Aim Analyze the concept “tipping point” in the older adult family caregiving context to further knowledge about caregiving families, enhancing transdisciplinary theory, research, and practice. Background While used commonly in some disciplines, how “tipping point” has been used in health care, generally, and in relation to caregiving families, specifically, is less clear. This project was conducted to offer conceptual clarity to tipping point. Design Walker and Avant's framework. Data Source Searches of scholarly literature in PsycINFO, CINAHL, and PubMed using the search term “tipping point” in either title or abstract. Review Methods Definitions used were extracted; instances when the concept was implied but the actual term “tipping point” was not used and contexts where the term was used or implied were identified. Results The composite definition of a caregiving tipping point is a seemingly abrupt, severe, and absolute change event involving either the older adult or caregiver(s), or both that indicates a breakdown in the status quo of the caregiving system. Conclusions Transdisciplinary research, care, and policy should treat caregiving families as complex systems, use longitudinal assessments, and include colloquial communication. Early detection of impending tipping points will provide family‐centered decisional support and enhance families’ quality of life and safety.
Little is known about the use and acceptability of fitness watches (e.g. Fitbit) by diverse older adults, or how data from affordable (<$40) devices could be triangulated with self-report data to predict adverse health outcomes. We investigated interest and acceptability of fitness watch technology among Mexican American older adults via a week-long trial. Participants were asked to consistently wear the watches and complete daily diaries of activity, questionnaires, and a semi-structured interview. The watch data was triangulated with data from the daily diaries and questionnaires to validate its usefulness in developing algorithms that could detect important physiological transitions that lead to tipping points. Interview data was qualitatively analyzed and coded for barriers and facilitators of watch use and acceptability. Preliminary results suggest that participants are eager and willing to wear a fitness device. Participants reported interest in monitoring their health and using the device to track and improve physical activity.
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