Voices of Experience: What Do Low-Income Older Adults Tell Us About Mobility, Technology, and Social Participation?

Gallo, Haley B; Marshall, Lia W; Levy‐Storms, Lené; Wilber, Kathleen H.; Loukaitou‐Sideris, Anastasia

doi:10.1177/07334648211012530

Cited by 15 publications

(26 citation statements)

References 39 publications

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“…In the field of education, this trend was more pronounced among older females who reside in rural areas and it was more pronounced among older males living in urban areas in terms of income. The finding is similar to the research by Gallo HB et al which established a positive correlation between income and ability to participate in social activities [ 48 ]. One possible explanation is that the older adults in China’s rural areas have limited access to education and income due to the country’s economic and educational constraints.…”

Section: Discussionsupporting

confidence: 91%

A study on the current state and equity level of social participation ability among older adults in Henan Province, China

et al. 2022

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Background The social participation ability among older adults (SPAOA) plays an important role in enhancing their quality of life and utilization of medical services. This study aimed to evaluate the current state and equity level of SPAOA in Henan Province, China, as well as explore the factors associated with the current state and equity level of SPAOA. Methods This study analyzed data from the “2019 Henan Provincial Older Adults Ability Assessment Survey”, which included 4,593 older people (over 60 years old). The relationships among the SPAOA indicators were explored using the Structural Equation Model (SEM). The Dynamic Material Element Analysis (DMA) and Logistic Regression (LR) were used to examine the current state of SPAOA and its associated factors. The equity level of SPAOA and its correlated factors were determined using the concentration index and T Theil index. Results SPAOA received an overall score of 91.89 ± 9.83. Daily living, perception ability and mental state were positively correlated with SPAOA (r = 0.13, 0.83, 0.11, all P < 0.05). Results of LR indicated that the most significant predictors of SPAOA were age, education level, pre-retirement occupation, and income (all P < 0.05). The concentration index of SPAOA based on age and income were -0.0058 and 0.0096, respectively. SPAOA had a total T Theil index of 0.030–0.031, and the contribution rate of the difference within the group was greater than 94%. Conclusions While the overall level of SPAOA has been demonstrated to be outstanding, persons with a higher educational level and income are likely to benefit the most. The observed unequal distribution of SPAOA is primarily related to disparities in age or income within the group. To better serve older adults and improve their position and equity in terms of social participation ability, policymakers could emphasize older males with little income who live in urban areas, as well as unhealthy older females who live in rural residences.

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Section: Discussionsupporting

confidence: 91%

A study on the current state and equity level of social participation ability among older adults in Henan Province, China

et al. 2022

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“…Perceived participation on the other hand declined over time for all test persons, an effect that we attribute to the contact restriction measures during the COV-ID-19 pandemic. The analyses showed that participation was negatively influenced by the pandemic impacts on QoL as well as chronological age and economic situation, which is in line with previous research (Cruice, Worrall, & Hickson, 2005;Curvers, Pavlova, Hajema, Groot, & Angeli, 2018;Gallo, Marshall, Levy-Storms, Wilber, & Loukaitou-Sideris, 2022). The significant effects for the ATQoL measures can be classified as mostly low, the interaction effect sizes for all three measurement points were higher due to the consideration of multiple measurements (see Equation 1).…”

Section: Discussionsupporting

confidence: 87%

Impact of using aging-in-place technologies on quality of life: Results from a randomized controlled trial in four European countries

Simbrig¹,

Weegen²,

Piazolo³

et al. 2022

Gerontechnology

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Background: It is widely recognized that technologies have the potential to contribute to high-quality long-term care for older people at home. Evidence from past RCTs partly confirms the positive effects of technology use, although results are mixed and various questions remain unanswered.Objective: This study aimed to demonstrate the beneficial mid-and long-term effects of using aging-in-place technologies on quality of life (QoL) indicators like perceived safety, control, and participation (ATQoL scale) and other specific psychosocial outcomes (PI-ADS) as well as general health-related QoL (EQ-5D-5L Index value and Health today). Method: We conducted an RCT with 281 older people in Austria, Italy, the Netherlands, and Slovenia. Persons in the intervention group (n=143) obtained a bundle of smart home and assistive technologies which they used for 6 or 13 months in their private homes. Persons in the control group (n=138) received no intervention. Three hypotheses were tested with Generalized Linear Mixed Models. Results: We found slightly positive impacts of technology use on some of the specific QoL indicators for persons who used the technologies for 13 months and were relatively motivated and healthy. No, or even detrimental, effects emerged after 6 months. However, persons who used the emergency watch frequently perceived more favorable outcomes than those who used it rarely. Effects had small to medium standardized effect sizes. No effects emerged for the general health-related QoL measure. Conclusion: Despite study limitations (and the COVID-19 pandemic) we conclude that aging-in-place technologies can mitigate adverse age-related developments, and have stabilizing effects on the QoL of older persons. Our trial showed that outcome indicators that are closely related to technology use should be preferred to general indicators. Findings now have to be consolidated in meta-analyses to paint a clearer picture of the beneficial effects of technology use.

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“…In focus group research from Senior Centers in Los Angeles, Gallo et al (2022) found older adults said that the crosswalk signals were not long enough for them to safely cross the street. Some of the focus group participants expressed distrust of the ride-hailing companies such as Uber/Lyft which further limited their mobility.…”

Section: Discussionmentioning

confidence: 99%

A Follow Up to the AARP Age-Friendly Community Survey Through a Focus Group Study

Glasser

Smith²

2023

Gerontology and Geriatric Medicine

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Introduction: In an effort to help communities plan for their burgeoning aging population, the American Association of Retired Persons (AARP) has facilitated community surveys to enable older adults to rate the current state of their own community for “aging in place.” This Focus Group Study extended the findings of the AARP Age-Friendly Community Survey in a small-sized New England City, adding to our knowledge of an older adult population. Aim: In order to elicit the points of view of older adults in one small New England city, six focus groups were conducted via Zoom during the height of the pandemic, from the spring and fall of 2020 on the topic of aging in place. Method: The six focus groups had a total of 32 participants, all of whom were 65 years and older and living in the same New England city. Results: The challenges to aging in place small New England city that the focus group participants described included: knowing where to get complete and reliable information about vital services, the barriers to walkability, and the challenge of transportation when one can no longer safely drive. Conclusion: The Focus Group Study extended the findings of the AARP Age-Friendly Community Survey in a small-sized New England City through the voices of the older adults which led to a more nuanced understanding of what it takes to age in place. The results of the study were utilized by the city in order to write an action plan as a guide to becoming more age-friendly.

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Voices of Experience: What Do Low-Income Older Adults Tell Us About Mobility, Technology, and Social Participation?

Cited by 15 publications

References 39 publications

A study on the current state and equity level of social participation ability among older adults in Henan Province, China

A study on the current state and equity level of social participation ability among older adults in Henan Province, China

Impact of using aging-in-place technologies on quality of life: Results from a randomized controlled trial in four European countries

A Follow Up to the AARP Age-Friendly Community Survey Through a Focus Group Study

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