AGen2023 Pre-Recorded Virtual Presentations

69197 | Successful Cases of Transiting From Restraints to Restraint-free Care of Older Residents in Long-term Care Facilities: Perspectives of Multi-disciplinary Staff

Lisa P.L. Low, Caritas Institute of Higher Education, Hong Kong

Alice N.L. Kwong , Caritas Institute of Higher Education, Hong Kong

Background: In recent decades, considerable attention has been given to efforts to reduce and eliminate restraint use in older institutionalized people. Previous research showed that staff expressed varying views of restraint-free care. Yet, no qualitative research has described this phenomenon in Hong Kong.

Purposes: This paper will present and compare the views of staff towards the care of three older people who transited from using restraints and becoming restraint-free in long-term care facilities (LTCFs) for older people.

Methods: A large qualitative study was conducted in six LTCFs in Hong Kong. A mix of staff including 27 senior managers, nurses, allied health professionals and frontline workers from two LTCFs were interviewed, and data were analyzed using latent content analysis.

Results: During the regular review of residents who used restraints, staff could vividly describe the restraint care that was provided and criteria for identifying residents that could be given an opportunity to ‘try off-restraint’. Although strategies to try-off restraints were used, not all cases were successful. Three successful case reviews will be presented to describe the restraints received, the process of implementing and time allowed to trial restraint-free practice, and barriers to implementing restraint-free care for residents with particular predicament. Findings supported that training and education, institutional culture, additional resources, innovative ideas and collective efforts of all multi-disciplinary staff are key elements to promoting restraint-free care.

Conclusion: Although restraint-free practice has yet to actualize, extensive efforts have already been made to move towards using lesser physical restraint in LTCFs through teamwork.

Built Environment

69113

| A Cross-Cultural Comparison on Age-Friendly Cities: Akita, Japan and Columbus Ohio

Alexandria McBride, The Ohio State University, United States

Reason: This research will help bridge the cultural gaps in aging studies. Japan is on the forefront of our aging world and we need to take this opportunity to learn from their experiences. This research will primarily focus on the differences in our approach to a similar problem and how that may be affected by differing cultures.

Problem: Lack of comparison material on the international approaches to Age-Friendly Cities.

Methodology: Compared Baseline Assessment Reports from each city for their interview questions and methods. I then compared how the results affected their priorities in their Action plans. Finally, I interviewed with a cultural expert to clarify any cultural significance.

Results: Columbus’s focus went primarily to actions that could be solved through city environment changes because that’s where they found the greatest need. However, Akita had little to no concerns about housing and transportation in comparison. This drastic difference is both affected by the cultural difference and economic differences.

Implications: As Columbus’s aging population inches towards that of Akita’s, we need to find solid solutions around housing and transportation. Akita offers a great example for our future goals as an Aging city.

Transport, Mobility and Accessibility

69200 | Status of E-Inclusion, and Prediction of Social Inclusion Among the Elderly in Taiwan

Carol, Shu Huey Wu, National Taiwan University, Taiwan

Hsin-Chun Chang, Chang Gung University Graduate Institute of Nursing, Taiwan

Digital aging is an essential part of active aging. E-Inclusion means that everyone in society can participate in the information society. In an aging society, whether E-Inclusion affects social inclusion?

The secondary data analysis method was used in this study— the source of original data from the National Development Council(2021). There are

1,745 who are experienced in using the Internet and those aged 65 and above. This study will •To analyze the E-Inclusion status of people over 65. To analyze the digital abilities and Social Inclusion in ICT use in health＜social connection, and subjective well-being of people over 65 and their relationships.

Result:

1. In Taiwan, 86.6% of individuals use the Internet. However, the Internet usage rate of the elderly over 65 years old has not reached 50%, but it has doubled in the past five years.

2. 98% of the elderly who have experience in using the Internet have used the Internet within three months. Data shows that the elderly use the Internet frequently. 83.7% of the elderly use the Internet every day, of which 34% use the Internet every day and for a long time, and 49% use the Internet every day but very often.

3. Elderly people use social communication the most (91.7%), followed by watching videos or listening to music on the Internet (64.6%), and online reading(58.5%).

4. According to Manova's analysis, the ability to use ICT significantly affects health status and social connection; but it has no significant effect on well-being.