tension factors and external competitive pressure such as provincial economic level, population transition trend and public service resources can actively promote a new perspective to carry out research on the policy response of Chinese local governments. It will help to form a detailed and concrete understanding of the effect of local policy innovation in China.This paper expands the applicability of contemporary policy diffusion theory in non-Western countries by examining the diffusion factors that influence Chinese provincial education policies for older adults. It is proposed that when explaining the phenomenon of policy diffusion in China’s local governments, we should not only focus on the economic conditions of the internal jurisdiction and the external diffusion effect emphasized by the existing theories, but also pay attention to the current background of population transition, China’s inter-governmental relations, and even the influence of the official personnel system. These findings provide new theoretical space and application prospects for the research on the diffusion of local government policy innovation.This paper has the following implications for further promoting the reform and innovation of education for older adults in China: First, the empirical results further highlight the value of education for older adults to develop and utilize human resources, and urge us to associate the practice of education for older adults with the evaluation indicators related to economic increase such as retraining and reemployment, and accelerate the innovation and diffusion of education policies for older adults; Second, the ultimate goal of the diffusion of education policies for older adults is to achieve policy results. Therefore, the provincial government should formulate ‘local’ education policies for older adults that meet the needs of the provincial population and avoid mechanical imitation or blind competition between the central government and other provincial policies. Third, it is necessary to further improve the utilization of provincial public service resources, including the use of museums and library resources to launch education for older adults.The research focus of education policy for older adults is shifted from the content, value demands and implementation effects of central policy texts to the innovation and diffusion of policies at the local level, which expands the theoretical vision of education policy research for older adults. The empirical analysis results of this paper show that the combination of the education policy for older adults with the internal tension factors and external competitive pressure such as provincial economic level, population transition trend and public service resources can actively promote a new perspective to carry out research on the policy response of Chinese local governments. It will help to form a detailed and concrete understanding of the effect of local policy innovation in China.This paper expands the applicability of contemporary policy diffusion theory in non-Western countries by examining the diffusion factors that influence Chinese provincial education policies for older adults. It is proposed that when explaining the phenomenon of policy diffusion in China’s local governments, we should not only focus on the economic conditions of the internal jurisdiction and the external diffusion effect emphasized by the existing theories, but also pay attention to the current background of population transition, China’s inter-governmental relations, and even the influence of the official personnel system. These findings provide new theoretical space and application prospects for the research on the diffusion of local government policy innovation.This paper has the following implications for further promoting the reform and innovation of education for older adults in China: First, the empirical results further highlight the value of education for older adults to develop and utilize human resources, and urge us to associate the practice of education for older adults with the evaluation indicators related to economic increase such as retraining and reemployment, and accelerate the innovation and diffusion of education policies for older adults; Second, the ultimate goal of the diffusion of education policies for older adults is to achieve policy results. Therefore, the provincial government should formulate ‘local’ education policies for older adults that meet the needs of the provincial population and avoid mechanical imitation or blind competition between the central government and other provincial policies. Third, it is necessary to further improve the utilization of provincial public service resources, including the use of museums and library resources to launch education for older adults. [ABSTRACT FROM AUTHOR]

There is an increasing need of gerontological education in social work to enhance the knowledge of aging and interests in senior care among students. This study is conducted based on an experiential-learning strategy with a combination of having an ethnographic interview with an older adult and writing a reflection paper afterward as an assignment embedded in a Gerontology course of the Bachelor of Social Work program in western Canada. Thematic analysis was applied to eight reflection papers in which a consent was obtained from 2020 to 2021 cohorts of social work students. Three key themes emerged: connection between learned knowledge and interview topics, resonation interview content with personal experiences, and a positive perception of aging and a positive attitude toward working with aging populations. The findings support the combination of ethnographic interview and reflection paper as a pedagogical approach in gerontological education not only for improving students’ learning experience and knowledge but also for establishing a positive perception of aging and older adults. The study also reveals the necessity of more interaction between students and older adults to enhance a better understanding of aging-related issues and promote willingness to work with older adults. [ABSTRACT FROM AUTHOR]

The rock ‘n’ roll generation has retired, and this raises questions about whether their educational needs differ from the generations before them. This paper presents a study of a course called ‘Graffiti for Seniors.’ The course had nine participants, all women, which constituted two groups: (A) people who are artists or artisans and (B) people who are curious about graffiti as an expression and culture in general. The methods used was participant observation and interviews. When the data had been gathered, Howard McClusky’s theory of educational needs guided the analysis, as this theory offers a diversity of alternative needs compared to later theories. The material was reviewed to find expressions related to the theory’s five dimensions. We conclude that the most prominent needs are coping needs and expressive needs. Coping needs address dealing with society’s ideas about aging, but also about gender, and challenging these norms. Expressive needs demonstrate the importance of engaging in activities that are performed for their own sake and allowing individuals to express themselves. A limitation of this study is that it is performed in a single context, and therefore, future studies in other contexts using the same theory for analysis would contribute to a fuller understanding of how different courses meet various educational needs among older adult learners. A practical implication of the study is the insight that older adults can benefit from educational arenas where they enjoy the freedom of expression and where they can challenge and explore norms connected to gender and age. [ABSTRACT FROM AUTHOR]

Our standards of beauty have become sufficiently diverse. However, the representation of older women continues to be marginalized in mainstream media platforms, with the dominant ageist message revolving around the notion of 'failure.' For a woman, the 'horrors' of aging are felt more conspicuously, which renders her a devalued commodity. Within Indian society, aging is further contested by varied socio-cultural factors that prescribe an older woman to dress, behave and act according to her age and firmly reprimand any transgression from normative practices. This paper explains the complexities related to the prevailing aging/anti-aging discourses and discerns how older women influencers engage in challenging the negative stereotypes (like body shaming and sexageist derision) through the model of successful aging. Through select Instagram handles, the study analyses how the graying individuals collectively seek to direct or reclaim their power to forge alternative narratives/perspectives that encourage the aging/aged self to 'be' in her skin. The visual content from the Instagram profiles of Manjri Varde, Ravi Bala Sharma, Rajani Chandy, Seema Anand, and Usha Soman, who serve as representatives of redefining aging with purpose, has been critically analyzed. The results obtained have delineated how the social networking site has emerged as a space of resistance and empowerment- redefining beauty, desire, and agency within the contemporary youth-centric Indian culture and rendering possibilities that one can explore while growing old. [ABSTRACT FROM AUTHOR]

Hiring migrant live-in caregivers to take care of older adults with dementia, chronic disease or frailty has become more common in Europe, North America, the Middle East, and Asia. When older couples hire a non-relative to provide live-in caregiver services for a family member, the attendant household transformation – from couple to triad – gives rise to social and psychological challenges. Although live-in caregivers can be indispensable, living together can be very stressful for older adults and live-in caregiver. This article describes the emotional distress of two older adult wives in their eighties, and the therapeutic methods used to reduce it, including empathic understanding, legitimation of emotions, promotion of open communication, and formulation of a household 'management strategy,' establishing specific expectations concerning the parties' roles and a daily activity schedule. Involvement of older couples' children was found helpful, and was aided through psychoeducation. Gerontologists, therapists, educators, and social workers who serve the needs of older adults can effectively assist this population in the evolution of their perceptions of their new situation, the regaining of a sense of equilibrium, mastery and control over their lives, and the development of greater tolerance and understanding of migrant live-in caregivers' work burden, native culture, and individual practices. Professionals should actively screen for risks of burden, stress, depression, and anxiety in households in which live-in caregiver services may be considered. Psychoeducation and preparation of both the older adults and their live-in caregivers entering the new relationship may lessen the incidence of potential stressors. Implications: Clinical and Practical implications: Professionals need to triage and diagnose the difficulties and stressors that arise when older couples or their children invite a paid live-in caregiver into the home, changing the day-to-day routine and relationship dynamics of the household. Professionals should actively screen for risk of burden, stress, depression, and anxiety among healthier older spouses, who may feel discomfort and frustration when their independence and privacy are compromised and their primary role seems to be eclipsed by the activity of a paid live-in caregiver. Older adults, their family members, and paid live-in caregivers can benefit from psychoeducation to understand and address emotional difficulties inherent in situations where serious health decline leads to the hiring of a paid live-in caregiver. Following the clinical implications, this paper suggest some practical implications when proving therapy to older adults. It includes outreach and work with the spouses, and if possible with the children of the frail older adult. While frail older adults are usually the primary object of physical and emotional support, their healthier older spouses also require significant emotional support, especially in the early period after a paid live-in caregiver is hired. The children of older adults can be a very useful resource in promoting early intervention and providing continuing support for parents coping with the addition of a paid live-in caregiver to their parents' household. [ABSTRACT FROM AUTHOR]

The adoption of technology and the rising digital divide among the older adult population, predominantly in lower-middle income countries such as Bangladesh, have posed a precarious challenge. Hence, the time has come to navigate this upcoming challenge. Thus, the current research aims to investigate the impact of perceived usefulness (PU), perceived ease of use (PE), and perceived risk (PR) on the behavioral intention to adopt mHealth (BI). Furthermore, multigroup analysis (MGA) is used to examine BI regarding gender and income groups. Data from 140 older adults in Bangladesh were gathered and later analysed using Partial Least Squares Structural Equation Modeling (PLS-SEM) to estimate the measurement and structural model parameters and produce concurrent bootstrap evaluations. The findings revealed that PE and PU substantially affect the intention to adopt mHealth, whereas PR has small effect on mHealth adoption. Furthermore, the MGA depicts that the effect of PR is statistically significant for older adult males and females. Additionally, the effect of PE on behavioral intention to adopt mHealth between income groups (lower income vs. higher income) is significant. Therefore, this research advances our theoretical and empirical understanding by yielding new scholarly evidence in the domain of mHealth adoption by older adults. Finally, the paper concludes with augmented practical considerations concerning the adoption of mHealth as a technology by older adults, which will assist in alleviating the digital divide for any such lower-middle income country across the globe. [ABSTRACT FROM AUTHOR]

The future welfare of older adults is a worldwide concern. By 2034, it is estimated that individuals 65 and older in the U.S. will be 77 million. Consequently, this reality will impact healthcare facilities and increase Medicare and Medicaid costs, resulting in higher incidents of homeless older adults, children caring for parents, the need for more caregivers, and an increased number of older individuals experiencing various forms of dementia. To address these concerns, the current trend for treating the onset of dementia and Alzheimer's disease has been moving toward nonpharmaceutical interventions. Even though researchers have tapped into the benefits of several nonpharmaceutical treatments, there appears to be a constant debate on establishing which method is most effective. Deciding on best practices and methods to slow down and/or halt the progression of dementia is the gap this research needs to fill. To provide clarity on the topic, an analysis of alternative interventions to treat the onset of dementia is what this paper strived to achieve. The analysis involved comparing and contrasting the benefits of each intervention as well as illustrating the implications of the findings. In this regard, a systematic review was conducted examining the benefits of five nonpharmaceutical strategies; mental training, music therapy, technology usage, physical activity, and social interaction. Although findings revealed some form of improvement in each of the nonpharmacological interventions examined, the overarching theme appeared to lean toward providing mental stimulation. It was also not conclusive that physical activity prevented cognitive decline. More research is recommended. [ABSTRACT FROM AUTHOR]

Culture change initiatives in older adult and dementia care have called for a new care paradigm informed by a relational ontology and relational theories. Yet translating these humanizing principles into practice has proven difficult; traditional approaches to knowledge translation have not had a sustained impact. One of the most significant impediments to transforming the culture of care has been the lack of understanding of what it means to be and act relational in practice. A growing body of research is demonstrating the potential of critical arts-based inquiry/pedagogy (CABI/P) for translating theory in accessible and relevant ways for diverse audiences and for shifting images, understandings and actions in healthcare in more effective ways. As part of a larger longitudinal project, this paper explores the immediate impacts of a research-informed drama called ‘Cracked: new light on dementia,’ and how it might enhance understandings of relational caring for staff working in long-term care (LTC) homes. Data from post-performance focus group/interview discussions with staff working in two different LTC settings point to the effectiveness of Cracked in translating key principles of relational theories into older adult and dementia care and the possibilities of CABI/P in gerontological education more broadly. Although organizational and broader system change is needed to achieve sustained impact of relational caring practices, CABI/P, such as Cracked, has the potential to expose and challenge entrenched assumptions, policies, practices, and to imagine and effect more compassionate, humane, and equitable care. [ABSTRACT FROM AUTHOR]

This paper critically discusses two (2) songs of Oliver Mtukudzi (Tuku) to decipher his perceptions and imaginings of the process and experience of aging in Zimbabwe. These songs are Wasakara (2000) and Ndakuvara (2002). Mtukudzi’s music popularly known as Tuku music is hailed for entertaining and admonishing the public through powerful moral messages of personhood and self-discipline. It is important to appreciate his teachings regarding aging, especially seeing how population aging is fast becoming a reality in southern Africa and Zimbabwe. While the entertainment and pedagogical value of Tuku music has been widely acknowledged, the gerontological meaning deriving from it may not always be apparent. Gerontologists appreciate how music, as a cultural medium, communicates messages of aging to society, especially messages from famous musicians such as Oliver Mtukudzi. Among the important themes pursued by Mtukudzi are the intergenerational reciprocity of care and the physiological, psychological and social markers of aging. [ABSTRACT FROM AUTHOR]

In the 21st century, with the spread of lifelong education and the increase in the aging population, the need for learning among older people has increased, resulting in a shortage of teachers for older learners. A literature review of both Western and Eastern cultures revealed that the turnover or shortage of older adult educators may be related to their attitudes toward aging and burnout. To confirm this hypothesis, this paper examines the mediating effect of burnout on the relationship between attitudes toward aging and turnover intentions among Chinese older adult educators. The Attitudes toward Aging Questionnaire, Turnover Intention Questionnaire, and Burnout Questionnaire were used to collect the data. Finally, a total of 774 samples from Shanghai, China, were analyzed through structural equation modeling. The results revealed that when three components of attitudes toward aging, i.e. psychological growth, physical change, and psychosocial loss, are considered, burnout in Chinese older adult educators fully mediates the relationship between psychosocial loss and turnover intention, which means that if Chinese older adult educators suffer considerable psychosocial loss, burnout increases, leading to increased turnover intention. In other words, the negative experience of psychosocial loss can be decreased through a holistic approach to teaching aging along with intergenerational interaction, which in turn reduces burnout and decreases the intention to leave. Future follow-up studies should focus on how to develop a holistic teaching curriculum to facilitate the practical implementation of the findings of this research. We believe that this research can be beneficial with regard to attempts to address the shortage of older adult educators and promote teacher development in the context of older adult education. [ABSTRACT FROM AUTHOR]

This article reevaluates the theme of aging and autonomy in Samuel Beckett’s play Happy Days, focusing on the character Winnie’s experiences to challenge conventional paradigms of aging. It explores how Winnie’s experiences, monologues, and interactions with the world resonate with gerontologist perspectives of autonomy in old age, which significantly emphasizes dignity, authenticity, and interdependence rather than freedom and independence of traditional viewpoints. By analyzing Beckett’s theatrical representation of Winnie, the paper argues that through Happy Days, Beckett provides a lens to reconsider societal attitudes toward aging, advocating for recognizing older adults’ subjectivity and confronting the subtle yet pervasive ageism in modern society. [ABSTRACT FROM AUTHOR]

Based on a multi-phase study conducted on the World Health Organization’s (WHO) age-friendly cities program, healthy-cities program, and global sustainable-cities initiatives, this paper assesses how older adults – particularly those living with chronic health conditions and disabilities – discuss mobility challenges in qualitative research. Initial results indicate that demobilizing levels of travel cost and travel risk are implied, with older adults refraining from direct discussion. Reflective analysis is performed on marginalized older adults’ conceptual associations, ideologies, and response to social norms, to identify sources of pressure which may lead to downplaying or self-censorship on transport disadvantage. Results highlight that inequalities may arise from both the built environment and how research trainees communicate in research. Despite literature which suggests severe impacts of transport disadvantage, older adults may face difficulties in voicing their needs when research trainees adhere to the following social norms. First, physical access and feasibility may be minimized as mere matters of convenience to the able-bodied individual; second, overcoming transportation barriers may be seen as based on one’s effort – as opposed to the disabling effects of the built environment; third, health and fitness in general may be also associated with one’s effort, and increasingly also to one’s commitment to environmental-sustainability; fourth, older adults may feel pressure to align perspectives with more privileged stakeholders, or with the general public; fifth, money and income may be delegitimized as apt research topics, regardless of how inability to overcome travel costs may impact daily-wellbeing. Implications for educating future gerontology-research trainees conclude the study. [ABSTRACT FROM AUTHOR]

Older adult education is still under-researched, with many terminological ambiguities, clichés, and prejudices. Older adult teacher education and older adult English as a foreign language (EFL) teacher education is rare. Many factors can influence EFL teachers of older adults' teaching performance and its perception. Pre-service (presumably inexperienced U3A EFL teachers) and in-service teachers (experienced U3A EFL) were teaching EFL to selected older adults (aged from 64 to 75 years) at the Karkonosze University of Applied Sciences in Jelenia Góra, Poland, U3A. Their teaching Older adult education is still under-researched, with many terminological ambiguities, clichés, and prejudices. Older adult teacher education and older adult English as a foreign language (EFL) teacher education is rare. Many facting performance factors list. By utilizing a critical foreign language geragogy and a strengths-based approach inspired by positive psychology, the research emphasized the role of general teaching experience and/or age-targeted teaching experience. And it led to validating the desirable teaching performance factors as factors that defined U3A EFL teaching performance as successful and positively evaluated by given older adult learners, i.e. on a small scale. Based on a qualitative comparative exploratory study, the paper analyses how to approach teaching EFL to older adult learners at a University of the Third Age(U3A). It aimed to design a desirable U3A EFL teaching performance and to validate it on a small scale. It focused mainly on what role teaching experience and official educational study path play. A comparison is made between pre-service (presumably non-experienced U3A EFL teachers) and in-service teachers' (experienced U3A EFL teachers) teaching performance at one selected U3A EFL course and its attendees (aged 64 to 75 years). The study revealed that positively perceived (and successful) teaching performance needs to involve, among others, the following factors: establishing a friendly atmosphere, adjusting materials to the target group and the tempo, becoming partners with learners, and being sensitive to their limitations and barriers and respectful to their wishes and needs. However, within researched countries, pre-service teachers are not being prepared to teach older adults in their formal education path. The teachers' experience plays high role in the ability to adapt and adjust, however the foreign language enjoyment perceived by older adults is universal. It was perceived at both variants, i.e. at pre- as well as in-service teachers' teaching performance. [ABSTRACT FROM AUTHOR]

Middle-aged adults typically play multiple roles with centralized responsibility for younger and older persons. Midlife health and well-being impact the state of aging in later years. Limited studies have investigated midlife experiences from the perspective of the middle-aged group themselves. This paper presents a systematic review of middle-aged women's perceptions and experiences of midlife through a qualitative synthesis. Systematic databases searches resulted in 938 articles. Six selected articles were analyzed and three core themes were identified using thematic analysis: heightened awareness of lifespan, expectation of establishment and freedom from expectations, clarity of values, and self-acceptance. The findings showed the interconnected and progressive nature of midlife experiences toward a hoped for sense of congruence, revealing its connectivity to subsequent life stages and importance for healthy development. Credible and relevant information need to be provided as resources for the middle-aged women themselves and pertinent healthcare professionals. Proper information is also needed to address stereotypes, educate the public and equip relevant educators with evidence-based knowledge. Further research on midlife experiences in general from the perspective of middle-aged males, and in diverse settings is recommended. [ABSTRACT FROM AUTHOR]

As the number of older Americans double in the next forty years, it will be important to delay the decline in cognition. The aim of this paper is to describe the feasibility and acceptability of a six-week cognitively stimulating program focusing on visual arts (Picasso, Andrew Wyeth, and Carl Warner), music (Bach and Franklin), and travel (Europe). An explanatory, mixed methods design (a quantitative phase followed by a qualitative phase) was used to encapsulate a more comprehensive description of the program. The program was conducted with 10 community living older adults who were mostly female (70.5 ± 7.5 years). The goal of each 90-min, weekly session was to provide cognitively challenging activities utilizing peer support and education about memory loss. Pre- and post-surveys assessed cognition (SLUMS) life satisfaction (SWL), and general demographics. Further, preliminary results on the effects of the program on cognition and life satisfaction were obtained. Post-program assessments showed improvement in cognition (p <.001) and revealed relationships between age and life satisfaction (p <.05), and cognition and attendance (p <.05) and life satisfaction (p <.05). Qualitative analyses from the focus group (N = 4) demonstrated program acceptability and the potential for long-term impact. These results suggest the current program has the potential for larger-scale implementation. Future directions include efficacy and effectiveness trials across more diverse community settings and populations. [ABSTRACT FROM AUTHOR]

Older adults in long-term care homes are at high risk of experiencing reduced quality of life (QoL) and depression. Technology-assisted biography work can have a positive impact on QoL and mood, but there is little research on its use with this target group. The purpose of this paper is to examine the effect of tablet-based biography work conducted by volunteers on the QoL of residents and volunteers. A pretest-posttest control group design with an intervention period of 3 months and a 3-month follow-up was used. Results show a significant increase in participation for volunteers and residents after the intervention, which is stable for residents until follow-up. Volunteers also show significant improvement in mental QoL immediately after the intervention. There were no significant effects for life satisfaction, self-esteem, or depression. No significant changes were found for the control group. Digitally conducted tablet-based biography work appears to have effects on QoL-associated outcomes. [ABSTRACT FROM AUTHOR]

As the number of older Americans double in the next forty years, it will be important to delay the decline in cognition. The aim of this paper is to describe the feasibility and acceptability of a six-week cognitively stimulating program focusing on visual arts (Picasso, Andrew Wyeth, and Carl Warner), music (Bach and Franklin), and travel (Europe). An explanatory, mixed methods design (a quantitative phase followed by a qualitative phase) was used to encapsulate a more comprehensive description of the program. The program was conducted with 10 community living older adults who were mostly female (70.5 ± 7.5 years). The goal of each 90-min, weekly session was to provide cognitively challenging activities utilizing peer support and education about memory loss. Pre- and post-surveys assessed cognition (SLUMS) life satisfaction (SWL), and general demographics. Further, preliminary results on the effects of the program on cognition and life satisfaction were obtained. Post-program assessments showed improvement in cognition (p < 0.001) and revealed relationships between age and life satisfaction (p < 0.05), and cognition and attendance (p < 0.05) and life satisfaction (p < 0.05). Qualitative analyses from the focus group (N = 4) demonstrated program acceptability and the potential for long-term impact. These results suggest the current program has the potential for larger-scale implementation. Future directions include efficacy and effectiveness trials across more diverse community settings and populations.