Due to societally imposed stigmatization, lesbian and gay (LG) older adults fear and prolong accessing long-term care (LTC) even though they need LTC at higher rates. Interventions that decrease negative attitudes toward LG older adults among LTC staff are a first step in addressing this problem. In this study, the influence of intergroup contact (IGC) on LTC staff members' attitudes toward LG was explored through the use of storytelling as a training mechanism. An embedded mixed-method approach was employed to collect and analyze responses of 60 LTC staff who participated in a storytelling event. Participants completed pretests, posttests, and participated in audio-recorded group discussions. The findings showed that storytelling had a significant (p =0.001) and positive effect (d =0.57) on participants attitudes toward LG. Qualitative analysis revealed 90 codes, 13 process codes, and 4 themes: making meaning of stories, seeking understanding, application to LTC setting, and debating. When guided by IGC theory, storytelling has potential for positively influencing attitudes of LTC staff members toward LG older adults. There is a need for longitudinal work to further test this model.
Three social work scholars explore their experiences of microaggressions in academia using queer theory as a lens to disrupt, deconstruct, and disorder the dominant heteronormative discourse. Qualitative analysis of autoethnography narratives resulted in seven themes describing experiences of microaggressions in social work education. Themes illuminated were as follows: (1) queer isolation, (2) throwing shade, (3) queer insult, (4) biphobia: not queer (straight) enough, (5) too queer, (6) queer backlash, and (7) revolving closet door. Concept mapping was used to explore each of these areas as they relate to the values of social work. Recommendations for social work education and research are presented.
The needs of lesbians and gay men appear to be minimally represented in social work literature. This study applied content analysis to four major social work journals published between 1998 and 2012, and it served to update the work of Van Voorhis and Wagner that examined content in the same four journals between 1988 and 1997. Of the 2,335 articles published in Child Welfare, Families in Society, Social Service Review, and Social Work during the 15-year period, 55 met the criteria for inclusion. Results reflect a significant decrease in the quantity of articles when compared with the previous report, with the largest decrease noticed in articles that addressed HIV/AIDS. The need to expand the type and amount of content related to this population continues.
This qualitative study is part of a larger randomized prospective intervention study that examined the clinical and cost effectiveness of using sensor data from an environmentally embedded sensor system for early illness recognition. It explored the perceptions of older adults and family members on the sensor system's usefulness, impact on daily routine, privacy, and sharing of health information. This study was conducted in 13 assisted-living facilities in Missouri, and 55 older adults were interviewed. Data were collected over five points in time with a total of 188 interviews. From these five participant interview iterations, the following themes emerged: (1) understanding and purpose, (2) daily life and benefits, (3) impact on privacy, and (4) sharing of information. Three themes emerged from one round of family interviews: (1) benefits of bed sensors, (2) family involvement/staff interaction, and (3) privacy protection versus sensor benefits. The sensor suite was regarded as helpful in maintaining independence, health, and physical functioning. Responses suggest that the willingness to adopt the sensor suite was motivated by both a decline in functional status and a desire to remain independent. Participants were willing to share their health data with providers and select family members. Recommendations for future practice are provided.
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