Scoping Review: Intergenerational Resource Transfer and Possible Enabling Factors.

We explore the intergenerational pattern of resource transfer and possible associated factors. A scoping review was conducted of quantitative, peer-reviewed, English-language studies related to intergenerational transfer or interaction. We searched AgeLine, PsycINFO, Social Work Abstracts, and Sociological Abstracts for articles published between Jane 2008 and December 2018. Seventy-five studies from 25 countries met the inclusion criteria. The scoping review categorised resource transfers into three types: financial, instrumental, and emotional support. Using an intergenerational solidarity framework, factors associated with intergenerational transfer were placed in four categories: (1) demographic factors (e.g., age, gender, marital status, education, and ethno-cultural background); (2) needs and opportunities factors, including health, financial resources, and employment status; (3) family structures, namely, family composition, family relationship, and earlier family events; and (4) cultural-contextual structures, including state policies and social norms. Those factors were connected to the direction of resource transfer between generations. Downward transfers from senior to junior generations occur more frequently than upward transfers in many developed countries. Women dominate instrumental transfers, perhaps influenced by traditional gender roles. Overall, the pattern of resource transfer between generations is shown, and the impact of social norms and social policy on intergenerational transfers is highlighted. Policymakers should recognise the complicated interplay of each factor with different cultural contexts. The findings could inform policies that strengthen intergenerational solidarity and support.

Migration, Aging, and Digital Kinning: The Role of Distant Care Support Networks in Experiences of Aging Well.

BACKGROUND AND OBJECTIVES: High rates of migration contribute to the dispersal of support networks across distance. For older adults reliant on informal care, this creates a high risk of increased social isolation. In this article, we highlight the role of communication technologies in maintaining support networks and identities across distance. Building on transnational family research and on anthropological notions of "kinning," we propose that processes of distant support can be better understood through the new concept of "digital kinning." RESEARCH DESIGN AND METHODS: A qualitative project conducted in Australia (2016-2019) with over 150 older migrants (55+) born in nine countries comprising ethnographic interviews and observations. Analysis comprised the inductive approach of ethnographic qualitative research and theory building from cases, drawn from grounded theory traditions. Select ethnographic cases illustrate the key dimensions and benefits of "digital kinning" for older migrants. RESULTS: Digital kinning practices support the access of older migrants to (i) essential sources of social connection and support, (ii) maintenance of cultural identity, and (iii) protection of social identity, including across distance. Their effectiveness is reliant on access to affordable and reliable digital communication tools. DISCUSSION AND IMPLICATIONS: Although essential to the well-being of older migrants, distant support networks and the digital kinning practices that sustain them receive little attention from policy makers and health practitioners. Organizations concerned with the care of older people must improve awareness of distant support networks by supporting practices of "digital kinning," ranging from including distant kin in health care plans to prioritizing digital inclusion initiatives.

Embracing Cultural Diversity - Leadership Perspectives on Championing Meaningful Engagement for Residents Living with Advanced Dementia.

Resource constraints and high staff turnover are perceived as substantial barriers to high quality residential aged care. Achieving relationship-focused, person-centered care (PCC) is an ongoing challenge. This paper reports on an international project that explored how residential care leadership understand meaningful engagement for residents with dementia from culturally and linguistically diverse (CALD) backgrounds. This paper critically appraises the process, and outcomes, of an adapted Delphi method. Participants were the residential care leadership (i.e. staff in supervisory capacity) from four international facilities. Participation in the Delphi process was limited even though surveys were designed to require minimal time for completion. No participants opted for the alternative option of being interviewed. Findings indicate that residential care leadership recognised the importance of meaningful engagement for residents from CALD backgrounds. Limitations of time, resources and policy infrastructure were cited as barriers to achieving PCC. These findings suggest that facility leadership understand the importance of PCC, but identify multiple barriers rather than enablers for delivering PCC. Alternative methods, such as collecting data in interactive sessions allowing real-time discussion should be initiated to more effectively engage residential care leaders for a collaborative approach to explore PCC practices.

The Best Day of the Week: New Technology Enhancing Quality of Life in a Care Home.

Older people living in residential aged care facilities tend to be physically as well as socially inactive, which leads to poorer health and reduced wellbeing. A lack of recognition of the importance of social support, limited resources, lack of training and task-oriented work routines leave little time for staff to meet the social needs of residents. Through qualitative ethnographic fieldwork, this study investigates the potential for new technologies to enhance quality of life and facilitate meaningful engagement in physical and social activities among culturally and linguistically diverse residents and staff in care facilities. A continuum from nonparticipation to full participation among residents was observed when Touch Screen Technology activities were implemented. Data indicate that resident's engagement is impacted by five interdependent factors, including environmental, organisational, caregiver, patient, and management- &government-related. Findings show that new technologies can be used to increase meaningful physical and social engagement, including transcending language and cultural barriers. However, the successful application of new technologies to enhance quality of life is dependent on their integration into the daily routine and social relationships of staff and residents, with the full support of management. Guidelines governing the use of new technologies to support meaningful engagement of older people in residential care are lacking: this project highlights the importance of attention to the social relational dimensions of technology interventions to support best practice in their use.

The prevalence of psychiatric disorders among Vietnamese children and adolescents.

OBJECTIVE: To determine the prevalence of psychiatric disorders among Vietnamese children and adolescents living in Perth, Western Australia. DESIGN, PARTICIPANTS AND SETTING: A list of Vietnamese households was drawn from Perth telephone directories. A computer program generated a systematic probability sample of households. All children and adolescents aged 9-17 in these households were invited to participate in the study. Children and their parents were interviewed in their home using the Diagnostic Interview Schedule for Children, version 2.3 (DISC-2.3). The child version (DISC-C) was used for children and the parent version (DISC-P) for adults. The study was conducted between July and December 1997. MAIN OUTCOME MEASURES: The prevalence of psychiatric disorders in children and adolescents, based on DISC-C and DISC-P data. RESULTS: Results were based on the 519 children (89.2%) for whom complete data were available. Twenty-three parents (4.4%) reported that their child had one or more disorders on the DISC-P, 82 children (15.8%) reported one or more disorders on the DISC-C, and 18.3% of children were reported to have a disorder on either the DISC-C or the DISC-P. Parent-child concordance on specific diagnoses was very low (0.6%). The great majority of disorders reported were anxiety disorders, especially simple and social phobias. CONCLUSIONS: The combined prevalence of psychiatric disorders among Vietnamese children aged 9-17 was similar to that found among children in Western Australia's general population. Vietnamese children in our study were much more likely to report symptoms of a psychiatric disorder than were their parents.