From a Bird’s Eye View: Whole Social Networks in Adult Day Care Centers and Continuing Care Retirement Communities

Ayalon, Liat; Yahav, Inbal; Lesser, Ofrit

doi:10.1093/geroni/igy024

Cited by 9 publications

(16 citation statements)

References 52 publications

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“…Expansion of social engagement: This route points to the potential of the process to allow the participants to experience themselves as relevant and important to others and to relate to community roles such as a “friend,” “neighbor,” or “partner.” The ability to improvise and perceive the other with empathic attunement seems to enhance the participants’ sense of connectedness and engagement within the group. For people who facing the loneliness and social losses that are common in late life and particularly in the ADC community [ 100 , 101 ], the expansion of such social roles in the group contributes to promoting a positive view of the self and others [ 102 , 103 ]. Indeed, the intimate and shared atmosphere seems to have expanded to include the larger surrounding environment in the ADC community and in the participants’ families.…”

Section: Discussionmentioning

confidence: 99%

Playback theatre in adult day centers: A creative group intervention for community-dwelling older adults

et al. 2020

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The literature indicates that theatre and drama-based interventions have the potential to improve older adults' well-being and health. The goal of the current study was to characterize the process of a creative group intervention in adult day centers (ADCs), which integrates playback theatre and life-review principles. Our objective was to provide an evidence-informed framework for drama therapy interventions, which would allow older adults to bring up and explore their life-stories in a dramatic creative process in their own community. A total of 27 participants ranging in age from 63 to 91, took part in one of three playback theatre groups. The playback theatre group intervention comprised 12 weekly sessions. All sessions were videotaped to capture the lived experience of the creative process and were analyzed in post-intervention interviews. In addition, focus group meetings were conducted with 13 ADC staff members to decipher further the effects of the participation as perceived by people outside the groups. Three types of potential transformation were identified in the qualitative analysis: the evolution of life stories, evolution of playfulness, and expansion of social engagement. The results indicate the potential of the integrative framework to serve as a creative intervention in ADC communities, as well as its potential to bring about a personal transformation and expand it to enable a person's social engagement in the community. The findings imply the potential benefits of using playback theatre groups to supplement the routine care provided in ADCs.

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Section: Discussionmentioning

confidence: 99%

Playback theatre in adult day centers: A creative group intervention for community-dwelling older adults

et al. 2020

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“…Moreover, given the characteristics of our sample, many of our participants were sick, died, or transitioned outside the long‐term care setting over the 1‐year period of this study. Nonetheless, this study pays attention to a neglected topic that has received little attention, thus far, namely, older adults’ SCB in long‐term care institutions that are specifically geared to enhance or replace one's original local community of residence (Ayalon et al, ). As expected, our findings show that the social network plays a role in people's SCB.…”

Section: Discussionmentioning

confidence: 99%

“…That study concluded that ADCCs are therefore, ineffective in alleviating loneliness (Iecovich & Biderman, ). A different study comparing loneliness in ADCCs and CCRCs has found higher levels of loneliness (Ayalon, ), as well as sparser networks and lower social reciprocity in ADCCs (Ayalon, Yahav, & Lesser, ). CCRC residents on the contrary, have generally reported substantial social benefits associated with their relocation into the CCRC (Ayalon & Greed, ).…”

Section: Introductionmentioning

confidence: 99%

Sense of belonging to the community in continuing care retirement communities and adult day care centers: The role of the social network

Ayalon

2019

Journal Community Psychology

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Aim This study examined the contribution of the social network to one's sense of belonging to the community (SCB) in two different long‐term care settings: Continuing care retirement communities (CCRCs) and adult day care centers (ADCCs). Methods Overall, 245 respondents participated in both waves of the study that were spaced about 1 year apart. Results Results show that constraint in the social network (e.g., being socially invested in a single group of interconnected ties) is particularly detrimental for CCRC residents, but not for ADCC participants. Betweenness, defined as the number of shortest paths that pass through the focal person, was not significantly related to SCB. In addition, the size of the egocentric network, obtained through a name generator of a list of all potentially meaningful individuals identified by respondents, was directly correlated with SCB at follow‐up. Conclusions The findings are discussed in light of differences between the two long‐term care settings and the different social network indicators examined in this study.

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“…Finally, MJ had 89 residents living in a five-story building. Other information about the specific characteristics of the four CCRCs can be found in a previous publication based on these data [14].…”

Section: Design and Methodsmentioning

confidence: 99%

“…Following relocation to a CCRC, older adults tend to report a reduction in loneliness and an improvement in their social ties with residents and friends [12, 13]. Although researchers have argued that the number of ties between individuals who make up the social network in CCRCs is quite sparse, with most residents not even knowing each other [14], others have shown that the CCRC is effective in alleviating loneliness and facilitating social connections among its residents [15, 16]. However, some research has stressed the presence of cliques, conflicts, and loneliness in residential care settings [17, 18].…”

Section: Introductionmentioning

confidence: 99%

Location, location, location: Close ties among older continuing care retirement community residents

Ayalon

Yahav

2019

PLoS ONE

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This study examines two theoretical explanations for the existence of close ties among continuing care retirement community residents: the attractiveness theory, which suggests that residents who possess certain attributes are more likely to be perceived as appealing to others; and the homophily theory, which argues that individuals are more likely to have close ties with people who share similar attributes. As a variant of the homophily theory, we also examined whether sharing a physical location makes the existence of certain connections more likely. Data from four continuing care retirement communities were used. To test the attractiveness theory, correlations between the number of individuals who named a person as a significant contact (ego’s in-degree) and ego attributes were examined. To test the homophily theory, the median value of existing ties was compared against all possible social ties as though they were randomly formed. Finally, to further test the role of the institutional culture against various motivations that drive social ties—attractiveness and homophily—we used link prediction models with random forests. In support of the homophily theory, beyond the institutional culture, the only consistent predictor of the existence of close ties among residents was sharing a wing in the retirement community (geographic proximity). Therefore, we discuss the role of the physical location in the lives of older adults.

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From a Bird’s Eye View: Whole Social Networks in Adult Day Care Centers and Continuing Care Retirement Communities

Cited by 9 publications

References 52 publications

Playback theatre in adult day centers: A creative group intervention for community-dwelling older adults

Playback theatre in adult day centers: A creative group intervention for community-dwelling older adults

Sense of belonging to the community in continuing care retirement communities and adult day care centers: The role of the social network

Location, location, location: Close ties among older continuing care retirement community residents

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