Health education groups for caregivers in an HMO.

The short-term effectiveness of a Health Education Group (HEP) intervention program for spouses of frail older adults was compared to the usual care (UC) offered to the spouses of frail older persons in a staff model health maintenance organization. HEP is a multicomponent group program offered in eight weekly, two-hour group sessions, and ten monthly, two-hour follow-up group sessions. It includes emotion-focused and problem-focused coping strategies, education, and support. One-hundred and five spouses were recruited and randomly assigned to HEP (n = 58) or UC (n = 47). Spouse caregivers and care recipients were assessed within two weeks of intervention and within two weeks after the completion of the eight weekly group meetings. The results indicate that, for caregivers, HEP was more effective than UC in reducing depression, maintaining social integration, increasing effectiveness in solving pressing problems, increasing knowledge of community services and how to access them, changing caregivers' feelings of competence, and the way they respond to the care giving situation. No significant differences, however, were found between care recipients in the two arms of the study on any of the outcome measures.

Stereotyping of older adults: the role of target facial cues and perceiver characteristics.

This 2-part study used photograph-age and photograph-stereotype sorting tasks to examine the role of target facial cues in stereotyping of older persons. As predicted, young, middle-aged, and older participants associated photographs of those who looked older and those with a neutral facial expression with fewer positive stereotypes than other photographs. Participants also selected fewer positive stereotypes for photographs of women than of men, except when the photographs showed old-old (80 years and over) men. Participant age affected stereotyping only of the photographs of old-old persons, with older participants selecting fewer positive stereotypes for those photographs than middle-aged and young participants. These results establish the importance of facial cues in the age stereotyping process and suggest age boundaries for positive stereotypes of men and women.

Stereotypes of the elderly held by young, middle-aged, and elderly adults.

This two-part study extended the research on multiple stereotypes of elderly adults by examining the perceptions of young, middle-aged, and elderly adults. First, one set of participants engaged in a trait generation task which yielded a trait list for use in the second part of the study. Second, other participants sorted the set of traits into groups representing different types of elderly individuals. Trait groupings were analyzed with hierarchical cluster analysis. Results supported the hypothesis that older adults have more complex representations of aging than do middle-aged and young ones, and that middle-aged adults have more complex representations than do young ones. For example, middle-aged and elderly adults reported more stereotypes of the elderly than did young adults, and elderly adults reported more stereotypes than did middle-aged adults. Results also showed, as expected, that these differences in complexity exist against a background of general agreement about the nature of aging: Trait lists produced by those in the three age groups were significantly correlated, and the stereotype sets of the three age groups included seven shared stereotypes. Results are interpreted in terms of their support for two alternative explanations of the complexity differences: ingroup/outgroup and developmental.