Mobility and technology can facilitate in-person and virtual social participation to help reduce social isolation, but issues exist regarding older adults’ access, feasibility, and motivation to use various forms of mobility and technology. This qualitative study explores how a diverse group of low-income, urban-living older adults use mobility and technology for social participation. We conducted six focus groups ( N = 48), two each in English, Spanish, and Korean at a Los Angeles senior center. Three major themes emerged from thematic analysis: using technology for mobility; links between mobility and social participation; and technology-mediated social participation. Cost, perceived safety, (dis)ability, and support from family and friends were related to mobility and technology use. This study demonstrates the range of mobility and technology uses among older adults and associated barriers. The findings can help establish a pre-COVID-19 baseline on how to make mobility and technology more accessible for older adults at risk of isolation.

Despite increased efforts, an estimated 30-40% of rural drinking water initiatives in developing countries fail to provide sustainable solutions. The Sustainable Development Goal for water (SDG 6) challenges us to solve this problem to ensure availability and sustainable management of water and sanitation for all. In this paper, we explore one possible barrier to success: a potential misalignment between local and outside motivations. We address this problem by analyzing how strategies used to successfully (n ¼ 148) and unsuccessfully (n ¼ 70) deliver drinking water to rural areas align with known motivations of local stakeholders. As one tool and starting point, we use definitions in Maslow's theory of motivation to learn and share how to more consistently and successfully build comprehensive motivations into solutions. The results reveal that successful strategies rarely focus on physiological needs (2/148) and often focus on higher-level needs, including self-esteem (75/148), love and belonging (46/148), and safety (69/148). Successful strategies also typically address multiple needs and are designed to meet the actualization (fulfill potential) of both communities and donors.Unsuccessful strategies focus on needs of outside stakeholders above local stakeholders (46/70), fail to address higher-level or multiple needs, and/or unsuccessfully address existing needs.

The American Heart Association estimates that 81% of people who die of coronary heart disease are 65 years old or older. The leading risk health behaviors include physical inactivity, poor diet, smoking and binge drinking. Using the 2011-2012 California Health Interview Survey (CHIS), this study looked at how self-management, which includes a plan developed by a medical professional and the confidence to manage one's disease, may decrease negative risk behaviors in older adults. The presence of a plan and increased self-efficacy decreased engagement in negative dietary behaviors and low physical activity. Implications for strategies that address heart disease and self-management are discussed.

To explore how access to transportation and technology/social media influence social connectivity among an ethnically diverse group of vulnerable low-income older adults, six focus groups were conducted (N=48) in English, Spanish, and Korean at a senior services agency. Qualitative thematic analyses revealed overarching themes that fit within the World Health Organization’s Age-Friendly Domains of Livability. The sub-theme “barriers and facilitators to accessibility” ran through each of the overarching themes, demonstrating how specific factors of the built, social, and community health environments intersect to promote or hinder social connection. Although transportation and technology uses were linked to social engagement, challenges with the built environment and limited financial resources hindered older adults’ abilities to remain engaged in their communities, both in-person and electronically. Age-Friendly initiatives must continue to consider the community-specific barriers and facilitators for older adults to remain physically and socially connected to the community.

Background: Established relationships be­tween researchers, stakeholders and poten­tial participants are integral for recruitment of potential older adult participants and Evidence-Based Programs (EBPs) for chronic disease management have empirically been shown to help improve health and maintain healthy and active lives. To accelerate recruitment in EBPs and potential future research, we propose a Wellness Pathway allowing for delivery within multipurpose senior centers (MPCs) linked with medical facilities among lower-income urban older adults. The study aims were to: 1) assess the effectiveness of three MPC-delivered EBPs on disease management skills, health outcomes, and self-efficacy; and 2) assess the feasibility of the proposed Wellness Pathway for lower-income urban-dwelling older adults of color.Methods: We administered surveys and conducted a pre-post analysis among participants enrolled in any 1 of 3 MPC-based EBPs (n=53). To assess feasibility of the pathway, we analyzed survey data and interviews (EBP participants, MPC staff, physicians, n=10).Results: EBP participation was associated with greater disease management skills (increased time spent stretching and aerobic activity) but not improvements in self-effica­cy or other health outcomes. Interviews re­vealed: 1) older adults valued EBPs and felt the Wellness Pathway feasible; 2) staff felt it feasible given adequate growth manage­ment; 3) physicians felt it feasible provided adequate medical facility integration.Conclusion: MPC-based EBPs were associ­ated with improvements in disease manage­ment skills among older adults; a proposed Wellness Pathway shows early evidence of feasibility and warrants further investigation. Future efforts to implement this model of recruiting older adults of color into EBPs should address barriers for implementation and sustainability. Ethn Dis. 2020;30(Suppl 2):735-744; doi:10.18865/ed.30.S2.735