Which interventions with youths counter ageism toward older adults? Results from a realist review.

Age-related social biases - ageism - are developed at an early age. Interventions to counter ageism have been identified but little is known about their mechanisms, particularly in children. This study aimed to provide a comprehensive understanding of which interventions in youths are most effective, under which circumstances, how, and with what outcomes. Using 46 keywords in 6 databases, a realist review identified 24 studies published between 2000 and 2022 targeting youths under 18. A content analysis of these studies led to the construction of a Context-Mechanisms-Outcomes explanatory model. Contextual facilitators triggering mechanisms for changing stereotypes, prejudices and discrimination were: 1) enhancing knowledge about aging and older adults by providing nuanced information, 2) improving the quality of intergenerational contacts, 3) increasing opportunities to apply previously acquired knowledge in intergenerational interactions, and 4) promoting reflective thinking about experiences with older adults. However, stereotypes and prejudices appeared to be resistant and changes difficult to generalize. Insufficiently advanced cognitive development in children or viewing healthy and socially engaged older adults as unrepresentative of their age group were obstacles that reduced intervention effectiveness. Future studies should explore how advancing age influences interventions as well as the characteristics of older adults involved.

Fostering Positive Views About Older Workers and Reducing Age Discrimination: A Retest of the Workplace Intergenerational Contact and Knowledge Sharing Model.

Ageism toward older workers is prevalent in the labor market. The present study aimed to understand psychosocial mechanisms that may counteract this form of discrimination and help retain workers in the labor force. Using a sample of 500 Canadian younger and older workers, this study tested a model hypothesizing that intergenerational contacts and knowledge sharing practices can reduce ageist views about older adults and age-based discrimination against one's own group, and in turn, enhance work engagement and intentions to remain in the workplace. The final model shows that knowledge sharing practices mediate the relationship between intergroup contacts and positive views about older workers as well as age-based discrimination. It also suggests that low levels of age-based discrimination increase work engagement and intentions to remain in the organization for workers of all ages. Practice and policy implications are discussed.

An Examination of Mentors' Interpersonal Behaviors and Mentees' Motivation, Turnover Intentions, Engagement, and Well-Being.

Using self-determination theory among a sample of student employees, the present cross-sectional study (N = 358) examines how mentors' interpersonal behaviors relate to both motivation at work and motivation for a mentoring relationship and how these two contexts of motivation can differentially relate to mentees' work outcomes. Results revealed that mentors' need-supportive interpersonal behaviors were associated with greater autonomous motivation at work and in the mentoring relationship and, in turn, to greater well-being and work engagement, and to lower turnover intentions. In contrast, need-thwarting interpersonal behaviors were associated with greater controlled motivation at work and in the mentoring relationship and, in turn, to lower well-being and work engagement, and to greater turnover intentions. Overall, this study illustrates the impact of the mentor-mentee relationship on motivation for work and for the mentoring relationship and provided support for the contribution of both motivational contexts in the work-related outcomes of employees in the workplace.

COVID-19 and the Elderly's Mental Illness: The Role of Risk Perception, Social Isolation, Loneliness and Ageism.

For almost two years, populations around the globe faced precariousness and uncertainty as a result of the COVID-19 pandemic. Older adults were highly affected by the virus, and the policies meant to protect them have often resulted in ageist stereotypes and discrimination. For example, the public discourse around older adults had a paternalistic tone framing all older adults as "vulnerable". This study aimed to measure the extent to which perceived age discrimination in the context of the COVID-19 pandemic, as well as the sense of loneliness and social isolation, fear and perception of COVID-19 risks, had a negative effect on older adults' mental illness. To do so, a self-report questionnaire was administered to 1301 participants (average age: 77.25 years old, SD = 5.46; 56.10% females, 43.90% males). Descriptive and correlational analyses were performed, along with structural equation modelling. Results showed that perceived age discrimination in the context of the COVID-19 pandemic positively predicts loneliness and also indirectly predicts mental illness. In addition, loneliness is the strongest predictor of mental illness together with fear of COVID-19 and social isolation. Such results highlight the importance of implementing public policies and discourses that are non-discriminating, and that favour the inclusion of older people.

Testing the Shielding Effect of Intergenerational Contact against Ageism in the Workplace: A Canadian Study.

Negative outcomes of ageism in the context of the Canadian labor market are well documented. Older workers remain the target of age-based stereotypes and attitudes on the part of employers. This study aims at assessing (1) the extent to which quality and quantity intergroup contacts between younger and older workers as well as knowledge-sharing practices reduce ageist attitudes, in turn (2) how a decrease in ageist attitudes increase the level of workers' engagement and intentions to remain in the organization. Data were collected from 603 Canadian workers (aged 18 to 68 years old) from private and public organizations using an online survey measuring concepts under study. Results of a path analysis suggest that intergroup contacts and knowledge-sharing practices are associated with positive attitudes about older workers. More so, positive attitudes about older workers generate higher levels of work engagement, which in turn are associated with stronger intentions to remain with the organization. However, positive attitudes about older workers had no effect on intentions to remain in the workplace. Results are discussed in light of the intergroup contact theory.

The "Vulnerability" Discourse in Times of Covid-19: Between Abandonment and Protection of Canadian Francophone Older Adults.

The Covid-19 pandemic has been particularly difficult for older Canadians who have experienced age discrimination. As the media can provide a powerful channel for conveying stereotypes, the current study aimed to explore how Canadian Francophone older adults and the aging process were depicted by the media during the first wave of the Covid-19 pandemic, and to examine if and how the media discourse contributed to ageist attitudes and behaviors. A content analysis of two French Canadian media op-eds and comment pieces (n = 85) published over the course of the first wave of the pandemic was conducted. Findings reveal that the aging process was mainly associated with words of decline, loss, and vulnerability. More so, older people were quasi-absent if not silent in the media discourse. Older adults were positioned as people to fight for and not as people to fight along with in the face of the pandemic. The findings from this study enhance the understanding of theories and concepts of the Theory of Social Representations and the Stereotype Content Model while outlining the importance of providing older people with a voice and a place in the shaping of public discourse around aging. Results also illustrate the transversality and influence of ageism in this linguistic minority context.

About me but without me? Older adult's perspectives on interpersonal communication during care transitions from hospital to seniors' residence.

BACKGROUND: Transitions in care can be stressful for an older adult. While communication protocols between health care professionals during transitions have been thoroughly studied, there is a need to better understand how older adults transitioning perceive interpersonal communication. Relying on Communication Accommodation Theory, the goal of this study is to explore Canadian older adults' perspectives of interpersonal communication during care transition from acute care in a hospital to a residence and assess if and how communication could improve health and well-being. Using a longitudinal exploratory design, 13 older adults (MAge = 84 years) transitioning from acute hospital care to a residence were interviewed at three time points: (1) in the hospital, (2) upon arriving at the residence and (3) in the residence, 2-3 months later. A total of 30 interviews were analyzed using thematic content analysis. Five main themes emerged from participants' descriptions of their transition and communication with health care professionals: (1) Interpersonal Communication or Information, (2) Gratefulness & Burden, (3) Acceptance & Resilience, (4) Maintaining Autonomy and (5), Level of satisfaction. Most participants described being informed rather than being an active participant during the transition process. Most also accepted the transition and tried to reduce the burden on family notably by finding ways to maintain autonomy. A major finding of this study is the lack of interpersonal communication taking place during the transition process, which increased older adults' feeling of uncertainty about the future. Many were unclear on why this move was taking place and where they were going. Providing a space for older adults to communicate their perspectives could attenuate the negative outcomes stemming from stressful care transitions.

COVID-19 and Quarantine, a Catalyst for Ageism.

In February 2021, France had more than 76,000 deaths due to COVID-19 and older adults were heavily affected. Most measures taken to reduce the impact of COVID-19 (quarantine, visit ban in nursing home, etc.) significantly influenced the lives of older adults. Yet they were rarely consulted about their implementation. Exclusion of and discrimination against older adults has been accentuated during the COVID-19 pandemic. While many articles discussing COVID-19 also mention ageism, few actually incorporate the perspectives and opinions of older adults. Our research aims to assess the ageism experienced by older adults during the COVID-19 pandemic. We conducted interviews with older adults (63-92 years, mean age = 76 years) in an urban area of France. Participants reported experiencing more ageism during the COVID-19 pandemic, including hostile and benevolent ageism from older adults' families. Despite reports of experiencing ageist attitudes and behaviors from others, however, older adults also identified positive signs of intergenerational solidarity during this COVID-19 crisis.

Let's Work Together: Assessing the Impact of Intergenerational Dynamics on Young Workers' Ageism Awareness and Job Satisfaction.

Previous studies suggest that intergroup contact has a positive effect on older workers' perception of ageism and satisfaction. This study aims at assessing such relationships amongst Canadian younger workers. Precisely, in light of the intergroup contact theory (ICT), it was first hypothesized that a positive perception of intergenerational workplace climate (IWC) and knowledge sharing practices (KSP) increase younger workers' awareness of ageist behaviors targeting older peers. Second, it was hypothesized that such awareness has a positive effect on young workers' level of satisfaction. Relying on a cross-sectional design composed of 612 participants, path analysis was conducted. Findings suggest that whereas KSP increases younger workers' awareness of ageist behaviors towards older workers, this is not the case for IWC. On the other hand, both IWC and KSP have a direct and positive impact on younger workers' level of satisfaction. Theoretical and practical implications of findings are discussed.

Ageism and COVID-19: what does our society's response say about us?

The goal of this commentary is to highlight the ageism that has emerged during the COVID-19 pandemic. Over 20 international researchers in the field of ageing have contributed to this document. This commentary discusses how older people are misrepresented and undervalued in the current public discourse surrounding the pandemic. It points to issues in documenting the deaths of older adults, the lack of preparation for such a crisis in long-term care homes, how some 'protective' policies can be considered patronising and how the initial perception of the public was that the virus was really an older adult problem. This commentary also calls attention to important intergenerational solidarity that has occurred during this crisis to ensure support and social-inclusion of older adults, even at a distance. Our hope is that with this commentary we can contribute to the discourse on older adults during this pandemic and diminish the ageist attitudes that have circulated.

Stereotypes Associated With Age-related Conditions and Assistive Device Use in Canadian Media.

PURPOSE OF THE STUDY: Newspapers are an important source of information. The discourses within the media can influence public attitudes and support or discourage stereotypical portrayals of older individuals. This study critically examined discourses within a Canadian newspaper in terms of stereotypical depictions of age-related health conditions and assistive technology devices (ATDs). DESIGN AND METHODS: Four years (2009-2013) of Globe and Mail articles were searched for terms relevant to the research question. A total of 65 articles were retained, and a critical discourse analysis (CDA) of the texts was conducted. The articles were coded for stereotypes associated with age-related health conditions and ATDs, consequences of the stereotyping, and context (overall setting or background) of the discourse. RESULTS: The primary code list included 4 contexts, 13 stereotypes, and 9 consequences of stereotyping. CDA revealed discourses relating to (a) maintaining autonomy in a stereotypical world, (b) ATDs as obstacles in employment, (c) barriers to help seeking for age-related conditions, and (d) people in power setting the stage for discrimination. IMPLICATIONS: Our findings indicate that discourses in the Canadian media include stereotypes associated with age-related health conditions. Further, depictions of health conditions and ATDs may exacerbate existing stereotypes about older individuals, limit the options available to them, lead to a reduction in help seeking, and lower ATD use. Education about the realities of age-related health changes and ATDs is needed in order to diminish stereotypes and encourage ATD uptake and use.

Canadian government's framing of ageing at work and older workers: Echoing positive ageing models.

BACKGROUND: Public representations of ageing can influence how individuals perceive their own experience of ageing. Results of studies on the OECD (Organisation for Economic Co-operation and Development)'s governmental messages on older workers suggest that they are mainly constructed around economic productivity and personal responsibility. OBJECTIVE: The goal of this study is to examine how the Canadian government frames issues around ageing, work and older workers. Canada is facing a rapidly ageing workforce, hence the importance of examining how the government discusses ageing at work. METHOD: A thematic content analysis was conducted on a total of 154 government web pages. RESULTS: Results revealed that predominant themes revolve around economic challenges resulting from an ageing workforce. Older workers are depicted as a key component for the (economic) management of an ageing workforce. More specifically, older workers who intend to continue working are highly valued in the government's messages which present them as productive citizens and role models for "ageing well". CONCLUSION: Canada's response to the challenges of an ageing workforce echoes the underlying standards of positive ageing models, which may generate, perhaps inadvertently, a new form of ageism by creating intra-and intergenerational divides in the workplace.

Cultural perceptions of aging: the perspective of Somali Canadians in Ottawa.

Somalis currently constitute the largest Sub-Saharan community in Canada and as such have greatly contributed to the transformation of the immigrant population of this country. Although there is a growing body of research on the Somali community in Canada, the question of how the first generation of Somali Canadians experiences aging and transmits its values and attitudes in this regard to younger generations has yet to be explored. The goal of the present study is precisely to understand how male and female Somali seniors living in Canada perceive and experience aging from a cross-cultural perspective. A total of 17 Somali elders (9 women and 8 men) took part in two focus group discussions. Results of the interpretative content analysis revealed that, regardless of the cultural context, both Somali men and women foster quite a positive view of the notion of aging. However, as Somali migrants, men were more critical than women in regards to the challenges of aging in Canada. Results are discussed in light of previous studies on aging, ageism and culture.

[Unveiled : the look of seniors and caregivers on daily communication and manifestations of implicit ageism]. / À mots couverts: le regard des aînés et des soignants sur la communication quotidienne et ses manifestations d'âgisme implicite.

The aim of this exploratory study was to better understand interpersonal communication between frail elders and caregivers in the context of long-term care giving. In addition, in light of the Communication Accommodation Theory, the goal was to determine the extent to which communication can be a transmitter of ageism, particularly of implicit ageism. A total of 26 semi-structured interviews were conducted among elders and caregivers of a Quebec long-term care facility. Results suggest a close convergence between the perception of seniors and caregivers in regards to a quasi total absence of daily communication and moreover, in regards to the highly instrumental nature of this same communication. Finally, results of the content analysis also suggest that implicit ageism is indeed reflected in interpersonal communication between frail elders and caregivers.

Shielding self-esteem through the adoption of psychological disengagement mechanisms: the good and the bad news.

The fact that Canada's working population is aging and will continue to do so is no surprise to anyone. What is surprising though is what many of these aging workers are experiencing in the late years of their career: They continue to be the target of negative stereotypes which in turn, reinforce discrimination and marginalization practices. The present study was aimed at understanding the consequences of differential treatment based on age (measured by relative deprivation) from the theoretical perspective of psychological disengagement. A total of 117 Canadian civil servants over the age of 45 participated in this study. According to hypotheses, it was found that feelings of relative deprivation were associated with discounting which in turn led to a decrease in self-esteem. This chain of reactions generated instabilities, fluctuations in self-esteem and through this, questioned the protective role of psychological disengagement. It is only by devaluing their non-prestigious domain of activity that participants seemed to regain stability of their self-esteem. Theoretical and practical implications of these results are discussed.

[Health in peril: repercussions of ageism on the psychological disengagement of male nurses aged 45 years and older]. / La santé en péril : répercussions de la communication âgiste sur le désengagement psychologique et l'estime de soi des infirmiers de 45 ans et plus.

These two studies are designed to evaluate the reactions of male nurses aged 45 years and older toward ageism. The goal of the first study is to test the prestigious work domain model of psychological disengagement resulting from a previous study conducted among female nurses. This model has been confirmed through path analyses conducted on a sample of 236 male nurse technicians; by the same token, it has been shown to apply in the case of lower-status employees working in a prestigious field. In particular, the more a male nurse aged 45 and older experiences relative personal deprivation, the more he discredits feedback from his co-workers and superiors; such discrediting, in turn, leads to devaluation of the domain of work, which in turn lowers self-esteem. The goal of the second study is three-fold, namely: (a) testing the disengagement model among 419 male nurse clinicians; (b) extending this model through the addition of ageist communication as a variable triggering personal relative deprivation; and (c) constructing a scale of ageist communication. Path analyses have again confirmed that the way a domain is appreciated influences the negative impact that devaluation can produce on self-esteem, regardless of the gender or status of the employee working in that field. In addition, these results demonstrate the central role played by communication in the workplace as a vehicle of ageism and as a precursor of ageing employees' discomfort. The discussion covers the implications of ageing employees' reactions toward ageism as well as the consequences of depreciatory language and exclusionary communication practices in the workplace.

Making hospital care safer and better: the structure-process connection leading to adverse events.

The 2004 Canadian Adverse Events (AE) Study which focused on estimating the incidence of AEs in hospital settings found an annual AE rate of 7.5% of all hospital admissions in Canada (Baker et al. 2004). Although study findings in terms of patient outcomes are essential for hospitals to review their own practices, a thorough understanding of the contributing factors leading to adverse events will be an important next step for hospitals to correct the deficiencies that might act as barriers to providing safe patient care. In other words, a thorough investigation and analysis of structure and process factors within individual hospitals as they relate to patient outcomes is needed as a next step. In order to explore how structural and care-process factors might be linked to the occurrence of adverse events in hospitals, this article aims at building a predictive model, by using Donabedian's model of structure, process, outcome and analyzing secondary data of Ontario Registered Nurse Survey of Hospital Characteristics. Results revealed that perceived understaffing, inadequate support services, unpleasant work environment, poor teamwork and non-supportive administration impact negatively the number of tasks left undone by nurses, which in turn, influence negatively the occurrence and frequency of adverse events in hospitals. Results and implications are discussed.

A new approach to the link between identity and relative deprivation in the perspective of ageism and retirement.

Although the work force is aging, views regarding older workers remain negative. As a result, complaints of discrimination on the basis of age have increased. This situation prompts the following questions: what leads aging workers to acknowledge disparities between younger workers and themselves, and what are the consequences for aging workers of integrating into their self-image some of the characteristics commonly associated with their cohort? These questions are examined in light of a new approach to the link between identity and relative deprivation. The following hypotheses were included in a predictive model: the more individuals include characteristics of their group into their self-descriptions, the more they experience personal deprivation when comparing their own situation to that of younger workers. These feelings, in turn, affect them during retirement in terms of lowered self-esteem and decreased satisfaction with their life. This model was tested among 149 young retirees. Hypotheses were confirmed, and it was shown that end-of-career experiences have an impact on the situation of young retirees. The more individuals integrated characteristics of aging workers, the more they felt personally deprived as a result of invidious comparisons with young co-workers. The latter also had a negative impact on self-esteem and life satisfaction. Implications of results and new avenues of research are discussed herein.