research

healthcare

AGE SELF CARE: a program for older adults

🏆 Selected as Presidential E-Poster for AGS 2024

🏆 Nominated for Lightning Session Poster for AGS 2024

Understanding the feasibility of an innovative program that empowers older adults in age in place.

Qualitative Researcher

Role

May - June 2021

Study Timeline

Qualitative Researcher

Role

May - June 2021

Study Timeline

Acknowledgements

Acknowledgements

The program was created in collaboration with three organizations based in the San Francisco Bay Area:

The program was created in collaboration with three organizations based in the San Francisco Bay Area:

I worked alongside these individuals closely for this project, from data collection, analysis, and manuscript development:

I worked alongside these individuals closely for this project, from data collection, analysis, and manuscript development:

My role

My role

As an SF BUILD funded scholar, I was appointed under Dr. Theresa Allison to conduct geriatric research. In her lab, I was assigned to this project and dedicated as the primary author for the resulting manuscript of the study.

As an SF BUILD funded scholar, I was appointed under Dr. Theresa Allison to conduct geriatric research. In her lab, I was assigned to this project and dedicated as the primary author for the resulting manuscript of the study.

What is aging in place?

Aging in place is the practice of living in one's home and community safely, independently, and comfortably to maintain a high quality of life as an individual grows older.

Most older adults want to age in place, but find it difficult

There aren’t many aging in place programs and resources for older adults. Most older Americans want to age in place, but lack the knowledge, resources, or ability to do so.

Older adults need in-home support without the social and financial stress, as nursing homes & assisted living facilities can be costly and undesirable to some.

There are few programs that currently help older adults: CAPABLE, Village, and NCOA. Our study aims to understand the feasibility of synthesizing the goal of these three programs into one educational program for older adults in the San Francisco Bay Area.

AGE SELF CARE helps older adults age in place

AGE SELF CARE is an educational program for older adults, consisting of an evidence-based curriculum that empowers older adults to improve their health, modify their home to be more age-friendly, and diversify their social network and support systems. It was designed collaboratively by experts from UCSF, AHWGO, and SFV.

9 weeks

program duration

75 minutes

each week

n=15

study population

9 weeks

program duration

75 minutes

each week

n=15

study population

The curriculum is based on health, home & social network improvement, home modifications, caregiving, support networks, and digital literacy. The program is as follows:

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Mini-lectures

Education on evidence-based approaches to improving health, home, and social networks

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Home activities

Between-class, take-home activities where participants apply their learning to their unique lives

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Group discussion

Discussing, troubleshooting, and sharing successes/challenges of home activities with peers and facilitators

I was involved from qualitative data collection & onwards

Curriculum development

Recruitment

Qualitative data collection

Rapid and thematic data analysis

Literature review

Manuscript development

Key findings of the study: prospective impacts of the program

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Home modification

Participants reported making low-cost home modifications to make their living space safer

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Newly gained confidence

Participants developed a new perspective on aging and became more confident

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Platform for social opportunity

ASC was a platform for social opportunity and was a strong support system for all participants

An unexpected (but heart-warming) finding

AGE SELF CARE was originally intended to equip the participants with an extended support network consisting of professionals and volunteers that would help empower them with resources to independently age in place. However, towards the end of the program, the participants became well-acquainted with others in the group as they offered advice, shared life stories, and discussed their experiences with aging to one another. The program blossomed into a platform for friendships and social connection.

“I feel like attending sessions made me a little more confident. When I was out with friends, we would walk around, and I realized I can’t walk anymore, I need to sit down. That was always hard for me to do – stop the group, and say, ‘I just really need to sit down.’ I’ve sort of taken that on and not apologize for it. It felt like all [the AGE SELF CARE participants] were sitting on my shoulder saying, ‘Tell ‘em! Just tell them you need to sit down!’"

Study Participant

“I feel like attending sessions made me a little more confident. When I was out with friends, we would walk around, and I realized I can’t walk anymore, I need to sit down. That was always hard for me to do – stop the group, and say, ‘I just really need to sit down.’ I’ve sort of taken that on and not apologize for it. It felt like all [the AGE SELF CARE participants] were sitting on my shoulder saying, ‘Tell ‘em! Just tell them you need to sit down!’"

Study Participant

“I feel like attending sessions made me a little more confident. When I was out with friends, we would walk around, and I realized I can’t walk anymore, I need to sit down. That was always hard for me to do – stop the group, and say, ‘I just really need to sit down.’ I’ve sort of taken that on and not apologize for it. It felt like all [the AGE SELF CARE participants] were sitting on my shoulder saying, ‘Tell ‘em! Just tell them you need to sit down!’"

Study Participant

“I feel like attending sessions made me a little more confident. When I was out with friends, we would walk around, and I realized I can’t walk anymore, I need to sit down. That was always hard for me to do – stop the group, and say, ‘I just really need to sit down.’ I’ve sort of taken that on and not apologize for it. It felt like all [the AGE SELF CARE participants] were sitting on my shoulder saying, ‘Tell ‘em! Just tell them you need to sit down!’"

Study Participant

Programs like ASC can improve health, social, and physical spaces

The observed and reported changes in behaviors, mindsets, and actions within this small group of older adults proved that a program like AGE SELF CARE can truly empower older adults to age in place and be independent for as long as possible.

To the researchers' surprise, many participants expressed their desire to continue the program and keep in contact with other participants. It was reported that many of them still stay in contact with each other 💌

Learnings from conducting this research

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Rather than you facilitating the research, let the participants do so too

Embrace the idea that participants are the core of the study, and you can leave the study with better insights than you originally intended. Rather than solely directing the research, empower the participants to shape its course; because the facilitators of this study encouraged this, we were able to deduce one of the most important findings of this study: that the program was a platform for social opportunity and friendship.

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The importance of mentorship

I received the big task of taking over the manuscript development as an undergrad - an incredibly intimidating task to say the least! Luckily, I had an incredible team of support around me that was receptive to my questions, concerns, and confusions. I learned that asking for help in these situations is good, even mandatory, in order to produce great work.

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Research across disciplines

Reflecting on this kind of research to UX research – I notice an abundance of transferable skills, knowledge, and techniques that I now use in UX. What I find most similar is the importance of understanding people and their expected versus observed behaviors, and what role the researcher can play in morphing the study into something the participants can truly benefit from.