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An intergenerational service-learning approach to improve hand function in older adults.

Rachel N Logue Cook1, Meghan E Gatward2, Courtney R Vanderlaan3

  • 1Motor Control Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA.

Gerontology & Geriatrics Education
|December 12, 2023
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Summary

An intergenerational program successfully improved hand strength and mobility in homebound older adults. This pilot study shows a feasible model for enhancing care access for this vulnerable population.

Keywords:
Hand functionMeals on Wheelsintergenerationaluniversity students

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Area of Science:

  • Gerontology
  • Public Health
  • Intergenerational Programs

Background:

  • Homebound older adults face significant risks of functional decline, social isolation, and reduced independence.
  • Adequate hand function is crucial for daily activities but is often overlooked in homebound populations.
  • Existing care models may not adequately address the specific needs of homebound seniors.

Purpose of the Study:

  • To pilot an intergenerational program training pre-health college students to deliver hand exercises to homebound older adults.
  • To assess the feasibility and impact of this program on clients' hand function and well-being.
  • To explore the benefits of student-client interaction for both participants.

Main Methods:

  • Eight homebound older adults receiving Meals on Wheels (MOW) services participated.
  • Seventeen pre-health college students visited clients twice weekly for six weeks, providing hand exercises and social interaction.
  • Pre- and post-program assessments measured hand strength, dexterity, self-reported function, self-efficacy, depression, and social isolation.

Main Results:

  • Significant improvements in pinch strength were observed among clients.
  • 75% of clients reported enhanced upper limb mobility following the program.
  • Positive feedback from both clients and students highlighted the value of intergenerational connection and hands-on experience.

Conclusions:

  • An intergenerational approach to hand exercise delivery is a feasible and effective model for homebound older adults.
  • This program model can increase access to essential care and social engagement for seniors.
  • The study underscores the mutual benefits of intergenerational programs for health and well-being.