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THE GERONTOLOGIST

INNOVATION IN AGING
AnAOpen Access
Journal Journal
of The of The Gerontological
Gerontological Society Society of America
of America

EDITORIAL BOARD
Steven M. Albert, PhD Joseph E. Gaugler,
Katherine PhD
Abbott, PhD* Loretta Pecchioni, PhD
University of Pittsburgh University
Miami of Minnesota
University Louisiana State University
Kathleen Abrahamson, RN, PhD*
Rebecca S. Allen, PhD Laura N. Gitlin,
Purdue PhD
University Nancy J. Petersen, PhD
The University of Alabama Johns Hopkins University Department of Veterans Affairs Medical
Tamara A. Baker, PhD
Jacqueline L. Angel, PhD University of Kansas
Kathy E. Green, PhD Center, Houston
The University of Texas at Austin Scott R. Beach,
University PhD*
of Denver
University of Pittsburgh Carl F. Pieper, DrPH
Tamara A. Baker, PhD R. Turner Goins,
Sara J. Czaja, PhD
PhD* Duke University Medical Center
University of South Florida WestUniversity
VirginiaofUniversity
Miami
Larry Polivka, PhD
Adam Davey, PhD*
Daniel Béland Leslie K. Hasche,
University PhD,
of Delaware, MSW
Newark Claude Pepper Center
Johnson-Shoyama Graduate School of Public Policy University of Denver
Nancy R. Gee, PhD
SUNY, Fredonia
Thomas R. Prohaska, PhD
Jennifer Bellot, PhD, RN, MHSA William E. Haley, PhD University of Illinois at Chicago
Megan Gilligan, PhD
Thomas Jefferson University University of South
Iowa State Florida
University
Jill Quadagno, PhD
MaryHendricks,
Jon Ann Johnson,PhD
PhD The Florida State University
Mercedes Bern-Klug, PhD, MSW The University of Georgia
The University of Iowa Oregon State University
Yoshinori Kamo, PhD Anna Rahman, PhD
Louisiana
Pamela State
Herd,University
PhD
Richard Birkel, PhD University of Southern California
National Council on Aging University
Giyeonof Wisconsin
Kim, PhD
University of Alabama Ruth E. Ray, PhD
Christine E. Bishop, PhD Robert B. Hudson,
Min-Ah Lee, PhD PhD Wayne State University
Brandeis University Boston University
Chung-Ang University
David A. Nace, MD, MPH Virginia E. Richardson, PhD, MSW
Jamila Bookwala, PhD Kathryn Hyer,
University PhD, MPP
of Pittsburgh The Ohio State University
Lafayette College University of South
Marcia Ory, PhD* Florida
Texas A&M Sara E. Rix, PhD
Hayden Bosworth, PhD Marshall B. Kapp, JD, MPH
Karen A. Roberto, PhD* AARP Public Policy Institute
Durham VA Medical Center and Florida State University
Virginia Polytechnic Institute and State University
Duke University Medical Center Karen A. Roberto, PhD
Brian
Noah J.Kaskie,
Webster,PhD
PhD
University of Michigan Virginia Polytechnic Institute and State University
Barbara J. Bowers, PhD, RN, FAAN University of Iowa
Richard Winett, PhD
University of Wisconsin-Madison Nancy Kelley-Gillespie,
Virginia Tech PhD Miriam S. Rose, MEd
University ofB.Nebraska Benjamin Rose Institute on Aging
Margaret P. Calkins, PhD Jeremy Yorgasson,atPhD
Omaha
Brigham Young University
IDEAS Consulting Inc. Mary Ann Kluge, PhD Michael J. Rovine, PhD
Anna Zajacova, PhD*
University ofWestern
Colorado, Colorado Springs
University
Pennsylvania State University
Francis Caro, PhD
University of Massachusetts Boston Peter A. Lichtenberg, PhD, ABPP Laura P. Sands, PhD
Wayne State University Purdue University
Nicholas G. Castle, PhD
University of Pittsburgh *Fellow ofPhoebe S. Liebig,Society
The Gerontological PhD of America Andrew Scharlach, PhD
University of Southern California University of California- Berkeley
Barbara B. Cochrane, PhD, RN, FAAN
University of Washington Rebecca G. Logsdon, PhD Rick J. Scheidt, PhD
University of Washington Kansas State University
Constance L. Coogle, PhD
Virginia Commonwealth University Ronald J. Manheimer, PhD Richard Schulz, PhD
The Manheimer Group University of Pittsbugh
Teresa Cooney, PhD
University of Missouri Graham J. McDougall Jr., PhD, Debra Sheets, PhD, MSN, RN
RN, FAAN, FGSA University of Victoria
Katrina Cubit, PhD The University of Texas at Austin
Australian Nursing & Midwifery A. Lynn Snow, PhD
Lisa C. McGuire, PhD University of Alabama
Accreditation Council
Center for Disease Control and
Sara J. Czaja PhD Prevention Avron Spiro, PhD
University of Miami Miller School of Medicine VA Boston Healthcare System and
Kate de Medeiros, PhD
Boston University Medical Center
Jeanette M. Daly, RN, PhD Miami University
The University of Iowa Maximiliane E. Szinovacz, PhD
Suzanne Meeks, PhD
University of Massachusetts-Boston
Kara Bottiggi Dassel, PhD University of Louisville
Arizona Association of AAAs Claudia Meyer, MPH Jeanne A. Teresi, EdD, PhD
National Ageing Research Institute Columbia University and Research Division,
Adam Davey, PhD Hebrew Home, Riverdale
Temple University Edward Alan Miller, PhD, MPA
University of Massachusetts Boston Jennifer L. Troyer, PhD
Howard B. Degenholtz, PhD University of North Carolina at Charlotte
University of Pittsburgh Nancy Morrow-Howell, PhD, MSW, ACSW
Washington University in St. Louis Jim Vanden Bosch, MA
David J. Ekerdt, PhD Terra Nova Films
Naoko Muramatsu, PhD, MHSA
Innovation in Aging, 2017, Vol. 1, No. S1 389

THE ASILA PROGRAM: IMPROVED CARE IN HIGHER-LEVEL FUNCTIONAL CAPACITY AMONG


NURSING HOMES FOR FRAIL SENIORS THE COMMUNITY-DWELLING ELDERLY IN JAPAN
V. Boscart1, G. Heckman2, K. Huson1, M. Heyer1, J. Hirdes2, P. Zhang1, H. Hayashi1, H. Sato2, T. Yamashita3, 1.
1. School of Health & Life Sciences and Community Department of Nursing, Saitama Prefectural University,
Services, Conestoga College, Bright, Ontario, Canada, 2. Koshigaya, Saitama Prefecture, Japan, 2. Takesato District
University of Waterloo, Waterloo, Ontario, Canada Public Hall, Koshigaya, Saitama Prefecture, Japan, 3. Chuo
The Applied Simulated and Integrated Learning Approach Public Hall, Koshigaya, Saitama Prefecture, Japan
(ASILA) aimed to advance targeted clinical outcomes for sen- Objective: Japan is a rapidly aging society, and thus nurs-
iors through the use of evidence-informed case simulations ing approaches that enable the elderly to lead longer and
of conditions among frail seniors with cognitive and physical more independent lives are needed. Therefore, the purpose of
challenges. The ASILA program is based on the use of the this study was to gain a better understanding of higher-level
Minimum Data Set as a comprehensive geriatric assessment functional capacity among community-dwelling elderly.
(CGA) and quality improvement framework to facilitate care Methods: A  questionnaire survey was conducted at a
planning. Japanese community center for the elderly in October 2015.
A mixed method, repeated-measures design was used to The questionnaire was designed to identify the characteris-
assess changes in nursing assistants’ (NA) knowledge and tics of the elderly and assess higher-level functional capacity
perceptions of CGAs and resident clinical outcomes. according to the following four aspects: “using a new instru-
Quantitative data indicated meaningful improvements in ment”; “collecting information”; “life management”; and
key knowledge areas. Qualitative data provided a description “social involvement”.
of the impact of the ASILA program on staff knowledge and Results: A  total of 135 elderly individuals (42 men, 93
role perceptions and how that translated to care practices. women; mean age, 74.6  years; range, 65–90  years) com-
The ASILA program successfully enhanced NAs’ knowl- pleted the questionnaire. Fifty-nine (43.7%) respondents
edge and perceptions of CGAs, and improved resident out- were living in a married household, 86 (63.7%) had a
comes, while emphasizing quality of life and promoting best chronic disease, 111 (82.2%) were pursuing a hobby, and
practices within a financial framework of accountability. 67 (49.6%) frequently participated in activities. The mean
(± standard deviation) higher-level functional capacity score
MASTER ON GERONTOLOGY: A PERSPECTIVE IN was 10.5 ± 3.8 points out of a possible total of 16. The mean
GERONTOLOGY EDUCATION IN MEXICO scores for “using a new instrument”, “collecting informa-
E. Arias-Merino, N.M. Mendoza Ruvalcaba, I. Díaz-García, tion”, “life management”, and “social involvement” were
M. Flores Villavicencio, Salud Pública, Universidad de 2.5 ± 1.3, 3.1 ± 1.1, 2.8 ± 1.1, and 2.0 ± 1.6, respectively.
Guadalajara, Zapopan, Jalisco, Mexico Conclusions: According to a previous study, the mean
In order to prepare high-quality human resources in higher-level functional capacity score for a nationally rep-
Gerontology able to face the challenges of our aging soci- resentative sample of community-dwelling elderly was
ety, the University of Guadalajara (Mexico) had offered the 9.7 ± 4.2; that of this study was higher in comparison, indi-
Master of Gerontology degree since 1994. Based on this cating that the elderly individuals in this study had excellent
program, it has been developed a new program evaluated functional capacity. In the future, nursing approaches that
and accepted in 2016, in the National Quality Graduate help rejuvenate the community by enabling the elderly to
Program of the National Council of Science and Technology lead even longer and more independent lives are expected.
(CONACYT).
For this Master degree, gerontology is understood as a TRAINING AND MOTIVATION OF MEDICAL
field of the scientific knowledge inter-multi-transdisciplinary, PROFESSIONALS FOR WORK WITH OLDER PEOPLE
dedicated to the study of the process of aging, the old stage IN BULGARIA
and the older persons as individuals; from bio-psycho-social S.M. Mladenova, E. Ivanov, P. Balkanska,
perspectives. A. Vodenicharova, A. Yanakieva, Faculty of Public Health,
From a Public Health approach, and based in solid ethi- Medical University - Sofia, Sofia, Bulgaria
cal values and attitudes, the gerontologist profile includes the Introduction: In the recent decades, in Bulgaria and in
knowledge to: 1)  describe understand and explain the life- Europe there is a steady trend of increase of the aging popu-
span from a bio-psycho-social perspective, 2)  differentiate lation and as a result of this raising of the proportion of older
successful, active and healthy aging from pathological, 3) use people.
methods and techniques for the generation of knowledge and One of the main tasks of our society is to provide appro-
intervention in the aging process, 4) understand the admin- priate conditions and satisfactory levels of care in order to
istrative process of institutions in gerontology, 5)  analyze achieve good quality of life for older people. It is especially
social policy and legislation, 6)  analyze the importance of important to take actions to provide a dignified aging of the
social perception of the older persons, 7) analyze the impor- elderly.
tance of the family and social network, as well as social sup- The training of nurses in Bulgaria in the curricula is
port in gerontology interventions. included a course “Nursing care for elderly” which meets
Is a competence-based program, and in a review, it was the increased needs for specialists ready to work with old
found that its approach applies the gerontology competen- people.
cies for undergraduate and graduate education published by The aim of the study is to examine the need for special-
AGHE in November 2014. ized training, the readiness of medical specialists to work

IAGG 2017 World Congress

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