Campaign reminds Veteran caregivers to “Take Care of Themselves”

Published in RINewsToday on January 17, 2022

Since 2011, AARP and the Ad Council have launched public service announcements (PSAs) encouraging America’s caregivers to care not only for their loved ones, but also for themselves. Over the years, these PSAs s have targeted women aged 40 to 60, male caregivers aged 35 to 60 and Hispanic/Latino and African American/Black caregivers with an emphasis on women ages 35 to 60.The partner-driven ad campaign directs viewers to AARP’s Family Caregiving site, where caregivers can find free care guides, self-care tips, planning resources, legal and financial guidance and more.

Now AARP and the Ad Council’s have released the PSA, “Roxana’s Story,” on Dec. 9th. The latest evolution of the Caregiver Assistance campaign aims to acknowledge the unique challenges that military veteran caregivers face and provide them with free resources from AARP to better care for their loved one and themselves.

Roxana Tells Her Caregiving Tale

In 2003, Roxana, a full-time student, became the full-time caregiver of her husband, Victor. In the PSA she recalled receiving a 4 a.m. phone call where she learned that her husband had been wounded in action in Afghanistan, having received a moderate traumatic brain injury. Roxana was suddenly thrust into the role of caregiver to Victor, through his initial recovery process, and then having to adjust to his injury for the rest of their lives.

Reflecting over the last 18 years, Roxana stated in the PSA the realization that one of the most important components of being a caregiver is taking care of yourself. “I didn’t want to forget that I also had goals, and a life,” she said, noting that she asked Victor to “meet me halfway.” With assistance from his therapists, he was able to help with everyday chores.

The PSA, the first-ever targeting caregivers of veterans and current members of the military, addresses the unique caregiving challenges facing these individuals, reminding the more than 6.5 million military veteran caregivers that there are resources available to them. The PSA is recorded as either a :30 or 60-second message, was filmed and directed by military veterans from the veteran-owned creative shop Gig line Media (the production arm of We Are the Mighty).

Military veteran caregivers experience unique challenges when providing care. For many in this group, their caregiving journey starts earlier in life (85% are under 40) and lasts longer, according to Caregiving in the U.S. 2020, a report by AARP and the National Alliance on Caregiving. They deal with challenges that civilian family caregivers don’t normally face, including unseen injuries and wounds. They also consistently experience worse health outcomes, greater strains in family relationships, and more workplace problems than non-caregivers. Many also spend more time helping with emotional support or social interaction due to mental or behavioral health diagnoses.

“Oftentimes those caring for veterans and current member of the military experience a high emotional and physical toll, including consistently worse health outcomes and greater strains in family relationships compared to other caregivers,” said Bob Stephen, vice president of family caregiving and long-term care at AARP in announcing AARP’s lates PSA campaigned targeting military veteran caregivers. “Through this campaign, AARP will continue to recognize and provide resources to support these valued caregivers who play such a vital role for veteran and military families,” he says.

For caregivers who are unsure about seeking help because they think it’s selfish or a sign of failure, the PSA campaign reminds them that they can’t care for their loved one without also caring for themselves.

The PSAs direct viewers to AARP’s Family Caregiving site at www.AARP.org/Caregiving and www.AARP.org/Cuidar, where caregivers can download a free military veterans Caregiving Guide for self-care tips, planning resources, legal and financial guidance, and more in English and Spanish as well as AARP’s new Veterans and Military Families Health Benefits Navigator, a one-stop-resource in English and Spanish to help make the process less confusing and overwhelming when it comes to available options for U.S. Dept. of Veterans Affairs (VA) health benefits, military Tricare, Medicare, private insurance and Medicaid.

“Taking care of a veteran in your life often means that you start younger and care for longer. In many cases, this means you’re forced to manage situations other family caregivers aren’t forced to face,” said Michelle Hillman, Chief Campaign Development Officer of the Ad Council. “We’re humbled to continue this campaign to remind the millions of military veteran caregivers that they do not face these unique challenges alone.”

For more information about caregiving resources, please visit AARP.org/Caregiving or call 1-877-333-5885 or www.AARP.org/Cuidar or call 1-888-971-2013 for Spanish resources.

Tech use flourishes during pandemic, particularly among seniors

Published on January 10, 2022 in RINewsToday

Over the course of 71 episodes of the widely-acclaimed Sopranos, Dr. Jennifer Melfi met with Tony Soprano in her office. The office had paneled walls, was decorated with a diploma on the wall, and next to that was a bookshelf filled with books. Melfi was counseling Mob Boss Tony Soprano for anxiety and depression. This was the typical office setting in any community before the COVID-19 pandemic spread like wildfire across the nation.  But now with the ongoing COVID-19 pandemic, therapists are using alternative ways to reduce increasing depression and mental health needs of the patients. The typical face-to face therapy, like Melfi offered Soprano and her other patients, has been replaced by computer and smartphone-based tele-treatment. 

While it remains unclear whether the technique is as effective as face-to-face psychotherapy that takes place in an office, they do offer a promising alternative to address the growing mental health needs spawned by the continuing COVID-19 pandemic, and in a safe way, according to a research study published last month by the Washington, DC based American Psychological Association.  

“The year 2020 marked 30 years since the first paper was published on a digital intervention for the treatment of depression. It also marked an unparalleled inflection point in the worldwide conversion of mental health services from face-to-face delivery to remote, digital solutions in response to the COVID-19 pandemic,” said lead author Isaac Moshe, MA, a doctoral candidate at the University of Helsinki in a Dec. 13 statement announcing the study’s findings.

“Given the accelerated adoption of digital interventions, it is both timely and important to ask to what extent digital interventions are effective in the treatment of depression, whether they may provide viable alternatives to face-to-face psychotherapy beyond the lab and what are the key factors that moderate outcomes,” he said.

The research article, “Digital interventions for the treatment of depression: A meta-analytic review,” was published online in the journal Psychological Bulletin. Psychological Bulletin, published on Dec. 13, 2021.

According to researchers, digital interventions, instead of the face-to face counseling sessions, typically require patients to log in to a software program on a computer website or app to read, watch, listen to, and interact with a series of content structured modules or lessons. Individuals oftentimes receive homework assignments relating to the modules and regularly complete digitally administered questionnaires relevant to their presenting mental health problems. This allows clinicians to monitor their progress and outcomes in cases where digital interventions include human support. Digital interventions are not the same as teletherapy, which has gotten much attention during the pandemic, according to Mosh, noting that teletherapy uses videoconferencing or telephone services to facilitate one-on-one psychotherapy.

“Digital interventions have been proposed as a way of meeting the unmet demand for psychological treatment,” notes Moshe. “As digital interventions are being increasingly adopted within both private and public health care systems, we set out to understand whether these treatments are as effective as traditional face-to-face therapy, to what extent human support has an impact on outcomes, and whether the benefits found in lab settings transfer to real-world settings,” he said.

According to the website article, researchers conducted a meta-analysis of 83 studies testing digital applications for treating depression, dating as far back as 1990 and involving more than 15,000 participants in total, 80% adults and 69.5% women. All of these studies were randomized controlled trials comparing a digital intervention treatment to participants on a waitlist or receiving no treatment at all, or those receiving treatment as usual or with face-to-face psychotherapy. The researcher primarily focused on individuals with mild to moderate depression symptoms. 

Overall, researchers found that digital interventions improved depression symptoms over control conditions, but the effect was not as strong as that found in a similar meta-analysis of face-to-face psychotherapy. There were not enough studies in the current meta-analysis to directly compare digital interventions to face-to-face psychotherapy, and researchers found no studies comparing digital strategies with drug therapy.

But digital treatments that involved a human component, whether in the form of feedback on assignments or technical assistance, were the most effective in reducing depression symptoms. This may be partially explained by the fact that a human component increased the likelihood that participants would complete the full intervention, and compliance with therapy is linked to better outcomes, according to Moshe.

Depression is predicted to be the leading cause of lost life years due to illness by 2030. At the same time, less than 1 in 5 people receive appropriate treatment, and less than 1 in 27 in low-income settings. A major reason for this is the lack of trained health care providers,” Moshe said. “Overall, our findings from effectiveness studies suggest that digital interventions may have a valuable role to play as part of the treatment offering in routine care, especially when accompanied by some sort of human guidance.” 

Tech use by Seniors skyrocketed

As noted above, while the continuing COVID-19 pandemic has increased the popularity of using digital intervention, teletherapy uses videoconferencing or telephone services to facilitate one-on-one psychotherapy, a newly released AARP Tech Trends reports an increased use of technology by seniors to facilitate social contact to families and friends to reduce isolation.

According to AARP’s report released on Dec. 21, tech use by people age 50 and over, skyrocketed during the pandemic and those new habits and behaviors appear to continue.  What’s more, 70% of those surveyed purchased tech last year, with spending far greater today than it was in 2019; $821 now as versus $394, then. Smartphones, and related accessories, along with Bluetooth headsets topped the list of their purchases, but smart home technology was vital to them, too.

Unsurprisingly the researchers say that technology use has facilitated social connectedness with others throughout the pandemic. They found that the rates of reliance on tech for social connection is consistently high across age ranges: 76% of those in their 50s, 79% of those in their 60s, and 72% of people 70+ all count tech as their link to their families and the wider world.

“The pandemic redrew the lines: Tech has gone from a nice-to-have to a need-to-have for Americans 50+, and their new habits are here to stay,” said Alison Bryant, AARP Senior Vice President of Research in a Dec. 21 statement announcing the study’s findings. “Those who can afford tech are spending a lot more than they did just a few years ago – more than twice what they spent in 2019. And their motivations vary: Some use tech to work, others to stay connected to family and friends, and others still to enable them to age in place or get assistance with needs. At the same time, we’re also mindful of the digital divide, where a lack of affordability can also mean no access to tech and its benefits,” says Bryant.

The Tech report noted that seniors continue to incorporate tech into their daily lives. Certain tech behaviors formed during the ongoing pandemic appear to be here to stay such as video chat, making online purchases, ordering groceries, doing banking, and engaging in health services, with seniors making more purchases and financial transactions online compared to previous years. 

Researchers also found that during the last two years, older adults’ usage of a home assistant and owning a wearable has doubled. The Tech study also reveals that learning how to use and manage smart home technology is a top interest of seniors. Smartphones continue to be adopted in new ways to manage day-to-day living and entertainment. This year, one third of seniors ordered take-out food from a restaurant and one in four listened to podcasts on their smartphones. 

Health-related innovations and daily objects that automatically track health measures on tech devices are also of top interest, say the researchers, noting that 42% of older adults feel tech is not designed with them in mind.

Finally, the AARP Tech Trends report found that 30% of older adults are using tech to pursue personal passions, mostly with video content. Streaming content continues to increase with most of them subscribing on average to three platforms. 

With the ongoing COVID-19 pandemic not going away in the near future, the use of technology will continue to increase to maintain contact with family and friends, to access education, telehealth services, for use in financial transitions, shopping, and entertainment.  

Some Favs… Looking Back at 2021

Published on January 3, 2022 in RINewsToday

As an ‘age beat’ journalist for over 40 years, I have penned more than 813 articles covering aging, health care and medical issues. These authored and coauthored pieces have appeared in national, state, and local trade and association publications, dailies, weeklies, and in this weekly column in RINewsToday.com. Some were even republished in my two books, Taking Charge: Collected Stories on Aging Boldly (2016) and Taking Charge: Volume 2  More Stories on Aging Boldly (2021).

I provide you with a few of my favorite publish weekly commentaries published in 2021 that you may have enjoyed reading. Many of these articles in their entirety and others can be viewed on my author archive  page at rinewstoday.com/herb-weiss/.

“Study Takes Look at Decision Making /in Getting a COVID-19 Vaccine,” published on Jan.  25, 2021 in RINewsToday.com. 

With colder weather keeping people indoors and holiday events drawing families together, Rhode Island like other states continue to see a growing transmission of the COVID-19 Delta, and now Omicron variants. The debate of mandating vaccines has expanded into requiring a booster, too. 

This article reported on research findings that suggested ways as to how to increase a person’s likelihood to get vaccinated. Even though researchers didn’t touch on requiring booster shots, the findings should still be relevant in the current debate, as science is showing the waning of the vaccine after many months.

The COVID-19 Vaccine Education and Equity Project Survey, a group whose mission is to increase public dialogue on vaccine education, released survey findings that showed the preferred locations to receive COVID-19 vaccines, and which leading information sources are two influences over a person’s decision to get vaccinated.

The study, commissioned by the Washington, DC based Alliance for Aging Research, one of the three nonprofit organizations leading the project, found the majority (51 percent) of respondents ranked their healthcare provider or pharmacist as one of the sources most likely to influence their decision to get a COVID-19 vaccine. Almost two-thirds (64 percent) of respondents said they would prefer to receive a COVID-19 vaccine in their healthcare provider’s office.

After healthcare providers and pharmacists, when asked to provide the top two additional sources of information about COVID-19 vaccines that would most influence their decision to get vaccinated, 32 percent of respondents cited nationally recognized health experts, and 30 percent named family and friends. However, older respondents were increasingly more likely (75 percent ages 65 and older) to trust their healthcare provider or pharmacist, followed by 43 percent (ages 65 and older) trusting nationally recognized health experts.

The majority (64 percent) of respondents indicated they would prefer COVID-19 vaccination in their healthcare provider’s office, while 29 percent prefer a pharmacy, 20 percent a drive-thru vaccine clinic, and only 13 percent would like to receive the vaccine at a grocery store or pharmacy.

Additional factors driving the location where respondents would like to receive the vaccine included the ability to get the vaccine quickly or not have to wait in line (45 percent) and a location close to home (41 percent), the study found.

“A Call for House Dems to Bring Back House Aging Committee,” published on Aug. 16, 2021 in RINewsToday.com.

Last Aug, Rhode Island Congressman David Cicilline, along with fellow lawmakers, Jan Schakowsky (D-IL), Doris Matsui (D-CA), who serve as co-chairs of the House Democratic Caucus Task Force on Aging and Families, introduced H. Res. 583 to amend the rules of the House to establish a House Permanent Select Committee on Aging. This is the Rhode Island lawmaker’s fourth attempt, and in the upcoming months he must push for passage by the House Rules Committee.  

H. Res. 583 would reestablish the House Aging Committee without having legislative jurisdiction; this being no different than when the permanent committee previously existed. It would be authorized to conduct a continuing comprehensive study and review of aging issues, such as protecting the Social Security and Medicare programs, income maintenance, poverty, housing, health (including medical research), welfare, employment, education, recreation, and long-term care. These efforts impacted legislation taken up by standing committees. It has been referred to the House Rules Committee for consideration.

“America’s seniors have spent a lifetime working hard and moving our country forward and they deserve the best in their retirement,” says Cicilline, in this article. “The pandemic has disproportionately impacted seniors and now with growing concerns about inflation, seniors on fixed incomes will bear the burden of the rising cost of prescription drugs, food, housing, and other essentials,” he says, noting there has never been a more urgent time for Congress to reauthorize the House Permanent Select Committee on Aging than right now,” he says. 

At press time, there are just 40 cosponsors of H. Res. 583. Bob Weiner, the former staff director of the House Permanent Select Committee on Aging under Chairman Claude Pepper (D-FL), warns that to get  the attention of House Speaker Nancy Pelosi (D-CA) and leadership of the caucus, there should be 100 cosponsors – an obtainable number.

“When Congress gets back from recess, the Rhode Island Congressman must now push for more cosponsors and meetings to get this resolution endorsed by the House Democratic Leadership and the House Rules Committee and then passed on the House Floor”, says Weiner, noting that a GOP takeover of the House after mid-term elections could ensure that this effort will be legislatively blocked unless it has overwhelming support to show a constituent price.  

“It’s now time to stamp out Antisemitism,’ published on Oct. 18, 2021 in RINewstoday.com.  

Throughout 2021, three of my weekly commentaries warned that Antisemitism is alive and well in the United States, Germany, and throughout the world, and called for Rhode Island lawmakers to condemn all acts of hate within Rhode Island’s borders.

The article reported on the alleged charges of Gil Ofarim, a popular German-Israeli singer who lives in Germany, about an alleged anti-Semitic remark made by an employee at the Westin Hotel in Leipzig.

Director of AJC Berlin said, “Marriott should take all necessary steps to ensure that something like this will never happen again. AJC stands ready to help with our expertise and knowledge.”

The article reported that the FBI’s annual Hate Crimes Statistics Act (HCSA) report, revealed that 2020 saw a six percent increase in reported hate crimes from the previous year and represented the highest total in 12 years. The latest FBI’s report, released Aug. 30th, is based on voluntary local law.

This article also reported on the top school administrator with the Carroll Independent School District in Southlake advised teachers that if they have a book about the Holocaust in their classroom, they should also provide students with a book from an “opposing” viewpoint, according to an audio recording obtained by NBC News.

“How do you oppose the Holocaust?” quipped one teacher in response to the school administrator, with the school district later apologizing. Last month, the School District approved a change to district policy that prohibits employees from secretly recording video of meetings or work sessions.

The survivors who witnessed the horrors of the Genocide and the Holocaust during World War II continue to dwindle in numbers and will soon no longer be here to share their tragic stories. Rhode Island’s Genocide and Holocaust Education Commission, recently created by the General Assembly, is organizing and gears up to keep this knowledge alive to millennials, Gen Z, and other generations. 

“It’s Time to End Suicide by Bridge in Rhode Island,” published on July 26, 2021, in RINewsToday.com.

Last legislative session, Rep. Joseph J. Solomon Jr.’s (D-Dist. 22), legislative proposal, H-5053, to require safety barriers or netting on the three bridges that connect Aquidneck and Conanicut Islands to the mainland of Rhode Island, never came out of the House Corporations committee.

“Too many people have committed suicide on those bridges in the last decade,” said Rep. Solomon in a statement released when the bill was introduced last January. “Due to technological advances, there are various types of barriers and netting available to increase safety without hindering access for routine inspection and maintenance of the bridges,” he said.

“It’s not only a serious problem, but an alarmingly frequent one,” said Solomon explaining why he introduced his bill, as reported in this article. “Last year alone, the Portsmouth Police responded to the Mount Hope Bridge 36 times. And the cost of suicide goes far beyond the individual. It affects friends, families, first responders, and health care professionals. Those who survive the fall all say the same thing: “they feel instant regret the moment their feet leave the railing,” he said.

This weekly commentary detailed the efforts of forty-year Samaritan volunteer Bryan Ganley and East Bay resident Melissa Cotta, who initiated a petition for safety/suicide prevention barriers to increase awareness of this issue and to show that residents of Rhode Island, as well as the surrounding areas that use our bridges all the time are in support of these barriers.

Ganley and Cotta have submitted a request for funding to the General Assembly’s American Rescue Plan Act State Fiscal Recovery Fund Recommendation Portal. The Rhode Island Turnpike and Bridge Authority also has submitted a request to this portal requesting funding for an engineering study.

Six months ago, 2,630 people signed Cotta and Ganley’s petition. At press time, over 4,062 signatures have been collected calling for new barriers to Rhode Island’s unprotected bridges. To view and sign this petition, go to tinyurl.com/ribridgingthegap.