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

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.