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"Ageism."
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The effect of biography intervention on the ageism of Coronary Care Unit (CCU) nurses: a Randomized Clinical Trial
2025
Background
Ageism toward older adults is a global concern with significant negative effects on both individuals and society, leading to early loss of independence, increased disability, and higher mortality rates among older adults. This study aimed to evaluate the effect of biographicay intervention on reducing ageism among coronary care unit (CCU) nurses.
Methods
This randomized controlled trial with a pretest-posttest design was conducted on 65 nurses working in CCUs in Mashhad, Iran. Participants were selected through convenience sampling, and hospitals were randomly assigned as intervention and control groups. Both groups received in-person training on the concept of ageism and positive aging. In the intervention group, the researcher conducted interviews with hospitalized older adults over six weeks to gather biographical information, which was then shared with the nurses. Before and after the intervention, participants completed the Ageism Scale for Nurses in Hospital Environments. Data were analyzed using SPSS version 22.
Results
No significant difference in ageism scores was observed between the intervention and control groups before the intervention. However, after the intervention, a statistically significant reduction in ageism scores was observed in the intervention group compared to the control group (
p
< 0.001).
Conclusion
The biographical intervention effectively reduced ageism among CCU nurses. Increased knowledge of the various dimensions of older adults’ lives seems to have positively influenced nurses’ attitudes and fostered appropriate interactions, ultimately facilitating care and treatment.
Trial Registration
The article was registered by the Iranian Registry of Clinical Trials under number IRCT20220522054956N1, date of registration 2022/07/02.
Journal Article
Contesting elder abuse and neglect : ageism, risk, and the rhetoric of rights in the mistreatment of older people
\"The mistreatment of diverse older people in diverse ways is categorized in many societies as \"elder abuse and neglect,\" yet this concept has not been subjected to rigorous critical inquiry. Instead, it has most often represented the interests of professionals, academics, and governments, while policymakers and researchers frequently overlook or disregard the complexity of issues that fall under this designation. The first comprehensive, scholarly critique of the subject, Contesting Elder Abuse and Neglect questions existing assumptions about the mistreatment of older people. It explores how and why the concept of \"elder abuse and neglect\" came to be and shows how this catch-all term masks fundamental problems concerning the mistreatment of older people, their place in society, and how they see themselves. Joan R. Harbison and her colleagues expose how the abilities, needs, and wishes of older people who are perceived as victims are ignored or go unheard and how the supposed solutions to abusive treatment can take their toll on those people they were originally intended to protect. Grounded in twenty years of interdisciplinary empirical research, Contesting Elder Abuse and Neglect is an important, much-needed contribution to the literature, which supports and encourages new thinking about issues concerning older people.\"-- Provided by publisher.
Interventions to Reduce Ageism Against Older Adults: A Systematic Review and Meta-Analysis
2019
Background. Research has found a strong link between ageism, in the form of negative stereotypes, prejudice, and discrimination toward older people, and risks to their physical and mental health. Little is known, however, about the effectiveness of strategies to reduce ageism. Objectives. To assess the relative effects of 3 intervention types designed to reduce ageism among youths and adults—education, intergenerational contact, and combined education and intergenerational contact—by conducting a systematic review and meta-analysis. Search Methods. We searched PubMed, PsycINFO, AgeLine, EBSCO, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Global Index Medicus, Database of Abstracts of Reviews of Effects (DARE), Epistemonikos, Cochrane Database of Systematic Reviews, Campbell Collaboration, PROSPERO, GreyLit, and OpenGrey. We identified additional records by hand-searching reference lists of relevant review articles as well as records included in the meta-analysis. Two independent reviewers completed the search and screening process. Selection Criteria. Eligible studies were those that (1) evaluated an intervention designed to reduce ageism, (2) examined at least 1 ageism outcome in relation to older adults, (3) used a design with a comparison group (randomized or nonrandomized), and (4) were published after 1970, when the ageism concept was developed. Data Collection and Analysis. Two independent reviewers extracted study-level data from records using a common data collection spreadsheet. They also assessed study quality by using the Cochrane Risk of Bias Tool, and used the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) tool to assess quality of outcome evidence. Primary outcomes were attitudes toward older people and accuracy of knowledge about aging and older people. Secondary outcomes included comfort with older adults, anxiety about one’s own aging, and interest in working in the field of geriatrics or gerontology. We carried out meta-analyses with statistical mixed models. Main Results. We identified 63 eligible studies (1976–2018) with a total sample of 6124 participants. Ageism interventions demonstrated a strongly significant effect on attitudes (differences of standardized mean differences [d D ] = 0.33; P < .001), knowledge (d D = 0.42; P < .001), and comfort (d D = 0.50; P < .001), but no significant effect on anxiety (d D = 0.13; P = .33) or working with older adults (d D = −0.09; P = .40). Combined interventions with education and intergenerational contact showed the largest effects on attitudes. We found stronger effects for females and for adolescent and young adult groups. Authors’ Conclusions. Interventions are associated with substantial reduction in ageism and should be part of an international strategy to improve perceptions of older people and the aging process. Additional research using more rigorous designs to examine the effects of interventions is strongly recommended. Public Health Implications. Ageism has well-established negative effects on the physical and mental health of older people. Findings suggest that relatively low-cost, feasible strategies involving education and intergenerational contact can serve as the basis of effective interventions to reduce ageism.
Journal Article
Inclusion of Older Adults in the Research and Design of Digital Technology
by
van Zaalen, Yvonne
,
Schwartz, Ella
,
Buttigieg, Sandra C.
in
Aged
,
Aged, 80 and over
,
Ageism - psychology
2019
Digital technology holds a promise to improve older adults’ well-being and promote ageing in place. However, there seems to be a discrepancy between digital technologies that are developed and what older adults actually want and need. Ageing is stereotypically framed as a problem needed to be fixed, and older adults are considered to be frail and incompetent. Not surprisingly, many of the technologies developed for the use of older adults focus on care. The exclusion of older adults from the research and design of digital technology is often based on such negative stereotypes. In this opinion article, we argue that the inclusion rather than exclusion of older adults in the design process and research of digital technology is essential if technology is to fulfill the promise of improving well-being. We emphasize why this is important while also providing guidelines, evidence from the literature, and examples on how to do so. We unequivocally state that designers and researchers should make every effort to ensure the involvement of older adults in the design process and research of digital technology. Based on this paper, we suggest that ageism in the design process of digital technology might play a role as a possible barrier of adopting technology.
Journal Article
Effects of an educational and contact-based program to reduce ageism among nursing students: A quasi-experimental study
2025
To test the effectiveness of the Program to Reduce Ageism among Nursing Students (PRANS) in reducing ageism among Korean nursing students.
Ageism during pre-licensure education can undermine the quality of care for older adults, yet evidence-based interventions for Korean students are limited.
Quasi-experimental, non-equivalent control-group pre–posttest design.
PRANS blended evidence-based aging education with direct and imagined intergenerational contact. Thirty-six first- or second-year nursing students were allocated to an experimental group (n = 18) or a control group (n = 18). Outcomes—knowledge of aging, anxiety about aging, the image of older adults and explicit and implicit ageism—were measured at baseline, post-intervention and at four-week follow-up.
Compared with the control group, the experimental group showed greater gains in knowledge of aging, lower anxiety about aging and more positive image of older adults at both post-intervention and four-week follow-up. No significant between-group differences were detected for explicit or implicit ageism.
A short, contact-enriched educational program can enhance nursing students’ cognitive and affective responses to aging, although deeper attitude change may require longer or more intensive exposure. Multi-site trials with extended follow-up and qualitative exploration are recommended to verify durability and transferability of effects.
Journal Article