steps to assessing and addressing social isolation in ......overview of rollout and validation...
TRANSCRIPT
![Page 1: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/1.jpg)
#AgeAction2019 | #WeAgeWell
Steps to Assessing and Addressing Social Isolation in Community-Dwelling Older Adults
Leigh Ann Eagle, Sue Lachenmayr, Matthew Smith / June 20
![Page 2: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/2.jpg)
STRATEGIES TO REDUCESOCIAL ISOLATION IN COMMUNITY-DWELLING OLDER ADULTS
MARYLAND LIVING WELL CENTER OF EXCELLENCE- LEIGH ANN EAGLE, EXECUTIVE DIRECTOR
- SUE LACHENMAYR, STATE PROGRAM COORDINATOR- MATTHEW LEE SMITH, TEXAS A&M UNIVERSITY
![Page 3: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/3.jpg)
SOCIAL ISOLATION
• ABOUT 28% OF OLDER ADULTS IN THE UNITED STATES (13.8 MILLION PEOPLE)
LIVE ALONE, BUT MANY ARE NOT LONELY OR SOCIALLY ISOLATED
• AT THE SAME TIME, SOME PEOPLE FEEL LONELY DESPITE BEING SURROUNDED
BY FAMILY AND FRIENDS1
• THE AARP FOUNDATION AND THE MARYLAND LIVING WELL CENTER OF
EXCELLENCE – MAC, INC. ARE PILOTING A TOOL TO IDENTIFY EARLY SIGNS OF
SOCIAL ISOLATION
• A ‘STOPLIGHT’ ASSESSMENT TOOL WILL BE WIDELY AVAILABLE ONLINE AND TO
COMMUNITY-BASED ORGANIZATIONS AND HEALTHCARE PROVIDERS
1. HTTPS://WWW.NIA.NIH.GOV/NEWS/SOCIAL-ISOLATION-LONELINESS-OLDER-PEOPLE-POSE-HEALTH-RISKS
![Page 4: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/4.jpg)
PREVALENCE
M e d i c a r e S p e n d s M o r e o n S o c i a l l y I s o l a t e d O l d e r A d u l t s . I n s i g h t o n t h e I s s u e s 1 2 5 . L y n d a F l o w e r s , A r i H o u s e r , C l a i r e N o e l - M i l l e r , ( A A R P P u b l i c P o l i
c y I n s t i t u t e ) ; J o n a t h a n S h a w , J a y B h a t t a c h a r y a , L e n a S c h o e m a k e r , ( S t a n f o r d U n i v e r s i t y ) ; M o n i c a F a r i d , ( H a r v a r d U n i v e r s i t y ) . N o v e m b e r 2 7 , 2 0 1 7
![Page 5: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/5.jpg)
KEY RISK FACTORS
• LIVING ALONE
• DIVORCED, SEPARATED, OR WIDOWED
• NEVER MARRIED
• DISABILITY AND IMPAIRMENT
• INDEPENDENT LIVING DIFFICULTY
• POVERTY
![Page 6: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/6.jpg)
VALIDATING ‘TIPPING POINT’ RISKS
• GOAL: DEVELOP A BRIEF, EASY-TO-USE VALIDATED SCREENER TO IDENTIFY OLDER
ADULT RISK OF SOCIAL ISOLATION & LINK THEM TO LOCAL RESOURCES AND
SERVICES
• CREATED A MULTI-COMPONENT INSTRUMENT WITH PARTS OF VALIDATED SCALES
AND ITEMS ABOUT SOCIODEMOGRAPHICS AND OTHER SOCIAL DETERMINANTS
• UPSTREAM SOCIAL ISOLATION RISK SCREENER (U-SIRS) (PRONOUNCED “USERS”)
• PILOT IN PROGRESS
• SERIES OF NATIONAL ONLINE SURVEYS
• FACE-TO-FACE VALIDATION WITH PROFESSIONALS IN 5 STATES (FL, MA, MD, TX, WA)
• COMMUNITY-BASED ORGANIZATIONS
• CLINICAL SITES
![Page 7: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/7.jpg)
CONSTRUCTS OF U-SIRSA COMBINATION OF OBJECTIVE AND SUBJECTIVE MEASURES THAT ASSESS AN INDIVIDUAL’S
CONNECTIVITY AND INTERACTION WITH OTHERS (E.G., FAMILY MEMBERS, FRIENDS, COMMUNITY
MEMBERS, ORGANIZATIONS, SERVICE PROVIDERS, SOCIAL SUPPORTS)
FOCUS ON THREE INTERCONNECTED DIMENSIONS OF SOCIAL ISOLATION:
• PHYSICAL [OBJECTIVE]
• (NETWORK STRUCTURE, NETWORK STRENGTH, FREQUENCY OF INTERACTION, PHYSICAL MOBILITY,
ACCESS/TRANSPORTATION)
• EMOTIONAL [SUBJECTIVE]
• (PERCEPTIONS ABOUT NETWORK STRUCTURE COMPOSITION AND QUALITY, LONELINESS, DEPRESSION,
SATISFACTION WITH CURRENT SITUATION)
• SOCIAL SUPPORT [OBJECTIVE & SUBJECTIVE]
• (SOURCES, PERCEPTIONS ABOUT MEETING NEEDS, PERCEPTIONS ABOUT ACCESSING SERVICES/RESOURCES,
SATISFACTION)
![Page 8: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/8.jpg)
IN-DEPTH SCREENBRIEF ISOLATION SCREEN
PHYSICAL
(objective)
EMOTIONAL
(subjective)
SOCIAL SUPPORT
(objective & subjective)
PHYSICAL
EMOTIONAL
SOCIAL
SITES
FQHC
LOW-INCOME
HOUSING
SENIOR
CENTERS
MAP
(ADRC)
HOSPITAL/ER
DISCHARGE
EDUCATION &
REFERRAL
PRINT/
ONLINE
TELEPHONE/
VISITATION
EBPs
PROFESSIONALSMEALS ON
WHEELS
![Page 9: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/9.jpg)
SERVICES AND PROGRAMS TO ADDRESS SI
Care Planning Maryland Access Point (MAP) No Wrong Door Information & Referral
Nutrition Nutrition counseling, education, and care planning; Meal programs: delivered to homes or
senior centers; List of community food resources; Meal enhancements and nutritional
supplements
Financial Application for financial aid, including SNAP, Medicaid, the State Health Improvement
Program (SHIP), energy-assistance programs, income-tax assistance, Medicare
prescriptions, and Part B premiums; Medication and supplement grants
In-Home Care Assistance with in-home care, sitters list, assisted living subsidies, Community First Choice;
Telephone reassurance; Options Counseling
Medical Conditions Medication management Assistance for dental, eye care, and hearing aids
Social Support Senior centers (exercise, socialization); Support groups (Alzheimer, caregivers, stroke,
renal); Lifelong learning; Volunteer opportunities; Senior employment
Environmental
Assistance
Counseling on housing and assisted living; Education about local transportation systems;
Training for assistive technology equipment & adapted telephones; Ramp assistance
Health and
Wellness
EBP Programs: Chronic disease, diabetes self-management; cancer thriving and surviving;
Diabetes prevention program; Malnutrition workshop: Stepping Up Your Nutrition; Fall-
prevention workshops Stepping ON, OTAGO; Depression care management: PEARLS
![Page 10: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/10.jpg)
OVERVIEW OF ROLLOUT AND VALIDATION
• EMBED INTO EXISTING EFFORTS AND WORKFLOW
• COMMUNITY-BASED ORGANIZATIONS
• AGING SERVICES NETWORK, EVIDENCE-BASED PROGRAMS
• CLINICAL SETTINGS
• VALIDATION METHODOLOGY
• IDENTIFY RISK PREVALENCE
• PSYCHOMETRIC PROPERTY TESTING
• SERIES OF SENSITIVITY ANALYSES AND REGRESSION MODELS
• CONCORDANCE ANALYSIS BASED ON PROFESSIONAL PERCEPTION
![Page 11: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/11.jpg)
ADVANCING THE CONVERSATION
• HOW DO YOU SEE THIS INITIATIVE FITTING INTO YOUR CURRENT EFFORTS?
• HOW DO OLDER ADULTS SPEAK ABOUT SOCIAL ISOLATION?
• HOW SHOULD WE REFER TO SOCIAL ISOLATION TO GET USEFUL
INFORMATION?
• Not connected
• No or limited contact
• Alone
• Solitude
• Withdrawn
• Detached
• Segregated
• Talk
• Interact
• See
• Spend time
• Visit
• Chat
• Play
• Go
![Page 12: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/12.jpg)
HOW YOU CAN HELP
• RECRUIT OLDER ADULTS (AGE 60+) TO COMPLETE THE U-SIRS ONLINE
• EMAIL, LISTSERV, POST LINK ON WEBSITE, KIOSK/STATION
• TAKES ABOUT 15 MINUTES (DEPENDING ON SETTING AND READING ABILITY)
• GIVE NAME AND EMAIL ADDRESS ON SIGN-UP SHEET
• RECEIVE AN EMAIL FROM DR. SMITH
• FORWARD EMAIL TO OLDER ADULTS OR LINK THEM TO THE QUALTRICS SURVEY
![Page 13: Steps to Assessing and Addressing Social Isolation in ......overview of rollout and validation •embed into existing efforts and workflow •community-based organizations •aging](https://reader036.vdocument.in/reader036/viewer/2022071109/5fe4a83f150c842ece177681/html5/thumbnails/13.jpg)
Like what you heard? Share it!
Tweet using #AgeAction2019 or #WeAgeWell
Rate the session and speakers on the mobile app
Vote in the conference poll
{ }
Age+Action 2019 | ageaction.org | © 2019 National Council on Aging 13