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Current therapeutic recreation research does not articulate how Certified Therapeutic Recreation Specialists (CTRS) complete the assessment process with older adults. A review of published research demonstrates various uses of theories, methodologies, unclear descriptions of populations of studies, and unknown competencies of researchers. The purpose of this study was to explore what current assessment practice looks like for CTRS’s that work with an older adult population. The study was guided by the principle of participatory action research and was completed with four participants using a semi-structured focus group. The participants’ experiences revealed complexities in practice that were interwoven with each other. Time, challenges in practice, building capacity with clients and other TR practitioners along with evidence based practice were key issues. Recommendations as a result of this study include further development of diagnostic protocols and practice-based evidence to inform clinical decision making.

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The purpose of this study was to investigate the relationship between personal factors and perceived built environmental factors and walking behaviour among middle-aged and older adults. The sample consisted of 647 people aged 45 years and above. Walking behaviour was assessed using pedometers. Decreased walking was significantly associated with increased age (r=-0.366, p<0.001). Education level (F=4.13, p=0.016) and self-rated health status (t=6.07, p<0.001) were positively associated with walking. When considering the effect of age, education level was no longer associated with walking. Better perception of general safety (F=3.105, p=0.005) and fewer safety concerns (F=7.531, p=0.001) were positively associated with walking. Age and self-rated health status jointly contributed to the walking behaviour (p<0.001), explaining 16.2% of the variance. These findings may suggest future neighbourhood interventions for age-friendly communities in Winnipeg, and help to accommodate changes through addressing perceived neighbourhood safety concerns and facilitating increased physical activity among middle-aged and older adults.

Relocation to a personal care home is a stressful experience and may occur at a traumatic moment in life. The effects of relocation to a PCH on nutritional status are unknown, yet under-nutrition is common among PCH residents. Objectives: To explore the effect of relocating to a PCH on the nutritional status, eating habits, and nutrition attitudes of adults aged 60 years and older. Methods: Fourteen Caucasian older adults (F = 57%) with a mean age of 83 years (SD = 9.79) consented to participate. Sixty-four percent of participants experienced inter-institutional relocation. Anthropometric, biochemical, clinical and dietary information was collected at Time Points A (2-3 months following relocation) and B (6-7 months following relocation) through face-to-face interviews, medical chart reviews and communications with nursing staff. Results: At Time B, cognitive function declined (z = -2.185, p < .05) and the number of medications prescribed increased (z = -2.00, p < .05). Levels of 25-hydroxyvitamin D were insufficient among 83% of participants at both time points. Mean serum albumin was 34.4 ± 7.2 g/L at Time B and the prevalence of nutritional risk increased from 57% to 77%. Dietary intake was inadequate according to Canada’s Food Guide recommendations. Nutrition attitudes did not change. Implications & Conclusions: Six months following relocation, nutritional risk was more prevalent, with early evidence of possible protein-energy malnutrition. Nutritional inadequacies may result if dietary intakes do not improve. A collaborative approach is needed to assess environmental, psychosocial and nutritional factors that contribute to poor dietary intake and will assist in the development of an intervention program.

Due to the ageing population, an increasing number of older workers form the labour force. Unfortunately discriminatory practices against older workers are well documented and the antecedents of such discrimination are assumed to be negative attitudes towards older workers. No previous research has investigated implicit attitudes towards older workers or their behavioural consequences. Accordingly, the present research aimed to investigate both implicit and explicit attitudes towards older workers, and their predictive utility in an employment-related context. In addition, attitude malleability and the role it may play in the attitude-behaviour relationship was investigated. This thesis reports findings from 5 studies, a pilot study and 4 main studies. The pilot study determined that the Implicit Association Test (IAT; A.G. Greenwald, D. E. McGhee & J. L. K. Schwartz, 1998) was to be used in the main studies. The 4 main studies investigated implicit attitudes, and the malleability of such attitudes towards older, relative to younger, workers. The malleability of attitudes was investigated with a mental imagery intervention where the experimental group participants were asked to imagine and describe respected and valued older workers in their surroundings. The control group participants were asked to imagine holiday destinations they would like to visit. In general, it was expected that negative implicit and explicit attitudes would be found towards older workers but that such bias could be alleviated with a mental imagery intervention. In all studies, negative implicit attitudes against older workers were found and such attitudes were relatively uninfluenced by the mental imagery manipulation. Three studies included explicit measures of attitudes. Although some variation was found between the studies and the measures used, overall positive attitudes towards older and younger workers were found. The mental imagery manipulation was also found to influence the explicit attitudes to a greater degree than implicit attitudes. The final study investigated the relationship between attitudes and behaviour. Specifically, both implicit and explicit attitudes’ relationships with spontaneous and controlled-type behaviours towards an older and a younger target were examined. Overall, some evidence for youth-bias in the participants’ behaviour was found, as well as evidence for the relationship between explicit attitudes and spontaneous behaviours. Implicit attitudes were largely unrelated to behaviour. In general, the mental imagery intervention did not impact the attitude-behaviour relationship. Implications for older workers are discussed, as well as educational methods for reducing discrimination older workers face in employment.