Compelling evidence supporting the benefits of social engagement in older adults has been increasingly discussed. However, knowledge regarding an intergenerational program is limited. Herein, we provide a targeted review of intergenerational programs by focusing on our novel interventional program, Research on Productivity through Intergenerational Sympathy. The Research on Productivity through Intergenerational Sympathy program is an intergenerational picture-book reading program launched in 2004. Participants were involved a 3-month intensive weekly training seminar comprising classes about book selection, reading techniques and basic knowledge of children's school life. Subsequently, they participated in group activities that involved playing a hand game, and reading picture books to children at kindergartens, elementary schools and public childcare centers, once every 1-2 weeks. The Research on Productivity through Intergenerational Sympathy program has shown improvement of physical and psychological functioning of older adults and healthy upbringing of children. Similarly, Experience Corps -designed to train and place volunteers in participating elementary schools for an academic year during which time they assist teachers -also showed positive effects for older adults' health status and the psychological/academic success of young children in the USA. Health promotion efforts for older adults must support social policy for the creation of meaningful service programs for older adults on a large social scale. As such, an intergenerational program based on the concept of social capital, defined as "features of social organization, such as trust, norms and networks, that can improve the efficacy of society by facilitating coordinated actions," is an effective and sustainable program for health promotion among older adults. Geriatr Gerontol Int 2016; 16 (Suppl. 1): 98-109.

AimThe health benefits of paid employment in late life are understood, but they might vary according to work motives. We examined the health effects of employment among older adults, focusing on motivation.MethodsWe carried out a 2‐year longitudinal survey from 2013 (baseline) to 2015 (follow up). Among 7608 older adults, the analysis included 1069 who completed both surveys and were employed at baseline. Work motives were assessed using a questionnaire. Participants were assigned to groups based on their responses: (i) financial reasons; (ii) motivation other than financial reasons; and (iii) both financial and non‐financial reasons. Self‐rated health, mental health and higher‐level functional capacity were evaluated as health outcomes.ResultsThere were group differences in baseline demographic variables and health status; those with financial reasons had lower socioeconomic status and worse mental health. Multivariable logistic regression analysis showed that compared with older workers with non‐financial reasons, those with financial reasons were more likely to decline in self‐rated health (OR 1.42; 95% CI 1.00–2.03) and higher‐level functional capacity (OR 1.55; 95% CI 1.16–2.07), which was independent of potential covariates, including socioeconomic status. However, no differences were evident between those with only non‐financial reasons and those having both financial and non‐financial reasons.ConclusionsWe found that the participants who worked only for financial rewards had reduced health benefits through working in old age. A prolonged working life among older workers can contribute to maintaining health and can be enhanced by non‐financial reasons, such as finding meaning in life and social contact. Geriatr Gerontol Int 2020; 20: 745–751.

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Purpose The purpose of this paper is to investigate why children with autism spectrum disorder (ASD) tend to respond to tasks from their own perspective. The authors investigated the effects of explicitness of viewpoint on performance of spontaneous level 2 perspective-taking skills in six- to eight-year-old children with ASD. Design/methodology/approach The authors conducted visual perspective-taking tasks with explicit and implicit instructions about the viewpoint to be used. Participants operated a toy car on a map while listening to the experimenter’s instructions. In the implicit condition, when the experimenter said “Turn right/left” at each intersection, the participants moved the car accordingly. Subsequently, in the explicit condition, the experimenter said “Look from the driver’s viewpoint and turn right/left” at each intersection. Findings In the implicit condition, the authors did not observe a clear developmental change in performance between six- and eight-year-old children in the ASD group. In contrast, performance in the ASD group improved under the explicit condition relative to that under the implicit condition. Originality/value The results suggest six- to eight-year-old children with ASD tend not to spontaneously use level 2 perspective-taking skills. Therefore, viewpoints should be explicitly instructed to children with ASD. In addition, it is also important to implement training to encourage spontaneous transitions from self-perspective to other-perspective under the implicit condition.

This study aimed to clarify patterns of poverty among single older men and examine this population's help-seeking preferences. Semi-structured interviews were conducted with 83 older single men in poverty. Three main patterns of poverty were identified: lifelong, job turnover, and retirement. A common characteristic among these patterns indicated that they did not recognize their difficulties as problems. Furthermore, we identified five groups of help-receiving preferences: independent, resignation, mutual-aid, other-oriented, and seeking. Among these, the independent and resignation groups were influenced by past experiences of failing to seek help, which was characteristic of the lifelong pattern type. Furthermore, the mutual-aid and seeking groups were oriented toward positive help-seeking, which was characteristic of the job turnover and retirement pattern types. However, neither group actively sought help for social isolation or lack of social support, suggesting that it would have been challenging to establish social relationships early on in life. Thus, it is important to establish initiatives that enable older people to understand their current state and to think about their future depending on three patterns of poverty.

Cognitive decline is a major problem in aging societies (Alzheimer's Disease International, 2013; Deary et al., 2009). Recently, a range of risk factors related to cognitive decline have been reported, including hypertension, diabetes, social isolation, and less frequent engagement in physical activities (Livingston et al., 2017). Early identification and modification of these risk factors may help prevent or delay the onset of dementia. Because people with complaints of forgetfulness tend to have a higher risk of dementia, and poor cognitive function such as memory,

Background: To delay cognitive decline, it is important to engage actively in preventive activities from middle age (50–64 years of age). We have developed a cognitive intervention program using picture book reading, and demonstrated that it is effective for improving memory in older adults. However, the effect of the intervention on memory and other cognitive functions in middle-aged people has not been examined. The current study investigated the effects of the picture book reading program on cognitive function in middle-aged people.Methods: This single-blind (examiners were blinded) randomized controlled trial was conducted in Tokyo, Japan. A total of 65 participants were randomly assigned to the intervention group (IG) (n = 32), in which members attended 12 picture book reading classes held once a week, or the active control group (CG) (n = 33), in which members received lectures on health maintenance. Cognitive tests were conducted before and after the intervention. The primary outcome was memory, and the secondary outcomes were verbal function and executive function.Results: The results showed that there was no significant difference between the IG and the CG in change scores (post minus pre) for memory. On the other hand, there was a significant difference in change scores of the category fluency, which is a measure of verbal function, suggesting improvements in IG compared to CG. There were also no significant differences in executive function.Conclusions: The results indicated that our previous finding of an improvement in memory function in older adults was not found in middle-aged people. However, the findings suggest that the picture book reading program may affect lexical access ability in verbal function among middle-aged people. Because maintaining verbal function is important for daily communication, these findings suggest that this program may be a useful countermeasure for cognitive decline in middle-aged people.Clinical Trial Registration: University Hospital Medical Information Network Clinical Trial Registry, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048012, Identifier: UMIN 000042071

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