| Literature DB >> 31919942 |
Xanthe Golenko1, Katrina Radford1, Janna Anneke Fitzgerald1, Nerina Vecchio2, Jennifer Cartmel3, Neil Harris4.
Abstract
Economic, health and social issues associated with the ageing population and the disconnect between the generations call for novel approaches to care services. Intergenerational programs are known to enhance engagement between generations, improve health and well-being and create a stronger sense of community. While the health and social benefits are well documented, little attention has been given to the operational aspects of intergenerational programs within care facilities. This paper describes the research protocol used to develop, implement and evaluate an intergenerational learning program for preschool-aged children and older people attending care services. The research focuses on five key areas: (a) impact on older people and children; (b) intergenerational learning; (c) workforce development; (d) socio-economic implications and costs; and (e) program fidelity and sustainability. Findings from this research are expected to contribute to building age-friendly communities through the development of practical operational guidelines for intergenerational learning programs to be implemented more broadly across Australia.Entities:
Keywords: child care; healthy aging; intergenerational relations; learning; workforce
Mesh:
Year: 2020 PMID: 31919942 PMCID: PMC7687250 DOI: 10.1111/ajag.12761
Source DB: PubMed Journal: Australas J Ageing ISSN: 1440-6381 Impact factor: 2.111
Research sites and key characteristics
| Research site | Model of IGC | Type of aged care | Type of childcare | Intergenerational learning program location | Cohorts |
|---|---|---|---|---|---|
| Site 1 | Co‐location: owned by the one organisation | Residential | Child day care centre | Common room located in residential care facility. Children walked a short distance within the same grounds | Intervention and matched control cohorts from the same organisation but childcare and residential care located at different premises |
| Site 2 | Co‐location: owned by the one organisation | Day respite: culturally diverse community | Child day care centre: culturally diverse community | Community hall located within the same premises as the childcare centre. Older people travelled to centre to participate in program and children walked across a playground | Intervention and matched control cohorts from the same organisation but childcare and respite care located at different premises |
| Site 3 | Visitation: partnering childcare and aged care centres | Day respite | Child day care centre | Childcare centre. Older people travelled to childcare centre by mini‐bus | Intervention cohorts |
| Site 4 | Visitation: partnering childcare and aged care centres | Day respite | Child day care centre | Aged care centre. Children travelled to aged day care centre | Intervention cohorts |
Abbreviation: IGC, intergenerational care.
Sample size by participant group and research site at the time of recruitment
| Intervention cohorts | Co‐location model | Visitation model | Total | ||
|---|---|---|---|---|---|
| Site 1 | Site 2 | Site 3 | Site 4 | ||
| Child‐parent dyad | 11 | 16 | 11 | 6 | 44 |
| Older people | 9 | 15 | 9 | 6 | 39 |
| Informal carer of older people | 0 | 0 | 2 | 5 | 7 |
| Workforce | 4 | 4 | 7 | 5 | 20 |
| Total Intervention | 24 | 35 | 29 | 22 | 110 |
Workforce includes aged care and childcare workers, managers and volunteers.
Evaluation framework components linked with objectives, indicators and data sources
| Evaluation component | Objectives | Indicators | Data sources | |
|---|---|---|---|---|
| Outcome evaluation | ||||
| Participant outcomes | 1. To examine how an intergenerational learning program impacts on the health and well‐being of participants. |
Health Well‐being Mood |
Surveys Mood scales | |
| Education outcomes | 2. To examine the impact of an intergenerational learning program on engagement and program satisfaction. |
Level of engagement Program satisfaction |
Video ethnography Engagement Scale Leuven Scale Reflective journal (Program Reflections) Follow‐up interviews with participants (children and older people) | |
| Workforce outcomes | 3. To examine the impact on workforce in terms of staff retention and career development |
Job Stress Inventory Career development opportunities Program satisfaction |
Reflective journal (Individual Practice) Job Stress Inventory (pre and post) Session satisfaction Reflective journal (Program Reflections) Workforce interviews (pre and post) | |
| Economic evaluation | ||||
| Socio‐economic outcomes | 4. To examine the costs and benefits associated with implementing an intergenerational learning program |
Cost analysis Willingness to pay Cost‐benefit analysis |
Surveys Cost data spreadsheet | |
| Process evaluation | ||||
| Program fidelity and sustainability | 5. To identify the core components of the program that are critical to its success, and other components that can be adapted to suit different contexts |
Did we do as planned? Why/ why not? What would we do differently? | All | |
Summary of data sources by participant group
| Data source | Intervention groups | Control groups |
|---|---|---|
| Surveys | Child‐parent dyad, older people, informal carer | Child‐parent dyad, older people, informal carer |
| Video ethnography | Children, older people | na |
| Participant Mood scales | Children, older people | na |
| Workforce reflective journal: Individual Practice (including Job Stress Inventory, practice reflections, session satisfaction, Leuven Scale) | Childcare and aged care workforce | Childcare and aged care workforce: Job Stress Inventory only |
| Workforce reflective journal: Program Reflections | Childcare and aged care workforce | na |
| Workforce interviews (pre and post) | Childcare and aged care workforce | na |
| Participant interviews (post only) | Children, older people | na |
| Mood scales (before and after every session) | Children, older people | na |
Job Stress Inventory21; Leuven Scale23; Mood scales.22 na: not applicable.
Survey measures by participant group
| Measures | Variable related to: | |||
|---|---|---|---|---|
| Child | Parent | Older people | Informal carer | |
| Demographic | ||||
| Age | X | X | X | X |
| Sex | X | X | X | X |
| Relationship to carer/care recipient | X | X | X | X |
| Education | X | X | X | |
| Marital status | X | X | X | |
| Living arrangement | X | X | X | |
| Employment status | X | X | ||
| Pension‐concession card status | X | X | X | |
| Health and well‐being | ||||
| List of health conditions | X | X | ||
| Number of visits to health professional | X | |||
| Quality of Life WHO‐Five | X | X | X | |
| Life Orientation Test‐Revised | X | X | ||
| ASCOT | X | |||
| KCSS Carer Stress | X | |||
| Service use/support | ||||
| Reason for care | X | X | X | |
| Subsidy for care services | X | |||
| Amount out of pocket | X | |||
| Number of days in paid care | X | X | ||
| Care program rating | X | |||
| Time spent caring per week | X | |||
| Willingness to pay for intergenerational care | X | X | X | |
| Preference for intergenerational care | X | X | X | |
| Service satisfaction score | X | X | X | |
| Program evaluation | ||||
| Perception of program's effect | X | X | ||
Follow‐up survey only.