gerontology

Research in community living

Left to right: Rachelle Patille, Cari Randa, Eireann O’Dea (Jewish Seniors Alliance board member and event moderator) and Boah Kim. (Courtesy JSA)

On Dec. 4, Jewish Seniors Alliance presented their fall symposium: Aging in Place: Gerontology Research in Community Living. The speakers – Rachelle Patille, Cari Randa and Boah Kim – and the moderator, Eireann O’Dea, are all graduate students in gerontology from Simon Fraser University and they shared their research on intergenerational connections, dementia-friendly communities and the role of informal caregivers for older adults.

The event took place at the Peretz Centre but was also available by Zoom. Aside from the JSA annual general meeting, this gathering was the first event presented in a dual format since the outbreak of COVID. Fifty participants joined online and about 20 were present in person.

Tammi Belfer, president of JSA, explained that the JSA’s fall symposium focuses on an educational theme and offers a more serious discussion than other programs. She said JSA wishes to provide outreach, advocacy and education services for all seniors, with the goal being “Seniors Stronger Together.” She then introduced the speakers and turned over the mic to O’Dea, who is a PhD candidate in gerontology at SFU. O’Dea’s interests are in social participation among older adults, particularly in volunteering and intergenerational activities; experiences among ethnocultural minority groups; and generativity. She has been a board member of JSA for three years.

The first speaker, Patille, conducts research focused on “intergenerational opportunities in bridging the gap between generations in Metro Vancouver.” She said she grew up having a lot of contact with her grandmother, and she believes that this fact led to her interest is this field. She defined intergenerational contact as a social benefit that facilitates mutual interaction and exchange between generations, and she discussed factors in society that have impeded such contact; for example, age segregation and geographic divisions among generations that lead to ageism.

Older adults living alone is the number one risk factor for isolation and loneliness, she said. These factors underline the need for connections through programming that will bring older adults into contact with other people, including other older adults. This can be accomplished through such things as home sharing, community programs, tutoring and art projects. These projects allow older adults to be part of the community through participation and mentoring, increasing the person’s feeling of self-worth. For some young people, this may be their first contact with older adults and can lead to reciprocity of social networks.

Patille spoke about generativity, which is the passing down and transfer of knowledge and information

between generations. She will also be looking at “voluntary kin”; that is, having younger members of society replace missing family for older adults.

The next speaker, Kim, focuses her research interests on integrated care, formal and informal caregiving, continuity of care and healthy aging. One of the difficulties for older adults is navigating complex community and healthcare systems. Two-thirds of older adults have health limitations and thus need a close connection with the healthcare system, she said. A geriatric care manager could be helpful in bridging gaps in services and helping to predict difficulties, she added. Many factors such as age, background or health issues, cannot be changed, but a care manager and caregivers could help with these situations.

The third speaker, Randa, is the project manager of the Public Health Agency of Canada-funded research project titled Dementia-Inclusive Streets and Community Access, Participation and Engagement (DEMSCAPE). The focus is on inclusion of those living with dementia in the

general community, as 70% live in their own homes. Planned inclusion in neighbourhood design is paramount in creating areas of accessibility, especially outdoor spaces, she said. Randa will be interviewing participants mostly in an outdoor setting to learn their feelings about public spaces with regard to safety and comfort. She is planning a documentary about these issues and the tools available to help, and DEMSCAPE is developing a design and planning guide to aid dementia patients in the community.

In the discussion that followed the presentations, someone noted that many countries are further ahead of Canada in a number of these areas raised. One of these is the availability of affordable home care, which would further facilitate aging in place. Jackie Weiler, a member of the JSA board and also a member of the Senior Advisory Committee for the City of Vancouver, mentioned the idea of a senior planner to promote accessibility.

Gyda Chud, chair of the program committee, brought the afternoon to a close with a quote from her 99-year-old mother, Gallia, expressing a hope for world peace, diversity, inclusion and social justice for all.

Shanie Levin is a Jewish Seniors Alliance Life Governor. She is also on the editorial committee of Senior Line magazine.

What’s up in gerontology?

At the second program of the season in the Jewish Seniors Alliance Snider Foundation Empowerment Series, a few Simon Fraser University graduate students shared their research interests with the 70-plus participants who tuned in via Zoom on Jan. 15.

Jointly sponsored by the JSA and Sholem Aleichem Seniors of the Peretz Centre for Secular Jewish Studies, the Gerontology Research Panel: Eager to Share our Interests and Help our Community – What’s Up With Seniors event featured master’s students Lindsay Grasso and Kishore Seetharaman, and PhD student in gerontology Eireann O’Dea.

Grasso became interested in exploring the impacts of separating couples in long-term care settings when her own family experienced it. She said this problem of separation will become more severe as more couples age together. Current long-term care settings separate couples, depending on each partner’s individual needs.

The effects of dementia on couples is profound and, often, one partner ends up as the caregiver for the other, she said. When the point is reached that institutional care is required, being together would alleviate a lot of the pain, believes Grasso, who has received a grant to look into the long-term effects of separating couples, as well as the effects on visiting spouses, when only one partner is in care. In both scenarios, there is the loss of a shared life, shared memories and the beginning of mourning. It is important to continue the relationship through visiting, sharing activities and eating together, she said. The healthier spouse would need to monitor care and advocate for their partner. For her research, Grasso will be conducting in-person interviews with couples, and will also meet with staff to review their understanding of the issues surrounding separation.

The second presenter, Seetharaman, has a background in architecture and is interested in planning and designing dementia-friendly neighbourhoods, especially in Metro Vancouver.

Worldwide, 70% of dementia-affected adults live at home, so dementia is more than an individual health issue, it is a community issue. Communities must be more inclusive, he said. He would like them to focus on eliminating stigma, raising awareness, social engagement, accessibility to services, improving planning and design of public spaces and support given to caregivers.

In terms of design, he said, familiarity and easy recognition are important. Signs should be clearly visible and easy to read. Distinctive landmarks are helpful for finding the way, he added. There is some work being done in Vancouver in this area but it is not clear as yet how it will be implemented. Seetharaman would like to create a body of knowledge for designers. He is hoping to interview both dementia patients and public servants.

O’Dea is looking into volunteerism and cultural generativity. She became interested in these topics as an undergraduate, when she was volunteering at the Jewish Community Centre of Greater Vancouver and its L’Chaim Adult Day Centre. There, she encountered seniors who were volunteering with other seniors, and she is looking into the benefits on health and sense of purpose in life, as they move away from former roles. The strengths and capabilities of these older adults motivated other seniors to become involved, she noted, adding that each person’s aging process is unique.

O’Dea already has interviewed a number of senior volunteers regarding their motivation. She said many spoke of being motivated by the values of tzedakah (charity) and tikkun olam (repairing the world), and the passing on of Jewish culture. These responses led her to the exploration of cultural generativity, i.e., the desire or need to keep cultural identity alive and pass it down to future generations. This is especially relevant to ethno-cultural minorities, she said, and O’Dea will be researching four minorities: Jewish, Chinese, South Asian and Iranian. She will be studying the effects on both the volunteers and the members of the communities.

During the Q&A session, there were queries about dementia villages; the design and cost of facilities for couples in long-term care; and retention and recruitment of volunteers. The City of Vancouver is apparently looking into an age-friendly action plan that could include persons with dementia.

JSA co-president Gyda Chud reminded everyone about the evaluation questionnaire, then Shanie Levin, program coordinator for JSA, thanked the presenters. The entire program, including the PowerPoint images, is available via the JSA website, jsalliance.org.

Shanie Levin is program coordinator for Jewish Seniors Alliance and on the editorial board of Senior Line magazine.

Community milestones … Order of Canada, Indspire, SFU Gerontology, JCC Jewish Book Awards

Rabbi Dr. Yosef Wosk speaks at a Vancouver Public Library event in 2017. (photo by Cynthia Ramsay)

The Order of Canada is one of our country’s highest civilian honours. Its companions, officers and members take to heart the motto of the order: “Desiderantes meliorem patriam” (“They desire a better country”).

Created in 1967, the Order of Canada recognizes outstanding achievement, dedication to the community and service to the nation. Appointments are made by the governor general on the recommendation of the Advisory Council for the Order of Canada. This year, among the 114 new appointees, are Vancouver Jewish community members Dr. Carol Herbert and Rabbi Dr. Yosef Wosk. Each recipient will be invited to accept their insignia at a ceremony to be held at a later date.

photo - Dr. Carol Herbert — Dr. Carol Herbert *(photo from schulich.uwo.ca)*

Herbert was appointed a Member of the Order of Canada for her contributions to the fields of clinical and academic medicine, as a family physician, medical educator, researcher and administrator. She and three colleagues were appointed.

“The appointment of Drs. B. Lynn Beattie, Joseph Connors, Carol Herbert and Roger Wong to the Order of Canada is a demonstration of their incredible commitment to the health and well-being of all Canadians,” said Dr. Dermot Kelleher, dean of the University of British Columbia’s faculty of medicine and vice-president, health, at UBC, said in a press release. “We are very proud of each of their contributions, and deeply moved by their passion for improving the lives of patients and families here in B.C., and across the nation.”

Herbert, an adjunct professor in the School of Population and Public Health, “is internationally known for her leadership in primary care research, and for her work in clinical health promotion, patient-physician decision-making, and participatory action research with Indigenous communities, focused on diabetes and on environmental effects on human health,” notes the UBC release. “She was formerly head of the department of family practice, founding head of the division of behavioural medicine and a founder of the UBC Institute of Health Promotion Research.”

This only touches on Herbert’s extensive experience. She also was dean of medicine and dentistry at Western University in London, Ont., from 1999 to 2010, was a practising family physician from 1970 to 2013, and has been involved in medical education since 1971.

Yosef Wosk, PhD, was appointed Officer of the Order of Canada for his far-reaching contributions to his community as a scholar, educator and writer, and for his generous philanthropy. BC Booklook (bcbooklook.com/2020/11/27/41941) cites the governor general: “Yosef Wosk is a Renaissance man of the 21st century. A rabbi, scholar, businessman and art collector, he is a revered educator and community activist who inspired many to become engaged in global issues and local challenges. Former director of interdisciplinary programs in continuing studies at Simon Fraser University, he founded the Philosophers’ Café and the Canadian Academy of Independent Scholars. A poet, explorer and dedicated philanthropist involved with museums, the arts, social services, publishing, nature and heritage conservation, he has endowed hundreds of libraries worldwide.”

Wosk has established more than 400 libraries, including 20 libraries in remote Himalayan villages and 37 in Jewish communities throughout the world. (See jewishindependent.ca/many-milestones-for-wosk-in-2019.) He has supported a range of local building preservation, public garden and other civic enhancement projects. He has helped fund the production of more than 250 books and videos, and has written numerous works, most recently Memories of Jewish Poland: The 1932 Photographs of Nachum Tim Gidal and the forthcoming GIDAL: The Letters of Tim Gidal and Yosef Wosk (Douglas & McIntyre, 2021). He supports several literature, writing, poetry, art and design initiatives, and is founding benefactor of the Dance Centre.

In addition to other honours, Wosk has received the Queen’s Golden and Diamond Jubilee Medals and a Mayor’s Arts Award, as well as the Order of British Columbia.

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As part of its belief in and commitment to supporting emerging architecture practitioners, the Arthur Erickson Foundation and the Yosef Wosk Family Foundation recently announced a $110,000 donation to Indspire – Canada’s national, award-winning Indigenous registered charity – in support of Indigenous youth in Canada. The donation will fund an awards program focused on increasing Indigenous student success by growing the number of Indigenous architects and landscape architects in Canada.

Central to Arthur Erickson’s work as an architect and theorist was his belief in and commitment to education and research. Having served on the faculties of architecture at the University of Oregon and the University of British Columbia, Erickson understood the need of each generation to contribute to the training of the next. One of the ways the foundation honours Erickson’s belief is by working with donors to develop prizes and scholarships intended to reward and assist students studying architecture and landscape architecture.

“The Arthur Erickson Foundation and Yosef Wosk Family Foundation, along with Indspire, are pleased to announce the establishment of an awards program supporting Indigenous education in architecture and landscape architecture,” said Michael Prokopow, vice-president (East) Arthur Erickson Foundation. “The organizations recognize the profound importance of the shared work of decolonization and reconciliation in Canada for the transformation of society. These awards recognize the deep power of Indigenous thinking and wisdom around the making of habitation and space for well-being across generations and the vitally important stewardship of the natural world.”

Mike DeGagné, president and chief executive officer of Indspire, stated, “This new investment is a significant step in supporting First Nations, Inuit and Métis architecture and landscape architecture students to achieve their potential through education and training. They can in turn enrich their communities and create positive change in Canada. We are grateful for the support of the Arthur Erickson Foundation and the Yosef Wosk Family Foundation for investing in Indigenous achievement and education.”

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photo - Dr. Gloria Gutman — Dr. Gloria Gutman *(photo from sfu.ca)*

Simon Fraser University Gerontology Research Centre (GRC) founder Dr. Gloria Gutman and her team – Avantika Vashisht, Taranjot Kaur, Mojgan Karbakhsh, Ryan Churchill and Amir Moztarzadeh – received the Best Paper Award at the International Conference on Gerontechnology, held Nov. 25-27. SFUGero tweeted the news Dec. 1, noting that the paper was a “[f]easibility study of a digital screen-based calming device for managing BPSD [behavioural and psychological symptoms of dementia] during bathing in a long-term care setting.”

A brief biography for Gutman, PhD, appears on the conference website. She is president of the North American chapter of the International Society for Gerontechnology, vice-president of the International Longevity Centre-Canada, past-president of the Canadian Association on Gerontology and the International Association of Gerontology and Geriatrics. She is co-editor (with Andrew Sixsmith) of Technologies for Active Aging (Springer, 2013) and has published widely on seniors housing, long-term care, health promotion, prevention of elder abuse, and seniors and disasters. She is on the advisory of MindfulGarden Digital Health and is the principal investigator on the first feasibility clinical studies for MindfulGarden, which is a digital treatment of hyperactive dementia in long-term care setting. She established the GRC and department of gerontology at SFU and is recipient of many awards and honours, including the Order of Canada.

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The third edition of the Western Canada Jewish Book Awards, presented by the Cherie Smith JCC Jewish Book Festival in Vancouver, took place Dec. 6. Daniella Givon, chair of the awards committee, opened the evening on Zoom and the five honours were awarded by five different presenters.

Winning the Nancy Richler Memorial Prize for Fiction was Rhea Tregebov for Rue des Rosiers, in which a young Canadian woman’s search for her own identity brings her to Paris in 1982, and face-to-face with the terror of an age-old enemy. Tregebov (Vancouver) is the author of fiction, poetry and children’s picture books. She is associate professor emerita in the University of British Columbia creative writing program.

The Pinsky Givon Family Prize for nonfiction went to Naomi K. Lewis for Tiny Lights for Travellers. When her marriage suddenly ends, and a diary documenting her beloved Opa’s escape from Nazi-occupied Netherlands in the summer of 1942 is discovered, Lewis decides to retrace his journey to freedom. Lewis (Calgary) is the author of the novel Cricket in a Fist and the short story collection I Know Who You Remind Me Of.

Ellen Schwartz was awarded the Diamond Foundation Prize for children’s and youth literature for The Princess Dolls, a story about friendship between a Jewish girl and a Japanese girl, set against the backdrop of 1942 Vancouver. Schwartz (Burnaby) is the author of 17 children’s books, including Abby’s Birds and Mr. Belinsky’s Bagels.

The Lohn Foundation Prize for poetry was given to Alex Leslie for Vancouver for Beginners. In this collection, the nostalgia of place is dissected through the mapping of a city, where readers are led past surrealist development proposals, post-apocalyptic postcards and childhood landmarks long gone. Leslie (Vancouver) is the author of two short story collections and the winner of the 2015 Dayne Ogilvie Prize for LGBTQ Emerging Writers.

The Kahn Family Foundation Prize for writing about the Holocaust was given to Olga Campbell for A Whisper Across Time, a personal and moving story of her family’s experience of the Holocaust through prose, art and poetry, creating a multi-dimensional snapshot of losses and intergenerational trauma. Campbell is a visual artist whose media include photography, sculpture, mixed media painting and digital photo collage.

The jury for the 2020 Western Canada Jewish Book Awards comprised Shula Banchik, arts and culture manager of the Calgary JCC; Judy Kornfeld, former librarian at Langara College; Els Kushner, author and librarian; Norman Ravvin, writer, critic and Concordia University professor; and Laurie Ricou, professor emeritus of English at UBC.

After short acceptance speeches and readings from the authors, Dana Camil Hewitt, director of the JCC Jewish Book Festival, concluded the evening thanking the sponsors, the judges, the awards committee and the extended virtual audience, and inviting everyone to purchase and enjoy the books.

Constructing age-tech maps

Keren Etkin (photo by Pazit Oz)

Keren Etkin, a 32-year-old Israeli master’s student, has been working on what she calls the Age Tech Market Map. This small but full link library is a place for older adults to find the latest news about technology.

“I am a gerontologist by training and tech enthusiast by nature,” said Etkin, who was born and raised in Israel and currently lives in Tel Aviv. “Gerontology is the study of various aspects of aging and gerontologists are either scientists researching the various aspects of aging or professionals working in the aging business.”

While working on her undergraduate degree in the sciences, Etkin began volunteering with Holocaust survivors, which she found a stark contrast to working in the lab. After graduating, she continued further along this path, finding work in the nonprofit sector. But she soon realized that, without a relevant degree, it would be challenging for her to advance her career, which is why she is currently studying for a master’s in gerontology.

“I work at the intersection of tech and aging, which is a very interesting place to be right now, professionally,” said Etkin. “I also run The Gerontechnologist [thegerontechnologist.com], which allows me to explore different aspects of the age-tech ecosystem and talk to many interesting people who do interesting and impactful work.”

Etkin’s first job in the industry was with Intuition Robotics, where she helped develop and build ElliQ, a friendly sidekick for older adults.

“ElliQ was the first big project I was involved with,” said Etkin. “I was recruited to Intuition Robotics in 2016 as the company’s first employee and only gerontologist. That was a very hands-on project that I feel fortunate to have had the opportunity to work on for several years.

“I know there are other gerontologists out there working in or with start-ups or investing in start-ups, and I think that’s a good thing – to have professionals from the aging industry come work inside the tech industry and help build tech solutions for the aging population.”

ElliQ makes it easier to connect to family, friends and the digital world, and helps users stay active and engaged. With it, people can read and respond to messages, share pictures, get reminders about medications, respond to questions and even receive surprise suggestions throughout the day.

“I think incorporating technology into any field of work is beneficial, specifically when it comes to the aging industry,” said Etkin. “There’s a lot to gain, since it’s very labour intensive. Some of the work currently being done by humans could be done by machines – like paperwork and some physical tasks – hence, freeing up humans to perform tasks that require uniquely human skills, such as empathy, critical thinking and creative problem-solving.”

The biggest hurdle Etkin sees in the industry is that most tech companies do not view older adults as potential users. In her opinion, they are missing out on a huge sector.

“Studies show that older adults are adopting technology more and more,” she said. “Internet use is rising steadily and many older adults own smartphones. From my experience, older adults are willing to use technology as long as they find that it’s useful and brings value to their lives.”

According to Etkin’s website, “The global spending power of people 60+ years old is expected to reach $20 trillion by 2020. Americans over 50 are expected to spend $84 billion annually on tech products by 2030.

“Contrary to common belief, most older adults hold a positive perception of technology. Many are eager to learn new tech skills as long as they find them useful. However, most of them admit they require some assistance in setting up and learning to use new devices.

“A report by the Pew Research Center found that 42% of older adults in the U.S. own smartphones and that 67% use the internet. Baby boomers spend an average of 27 hours a week online.”

Etkin began working on The Gerontechnologist in 2017. At the time, she was just looking for was a snapshot of the ecosystem and she was curious to learn what other people in the field were working on.

“After spending many, many hours doing online research, I came to the conclusion that there was no age-tech market map out there and so I decided to create it myself,” said Etkin. “After publishing it online, I got a lot of feedback and realized that other people were also interested in this. I also realized that I enjoyed creating content about age tech, and it sort of took off from there. The blog today serves anyone who’s interested in tech for older adults.”

This past summer, Etkin started posting podcasts and video series on thegerontechnologist.com, and she plans to keep working on projects that she is passionate about and that she thinks bring value to the world.

Etkin is working on the 2020 Age Tech Market Map. In the process, she will evaluate more than 2,000 service providers and choose the top 200 for the map.

“I would love to hear about Canadian start-ups developing tech for older adults,” said Etkin. “You can reach me through the contact page on my website or message me on LinkedIn and Twitter.”

Rebeca Kuropatwa is a Winnipeg freelance writer.