| Literature DB >> 34741608 |
Shannon E Jarrott1, Shelbie G Turner2, Jill Juris3, Rachel M Scrivano1, Raven H Weaver4.
Abstract
BACKGROUND AND OBJECTIVES: Intergenerational programs, those engaging youth and adults of nonadjacent generations in shared programming for mutual benefit, are attracting increasing attention from funders, policymakers, and practitioners for the range of goals they can support. The mechanisms by which these goals are achieved are rarely studied. To address this gap, we analyzed the associations between specific intergenerational implementation practices and younger and older participant outcomes. RESEARCH DESIGN AND METHODS: Activity leaders at 5 sites serving adults and preschoolers received training to implement 14 evidence-based practices during intergenerational activities involving 84 adults (M = 75.25 years; range = 55-98) and 105 preschool participants (M = 3.26 years; range = 2-5) over 4 years. Measures of activity leaders' implementation of these practices and participants' behavioral responses to programming were gathered. We utilized multilevel modeling to test whether variations in implementation of practices were associated with variations in participants' responses to programming on a session-by-session basis.Entities:
Keywords: Adult day services; Behavioral outcome; Intergenerational program; Intergenerational relationship; Multilevel model
Mesh:
Year: 2022 PMID: 34741608 PMCID: PMC8963162 DOI: 10.1093/geront/gnab161
Source DB: PubMed Journal: Gerontologist ISSN: 0016-9013
Best Practice Checklist Items, by Factor, and Percentage Implemented
| Percentage implemented | ||
|---|---|---|
| Best practice item | Children | Adults |
| Factor 1: Promoting participant pairing | ||
| 4. Ratio of adult to child participants was equal or near equal | 85% | 81% |
| 5. Seating arrangement used intergenerational pairs or small groups | 89% | 88% |
| 6. Materials were paired | 69% | 72% |
| Factor 2: Person-centered strategies | ||
| 1. Activity leaders discussed the activity in relation to participant interests or experiences to encourage intergenerational interaction | 55% | 56% |
| 2. The activity was age- and role-appropriate for child participants | 99% | 99% |
| 3. The activity was age- and role-appropriate for adult participants | 88% | 88% |
| 7. Activity leaders guided the activity to promote intergenerational interaction | 66% | 70% |
| 11. Staff avoided overfacilitation | 83% | 84% |
| 14. The intergenerational programming session was documented (e.g., photos were taken or evaluation forms completed) | 80% | 81% |
| Factor 3: Socioemotional accommodations (referred to as staff knowledge of participants in | ||
| 9. Adaptations to physical space | 80% | 78% |
| 10. Distractions were minimized | 79% | 78% |
| 12. Activity leaders were responsive to both generations of participants | 96% | 94% |
| 13. Activity leaders moved around the activity area | 100% | 100% |
Descriptive Statistics and Correlations for Study Variables for Children
| Variable | n | M | SD | ICC | 1. | 2. | 3. | 4. | 5. | 6. | 7. | 8. | 9. |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. Age | 105 | 3.26 | 0.66 | — | — | ||||||||
| 2. Gender | 105 | — | — | — | 0.05 | — | |||||||
| 3. Race | 105 | — | — | — | 0.14* | −0.05 | — | ||||||
| 4. Participant session number | 266 | 3.75 | 2.81 | — | −0.11 | −0.05 | −0.09 | — | |||||
| 5. Phase of implementation | 266 | — | — | — | −0.08 | 0.17** | −0.35**** | 0.27**** | — | ||||
| 6. Factor 1 | 266 | 2.42 | 0.78 | 0.03 | 0.08 | 0.15** | −0.04 | −0.05 | 0.15* | — | |||
| 7. Factor 2 | 266 | 4.71 | 1.29 | 0.30 | 0.10 | 0.16** | −0.10 | −0.10 | 0.33**** | 0.25**** | — | ||
| 8. Factor 3 | 266 | 3.55 | 0.78 | 0.50 | −0.19** | −0.19** | −0.16** | 0.16** | 0.40**** | 0.28**** | 0.15** | — | |
| 9. Intergenerational interaction | 266 | 30.26 | 27.98 | 0.22 | 0.04 | 0.05 | −0.29**** | 0.12 | 0.33**** | 0.27**** | 0.37**** | 0.11 | — |
Notes: ICC = intraclass correlation. This table provides descriptive statistics and correlations for intergenerational interaction for children.
aFactor 1 scores ranged from 0 to 3.
bFactor 2 scores ranged from 1 to 6.
cFactor 3 scores ranged from 2 to 4.
*p .05, **p .01, ***p .001, ****p .0001.
Descriptive Statistics and Correlations for Study Variables for Adults
| Variable | n | M | SD | ICC | 1. | 2. | 3. | 4. | 5. | 6. | 7. | 8. | 9. |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. Age | 84 | 75.25 | 10.53 | — | — | ||||||||
| 2. Gender | 84 | — | — | — | 0.13 | — | |||||||
| 3. Race | 84 | — | — | — | −0.10 | 0.22*** | — | ||||||
| 4. Participant session number | 225 | 3.63 | 2.66 | — | −0.23** | −0.08 | 0.03 | — | |||||
| 5. Phase of implementation | 225 | — | — | — | 0.07 | −0.24*** | −0.40**** | 0.21*** | — | ||||
| 6. Factor 1 | 225 | 2.41 | 0.81 | 0.02 | −0.01 | −0.03 | −0.06 | 0.003 | 0.09 | — | |||
| 7. Factor 2 | 225 | 4.79 | 1.29 | 0.41 | 0.12 | −0.01 | −0.19** | −0.002 | 0.41**** | 0.23*** | — | ||
| 8. Factor 3 | 225 | 3.51 | 0.80 | 0.52 | −0.03 | −0.25*** | −0.24*** | 0.28**** | 0.42**** | 0.26**** | 0.14* | — | |
| 9. Intergenerational interaction | 225 | 44.43 | 32.23 | 0.39 | −0.03 | −0.01 | −0.06 | 0.17** | 0.38**** | 0.26**** | 0.36**** | 0.17** | — |
Notes: ICC = intraclass correlation. This table provides descriptive statistics and correlations for intergenerational interaction for older adults.
aFactor 1 scores ranged from 0 to 3.
bFactor 2 scores ranged from 1 to 6.
cFactor 3 scores ranged from 2 to 4.
*p .05, **p .01, ***p .001, ****p .0001.
Multilevel Model Parameter Estimates for the Effects of Factor-Level BPs on Intergenerational Interaction for Children
| Effect | Parameter | Factor 1 | Factor 2 | Factor 3 |
|---|---|---|---|---|
|
| ||||
| Intercept |
| 15.63 (10.40) | 15.70 (10.47) | 15.41 (10.55) |
| Age |
| 3.36 (2.62) | 3.41 (2.64) | 3.48 (2.66) |
| Gender |
| 0.64 (3.67) | 0.57 (3.69) | 0.54 (3.70) |
| Race |
| −13.55*** (4.10) | −13.52** (4.13) | −13.49** (4.16) |
| Participant session number |
| 0.23 (0.59) | 0.20 (0.60) | 0.24 (0.61) |
| Phase of implementation |
| 13.69*** (4.12) | 13.76*** (4.13) | 13.73*** (4.14) |
| Factor within-person |
| 10.26**** (2.43) | 5.12** (1.75) | 1.93 (3.51) |
|
| ||||
| Variance components | ||||
| Intercept |
| 80.53* (39.99) | 74.26* (39.54) | 68.84* (39.21) |
| Residual |
| 545.45**** (55.45) | 570.70**** (57.65) | 594.33**** (59.72) |
Notes: BP = best practice. Estimation method: Maximum likelihood.
*p ≤ .05, **p ≤ .01, ***p ≤ .001, ****p ≤ .0001.
Multilevel Model Parameter Estimates for the Effects of Factor-Level BPs on Intergenerational Interaction for Adults
| Effect | Parameter | Factor 1 | Factor 2 | Factor 3 |
|---|---|---|---|---|
|
| ||||
| Intercept |
| 40.60* (20.04) | 42.28* (20.15) | 38.53 (19.95) |
| Age |
| −0.24 (0.25) | −0.25 (0.25) | −0.22 (0.25) |
| Gender |
| 8.68 (6.65) | 8.82 (6.69) | 9.58 (6.60) |
| Race |
| 4.47 (5.69) | 4.48 (5.72) | 4.43 (5.66) |
| Participant session number |
| 0.06 (0.79) | −0.14 (0.78) | 0.34 (0.81) |
| Phase of implementation |
| 27.01**** (6.08) | 27.16**** (6.13) | 26.78**** (6.03) |
| Factor within-person |
| 5.95* (2.60) | 7.11*** (2.04) | −3.20 (3.77) |
|
| ||||
| Variance components | ||||
| Intercept |
| 255.38** (93.29) | 272.18** (93.93) | 241.70** (92.70) |
| Residual |
| 616.07**** (74.24) | 586.78**** (70.79) | 638.27**** (76.91) |
Notes: BP = best practice. Estimation method: Maximum likelihood.
*p ≤ .05, **p ≤ .01, ***p ≤ .001, ****p ≤ .0001.