An Innovative Nurse Practitioner Curricular Design Using an Adaptive Learning Platform, Adaptive Case Studies, and Telehealth Simulations: A Feasibility Study.

Introduction: This project explored the feasibility of implementing an innovative cross-curricular framework using an adaptive learning (AL) platform and telehealth simulations. Objective: To determine the feasibility of implementing an innovative cross-curricular framework using an AL platform and telehealth simulations. Methods: A mixed-method pilot study was conducted using novel AL modules, adaptive case studies, and telehealth simulation. Results: Quantitative data analysis demonstrated significant correlations within and across demographics using the Technology Acceptance Model (TAM) and Simulation Effectiveness Tool-Modified (SET-M). Specifically, significant correlations are evident between TAM ease of use items 1-6, 8, and 10 and TAM usefulness 1, 3, and 9, with SET-M items 3 and 5-15. Thematic analysis revealed that participants felt that the overall project was worthwhile and increased confidence in telehealth. Conclusion: Participants found the technology used in this study was easy and useful, and they indicated a positive experience with telehealth simulation. Overall, this study demonstrated that implementation of AL using our paradigm is feasible and supports further investigation into implementing a cross-curricular framework using an AL platform and telehealth simulations.

Exploring the Health Needs of Aging LGBT Adults in the Cape Fear Region of North Carolina.

This study explored issues of culturally sensitive healthcare practice and needs among lesbian, gay, bisexual and transgender aging adults in coastal North Carolina. Survey data results indicated the largest problem was a history of verbally harassment and need for culturally sensitive healthcare. In conclusion, culturally sensitive interventions are needed to address the health disparities and unique needs of LGBT aging adults. Cultural sensitivity training for service providers is suggested as a vital step in addressing health disparities of aging LGBT adults. Implications for research include further exploration of health related needs of these often hidden and underserved population groups.

Resilience in attaining and sustaining sobriety among older lesbians with alcoholism.

This phenomenological study illuminates coping among older lesbians with alcoholism. Twenty study participants were recruited through purposive and snowball sampling; each completed 3 interviews structured to gain a deeper understanding of participants' lived experiences. This article focuses on the key situations and people that helped study participants obtain sobriety and stay sober. Five major themes emerged from the data: wake-up calls, impact of formal treatment, impact of 12-step recovery groups, consequences from other sources, and resiliency. Findings support the need for culturally sensitive approaches to practice with this subpopulation of older adults.

Optimizing geriatric social work education: program and individual characteristics that promote competencies.

Since 1998, the Hartford Partnership Program in Aging Education (HPPAE) has been implemented in over 70 graduate social work programs. This study examined whether program and individual student characteristics are associated with students' knowledge, skills, and values in aging. We conducted a secondary analysis of national program evaluation data. Results from hierarchical linear models indicated greater gains in knowledge of aging among full-time students, as well as students in programs that had defined field rotation models and/or that made greater use of geriatric social work competencies. Implications for efforts to enhance graduate social work education in aging are discussed.

Aging well and gay in rural America: a case study.

Using person-environment-fit theory as a theoretical framework, this qualitative case study examined, through in-depth interviews and thematic analysis, the lived experience of an older gay man who has lived solely in rural communities. An overarching theme of life satisfaction clearly emerged, along with themes regarding supportive social networks and disclosure management of his sexual orientation. The findings suggest that although it is important to understand the challenges faced by the lesbian, gay, bisexual, and transgender community in rural environments, it is equally important to shed light on the ways in which older adults age well within these communities.

Knowledge outcomes within rotational models of social work field education.

This study assessed knowledge outcomes among concurrent, concurrent/sequential, and sequential rotation models of field instruction. Posttest knowledge scores of students ( n = 231) in aging-related field education were higher for students who participated in the concurrent rotation model, and for those who completed field education at a long-term care facility. Scores were also higher for students in programs that infused a higher number of geriatric competencies in their curriculum. Recommendations are provided to programs considering rotation models of field education related to older adults.

Social work knowledge of community-based services for older adults: an educational model for social work students.

Social workers are often the key link between older adults, their families and community-based services. Thus, knowledge about older adults and community-based care is imperative for social work practice. Evaluation data are provided on a national multisite effort (N = 353) from 35 schools to assure graduate social work student's competency related to community services for older adults. Results suggest that the educational model as described in this article sets forth positive outcomes in the education of aging savvy social workers. Ongoing social work education is needed to meet the burgeoning needs of the geriatric population.

Innovative interdisciplinary training in and delivery of evidence-based geriatric services: creating a bridge with social work and physical therapy.

With focus on interdisciplinary education models, social work and physical therapy faculty from two proximate universities partnered to create an evidence-based geriatric assessment and brief intervention research, training, and service project for community-dwelling older adults. Assessment tools and interventions were selected from the literature to develop the service protocols. These selected protocol skills were taught to interdisciplinary teams of students and professionals in social work and physical therapy, and learning outcomes were evaluated. This article describes the process of implementing this innovative multipartner project, the obstacles faced, and lessons learned. Adult learning theory and social cognitive theory served to underpin the project. The objectives were achieved, and evaluation noted many positive experiences in training and service delivery. This multipartner, interdisciplinary project concept can be replicated to improve educational outcomes for students and professionals as they prepare and learn to serve community-dwelling older adults.

Impact of geriatric assessment and self-management support on community-dwelling older adults with chronic illnesses.

PURPOSE: The purpose of this study was to assess the effectiveness of interdisciplinary geriatric home-based assessment and self-management support services to community-dwelling older adults. DESIGN: A quasi-experimental, pre-post test design tested two types of service delivery models. The first protocol included geriatric assessment services, with a brief self-management care plan intervention. The second protocol added a telephone support intervention. RESULTS: All participants showed significant progress in improved self-efficacy, self-rated health, functional status and physical mobility (specifically lower extremity muscle strength), mental health (specifically reduced depression) and in reduced fall hazards in their physical home environment. The telephone support intervention protocol did not provide additional value to the first protocol. IMPLICATIONS: This study demonstrates the value of non-medical intervention strategies for community dwelling older adults with chronic illnesses.