THE JOURNAL ON - ICAAicaa.cc/data/product/4278_a55ddfc213f437e72c09ee8f48fddbba.pdf · to the Journal on Active Aging® or ICAA Functional U®. International Council on Active Aging®

The future of agingTrends and issues that areshaping the industry

Building resilienceBolster this keycontributor tosuccessful aging

The wellness journeyHow one communitycreated a thrivingwellness culture

J u l y / A u g u s t 2 0 1 3 , V o l . 1 2 N o . 5

T H E J O U R N A L O N

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Introducing the new T4r recumbent cross trainer.T4r combines lower and upper body movement for

a full body workout – building strength, promoting

independence, and invigorating users of virtually

all ability levels to get the most out of life.

T4r’s fresh new design includes features

like a comfortable 360° swivel seat,

sturdy grab ring for easy on/off, and

a clamshell release for easy

arm adjustments.

Design that inspires. Movement that empowers.

For free DVD call 800.322.2209or visit www.nustep.com/newT4r

The Journal on Active Aging July/August 2013 www.icaa.cc4

C O N T E N T S

C o l u m n s & d e p a r t m e n t s

6Comment8Industry news16News from ICAA Preferred Business Partners

18Research in the news100ICAA Preferred Business Partners108ICAA directions

Features

Gerontology Resilience: a requirement for successful aging in all settings pg. 22The importance of building resilience in older adults in communities, seniors centers, and other organizations within the active-aging industry cannot be underestimated, experts agree. Here’s how to do it. By Marilynn Larkin, MA

Trends The future of aging, part one: trends and issues that are shaping the industry pg. 38International Council on Active Aging® advisors share insights about developments in the field of aging that they consider significant. By Jenifer Milner

Program profiles How Spring Lake Village created a thriving wellness culture pg. 86At this California community, the wellness journey has involved residents, staff and outside organizations. By Diane Waltz, MS, PT

Articles

Communication Crisis management: when bad things happen to good companies pg. 30With corporate crises filling headlines daily, “the really smart companies prepare for when a crisis hits, not if. ” By Michelle Moore

Market research A profile of aging America pg. 82This brief sketch of America’s older-adult population includes tidbits of interest for marketers and others focused on this target market.

ICAA Innovators A “green” initiative unites residents and staff at The Orchards at Southington pg. 94Eco-friendly efforts have improved relationships, quality of life and the environment at this Connecticut community.

The Journal on Active Aging®July/August 2013, Vol. 12 No. 5

CEO & PUBLISHERColin Milner, [email protected]

EDITOR-IN-CHIEFJenifer Milner, [email protected]

ART DIRECTORJacob Benaroch

CHIEF OPERATING OFFICERJulie Milner, [email protected]

VICE PRESIDENT OF EDUCATIONPatricia Ryan, MS, [email protected]

DIRECTOR OF MEMBER SERVICESKrystyna Kasprzak, BA, [email protected]

DIRECTOR OF MARKET DEVELOPMENTPatsy LeBlanc, [email protected]

COMMUNICATIONS DIRECTOR Marilynn Larkin, MA, [email protected]

LEAD SERVICESShari Akesson

The Journal on Active Aging® is published seven times per year by the International Council on Active Aging® (ICAA), a division of ICAA Services Inc. Contact

ICAA to find out about membership or subscriptions to the Journal on Active Aging® or ICAA Functional U®.

International Council on Active Aging®3307 Trutch Street

Vancouver BC V6L 2T3 CanadaToll-free: 866-335-9777

Tel: 604-734-4466Fax: 604-708-4464

www.icaa.cc

Every article published in the Journal on Active Aging® is indexed by subject and stored in ICAA’s articles archives, which can be accessed from the home page of the ICAA

website. In addition, every issue—posted in its entirety—is available to members in the “Member zone.”

Editorial submissions are welcome. Please send queries to Jenifer Milner, Editor-in-Chief. Submissions may be edited

for length, style, content and clarity.

The Journal on Active Aging® ISSN 1814-9162 (print), ISSN 1814-9170 (online).

Contents copyright ©2013 by the International Council on Active Aging®. All rights reserved. Send

permissions requests to Access Copyright by emailing [email protected].

Disclaimer: The Publisher and Authors recognize that older adults have medical and physical conditions

that affect the appropriate application of the recommendations and exercises published in the Journal on Active Aging®. Consult with a physician,

physical therapist, or other trained health or exercise professional before using the exercises. The Publisher and

Authors are not responsible for any injury or adverse effects from the application of the material

in the articles.

The Journal on Active Aging July/August 2013 www.icaa.cc 5

C O N T E N T SI C A A A d v i s o r y B o a r d

Scientific Advisory Board• StevenBlair,PED,ArnoldSchoolof

PublicHealth,UniversityofSouthCarolina

• WojtekChodzko-Zajko,PhD,University of Illinois at Urbana–Champaign

• TerryFerebeeEckmann,PhD,MinotStateUniversity

• WilliamJ.Evans,PhD,GlaxoSmithKline

• KathieGarbe,PhD,UniversityofNorth Carolina–Asheville

• BenHurley,PhD,UniversityofMarylandSchoolofPublicHealth

• JamieHuysman,PsyD,WellMedMedicalManagement

• BobLaventure,MEd,BritishHeartFoundationNationalCentreforPhysical Activity and Health

• KevinO’Neil,MD,BrookdaleSeniorLiving,Inc.

• BarbaraResnick,PhD,UniversityofMarylandSchoolofNursing

• DebraRose,PhD,CaliforniaStateUniversity,Fullerton

• MaryE.Sanders,PhD,SchoolofMedicine,UniversityofNevada,Reno

• MariaFiataroneSingh,MD,UniversityofSydney

• WayneWestcott,PhD,QuincyCollege

Industry Advisory Board• LorrayneAnthony,BSc,The

Canadian Press• GingerAnzalone,MBA,Vesta

FacilitiesManagement• MargeCoalman,EdD,Touchmark

Retirement Communities• TerryFay,BA,SeniorLifestyle

Corporation• HelenFoster,BA,FosterStrategy,LLC• JeffGlaze,MBA,ABHOW

• BarbaraKleger,BS,Klegerassociates,adivisionofKDPartners,LLC

• BrendaLoube,MS,CorporateFitnessWorks

• JanMontague,MGS,Whole-PersonWellness International

• JohnRude,MS,AgeDynamics,Inc.• MarthaSchram,BS,AegisTherapies• KathySmith,BBA,KathySmith

Lifestyles• LynnThorneburg,JD,Institutefor

PreventiveFootHealth• KayVanNorman,MS,BrilliantAging• RondaWatson,RD,AtriaSenior

Living• StephanieWong,BA,Healthways

Marketing Advisory Board• G.RichardAmbrosius,MA, Positive Aging• LoriBitter,MS,TheBusinessof

Aging• RobinCraig,MA,MBKSeniorLiving• DouglasFitzgerald,EdD,Boomer

SeniorLivingInternational• ToddHarff,MBA,CreatingResults• AnneHolmes,MS,National

Association of Baby Boomer Women• GillWalker,MS,Evergreen

Advertising&Marketing

Supplier Advisory Board• NathanelEisenberg,CogniFit• AnsonFlake,HydroWorx• HerbFlentye,SPRIProducts• DonGronachan,BiodexMedical

Systems• LeeHillman,PerformanceHealth

Systems,LLC• JeffKohl,RedDoorSpas–Elizabeth

Arden• CrystalRomberger,BallDynamics

International,LLC• JocelynVandeVelde,MatrixFitness

THE ICAA PHILOSOPHY

Changing the way

we age®

We can change the way we age

by staying active, to the fullest

extent possible, within all areas of

life: physical, spiritual, emotional,

intellectual, vocational, social and

environmental. Aging

within these dimensions of

wellness keeps us involved, alert

and enjoying a productive life.

Active aging

The concept of active aging is

summed up in the phrase “engaged

in life.” Individuals can participate in

life as fully as possible, regardless of

socioeconomic status or health

conditions, within the wellness

dimensions.

Age-friendly

ICAA’s age-friendly philosophy

designates programs that provide

the information, access and

motivation people need to become

and stay active through all levels of

functional ability.


COMMENTM a k i n g t h e m o s t

Death. A heavy word, isn’t it? Many of us don’t want to talk about our own mortality, as it means facing the fact that we come with an expiry date. In-stead, for numerous people, the strategy is to keep death at bay by “refusing” to age. They spend billions on “anti-aging” pills and creams, all in an effort to arrest aging and keep the body looking young. But time marches on, with or without Botox.

Death’s GPS system is foolproof: It will find us—it’s just a matter of how and when. Can we forestall the inevitable? The answer to that question lies within our genes, attitudes, lifestyles and envi-ronments, not a bottle or a tube.

We find insight—and role models—in those who have cracked the centenar-ian code to live longer and healthier than most. One of these code-crackers is my grandmother, Merle O’Hara. At 101 years of age, she is a fine example of someone who has lived, loved and lasted. But how has she done it? One word: resilience.

I’ve written and talked publicly before about my grandmother, because she in-spires me with her lively spirit, sense of fun, and optimism. She has experienced 101 years of change along with her share of adversity, and she has adapted, bounced back, and moved on. This, to me, is her legacy.

Consider the following for a minute: Recently, Pew Research Center surveyed Americans on their attitudes toward

living to age 120 and beyond, and found that when asked how long they wanted to live, 69% of respondents gave an age between 79 and 100 years. The median ideal life span was 90, according to Pew. As more people seek to live longer, the ability to model resiliency and to en-courage or support this trait in others could leave a lasting and positive legacy for us all.

In this issue of the Journal on Active Aging®, Marilynn Larkin tackles the topic of resilience. Larkin interviews five experts about resilience, whether or not people can learn this trait, and what organizations can do to bolster resilience for their members, residents and staff. Check out her article on pages 22–29 for insights, strategies, resources and more.

Resilience is increasingly important today due to improved longevity and population aging, which are transform-ing the world around us. How will such issues and other trends shape the future of aging? To explore this subject, we turned to members of the International Council on Active Aging’s scientific and industry advisory boards. We asked these individuals to tell us about the trends and issues in aging that they consider the most significant, and many gave us their input. The responses were fascinating.

Because board members represent the active-aging spectrum and all its areas of focus, their input covers a wide range of topics. The result is a picture of the

aging field seen through the eyes of active-aging advocates, including cur-rent and emerging challenges as well as opportunities.

Needless to say, there’s a wealth of mate-rial. We’ll mine these contributions over the next several issues of the Journal in a series called “The Future of Aging.” The first installment appears on pages 38–44 of this issue. Prepared by Editor-in-Chief Jenifer Milner, part one zooms in mainly on healthcare-related topics, from opportunities arising with health-care reform, to the challenges of late-life depression.

In a rapidly changing world, active-aging professionals offer real solutions for those who want to enjoy healthier, longer and more fulfilling lives. Their answers involve people making the most of the aging experience—not denying it.

Colin Milner, CEOInternational Council on Active Aging®


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Industry NEWS

Continued on page 10

Campaign encourages ping pong to support active agingBRITDOCFoundationinLondon,England, is touring its Ping Pong Care Campaign to older-adult settings in the UnitedKingdomaspartofanoutreachprogram. The campaign includes free screenings of the documentary film Ping Pong, which follows eight veteran players competing in the 2010 “over 80s” World TableTennisChampionshipsinInnerMongolia.SinceitsreleaseinJuly2012,the film has been screened in more than 500caresettingsintheUK.BRITDOCaimstobringitsfilm/campaigntoafur-ther 2,000 such settings before the end of 2013. The campaign’s goal is to inspire “more active lifestyles in our senior years.”

In addition to free screenings of this film, the Ping Pong Care Campaign provides a tool for planning, promoting and hosting screenings in such settings as residential and care communities, day centers, and community centers. The Ping Pong Care Pack also gives caregiver staff resources to initiate table-tennis activities in their

venues. These resources include a rollnet, paddlesandballs,andabookletandDVDthat explain starter activities for all partici-pants, regardless of age, ability or mobility. The campaign is making a limited num-ber of Care Packs available at no charge. Formoreinformation,visitwww.pingpongfilm.co.uk/campaign.

Florida community announces partnership with public collegeTheVillage,anindependentlivingcom-munityinGainesville,Florida,hasenteredinto an exclusive partnership with nearby SantaFeCollege.TheformalaffiliationprovidesVillageresidentswithunlimitedaccess to courses, lectures and a variety of events on the college’s campus tuition free. The partnership also increases the number ofcoursestaughtbySantaFeinstructorsatthe senior living community. Additional benefitstoVillageresidentsincludeprivateshowingsatSantaFe’splanetariumandtoursatthecollege’steachingzoo.Villageresidents will also have unlimited access to SantaFeathleticevents,withspecialrec-ognition opportunities such as ‘Throwing OuttheFirstPitch”atbaseballgames.

InasurveyofresidentsatTheVillage,nearly 70% considered lifelong learning andformingapartnershipwithSantaFeCollege a top priority. The survey also asked about courses and cultural activities thatinterestedindividuals.Someoftheresidents’ most popular academic subjects included technology, history, economics and fine arts.

Calling the partnership a “win-win,” KathrynLehman,coordinatorofculturalprogramsforSantaFeCollege,says,“itprovidesresidentsofTheVillageenrich-ing opportunities to academic and cultural programs we offer. It’s also valuable for our students and instructors to interact with a wider variety of adults seeking continued education and new experiences.” Adds JimAntonucci,executivedirectorofTheVillage,“Ithinkthisaffiliationfurtherem-phasizes the changing face of higher educa-tion, the desire among seniors for lifelong learning opportunities and our commit-ment to healthy aging.”

Les D’Arcy competes in the World Championship Veterans Table Tennis. Image courtesy of Britdoc / Bankyak Films

1 Fresh vegetables will be prepared at the last possible minute and in the smallest possible batches to ensure taste and freshness

2 Our foods will be prepared with efforts to dramatically reduce or eliminate excessive fats, calories and sodium

3 We will purchase whole food in concert with the season at the peak of ripeness and flavor

4 We will use fresh produce, never canned or frozen, when preparing salads; croutons will never be purchased, but made-in house

In order to provide a dining experience that continues to meet the needs of existing residents as well as elevate the role dining plays

in attracting new residents to your community, Morrison Senior Living is excited to introduce Our Food RulesTM. Our Food Rules were created to inspire our chefs and their teams to create food that will give your community a “dining competitive edge” while enhancing

residents’ experience with healthful, whole, unprocessed foods.

From the time we turn on the light to your kitchen to the time the light is switched off at the end of the day,

Our Food Rules are working to provide healthy, great tasting food. Boldly stated, “Our Food Rules!”

Here are just a few of Our Food Rules...

S E N I O R L I V I N G

To make your FOOD RULE, call 1-800-2CLIENT today.


Industry NEWS Continued from page 8


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Fitness challenge takes Springpoint residents on virtual journey AtSpringpointSeniorLivingcommu-nitiesacrossNewJersey,hundredsofresidents recently set out on a journey across America. As they travel from coast to coast, they’re stopping to cel-ebrate landmarks, cheering each other on and enjoying an engaging new path to health and fitness. Called “Exercise Across America,” this virtual journey isawayforresidentsatSpringpoint’scontinuing care retirement communities to measure and track their exercise and activitylevels.Oneminuteofactivityequals one mile, with each resident’s progress marked on a large map of the UnitedStates.

Exercise Across America encourages residentstotrynewthings,statesJodeeGarrity, fitness manager at Crestwood ManorinWhiting.“Ihavepeoplewhohave never been to the pool before. Now they’re coming to my aqua classes. I have people trying out my seated aerobics classes. They’re having fun. Someareevengettingalittlecompeti-tive.” Residents also reminisce with one another about their real-life journeys.

“Ourresidentsarehavingagreattimewiththis,”observesStaceyJudge,com-munity wellness program director for SpringpointSeniorLiving.“They’relearning that all kinds of activities can contribute to better health.” The program is an offshoot of a broader wellness and healthy aging initiative at Springpointcalled“LivWell.”

Groups representing long-term and post-acute care providers combine operationsInMay2013,theAmericanHealthCareAssociation(AHCA)andtheAllianceforQualityNursingHomeCare(Alliance)announcedtheyhadreachedan agreement to combine their opera-tions into one organization. The new entity will retain the AHCA name.

“Improving the lives of our residents while delivering solutions for quality care have been the ties that bind AHCA and the Alliance since the very begin-ning,”saysAHCAPresidentandCEOMarkParkinson.“Todayourprofessionstandsatacrossroads.Facedwithcon-tinued cuts and growing pressures on the systems that fund the care we provide, there was really only one choice—to band together to form one unified voice.

The economic straits our profession faces necessitated this union,” he adds. “We have heard the call of our members, and we have responded.”

National Geographic seeks photo submissionsFromSeptember21–29,2013,NationalGeographic is inviting the world to take part in the Great Nature Project, an un-precedented attempt to capture and ap-preciate the Earth’s biodiversity. Project participants—anyone with a camera or camera phone—are asked to take pho-tos of any plants or animals they come across and share them with the world by uploading them to various social media platforms,includingTwitter,Insta-gramandFlickr,usingthehashtag#GreatNature. The uploaded, tagged photos will be aggregated online at www.greatnatureproject.org.Visitorsto this website can view the images and take advantage of opportunities to en-gage deeper and learn more about the world’s biodiversity through educational and scientific resources.

As part of the Great Nature Project, NationalGeographicKidsisattemptingto set a Guinness World Record for the largest online photo album of animals by collecting more than 100,000 animal im-ages. Any photo of an animal uploaded and then shared with the Great Nature Project with the addition of the hashtag #animal will count toward the record.

“The Great Nature Project is at the core oftheNationalGeographicSociety’smission to inspire people to care about theplanet,”commentsVicePresidentofEducationDanielEdelson.“Throughthis project, participants can share their world with the whole world. Experiencing and celebrating nature in this way will remind people of all ages about the amazing and diverse life on our planet and inspire them to do their

At Springpoint Senior Living communities in New Jersey, participants in a fitness challenge log one mile on a virtual journey for every one minute of activity. Image courtesy of Springpoint Senior Living

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Moves and more



part to help change it for the better.” Learnmoreaboutthisinitiativeatwww.greatnatureproject.org/participate.

[Ed. Host organizations for Active Aging Week 2013 may want to include the Great Nature Project among their activities for the annual health promotion campaign. The dates for the National Geo-graphic initiative roughly coincide with Active Aging Week, which takes place September22–28andthisyearhighlightsthetheme“DiscoverYourCommunity.”LedbytheInternationalCouncilonActiveAging®, the weeklong campaign is orga-nizedbylocalhosts.Formoreinformation,visitwww.icaa.cc/aaw.htm.]

Kisco residents enjoy a cooking demonstra-tion as part of the Mind Matter Olympics. Image courtesy of Kisco Senior Living

Kisco offers cognitive health program KiscoSeniorLiving,headquarteredinCarlsbad, California, recently launched “MindMatterOlympics,”asecond-yearprogram to help maximize brain health andmemoryability.SixKiscocommu-nities in southern California are partici-pating in the 10-week program, which offers 16 activities in four different categoriesofcompetition:“KnowYourBrain,”“BrainFitness,”“TotalRecall”and“Mind/BodyHealing.”

Penny Pritzker recently became the UnitedStates’38thCommerceSecre-tary;PritzkerpreviouslydevelopedVi(formerlyClassicResidencebyHyatt),headquartered in Chicago, Illinois, amongotherventures…ACTSRetire-ment-LifeCommunitieshasbegunasearch for a successor to President and CEOMarvin Mashner, who plans to retireinJune2014after23yearswiththe Pennsylvania-based organization … theAssistedLivingFederationofAmer-ica named Brenda J. Bacon, cofounder, presidentandCEO,BrandywineSeniorLivinginMountLaurel,NewJersey,asboardchair…theFamilyCaregiverAlliancepresentedits2013LeadershipAward to Susan Reinhard,PhD,RN,senior vice president for public policy at AARP, and director, AARP Public PolicyInstitute,inWashington,DC…Matthew Phillips joined Chicago, Illi-nois-basedSeniorLifestyleCorporationas executive vice president, while Nancy Cutter came on board as vice president of development and Kate DeCoursey as vice president of finance … Henry Moehring was promoted to executive directorofAsburyMethodistVillageinGaithersburg,Maryland…Walter Greenleaf,PhD,joinedtheStanfordCenteronLongevityatStanfordUniversity, California, as senior research scholaranddirectoroftheMindDivi-sion … Edward Lange, Jr., resigned as CEOofHolidayRetirementinLakeOswego,Oregon;companypresidentKai Hsiao has assumed this additional position…EricksonLivinginBalti-more,Maryland,hiredChristopher J. Emmett as regional vice president of operations; the company also promoted Matt Neville to executive director of itsHighlandSpringscommunityandappointed Garry D. Hibbs as execu-tivedirectoratOakCrest…Dennis G. Stambaugh,MHA,wasappointedmanagingdirectorofCARFInterna-tional’sMedicalRehabilitationaccredi-tation area for North America … Mark JohnstonrecentlyjoinedKansas-based

GlynnDevins,specialistsinseniorliv-ing advertising and marketing, as vice president,CRM[customerrelation-ship management] and data analytics … Marge Betley was named executive directorofStagebridgeSeniorTheatreinOakland,California…Wisconsin-based Eppstein Uhen Architects, Inc., hired Leslie Takahashi-White as proj-ectassistantforitsLivingEnvironmentsstudio, working on senior living projects … Tana Gall was named president and Jason Childers, senior vice president, at MerrillGardensinSeattle,Washington;Sondra Roberts, general manager of MerrillGardensofCitrusHeights,wasnamedOutstandingExecutiveDirectorof the Year by the California Assisted LivingAssociation…ProMaturaGroup,basedinOxford,Mississippi,recentlyhired Susannah Myerson as vice presi-dent of research and applied strategies …theUSSenateconfirmedMarilyn Tavenner as administrator of the Cen-tersforMedicare&MedicaidServicesinMay…Rob Young was named vice president of sales and marketing for Covenant Retirement Communities, Inc.,headquarteredinSkokie,Illinois…OakTracehasaddedSubhash Shah, MD,asphysiatrist;Shahwilloverseeall rehabilitation services provided attheDownersGrove,Illinois,com-munity…EcumenPresidentandCEOKathryn Roberts received the 2013 DistinguishedAlumniAchievementAwardfromMinnesotaStateUniversityMankato…theUSAdministrationonAging announced the following winners of the “Unleash the Power of Age Com-munity Challenge,” held in conjunction withOlderAmericansMonth2013:Epifanio Vega Gonzalez, Pat Sussman and Robert Craig…andFlorida-based United Home Care recently awardedits19th annual Claude Pepper Awards, recognizing the United Flying Octogenarians—1,200 pilots aged 80 yearsandolder—withitsActiveLivingAward.



“The spirit of competition and fun can never be underestimated,” comments Kisco’swellnessteamleader,MariaConnelly. “Using feedback from resi-dents, we designed this program to im-prove cognitive ability through social engagement with a focus on preventive strategies.MindMatterOlympicsofferscontinuous learning that challenges and exercises residents’ minds in a fun-filled setting.”

Participants bring a passport booklet to each activity, and the word brain is stamped in the booklet upon comple-tion. Each community will host an awards ceremony at the program’s finish. “The end goal,” Connelly notes, “is to provide a program to help enhance qual-ity of life and to increase engagement through intellectual activities and build social relationships through our six di-mensions of wellness.”

At an event to celebrate Intergenerational Day Canada, two youth play pool with a more seasoned friend. Image courtesy of i2i Intergenerational Society of Canada

Canadian cities embrace Intergenerational Day CanadaOutreachtocitiesacrossCanadare-sulted in a record number supporting thefourthannualIntergenerationalDayCanada,accordingtoSharonMcKenzie,executive director of the i2i Intergen-erationalSocietyofCanada,basedinBritish Columbia, and a major force be-hind the day. “The number of Canadian cities acknowledging this focus day has grownfromsevento92injustoneyear,with representation from every province andtwoterritories.Fourprovincialgov-

ernments have proclaimed the day as well,”McKenziesays.Thedayprovidesan opportunity to raise awareness in classrooms and in daily life about the benefits that respectful connections between generations bring to education, health and community safety; and to break ageist stereotypes.

According to i2i, “Intergenerational activities are an untapped resource. They are rich in personal connections and provide opportunities to practice personal responsibility and empathy. We spend tax dollars attempting to help isolated teens, neglected children and disconnected older adults. In many cases these two generations would solve their own problems just being together, guided by a respectful and safe plan. Reaching out to one another is a price-lessfirststep.”Moreinformationisavailable at www.intergenerational.ca.

Active-aging program brings benefits to older adults in South AfricaMorethan100olderadultsat“agedcare” residences in the eThekwini MunicipalityregionofDurban,SouthAfrica, recently participated in an exer-cise program run by faculty at the Uni-versityofKwazulu-Natal(UKZN),alsoinDurban.Thethree-monthprogram—designed to assist with mobility, balance, strength and flexibility—was conducted as part of a research study that assessed the effect of exercise on general health status, immunity, memory, risk for falls and nutrition in older adults. Partici-pants were 60 years and older, mobile and independent in their activities of daily living.

Forpurposesofthestudy,onegroupofparticipants exercised three times a week and the other twice a week, according to UKZN’snewsletter.“Followingananaly-sis of the study results, the exercise pro-gramwillbedisseminatedto[agedcarecenters] as a means of promoting active aging for residents living within these

Do you have news to share?

The Journal on Active Aging® wel-comes your news submissions. Please send press releases to [email protected]—the Journal’s email for sub-missions—and staff will consider your news for possible publication. Newsworthy topics include such thingsascenter/communityopen-ings; initiative or campaign launches; announcements of awards, promo-tions or grants; and other topics of interest to active-aging professionals.

facilities, both locally and nationally,” notesleadresearcherSerelaRamklassoftheSchoolofClinicalMedicine.

Healthcare executives form new companyBrianC.GoodeandStephenH.Neffre-cently founded Renaissance Healthcare Partners,LLC,inHamptonFalls,NewHampshire, a company that will acquire, operate and manage skilled nursing and rehabilitation centers throughout the New England region. The team created the company in response to the rapidly changing healthcare marketplace.

“Healthcare is changing and the pace of change will accelerate,” says Neff. “The leadership of skilled nursing and reha-bilitation centers must align with physi-cians, hospitals and insurance companies and be a meaningful player in a complex healthcare ecosystem.”

Prior to becoming a partner at Renais-sance, Goode founded and recently sold Excella Healthcare, Inc., which provided Medicare-certifiedhomehealthandrehabilitation services in five states. Neff brings more than three decades of expe-rience to the partnership. He was most recentlythepresidentandCEOofAvivCentersforLivinginPeabody,Massachusetts.


Industry news: studies, campaigns and programs

Ireland launches National Positive Ageing StrategyOnApril24,2013,Ireland’sKathleenLynch,ministerofstatefordisability,equality, mental health and older people, launched the National Positive Ageing StrategytohelptransformIrelandintoan “age-friendly” society. Estimates sug-gest that by 2041, there will be between 1.3 and 1.4 million age 65-plus people in Ireland, representing 20–25% of the total population. The new strategy “offers a blueprint for planning what can and should be done, individually and collec-tively, to make Ireland a good country in which to grow older,” states the country’s DepartmentofHealth.

TheNationalPositiveAgeingStrategyhighlights that aging is a lifelong process that does not start at age 65, and that ag-ing is not just a health issue; it requires a government response to address a range of interconnected social, economic and environmental factors. The plan specifies four national goals: continued involve-ment of people as they age in all aspects of society; support for people as they age to maintain, improve or manage their physical and mental health; enabling peo-ple to age in their own homes and com-munities for as long as possible; and sup-porting and using research about people as they age to develop better policy. This document may be downloaded at: www.dohc.ie/publications/National_Positive_Ageing_Strategy.html.

UC–Davis establishes research center for aging LatinosAssembling a team of nurse, physician and mental-health leaders in brain health and minority aging, the University of California,Davis,hasestablishedtheLatinoAgingResearchResourceCenter.The center was created through a five-year,US$3-milliongrantfromtheNational Institute on Aging, one of the USNationalInstitutesofHealth.

Latinos,arapidlyagingpopulation,com-prise one-third of residents in California’s

CentralValley.Theyfacehealthdispari-ties such as socioeconomic disadvantages and a lack of adequate healthcare that place a disproportionate burden on the family,inpartbecauseLatinostradition-ally care for family members at home. The new center emphasizes community engagement through mentoring to en-courage people to participate in research and disseminate brain-health information toLatinocommunities.Researchgrantsfor pilot programs will be awarded annually.

Inaugural conference to tackle culture of aging in CanadaTheSchlegel-UniversityofWaterlooResearchInstituteforAging(RIA)willwork with numerous partners to orga-nize “Walk with me … Changing the Culture of Aging in Canada,” scheduled forMarch24and25,2014,inToronto,Ontario.Canada’sfirstnationalconfer-ence on cultural change will bring to-gether older people and their families, caregivers and providers, researchers, and policymakers to learn with and from each other about changing the culture of aging in Canada.

Conference participants will: learn abouttheworkoftheOntarioCentresforLearning,Research&InnovationinLong-TermCare;hearaboutkeycul-tural change initiatives across Canada; build partnerships to advance change; learn practical strategies to apply cultural change within their organizations; and foster healthy communities that connect peopleacrossallsettings.Moredetailsarepostedatwww.the-ria.ca/walkwithme.Organizersalsoissuedacallforconfer-ence sessions, with submissions due by October1.Guidelinesareavailableathttp://precis2.preciscentral.com/Link.aspx?ID=2D9A2224C0FBC517.

Parkinson’s project meets at UK universitySixpartnersfromTheLiveWellProject,a pan-European consortium to promote healthy living and well-being for people

with Parkinson’s disease, recently met at PlymouthUniversityPeninsulaSchoolsofMedicineandDentistryintheUnitedKingdomtodiscusscontentandnextstepsfor their Web-based training and social community system. The project is aimed at three groups: people with the disease, to enable them to self-manage their con-dition; caregivers, giving them access to online information, training and a support community; and physicians, allowing them to remotely monitor their patients. TheLiveWellProjectiscofoundedbythe European Commission through the LifelongLearningProgramme–GruntvigSubprogramme.

San Diego university to study successful aging in adults with HIVTheNationalInstituteofMentalHealth,part of the National Institutes of Health, hasawardedaUS$3.4-milliongranttoresearchers at the University of California, SanDiegoSchoolofMedicinetostudysuccessfulaginginHIV-infectedadults.HIVisachronicmedicaldiseasethatto-day affects the lives of more than one mil-lion Americans.

Sincetheadventofantiretroviraltherapy(ART)totreatHIV,lifeexpectancyofHIV+adultshasbeenincreasingprogres-sively.By2015,nearlyhalfofHIV+indi-vidualsintheUSwillbeoverage50,andthis number is expected to keep rising. The newly funded study will be the first large-scale investigation of successful aging inHIV-infectedindividualsages36–65years. Its goals are to examine the posi-tive psychosocial factors that determine self-perceived successful aging, such as resilience, hardiness, optimism and social engagement, reveals principal investigator DilipJeste,MD,DistinguishedProfes-sor of Psychiatry and Neurosciences and directorofUCSanDiego’sSteinInstitutefor Research on Aging. The study will also look at biomarkers of both physical and cognitive aging, comparing these factors inindividualswhoareHIV-infectedwithnoninfected adults.


NEWS from ICAA Preferred Business Partners

The Green System, by SportsArt Fitness

SportsArt partners with EcoFit, gym on pilot programLocatedintheHotelGrandPacificinVictoria,BritishColumbia,theVicto-ria Athletic Club is piloting a program wherebymembersusethenewSportsArt“GreenSystem”toconvertexerciseintoelectricitywhileearningEcoFitpointstoward discounts and other offers from localbusinesses.TheGreenSystemisanETL-listedsuiteofstationarybikesandelliptical machines that harnesses energy output by creating electricity that can befedintothepowergrid.TheVictoriaclub installed two pods of 10 machines, and expects to save approximately CDN$3,000inelectricitycostsperyear.ForGreenSystemproductdetails,visitwww.sportsartamerica.com.

New ActiveRx model targets senior living communitiesActiveRx, an Arizona-based company with a national network of stand-alone active-aging centers, has introduced ActiveRx on Campus. The company’s new model is targeted to senior living communities as an answer to the chal-lenges of improving resident health and function, reducing resident turnover and increasingresidentsatisfaction.MattEssex,ActiveRxfounderandCEO,says,“ActiveRx on Campus will provide com-munities with the key ingredient for en-couraging a contagious wellness culture, renewed hope and a redefined view ofwhatispossibleinaging.”Tolearn

more about ActiveRx, go online to www.activerx.com or call 480-840-1460.

Conductorcise provides fun, fitness in communitiesConductorcise, a “sound workout for mind,bodyandsoul”anditsMaestroDavidDworkincontinuetotraveltheUnitedStates,bringingaworkouttoclassical music designed to prompt brain and physical stimulation and engage-mentonalllevels.Recently,Dworkin’stouring has taken him from Atria West 86 in New York City to Henry FordVillageinDearborn,Michigan,andMoldawResidencesinPaloAlto,California. Events also took place at the CountryMeadowsRetirementCommu-nityinHershey,Pennsylvania.Dworkinlooks forward to additional events for sessionsandcertifications.Forfurtherinformation about this program, see www.conductorcise.com.

Aegis Therapies tracks wellness metrics in skilled nursing centersAfter rolling out wellness services for stand-alone skilled nursing centers, EnerG by Aegis is now using validated assessments to track various metrics affected by its programming. These met-rics are all related to personal wellness (e.g., depression, cognition, falls and hospitalreadmissions).Assessmentsin-cludetheGeriatricDepressionScale,theSt.LouisUniversityMentalStatusExam,andtheFunctionalReachTest.Totrackthe progress of individuals, participants are assessed after completing a predeter-mined interval and then again at regular intervalsthroughouttheirstay.Todis-cover more about EnerG by Aegis, refer to www.aegistherapies.com.

BOSU ‘revitalizes’ websiteHedstromFitness,makersoftheBOSU,recently debuted its easier-to-navigate, mobile-friendlyBOSUwebsite,addingcomponents to benefit its core trainer and fitness markets, as well as to attract

the youth, athlete, rehabilitation and active-aging markets. New features in-clude, among others: a video vault with weekly workout videos; articles and information for the targeted markets; an events calendar with workshops and trainingswiththeBOSUInternationalMasterTrainerteam;aBOSUnewslet-ter with the latest exercises and health and wellness research on functional fit-ness; and social sharing, product ratings andreviews.CheckoutBOSU’supdatedsite at www.bosu.com.

The HydroWorx 3500 Series Pool

HydroWorx brings product to senior living marketHydroWorx recently introduced its 3500SeriesPoolasalow-painmodalityfor therapy and wellness programs in older-adult communities. The 12’ x 16’ (expandableupto12’x24’)poolcomesstandard with HydroWorx’s patented underwater treadmill and jet technology, and can be customized to add a second treadmill and multiple jets. Its large inte-rior space allows functionality for mul-tiple patient therapy stations or group exercise classes, while the varying depth floor encourages progression. The first senior living installations in-cludePresbyterianVillageNorthinDallas,Texas,andPeabodyRetirementinNorthManchester,Indiana.Forprod-uct details, view www.hydroworx.com.

IPFH gains Google grantTheInstituteforPreventiveFootHealth(IPFH)recentlyreceivedaGoogleforNonprofits grant providing the equiva-lentofUS$120,000forayeartobe


used for keyword campaigns in Google search. “The grant will enhance our ef-forts to take a leadership role as an edu-cational resource for information on pre-ventive foot health and the management of foot pain and other foot conditions,” saysIPFHPresidentLynnThorneburg.“ItwillallowustoexpandIPFH’sreachand help health professionals and con-sumers understand how healthy feet are the foundation of mobility and function.”LearnmoreaboutIPFHatwww.ipfh.org.

Sales professional Brian Jamison has advanced at Med-Fit Systems

Med-Fit announces new partnership, promotes team membersMed-FitSystems,manufacturerofNautilus commercial fitness equipment, recently announced its affiliation with MedicalFitnessAcademy(MFA),aPennsylvania-based practice consulting company.AccordingtoMFA,theorga-nizationselectedMed-Fitasitsstrengthand cardio equipment provider because of Nautilus’s evidence-based designs and results.

Inothernews,Med-Fitrecentlypro-motedBruceKaplanandBrianJamison,twoofitssalesteammembers.Kaplanis now director of national accounts and GSA,whileJamisonbecomesnationalsalesmanagerforMed-Fit’scommercialfitness division. Both men assumed theirnewdutiesinJune.DiscovermoreinformationaboutMed-FitSystemsatwww.medfitsystems.com.

Moving Toward Health to offer Nia trainingMovingTowardHealthissponsoringtraining to become a Nia instructor in

SanDiego,California,November13–19.Afusionfitnesspioneer,theNiaTech-nique teaches body-mind awareness through multiple movement forms from martial arts to dance, yoga, and other healing practices. The first of a five-belt system of training, the Nia White Belt Intensive is also available for personal growth.TrainerandgerontologistJanetHollander will team with veteran trainer KenGilberttoaddaspecialfocusonolder-adultneedsmetbytheNiaTech-nique.Registeronlineatnianow.com/whitebelt. Additional details are avail-able at www. movingtowardhealth.com

New YogaFit certification equips instructors to help veterans of all agesYogaFitrecentlylaunchedYogaFitfor Warriors, a 100-hour certification programdesignedbyAirForcevet-eranShayeMolendyke,neuroscientistStephanieShorterandYogaFitfounderBethShaw.Thistrainingpreparesyogateachers to bring safe, trauma-sensitive yoga to heal the body, mind and spirit of veterans of military service. Although focused on returning soldiers, this yoga approach is suitable for those of all ages who suffer from post-traumatic stress disorder, stress, anxiety and other men-tal/physicalissuesarisingfrommilitaryservice,accordingtoYogaFit.Findout more about the program at www.yogafit.com/trainings.

NuStep unveils ‘Accountable Care’ solution for assisted-living clientsNuStephasannouncedanew“Trans-formingLives”solutiontohelpitsassist-ed-living customers thrive in the current “Accountable Care” environment in the US.Accordingtothecompany,itsaero-bic recumbent cross-trainers and pro-gramming strategies have produced pos-itive outcomes for heart health, activity engagement and cognitive impairment, which can help reduce hospitalizations andreadmissions.NuStepwelcomestheopportunity to show prospective clients how to leverage its outcomes to weave into sales narratives; open doors to refer-ral sources; and support care transitions from acute rehabilitation to lifestyle exercise.Tolearnmore,contactLindaWojciechowicz at [email protected].

Keiser honors sales managerKeiserCorporationrecentlysalutedDonCallahan,managerofNortheastSales,on the anniversary of his 20th year with thecompany.DuringhistenurewithKeiser,Callahanhasestablishedfit-ness programs at more than 250 senior living communities. He is known for hissignaturetalk,“SuccessfulAging,”which he has presented in communities forthepast15years.Friendlytoagingjointsandtissues,Keiser’sair-resistancetechnology has been included in “over 80 peer-reviewed and published research studies on strength training and its effect on aging,” according to its web-site.Forproductinformation,visitwww.keiser.com.

The NIFS Balance Challenge engaged participants in improving their balance

NIFS program helps older adults who fear fallingWhentheNationalInstituteforFitnessandSports(NIFS)providedaBalanceChallenge at its client communities in March2013,thegoalwastoincreaseresident engagement in opportunities to improve physical balance. The orga-nization subsequently learned that the initiative also helped many residents overcome fear of falling. The 265 par-ticipants rated both their perception of their balance and fear of falling before and after the program. After the pro-gram,102(38.5%)reportedadecreaseintheirfearoffalling;123(46.4%)report-ednochange;and40(15%)reportedincreasedfear.ForinformationaboutNIFS,visitwww.nifs.org.


RESEARCH in the news

Research on the brain and issues that affect cognitive health and aging

Healthy lifestyle choices mean fewer memory complaintsResearch has shown that healthy behav-iors are associated with a lower risk of Alzheimer’s disease and dementia, but less is known about the potential link between positive lifestyle choices and milder mem-orycomplaints.Toexaminetheimpactofthese lifestyle choices on memory, Univer-sityofCalifornia,LosAngeles(UCLA)researchers and the Gallup organization collaborated on a nationwide poll in the UnitedStatesofmorethan18,500indi-vidualsages18–99.

The poll included 5 questions:

1. Doyousmoke?2. Didyoueathealthyalldayyesterday?3. In the last 7 days, on how many days

did you have 5 or more servings of veg-etables and fruits?

4. In the last 7 days, on how many days did you exercise for 30 minutes or more?

5. Doyouhaveanyproblemswithyourmemory?

Respondents across all age groups who engaged in just one healthy behavior were

21% less likely to report memory prob-lems than those who didn’t engage in any healthy behaviors. Those with 2 positive behaviors were 45% less likely to report problems, those with 3 were 75% less likely, and those with more than 3 were 100% less likely.

The poll found that healthy behaviors were more common among older adults (ages60–99)thantheother2agegroups(ages40–59and18–39).Seventypercentof older adults engaged in at least one healthy behavior, compared with 61% of midlife individuals and 58% of younger respondents. And while 26% of older adults and 22% of midlife respondents reported memory issues, it was surprising to find that 14% of the youngest age group complained about their memory too, the researchers note.

LeadauthorGarySmall,MD,directoroftheUCLALongevityCenter,ob-serves that, generally, memory issues in younger people may be different from thoseofoldergenerations.Stressmayplay more of a role. Also, the widespread use of technology that results in constant multitasking may impact attention span, making it harder to focus and remember. Furtherstudyandpollingmayhelpteaseout such memory-complaint differences,

Smallsays.Eitherway,headds,thesurveyreinforces the importance, for all ages, of adopting a healthy lifestyle to help limit and forestall age-related cognitive decline and neurodegeneration. Sources: Univer-sityofCalifornia,LosAngeles,May30,2013; International Psychogeriatrics, 25(6),991,2013

Watching others do physical activities helps stroke patients recover functionThe brains of stroke patients show strong cortical motor activity when observing others performing physical tasks—a find-ing that offers insight into stroke rehabili-tation, according to a recent study.

Using functional magnetic resonance imaging(fMRI),researchersfromtheUniversityofSouthernCaliforniamoni-tored the brains of 24 individuals—12 who had suffered strokes and 12 age-matched people who had not—as they watched others performing actions made using the arm and hand that would be difficult for a stroke survivor to use. The actions included lifting a pencil or flipping a card, among others.

The brains of nonaffected individuals responded to the visual stimulus with activity in cortical motor regions that generally are activated when we watch others perform actions. In contrast, in the stroke-affected brains, activity was stron-gest in these regions of the damaged hemi-sphere—and strongest when survivors viewed actions they would have the most difficulty performing.

“Watching others perform physical tasks leads to activations in motor areas of the damaged hemisphere of the brain after stroke, which is exactly what we’re try-ing to do in therapy,” states lead author KathleenGarrison,nowapost-doctoralresearcheratYaleUniversitySchoolofMedicine.Thistypeof“action-observation” is like a virtual exercise pro-gram for the brain, the researchers suggest, preparing individuals for the real exercise that includes brain and body. Sources: UniversityofSouthernCalifornia,June11,2013; Stroke, 44(8),2247–2253,2013



White BeltINTENSIVE

Nov. 13-19, 2013 San Diego

Before the ICAA Conference

Become a Nia TeacherTake your clients to a new plateau of health & vitality,becoming Elders who are

focused & aware, with purpose, confidence, &

body literacy. All abilities.

Enhance your career, communication, listening,

creativity, learning, teaching The Body’s Way,

blending Martial Arts, Dance Arts, Healing Arts.

Offered by Moving Toward HealthAn ICAA Business Partner

[email protected] NOW at:

nianow.com/whitebeltscroll down to Nov.13

Janet HollanderNia Training FacultyTeaching Nia since 1995

Elder Fitness since 1982

Retirement Programming since 1987

“Nia is more than an innovative fusion fitness program.

Nia training has transformed my life. Please join me for an

ICAA-tailored Nia week.”

Exercise may be the best medicine for Alzheimer’sNew research from the University of MarylandSchoolofPublicHealthinCollege Park reveals that exercise may improve cognitive function in those at risk for Alzheimer’s by improving the efficiency of brain activity associated withmemory.MemorylossleadingtoAlzheimer’s disease is one of the greatest fears among older Americans. While some memory loss may be expected as we age, a diagnosis of mild cognitive impairment (MCI)signalsmoresubstantialmemoryloss and a greater risk for Alzheimer’s.

Thestudy,ledbyJ.CarsonSmith,PhD,assistantprofessorintheDepartmentofKinesiology,providesnewhopeforthosediagnosedwithMCI.Itshowsthatanex-ercise intervention with older adults with MCI(averageage78)improvednotonlymemory recall, but also brain function, as measured by functional neuroimaging (viafMRI).“Wefoundthatafter12weeksof being on a moderate exercise program, study participants improved their neural efficiency—basically they were using few-er neural resources to perform the same memorytask,”saysSmith.

Twogroupsofphysicallyinactiveolderadults(ages60–88years)wereputontheprogram, which focused on regular tread-mill walking and was guided by a personal trainer. Both groups—one that included adultswithMCIandtheotherwithhealthy brain function—improved their cardiovascular fitness by about 10% at the endoftheintervention.Morenotably,both groups also improved their memory performance and showed enhanced neu-ral efficiency while engaged in memory retrieval tasks. These results were achieved with an exercise dose consistent with physical activity recommendations for older adults (moderate intensity exercise on most days for a weekly total of 150minutes).

OneofthefirstobservablesymptomsofAlzheimer’s disease is the inability to re-member familiar names. The researchers had study participants identify famous names and measured their brain activation while engaged in correctly recognizing a name(e.g.,FrankSinatra).“Thetaskgivesus the ability to see what is going on in the brain when there is a correct memory per-formance,”Smithexplains.

Testsandimagingwereperformedbothbefore and after the 12-week exercise

intervention. Brain scans taken after the exercise intervention showed a significant decrease in the intensity of brain activa-tion in 11 brain regions while participants correctly identified famous names. The brain regions with improved efficiency corresponded to those involved in the pathology of Alzheimer’s disease. The exercise intervention was also effective in improving word recall via a “list learning task,” the researchers note.

“PeoplewithMCIareonaverysharpde-cline in their memory function, so being able to improve their recall is a very big stepintherightdirection,”Smithstates.The study results suggest that exercise may reduce the need for overactivation of the brain to correctly remember something.

Smithhasplansforalargerstudythatwould include more participants, includ-ing those who are healthy but have a ge-netic risk for Alzheimer’s, and follow them for a longer time period with exercise in comparison to other types of treatments. He and his team hope to learn more about the impact of exercise on brain function and whether it could delay the onset or progression of Alzheimer’s disease. Sources: UniversityofMarylandSchoolofPublicHealth,July30,2013;Journal of Alzheimer’s Disease,2013,doi:10.3233/JAD-130467

Increases in heart disease risk factors may decrease brain functionBrain function in adults as young as 35 may decline as their heart disease risk fac-tors increase, suggests recently published research. “Young adults may think the consequences of smoking or being over-weight are years down the road, but they aren’t,”commentsHannekeJoosten,MD,lead author of the study and nephrology fellowattheUniversityMedicalCenterinGroningen,TheNetherlands.“Mostpeople know the negative effects of heart risk factors such as heart attack, stroke and renal impairment, but they do not realize it affects cognitive health. What’s bad for the heart is also bad for the brain.”

TheDutchstudyincluded3,778partici-pants ages 35–82 years who underwent cognitive function tests that measure the ability to plan and reason and to initiate and switch tasks. A separate test gauged memoryfunction.TheFraminghamRisk


RESEARCH in the news Continued from page 19

Scoredeterminedtheirriskforcardio-vascular events in the next 10 years.

The researchers found:

• Participantswiththemostheartdiseaserisks performed 50% worse on cognitive tests than participants with the lowest risk profile.

• TheoverallFraminghamRiskScore,age, diabetes, bad cholesterol, and smoking were negatively linked to poor cognitive scores.

• Comparedtononsmokingparticipants,those who smoked 1–15 cigarettes daily had a decrease in cognitive score of

2.41 points and those smoking more than 16 cigarettes daily decreased 3.43 points. The memory scores had a simi-lar association.

• Tworiskfactors—smokinganddia-betes—were strong determinants of cognitive function.

“There clearly is a dose response among smokers, with heavy smokers having a lower cognitive function than light or nonsmokers,”Joostenstates.“Smokingcessation programs might not only prevent cancer, stroke and cardiovascular events, but also cognitive damage.” Sources: AmericanHeartAssociation,May2,2013;Stroke, 44(6), 1543–1549,2013

Mental agility video game may improve cognitive abilitiesA study conducted at the University of Iowa(UI)inIowaCityfoundthatolderpeople who played 10 hours of a game priming their mental processing speed and skills delayed declines in a range of cogni-tive skills by as many as 7 years. The study comes amid a burst of research examining why, as we age, our minds gradually lose executive function, generally considered “mission control” for critical mental activi-ties, such as memory, attention, perception and problem-solving.

LeadauthorFredricWolinsky,PhD,pro-fessor in the UI College of Public Health, and colleagues separated 681 generally healthy individuals into a control group and groups ages 50–64 and over 65 years. Membersofthecontrolgroupwereaskedto play computerized crossword puzzles,

while members of 3 other groups played a video game. This game involved identify-ing a type of vehicle, and then reidentify-ing the vehicle type and matching it with a road sign displayed from an array of pos-sibilities. Players must succeed in at least 3 of every 4 tries to advance to the next level, which speeds up the game and adds 47 more distractions. The goal is to increase the user’s mental speed and agility at iden-tifying the correct road signs.

The groups that played the video game at least 10 hours, either at home or in a lab at the university, gained at least 3 years of cognitive improvement when tested after one year, according to a formula devel-oped by the researchers. A group that had 4 additional hours of training with the game did even better, improving their cog-nitive abilities by 4 years. The researchers also found that those who played the game scored better than the crossword-puzzle group on tests of concentration, nimble-ness shifting from one mental task to another, and the speed at which they processed new information. Sources: UniversityofIowa,May1,2013;PLOS One, 8(5),e61624,2013;doi:10.1371/journal.pone.0061624

Weight loss improves memory, alters brain activity in older overweight womenMemoryimprovesinolderoverweightwomen after they lose weight by dieting, and their brain activity changes in the regions of the brain that are important for memory tasks, a new study finds. The results were presented at The Endocrine Society’s95thAnnualMeetinginSanFrancisco,California,inJune.

“Ourfindingssuggestthatobesity-associated impairments in memory func-tion are reversible, adding incentive for weight loss,” reveals lead author Andreas Pettersson,MD,aPhDstudentatUmeaUniversity,Umea,Sweden.Previousre-search has shown that obese people have impaired episodic memory—the memory of events that happen throughout one’s life.

The researchers randomly assigned 20 overweight, postmenopausal women (av-

erageage61)tooneof2healthyweightloss diets for 6 months. Nine women used the Paleolithic diet, also called the Caveman diet, which was composed of 30% protein, 30% carbohydrates and 40% unsaturated fats. The other 11 women fol-lowed the Nordic Nutrition Recommen-dations of a diet containing 15% protein, 55% carbohydrates, and 30% fats.

The investigators measured the women’s bodymassindex(BMI)andbodyfatcom-position before and after dieting. They tested the participants’ episodic memory by instructing them to memorize un-known pairs of faces and names presented onascreenduringbrainimaging.Later,the women saw the facial images along with three letters. Their memory retrieval task was to indicate the correct letter cor-responding to the first letter of the name linked to the face.

Because the 2 dietary groups did not differ in body measurements and imaging data, the data were combined and analyzed asonegroup.Thegroup’saverageBMIdecreased from 32.1 before the diet to 29.2after6monthsofdieting,andtheiraverageweightdroppedfrom188.9lbs.to171.3 lbs., the authors report.

After weight loss, memory performance improved and brain activity increased dur-ing memory encoding in the brain regions important to identifying and matching faces. In addition, brain activity decreased after weight loss in the regions associated with retrieval of episodic memories, which indicates more efficient retrieval, accord-ing to Pettersson. Source: The Endocrine Society,June15,2013

Brain can be trained in compassionLittlehasbeenscientificallyknownaboutthe human potential to cultivate compas-sion—the emotional state of caring for people who are suffering in a way that motivates altruistic behavior. A new study finds that, in fact, adults can be trained to be more compassionate. These results may particularly interest organizations whose workers provide care or supportive ser-vices to individuals in their homes or other settings.


Strengthen your heart, open your ears and challenge your mind with an invigorating workout that pairs the physical and the cognitive. Maestro David Dworkin’s CONDUCTORCISE® gets participants enthused about classical music, and keeps them engaged, thinking, in motion, healthy and having fun! As a Master Champion for ICAA’s Changing The Way We Age® Campaign, Dworkin also aims to capture the imagination and attention of people of all fitness levels.

Conductorcise has been hailed at:

• conferencesoftheAmericanCollegeofCardiologyandtheAlzheimer’s Association

• Parkinson’sdisease,diabeticandosteoporosisclinics• AmericanHeartAssociation’sHeartWalk• seniorlivingcommunitiesandrehabilitationfacilitiesacrosstheglobe

“Conductorcise is a wonderful marriage of music, fun, connections and aerobic exercise. It is hard to conceive of a more engaging challenge experience that all people will love, learn and get healthy from.”–Dr. John J. Ratey, Faculty,HarvardMedicalSchool

For more information, visit www.Conductorcise.com or call 914.244.3803

Stay ‘in tune’ with successful aging

Conductorcise 1/2 p ad.indd 1 11-10-11 2:52 PM

Researchers from the Center for Investi-gatingHealthyMindsattheUniversityofWisconsin–Madison’sWaismanCentertrained young adults to engage in compas-sion meditation, an ancient Buddhist tech-nique. Participants envisioned a time when someone had suffered, and then practiced wishing that the person’s suffering was relieved. They repeated phrases such as, “Mayyouhavejoyandease.”Participantspracticed with different categories of peo-ple, first starting with a loved one. Then, they practiced compassion for themselves, then a stranger and, finally, someone with whom they actively had conflict.

The group that received compassion train-ing was compared to a control group that learned cognitive reappraisal, a technique whereby people learn to reframe their thoughts to feel less negative. Both groups listened to guided audio instructions over the Internet for 30 minutes per day for 2 weeks.Totesttheimpactofthistraining,participants played a game, also online, in which they had the opportunity to spend their own money to respond to someone in need. “We found that people train-ed in compassion were more likely to

spend their own money altruistically to help someone who was treated unfairly,” saysHelenWeng,MS,leadauthorofthestudy and a graduate student in clinical psychology.

Using functional magnetic resonance im-aging(fMRI),theresearchersmeasuredchanges in brain responses at the outset and the end of the study while participants viewed images depicting human suffering. They found that the people who were the most altruistic after compassion train-ing showed the most brain changes when viewing suffering. Activity was increased in the inferior parietal cortex, a brain region involved in empathy and under-standing others. Compassion training also increased activity in the dorsolateral prefrontal cortex and the extent to which it communicated with the nucleus accum-bens, regions involved in emotion regula-tion and positive emotions.

Throughthistraining,“[p]eopleseemtobecome more sensitive to other people’s suffering, but this is emotionally chal-lenging,” explains Weng. “They learn to regulate their emotions so that they ap-

proach people’s suffering with caring and wanting to help rather than turning away.”

Wengobserves,“Ourfundamentalques-tion was, ‘Can compassion be trained and learned in adults? Can we become more caringifwepracticethatmindset?’Ourevidence points to yes.” The audio files and scripts used in the compassion training are available for download on the center’s websiteathttp://investigatinghealthyminds.org/compassion.html.Sources: AssociationforPsychologicalScience,May22,2013;Psychological Science, 24(7),1171–1180, 2013

ICAA Research Review. Stay up to date with current research by reading ICAA Research Review, the online newsletter of breaking news in health, wellness and de-mographics. Published 45 times each year, ICAA Research Review is emailed to International Council on Active Aging® members. For more information, visit www.icaa.cc or call ICAA toll-free at 866-335-9777.



Resilience: a requirement for successful aging in all settings

Gerontology

The importance of building resilience in older adults in communities, seniors centers, and other organizations within the active-aging industry cannot be under-estimated, experts agree. Here’s how to do it

by Marilynn Larkin, MA

Imagineit’syour95th birthday. You’ve been in a hospital for a month, battling a respiratory infection, but defying all odds, you are actually doing better.1 The strength that drove you to endure 27 years in prison, to finally attain freedom and to become an icon for your nation clearlyisstillpresent.NelsonMandelais arguably one of the world’s best exam-ples of resilience—the ability to bounce back after a challenge. It’s a quality most of us have to some degree, and experts

agree it can be bolstered and reinforced in the right environments.

“Resilience goes hand in hand with wellness and successful aging,” says ColinMilner,founderandCEOoftheInternational Council on Active Aging® (ICAA).“Therightkindsofenviron-ments foster resilience in older adults, and we encourage ICAA members to embrace these environments in much the same way they have embraced the wellness model and the goals of success-ful aging.

“While the concept of building resil-ienceisnotnew,”continuesMilner,“itisincreasingly urgent now, given the bur-geoning number of older adults and the potential burden on healthcare systems if people are encouraged to be ‘cared


Resilience: a requirement for successful aging in all settingsContinued from page 22

for’ rather than to stay independent. Also, Boomers are looking to join communities and organizations that promote engage-ment and unique experiences rather than simply providing care or hospitality,” 2 he states. “Resilience is an important quality for those active settings, where taking on new challenges is often part of the appeal.”

Experts who have explored and helped im-plement resilience-building strategies for older adults agree on the need to promote resilience in all constituencies. In addition, these experts share a basic philosophy and approach for reaching that goal. Each one also brings unique perspectives to the discussion based on their experiences in theindustryand/orthegerontologicalresearch community.

This article distills information provided by the interviewees about the benefits of encouraging older adults to become more resilient. It also offers insights from these experts on ways to change organi-zational cultures to foster resilience, and provides specific approaches that have been successful.

Can resilience be learned?Intuitively, we might believe that some people,suchasNelsonMandela,aremoreresilient than others, and that little can be done to help those who can’t seem to respond robustly to life’s challenges. But that’s only partly true, according to our sources.

“Somepeopleprobablyaregeneticallymore resilient than others, but the genetic component is just one piece of the picture,” saysBarbaraResnick,PhD,CRNP,FAAN,FAANP,professorintheDepartmentofOrganizationalSystemsandAdultHealthattheUniversityofMarylandSchoolofNursinginBaltimore.“Learnedbehavior also plays a role,” she notes—“and that’s where we definitely can make a difference.”

“As Aristotle said more than two thousand years ago, ‘You are what you

repeatedlydo,’”addsDavidGobble,PhD,directorofMasterpieceLivingAcademy, an entity established by the Florida-basedsuccessfulaginginitiative,MasterpieceLiving,toofferexpertguid-ance.“Tome,thismeansthatweliveout our lives based on the patterns we’ve established,” Gobble continues. “People who established healthy patterns—eating right, exercising regularly, not smoking—early in life are more likely to do better later in life as a result of those patterns. The same is true of resilience,” he explains. “People who are accustomed to bouncing back from adversity will continuetodosointotheir80s,90sandbeyond. However, it’s still possible to establish more healthful patterns later in life, if we can motivate people to make those changes and show them how to do it.”

AccordingtoKayVanNorman,MS,president of the consulting firm Brilliant AginginBozeman,Montana,olderadultsare likely to be more resilient than most people—or they themselves—believe. “You don’t live to be in your 80s without having been resilient throughout your life, because you can’t live that long without having faced and come back from challenges, be they physical, emo-tional, financial or any other type.

“However, if resilient individuals sud-denly find themselves in environments where people do everything for them, they’ll likely stop flexing that resilience muscle,”VanNormansays.“Topreventthat from happening, we need to rethink how we interact with residents and members. We need to consistently sup-port independent decision-making and autonomy, which enable people to take charge in the face of a challenge, rather than becoming a victim.”

Changing organizational cultures to support resilienceAllowing older adults to flex their resil-ience muscles often requires a change in organizational culture. This, in turn, will

influence both staff expectations and the expectations of their constituencies.

“I’m putting this out as a challenge to the active-aging industry: Think differ-ently about how you work with older adults and prioritize building resilience in your communities and organizations,” states Resnick, a member of ICAA’s ScientificAdvisoryBoard.“Yes,thisis already happening in some settings. Manyothers,however,aresteepedincaring or catering to older adults, rather than engagement and growth.”

“It’s a conundrum,” Gobble notes. “We’re trying to create environments we believe are pleasant and appropriate for people, and in so doing, we often overserve them and make everything

Characteristics of resilient older adults

Research suggests that the following qualities are commonly noted in resil-ient older adults*:

• positiveinterpersonal relationships• positiveself-esteem• strongself-efficacy• self-determination• asenseofpurpose• acceptanceofchanges(physical

andmental)• abilitytousehumor• creativity• optimism• spirituality• abilitytomaintainapositive attitude• abilitytoidentifyandutilize resources

* Adapted from Resnick, B., Gwyther,L.,&Roberto,K.(eds.).(2011).Resilience in Aging. New York, NY:Springer.




too easy. We also want environments that are easy for us to manage—but easy for the professional doesn’t necessarily mean growth for the resident,” he stress-es. “That is our challenge to ourselves.”

Culture change begins with support and belief by an organization’s executive management, our interviewees agree. “Every time an executive director meets with staff, a key question needs to be, ‘How does what we’re doing or planning to do affect our growth environment and how does it support our core mis-sion?’”Gobbleobserves.“Organizationswith executive directors who literally state that at every formal meeting make progress, and we see change. Until that happens, all the talk about core values is just hot air.”

Creating culture change involves “train-ing the entire staff on human potential and aging, because many people work-ing in our industry underestimate that potential,” Gobble continues. “If some-one doesn’t expect you to be able to do something and doesn’t work toward creating an environment in which you’ll be able to do that thing, then you most likely won’t do it.”

Resnickagrees.Shegivesthisexample:“When we just provide care, if individu-als have a new physical challenge that affects walking—recovery from a hip replacement, for example—the tendency is to put them in a wheelchair and not make them walk any more. That ap-proach doesn’t allow the person to build resilience.”

Staffoftenaretooquicktoaccept“no”forananswer,Resnickadds.“Staffmaystart out by saying, ‘I’m going to work with you and help you believe you can overcome this hip fracture.’ But if some-one refuses to go to therapy, there are two options—to keep working with the person, pushing every day and never giv-


Olderadultsarenottheonlyoneswhoneed to develop and maintain resilience. In settings such as skilled nursing and memory care, those who assist older adults also need to be able to overcome challenges—including personal prob-lems, stresses inherent in providing care for residents and dealing with family members, as well as deaths of cared-for individuals.

MaryS.Mittelman,DrPH,directorofPsychosocialResearchandSupportattheComprehensive Center on Brain Aging, andResearchProfessor,DepartmentofPsychiatry,NYULangoneMedicalCen-ter in New York, and colleagues recently received a grant to develop online train-ing to help certified nursing assistants (alsocalledpatientcaretechnicians)bet-ter relate to and interact with those they care for in acute care settings. “Paid care-givers can’t do their jobs effectively if they are on the brink of burnout,” comments Mittelman.“We’rehypothesizingthatthey will do a better job and stay on the job longer if they can develop individual relationships with each patient.

“Treatingthepaidcaregiverasavaluedindividual is a key strategy in this ap-proach,”Mittelmansays.“Ifallmembersof the staff feel valued, their own feelings of self-confidence and efficacy are bol-stered—and it makes them better able to interact in a personal way with patients. Resilience in this situation comes from the inner knowledge that you’re making a difference in people’s lives, and that you’re not involved in confrontations, but rather interactions.”

Here are additional strategies to try:

Educate caregivers about their patients’ illnesses and how those conditions may influence mood and behavior.“Dementiais the illness in our case, but for others, it could be conditions such as depression or Parkinson’s—anything that could affect the patients’ own feelings of self-efficacy

andresilience,”Mittelmanstates.“Un-derstanding that not all patient behaviors should be taken personally can free the caregiver to defuse unpleasant situations without engaging in conflict.”

Suggest care behavior changes in a non-threatening way.Mittelmanrecallsoneindividual who hated lasagna but received it for dinner almost daily. “The menu was sitting in a corner on a table, but he was not offered the opportunity to choose from it. When the nursing assistant came in to collect the tray, I said, ‘I don’t mean to be critical, but I wonder if you realize how important it is for the person in the bedtobeabletomakeadecision.’Shesaid, ‘Well, he was asleep when I came by.’ I told her that it was nice that he was allowed to sleep, ‘but deciding what to eat is probably one of the very few decisions hecanmakehere.’Sheunderstoodandimmediately canceled the existing dinner order, replacing it with food he had previ-ously chosen. The goal was achieved with-out making the staff member feel ‘wrong’ or ‘blamed.’”

Provide regular team meetings. Giving paid caregivers the chance to interact and dis-cuss strategies that have worked for them can increase their feelings of self-efficacy, Mittelmansuggests.Suchmeetingsalsoprovide a forum for discussing strategies that didn’t work, and opportunities to discover why.

Encourage creative ideas that enhance care-giver-older adult relationships.Mittelmanpoints to one paid caregiver who soothed her dementia patients by singing to them. “I asked where she got the idea and she said,‘Oh,itwassortofobvioustome.Itstarted because I knew one woman liked gospel songs, so I sang gospel songs when Itookherintotheshower,’”Mittelmanrecounts. “The fact that the intervention provided a successful experience was a source of pride—and rightly enhanced her confidence.”

Building resilience in professional caregivers


ingup,orsaying,‘Okay,forgetit.You’vehad your chance.’ And in some com-munities, it’s acceptable for caregivers to ask once and then move on to someone else,”shestates.“Orforthemtostophelpingifanadultchildsays,‘Oh,butmy mother doesn’t want to do therapy,’ instead of standing up and saying that they’re working to build the parent’s re-silience and recovery and success.”

VanNorman,amemberofICAA’sIndustry Advisory Board, points out that staff often will say, “Well, these people can’t take care of themselves. They do need our help.” While that may be true, “the idea that you have to protect and support often is taken to the extreme, and bleeds into every interaction,” she observes. “That’s the time to step back,

take age out of the equation and start looking at individuals only from the point of view of their particular needs, and how you might help them develop adaptive strategies for self-care. The fo-cus needs to be on helping older adults create their own reality and take respon-sibility for their lives, rather than creat-ing their reality for them.

“True,youcan’tjustwaveamagicwandandsay,‘Okay,everyoneberesilientnow,’”VanNormanadmits.“Organiza-tions have to look at their environments from the ground up, and at all of their policies and procedures through the lens of resilience. When this is done, people often are surprised at how many times they have to say, ‘Well, this policy proba-bly diminishes rather than supports resil-


ience.’”Sheadds,“Yes,sometimes,thingshave to be done in a certain way. But many times, you can find alternatives.”

Changing cultures also requires chang-ing the mindsets of one’s constituencies. Self-stereotyping(e.g.,“I’mtoooldtodothat”)andthelearnedhelplessnessthat accompanies it (e.g., “I’ll never get to the dining room unless you wheel me there”)arereinforcedinthecaremodel.It may be difficult to convince residents of their own abilities if they are accus-tomed to that model. Nevertheless, says Resnick, “We need to create situations in which people say, ‘Wow! I did that.’ Because it’s only through that acknowl-edgement that they’ll grow and move out of the gloom and doom of ‘I can’t this, I can’t that.’”

R e s o u r c e s

Internet

American Psychological Associa-tion’s Psychology Help Center: The road to resiliencewww.apa.org/helpcenter/road-resilience.aspx

Masterpiece Livingwww.mymasterpieceliving.com

Barbara Resnick: Function Focused Carewww.functionfocusedcare.org

University of Maryland School of Nursingwww.nursing.umaryland.edu

Kay Van Norman: Brilliant Agingwww.kayvannorman.com

Print

Landry,R.(2014).Live Long, Die Short: A Guide to Authentic Health and

Successful Aging(inpress).Austin,TX:GreenleafBookGroup,LLC

Rowe,J.W.,&Kahn,R.L.(1998).Successful Aging.NewYork,NY:DellPublishing

Winner,S.,&Shook,L.(2010).The Silverado Story: A Memory-Care Culture Where Love is Greater than Fear.Irvine,CA:AJCPress

Dr. Barbara Resnick of the University of Maryland School of Nursing recommends the following additional resources:

Hardy,S.,Concato,J.,&Gill,T.M.(2004).Resilienceofcommunity-dwelling older persons. Journal of the American Geriatrics Society, 52(2),257–262

Kadner,K.(1989).Resilience:re-sponding to adversity. Journal of Psychosocial Nursing, 27, 20–25

Kinsel,B.(2005).Resilienceasadapta-tion in older women. Journal of Women and Aging, 17(3),23–39

Lamond,A.,Depp,C.,Allison,M.,etal.(2008).Measurementandpredic-tors of resilience among community-dwelling older women. Journal of Psychiatric Research, 43(2),148–154

Newman,R.(2005).APA’sresilienceinitiative. Professional Psychology: Re-search and Practice, 36(2),227–229

Resnick,B.(2010).Successfulaging.Rooted in resilience. ADVANCE for NPs & PAs, 1(1),31–47

Resnick,B.,Gwyther,L.,&Roberto,K.(eds.).(2011).Resilience in Aging. NewYork,NY:Springer

Tusaie,K.,&Dyer,J.(2004).Resil-ience: a historical review of the con-struct. Holistic Nursing Practice, 18(1),3–8


Resilience-boosting strategiesChanging cultures and attitudes takes time, but some resilience-building strat-egies can be implemented right away. Resnick identifies three areas of focus:3

• fosteringattributessuchasvigor, optimism and physical robustness• strengtheningself-efficacy,self- esteem and motivation• improvingsocialization

However, she stresses that these areas are not mutually exclusive: An inter-vention in one area—improving physi-cal activity, for example—can also boost a person’s self-esteem and self-efficacy, and provide opportunities for socialization.

Followingaresomeresilience-boostingstrategies shown to be effective in vari-ous older-adult settings:

Set realistic and attainable goals with input from the older adult.“Someolderadults have a hard time setting goals so sometimes we have to push a bit—but regardless of age or condition, people can still have goals,” Resnick emphasizes. “It might be walking to the dining room or being the first one togetthere.Forsomepeople,it’sjustgetting up the next day. Whatever it is, we need to start there and move forward.” If individuals have cog-nitive impairments that preclude goal-setting, speak with family members and friends and set goals based on prior life accomplishments, she advises.

Address concerns such as fear of fall-ing or exacerbating underlying medical problems.Thesefearscaninterferewith the person’s willingness to em-bark on an activity or persist in it long enough to achieve feelings of self-efficacy,Resnickobserves.“Some-times, all it takes is a conversation or accompanying the person to the activ-ity to allay anxieties.”

Provide opportunities for meaningful engagement. “If I’m in an environment where people do things for me all the time, where everything is set up for me and I don’t have to go through the pro-cess of figuring things out, it’s easy to feel like I’ve lost my sense of mastery,” VanNormancomments.“Thislosscan’tbe replaced with an array of activities. We need to foster a sense of meaningful engagement—involvement in something thatmatterstotheindividualand/ortothe community and society. It needs to be purpose-driven,” she adds, “whether it’s about helping one’s own ability to function or contributing to some larger cause.”

Review and remind the person about how they faced and overcame previous challenges. “By reminding people that they’ve been resilient in their life and helping them recall specific instances when they’ve shown resilience, we can help them build resilience in the here andnow,”saysVanNorman.“Peoplesometimes get an idea that they’re resil-ient or they’re not. That’s just another form of self-stereotyping that can stand in their way and prevent them from seeking adaptive strategies.”

Build challenges into every activity so that people have opportunities to incorporate new successes. “This runs counter to the care and hospitality models,” notes Gobble, “but we should be doing things like scheduling activities in such a way that people have to, for example, walk an extra 50 ft. to get there. By doing so, our members will simply have to rise to the challenge.”

Encourage social support.“Socialsupportgroups play a key role in promoting re-silience, particularly in the face of an un-expected challenge, such as the loss of a lovedone,”mentionsRogerLandryMD,MPH,preventivemedicinephysicianandpresidentofMasterpieceLiving,LLC.“Asocialsupportgroupdoesn’tjust take care of people or help them get

through a challenge; it allows them to talk about their fears and reinforces that they don’t have to handle everything ontheirown.”Landryhaswrittenabook—Live Long, Die Short: A Guide to Authentic Health and Successful Aging (in press)—toeducatepeopleaboutwhatthey need to be healthy and age well, including strong social engagement.4

Moving forward“Fortheactive-agingindustry,theoperative word increasingly is active,” observesICAA’sMilner.“Environmentsthat offer choices, positive challenges, growth opportunities and the idea of do-ing ‘with’ rather than doing ‘for’ are in-creasing. These same environments pro-mote what we have come to recognize as ‘successful aging,’” he says. “Now is the time to truly embrace these resilience-building, life-enhancing strategies for clients of all ages and abilities.”

Marilynn Larkin, MA, is an award-winning medical writer and editor, as well as an ACE-certified personal trainer, group fitness instructor and originator of Posture-cize. She is also ICAA’s Communications Director and a regular contributor to theJournalonActiveAging®.

References

1. Govender, P. World pays tribute as “improv-ing”Mandelaturns95.Reuters,July18,2013.RetrievedonJuly20,2013,fromhttp://www.reuters.com/article/2013/07/18/us-mandela-improving-idUSBRE96H04F20130718.

2. Bortz,D.BoomersFlocktoNicheRetirementCommunities. US News and World Report, July20,2013.RetrievedonJuly20,2013,fromhttp://money.usnews.com/money/retirement/articles/2012/04/13/boomers-flock-to-niche-retirement-communities.

3. Resnick,B.,Gwyther,L.,&Roberto,K.(eds.).(2011).Resilience in Aging. New York, NY: Springer.

4. Landry,R.(2014).Live Long, Die Short: A Guide to Authentic Health and Successful Aging (inpress).Austin,TX:GreenleafBookGroup.



Crisis management: when bad things happen to good companies

Communication

With corporate crises filling headlines daily, ‘the really smart companies prepare for when a crisis hits, not if’

by Michelle Moore

Doyoueverfeelthatthedecisions,words and actions of your industry and your company are under a microscope? That minor mistakes or unpopular policies—which a few years ago were known only to your immediate and in-nermost circles—now spin out of control splashedacrossFacebook,Twitterandeven the evening news? Have you ever lost clients, seen sales halt or watched your stock plummet as a result? Wel-come to navigating business communi-cation in the 21st century.

Survivingthisstrangenewdynamicisnotforthefaintofheart.Today,thanksto a media that never sleeps, a small

molehill of a problem can become a cri-sis mountain before you’ve had your first cup of coffee. That is, unless you have some serious crisis-management savvy.

“Crisis management” and “disaster management” have become part of the everyday business vernacular—and with good reason. Every day, there are numer-ous crisis situations filling headlines. The really smart companies prepare for when a crisis hits, not if. Why? Because, the reality is your organization is judged by its ability to handle the crisis, not the fact that the crisis occurred.

A crisis situation, handled well, provides an opportunity to demonstrate strength of reputation, values, and customer commitment.Onewaythesethingsaredemonstrated to your constituencies is through the media. Coming out stron-



Crisis management: when bad things happen to good companies Continued from page 30

ger on the other side is possible, and is purely a function of being prepared to do so. The first step is to understand the media landscape.

A challenging landscapeWiththe24/7globalnatureofcom-munication today, companies are under more media scrutiny than ever before. By “media,” I mean anyone with an abil-ity to communicate with an audience, and not just in the form of television, radio, newspaper, magazine and online. While traditional reporters will chomp at the bit the minute they sniff a poten-tially controversial news story, every one of your employees and customers—even competitors—can join their ranks if theyhaveaFacebookpage,Twitteraccount,YouTubechannelorLinkedInprofile.

In fact, these new “content generators” can be the source of crisis situations you never would have imagined. What they think about you—if they are upset and social media savvy—can quickly spiral out of control and grab the attention of the traditional news. That makes mas-tering crisis management a must-have skill for anyone charged with a commu-nications task inside a company today.

Although crises are by their very nature unpredictable, it is possible to list and prepare for those potential negative threats that might occur. You can learn concepts and techniques to guide you and help you maintain order when your company is in crisis mode and in the public eye.

Crisis definedSo,whatisacrisisandwhydoesitmat-ter to your company? A crisis is any unexpected event, real or rumored, that has the potential to damage your orga-nization’s reputation. It’s your values, your integrity, and your wherewithal on trial in the court of public opinion. And, it matters because your reputation is a tangible asset.

We’ve all heard that it takes years of hard work to build a reputation and only a few days to destroy it. But inside many organizations, unless staring down the face of a crisis situation, the gravity of the platitude sometimes rings hollow, and they may fail to adequately plan.

It wasn’t so hollow for Glenwood Gardens in Bakersfield, California, whena911dispatcherpleadedwithanurse to save a resident’s life by giving her CPR, and the nurse said policy did not allow her to. In fact, when the au-diotapeofthe911callwasreleasedandmade the news, it was a crisis of cata-strophic proportions. Though I’ve never worked with this senior living commu-nity, I’m certain there are many things that, in retrospect, the administrators would have done differently.

[Ed.Forthoseunfamiliarwiththisincident,BrookdaleSeniorLiving,thenationalowner/operatorofGlenwoodGardens, was drawn into a media fire-storm. Initially, Glenwood Gardens confirmed its protocol in a health emergency was to call emergency ser-vices and wait with the resident until responders arrived. Brookdale said it was doing an internal review to deter-mine the facts and also provided the media with some details. The company stated that Glenwood Gardens was an independent living community, which by law was not licensed to give medical care to residents; and that its employee “was serving in the capacity of a resident services director, not as a nurse.” A later statement by Brookdale clarified that the incident “resulted from a complete misunderstanding of our practice with regards to emergency medical care for our residents.” The organization was “conducting a company-wide review of our policies involving emergency medi-cal care across all of our communities.”]

Ultimately, understanding and master-ing disaster management will enable you to look back after a crisis situation

with few regrets because you will have gained valuable skills that allow you to better manage a crisis and better protect your reputation. Clear thinking drives smart decisions—which are essential to damage control—and is a function of adequate preparation.

The reality is some crisis situations are preventable. That’s because there are two basic types of crisis: sudden and smoldering.

Two types of crisesOfallthecrisissituationsexperiencedby businesses over the last decade, one-third have been sudden crisis situations and two-thirds have been smoldering crisis situations. Though the word crisis is never good, these statistics are good news in that a smoldering crisis, with some preparation, can be lessened or even prevented. How do these crisis situ-ations differ?

Sudden crisis situations. A sudden crisis is just that: You couldn’t have seen it coming. The sudden crisis situation can be either intentional or unintentional. An unintentional crisis includes natural disasters, sudden death, building fail-ures, equipment failure, information technology failures, and incapacitation of a senior executive—those occurrences that happen without warning that your company cannot prepare to prevent. An intentional crisis includes sabotage, tampering, security breaches, hacking, workplace violence, lawsuits, protests and terrorism. Whether a situation is intentional or unintentional, the list of potential disasters is downright ugly.

Smoldering crisis situations. Then there are the small problems that have been brewing right under your nose that, with awareness and attention, can be fixed to either minimize or eliminate damage to your organization. This bucket of nasties

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includes smoldering crisis situations. A smoldering crisis includes occupational safety violations, disgruntled employees, governmental investigations, class action lawsuits, product tampering, workplace violence and acts of terrorism. This is still an ugly list, but a preventable one with good crisis preparation.

Keys to surviving and thriving during a crisisWhether your company experiences a sudden or a smoldering crisis, it’s impor-tant to realize crisis situations will hap-pen. Crises are valuable to the collective wisdom of your organization because every single one is a learning situation that can help you be better prepared to handle the next.

Truly,therearethreeoutcomestoanycrisis: Your organization can be de-stroyed, it can make it through but lose trust, or it can come out better. Your goalistocomeoutbetter.Todothat,mission one is to survive and restore trust.

Survivingacrisisandcomingoutstron-ger, reputation intact, boils down to three major principles that the remain-der of this article will explore:

1. Tellthetruth.Don’tdo,sayornotsayanything to make it worse.

2. Be adequately prepared so you are in a strong position to handle the crisis with a disciplined methodology.

3. Act in smart, calculated and measured ways to preserve your credibility.

Principle 1: Tell the truthTellingthetruthshouldbeobviousforacompany in a crisis. But if you follow the news, you know that too often it’s not. If you’ve cut off your leg and you’re bleed-ing out, you don’t make the situation worse by chopping off your arm to plug thegapingholeinyourleg.Somanycompanies and individuals panic when in crisis mode and do just that: limp around limbless, leaving an obvious trail

of blood all over the place. Remember, it’s usually the cover-up that gets people in trouble, not the crime.

When a crisis situation hits and you are under the microscope, don’t lie or put a spin on the story, and don’t blame others. The general public today is so skeptical and jaded that any hint of spin causes an immediate loss of credibility andtrust.Itiswhatitis.Simplyacceptresponsibility if you’re at fault, figure out the fix, and move forward with resolving the problem. Then, communicate that you are doing so.

Principle 2: Be preparedWhile your efforts to avoid making a crisis worse happen in the throes of the situation, the actions that support a dis-ciplined approach to handling the crisis must happen well in advance. This prep-aration will give you the ability to im-pact a potential crisis in a well-thought, carefully executed manner.

Among the smartest preemptive actions any company can take to prepare for a potential crisis—sudden or smolder-ing—is to conduct a vulnerability as-sessment at the outset of crisis planning. While you can do this assessment your-self, there is often tremendous value in the nature of the feedback you receive when an objective external resource assesses vulnerabilities.

In checking to find hidden areas within your organization where a crisis may lurk, begin by investigating every major functional area within your company. These include:

• companyandcommunityhistory• geography• humanerror• propertyandequipment• employeesandlabor

Brainstorm the “what ifs” that could happen. Given your functional business areas, what would be your worst night-

mare within each? What internal prob-lems or vulnerabilities do you have that could be damaging if they went public? Then weight your responses to create a list of priority issues. This list will allow you to effectively focus your efforts and resources.

Onceyouhavedevelopedasolidlistofareas in which you are vulnerable and have ranked your priorities, you need to develop an approach to handling your crisis—to establish your crisis readiness.

First,createacrisisteam.Thisisateamof people in high-ranking positions who will be tasked with handling the crisis once it hits. I recommend meeting with your crisis team well in advance so each person knows the lines of command and can be assigned clear tasks. In addi-tion, appoint a spokesperson. Who can authoritatively speak on behalf of your company?Toconveyauthority,account-ability and credibility, it’s important to have the highest-ranking person possible

Seven steps to savvy crisis management

1. Conduct a vulnerability assessment.

2. Create a crisis team.

3. Establish systems of communica-tion to the public and to the media.

4. Prepare a crisis response process or policy.

5. Developacrisiscommunicationsplan.

6. Use best practices to handle a crisis when one hits.

7. Review actions, messages and ulti-mate outcomes once the crisis ends.


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asyourspokesperson(i.e.,yourCEO,un-lessthatpersonhasbeencompromised).Establish systems of communication to the public and to the media. And develop aprocess(orpolicy)foryourcompany’sresponse to crisis situations.

Whencreatingyourprocess/policy,it’simportant that you commit to framing crisis situations. What does that mean? Donotletothersdeliverbadnewsforyou by blowing off the media’s request for information with “No comment.” Avoid-ing the media and burying your head in the sand never works. In fact, it always makes the situation worse.

Principle 3: Act in smart, calculated, measured waysOnceacrisishits,you’llwanttorespondusing best practices. A tried and true method to most any crisis situation in-cludes the following:

• gatherasmuchinformationaboutthesituation as you can; get the facts

• alertmembersofthecrisisteam• assigntasksandcontinuefactfinding• respondtotheproblemdirectly• implementyoursolution;solvethe

problem• communicatewhatyouaredoing• reviewtheactions,messagesandulti-

mate outcomes

Messagingandcommunicationarethedifference between surviving a crisis and coming out better on the other side, and being massacred by the media. That’s why one of the essentials in crisis plan-ning is developing a crisis communica-tions plan. This is an in-depth, written plan that, among other things, clearly spells out its purpose and objectives, and identifies the crisis team, key publics for communication, emergency personnel, local officials and media. It outlines the process, articulates the messages, and includes press statements your company will use to communicate during a crisis. In a crisis situation, the crisis commu-nications plan is the authoritative hand-book for you to use.

Lastly,everyactionthatyourorganiza-tion takes must work to preserve your credibility. How? Provide accurate infor-mation and manage expectations. Yes, it’s important to release information, but remember that there’s a time and a place that works for your organization—gaining points with your publics.

Forexample,sayyourorganizationisembroiled in an embezzlement scam at the hands of your chief financial officer andpeoplewantanswers.Findingallofthe facts and deciding a clear line of ac-tion,suchasfiringtheCFOandlaunch-

ing an investigation, are absolutely the right moves. But, you must make certain you actually do have all of the facts—thatitwasn’ttheCFOincahootswiththeCEO—andthatyouractioniscor-rect before you communicate it far and wide.OnceyouhavereleasedthatyouarefiringtheCFO,thestoryisnolongerabout your company and embezzlement as much as it is about the character of theCFO.Inreleasingaccurateinforma-tion in the right way, you can effectively change the course of the story. And, because it’s a decisive start to your solution, you are preserving your credibility.

It can happen to youCrisis situations happen every day in companies worldwide. All you have to do is turn on the news to see that it’s fu-eled by crisis. It is negligent to pretend that there’s no possibility inside your company for things to go awry or to fail to prepare in advance because you don’t want to invite bad luck. As a crisis com-munications expert, I’m a firm believer in the value of outside counsel. But, regardless of whether or not you choose to navigate a crisis situation with an out-side team, there are numerous steps you can and should take today that will help your organization fare better when a cri-sis hits. You’ll be rewarded when media scrutiny comes your way.

Michelle Moore leads the public relations and social media practice for Involve, LLC, a marketing practice based in Columbus, Ohio, with offices in Chicago, Illinois. Involve specializes in activating brands and moving people that clients want to reach beyond awareness and toward un-derstanding, desire and affinity. Moore brings 20 years of industry-related experi-ence to the table. She has helped companies and individuals increase awareness and business productivity, build market share, maintain and enhance customer loyalty, and develop and penetrate target mar-kets. More information is available at www.getinvolve.com.

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The future of aging, part one: trends and issues that are shaping the industry

Trends

International Council on Active Aging® advisors share their insights about developments they consider significant

by Jenifer Milner

Whether you’ve worked in the field of aging for 5, 10 or 20 years, you’ll know it’s been undergoing tremendous change. The pace and scope of that change will only increase as population aging, compounded by changing con-sumer demands and needs, transforms the world around us.

What issues are already emerging for or-ganizations and professionals that work in the aging field, particularly those dedicated to active aging? What trends may shape the industry—and oppor-tunities—moving forward? And what impact will they have? The International CouncilonActiveAging®(ICAA)polledmembers of its scientific and industry advisoryboardsonthesetopics.Manyadvisors weighed in with their ideas.

Because ICAA’s advisory boards reflect the diversity of active aging, the ideas


The future of aging, part one: trends and issues that are shaping the industry Continued from page 38


submitted by board members reinforce the breadth of interests and approaches across the active-aging spectrum. Begin-ning with this issue, the Journal on Active Aging® will distill some of this input into a series of articles on trends and insights. This first installment mainly covers healthcare, while future articles will look at a medley of topics—from funding to partnerships, technology to housing, prevention to programming.

Healthcare reformWhat is the top trend in aging? Kevin O’Neil,MD,FACP,CMD,chiefmedicalofficer for national owner and opera-torBrookdaleSeniorLiving,identifiesmajor changes in healthcare and the longevity bonus as his number one choice. “Americans are living longer, and although some are also healthier and more active than previous generations, a significant proportion are living their later years in less than perfect health,” O’Neilsays.“SinceMedicarespendinghas been doubling every 10 years, the CentersforMedicare&MedicaidSer-vices(CMS)isveryfocusedonhowwecan improve health and healthcare at the same time as costs are reduced. We will move away from a fee-for-service system of care to one based on achieving quality outcomes and meeting quality metrics.”

O’Neilobservesthat“alreadythereisan intense focus on reducing hospital 30-day readmission rates for certain conditions” (i.e., heart failure, pneumo-nia,heartattack).“Soonotherchronicconditions such as chronic obstructive pulmonary disease, diabetes and renal [kidney]failure,andotherconditionswill be subjected to readmission penal-ties. These penalties are escalating from year to year.”

Additionally, “more attention will be paid to preventing hospitalization in thefirstplace,”O’Neilstates,“asanun-planned hospitalization in an older adult is an index event that often portends further functional decline.”

OpportunitiesInO’Neil’sview,“agreatopportunityexists for wellness programs to seniors that demonstrate positive outcomes and for rehabilitation services that can help forestall and reverse functional decline and sarcopenia (the loss of skeletal musclemass).”

ForKay Van Norman,MS,presidentofthe consulting firm Brilliant Aging, an-other opportunity and trend is assisted living opportunities in the Accountable Care business environment, created with the passage of the Affordable Care ActintheUnitedStates.Currently,“ofallMedicarepatientsdischargedfromhospitals,assistedliving(AL)receivesonlythreepercent,”shesays.“ALcouldcapture a much greater percentage of this market share by delivering solutions that reduce hospital admissions and readmissions.”

AccordingtoVanNorman,“TheAssistedLivingFederationofAmericais lobbying Congress to recognize the roleALcanplayinsupportinghealth-care reform. Researchers have identi-fied that motivation and compliance in both primary and secondary prevention strategies like exercise and nutrition are significant barriers to preventing dis-ease, dysfunction and hospitalization,” sheexplains.“ALenvironmentscanbeleveraged to turn the index event of a hospitalization into lifestyle change. Currently, this will be a point of differ-ence for progressive companies.”

Avenues for careIntheUnitedStates,home-andcom-munity-based services are an established avenue for delivering long-term care, according to the Agency for Healthcare ResearchandQuality.1 While originally viewed as a lower-cost alternative to care in institutional settings, these services are recognized today as a “modality that is preferred by many older adults and that may enhance their quality of life.”1

Barbara Resnick,PhD,CRNP,aprofessorintheDepartmentofOrganizationalSystemsandAdultHealthattheUniversityofMarylandSchoolof Nursing, refers to an increased focus on community-based care as a major initiative in the aging field. “Because of the care needs, however, this needs to be doneefficiently,”Resnicksays.“Soweareseeing things like healthcare being pro-vided in senior housing, and next will be apartment buildings.”

OpportunitiesFromawellnessperspective,Jan Montague,MGS,observesadevelop-ing trend in home-based service or-ganizations. “These organizations are becoming interested in finding ways to improve the well-being of clients and not just provide medical and Activities ofDailyLivingassistiveservices,”notesMontague,presidentofconsultingfirmWhole-Person Wellness International. “The enlightenment by these organi-zationsispowerful,”Montagueadds,“since we know a person’s health and well-being is impacted, both positively and negatively, by multidimensional influencers.”

Mental and emotional healthOneinfluencerofolder-adulthealth,well-being and quality of life is social engagement. Research reinforces that strong social engagement contributes to successful aging,2,3 while the lack of such support—social isolation—is a significant health issue for community-dwelling older adults.4 What might be the impact of this issue, especially in light of population aging? “All media signs are pointing to isolation as a key contributor to senior healthcare costs,” states James Huysman,PsyD,LCSW,vice president of provider relations and governmentaffairsforWellMedMedicalManagement,adiversifiedhealthcarecompany. Huysman, a fierce advocate of integrated healthcare, believes this may


Internet

Agency for Healthcare Research and Qualitywww.ahrq.gov

American Psychological Associa-tion: Depression and Suicide in Older Adults (resource guide)www.apa.org/helpcenter/road-resilience.aspx

Assisted Living Federation of Americawww.alfa.org

Atria Senior Livingwww.atriaseniorliving.com

British Heart Foundation National Centre for Physical Activity and Healthwww.bhfactive.org.uk

Brookdale Senior Livingwww.brookdaleliving.com

Centers for Medicare & Medicaid Serviceswww.cms.gov

Healthwayswww.healthways.com

Healthways SilverSneaker® Fitness Programwww.silversneakers.com

James Huysman: Caregiver Connectionswww.caregiverconnections.com

International Council on Active Aging www.icaa.cc

National Alliance on Mental Illnesswww.nami.org

Barbara Resnick: Function Focused Carewww.functionfocusedcare.org

Senior Lifestyle Corporationwww.seniorlifestyle.com

University of Maryland School of Nursingwww.nursing.umaryland.edu

University of Nevada School of Medicinewww.medicine.nevada.edu

University of South Carolina Arnold School of Public Healthwww.sph.sc.edu

Kay Van Norman: Brilliant Agingwww.kayvannorman.com

Vesta Property Services, Inc.www.vestaforyou.com

WellMed Medical Management, Inc.www.wellmed.net

Whole-Person Wellness Internationalwww.wpwi.net

Print

Ellin, A. How Therapy Can Help in the Golden Years. New York Times, “Well” blog, April 22, 2013. Available at well.blogs.nytimes.com/2013/04/22/how-therapy-can-help-in-the-golden-years/?_r=0

ICAAeditors.(2012).SomerbyTail-WaggerTreats:Generationsbaketogether to make a difference. Journal on Active Aging, 11(6),70–75;No-vember/Decemberissue.AvailableinICAA’s online content library at www.icaa.cc(goto:“Managementarticles”[“Programprofiles”])

NationalAllianceonMentalHealth.(2009).DepressioninOlderPersonsFactSheet.Availableatwww.nami.org/Template.cfm?Section=By_Illness&template=/ContentManagement/ContentDisplay.cfm&ContentID=7515

VanNorman,K.,&Rogers,K.(2013).How healthcare reform opens new doors to senior living. Journal on Active Aging, 12(1),24–35;January/Febru-ary issue. Available in ICAA’s online content library at www.icaa.cc (go to: “Managementarticles”[“Marketopportunities”])

Yakutchik,M.(2013).SpecialReport:Public Enemies. Johns Hopkins Public Health, SpecialIssue2013:DeathandLifespan.Availableathttp://magazine.jhsph.edu/2013/death/sections/death-and-lifespan/public-enemies/page-5/

R e s o u r c e s



be a point of entry for ICAA members to access funding.

Socialisolationisalsolinkedwithde-pression.5,6 The third leading cause of the global disease burden in 2004, de-pression is predicted to lead the list by the year 2030, according to the World HealthOrganization.7 In older adults, depression too often goes unrecognized and untreated, which can lead to illness, cognitive decline and death.8

Mary Sanders,PhD,FACSM,aclini-calexercisephysiologistintheDivisionofWellnessandWeightManagement,UniversityofNevada(Reno)SchoolofMedicine,referstoarecentspecialreportinthemagazineofJohnHopkinsBloombergSchoolofPublicHealth,

which highlights five top killers, or “public enemies,” atop researchers’ lists.9 Suicideintheoldest-oldisidentifiedas one of these public enemies. Why? “Worldwide, the highest rates of suicide occur among those over the age of 75—one of the fastest-growing age groups,” statesthereport.IntheUS,theNationalAllianceonMentalIllnessnotesthat“the highest rate of suicide … is among older white men,” with depression “the single most significant risk factor for suicide” in the older population.8

OpportunitiesExercise scientist Steven Blair,PED,was intrigued by a recent New York Times article on older adults receiving psychological counseling for depression and other problems.10 “Apparently, many

older people have not used these ser-vices” in the past, notes Blair, a professor intheDepartmentsofExerciseScienceand Epidemiology & Biostatics at the ArnoldSchoolofPublicHealth,Univer-sityofSouthCarolina.Thisfitswithagenerational reticence in talking about mental and emotional health issues.

But the NYT article reveals that many older individuals are coming forward and seeking counseling for the first time in their lives. “That members of the Greatest Generation would feel com-fortable talking to a therapist, or ac-knowledging psychological distress, is a significant change,”10 writes author Abby Ellin. What will be the impact if more individuals seek counseling and other types of support moving forward? Con-siderthatcurrently,intheUnitedStatesalone, more than 6.5 million adults ages 65 and older battle depression.8

Organizationsdedicatedtoolder-adultquality of life will surely need to expand the ways they address mental and emo-tional health among their constituents. Oneavenuetoexplorethoroughlyishow to encourage people to open up about these issues. And as social en-gagement buffers against isolation and depression, efforts to promote social engagement are key from as many angles as possible.

Socialization Demandisalreadyhighforprogram-ming that meets social needs. In older-adult fitness, “the key trend now is com-munity—80% of this demographic pre-fers to exercise in the right company,” says Stephanie Wong, BA, vice president of field operations for Healthways, provider oftheHealthwaysSilverSneakers®FitnessProgram. “Not only does this make ex-ercise and activity more enjoyable, older adults also feel this provides motivation and accountability.” According to Wong, “Atmosphere, peers, instructors and personality play a large role in an older adult’s decision to pursue a fitness pro-



gram. These factors are far more moti-vating than the simple physical benefits of exercise, and older adults want to be a part of the heart and community of a program.”

OpportunitiesThe key, Wong stresses, is identifying the“right”community.“Olderadultsare a diverse group and each individual will have a different opinion on what the ‘rightcommunity’meansforthem.”Sheobserves that older generations often prefer associating with people their own age, while Boomers typically like to mix with those who are slightly younger. The impact, in her view, is that fitness cen-ters and programs “will begin offering more varied options and have a larger focus on community and personality” as this trend becomes more crucial to keep-ing people engaged in programs.

Ginger Anzalone,MBA,vicepresi-dent,FacilitiesDivision,forpropertyservicescompanyVesta,agreesabouttheimportanceofcommunity.“Oneofthe main trends we have seen is in the area of socialization,” states Anzalone. Commenting that “active adults tend to be unabashed in their pursuit of their enjoymentoflife,”shesaysthatatVesta-managed communities, “we work with many committees and governing groups who will set their schedules around the time when they join friends ….” What is the impact? “We provide more op-portunities operationally for individuals to gather and enjoy” time together, she says. “They look for themed parties; they enjoy karaoke or pool deck parties; and they want to have fun.”

But not everyone wants to join the party. “We are learning more about our introverts and how to understand and respect them,” says Terry Fay, BA, cor-porate director of resident programs at SeniorLifestyleCorporation,aseniorliving provider. “In years past, sociolo-gists estimated that about 30% of the population were introverts; today, the

estimate is closer to 50%.” The needs of introverts “will not be met by large and loudevents,”Faystates.“Theirprefer-ence to skip the dance and live music for a good book or movie at home is natu-ral—they are not broken and in need of fixing.” How will this issue influence programming efforts? “This will cause us to rethink our definition of successful programming,” she says. “It will cause us to review how we spend our funds and for what types of resident experiences.”

Customer service and expectationsAlso looking at the resident experience is Ronda Watson,RD,seniorvicepresi-dentofCulinaryServiceandEngageLifeatthenationalproviderAtriaSeniorLiving.“Asmoreolderadultschoosese-nior living to meet their needs, the focus on a personalized experience designed to enhance each resident’s unique situ-ation has become more important than ever,” Watson believes.

Healthways’Wongsharesthat“[t]helargest motivator for older adults in fitness programs is a connection and ‘personalized touch,’” adding that “one-size-fits-all solutions simply aren’t viable ….” This connection, however, must be human, she says. “Automated or imper-sonal approaches and tactics are far less effective.”

IntheUnitedKingdom,therearesignsprofessionals are “getting over a one-size fits all approach and getting closer to needs,” reports Bob Laventure,MEd,consultant, physical activity and older people,BritishHeartFoundationNational Centre for Physical Activity andHealth.Stridesarebeingmadeinhow professionals support physical fit-nessforolderadults.SaysLaventure,“We are beginning to see some changes in people diversifying their approaches to different older-population target groups”—Boomers and frailer older adults, for example—“to match the di-versity of the aging population ….”

OpportunitiesCompanies will need to be able to tai-lor their experiences to individuals. As an example, Watson describes Atria’s new computer-based program, which gives its communities the ability “to track and design purposeful program-ming” to meet new residents’ individual needs. “We believe this tool will help our communities learn more quickly and efficiently the needs, wants and desires of residents,” she explains, “and help us implement a smooth transition during what can sometimes be a difficult move.”

According to Wong, “The need for a personalized touch reinforces the high expectations this demographic has for customization and variety in their fit-nessexperience.”Vesta’sAnzalonerec-ognizes a higher level of expectation in the Boomer demographic, calling it “a noticeable trend.”

Boomers “are less likely to accept things simply because it has always been done that way …,” says Anzalone. “If a Boomer doesn’t like the way services are being offered or a programming model, the first question is, ‘Why is it being done thisway?’followedby‘Letmespeaktoasupervisor.’ The impact is on operations to satisfy a more discerning customer.” Also, everything is scrutinized, she notes.Maintenancestaff,forinstance,will need “to provide higher quality facility management.”

What impact will these trends have? “Engaging one-on-one with instructors, tailored programs, and individualized communications will become core com-ponents of the older-adult fitness experi-ence,” Wong states. The key to making a lasting connection, she stresses, is to ensure “communications, programs and outreach can be tailored to fit the interests and personality” of each individual.



Consumer expectations are also driv-ing another trend within senior living, accordingtoBrilliantAging’sVanNorman. “The senior living industry is recognizing that engagement and purpose are significant drivers not only of quality of life, but of occupancy and profit,” she observes.

Forthefuture,“[s]eniorlivingoperatorswill need to have an identified ‘purpose strategy’ to be competitive in the mar-ket,”VanNormanbelieves.Thesestrate-gies could also be used “to transform the perception of their product in the mar-ketplace.”OneexampleshementionsisSomerbySeniorLiving’sTail-WaggerTreats,aprogramwherecommunityresidents partner with outside groups to make dog treats for the local humane society.11

PredictsVanNorman,“Reachingouttothe broader community … in meaningful and productive ways is going to become an industry standard rather than a point of difference.”

The biggest trendHow will the trends and issues described in these pages affect your organization? Somemayapplyacrossthespectrumof

active aging; others may apply only to a sector. While some may be shorter-lived, others may have a lasting impact. Every-thing, however, will be influenced by the biggest trend of all, population aging, which will only magnify the impact of any trend and opportunity that develops in the field of aging moving forward.

Thanks to all the ICAA Advisory Board Members who contributed their ideas and insights to this article. Further install-ments of the “Future of aging” series will feature additional contributions and commentary.

Jenifer Milner is a communications specialist, author, and editor-in-chief of the JournalonActiveAging®.

References

1. Wysocki,A.,Butler,M.,Kane,R.L.,etal.(2012).Long-TermCareforOlderAdults:AReviewofHomeandCommunity-BasedSer-vicesVersusInstitutionalCare.ComparativeEffectiveness Review No. 81. AHRQ Publica-tionNo.12(13)-EHC134-EF.Rockville,MD:AgencyforHealthcareResearchandQuality.RetrievedonAugust1,2013,fromhttp://www.effectivehealthcare.ahrq.gov/ehc/

products/369/1277/CER81_Long-Term-Care_FinalReport_20121023.pdf.

2. Rowe,J.W.,&Kahn,R.L.(1997).SuccessfulAging. The Gerontologist, 37(4),443–440.

3. MendesdeLeon,C.F.SocialEngagementandSuccessfulAging.European Journal of Ageing, 2(1),64–66.

4. Nicholson,N.R.(2012).AReviewofSocialIsolation: an Important but Underassessed ConditioninOlderAdults.Journal of Primary Prevention, 33(2–3),137–152.

5. Choi,N.G.,&Kimbell,K.(2008).DepressionCareNeedAmongLow-IncomeOlderAdults:ViewsfromAgingServiceProvidersand

FamilyCaregivers.Clinical Gerontologist, 32(1),60–76.

6. Singh,A.,&Misra,N.(2009).Loneliness,De-pressionandSociabilityinOldAge.Industrial Psychiatry Journal, 18(1),51–55.

7. WorldHealthOrganization.(2008).TheGlobalBurdenofDisease:2004Update.Part4.Burdenofdisease:DALYs[disability-ad-justedlifeyear],Figure27:Tenleadingcausesof burden of disease, world, 2004, and 2030 (p.51).RetrievedonAugust1,2003,fromhttp://www.who.int/healthinfo/global_

burden_disease/GBD_report_2004update_part4.pdf.

8. NationalAllianceonMentalHealth.(2009).DepressioninOlderPersonsFactSheet.RetrievedonAugust1,2013,fromhttp://www.nami.org/Template.cfm?Section=By_Illness&template=/ContentManagement/ContentDisplay.cfm&ContentID=7515.

9. Yakutchik,M.(2013).SpecialReport:PublicEnemies. Johns Hopkins Public Health, SpecialIssue2013:DeathandLifespan.RetrievedonAugust1,2013,fromhttp://magazine.jhsph.edu/2013/death/sections/death-and-lifespan/public-enemies/page-5/.

10. Ellin, A. How Therapy Can Help in the Gold-en Years. New York Times, “Well” blog, April 22, 2013. Retrieved on August 1, 2013,

fromhttp://well.blogs.nytimes.com/2013/04/22/how-therapy-can-help-in-the-golden-years/?_r=0.

11. ICAAeditors.(2012).SomerbyTail-WaggerTreats:GenerationsBakeTogethertoMakeaDifference.Journal on Active Aging, 11(6),70–75;November/Decemberissue.AvailableinICAA’sonlinecontentlibraryathttp://www.icaa.cc(goto:“Managementarticles”[“Programprofiles”]).

UPDATED EDITION

International Council on Active Aging

Conference 2013

Register

now

and save

$100

November 21–23, 2013San Diego Convention CenterSan Diego, California

Conference partners

Three

inspiring

keynotes

Dr. Henry Lodge

Ken Dychtwald

Magic Johnson

Transform your business

Population aging is transforming so-cieties around the world in fundamen-tal ways, and this wave of change will only accelerate in months and years to come. A more inclusive society is key to successfully managing this global phe-nomenon. Active aging, increasingly, is seenasvitaltothisframework.Tofulfillthis role, organizations and profession-als dedicated to active aging need new implementable models to address the challenges and opportunities of popula-tion aging. That’s why the International CouncilonActiveAging®(ICAA)hasintroduced the Nine Principles of Active Aging.

Build a solid foundationICAA’s Nine Principles model guides implementation of active-aging strate-gies. Areas of focus include: Populations, People, Perceptions, Potential, Prod-ucts, Promotions, Places, Policies, and Programs. Integrated with the seven di-mensions of wellness, it can help active-aging advocates build a solid foundation for their efforts—and transform the industry.

Using the Nine Principles drives the transformation process in individual organizations as well. Consider, for ex-ample, how your products and services, marketing approaches, and environ-ments might change to enhance your organization’s culture, programming, and engagement with older adults. Envi-sion the changes that would optimize success.

All change starts with a vision. An idea. Yet, it’s only when you transform ideas

into action that possibilities come alive. ICAA offers a multilevel education and networking event to help you do just that.

Focus on applicationEvery year, professionals who support older-adult quality of life gather at the ICAA Conference to learn, grow and connect with their colleagues in an inspiring, supportive atmosphere. Attendees reflect the diverse roles, pro-fessions and settings found in active aging. Individuals come for the profes-sional development—a full schedule of seminars presented by top experts and leaders in the industry. And they come for the informal learning—the opportu-nities to meet with their peers to share knowledge and solutions.

When you and your team attend the ICAA Conference 2013, you will expand your knowledge of key topics such as wellness programming for older adults and staff, management and marketing, increasing participation, and program-ming without walls. You will also expand your frame of reference with best prac-tices and case studies.

ICAA’s 2013 conference differs from past years’ events with its focus on pro-viding you with the practical tools and methods to transform ideas into action. Examples include practical information to use immediately in your work; and forward-thinking perspectives for use in planning and development.

It’s never been more important to be able to apply information and research in your organization. The active-aging industry is in transition. Population aging provides opportunities and chal-lenges—plus a vital new role—for orga-nizations, professionals and the industry asawhole.Tothriveintheyearstocome,the industry dedicated to “Changing the wayweage®”alsoneedstochange.Joinus for the ICAA Conference 2013—and start the transformation.

Access 4 conferences for the price of one

• ICAAConference• AthleticBusinessConference&Expo• MedicalFitnessAssociation

Conference• NationalAllianceforYouthSports

Congress

Learnmoreatwww.icaa.cc

“Like” the ICAA Conference 2013 on Facebook! You’ll find information, updates, videos and more at facebook.com/icaaconference2013

SOME HIGHLIGHTS FOR ATTENDEES

Stimulating keynotes. This year’s event features a trio of keynotes that aresuretoinspireyou.Don’tmissthisopportunitytohearDr.HenryS.Lodge,coauthor of Younger Next Year; Dr.KenDychtwald,Age Wave visionary; and Earvin“Magic”Johnson,CEO,NationalBasketball Association legend, and Dodgersowner.

Full-day workshops by expert presenters. Additional programming options offer you education and practical information to take back to your organization. Check out full-day workshops on balance, aquatics, and cognitive health, presented by some of ICAA’smostpopularpresenters.Fordetails, see “Additional programming.”

Products and services expo. ICAA partners with leading conference providerAthleticBusiness(AB)toprovide you with access to the AB Conference & Expo. This premier event for the health and fitness industry showcases the changing landscape of health, wellness and recreation offerings acrossthelevelsoffunction.VisittheICAA Pavilion, located in the exhibit hall, to stay current with the newest innovations in technology, equipment and services targeted specifically to age 50-plus adults. This “one-stop” venue is where you can research products or services, locate new items of interest, and do your yearly purchasing. Be sure to stop by the ICAA booth!

“I know I can count on the ICAA Conference to bring passionate and charismatic speakers who are trailblazers and who are interested in sharing what they have learned with others in an authentic and accessible way. I always come away with great ideas and renewed energy.”

Lisa KielyDirector of Integrated Wellness and Community Culture/Park Springs Community Life Services Corporate Resource Consultant, Life Care Services

Visit ICAA online at www.icaa.cc for conference information

All conference photos by Brian Ebner/Optic Nerve, except where noted. Images courtesy of Athletic Business

Who should attend?

Wellness directorsProgram directorsActivities directorsExecutive directorsAdministratorsBoard membersSalesandmarketingpersonnelDevelopersandarchitectsResident life executivesFitnessinstructors

Personal trainersHealth educatorsSocialworkersChaplainsPhysiciansNutritionists/dietitiansTherapistsResearchersProfessors

6reasons to attend

“I believe ICAA membership and attendance of [the ICAA Conference] is the best annual expense your organization can justify for the educational rewards and networking opportunities you are exposed to.”

Kenneth R. Paulovich, RNDirector, Willis Knighton Fitness and Wellness Centers

1. The education Memberinputinformstheeducationalprogram at the ICAA Conference. Seminarsandworkshopstargetthevaried dimensions, roles and solutions in active aging, aiming to meet industry needs and transform ideas into action.

2. The presentersICAA recruits active-aging industry leaders and experts from diverse back-grounds as conference presenters. These individuals bring first-rate industry experience, knowledge and skills to their sessions.

3. The handoutsAttendees are provided with all session handouts available. At the conference, you’llreceiveaCD-ROMcontainingthese handouts, which you may print at any of the free printing stations on-site.TheCDisalsoavaluablereferenceto take home and share with your colleagues. If you want to print session handouts in advance, you can access them online before the event; ICAA will email you a link to this site.

4. The networkingThe ICAA Conference brings together professionals across the active-aging spectrum.Learnfromotherswhosupport older-adult wellness and qualityoflife.Meetorreconnectwithprofessional allies and build your knowledge network. And enjoy an evening of social time and learning atthePosterSessionandICAANetworking Reception.

5. The creditsAttendees can register to obtain continuingeducationunits(CEUs),also called continuing education credits (CECs),attheICAAConference.AsaCEU registrant, you’ll receive a log book at the conference, which you must turn in at the ICAA registration desk once theeventisover.SixtoeightweekslateryourCEUtranscriptswillarrive.Tocover costs, the fee for the CEU program is$25untilWednesday, November 10; then$40on-site.

6. The trade showThe ICAA Conference takes place in conjunction with the Athletic Business Conference & Expo, one of the industry’s premier events in North America. Through this partnership, you can access a showcase of products and services designed to support wellness, exercise and recreation across functional levels. The ICAA Pavilion spotlights offerings created specifically for age 50-plus adults.

Spotlight on…

CONTINUING EDUCATION UNITS

Enhance your professional development at the ICAA Conference by obtaining contin-uingeducationunits(CEUs),also referred to as continuing educationcredits(CECs),fromnumerous organizations. You may be able to receive CEUs from your association even if it is not listed among the providers below. At your request, ICAA will send you a letter confirming your attendance at ICAA Conference sessions, which you can use to support your application for CEUs.

CEU registrants receive a log book when checking in or registering at the conference. This book notes all the sessions that offer credits, along with the certifying organizations. After a session, the room monitor will stamp your book to verify your attendance.Turninyourstampedbooklet at the ICAA registration desk when you leave the conference, then allow up to eight weeks for your CEU transcript to arrive.

The CEU program requires an additional fee to cover the costs charged by certifying agencies. Enroll by Wednesday, November 10,for$25,orregisteron-sitefor$40.

Continuing Education Providers

• ACE(AmericanCouncilonExercise)• ACSM(AmericanCollegeofSports

Medicine)• AFAA(AerobicsandFitness

AssociationofAmerica)• canfitpro• CooperInstitute• IACET(InternationalAssociationof

ContinuingEducation&Training)*• IFPA(InternationalFitness

ProfessionalsAssociation)• NASM(NationalAcademyofSports

Medicine)• NAYS(NationalAllianceforYouth

Sports)• NSCA-CPT(NationalStrength&

ConditioningAssociation)• NSCACSCS(NationalStrength&

ConditioningAssociation)• SCWFitnessEducation

* The National Recreation and Park Association (NRPA) accepts IACET CEUs. To find out who else accepts IACET CEUs, go to www.iacet.org, click on “Continuing Education Units (CEUs),” and select the link on the drop-down menu.

** Learning units (LUs) from the American Institute of Architects will not be offered this year. AIA members may self-report credits as part of the institute’s Structured Self-Reported Program. Visit www.aia.org/education/providers/AIAB093368 and choose “Self-Reports” to learn how.

“I left the ICAA Conference inspired and more confident about what we were providing for residents in our community. I felt like I had a better grasp of wellness promotion, for both our residents and staff, and was able to refine our mission a bit more. It was incredibly encouraging to spend several days with others in the senior living world, and felt a renewed sense of passion and excitement about the days to come. Thank you!”

Rachel OstrowDirector of Wellness Programs, Crista Senior Living–Crista Shores Community

Henry S. Lodge, MD, FACPDr.HenryS.Lodgeisanassociateclinical professor of medicine at ColumbiaUniversityMedicalCenterinNew York and a board certified internist practicinginManhattan.RankedasoneoftheBestDoctorsinAmericabyBestDoctors,Inc.,LodgeislistedinWho’s Who in Medicine and Healthcare, Who’s Who in Science and Engineering, and Who’s Who in the World. He is the coauthor of the New York Times’ best-seller Younger Next Year, and Younger Next Year for Women, which have not only sold more than a million copies intheUnitedStates,butalsobeenpublished in 20 languages around the world.Inaddition,LodgehoststhePBSshow Younger Next Year: The New Science of Aging, and serves as a contributing medical editor for SELF magazine and ontheMedicalAdvisoryBoardoftheDr. Oz Show.

Brought to you by Atria Senior Living

Keynote speakers

Earvin “Magic” JohnsonEarvin“Magic”JohnsonisaMajorLeagueBaseballowner,aNationalBasketballAssociationLegend,atwo-timeHallofFamer,anentrepreneur,aphilanthropistandamotivational speaker. The business mogul has successfully parlayed his skills and tenacity on the court into the business world, propelling his company to the status of #1 Brand in UrbanAmerica.HeischairmanandCEOofMagicJohnsonEnterprises(MJE),whichprovideshigh-qualityproductsand services that focus primarily on ethnically diverse and underserved urban communities through strategic alliances, investments,consultingandendorsements.JohnsonalsoservesaschairmanandfounderoftheMagicJohnsonFoundation,wherehisunwaveringcommitmenttotransformUrbanAmericacontinuesthroughHIV/AIDSAwareness&Prevention Programs, Community Empowerment Centers, andtheTaylorMichaelsScholarshipProgram.Celebratingover20yearsofsuccess,theMagicJohnsonFoundationhas become one of the most recognizable philanthropic organizations around the world.

Ken Dychtwald, PhDOverthepast35-plusyears,KenDychtwaldhasemergedas North America’s foremost visionary and original thinker regarding the lifestyle, marketing, healthcare and workforce implications of the longevity revolution. He is a psychologist, gerontologist, documentary filmmaker, entrepreneur and best-selling author of 16 books on health, wellness and aging-related issues, including Age Wave: The Challenges and Opportunities of an Aging Society. In 2007, he had his debut as adocumentaryfilmmakerandhostwiththePBSspecialThe Boomer Century: 1946–2046.Since1986,DychtwaldhasbeenthefoundingpresidentandCEOofAgeWave,afirmcreatedtoguideFortune500companiesandgovernmentgroupsinproduct/servicedevelopmentforBoomersandmatureadults. He has addressed more than two million people worldwide in speeches to corporate, association, social service,andgovernmentgroups.Inaddition,Dychtwald’spredictions and ideas are regularly featured in leading print and electronic media worldwide.

Preconference presenters

Cathy Maloney-Hills, RPTCathyMaloney-Hillsisanaquaticphysical therapist working for Courage CenteratSummitPlaceSeniorCampusinEdenPrairie,Minnesota,andHeritageParkSeniorServicesCenterinMinneapolis.Maloney-Hillsiscoinvestigator/authorforthestudyandprogramGoldenWavesFunctionalWaterProgramforOlderAdults,UniversityofNevada,Reno.Sheisalsoa coauthor of the book YMCA Water Fitness for Health.

Debra J. Rose, PhDDebraRoseisaprofessorintheKinesiologyDepartmentatCaliforniaStateUniversity,Fullerton.Roseisalsodirector of the Institute of Gerontology and the award-winning Center for SuccessfulAging.SheservesasoneoftwocodirectorsoftheFallPreventionCenter of Excellence established in 2005, and is an International Council on ActiveAgingAdvisoryBoardMember.

Mary Sanders, PhD, FACSM, RCEP, CDE®

MarySandersisaclinicalexercisephysiologistintheDivisionofWellnessandWeightManagement,SchoolofMedicine,andanadjunctprofessorin the College of Community Health Sciences,UniversityofNevada,Reno.An international trainer of health and fitnessprofessionals,SandersdirectsWaterFit®/GoldenWaves®andserveson the International Council on Active AgingAdvisoryBoard.SheisanassociateeditorofACSM’sHealth & Fitness Journal®, contributing editor to the Journal on Active Aging®,andeditor/coauthor of YMCA Water Fitness for Health.

Christine ShidlaChristineShidlaisthedirectorofwellnessatSummitPlaceSeniorCampusinEdenPrairie,Minnesota.SheisalsoatrainerandspeakerforexercisefortheArthritisFoundation.Shidlareceivedherbachelorofsciencedegree in kinesiology, with emphasis in sports medicine, from the University of Minnesota.

Robert Winningham, PhDRob Winningham is a full professor andchairofthePsychologyDivisionatWesternOregonUniversity,wherehe manages both the Psychology and GerontologyDepartments.Withnearly20 years’ experience researching applied memory issues, Winningham has conducted research for the past 15 years on ways to enhance older adults’ mental functioningandqualityoflife.Mostrecently, he has been helping developers create video games and interactive activities specifically designed to enhance cognition. Winningham has also trained thousands of professionals to offer high-quality cognitive stimulation and therapy programs.

Featured speakers Spreadthe Word. Wear a Pin.

The ICAA Champions program is one way for organizations and individuals to support ICAA’s Changing the Way We Age® Campaign. Now you can demonstrate that support with a campaign pin. Buy a single pin to wear, or as many as you like to give away, sell or exchange for donations to fund Champion activities. If you believe that now is the time to change the way we age, help spread the word as an ICAA Supporting Champion.

1–99 pins: $5.00 each, plus shipping100–249 pins: $4.00 each, plus shipping250–999 pins: $3.50 each, plus shipping1,000 pins and over: $3.00 each, plus shipping

To order pins online, visit:www.changingthewayweage.com/campaign-pins.htm

Or call ICAA at 866-335-9777 (toll-free) or 604-734-4466.

Founding Partners

ICAA-Pin ad 2.indd 1 13-08-12 2:22 PM

Spreadthe Word. Wear a Pin.

The ICAA Champions program is one way for organizations and individuals to support ICAA’s Changing the Way We Age® Campaign. Now you can demonstrate that support with a campaign pin. Buy a single pin to wear, or as many as you like to give away, sell or exchange for donations to fund Champion activities. If you believe that now is the time to change the way we age, help spread the word as an ICAA Supporting Champion.

1–99 pins: $5.00 each, plus shipping100–249 pins: $4.00 each, plus shipping250–999 pins: $3.50 each, plus shipping1,000 pins and over: $3.00 each, plus shipping

To order pins online, visit:www.changingthewayweage.com/campaign-pins.htm

Or call ICAA at 866-335-9777 (toll-free) or 604-734-4466.

Founding Partners

ICAA-Pin ad 2.indd 1 13-08-12 2:22 PM

Additional programming

Preconference workshopsWednesday, November 20, 2013

9:00 a.m.–4:00 p.m.Fallproof method for addressing balance disorders in older adultsThis “hands-on” workshop will provide the tools and techniques needed to assess and intervene with older adults experiencing balance and gait disorders. Findouthowtoassessthemultipledimensions of balance, and then individualize and progress exercises basedonassessmentoutcomes.Methodsfor assessing and improving cognitive function in dual-task environments will also be introduced.You’ll be able to:• Selectandadministerfall-risk

screening tools specific to different levels of fall risk; and systematically progress balance activities that address the multiple dimensions of balance and mobility.

• Integratecognitiveactivitiesintobalance training sessions to improve multiple components of executive function.

• Implementstrategiesaimedatpositively changing fall-related attitudes and behaviors.

Faculty: Debra Rose,PhD,Professor,KinesiologyDepartment,Director,InstituteofGerontologyandDirector,CenterforSuccessfulAging,CaliforniaStateUniversity,Fullerton.CEUS awarded

9:00 a.m.–4:45 p.m.HIIT the pool for function and vigor: frail to strongHigher intensity interval training (HIIT)showspromiseasa“potent”and time-efficient training method for cardiovascular and skeletal muscle adaptations that in some cases may lead to better improvements in health, compared to aerobic training. Functionalactivitiesofdailyliving(ADL)tasksarebasedontimed,task-specific skills. Explore how pool intervals offer safe and effective training across the continuum, from frail participants to master athletes.You’ll be able to:• Developprogramsbasedon

functionally targeted intervals for frail to apparently healthy individuals and athletes, and gain ideas about how to train leaders.

• Comprehendhowtoimplementthesetypes of programs in a continuing care retirement community setting, so they broaden the scope of current pool programs rehab to fitness.

• Discoversomenewfindingsabouteffective protocols for wellness and functionalADLonlandthatcanstartwith your pool program.

Faculty: Mary Sanders,PhD,FACSM,RCEP, University of Nevada, Reno; Cathy Maloney-Hills,RPT,CourageCenteratSummitPlaceSeniorCampus,andHeritageParkSeniorServicesCenter; Christine Shidla,DirectorofWellness,SummitPlaceSeniorCampus.CEUS awarded

(Note: This session takes place at Vi at La Jolla Village. Participants should come ready to get in the pool, and bring water shoes and two bathing suits. A bus will pick up participants at the convention center between 7:30 and 7:45 a.m. Vi will provide lunch.)

Sponsored by Vi

“I appreciate the network of individuals and organizations who work together to enhance the wellness experience for older adults. This conference showcases their efforts and innovative ideas.”

Marge Coalman, EdDVice President, Wellness and Programs, Touchmark, and ICAA Advisory Board Member

9:00 a.m.–5:30 p.m.Cognitive rehabilitation and memory enhancement: evidence-based interventions for older adultsImpaired memory and attention deficits can affect where someone can live, how much support they will need, and their qualityoflife.Memoryenhancementinterventions are effective at preventing further decline and improving memory abilities, while physical exercise, nutritional changes, and social support interventions can improve cognitive abilityandqualityoflife.Learnup-to-date information about memory, aging and dementia. Also, explore how to implement evidence-based interventions to slow or even reverse memory problems.You’ll be able to:• Describetheuseitorloseittheory

of memory and aging, and review supportingevidence.Learnbasicinformation about memory, why we forget, and how memory changes overthelifespan.Developafoundational understanding of the neuropsychological basics regarding memory, aging and dementia.

• Discussthedifferenttypesofdementia, how each affects one’s ability to think and make new memories and their common treatments. Review the latest research on how nutrition, physical exercise, mood, and social support affect cognition and develop interventions based on these new research findings.

• Developandimplementeffectivecognitive-rehabilitation enhancement programs for people of varying cognitive abilities. Identify effective ways to motivate depressed, apathetic and anxious individuals to participate in therapy and activities that can improve their memory ability and quality of life.

Faculty: Robert Winningham,PhD,Professor and Chair, Psychology Division,WesternOregonUniversity.CEUS awarded

Fee: $79 per person for a preconference workshop

“The ICAA Conference gives folks interested in expanding the minds and bodies of the maturing adult excellent new tools to accomplish just that.”

Tim E. ThieleExecutive Director, Lutheran Homes of Oconomowoc Shorehaven Campus

Seminars at a glanceThursday, November 21, 2013

8:00 a.m.–9:30 a.m.

PDW, LA 10-year retrospective of wellness research

Cornelia C. Hodgson, C.C. Hodgson Architectural Group, LLC

TW, LBuilding bridges: rehab and wellness partnering for successful outcomes

Jennifer Sidelinker and Rebecca Tarbert, Genesis Rehab Services

BF, LSocializationisthetreatmentfor dementia–how to create winning programs

David Troxel, Consultant; Marge Coalman, Touchmark

PDW, LThe journey from ordinary to extraordinary: program evaluation and implementation

Roxy Kline, YMCA of the Greater Twin Cities

PDW, LExercisewalkingREALLYDOESimprovequalityoflife–v2.0

Robert Thompson, Institute for Preventive Foot Health; Tracey Harvey, GenCare Lifestyle

B, LITaichiexercisesforposturalreeducation, gait training and balance

Faith Overton, Tri City Wellness Center; Troyce Thome, Tai Chi for Health

9:45 a.m.–11:15 a.m.

ML, LTheROIofwellness

A panel of senior executives

MS, LRebranding Aging III–mastering ageless communications

Richard Ambrosius, Positive Aging; David Weigelt, Immersion Active; Helen Foster, Foster Strategy, LLC

BF, LThe future of brain health: What’s next in cognitive fitness?

Cynthia Green, Memory Arts, LLC

ML, LMotivatingthemotivator

Stacey Belt, Atria Senior Living

PDW, LResident engagement: anatomy of successful programming

Tamara Sawicz and Andrea Agazim, Vi Senior Living

PDW, LIStrongseniorsstrengtheningand stretching while seated program

Maureen Hagan, GoodLife Fitness

OP, LIWalk tall–not small–with poles

Peggy Buchanan, Vista del Monte

11:30 a.m.–12:45 p.m. KEYNOTEKen Dychtwald

KEYNOTEKen Dychtwald






1:00 p.m.–6:00 p.m. TRADE SHOW GRAND OPENING

TRADE SHOW GRAND OPENING






2:45 p.m.–4:15 p.m.

ML, LPractical design considerations for an active-aging wellness center

Craig Bouck, Barker Rinker Seacat Architecture

PDW, LEmployee wellness in your workplace

Caley Kratz, Mercy Ridge Retirement Community; Vivian Smith, Vantage House

R, LSuccessfulagingthroughproper nutrition

Darin Leonardson, Golden Living; Shannon Smith, Golden LivingCenters Indiana/Ohio

PDW, LBringing outdoors inside: eco-living in residential senior living

Tamberly Mott, Atria Senior Living

BF, LiPads to paper and pencil: many, many ideas and ready-to-use resources for cognitive stimulation programs

Robert Winningham, Western Oregon University

PDW, LIBecome a sensation scientist through The Body’s Way

Janet Hollander, Moving Toward Health; Ken Gilbert, EmBODYment

4:30 p.m.–6:00 p.m.

KEYNOTEHenry Lodge(includes presentation of ICAA Innovators Awards)














8:00 p.m.–11:00 p.m. AB RECEPTIONStingaree

AB RECEPTION Stingaree

AB RECEPTIONStingaree





8:00 a.m.–9:30 a.m.

PDW, LA 10-year retrospective of wellness research

Cornelia C. Hodgson, C.C. Hodgson Architectural Group, LLC

TW, LBuilding bridges: rehab and wellness partnering for successful outcomes

Jennifer Sidelinker and Rebecca Tarbert, Genesis Rehab Services

BF, LSocializationisthetreatmentfor dementia–how to create winning programs

David Troxel, Consultant; Marge Coalman, Touchmark

PDW, LThe journey from ordinary to extraordinary: program evaluation and implementation

Roxy Kline, YMCA of the Greater Twin Cities

PDW, LExercisewalkingREALLYDOESimprovequalityoflife–v2.0

Robert Thompson, Institute for Preventive Foot Health; Tracey Harvey, GenCare Lifestyle

B, LITaichiexercisesforposturalreeducation, gait training and balance

Faith Overton, Tri City Wellness Center; Troyce Thome, Tai Chi for Health

9:45 a.m.–11:15 a.m.

ML, LTheROIofwellness

A panel of senior executives

MS, LRebranding Aging III–mastering ageless communications

Richard Ambrosius, Positive Aging; David Weigelt, Immersion Active; Helen Foster, Foster Strategy, LLC

BF, LThe future of brain health: What’s next in cognitive fitness?


ML, LMotivatingthemotivator

Stacey Belt, Atria Senior Living

PDW, LResident engagement: anatomy of successful programming

Tamara Sawicz and Andrea Agazim, Vi Senior Living

PDW, LIStrongseniorsstrengtheningand stretching while seated program


OP, LIWalk tall–not small–with poles


11:30 a.m.–12:45 p.m. KEYNOTEKen Dychtwald







1:00 p.m.–6:00 p.m. TRADE SHOW GRAND OPENING







2:45 p.m.–4:15 p.m.

ML, LPractical design considerations for an active-aging wellness center

Craig Bouck, Barker Rinker Seacat Architecture

PDW, LEmployee wellness in your workplace

Caley Kratz, Mercy Ridge Retirement Community; Vivian Smith, Vantage House

R, LSuccessfulagingthroughproper nutrition

Darin Leonardson, Golden Living; Shannon Smith, Golden LivingCenters Indiana/Ohio

PDW, LBringing outdoors inside: eco-living in residential senior living

Tamberly Mott, Atria Senior Living

BF, LiPads to paper and pencil: many, many ideas and ready-to-use resources for cognitive stimulation programs

Robert Winningham, Western Oregon University

PDW, LIBecome a sensation scientist through The Body’s Way

Janet Hollander, Moving Toward Health; Ken Gilbert, EmBODYment

4:30 p.m.–6:00 p.m.















8:00 p.m.–11:00 p.m. AB RECEPTIONStingaree

AB RECEPTION Stingaree






B BalanceBF BrainfitnessML ManagementandleadershipMS Marketingandsales

OP OutdoorprogramsPDW ProgramdesignforwellnessR ResearchTW Therapytowellness

COLORKEYFORTOPICAREAS

L LectureLI Lecture/Interactive

Seminars at a glanceFriday, November 22, 2013

6:30 a.m.–8:30 a.m. EARLY-MORNING WORKOUT

EARLY-MORNING WORKOUT






6:45 a.m.–8:15 a.m.

PDW, LIAgeless athletes: Can you BEATthat?

Barbara Fish, Heritage Community of Kalamazoo; Jennifer Dagati, Drum Beat University

B, LIEffectively create, implement and market your balance program

Justin Margut and Sandy Reid, Bethany Village

8:30 a.m.–10:00 a.m.

BF, LBrain health fairs: bringing better cognitive fitness to your community


R, LCan’t face another workday? You may have compassion fatigue

James Huysman, WellMed Charitable Foundation

MS, LBeyond Woodstock: profitably engage the Web’s most valuable consumers

David Weigelt, Immersion Active

PDW, LCreating innovative wellness programming throughout the continuum of care

Gina Formica and Jennifer Conway, Liberty Lutheran

PDW, LInnovative ideas from proven programs

Patricia Ryan, International Council on Active Aging

PDW, LITransformingandimprovingphysical function with frail elders

Betsy Best-Martini, Recreation Consultation

OP, LITakeyourbrainforawalk


10:15 a.m.–11:45 a.m.

R, LExercise as medicine: preserving function by functioning

Mark Kelly, American Council on Exercise

TW, LKeepmoving:fromrehabtowellness

Marge Coalman and Lori McCormick, Touchmark

ML, LAccountable Care–leveraging and showcasing your exercise and wellness programs

Kay Van Norman, Brilliant Aging

PDW, LSEXcessfulaging:sex,intimacy and aging

Rebecca Chaplin, Land-of-Sky Regional Council, Area Agency on Aging

PDW, LIBOSUmobilityandstabilityfor the active aging

Lawrence Biscontini, FG2000; Bernadette O’Brien, YMCA Wayne, New Jersey

PDW, LIOfftherocker:movementthatmotivates!

Cammy Dennis and Jessica Pinkowski, On Top of the World Communities, Inc.

OP, LIWALKforlife:walkmore=livebetter

Jolene Moore, Covenant Retirement Communities

12:00 p.m.–1:00 p.m. KEYNOTEEarvin “Magic” Johnson

KEYNOTEEarvin “Magic” Johnson






1:00 p.m.–5:00 p.m. TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW

4:00 p.m.–5:30 p.m.

PDW, LTransformingtheexpressivearts: wellness, team-building, marketing and fundraising

Rita Lopienski, Plymouth Place Senior Living

R, LHow to connect optimally withage50+adultsandpromote behavior change for healthy, fit and happy living

Michael Mantell, American Council on Exercise

ML, LAppreciative Inquiry 101

Cindy Bradshaw, National Certification Council for Activity Professionals (NCCAP)

ML, LLeveragingthewellness-rehabilitation partnership for enhanced outcomes

Denise Durham, Select Rehabilitation, Inc.

PDW/LICore stability for a healthy back for all levels of function


BF, LBrain boosters

Terry Eckmann, Minot State University

6:00 p.m.–7:00 p.m. POSTER SESSIONMultiple presenters

POSTER SESSIONMultiple presenters






6:30 p.m.–8:30 p.m.ICAA NETWORKING RECEPTIONOmniSanDiegoHotel

ICAA NETWORKING RECEPTIONOmniSanDiegoHotel






6:30 a.m.–8:30 a.m. EARLY-MORNING WORKOUT







6:45 a.m.–8:15 a.m.

PDW, LIAgeless athletes: Can you BEATthat?

Barbara Fish, Heritage Community of Kalamazoo; Jennifer Dagati, Drum Beat University

B, LIEffectively create, implement and market your balance program

Justin Margut and Sandy Reid, Bethany Village

8:30 a.m.–10:00 a.m.

BF, LBrain health fairs: bringing better cognitive fitness to your community


R, LCan’t face another workday? You may have compassion fatigue

James Huysman, WellMed Charitable Foundation

MS, LBeyond Woodstock: profitably engage the Web’s most valuable consumers

David Weigelt, Immersion Active

PDW, LCreating innovative wellness programming throughout the continuum of care

Gina Formica and Jennifer Conway, Liberty Lutheran

PDW, LInnovative ideas from proven programs

Patricia Ryan, International Council on Active Aging

PDW, LITransformingandimprovingphysical function with frail elders

Betsy Best-Martini, Recreation Consultation

OP, LITakeyourbrainforawalk


10:15 a.m.–11:45 a.m.

R, LExercise as medicine: preserving function by functioning

Mark Kelly, American Council on Exercise

TW, LKeepmoving:fromrehabtowellness

Marge Coalman and Lori McCormick, Touchmark

ML, LAccountable Care–leveraging and showcasing your exercise and wellness programs

Kay Van Norman, Brilliant Aging

PDW, LSEXcessfulaging:sex,intimacy and aging

Rebecca Chaplin, Land-of-Sky Regional Council, Area Agency on Aging

PDW, LIBOSUmobilityandstabilityfor the active aging

Lawrence Biscontini, FG2000; Bernadette O’Brien, YMCA Wayne, New Jersey

PDW, LIOfftherocker:movementthatmotivates!


OP, LIWALKforlife:walkmore=livebetter

Jolene Moore, Covenant Retirement Communities

12:00 p.m.–1:00 p.m. KEYNOTEEarvin “Magic” Johnson







1:00 p.m.–5:00 p.m. TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW

4:00 p.m.–5:30 p.m.

PDW, LTransformingtheexpressivearts: wellness, team-building, marketing and fundraising

Rita Lopienski, Plymouth Place Senior Living

R, LHow to connect optimally withage50+adultsandpromote behavior change for healthy, fit and happy living

Michael Mantell, American Council on Exercise

ML, LAppreciative Inquiry 101


ML, LLeveragingthewellness-rehabilitation partnership for enhanced outcomes

Denise Durham, Select Rehabilitation, Inc.

PDW/LICore stability for a healthy back for all levels of function


BF, LBrain boosters


6:00 p.m.–7:00 p.m. POSTER SESSIONMultiple presenters







6:30 p.m.–8:30 p.m.ICAA NETWORKING RECEPTIONOmniSanDiegoHotel











6:45 a.m.–8:15 a.m.

PDW, LIConductorcise: a fresh, always new, joyous brain and body stimulator

David Dworkin, Conductorcise

8:30 a.m.–10:00 a.m.

ML, LSeniorcenters:alive, well and ready for the future

Luanne Whitmarsh, Kerby Centre

PDW, LIMudras,musicand meditation

Lawrence Biscontini, FG2000

PDW, LAquatics benefits people with Parkinson’s disease

Christine Shidla, Summit Place Senior Campus; Cathy Maloney-Hills, Courage Center

PDW, LIJoydance


PDW, LIPreserving function in frail adults


B, LIExercises to remain safe on your feet

Cindy Kozacek, Healthways/SilverSneakers

10:15 a.m.–11:45 a.m.

TW, LInspiring participation through engaging programs and challenges

Lauren Kriz, RehabCare

ML, LPlacing a value on your worth


PDW, LR3: Reenergize, revamp, restructure your wellness programming

Jackie Halbin, Lakeview Village

PDW, LIFunctionalfitnesssolutions

Debra Atkinson, Voice for Fitness

PDW, LITenmovesthatwe lose: keep them and dodge disability

Patricia VanGalen, Excellence In Conditioning

This schedule is subject to change.





Seminars at a glance Saturday, November 23, 2013

Schedule at a glance

Starttransformingideasintoactionbybuildingyourknowledge,skillsandprofessional network at the ICAA Conference 2013. You may also attend educational sessionsofferedconcurrentlybyAthleticBusiness,theMedicalFitnessAssociation,andtheNationalAllianceforYouthSportsatnoadditionalcharge.

Tuesday, November 194:00 p.m.–6:00 p.m. Registration

Wednesday, November 207:00 a.m.–6:00 p.m. RegistrationTimesvary Preconferenceworkshops

Note: See “Additional programming” for details.

Spaceislimited,soregisterearlytoavoiddisappointment.Eachpreconferenceworkshopcostsanadditional$79perregistrant.Aquatics workshop sponsored by Vi

Thursday, November 217:00 a.m.–5:00 p.m. Registration

Note: Trade show-only registration open until 6:00 p.m.8:00 a.m.–11:15 a.m. Educational seminars11:30a.m.–12:45p.m. Keynote:KenDychtwald1:00p.m.–6:00p.m. Tradeshowgrandopening2:45 p.m.–4:15 p.m. Educational seminars4:30p.m.–6:00p.m. Keynote:HenryS.Lodge,MD Sponsored by Atria Senior Living8:00 p.m.–11:00 p.m. AB all-conference welcome reception

Note: Full-conference attendees receive a $5 off lunch coupon usable in the exhibit hall on Thursday or Friday during exhibit hours only.

Friday, November 226:30 a.m.–8:30 a.m. Early-morning workout6:45 a.m.–8:15 a.m. Educational seminars7:30 a.m.–5:00 p.m. Registration Note: Trade show-only registration opens at 6:15 a.m.8:30 a.m.–11:45 a.m. Educational seminars12:00p.m.–1:00p.m. Keynote:Earvin“Magic”Johnson1:00p.m.–5:00p.m. Tradeshow4:00 p.m.–5:30 p.m. Educational seminars6:00p.m.–7:00p.m. ICAAPosterSession(atNetworkingReceptionsite)6:30 p.m.–8:30 p.m. ICAA Networking Reception Sponsored by the


Saturday, November 236:45 a.m.–8:15 a.m. Educational seminar7:45 a.m.–12:00 p.m. Registration8:30 a.m.–11:45 a.m. Educational seminars

“The ICAA Conference is, by far, the most informative, appropriate and fun conference that I have ever attended. It is refreshing to be with others from around the world who speak the language of healthy aging!”

Rebecca ChaplinHealth Promotion Specialist, Area Agency on Aging for the Land-of-Sky Regional Council

Thursday, November 21, 20138:00 a.m.–9:30 a.m.

PDW A 10-year retrospective of wellness researchExplore how senior living communities have embraced wellness over the past decade, based on three research studies. Also, find out how senior living wellness and healthcare system patient-centered approaches are merging and strongly coming to the forefront. Lecture.You’ll be able to:• Assesswhereyourorganizationfitson

the continuum of incorporating whole-person wellness in communities, based on this evidence-based design.

• Gainpracticalideasforallaspectsof community life, based on this evidence-based design of how other communities have incorporated whole-person wellness.

• Gaininsightintofuturetrends,including person-centered trends rooted in Planetree principles, and how they may impact your current and future wellness programming initiatives.

Faculty: Cornelia C. Hodgson, BA, BArch, AIA, President, C.C. Hodgson ArchitecturalGroup,LLC.CEUs awarded

TW Building bridges: rehab and wellness partnering for successful outcomesLearnrehab-and-wellness-partnershipbest practices to create a continuum of care that supports successful outcomes for older adults at all functional levels and in all wellness domains. Cases, examples and illustrations will be provided on many levels. Lecture.

B BalanceBF BrainfitnessML ManagementandleadershipMS MarketingandsalesOP OutdoorprogramsPDW ProgramdesignforwellnessR ResearchTW Therapytowellness


You’ll be able to:• Buildbridgesbetweenrehaband

wellness by integrating wellness concepts throughout rehabilitation, offering evidence-based programs in wellness, and using common objective measures across the rehab-and-wellness spectrum to promote common language.

• Describeaneffectiverehab-wellnesscontinuum and best practices for communication and partnership between rehab and wellness professionals.

• Comprehendtherehabprofessional’srole in health promotion and wellness through evidence and support from professionalorganizations/scopeof practice definitions and national initiatives.

Faculty: Jennifer Sidelinker,PT,GCS,ClinicalManager,andRebecca Tarbert, PT,ClinicalSpecialist,GenesisRehabServices.CEUs awarded

BF Socialization is the treatment for dementia–how to create winning programsTouchmark’sDementiaCareprogramteaches staff the importance of building relationships with residents with Alzheimer’s disease and other dementia. StaffaretrainedintheBestFriendsmodeldevelopedbyVirginiaBellandDavidTroxel.Discoverkeybuildingblocks in an excellent dementia program. Lecture.You’ll be able to:• Namethreewaystocreatea

therapeutic environment for individuals with dementia.

• Describethedifferencebetweenstructured and unstructured activities.

• DescribetheBestFriendsmodelofdementia care.

Faculty: David Troxel,MPH,Consultant; Marge Coalman,EdD,VicePresident,WellnessProgramming,Touchmark.CEUs awarded

Sessions

Equipment at the ICAA Conference 2013 is brought to you by Power Systems.

PDW The journey from ordinary to extraordinary: program evaluation and implementationDotheprogramsyouofferprovideanexperience for your participants that is the best part of their day? Explore ways to refresh existing programs, inspire participant leadership, ensure high-quality program experiences, and transform the ordinary into extraordinary. Lecture.You’ll be able to:• Identifyareasofopportunityfor

improvement of existing programs at your facility.

• Tackleissuesandconcernsconfidentlywith the tips and tools provided.

• Monitorexistingandnewprogramsto maintain high quality, and add elements that will inspire and delight participants.

Faculty: Roxy Kline,DirectorofHealthyLivingandActiveOlderAdultExpertTeamLeader,YMCAoftheGreaterTwinCities.CEUs awarded

PDW Exercise walking REALLY DOES improve quality of life–v2.0Exercise walking participants may complain that it’s no fun and their feet hurt. A program to improve quality of life can succeed and achieve positive results. Learnallaboutfeet,whileanupdatedcasestudyofGenCareLifestyle’sWalkingPartners shows how to replicate its experience. Lecture.You’ll be able to:• Explainwhyfeetcan,andsooftendo,

easily fall into disrepair as they age.• Applypreventivefoot-healthpractices

that will reduce the probability of pain and dysfunction.

• Organizeandimplementaneffectiveexercise walking program.

Faculty: Robert Thompson, CPed, ExecutiveDirector,InstituteforPreventiveFootHealth;Tracey Harvey, BS,ConsumerRelations/VitalityDirector,GenCareLifestyle.CEUs awarded

B Tai chi exercises for postural reeducation, gait training and balanceDiscoverhowtousetaichimovementsto address three areas of concern found to increase the risk of falling in aging adults: lack of postural stability, gait dysfunctions and declining balance. Exercises are progressive and can meet individuals at their level of mobility. Lecture/Interactive.You’ll be able to:• Integratetaichitechniquesand

principles into group exercise programs.

• Identifyandimplementspecifictaichitechniques to meet individual client needs.

• Teachexercisesthatencouragethemind-body connection necessary to reduce the risk of falling.

Faculty: Faith Overton,PTA,TriCityWellness Center; Troyce Thome,MasterTrainerfortheArthritisFoundation,TaiChi for Health.CEUs awarded

“This conference is like a breath of fresh air! It provides cutting-edge material and validation on whole-person wellness. The passion for improving the lives of the older adult is tangible.”

Kristin McCoachFitness Coordinator, Pine Run Community

Photo: Julie Milner

Thursday, November 21, 20139:45 a.m.–11:15 a.m.

ML The ROI of wellnessDoesinvestmentinthewellnessinfrastructure (staff, buildings, outdoor features,program)bringareturntoolder adults served, and meet business objectives?Joinapanelofexecutivesas they explain how they identified the strategic need to invest in wellness, what they did, and how they evaluate the return. Lecture.You’ll be able to:• Identifythreereasonsforinvesting

in property renovation or new development.

• Quantifytheresourcesneededtodeliver a robust wellness program.

• Listthemeasuresusedtoevaluatereturn on investment.

Faculty: Panel of senior executives, moderated by Patricia Ryan,MS,VicePresident of Education, International Council on Active Aging.CEUs awarded

MS Rebranding Aging III–mastering ageless communicationsExplore examples and best practices from entries to ICAA’s 2013 Rebranding Aging Awards, and national ad campaigns. Discovertechniquesandapproachesto improve positioning and marketing communication materials, increase lead generation and strengthen brands. Lecture.You’ll be able to:• Improvethequalityandeffectiveness

of sales and marketing materials.• Recognizewhyrecommended

approaches are likely to improve results, and review state-of-the-

art advertising and marketing communications and positioning strategies.

• Learnhowtorefinemarketingcommunications materials, improve brand positioning and lead generation, and complement cultural change initiatives.

Faculty: G. Richard Ambrosius,MA,Principal, Positive Aging; David Weigelt, Cofounder and President, Immersion Active; Helen Foster,Principal,FosterStrategy,LLC.CEUs awarded

BF The future of brain health: What’s next in cognitive fitness?Learnwhyanintegratedbrain-healthapproach that engages across physical, intellectual and emotional health dimensions is essential for effective intervention.Discovernextgenerationinterventions you can use with broad applications to different settings, client populations, and budgets. Lecture.You’ll be able to:• Comprehendhowtoapplyan

integrated wellness model of brain health to your services.

• Gainmasteryoftheemerginggeneration of brain health products

to better serve your clients.• Planforfuturebrainhealthservices in your organization or community based on the review of next

generation interventions during the session.

Faculty: Cynthia Green,PhD,President,MemoryArts,LLC.CEUs awarded

ML Motivating the motivatorAs professionals, we often are energizer, promoter, and motivator to clients. Are you sometimes stuck on how to motivate others to engage in life? Gain tools to refresh and reenergize your efforts, to be more effective in your presentation to clients and motivate others. Lecture.You’ll be able to:• Identifywaystoenergizeyourselfon a daily basis to be most productive.

• Implementmotivatingtacticstoclients served in your organization.

• Inspireclientstobetheirbestandcontinue to learn and grow.

Faculty: Stacey Belt,CTRS,NationalEngageLifeInnovationDirector,AtriaSeniorLiving.CEUs awarded

PDW Resident engagement: anatomy of successful programmingLeavewitharoadmapofhowtosuccess-fully increase resident engagement by implementing resident-run programming. Examples will be outlined to demonstrate how to successfully encourage residents and provide them the tools to become program leaders. Lecture.You’ll be able to:• Createsuccessfulresident-run

programming; learn to “Grow your resident leaders” as outlined by specific resident-programming examples and testimonials.

• Marketyourcommunityprogrammingeffectively, leverage collaborative interdepartmental relationships, and create internal excitement for programming goals.

• Enhanceresidentownershipofthe whole-person wellness model; comprehend how engaged residents partner with community programming efforts to empower individuals to

self-awareness.Faculty: Tamara Sawicz,BA,LifestyleDirector,andAndrea Agazim,LifestyleDirector,ViSeniorLiving.CEUs awarded

PDW Strong seniors strengthening and stretching while seated programChair fitness is not only a safe and effective way to train older adults, but it’s also a fun way to engage this population in exercise on a daily basis. Experience a practical chair workout and learn how to create a complete chair exercise program as well. Lecture/Interactive.

Sessions

You’ll be able to:• Learnessentialsittingexercisesthat

target core muscles for improving sitting and standing posture, balance and joint stability.

• Learnrange-of-motionexercisesthatmimic activities of daily living, and improve circulation, strength and flexibility.

• Learnhowtoteachasafe,effectiveandfun group chair class for all levels of ability.

Faculty: Maureen Hagan,PT,VicePresidentofOperations,GoodLifeFitness,andEducationDirector,canfitpro.CEUs awarded

OP Walk tall–not small–with poles(Note: This session will meet at the registrationdeskandtakeplaceoutdoors.)Gain ideas to keep walking programs safe, effective and above all fun and interesting for all ages. Explore the latest research on how pole walking improves posture, overall strength and endurance, balance and confidence. Add arms, back and torso to improve aspects of ordinary walking. Lecture/Interactive.You’ll be able to:• Incorporatefunctionalfitnessand

increased motivation while creating groupand/orindividualwalkingactivities.

• Experiencehowtoincorporatewalking techniques using poles that will enhance ongoing participation

at any ability level.• Reducetheriskforfallsbyadding

basic balance training in your walking program.

Faculty: Peggy Buchanan,MA,FitnessandAquaticsDirector,VistadelMonteRetirement Community.CEUs awarded

Thursday, November 21, 201311:30 a.m.–12:45 p.m.

KeynoteHow to prosper from the longevity revolutionForthefirsttimeinhistory,fourgenerations of active adults are simultaneously participating in the workforce, in programs and at facilities. Each generation has its own lifestyle, values, attitudes about work and money, means of connecting and communicating,health/fitnessconcerns,role models and marketplace preferences. How do you manage and motivate each generation? In this special presentation, Dr.KenDychtwaldwillshareactionableinsights about what makes each cohort tick and effective ways to reach out to, andconnectwith,Millennials,GenXers,BoomersandtheSilentGeneration.Dychtwaldwillalsosharehisvisionofhow fitness, health and healthcare will be transforming in the years ahead—and how to prosper from it.Faculty: Ken Dychtwald,PhD,PresidentandCEO,AgeWave;psychologist,gerontologist and bestselling author.CEUs awarded(Note: Includes presentation of Athletic Business Facility of Merit awards.)

Thursday, November 21, 20132:45 p.m.–4:15 p.m.

ML Practical design considerations for an active-aging wellness centerWellness needs are increasingly a central part of older adults’ lives. “Wellness” includes much more than exercise; nutrition, health education, “mental fitness,” and massage and other body workplayarole.Learnhowtoaddressthis important area of senior living from the facility design perspective. Lecture.You’ll be able to:• Describecurrenttrendsinwellness

education, training and equipment for active older-adult wellness facilities.

• Designfeaturesthatarelong-termviable for active older adults.

• Fosterandcapitalizeonthesocialaspects of adopting and pursuing an active-aging lifestyle.

Faculty: Craig Bouck, Principal, Barker RinkerSeacatArchitecture.CEUs awarded

PDW Employee wellness in your workplaceA successful workplace wellness program reduces corporate costs while creating healthier, happier work environments. Learnabouttwosuccessfulprogramswith high employee satisfaction and participation. Gain examples of whole-person wellness to carry over in the workplace. Lecture.You’ll be able to:• Identifythebenefitsofanemployee

wellness program.• Developanemployeewellness

program for your workplace.• Implementasuccessfulemployee

wellness program.Faculty: Caley Kratz,MS,WellnessCoordinator,MercyRidgeRetirementCommunity; Vivian Smith,MS,FitnessCoordinator,VantageHouse.CEUs awarded

R Successful aging through proper nutritionLearnthefacts,notthehype,aboutnewadvances in the field of nutrition that will make a difference for older adults. Discoverhowhealthyeatingcontributesto overall wellness and an improved qualityoflifeasweage.Seealivecooking demonstration. Lecture.You’ll be able to:• Discussnewresearchonthekey

nutrients needed for healthy living by the older adult.

• Outlinepracticaladviceonhealthyeating to prevent disease.

• Makechangesinthedietsofolderadults to make a positive impact on quality of life.

Faculty: Darin Leonardson,AAS,DirectorofHospitalityandDining,GoldenLiving;Shannon Smith,BS,RD,CD,SeniorRDSpecialist,GoldenLivingCentersIndiana/Ohio.CEUs awarded

PDW Bringing outdoors inside: eco-living in residential senior livingReview research and current studies in Eco-Psychology to grasp how indoor livingpromotesdepression/anxiety.Explore how nature and the environment impact mental, physical and spiritual wellness, plus ways to incorporate nature into programming in residential settings. Lecture.You’ll be able to:• ComprehendtheoriesinApplied

OrganicPsychology(Eco-Psychology).• Comprehendhowbringingnature

indoors can improve mental, physical, and spiritual wellness.

• Developstrategiesforincorporatingoutdoor-nature experiences for older adults in residential settings.

Faculty: Tamberly Mott,PhD,MA,LMFT,DivisionalEngageLifeInnovationDirector,AtriaSeniorLiving.CEUs awarded

BF iPads to paper and pencil: many, many ideas and ready-to-use resources for cognitive stimulation programsDiscovernewideastostartorreinvigorate a cognitive and brain exercise program. Explore cognitive stimulation activities and inexpensive “apps” that can be used on computer tablets.Gainideas/resourcestohelpolderadults exercise attention, concentration, inhibition, word fluency, and spatial abilities. Lecture.

You’ll be able to:• Learnthelatestresearchoncognitive

stimulation for older adults, what cognitive abilities are affected by the aging process and what types of activities could exercise those affected abilities.

• Usereadilyavailableappstodelivercognitive stimulation programs on tablet PCs.

• Deliveratleast15cognitivelystim-ulating activities in groups or via paper and pencil.

Faculty: Robert Winningham,PhD,Professor and Chair of Psychology, WesternOregonUniversity.CEUs awarded

PDW Become a sensation scientist through The Body’s WayMovethebodythroughthesystemicapproachoftheNiaTechnique.Chooseto move from sensations of pleasure, lettinggoofpain/discomfort.Createtheexperience of ultimate functional fitness through awareness of stability, mobility, flexibility, agility and strength. Lecture/Interactive.You’ll be able to:• Employawarenessofphysical

sensation to create comfortable, dynamic and integrated exercise of body-mind-spirit.

• ListthefivesensationsusedintheNiaTechnique.

• Applythetoolsofasensationscientistto everyday life situations, using fitness techniques for health and well-being.

Faculty: Janet Hollander,BA,Owner,MovingTowardHealth;Ken Gilbert, MA,Owner,EmBODYment.CEUs awarded

Thursday, November 21, 20134:30 p.m.–6:00 p.m.

KeynoteEngaging with life: the emerging biology of cognitive healthOurunderstandingofthemechanismsof cognitive health and aging is rapidly expanding. The key to optimal brain health at all ages turns out to be the way we structure and live our lives. IntheUnitedStates,thenewBRAINinitiative has made neuroscience the top research priority, and we are all eager to understand what the future of brain scienceholds.Fromitsworld-classSchoolof Public Health, to two recent Nobel Prizes in the basic molecular science of the brain, Columbia University has been attheforefrontofthisfield.Dr.HenryLodge,amedicalprofessoratColumbia,will give us an inside look at the next generation of cognitive science, and the implications for our lives and our industry.Faculty: Henry S. Lodge,MD,FACP,AssociateClinicalProfessorofMedicine,ColumbiaUniversityMedicalCenter,andBoard Certified Internist; coauthor of the New York Times’ bestselling Younger Next Year series of books.CEUS awarded(Note: Includes presentation of ICAA Innovators Awards.)


Friday, November 22, 20136:45 a.m.–8:15 a.m.

PDW Ageless athletes: Can you BEAT that?Experience rhythm and movement while drumming on a fitness ball. Ageless athletes can participate in cardio-drumming regardless of capabilities and

Sessions

talent. Create an experience through drumming, rhythm and movement for specific older-adult groups and prepare a class design. Lecture/Interactive.You’ll be able to:• Engageagrouporanindividualina

unique rhythmical exercise cardio-drum program for older adults, with specific benefits for individuals with Alzheimer’s disease.

• Demonstratebasiccardio-drummingchoreography routines to music in both seated and standing positions for healthy older adults to individuals in long-term and memory care.

• Comprehendcardio-drummingasabalance of the mind, body and spirit in action; practice techniques to facilitate a drum circle to engage all people and create a meaningful experience.

Faculty: Barbara Fish,BS,SeniorWellnessManager,HeritageCommunityofKalamazoo;Jennifer Dagati,Owner,DrumBeatUniversity.CEUs awarded

B Effectively create, implement and market your balance programDiscoverhowtomarketabalanceclassfor older adults using various tests and statistical data showing individual participantimprovement.Takehomebalance and confidence tests used to pre-test participants to determine ability level and post-test, to track outcomes. Lecture/Interactive.You’ll be able to:• Marketabalanceclasstoolderadults.• Usebalancetestingprotocols.• Gainprogressivesyllabiforthreelevels

of classes (beginner, intermediate and advanced).

Faculty: Justin Margut,BS,WellnessSpecialist,andSandy Reid, AA (AssociateofArts),WellnessDirector,BethanyVillage.CEUs awarded


BF Brain health fairs: bringing better cognitive fitness to your communityA health fair model offers a high-touch, experiential event for bringing new experiences in brain wellness to older adults.Learnhowtoplanandrunasuccessful, scalable brain-health fair that showcases your programs as well. Detailedexampleswillbepresented.Lecture.You’ll be able to:• Comprehendtheintegrated

health components essential to a comprehensive brain-wellness program.

• Holdabrainhealthfairinyourcommunity or center.

• Usethebrain-healthfairmodeltohighlight your existing programs that are brain healthy.

Faculty: Cynthia Green,PhD,President,MemoryArts,LLC.CEUs awarded

R Can’t face another workday? You may have compassion fatigueProfessional caregivers, who provide service to older adults and their caregivers, are vulnerable to compassion fatigueandcaregiverburnout.Findouthow to prevent falling victim to this dangerous duo and stay at your best while providing service and care. Lecture.You’ll be able to:• Defineandidentify“compassion

fatigue,” and its triggers and warning signs.• Applyself-interventiontechniquesand

solutions before reaching the break-ing point.

• Adoptaplanforpersonalself-care.Faculty: James Huysman,PsyD,LCSW,Consultant,WellMedCharitableFoundation.CEUs awarded

“ICAA is an excellent resource for anyone working with older adults. I haven’t had the opportunity to attend the ICAA Conference until this year, but I have always heard great things about it. I must say that it exceeded my expectations, and I look forward to attending next year.”

Donna EvansWellness Director, White Oak Estates Retirement Community

MS Beyond Woodstock: profitably engage the Web’s most valuable consumersHear how one digital agency redefined what it means to engage Boomers and olderadultsonline.MOE(MeaningfulOnlineEngagement)combinesdeepunderstanding of human behavior, word-of-mouth marketing tactics, and analytics to deliver trusted, profitable relationships. Lecture.You’ll be able to:• Comprehendhowandwhereolder

adults engage online and how today’s marketing needs to be approached differently.

• Implementabehavioralapproachtoonline marketing campaigns.

• LeverageyourbrandtomarkettoBoomers and older adults who are looking to age in place.

Faculty: David Weigelt, Cofounder and President, Immersion Active.CEUs awarded

PDW Creating innovative wellness programming throughout the continuum of careWellness leaders often struggle to create programs that engage residents throughout the continuum of care. Gain a map for class formatting, educational criterion and competency expectations for staff conducting programs to help them create a comprehensive wellness program. Lecture.You’ll be able to:• Createastructuredmapforfitness

programming for residents throughout the continuum of care.

• Implementacomprehensivestaffeducation program to ensure competency at all fitness levels.

• Implementanevaluationtoolthathelps staff determine residents’ functional capacity to participate in fitness programs.

Faculty: Gina Formica,DPT,Directorof Wellness, and Jennifer Conway, MS,CSCS,RCEP,ResidentWellnessCoordinator,LibertyLutheran.CEUs awarded

PDW Innovative ideas from proven programsA new angle can turn a competent programintoagreatsuccess.Jointherecipients of the 2013 ICAA Innovators Awards as they explain how they created innovative programs that benefitted their clients and took the wellness program or initiativetoanewlevel.Leavewithideasand tactics Lecture.You’ll be able to:• Identifycharacteristicsofeffective

programs for older adults.• Nameatleastthreeprogramsthatare

successful in increasing participation among older adults.

• Listmethodsofpromotingnewprograms to build participation.

Faculty: Patricia Ryan,MS,VicePresident of Education, International Council on Active Aging.CEUs awarded

PDW Transforming and improving physical function with frail eldersManyfraileldersdonotbenefitfromphysical wellness programs due to their complex and individual special needs. Learnspecificexercisesandfunwaystoengage the frailest client while enhancing their functional fitness through evidence-based practices. Lecture/Interactive.You’ll be able to:• Define“frailty”andmodifyexercises

according to participants’ remaining abilities and strengths.

• Learnthreecharacteristicsandsafetytips for exercising with a few specific diagnoses.

• Demonstrateatleastfiveexercisesthatare safe and effective in improving function.

Faculty: Betsy Best-Martini,MS,CTRS,GeriatricRecreationalTherapist,Recreation Consultation.CEUs awarded

OP Take your brain for a walk(Note: This session will meet at the registrationdeskandtakeplaceoutdoors.)Add a cognitive stimulating component to your fitness walking program to help participants enhance concentration and memory.Learntoaddmindfulexerciseto muscular activity, decreasing the risk of falling while exploring how to exercise different parts of the brain. Lecture/Interactive.You’ll be able to:• Comprehendhowexerciseenhances

cognitive stimulation.• Learnhowtostartandsustaina

cognitively stimulating walking program to enhance memory ability.

• Addfunandeasy-to-dobraingamestoyour walking programs.

Faculty: Peggy Buchanan,MA,DirectorofFitness,AquaticsandPhysicalTherapy,VistadelMonte.CEUs awarded


R Exercise as medicine: preserving function by functioningUsing exercise to counter age-related dysfunction is not new. What is new is manipulating it to tap into several modalities simultaneously. Explore how functional exercise takes on new meaning by introducing cognitive processes and fun, engaging multiplanar, multi-joint movement games. Lecture.You’ll be able to:• Comprehendvarioustheorieson

aging, and how exercise directly impacts and retards the aging process.

• Recognizehowmanyofthe“sideeffects” of exercise—including stress and strain management, self-efficacy, self-esteem, social interactions and cerebral blood flow—work to

Sessions

counter mental and psychoemotional deterioration.

• Practicesomesimpleexercisesthatare not only are fun and engaging to clients, but work the entire body in a functional way. These movement experiences can be easily regressed or progressed.

Faculty: Mark P. Kelly,PhD,CSCS,Exercise Physiologist, American Council on Exercise.CEUs awarded

TW Keep moving: from rehab to wellnessBenefitfromTouchmark’slessonslearned from developing a program in a continuing care retirement community and working with rehab professionals, including relationship-building ideas, and safety precautions and techniques. Learnaboutthecompany’soverallphilosophy for having qualified pro-fessionals to provide these programs. Lecture.You’ll be able to:• Identifyanddevelopstrategiestobuild

and maintain relationships with all key stakeholders.

• Learnsafetyprecautionsforworking with clients that have several diagnoses, including joint replacement, chronic disease, and balance deficits; and develop appropriate classes and other related services.

• Comprehendandreplicatebestpractices regarding program leaders, measurable goals and outcomes, marketing, and liability.

Faculty: Marge Coalman,EdD,VicePresident, Wellness Programming, and Lori McCormick,BSPT,FitnessSpecialist,Touchmark.CEUs awarded

ML Accountable Care–leveraging and showcasing your exercise and wellness programsDiscoverhowtoleveragehealthyagingprograms and resources to help local healthcare systems meet Accountable

Care goals. Increase referrals by developing marketing narratives that showcasewhatyouoffer.Frameexerciseand wellness programs as solutions that reduce healthcare costs. Lecture.You’ll be able to:• Designanarrativetoarticulatehow

your exercise and wellness programs are a viable strategy to help hospitals reduce readmissions.

• Discusstheareasofhealthcarereformthat are relevant to your senior living site (i.e., assisted living, independent living, continuing care retirement community).

• Identifytheprogramsandresourcesyou already have in place that can help reduce hospital admissions and readmissions, and showcase senior living as the senior wellness experts in the community.

Faculty: Kay Van Norman,MS,President, Brilliant Aging.CEUs awarded

“Excellent opportunity for all staff to refresh, connect, share, learn and take home new concepts.”

Beverly KannengieszerDirector of Active Living, Medford Leas

PDW SEXcessful aging: sex, intimacy and agingSexualityisavitalpieceofthehealthyaging puzzle. Explore physical and emotional benefits and risks to sexuality in later years, expand the conventional definition of sex, and provide adaptive suggestions for physical limitations. Understand older adults’ cultural influences around sexuality. Lecture.You’ll be able to:• Listthreebenefitsandtworisksto

sexual activity during the later years.• Listthreeadaptivetechniques/

strategies for those with physical limitations to enjoy sexuality.

• Createastrategystatementtoculti-vate a sex-positive dialogue in your workplace or community.

Faculty: Rebecca Chaplin,MA,LS,AgingProgramSpecialist,Land-of-SkyRegional Council, Area Agency on Aging.CEUs awarded

PDW BOSU mobility and stability for the active agingHelp older adults build functional strength, face fear of falling with gait training,learnwaystogetup/down,and move more effectively through the kinetic chain. Clients should have the ability to perform movements, with effort,onthefloororBOSUBalanceTrainer.Learnmodificationsfordifferentfunctional levels and options without the BOSU.Lecture/Interactive.You’ll be able to:• Providemobilityandstability“games”

(kinestheticchallengesanddrills)forimproved functionality, reaction, fall prevention, coordination, range of motion, and overall self-efficacy.

• Comprehendthatdifferencesinage,ability and agility are common to this market, and that instructors may have to relinquish a desire to maintain class conformity.

• UtilizetheuniquequalitiesoftheBOSUBalanceTrainertoofferexercises in mobility and stability to improve wellness for the active

aging.Faculty: Lawrence Biscontini,MA,MindfulMovementSpecialist,FG2000;Bernadette O’Brien,MA,MindfulMovementMotivator,YMCAWayne,NewJersey.CEUs awarded

PDW Off the rocker: movement that motivates!Develop“agelessworkouts”byfusingbasic movement patterns with simple equipment. Upbeat music and movement inspire everyone “off their rocker” to challenge endurance, strength and flexibility, while blending elements of balance and reinforcing motor patterns. Lecture/Interactive.You’ll be able to:• Intergrateballs,hulahoops,and

noodles into exercises for older adults.• Leadexercisesinagroupsettingthat

are both seated and standing.• Incorporatebothstaticanddynamic

balance exercises into an older-adult group fitness class.

Faculty: Cammy Dennis,BBA,FitnessDirector,andJessica Pinkowski,CPT,GroupFitnessCoordinator,OnTopofthe World Communities, Inc.CEUs awarded

OP WALK for life: walk more=live better(Note: This session will meet at the registrationdeskandtakeplaceoutdoors.)Research shows the association between fasterwalkingandlongerlifespan.Learnthe research-based health benefits of walking(bothphysicalandcognitive).Also, take away usable racewalking techniques/trainingstrategiesandmodifications to use. Lecture/Interactive.

You’ll be able to:• Demonstratethehealthbenefitsof

walking and walking fast.• Learnspecificracewalkingtechnique.• Shareteachingtechniquesandtraining

methods.Faculty: Jolene Moore,MEd,Directorof Wellness, Covenant Retirement Communities, and World and American Age Group Record Holder, Racewalking.CEUs awarded

Friday, November 22, 201312:00 p.m.–1:00 p.m.

KeynoteMagicJohnsonknowsathingortwoabout success. As the floor leader of the NationalBasketballAssociation’sLosAngelesLakers,JohnsonrackedupthreeMVPawards,fiveNBAChampionshipsand12All-Starappearances.In1992headded a gold medal to his resume as a memberofAmerica’s“DreamTeam.”BuildingMagicJohnsonEnterprises,a business empire with a net worth ofroughly$700million,accordingtoForbes,didn’thappenovernight,however.AschairmanandCEO,Johnsonowns movie theaters, restaurants and gyms, and early in 2012, he pulled off his biggest deal yet as his group of investors boughttheLosAngelesDodgers.Forallof his successes, there have been plenty of missteps.Whentimesaretough,Johnsonturns to lessons he learned on the court. “There’s winning and there’s losing, and in life you have to know they both will happen,” he says. “But what’s never been acceptable to me is quitting.” Faculty: Earvin “Magic” Johnson, CEO,NBALegend,andDodgersOwner.CEUs awarded

Sessions


PDW Transforming the expressive arts: wellness, team-building, marketing and fundraisingLearnwhyandhowtodevelopinnovativeperforming arts groups that can create a culture of team-building, renew energy and interest, and attract future clients. Examplesincludeolderadultsteaching/creating art to exhibit, and developing dance and drama classes with purpose to perform. Lecture.You’ll be able to:• Identifythewellnessbenefitsof

performing arts programming.• Discoverhowtheexpressiveartscan

be used as a tool for marketing and fundraising.

• Comprehendhowexpressivearts will enhance community team-

building efforts.Faculty: Rita Lopienski,MA,LifeEnrichmentDirector,PlymouthPlaceSeniorLiving.CEUs awarded

R How to connect optimally with age 50+ adults and promote behavior change for healthy, fit and happy livingGain the latest tools to effectively connect and comfortably relate with TraditionalistsandBabyBoomers.Discoverpsychological/behavioralprofiles,uniqueneeds/mindset,person-centered communication skills, and rapport-buildingstrategies.Learnkeyfactors for promoting exercise and wellness. Lecture.You’ll be able to:• Utilizeanunderstandingofthe

psychological and behavioral profiles ofTraditionalistsandBoomerstoreadily promote adherence in physical-fitness dimensions of health.

• Demonstrateadvancedrapport/connection building behaviors with TraditionalistsandBoomers.

• Useimprovedrelationship-buildingskills to grow your practice, and

increase participation in senior living communities, seniors centers, wellness and fitness clubs, parks, and other community services.

Faculty: Michael Mantell,PhD,SeniorFitnessConsultantforBehavioralSciences,AmericanCouncilonExercise.CEUs awarded

ML Appreciative Inquiry 101ExploreAppreciativeInquiry(AI),apositive-oriented approach to individual and organizational change. The principles behind AI build on strengths, rather than just focusing on faults and weakness. Developtoolstoinspireandadvocateforpositive change. Lecture.You’ll be able to:• Developtoolstoconsciouslyfocus on empowering employees.• Directyourenergiestowardthe

positive terminology.• Identifyinyourownlifetheareas that can improve through AI.Faculty: Cindy L. Bradshaw,MS,ACC,ExecutiveDirector,NationalCertificationCouncil for Activity Professionals (NCCAP).CEUs awarded

“A fantastic educational and networking experience. A great variety of topics from which to choose from very knowledgeable presenters. Lots of ideas to motivate active aging.”

Deb Porcelli, MS, OTR/LDirector of Therapy Services, Waverly Heights, LTD

Photo: Julie Milner

ML Leveraging the wellness-rehabilitation partnership for enhanced outcomesExplore the benefits of integrated wellness and rehabilitation programs in supporting active aging in senior living communities.Learnwaysinwhichwellness and therapy professionals can leverage their partnership to enhance a community’s wellness program across all dimensions. Lecture.

You’ll be able to:• Definecomponentsofwhole-

person wellness in senior living communities, a multidimensional, interdependent model that promotes self-responsibility for wellness in all dimensions of life.

• Formulatespecificapproachestofacilitating communication between wellness and therapy providers to increase client participation.

• Utilizewellness-programassessmenttools as well as outline approaches to measuring outcomes for the rehabilitation program component of a whole-person wellness program partnership.

Faculty: Denise Durham,PT,MBA,RegionalVicePresident,SelectRehabilitation, Inc.CEUs awarded

PDW Core stability for a healthy back for all levels of functionA healthy back gets people of all ages through their daily lives safely and efficiently.Forhealthybacks,corestrength and stability training are where conditioning programs must focus. Learnhowtostructureandteachaback workout with progressions for all functional levels. Lecture/Interactive.You’ll be able to:• Reviewtheanatomyoftheinnerand

outer units that comprise the core, and discuss where traditional exercise training and rehabilitation focus their attention.

• Developaprogressivecore-condition-ing exercise program that will help build a healthy back and lower risk for pain and injury for any body.

• Discussthelatesttrendsinpro-gramming and equipment utilized

in core and back conditioning programs.Faculty: Maureen Hagan,PT,VicePresidentofOperations,GoodLifeFitness,andEducationDirector,canfitpro.CEUs awarded

BF Brain boostersAs the aging population grows, research-ers are exploring best practices for better brain health throughout the life span. Identify 25 brain boosters and learn how they contribute to improving brain function. Participate in and take home easy-to-implement activities. Lecture.You’ll be able to:• Comprehendcognitivedomainsofa

brain-healthy lifestyle.• Identify25brainboostersandlearn

how they affect brain health.• Participatein10brain-boosting

activities that you can use with older adults.

Faculty: Terry Eckmann,PhD,Professor,MinotStateUniversity.CEUs awarded


Poster session: programs, best practices and researchThe posters in this session present an excellent opportunity for you to see a visual representation of successful programs and best practices, as well as appliedresearch.Meetandtalkwithpresenters, ask questions, and join others withsimilarinterests.Mixeducationandnetworking in an informal environment, and leave with a bag full of good ideas. Faculty: Multiplepresenters.

Saturday, November 23, 20136:45 a.m.– 8:15 a.m.

PDW Conductorcise: a fresh, always new, joyous brain and body stimulatorDiscoverafreshapproachtolisteningto great music and ways of moving for older adults who may not have moved in months. This workout stimulates brains and bodies. Explore how to listen to music and what builds brain cells. Learnwhyjoyisamust for any program. Lecture/Interactive.You’ll be able to:• Comprehendhowtolistentomusic

and how you can stimulate the brains of older adults.

• Practicewaysforolderadultstomovesafely using not only the classics, but world music as well as popular works.

• Usethisjoyousworkouttoencourageindividuals to return to programs.

Faculty: David Dworkin,OwnerandConductor, Conductorcise.CEUs awarded

Saturday, November 23, 20138:30 a.m.–10:00 a.m.

ML Senior centers: alive, well and ready for the futureFindoutwhatactionplanshaveledtotheKerbyCentre’ssuccessinengagingBoomers while continuing to meet older adults’ social, educational and fitness goals.Learnaboutthecenter’ssuccessinbuilding partnerships, and why not-for-profits are vital components for successful aging. Lecture.You’ll be able to:• Realizethebenefitofbuildingand

sustaining partnerships.• Recognizewhyitisimportanttoensure

programming and services meet the wishes and needs of older adults.

• Comprehendhowengagingwithdiverse populations will enhance quality of life for all older adults, and will sustain the future of senior centers.

Faculty: Luanne Whitmarsh,RSW,CPCA,CEO,KerbyCentre.CEUs awarded

Sessions

PDW Mudras, music and meditationMudrasareyogaposturesdonewiththe hands to increase stamina, promote success, and increase healing with specific finger placements, benefitting both joints andmentaloutlook.Learnsimplehandand eye mudras you can use immediately. Musicandmeditationwillcomplementthe mudras. Lecture/Interactive.You’ll be able to:• Comprehendthepurposeofeyeand

hand mudras.• Practicewitheyeandhandmudrasfor

a variety of purposes.• Combinemusicwiththemudrasand

light, unconventional meditation for a seated work-in.

Faculty: Lawrence Biscontini,MA,MindfulMovementSpecialist,FG2000.CEUs awarded

PDW Aquatics benefits people with Parkinson’s diseaseExplore how water’s buoyancy supports the exerciser, allowing people with Parkinson’s disease to use larger, exag-gerated movements, and practice balance and coordination skills without the fear of falling. Then, learn how you can share these benefits with your clients. Lecture.You’ll be able to:• DefineandunderstandParkinson’s

disease and common symptoms.• Identifythebenefitsandbarriersof

exercise in the water for clients with Parkinson’s disease.

• Selectexercisesthatmaximizetheproperties of the water and creatively challenge clients with Parkinson’s disease.

Faculty: Christine Shidla,BS,DirectorofWellness,SummitPlaceSeniorCampus; Cathy Maloney-Hills,RPT,Courage Center.CEUs awarded

PDW Joy danceMusicanddanceliftmoodandincreasejoy. Either seated or standing, joy dances are easy to do anywhere. Use them as an activity class or as instant energizers

before, during or after lunch and other activities.Learnhowandwhyjoydancescan help create a culture of joy. Lecture/Interactive.You’ll be able to:• Identifykeybenefitsofdance.• Performsimpledancesthatcanbe

done in a chair.• Performsimpledancesthatcanbe

done in a group or individually.Faculty: Terry Eckmann,PhD,Professor,MinotStateUniversity.CEUs awarded

PDW Preserving function in frail adultsMovementisveryimportantforfrailolder adults, and highly specific to preserving and restoring function. Explore movement that supports basic and advanced activities of daily living. Engage frail adults in exercise specific to promoting personal success, fun and independence. Lecture/Interactive.You’ll be able to:• Definefrailty.• Implementexercisesthatsupport

activities of daily living, specifically impacting stability, mobility, range

of motion and strength.• Comprehendthephysicaland

psychological ramifications of frailty.

Faculty: Cammy Dennis,BBA,FitnessDirector,andJessica Pinkowski,CPT,GroupFitnessCoordinator,OnTopofthe World Communities, Inc.CEUs awarded

B Exercises to remain safe on your feetExplore a group fitness class that combines physical therapy principles and functional specific movement to implement balance technique and “righting reaction” training in community-based settings. This session will focus on meeting the needs of all capabilities. Lecture/Interactive.You’ll be able to:• Learntwoquickandeasyassessment

tests(TimedUpandGo,FunctionalReachTest)tomeasureoutcomesof your class programming if pro-viding pre- and post-assessment opportunities.

• Learnachoreographedgroup-exerciseclass with movement strategies specific to improving “righting reactions” of residents in retirement communities or other community-based settings.

• Learnprogressionstomeettheneedsof all levels of function, from unsteady older adults to the more actively aging adult, all who need skill development activity to prevent falls.

Faculty: Cindy Kozacek,SeniorFitnessProgramsConsultant,Healthways/SilverSneakers.CEUs awarded

Saturday, November 23, 201310:15 a.m.–11:45 a.m.

TW Inspiring participation through engaging programs and challengesSimplifytheprocessofcreatingawellness challenge, and gain steps for implementation and tools for measurement.Learnhowtodeterminecommon goals, audience, budgets, etc.Leaveabletocreateawellnesschallenge specific to resident needs and organizational goals. Lecture.You’ll be able to:• Evaluatetheneedsofresidents/

members and create a program or challenge to meet those needs.

• Comprehendthetoolstoevaluatetheprogram/challengeattheconclusionand make adjustments for future programs.

• Comprehendhowtodevelopinterestand successfully implement a new program for maximum participation.

Faculty: Lauren Kriz,MA,NationalWellnessDirector,RehabCare.CEUs awarded

ML Placing a value on your worthYour energy, confidence and attitude are the currency others transact with. What are you worth, really? How much do you save your facility in staffing hours and resources?Sharewithadministrationthe bottom line, the literal value of your activity department, in numbers and resources. Lecture.

You’ll be able to:• Developtoolstotakebackcontrolof

your attitude regarding what you are worth.

• Usetoolstodetermineanactualdollaramount that you contribute to your facility each month.

• Developalistoflocalresourcesthatwill contribute to your overall value.

Faculty: Cindy L. Bradshaw,MS,ACC,ExecutiveDirector,NationalCertificationCouncil for Activity Professionals (NCCAP).CEUs awarded

PDW R3: Reenergize, revamp, restructure your wellness programmingLearntipsandtechniquestocreate“fresh” programs that appeal to members and keep them coming back for more! Leavewithamethodtoassessprograms,increase participation, motivate mem-bers(residentsandstaff),implementassessments, track progress, and organize procedures. Lecture.You’ll be able to:• Marketyourprogrammingto

all ability levels and include all dimensions of whole-person wellness.

• Implementassessmentprogramsandways to track the progress of clients.

• Increasetheproductivityofwellnessstaff and keep them motivated to promote your programs and activities.

Faculty: Jackie Halbin,BS,LivingWellManager,LakeviewVillage.CEUs awarded

PDW Functional fitness solutionsSystematicallyapproachpain-freemovement solutions through proper assessments, interpretation and application of corrective exercises. Earn the trust of clients with the message that movement should not hurt. Assess, interpret, correct and clean up all before any vigorous exercise begins. Lecture/Interactive.

You’ll be able to:• Performassessmentsthathelpyou

help clients more.• Interpretwhatyouseeandwhatyou

need to do about it.• Solvetrickyolder-adultmobility

challenges and obstacles to exercise.Faculty: Debra Atkinson,MS,CSCS,VoiceforFitness.CEUs awarded

PDW Ten moves that we lose: keep them and dodge disabilityIdentify the 10 key movements necessary for total body mobility and independence within the largest environment possible. Raise the bar for your aging clients or patients.Trainwithspecificityforwhatthey “want to be able to do”. Lecture/Interactive.You’ll be able to:• Identify10fundamentalmovements

(patterns)thatformthefoundationfor physical independence and pursuit of hobbies and recreation.

• Designprogressionsandregressionsfor each.

• Map7–14-daytrainingplansthatincorporate these movements via individual training, group exercise, physical labor, hobbies and recreation.

Faculty: Patricia VanGalen,MS,Excellence In Conditioning.CEUs awarded

“I am always professionally energized after the conference. In a dynamic profession, you need dynamic presentations. Thank you!”

Jean O’LearyMadison School and Community Recreation

Sessions

Spotlight on…

INFORMAL LEARNING AND NETWORKING

Connect with your active-aging colleagues at the multilevel ICAA Conference. Whether they are researchers, practitioners or executives, or work in wellness, marketing or development, attendees and presenters alike share your passion for healthy, vital aging. You can build or revitalize your knowledge network with these dynamic, dedicated professionals.

Attendees at past ICAA Conferences always mention the great ideas, energy and inspiration they gain from being with their peers. Among the not-to-miss experiences are ICAA’s Networking Reception and Poster Presentations, which provide informal learning and networking opportunities.

ICAA Networking ReceptionFriday,November22,20136:30 p.m.–8:30 p.m.OmniSanDiegoHotel675LStreet,SanDiego,California

Prepare for a fun, high-energy evening with your active-aging colleagues. ICAA’s Networking Reception is the place to meet or catch up with ICAA members and allies at the conference. Enjoy the lively exchange of ideas as you mix with attendees, presenters, exhibitors and staff; you’ll leave with contactsandinsightsaplenty.Tastylightrefreshments will be served. Cash bar.

Sponsored by the International Council on Active Aging®

ICAA Poster Presentations:programs, best practices and researchFriday,November22,20136:00 p.m.–7:00 p.m.(at the ICAA Networking Reception site)

Selectedbyacommitteeofpeerreviewers, these posters offer visual representations of successful programs and best practices, as well as applied research, that contribute toolder-adultwellness.Meetandtalk with presenters, ask questions, and join others with similar interests. Mixeducationandnetworkinginan informal environment, and leave with a bag full of good ideas.

“ICAA gave me a great opportunity to reach out into the wellness community and meet fellow leaders in the craft. The networking opportunities will provide us with many ways to share ideas and help each other through difficult issues we may face.”

Stephie MullisAssistant Wellness Director, Kisco Senior Living

Travel information

HOTELS

TheconferencetakesplaceattheSanDiegoConventionCenter,111WestHarborDrive,SanDiego,California.The trade show will be located in HallsF–H.

To receive the conference rate, all reservations need to be made through Travel Planners, the official housing provider.

The following hotels have room blocks for the conference:

Embassy Suites San Diego BayAddress: 601 Pacific HighwayLocation:0.8milesfromconventioncenterRates:$169pernight

Hampton Inn San Diego DowntownAddress: 1531 Pacific HighwayLocation:1.4milesfromconventioncenterRates:$149pernight

Hilton San Diego BayfrontAddress: 1 Park BoulevardLocation:0.2milesfromconventioncenterRates:$209pernight

Omni San Diego HotelAddress:675LStreetLocation:0.8milesfromconventioncenterRates:$195pernight

San Diego Marriott Gaslamp QuarterAddress:660KStreetLocation:2.0blocksfromconventioncenterRates:$189pernight

Wyndham San Diego Bayside (Holiday Inn on the Bay)Address:1355NorthHarborDriveLocation:1.4milesfromconventioncenterRates:$133pernight

Book with Travel PlannersForthefourthyear,ICAAhasdesi-gnatedTravelPlannersastheofficialhousing provider for the conference. TravelPlannershasagreatreputationand works with 130 conventions and events per year. ICAA selected TravelPlannersbecausemanyofourconference exhibitors and attendees have received faxes, emails and phone calls from companies offering hotel rooms for the event—and these outside travel agencies are not endorsed by or in any way affiliated with the ICAA Conference.BookwithTravelPlannersto receive these exclusive benefits:

• TravelPlanners’lowratesbeatthoseyou’ll find on the Internet or by calling the hotel directly.

“Attending the annual ICAA Conference is like coming home. It is a wonderfully welcoming atmosphere, with knowledgeable and generous speakers …. It is an excellent environment for learning and development!”

Terry FayCorporate Director of Resident Programs, Senior Lifestyle Corporation

• Noprepayment!Booktoday,thenpay the hotel directly upon your departure.

• Updateorevencancelhotelreser-vations with no fees or penalties.

• Receiveimmediateconfirmations—no waiting or wondering.

• Therearenoservicefeestomakeyourreservations.

Go to www.icaa.cc/conferenceand events/travel.htm to book your room.

Prefer to book via telephone? Agents arereadytotakeyourcallsMondaythroughFriday,9a.m.–7p.m.ET,at800-221-3531 or 212-532-1660. Your reservations are rate-assured!

TRANSPORTATION

Air travel/car rentalHBTraveldoesnot book hotels for the ICAA Conference; it does offer special convention airfares for attendees, and will check at the time of reservations for any special sales that may provide lower fares. Corporate car rental rates are alsoavailablethroughtheagency.Fordetails,contactLauraWhitemantoll-free at 800-668-4112 (8 a.m.–5:30 p.m. PDT,MondaytoFriday)[email protected]. Please mention ICAA in your communication.

Shuttle busesShuttlebuseswillbeavailabletotakeparticipantsbetweentheSanDiegoConventionCenterandallhotels (except hotels adjacent to the conventioncenter).

San Diego TrolleyTheSanDiegoTrolleyoperatesdailyfrom throughout downtown to the conventioncenter.Faresare$2.50one-way,or$5foradaypass.TheTrolleyhas two stops directly in front of the ConventionCenteratHarborDrive/FirstAvenueandHarborDrive/FifthAvenue.AmapofTrolleyroutesisavailableatwww.sdmts.com/trolley/trolley.asp.

Maps and directions for the San Diego Convention Center are available online at www.visitsandiego.com/attendees/maps.cfm.

INTERNATIONAL TRAVELERS

The ICAA Conference and the Athletic Business Conference & Expo areregisteredwiththeVisaServicesOfficeandarenowlistedundertheUnitedStatesDepartmentofState–IntranetListingforConferencesintheUnitedStates.Thislistdoesnotexpedite or waive visa procedures, but serves as a communication tool forDepartmentofStateEmbassiesandConsulatesWorldwide.Moreinformationisavailableathttp://athleticbusinessconference.com/hotel-travel/international.aspx.

Photo: Julie Milner

Q. What does the ICAA Conference fee include?A. Registration fees include educational seminars, ICAA Networking Reception, AthleticBusiness(AB)all-conferencereception, keynote sessions, early-morningworkout,conferenceCD,andexhibit hall entry.

Q. Can I attend sessions offered at the AB Conference & Expo and the other meetings that take place in partnership with AB?A. As an ICAA attendee, you may attend any educational seminars at the ABandMedicalFitnessAssociationconferences, as well as the National AllianceforYouthSportsCongress,atno additional charge. You can access four conferences for the price of one.

Q. Are the full-day workshops included in the registration fee?A. No, there is an additional per-personcostof$79toparticipateinanypreconferenceworkshop.Spaceislimited, however. Register early to avoid disappointment.

Q. How do I earn continuing education units for the classes I attend?A. You can earn credits by enrolling in theCEUprogram.Tocovercosts,a$25fee will be charged until Wednesday, November 10,or$40on-site.Attheconference, you’ll receive a log book of sessions that offer credits, plus the certifying organizations. The room monitor will stamp your book after a sessiontoverifyyourattendance.Turnin your stamped booklet at the ICAA registration desk when you leave the conference, and allow up to eight weeks for your CEU transcript to arrive.

Q. What will I find at the trade show?A. The AB Expo is a premier trade show for the health and fitness industry. It showcases products and services aimed at wellness, sports, exercise and recreation, as well as support and educational services. At this expo, you’ll find options for physical activity and exercise across the levels of function. Explore offerings created specifically with the age 50-plus adult in mind at the ICAA Pavilion, also located in the exhibit hall. ICAA’s “one-stop” venue is where you can research new technologies, equipment and services to support multidimensional wellness for older adults, plus meet providers committed to active aging.

Frequently asked questions

“ICAA is the foremost leader in older-adult health and wellness. It provides excellent educational material, maintains the highest standards in the industry, is forward thinking and has gained the respect of all of us who treasure what we do in the active-aging field. Thank you, ICAA!”

Lori Michiel, NASM-CPTFifty Plus Fitness

Q. How do I receive session handouts?A. You’llreceiveaCD-ROMattheICAA Conference containing all handouts available prior to the event. On-siteprintingstationswillbeavailable for your use at no cost. In addition, you can download and print handouts before you leave home, if you wish. Watch for a link from ICAA to a dedicated website. Handouts will not be online after the event.

Q. How do I become an ICAA member?A. You can become an ICAA member when you register and receive 10% off one-year ICAA membership dues when you register by the November 4 early-bird deadline. This is a one-time offer forfirst-timemembersonly.Fillouttheoptional membership section on the conference registration form when you gotowww.icaa.cc/registrationForm.asp.SeetheICAAwebsiteformembershipoptions and benefits.

Q. We’re sending several people to the conference. How do we register?A.Sendingmorethanonepersontothe conference maximizes the impact of yourinvestment.Toqualifyforagroupdiscount, you must all register for the ICAA Conference at the same time and make one payment for the total fees. Visitwww.icaa.cc/registrationForm.asp to complete one online application form per person, then pay by PayPal. Alternatively, download a registration form to copy and complete for each person.Faxalltheformstogetherto604-708-4464, and indicate payment bycheckorcreditcard.OrcallICAAtoll-freeat866-335-9777toregisterby phone.

Q. Can I register now and pay later?A. Yes. You can register online or by fax or phone, with payment to follow. Your options are to call us with your credit card information, or to mail a check. If payment does not arrive within 30 days, your registration will be cancelled. After November 10, if you plan to pay by check, please indicate on your form that you will pay by check on-site. Payment must be received prior to or at the conference for your registration to remain valid.

Q. I don’t have a formal job title, but the form says “required.” What should I do?A. If you don’t have a title, please use adescriptionofyourjob.Forexample,wellness activity leader or personal trainer or administrator.

Q. When will I receive confirmation of my registration?A. You’ll receive email confirmation of registration within one week of ICAA’s receipt of your conference registration. Please contact us if you do not hear back within an appropriate amount of time.

Q. If I can’t attend the conference, can someone else from my company go in my place?A. If you need to cancel your regi-stration, please submit your request inwriting.A$100cancellationfeewill apply. After November 10, no cancellations are permitted, but you can transfer your registration to another delegate or to a future year.

Q. Is there a dress code for the conference?A. Conference dress is casual. We recommend you wear comfortable walking shoes and bring a sweater orjacket.Meetingroomsareair-conditioned and often chilly.

DINING IN SAN DIEGO

Questionsaboutfoodandwheretoeat are among those most common-ly asked by ICAA Conference attendees.TheSanDiegoConventionCenter is located right across from thehistoricGaslampQuarter,atrendy dining and entertainment district featuring more than 100 restaurants and cafés. The handy and informative guide Visit San Diego features a multitude of restaurant listings, as well as information about the city’s transit system, shopping, nightlife, and more. Go to www.visitsandiego.com/attendees/delegateguide.cfm to view the guide online or to request a free print copy (allowfourweeksfordelivery).Information is also available online at www.visitsandiego.com and www.gaslamp.org.

Spotlight on…

“If you want to meet the challenges of today and prepare for the future, [the ICAA Conference] is an opportunity to achieve this objective.”

Don StreeperRecreation Coordinator, Petaluma Senior Center

Conference registration

On or before November 4

After November 4

ICAA members1st registrant $439 $5392nd and 3rd registrants $389 $4894th and more registrants $199 $299Nonmembers1st registrant $439 $5392nd and 3rd registrants $389 $4894th and more registrants $199 $299

Note: All registration fees are in US dollars.

Special offer: Receive 10% off an Individual or Organization membership (14 locations or less) when you join ICAA and register for the ICAA Conference at the same time before November 4, 2013. This offer is available to first-time members only, and cannot be combined with any other offers.

Conference registration includes:educationalseminarsatfourconferences•welcomereceptions•keynotesessions•early-morningworkouts•conferenceCD•entrytoexhibithall.Itdoesnotincludepreconferenceworkshops($79 each) or continuing education unit registration ($25 when enrolled before November 10, $40 on-site).

Cancellation policy: Pleasesubmityourcancellationrequestinwriting.A$100fee will apply. After November 10, 2013, no cancellations are permitted, but you can transfer your registration to another attendee or a future year.

Group discount: Toreceiveagroupdiscount,allattendeesfromthesameorgani-zation must register at the same time and pay with one check or credit card. If adding another attendee to a group that is already registered, call ICAA at 866-335-9777or604-734-4466.

Dress code: Conference dress is casual. We recommend you wear comfortable walkingshoesandbringasweaterorjacket.Meetingroomsareair-conditionedandoften chilly.

Photo release: ICAA occasionally uses photographs and videos of conference attendees in promotional and educational materials. By virtue of your attendance, you automatically agree to usage of your likeness in such materials.

Register for the ICAA Conference 2013 by calling toll-free 866-335-9777 (North America only) or 604-734-4466.Orvisitwww.icaa.cc/registrationForm.asptoregisteronline.YoumayalsodownloadPDFformsfromthiswebpagetocomplete and return via fax or mail.

Conference partners

Register now and save $100

To register

• Call toll-free 866-335-9777

• Visit www.icaa.cc

3307 Trutch StreetVancouver, BC V6L 2T31.866.335.9777Tel: 604.734.4466 Fax: 604.708.4464www.icaa.cc

Ask about our

group rate!


A d v e r t i s e r s i n d e xPages 2–3

NuStep,Inc.

800-322-2209

www.nustep.com/newT4r

Page 7

HURHealthandFitnessEquipment

847-729-2636

www.hurusa.com

Page 9

MorrisonSeniorLiving

800-2CLIENT(225-4368)

www.iammorrison.com

Page 11

THORLO

800-438-0286

www.thorlo.com

Page 13

SCIFIT

800-278-3933

www.scifit.com

Page 19

Nia/MovingTowardHealth

www.nianow.com/whitebelt

Page 21

Conductorcise,LLC

914-244-3803

www.conductorcise.com

Page 25

ProMaturaGroup

800-201-1483

[email protected]

Page 27

LifeFitness

866-638-9301

www.lifefitness.com

Page 33

International Council on Active

Aging(OnlineBuyer’sGuide)

www.icaa.cc/preferredbusiness

partners.htm

Page 35

Active Aging Week 2013

866-335-9777

www.icaa.cc/aaw.htm

Page 37

InstituteforPreventiveFoot

Health(IPFH)

877-777-IPFH(4734)

www.ipfh.org

Page 53


Aging(ICAAChampion)

866-335-9777

www.changingthewayweage.com/

campaign-pins.htm

Pages 84–85


Aging(ICAA)

866-335-9777

www.icaa.cc

Page 89


Aging(ICAA)/ProMaturaGroup

866-335-9777

www.icaa.cc/management/

benchmarks.htm

Page 99

Benaroch Graphic Communication

604-856-6627

www.benaroch.com

Page 109


Aging (ICAA Preferred Business

PartnerProgram)

866-335-9777

www.icaa.cc

Page 111


Aging(ICAAChampion)

866-335-9777

www.changingthewayweage.com

Page 112

TechnogymUSACorp.

800-804-0952

[email protected]


TheUnitedStatesCensusBureaurecentlyreleased a brief profile of older Ameri-canstocommemorateOlderAmericansMonth2013.Usingaby-the-numbersap-proach, this profile includes the following statistics about an evolving target market.

Population

41.4 million: The number of people who were65andolderintheUnitedStatesonJuly1,2011,upfrom40.3milliononApril1,2010(CensusDay).In2011,thisgroup accounted for 13.3% of the total population. Source: Population esti-

A profile of aging America

Market research

mates<http://www.census.gov/popest/data/national/asrh/2011/index.html>

92.0 million: Projected population of people 65 and older in 2060. People in this age group would comprise just over oneinfiveUSresidentsatthattime.Ofthis number, 18.2 million would be 85 or older. Source: Population projections <http://www.census.gov/population/projections/data/national/2012.html>

2.4 million: Projected number of Baby Boomers in 2060. At that time, the youngestBabyBoomerswouldbe96


years old. Source: Population projections <http://www.census.gov/population/projections/data/national/2012.html>

2056: The year in which, for the first time, the population 65 and older would outnumber people younger than 18 in theUS.Source: Population projections <http://www.census.gov/population/projections/data/national/2012.html>

Nearly 17%: Projected percentage of the global population that would be 65 and older in 2050, up from 8% today. In 2005, Europe became the first major world re-gion where the population 65 and older outnumbered those younger than 15. By 2050, it would be joined by Northern America (which includes Canada and theUnitedStates),Asia,LatinAmericaandtheCaribbean,andOceania(whichincludesAustraliaandNewZealand).Source:InternationalDataBase<http://www.census.gov/population/international/data/idb/informationGateway.php>

Income and wealth

$33,118: The 2011 median income of households with householders 65 and older, not significantly different from the previous year. Source: Income, Poverty, and Health Insurance Coverage in the UnitedStates:2011<http://www.census.gov/prod/2012pubs/p60-243.pdf>

8.7%: The percent of people 65 and older who were in poverty in 2011, sta-tistically unchanged from 2010. There were 3.6 million older adults in poverty in 2011. Source: Income, Poverty, and Health Insurance Coverage in the United States:2011<http://www.census.gov/prod/2012pubs/p60-243.pdf>

$170,128:Mediannetworthforhouse-holders 65 and older in 2010, down from$195,890in2005.Source: Net WorthandAssetOwnership<http://www.census.gov/people/wealth/>

Jobs

16.1%: The percentage of people 65 and older who were in the labor force in 2010,upfrom12.1%in1990.Theseolderworkers numbered 6.5 million in 2010,

upfrom3.8millionin1990.By2011,thisrate had increased to 16.2%. Source: LaborForceParticipationandWorkStatusofPeople65andOlder<http://www.census.gov/prod/2013pubs/acsbr11-09.pdf>

44.3%: Among those 65 and older who worked in 2011, the percentage who worked full-time, year-round. Among statesandequivalents,theDistrictof Columbia had the highest rate, at 62.2%. Source:LaborForceParticipa-tionandWorkStatusofPeople65andOlder<http://www.census.gov/prod/2013pubs/acsbr11-09.pdf>

Education

81.1%: Proportion of people 65 and older in 2012 who had completed high school or higher education. Source: Educational Attainment in the United States:2012<http://www.census.gov/hhes/socdemo/education/data/cps/2012/tables.html>

24.3%: Percentage of the population 65 and older in 2012 who had earned a bachelor’s degree or higher. Source: Educational Attainment in the United States:2012<http://www.census.gov/hhes/socdemo/education/data/cps/2012/tables.html>

Marital status and living arrangements

58%: Percentage of people 65 and older who were married in 2012. Source:Fami-liesandLivingArrangements<http://www.census.gov/hhes/families/data/cps2012.html>

26%: Percentage of people 65 and older in 2012 who were widowed. Source: FamiliesandLivingArrangements<http://www.census.gov/hhes/families/data/cps2012.html>

Homeownership

80.7%: Percentage of householders 65 and older who owned their homes as of fourth quarter 2012. Source: Current PopulationSurvey/HousingVacancySurvey<http://www.census.gov/housing/hvs/>

Centenarians

53,364: The number of people 100 years old and older counted by the 2010 Census. Source: Centenarians: 2010 <http://www.census.gov/prod/cen2010/reports/c2010sr-03.pdf>

20.7:Forevery100centenarianwomen,the number of centenarian men in 2010. Source:Centenarians:2010<http://www.census.gov/prod/cen2010/reports/c2010sr-03.pdf>

43.5%: In 2010, percentage of cente-narian men who lived with others in a household, the most common living arrangementforthisgroup.Fortheirfemale counterparts, the most common living arrangement was residing in a nurs-inghome(35.2%).Source: Centenarians: 2010<http://www.census.gov/prod/cen2010/reports/c2010sr-03.pdf>

3.29: Number of centenarians per 10,000 peopleinNorthDakotain2010.NorthDakotawastheonlystatewithmorethanthree centenarians per 10,000 people. Source:Centenarians:2010<http://www.census.gov/prod/cen2010/reports/c2010sr-03.pdf>

States and counties

17.6%: PercentageofFlorida’spopula-tion 65 and older in 2011—which led all states. Source: Population estimates <http://www.census.gov/popest/data/national/asrh/2011/index.html>

45.5%: Percentage of the population of SumterCounty,Florida,thatwas65orolder in 2011, which led all of the nation’s counties. Source: Population estimates <http://www.census.gov/popest/data/national/asrh/2011/index.html>

Adapted from the US Census Bureau’s “Profile America: Facts for Features” release from March 7, 2013, commemorating Older Americans Month. The full release is avail-able online at www.census.gov/newsroom/releases/archives/facts_for_features_special_editions/cb13-ff07.html.


Motivational understanding Continued from page 39

Big ideas call for big-picture thinking. As we continue

to develop the active-aging industry, we at ICAA look

first for the needs to be filled, then for ways to use

our influence to fulfill them. Our efforts are not only

changing the lives of older individuals, but also changing

the way society perceives aging.

The timing has never been better to make a difference.

The first step is to join us.

Call, email or go online for a copy

of our brochure.

t r a n s f o r m i n g i d e a s i n t o a c t i o n

International Council

on Active Aging®

3307 Trutch Street

Vancouver, BC V6L 2T3

1.866.335.9777

Phone: 604.734.4466

Fax: 604.708.4464

[email protected]

www.icaa.cc

ICAA 2 page Gear Ad.indd 1 12-11-09 11:30 AM


Big ideas call for big-picture thinking. As we continue

to develop the active-aging industry, we at ICAA look

first for the needs to be filled, then for ways to use

our influence to fulfill them. Our efforts are not only

changing the lives of older individuals, but also changing

the way society perceives aging.

The timing has never been better to make a difference.

The first step is to join us.

Call, email or go online for a copy

of our brochure.

t r a n s f o r m i n g i d e a s i n t o a c t i o n

International Council

on Active Aging®

3307 Trutch Street

Vancouver, BC V6L 2T3

1.866.335.9777

Phone: 604.734.4466

Fax: 604.708.4464

[email protected]

www.icaa.cc

ICAA 2 page Gear Ad.indd 1 12-11-09 11:30 AM


fromthelargercommunityinSonomaCounty, California, reflects a thriving wellnesscultureembracedbySpringLakeVillage(SLV)residents.

How did this culture get started? How did it evolve to the point where it influ-enceseverythingwedoatSLV,includinga new expansion project? And how is it shared with the larger community? This article looks at some stepping stones in our wellness journey.

How Spring Lake Village created a thriving wellness culture

Program profiles


At this California community, the wellness journey has involved residents, staff and outside organizations

by Diane Waltz, MS, PT

“Your residents are so full of life! The opportunitiesatSpringLakeVillagemust create a lifestyle that makes them veryhappy.”ThatiswhatExecutiveDi-rectorSharonYorktypicallyhearswhenshe tells the people she meets where she works. This perception, shared by people

Residents enjoy pole walking on the Spring Lake Village campus in Santa Rosa, California


How Spring Lake Village created a thriving wellness culture Continued from page 86

Along the way, we have learned some helpfullessons.Ourmostvaluablelessonis this: A vibrant wellness culture takes the collaboration of residents and staff in all departments, with each individual contributing their unique ideas, talents, experiences and perspectives. It is by reaching out and working with others, bothinsideandoutsidetheSLVcom-munity, that we enjoy a rich, multifaceted wellness culture that is contagious to all who come on campus.

Beginning our journeySLV’swellnessjourneybeganmorethana decade ago, but the community itself openeditsdoorsin1986on30land-scapedacresinSantaRosa.Ourcontinu-ing care retirement community is part of theEpiscopalSeniorCommunitiesnet-work.ESC,basedintheSanFranciscoBay Area, is a not-for-profit provider of residential and aging services for older adults.

AsanESCproperty,SLVstrivestosup-port the independence of residents and encourage their continued intellectual, physical, social and spiritual growth. The SpringLakeVillageWellnessProgram,introduced in 2002, fosters these things by providing opportunities that enrich residents’ lives and promoting aware-ness among those who live and work on campus. The wellness program’s purpose is to “educate residents and staff about body, mind and spirit wellness; to facili-tate healthy lifestyle choices; to encour-ageparticipationinhealth/wellness/fit-ness programs; and to provide ongoing support for achieving total wellness.”

Fromitsstart,theSLVwellnessprogramhas been a collaborative effort between residentsandstaff.Ourwellnessculturehas evolved from resident input, innova-tive ideas and creative collaborations, with increasing numbers of people in-volved in developing and participating in opportunities. As a result, wellness has grown organically in our community.

Active-aging professionals can help cre-ate the right circumstances for a well-ness culture to flourish—but they can’t doitalone.AtSLV,thewellnessteamknows that actively involving others is vital to success, and we work with older adults, staff from all departments, and outside groups to promote whole-person wellness.

Involving older adultsThe“germ”ofSLV’swellnessprogramwas a series of articles I wrote in our community newsletter at the director of nursing’s request. But it was the interest that residents showed in the information that led to the launch of the resident wellness committee. This committee has been the real catalyst for, and driving forcebehind,SLV’swellnessprogram.

Wellness committeeTenresidentsjoinedthewellnesscom-mittee in 2002, including several retired healthcarepractitioners.One—apsy-chologist—was appointed committee chair.SupportedbySLVandwithmeacting as staff liaison, this group was asked to explore what “wellness” meant totheSLVcommunity,andtodevelopprograms and provide opportunities to encourage wellness for mind, body and spirit.

The group decided it would initially fo-cus on health and wellness education, so monthly lectures were scheduled. Com-mittee members generally came up with the topics of interest, and sometimes speakers as well. Examples of some lec-tures to date include: “How to Establish a Well-Balanced Exercise Program,” “GrowingGratitude:ScientificInsightsintoLivingaLifeofEmotionalProsper-ity,” and “Age Proofing Your Brain.”

Fromlectures,thecommitteeexpandedits focus to include program develop-ment. In the early years, before our ef-forts evolved to encompass the other dimensions of wellness, the focus was

more on the physical dimension and the treatment of illness rather than preven-tion. Committee members were initially very reluctant to address the emotional and spiritual wellness dimensions—part of a generational inhibition in talking about these issues. But there has been a cultural shift in this area. Presently, many residents want to learn how to manage such things as negative emo-tions, transitions and loss.

Acting on the increased interest in emo-tional and spiritual issues, the commit-teestartedinvitingSLV’schaplainstoitsmeetings. This made the chaplains the first “outside” staff to get involved and take on a wellness role, and they contin-ue to be very active in encouraging spiri-tuality for people of all belief systems.

At wellness committee meetings today, I use the phrase “wellness ambassador” a lot. I can rely on members to know what’s going on with programs and to in-vite people to participate in them. I also encourage the committee members to share what they learn in our meetings, as well as to be my ears in the community and to tell me what residents want in the development of our wellness program.

Discussion/support groupsAlongside the wellness committee, dis-cussion(orsupport)groupswereestab-lished. At several of the lectures, I had a signup sheet available so residents could tell us if they wanted to explore a topic in greater detail, and many people did. I gathered with the interested individuals, who would then appoint someone from withinthegrouptoactasfacilitator.Myrole was to secure whatever resources the groups needed to develop further—space to meet, supplies and books, local speakers, and the like. Numerous discus-sion groups have been established this wayandareongoing.Someexamplesinclude groups for weight management,


what you manage

measure

Use the ICAA/ProMatura Wellness Benchmarks tomeasure your wellness program’s ROI. To plan for tomorrow, the national benchmarks will define the industry, and how your community can attain competitive positioning.

It took over three years to develop the ICAA/ProMaturaWellness Benchmarks. Right now, retirement communitiescan join this industrywide effort to move wellness outcomes from isolated or anecdotal reports to solid numbers.

Learn more at:www.icaa.cc/Management/benchmarks.htm

ICAA-Benchmark ad-2.indd 1 12-11-19 3:13 PM



brain fitness, diabetes, and caregiver and grief support.

A group that began more recently is “LivingWellwithChronicConditions.”In 2010, after reading an article about taking charge of your health, one of our residents requested a program to teach people with chronic disease how to manage their symptoms and live life to thefullest.WiththesupportofSLV’sadministration, this individual and I traveledtoOaklandfortrainingtofa-cilitatethe“LivingWellwithChronicConditions” class. This interactive work-shop,developedbytheStanfordPatientEducation Research Center, addresses all wellness dimensions.

Another popular discussion group fo-cuses on healthy aging. This group has had a significant impact in spreading

the“wellnessbug”acrosscampus.DonSanders,aretireduniversityprofes-sor who currently chairs the wellness committee, was inspired by one of our monthly wellness lectures, “10 Recom-mendations for Healthy Aging” by EllenHughes,MD,fromtheSchoolofMedicineattheUniversityofCalifornia,SanFrancisco.Heproposedadiscus-sion group to allow residents to share the ways they live out each healthy aging tip individually and brainstorm ideasforhowSLVcouldbettersupporttheir pursuit of healthy lifestyles. A valuable programming suggestion, for instance, was to provide weekly guided meditation sessions. These sessions help residents manage stress, cultivate posi-tive emotions, and connect with some-thingbeyondthemselves—threeofDr.Hughes’s tips. Residents can encourage one another along their wellness journey and take an active part in planning the direction of the programming.

Surveys and inputWhile the wellness committee and dis-cussion groups have played a key role, all SLVresidentshaveparticipatedinthedevelopment of our wellness program. An early opportunity was in the transi-tion from the physical wellness focus into multidimensional wellness.

We distributed a wellness survey after the first couple of years to better un-derstand resident needs and interests. Residents were asked to list ideas for wellness lectures and additional types of exercise classes they would like to have. As a result of the response, tai chi, pilates,Zumbaandyogaclasseswereincluded in the schedule. Residents also expressed growing interest in emotional, spiritual and intellectual wellness (par-ticularly after research was published about the benefits of cognitive enhance-mentprograms).

It was clear from the survey results that the concept of whole-person wellness hadtakenrootatSLV.Residentsdesired

opportunities to develop their wellness in all the dimensions: physical, social, spiritual, intellectual, occupational and emotional. (Environmental wellness has become more of an interest in the last fouryears.)Theirideasforexpandingour program were wonderfully creative and reflective of the individuals who live atSLV,whoarehighlyeducated,politi-cally involved and globally aware.

SLValsoconductsanannualresidentsatisfactionsurvey.Overtheyears,thissurvey has given residents a formal way to make suggestions for the wellness programandallowedSLVtomeasuretheprogram’ssuccess(see“Outcomes”onthispage).Additionalchannelsarealways open for residents to express their desires, needs and opinions. Input and ideas are received through commit-tees, meetings, evaluation forms, and one-on-one encounters. Yes, sometimes feedback is not positive. But we always listen and try to accommodate sugges-tions wherever possible.

Great programming ideas have also come out of the interviews we do with new residents to learn about their well-ness needs and goals. The knowledge gained through this process has helped us create individualized fitness and well-ness programs for residents, plus partner with them in the wellness journey.

Collaborating with staff Besides revealing interest in whole-personwellness,theSLVwellnesssurveymade something else apparent: Program expansion would take more than the efforts of a wellness coordinator and a committee of residents.

When the wellness committee launched in2002,IwastheonlySLVstaffpersoninvolved. I was working full-time as an outpatient physical therapist and had just a few hours per week to work with the committee and make plans for pro-gramming.Onceitbecamenecessaryfor me to find meeting locations for the

Outcomes

Among the strongest measures of

successfortheSpringLakeVillage

Wellness Program, resident satis-

faction survey responses in 2012

included the following:

95% Residents in my community

have a voice in activities.

98% There are physical activities

and programs available.

98% There are spiritual activities

and programs available.

99% The community offers a

variety of activities and

programs.

97% I can maintain my hobbies

and interests.



evolving discussion groups, I started working more closely with the program director, who found space and coordi-nated the meetings with other campus programs.

Mypositionalsotransitionedintowell-ness coordinator. As the wellness posi-tion was completely new, however, it was a challenge to find a space for me to workatthestart.SLV’sadministratorswere very supportive. They were always trying to find me the resources needed togetthejobdone.Still,itwasonestepat a time to create the hours and space needed for the wellness function. The biggest obstacle was there was no prece-dentatSLVforwhatIwasdoing.Wheredid wellness fit?

In the end, resident satisfaction drove program expansion. Because the annual wellness budget increased along with pro-gram successes, we were able to offer ad-ditionalprogrammingeveryyear.Show-ing results was key to gaining resources. This was not only in terms of the amount of money available to spend on supplies, but also on staffing. Wellness went from two or three days a week to full-time and then to hiring another staff member half-time—awellnessinstructor.Today,thetwo of us work closely with the wellness committee to devise and plan activities. Nextyear,onceSLV’sexpansionprojectis complete, we will hire additional well-ness staff and move into a new wellness center.

The wellness survey proved to be a real turning point in our journey. The results showed that residents valued wellness and wanted opportunities in all dimen-sions, and it would require more staff involvement to take the wellness pro-gram to that level. By this time, staff in all departments were ready to join the effort.

Tuning in to wellnessSLVresidentswerenottheonlyonesbe-coming more aware of wellness in those

earlyyears.Staffhadalsoexperiencedthisgrowth.Onewaytheylearnedaboutwellness was through a short “lecture” or “demonstration” at each all-staff meet-ing, led by me at the executive director’s request. They had also absorbed what washappeninginthecommunity.Soas wellness became more of a focus, all departments on campus began to get involved.

Collaborations between departments and between residents and staff hap-pened more organically—an example is the partnership between dining services andthewellnessprogram.SLV’sweightmanagement discussion group was keen to understand the menus offered at SLVandtheirdietarybreakdown,soIbrought in staff from the dining services department to talk to the group. This established a great partnership between the wellness program and dining ser-vices. Among the things this partner-ship has provided to date are hands-on demonstrations, visual displays, lectures, and articles on nutrition in our resident newsletter. In addition, our dietitian’s hours have been expanded to allow her to work more closely with us on nutri-tion education.

At our monthly managers’ meeting, where all departments are represented, we talk about what different depart-ments are doing and collaborate on planning. Part of what we discuss is residentinput.Forexample,withafocuson environmental wellness, there is an increased awareness of sustainability oncampus.Ourfacilitiesanddiningservices directors have responded to resident interest in this area by purchas-ing recyclable cups and placing recycle receptacles at events.

A culture of collaboration has arisen to support wellness in all dimensions for bothSLVresidentsandstaff.Becausealldepartments are now on board and ev-eryone contributes to the program, well-nesspervadestheSLVcommunity.

Wellness in all departmentsToday,manySLVprofessionalsareinvolved in planning activities for resi-dents and staff that address the seven di-mensions of wellness, including our two chaplains, program director, director of outpatient services, human resources director, dietitian, director of dining services, marketing director, and social services director.

The program director attends wellness committee meetings and plans musi-cal, educational and social events and excursions to nurture resident wellness. ExamplesincludeSpanishclasses,brainfitness, drum circles, a classical music video series, and a monthly World AffairsCouncilMeeting.Thesocialser-vices department provides presentations

Resources

Council on Aging, Sonoma Countyhttp://councilonaging.com

Episcopal Senior Communitieswww.jtm-esc.org

Northern California Center for Well-Beinghttp://norcalwellbeing.org

Spring Lake Villagewww.jtm-esc.org/slv/index.html

Sonoma County Family YMCAwww.scfymca.org

Sonoma Wine Country Senior Gameswww.winecountrygames.com

Sonoma Wine Country Senior Games: Still Got It (flash mob video)www.youtube.com/watch?v=JDOpRx1ftQk&feature=youtu.be


on coping with transitions, loss and grief, as well as facilitating caregiver and transi-tionssupportgroups.Ourchaplainsad-dress residents’ spiritual needs by offering bookstudies,“MusicwithSoul”classes,and guided meditations, plus individual counseling, grief support, and visita-tions. And the facilities director works with a resident conservation committee to increase awareness of natural resource conservation and recycling.

WellnessstaffcollaboratewithSLVhealthcare services (skilled nursing, as-sistedlivingandoutpatient)toprovideaseamless transition for residents through all levels of care. We meet with both the physical therapist and the resident upon discharge from inpatient or outpatient care to supervise follow-through of the recommended exercise program. I also attend monthly continuity-of-care meetings.

In addition, human resources now part-ners with the wellness program to en-courage healthy lifestyle choices among SLV’s250-plusemployees.Themostsuccessful wellness education activity for employees thus far has been our annual employee wellness fair, which features

local businesses, vendors and educa-tional institutions. Past participants have includedtheYMCA,SonomaCountyStudentDieteticAssociation,NorthernCalifornia Center for Well-Being, 24 HourFitness,andSLV’sEmployeeAssis-tance Program, to name a few. The goal is to educate our employees about whatisavailablewithinSonomaCountyto help maximize their wellness in all dimensions.

Finally,themarketingdepartmenthasembraced wellness as key to meeting the desires and needs of today’s aging popula-tion. Whole-person wellness is a focus pointinSLV’smarketingmaterials,whileoutreach events include presentations on the importance of wellness, the different dimensions of wellness, and the oppor-tunity to live an enhanced quality of life.Ourmonthlywellnesslecturesarealso open to the public, free to attend, and promoted within the local community.

Working with outside organizationsAnother way we decided to reach outside SLV’swallsisbyworkingwithotherorganizations to promote wellness, both

within and outside our campus. Through thesepartnerships,SLVhasbeenabletoenrich wellness programming for resi-dents and provide wellness opportunities for those who live nearby. We have also benefitted from greater exposure in the local community and the opportunity to share our wellness goals and culture.

Forexample,SLVforgedavaluablewell-nesspartnershipwithourlocalYMCA,opening our pool to the association dur-inglowusagehours.ForSonomaCountyresidents who live nearby and could benefit from warm-water exercise, this partnership has provided a more conve-nient location for them to take aquatics classes.SLVresidentsattendclassesfreeof charge, and the Y charges nonresidents a small fee.

Bringingthe“LivingWellwithChronicConditions” classes onto our campus createdabondbetweenSLVandtheNorthern California Center for Well-Being, a group that administers chronic-disease management classes for the county.“LivingWell”participantslearnstrategies to help manage symptoms, fight fatigue, manage stress and negative emotions, develop an exercise plan, make daily tasks easier, improve communica-tion, and live life to the fullest. These classes are open to nonresidents who live in close proximity to our campus and are referred to us by the center.

SLVhasalsoenjoyedacloserelationshipwiththeSantaRosaJuniorCollegeover the years. This community college utilizes our campus for many of the courses of-feredthroughitsOlderAdultProgram,including art, history, writing and exer-cise classes. Course offerings are open to residents as well as the outside commu-nity, free of charge.

Andlastyear,SLVcollaboratedwiththeCouncilonAgingtohosttheSonomaWineCountrySeniorGamesSquareDancingCompetition.Ourauditoriumwas the perfect place for this event, with


To generate excitement for the Sonoma Wine Country Senior Games, Spring Lake Village organized a ‘flash mob’ at a local shopping mall. SLV partnered with a local high school and a teenage ballroom dance group for this fun activity, which drew more than 60 participants from SLV’s exercise and dance classes


DevelopingtheSpringLakeVillageWellness Program has been an extra-ordinaryjourney.Ofcourse,therehave been roadblocks along the way. Somevaluablelessonswe’velearnedinclude the following:

• Give your residents/members a voice. They need to be a vital part in the planning of wellness pro-grams and activities, especially in seniorlivingcommunities.Forminga healthy aging discussion group is one way to identify what wellness means to your constituents.

• Not every idea will be successful. When something doesn’t work, just accept it and move on. A good ex-ample is our attempt to bring square dancinglessonstoSLVresidentsbeforetheSonomaWineCountrySeniorGamesSquareDancing

Competition. Residents tried it and soon decided they didn’t want to learn this form of dance.

• It can be difficult to get employees to understand and embrace the culture of wellness for themselves. Thereareseveralreasonswhy.First,senior living employees work numer-ous shifts, spanning 24 hours. It is dif-ficult to offer educational lectures and fitness classes that include all work shifts. Also, working parents make up much of today’s workforce. They do not want to stay extra hours, even to attend a class that would benefit them.Languagedifferencescanposea problem as well.

We tried offering different kinds of exercise classes to our employees, free of charge, at various times throughout the day. Unfortunately, attendance

L e s s o n s l e a r n e d

its expansive, smooth floor that could accommodate both dancing couples and spectators. We also worked closely with the council to promote the games. The SeniorGameseventsgaveactiveolderadults opportunities to participate to-gether in activities and encouraged others to become more active—a valuable pro-motionofwellness.Fromourperspective,it was desirable, too, for guests from all overthecountytoexperienceSLV’scul-ture of wellness and to view our buildings and grounds.

Shaping a culture SLV’swellnessculturehasbeenshapedindividually and with spirit, from the ground up, and reflected back to us by the surrounding community. It has been altered along the way, because it is always evolving.Ourcurrentprogramminginte-grates multidimensional wellness across all departments. But an expansion project, beguninJanuary2013,willresultinevenmore opportunities to expand our wellness culturebothwithinandoutsideSLV.

Through this expansion, our community will gain 62 new residences, plus a new wellness center and pool; a new audito-

did not justify the classes from a cost/benefitperspective.Openingthe fitness room to staff during low resident-use hours has been well received, however, and many employees take advantage of this opportunity.

• Reinvigorate yourself! This has been an extremely valuable les-son. We’ve found the International Council on Active Aging’s annual conference incredibly helpful for recharging our “wellness batteries.” There are so many innovative pro-gramming ideas. Among those we’ve broughtbacktoSLVareaflashmobidea, brain fitness program, pole walking, new fitness equipment

suggestions, and the “Caught in the Act of Wellness” bulletin board.

rium, theater, and expanded library; an expansive new art studio; and remodeled dining areas to support different dining styles. We anticipate that these facilities will meet the depth of our wellness offerings.

LookingbackatSLV’swellnessjourney,our biggest key to developing a vibrant, successful whole-person wellness culture has been to seek input and involvement from the people we serve, and to listen to them.Toaskthem:Whatdoeswellnessmean to you? What programs do you want, and what activities do you feel would most enhance your wellness? Because potential participants took part in decision-making, they became invested in the outcomes and ambassadors for the wellness program.

Supportforwellnesshasalsocomefroma collaborative spirit. When staff from all departmentsjoinedtheeffortatSLV,ittook our wellness program to a new level and laid the groundwork for a culture of wellness on campus. Working with outside groups has allowed us to share our vibrant culture with the greater community and promote wellness with others who share our goals.

Ultimately, everyone contributes to creating—and sustaining—a rich, multi-faceted wellness culture. Residents, staff andoutsidegroupshavehelpedSLV’swellness culture grow beyond all expecta-tions. And the impact of that growth, in turn, makes our community thrive.

Diane Waltz, MS, PT, joined the Spring Lake Village team in 2000, initially as the outpatient physical therapist before transi-tioning into the newly created role of well-ness program coordinator in 2002. Waltz re-ceived a bachelor’s degree in human biology and a master’s degree in physical therapy, both from Stanford University, California. She has been practicing physical therapy for over 25 years in a variety of settings, includ-ing outpatient orthopedics, sports medicine, home healthcare, skilled nursing, and now wellness. An adjunct faculty member with the Santa Rosa Junior College Older Adult Program, Waltz is also a certified instructor of pilates mat exercise, group exercise for seniors, and pole walking.

Images courtesy of Spring Lake Village



A ‘green’ initiative unites residents and staff at The Orchards at Southington

ICAA Innovators

Eco-friendly efforts have improved relationships, quality of life and the environment at this Connecticut community

This is the fifth article in a series profiling the recipients of the 2012 ICAA Innovators Awards. Launched by the International Council on Active Aging® in 2003, ICAA’s awards recognize creativity and excellence in active aging, honoring innovations that are leading the way, setting new standards and making a difference in the lives of older adults. These offerings target any or all of the seven dimensions of wellness—namely, physical, spiritual, intellectual, social, emotional, vocational and environ-mental wellness.

Locatedabout20milessouthwestofHartford, Connecticut, the town of Southington—hometosome42,000people—dates back three centuries. George Washington and other American Revolutionary War figures visited the town,butSouthington’srealclaimtofame is its apples. The area, nicknamed “TheAppleValley,”featuresgentlyrolling hills and orchards bordered by mountains to the east and west; the nearbyQuinnipiacRiveranditstribu-taries, as well as an historic town cen-ter.OntheedgeofthisdistrictisTheOrchardsatSouthington,anonprofitindependent/assistedlivingcommunityand a regional leader in environmental stewardship.

The inviting Serenity Garden at The Orchards at Southington, Connecticut, is a certified natural habitat for bees, butterflies and other pollinators


A ‘green’ initiative unites residents and staff at The Orchards at Southington Continued from page 94

OwnedandoperatedbyHartfordHealthCare and Central Connecticut SeniorHealthServices,whichprovidesintegrated services and a continuum of care,TheOrchardspromotesalifestylethat “allows … residents to age in place while supporting independence.” The community provides fine dining; so-cial, cultural and recreational activities; cognitive and physical fitness programs; plus amenities such as a pub and grille and a library. Environmental wellness, a key focus, is supported by a bevy of “green” practices.

This environmental initiative has not only improved resident and staff health atTheOrchards,buthasalsowonout-side recognition for the community. In 2012, the International Council on ActiveAging®presentedTheOrchardswith the ICAA Green Award, a category of its annual Innovators Awards pro-gram. The community’s efforts have also been rewarded with the 2010 Connecti-cutDepartmentofEnergy&Environ-

mental Protection GreenCircle Award, andtheAssistedLivingFederationofAmerica’s 2013 Best of the Best Award (“GoingGreen,SavingGreen”category).ForTheOrchards,theinitiativefur-ther provides another way to market to Boomers “who may be shopping for their parents today—and someday for themselves,”saysDirectorofHouse-keepingandEnvironmentalServicesKathleenJohnson.

TolearnmoreaboutTheOrchards’green initiative, the Journal on Active Aging® askedJohnsonandExecutiveDirectorAudreyVincitodescribesomeof the community’s efforts to date, as well as their outcomes.

JAA: What was the catalyst for The Orchards’ “green” journey?

KJ:ThesuccessofTheOrchards’envi-ronmental practices arises from their very personal and relationship-centered nature. Early in our green journey, I

was concerned about the effects of the chemicals used by staff and around the residents, especially those with com-promised respiratory conditions. After much research, we converted to more sustainable products without harmful VOCs[volatileorganiccompounds]or other hazardous chemicals for all daily cleaning and foaming hand-soap dispensers.

JAA: How did The Orchards implement its green initiative? And what were its key objectives?

KJ: As a way to implement our en-vironmental changes and keep staff, residents and families on board, The OrchardscreatedtheGreenCommit-tee. This working committee combines the passion of those who live and work here with the purpose of environmental stewardship. It consists of staff from all departments including housekeeping, maintenance and dietary, with residents and their families participating.

The Green Committee uses information fromfocusgroupsatTheOrchardsandother sources to set goals and then break these goals down into manageable tasks. Fromthesemeetingsandfocusgroups,our community has developed a green initiative that today generates an envi-ronmental benefit, reduces expenses, beautifies the grounds, and unites us all toward a common goal. This compre-hensive program promotes the 4 Rs: reduce, reuse, recycle and recover.

In addition, the Green Committee strives to “collaborate, research, and teach environmental sustainability to ensurethatallbuildingsinour[CentralConnecticutSeniorHealthServices]continuum cultivate green practices with our staff and residents.”

JAA: What are some key efforts under-taken to date and their outcomes? Also, how does The Orchards evaluate the finan-cial cost/benefit of its efforts?

At The Orchards at Southington, Connecticut, staff in all departments embrace environmental stewardship. Pictured, left to right, are Executive Director Audrey Vinci, Director of Housekeeping Kathy Johnson, Executive Chef Patty Hooper, Activities Director Michele Korby-Gale, Director of Nursing Sandra Ingriselli, and Resident Services Director Pamela Smith


KJ:TheOrchardshasseenavarietyofshort- and long-term benefits from our green initiative. As we have reduced our carbon footprint, we have saved money and reduced expenses while improving safety—for example, our extractor uses 90%lesswatertocleancarpetsandissaferforresidents.Formanyprintedannouncements, we use an eco-friendly typeface that requires 20% less ink and toner. In addition, all paper towel and soap dispensers throughout the building have been replaced with motion-sensor dispensers, a move that has cut the waste and expense of these materials by 50%. And to replace our standard gas-powered car for daily resident transport, we purchased a new hybrid sedan, reducing fuel consumption by a third.

Housekeepers and kitchen staff are no longer exposed to caustic chemicals that can cause immediate or long-term health problems. Instead, white vinegar is a stapleinthecleaningsupplycabinet.Toclean plates, glasses and flatware, we use a green warewashing system with non-causticdishdetergentthatuses95%lesspackaging material. This system not only reduces cost and transportation ship-ments, but also saves water and reduces environmental impact.

We have found that to fully embrace environmental responsibility requires extensive research, vision, and aware-ness of the multifaceted aspects of going green.Fromscreeningcleaningprod-ucts with material safety data sheets, to recycling bottles and cans and our com-munity’s trash, to purchasing sustainable products and supporting eco-conscious vendors, to nonchemical pest manage-ment and stewardship of the land, we have adopted a building-wide approach to lessen our carbon footprint on the Earth’s environment.

JAA: How has The Orchards promoted participation in environmental efforts and become a regional leader in this area?

KJ: Because we put relationships at the forefront of all that we do, we made our green program part of a larger initiative to enlist all stakeholders as partners in the effort. This ownership ensures that we not only go green, but also stay green.

Overthelastfewyears,ourstaffhasconducted educational seminars and published pieces in journals to educate the public about eco-friendly solutions. We are planning more seminars and outreach so that local businesses and individuals can learn from our efforts, as well as more educational seminars to help residents better connect the dots with their actions and the impact on the environment. New residents and their familieslearnaboutTheOrchards’greeninitiative in our welcome packet, and education continues as they become part of our community.

Because we understand the potential im-pact of partnerships in reducing our car-bon footprint, we are eager to increase awareness, share best practices, and further collaborate to harness resources. Forexample,werecentlyparticipatedina meeting of the Connecticut Healthcare Environmental Roundtable, coordi-natedbytheDepartmentofEnergy&Environmental Protection.

JAA: Tell us about The Orchards’ recycling efforts with bottles and cans, and where they have led.

AV:Ourinitiativetorecyclebottlesandcans not only has reduced waste at The Orchards,butalsoprovidedfundstoreinvigorateagreenspace,TheSerenityGarden, for all to share. Residents have been key to this initiative, saving their bottles and cans to redeem the five-cent deposits.MembersofTheOrchards’housekeeping and dietary departments collect the bottles and cans from recep-tacles located throughout the building, then redeem them at stores, going above and beyond their duties. This commu-nity effort, now in its sixth year, has re-

sulted in nearly 55,000 redeemed bottles andcans,totalingmorethanUS$2,700todateforourSerenityGarden.

JAA: What was the original vision for The Serenity Garden, and how did this project progress from there?

AV: It was my vision to create a space for our residents, staff and families that was tranquil and peaceful; a place to go torelaxandenjoynature.TheSerenityGarden also met our need for more out-door space and a new venue for physical fitness. It includes walking paths, bird baths, a bridge over a koi pond, and a space used for tai chi.

KJ:TheSerenityGardenisdesignedtoreflectanaturalhabitat.Oncethegarden and its plantings were done, we applied for a natural habitat cer-tification endorsed by the National AudubonSociety,theNationalWildlifeFederation,andtheNorthAmericanButterfly Association. This certification hasbeengiventoTheSerenityGardenas a “Natural Habitat” for butterflies, honey bees, bumble bees and other pol-linators.Ourcarefulselectionofnativeplants helps to sustain the population of pollinators, as well as increase the gar-den’s beauty.

TheOrchardsalsoparticipatesintheConnecticutDepartmentofEnviron-mental Protection’s Bluebird Restoration Project, which aims to help repopulate the bluebirds in our state. The depart-ment provided three bluebird houses for ourSerenityGarden.Residentsmonitorand journal about these birdhouses, pro-viding critical information to assess the bluebird “comeback” population.

JAA: Did you encounter any challenges with implementing The Orchards’ green initiative and/or specific environmental changes? If so, how did you address them?



KJ:Findingthetechnologyandthere-sources that are out there to better help us meet our green goals is a challenge. However, all of our programs point to the fact that we do not look for the easi-est or most convenient answer. Instead, we take a thoughtful and strategic ap-proach in examining both the short- and long-term impact on the choices we make in all departments. Patricia Hooper, our executive chef, stresses whole foods and healthy meals from scratch, including organic grains, rice and pasta; American Humane Certified products; eggs laid by free-range hens; sustainable farm-raised fish; and responsibly processed certified seafood. In addition, we offer residents “Earth-friendly” snack items with re-sponsible packaging, as well as natural meat and poultry items and soy-based, vegan and vegetarian products from lo-cal suppliers.

Ourrecyclingprogramtakesonnewmeaninginthekitchen.Organicwastecomposting is one way a food service business can reduce its carbon footprint

by diverting and managing waste. We purchased a twin composter to turn or-ganic food scraps into useful compost, keeping solid waste out of our landfill. OurgroundsmaintenancecontractorusesthiscompostforTheSerenityGarden and the grounds, as well as making it available to the local garden club for use in civic projects around town. In addition, we have begun a phase-outofpolystyrene(Styrofoam)products, replacing them with eco-friendly alternatives.

TheOrchardsrecyclesplastics,card-board, glass, metal cans, white office paper(madefromrecycledpaper),tinfoil and newspapers on a daily basis. We also recycle empty copier ink cartridges, discarded computers, and electronic and printing devices and supplies, with staff encouraged to bring devices from home if they lack the time or means to dispose ofthemresponsibly.Ourinitiativeper-meates all departments and stakeholders and mobilizes everyone behind a com-mon vision.

A ‘green’ initiative unites residents and staff at The Orchards at Southington Continued from page 97

JAA: In your view, how have environ-mental stewardship efforts advanced well-ness and quality of life for residents and staff at The Orchards?

AV: We measure the success of our ini-tiative in the vibrant natural world, the reduction of pesticides and chemicals used, the money saved, and also the faces of the people that utilize The SerenityGardenandotherhealingspaces. Another somewhat intangible benefit is that this collaboration of staff and residents has not only helped the environment—for this generation and for those in the future—but also led to better relationships and improved qual-ity of life for everyone.

The JournalonActiveAging thanks Kathleen Johnson and Audrey Vinci for their help with this article. For informa-tion about The Orchards at Southington, visit www.southingtonorchards.org.

Images courtesy of The Orchards at Southington

1. We established a Green Committee as a way to implement environmen-tal changes and keep staff, residents and families on board.

2. We created a program because we realized the potential impact of go-ing green for the health of our stake-holders, our assisted living commu-nity and our global community. But we could not have predicted the way in which this initiative would blos-som.Ourgoalforthebuildingwasto recycle more than we throw out, as measured by dumpster usage. We have met this goal because it is truly a collaborative effort by all staff, residents and their families.

3. We realize that we cannot rest on our laurels.TheOrchardsrecentlyjoinedtheUSEnvironmentalProtectionAgency’s WasteWise program and FoodRecoveryChallenge,whereparticipants volunteer to meet goals to reduce and recycle municipal solid waste and selected industrial wastes.

4. We continue to conduct focus groups and meet with residents to tap into their passions and determine how they can more effectively partner with us. Continuing to speak with resi-dents about how our initiative direct-ly impacts them is a goal for the com-ing year. In particular, we are looking at our informational materials to

How The Orchards at Southington’s green initiative thrives: five key points

ensure that they are appropriate for individuals with low vision. We also aim to better measure impact through resident and staff surveys and other data collection methods.

5. We are always on the lookout for other ways to make a difference, even with our limited budget. The Green Committee is currently searching for an exercise machine that can recharge batteries to be used in our hands-free soap and paper towel dispensers in our

community’s restroom. The opportunities are only limited by

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I C A A P R E F E R R E D B U S I N E S S P A R T N E R SInternational Council on Active Aging® (ICAA) members gain access to companies interested in doing business with them, and in supporting the active-aging industry, through the ICAA’s Preferred Business Part-ner Program. The support of the following companies enables ICAA to provide members with programs and services. ICAA encour-ages its members to support these vendors in turn, and to take advantage of the additional savings they offer members on products and services.

Premier Preferred Business Partners

Institute for Preventive Foot Health (IPFH)1519 West Front StreetStatesville NC 28677Toll-free: 877-777-IPFH (4734)Tel: 205-276-3030Fax: [email protected]

Focusing on preventive foot health, IPFH helps individuals achieve more, more sig-nificant and more enthusiastic participa-tion in all of life’s activities, no matter what their age—in short, to enjoy greater quality of life.

NuStep, Inc.5111 Venture Drive, Suite 1Ann Arbor MI 48108Toll-free: 800-322-2209Tel: 734-769-3939Fax: [email protected]

At NuStep, Inc., customer satisfaction is our highest priority. Our customer com-mitment and quality guides us in delivering our brand’s core promise: assuring users the opportunity for life transformation with every NuStep experience.

THOR•LO, Inc.2210 Newton DriveStatesville NC 28677Toll-free: 800-438-0286Tel: 704-872-6522Fax: [email protected]

THOR•LO designs and manufactures in-novative sock products for active living and aging. The company is a founding sponsor of the Institute for Preventive Foot Health.

Preferred Business Partners

ACP – Accelerated Care Plus4850 Joule Street, Suite A-1Reno NV 89502Toll-free: 800-350-1100Fax: [email protected]

ACP combines progressive medical technology with evidence-based clinical protocols and on-site therapist training. The company partners with over 4,500 SNFs, ALFs, ILFs, outpatient clinics, hospitals and other post-acute therapy providers throughout the United States.

ActiveRx4921 South Alma School Road, Suite 4Chandler AZ 85248Tel: 480-840-1460Fax: [email protected]

ActiveRx delivers wellness-orientated re-habilitation services through physical and strength therapy. Our medically supervised system focuses on building strength, en-hancing physical function, preventing falls, and promoting lifelong active aging. All services are evidence-based, best-practice approaches.

Aegis Therapies7160 Dallas Parkway, Suite 400Plano TX 75024Toll-free: 877-823-8375brian.boekhout@aegistherapies.comwww.aegistherapies.com

Aegis Therapies provides skilled therapy and wellness services across the United States. EnerG by Aegis provides a mul-tidimensional approach to wellness that produces both improved clinical outcomes for participants and improved operational success for organizations.

BalanceGym, LLC990 17th Avenue SouthNaples FL 34102Toll-free: 888-522-BGYM (2496)Fax: [email protected]


I C A A P R E F E R R E D B U S I N E S S P A R T N E R S


The BalanceGym Exercise and Rehabilita-tion Station is designed to provide standing support for people engaged in group or individual weight-bearing exercise, stretch-ing and rehabilitation programs.

Ball Dynamics International, LLC14215 Mead StreetLongmont CO 80504Toll-free: 800-752-2255Tel: 970-535-9090Fax: [email protected]

The FitBALL Active Aging product line includes professional-quality tools for strengthening all major muscle groups including core and pelvic floor muscles. The FitBALL Active Aging category also focuses on balance training, flexibility, and Active Sitting.

BOSU, a division of Hedstrom Fitness1 Hedstrom DriveAshland OH 44805Toll-free: 800-810-6528Tel: 419-289-9310Fax: [email protected]

BOSU believes that balance is the foundation of all human performance. We offer products and programming that encourage thoughtful and effective physical training to help prevent unnecessary falls and injuries while making training fun.

BTE7455-L New Ridge RoadHanover MD 21076Toll-free: 800-331-8845Tel: 410-850-0333Fax: [email protected]

BTE’s expertise is human physical performance evaluation and treatment. Our rehabilitation equipment provides advanced evidence-based solutions for clinics, hospitals and private practices. With BTE, therapists can achieve better patient and clinic outcomes.

CaptionCall4215 South Riverboat RoadSalt Lake City UT 84123Toll-free: 877-557-2227Fax: 801-262-3182www.captioncallprovider.com

CaptionCall is an innovative telephone for people with hearing loss. It quickly displays captions of what callers say on a large, easy-to-read screen, so your hearing-impaired clients can use the phone again with confidence.

Cascade Health and Fitness, LLC17270 Woodinville-Redmond Road NE, Suite 702Woodinville WA 98072Tel: 425-402-4062Fax: 425-402-4063j.post@cascadehealthandfitness.comwww.chairmaster.com

The ChairMaster brings well-balanced wellness and fitness into daily life. Converting a functional chair into a recumbent bike, strength-training tool and yoga/balance device, the ChairMaster makes fitness accessible to anyone and improves people’s lives.

COLLAGE, The Art & Science of Healthy AgingKendal Outreach, LLC1107 East Baltimore PikeKennettSquarePA19348Tel:610-335-1283Fax:[email protected]

COLLAGEisaconsortiumofagingser-vices organizations (including continuing care, moderate-rate, and subsidized hous-ing/home/community-basedagencies)using an evidence-based assessment tool and person-centered process to advance healthy aging and improve outcomes of older adults living independently.

Conductorcise, LLCPO Box 248Bedford Hills NY 10507Tel: 914-244-3803Fax: [email protected]

Conductorcise is a joyous, physical pro-gram that uses the magic of classical music to prompt brain and physical stimulation and engagement of all levels. A flexible, fun way to improve mind, body and spirit.



Cornell Communications, Inc.7915 North 81st StreetMilwaukee WI 53223Toll-free: 800-558-8957Tel: 414-351-4660Fax: [email protected]

Cornell has provided emergency call systems for over 40 years. We have wired and wireless products available in basic visual or with two-way voice capability to meet the specific needs of your residents or clients.

Earl Swensson Associates, Inc.2100WestEndAvenue,Suite1200NashvilleTN37203Tel:615-329-9445Fax:[email protected]

The 52-year-old architecture firm of Earl SwenssonAssociates(ESa)providesglobal design services in architecture, in-terior design, master planning and space planning for senior living and medical projects.

Elizabeth Arden Red Door Spa300 Main Street, 8th FloorStamford CT 06901Tel: 203-905-1700Fax: [email protected]

Celebrating more than 100 years of beauty expertise, the iconic Red Door Spa offers signature spa and salon services, specialty treatments and wellness recommendations delivered with impeccable guest service and technical expertise.

Exerstrider Products, Inc.PO Box 6714Madison WI 53716-0714Toll-free: 888-285-7392Tel: 608-223-9321Fax: [email protected]

Developed by pole walking pioneer and fitness authority Tom Rutlin, Exerstrider fitness walking poles allow walkers of any age or ability to turn walking into a total fitness/total body exercise.

Flynn Construction Management General Contracting, Inc.600 Penn AvenueWilkinsburg PA 15221Toll-free: 800-434-7759Tel: 412-243-2483Fax: 412-243-7925info@flynn-construction.comwww.flynn-construction.com

Flynn Construction Management General Contracting, Inc., offers free preconstruction services, which include site surveys, budget preparation, landlord lease negotiation advice, and drawing analysis, in order to save clients both their valuable time and money.

Greenfields Outdoor Fitness, Inc.2625 South Orange AvenueSanta Ana CA 92707Toll-free: 888-315-9037Fax: 866-308-9719info@greenfieldsfitness.comwww.greenfieldsfitness.com

By providing distinctive and well-planned outdoor fitness settings that are accessible for active older adults, Greenfields offers several levels of activities that are both physical and social in nature, including strength, cardio and flexibility training.

Healthways1445 South Spectrum Boulevard, Suite 100Chandler AZ 85286Toll-free: 888-423-4632www.silversneakers.com

SilverSneakers, a product of Healthways, is an evidence-based program, proven to reduce healthcare costs through a unique blend of fitness, fun and friends.

Heritage Healthcare, Inc.536 Old Howell RoadGreenville SC 29615Toll-free: 877-508-3237, ext. 112Tel: 864-244-3626Fax: 877-508-8714aeads@heritage-healthcare.comwww.heritage-healthcare.com

Founded in 1999, Heritage Healthcare is an independently owned provider of therapy management services to long-term care, assisted living and continuing care retirement communities.




HUR Health and Fitness Equipment3019 Commercial AvenueNorthbrook IL 60062Toll-free: 866-729-2636Tel: 847-729-2636Fax: [email protected]

HUR, a leader in falls prevention and incontinence, offers computerized balance testing and training systems, strength train-ing equipment for older adults and physical therapy, and specialty wheelchair accessible strength machines.

HydroWorx1420 Stoneridge DriveMiddletown PA 17057Toll-free: 800-753-9633Tel: 717-902-1923Fax: [email protected]

HydroWorx, a premier manufacturer of aquatic rehabilitation, fitness and wellness products, offers innovation in every pool with fully adjustable floor, underwater treadmill and options to fit every applica-tion and budget.

ICAA/ProMatura Wellness Benchmarks3307 Trutch StreetVancouver BC V6L 2T3 CanadaToll-free: 866-335-9777Tel: 604-734-4466Fax: [email protected]/management/benchmarks.htm

The ICAA/ProMatura Wellness Benchmarks is a free, Web-based business reporting tool to track wellness program outcomes in retirement communities. Enter information, track resident participation and satisfaction, and gen-erate on-demand reports.

Infinity Rehab25117 SW Parkway, Suite DWilsonville OR 97070Toll-free: 888-757-3422Tel: 503-570-3665Fax: [email protected]

Infinity Rehab provides outpatient rehabilitation services to older adults residing in retirement communities utilizing our Aging In Motion-Successfully (AIMS) program. This proactive program helps communities maintain residents’ strength, mobility and vitality.

Intel-GE Care Innovations3721 Douglas Boulevard, Suite 100 Roseville CA 95661Toll-free: 800-450-0970Fax: 916-772-3137seniorliving@careinnovations.comwww.careinnovations.com

Care Innovations creates technology-based solutions to give people confidence to live independently, wherever they are. We deliver products and services to support current and future care models in disease management, independent living and assistive technologies.

Interactive Health Partner785 West 1700 South, Suite 1Salt Lake City UT 84104Toll-free: 877-654-3837Tel: 801-973-9993, Option 3Fax: 801-973-9923info@interactivehealthpartner.comwww.interactivehealthpartner.com

The Interactive Health Partner Wellness Program addresses fall prevention with as-sessments, outcomes tracking and exercise prescription in an easy-to-use, comprehen-sive online system.

It’s Never 2 Late7330 South Alton Way, Suite OCentennial CO 80112Tel: 303-806-0797Fax: [email protected]

It’s Never 2 Late builds computers resi-dents enjoy. Intuitive systems empower in-dividuals to connect, engage and enjoy life with dignity through the benefits of today’s technology for therapy and activity use.

JumpSport, Inc.2055 South 7th Street, Suite ASan Jose CA 95112-6011Toll-free: 877-507-1399Tel: 408-213-2551Fax: [email protected] www.fitnesstrampoline.com


I C A A P R E F E R R E D B U S I N E S S P A R T N E R SJumpSport products combine innova-tion, safety, quality and fun. Our Fitness Trampolines develop balance, stamina and strength, while promoting cardio health and weight loss. Patented low-impact elas-tic suspension reduces stress on the joints and back.

Keiser2470SouthCherryAvenueFresnoCA93706Toll-free:800-888-7009Tel:559-256-8000Fax:[email protected]

KeiserAIRseriesandInfinitySeriesexercise equipment feature pneumatic technology—which means users are “pumping air” and placing less stress on joints and connective tissue.

Les Mills West Coast235 Montgomery Street, Suite 950San Francisco CA 94612Toll-free: 888-841-5374Tel: 415-733-0280Fax: [email protected]

Les Mills, a New Zealand-headquartered company, is a leading global provider of choreographed group-fitness classes distributed to health clubs, wellness centers and other facilities. Equipped with a management system and science proven results.

Life Fitness5100 River RoadSchiller Park IL 60176Toll-free: 800-634-8637Tel: 847-288-3300Fax: [email protected]

Life Fitness offers an extensive selection of cardio and strength-training products. From designing floor plans to offering flex-ible financing solutions, we make it easy to create a perfect solution.

LifeTrail Advanced Wellness System by Playworld Systems1000 Buffalo RoadLewisburg PA 17837-9795Toll-free: 800-233-8404Tel: 570-522-9800Fax: [email protected]

Based on functional fitness, LifeTrail Advanced Wellness System has been spe-cifically developed for age 50-plus adults. It features 21 activities, 100-plus exercises, and is customizable to fit your needs.

Linked Senior, Inc.920UStreetNWWashingtonDC20001Toll-free:888-577-1889Fax:[email protected]

LinkedSenior,Inc.,isaresident-engage-ment solution provider helping senior care leaders improve the quality of life of their residents. Its vision is to enhance the quality of life in senior communities.

Masterpiece Living11360 North Jog Road, Suite 102Palm Beach Gardens FL 33418Tel: 561-624-8797Fax: 561-624-8037info@mymasterpieceliving.comwww.mymasterpieceliving.com

Masterpiece Living partners with commu-nities to maximize the potential of older adults. The multispecialty group provides tools for lifestyle evaluation, feedback and coaching; and leads a movement for a more enlightened national public policy.

Matrix Fitness1610 Landmark DriveCottage Grove WI 53527Toll-free: 866-693-4863Tel: 608-839-1240Fax: [email protected]

Matrix Fitness Systems is the commercial division of Johnson Health Tech Co. Ltd., a leading fitness equipment manufacturer. Matrix delivers durable commercial fitness products, with low total cost of ownership.

Med-Fit Systems, Inc./Manufacturer ofNautilus Commercial Products543 East Alvarado RoadFallbrook CA 92028Toll-free: 800-831-7665Tel: 760-451-3445Fax: [email protected]




Med-Fit Systems, Inc., is a 23-year-old physical therapy and senior care products provider. We supply strength and cardio-vascular equipment, balance products and programming that are effective and safe for this market.

Morrison Management Specialists5801 Peachtree Dunwoody Road NEAtlanta GA 30342Toll-free: 800-225-4368Tel: 404-845-3330Fax: [email protected]

Morrison specializes in the senior living industry, providing exceptional hospitality experiences across the United States. The company’s vision is simple: Great people will deliver great service and great results.

Moving Toward Health36555 Star RoadPleasant Hill OR 97455Tel: 541-729-2894janet@movingtowardhealth.comwww.movingtowardhealth.com

Moving Toward Health offers training to establish multilevel fitness programming. Chair Masters and The Nia Technique workshops for staff and clients include balance, strength, agility, bone density, and brain growth. Quality core program without outsourcing.

National Institute for Fitness and Sport (NIFS)250 University BoulevardIndianapolis IN 46202Tel: 317-274-3432 ext. 208Fax: [email protected]

NIFS provides comprehensive manage-ment of your fitness and wellness program. Our staff deliver customized best-practice programs and services that elevate resident engagement. We also specialize in design and equipment layout of community fitness spaces.

National Strength and Conditioning Association (NSCA)1885 Bob Johnson DriveColorado Springs CO 80906Toll-free: 800-815-6826Tel: 719-632-6722 Fax: [email protected]

Fitness professionals with the NSCA’s Certified Special Population Specialist (CSPS) credential are regarded as experts on delivering research-based programs to work with clients with varying health conditions, fitness abilities and age groups.

Performance Health Systems, bioDensity System401 Huehl Road, Suite 2ANorthbrook IL 60062Tel: 847-656-3001Fax: [email protected]

bioDensity, a technology of Performance Health Systems, facilitates safe, fast and effective self-loading of the musculoskeletal system, aiding in improving and main-taining muscle strength, bone health and energy.

PhysioStep MDX Recumbent Elliptical Cross Trainer/HealthCare International, Inc.PO Box 1509Langley WA 98260Toll-free: 800-398-9121Tel: 360-321-7090Fax: [email protected]

At HealthCare International, our goal is to provide high-quality and affordable prod-ucts for health, wellness, fitness and active aging. Our products include the Physio-Step Recumbent Elliptical, PhysioTrainer UBE, H2O Fitness, Monark Ergometers and h/p/cosmos Treadmills.

Pool Boy55169 CR 3Elkhart IN 46514Toll-free: 866-778-7665Tel: 574-266-1035Fax: [email protected]

The Pool Boy Powered Reel provides a fast and convenient way to uncover and cover your pool. The Pool Boy design offers ef-fortless operation by one person. Eliminate hand cranking and tugging on solar blankets.



Power SystemsPO Box 51030Knoxville TN 37950-1030Toll-free: 800-321-6975Tel: 865-769-8223Fax: 800-298-2057customerservice@power-systems.comwww.powersystems.com

Power Systems is a leading supplier of fitness and sports performance training equipment. We offer over 2,400 innova-tive products and training solutions, plus award-winning customer service, for cus-tomers such as health clubs and universi-ties, among others.

Precor, Inc.20031 142nd Avenue NEWoodinville WA 98072Toll-free: 800-786-8404Tel: 425-486-9292Fax: [email protected]

Precor, a leading brand in fitness, offers car-dio, strength and entertainment equipment that helps users live beyond their limits. Precor equipment is simple to operate and offers a smooth, fluid experience.

Rejuvenate Salon & Spa2107 Gunn Highway, Suite 108Odessa FL 33556Toll-free: 877-792-1366Tel: 813-792-1366Fax : 813-792-0608salonservices@tampabay.rr.comwww.rejuvenatesalonandspas.com

Rejuvenate Salon & Spa is a multiservice spa and wellness solution for senior communities. Founders Abby and Tim Germain have been privileged to represent over 80 luxurious senior communities in five states since 1996.

SCIFIT5151 South 110 East AvenueTulsa OK 74146Toll-free: 800-278-3933Tel: 918-359-2000Fax: [email protected]

SCIFIT offers an extensive range of comfortable, safe, age-friendly cardio and strength equipment. SCIFIT equipment and programs provide opportunities for people of all ages to stay active.

SNAG Golf, Inc.14843 Highway 10Tahlequah OK 74464Tel: [email protected]

SNAG (“Starting New at Golf ”) is a first-touch development program for new learners of all ages. It is an easy and fun way to learn golf, and is readily adaptable to nontraditional venues.

SofSURFACES, Inc.4393 Discovery LinePetrolia ON N0N 1R0 CanadaToll-free: 800-263-2363Tel: 519-882-8799Fax: [email protected]

SofSURFACES is a manufacturer of indoor and outdoor surfacing products made from recycled rubber. Our products are designed for durability, injury reduction and visual appeal. Sof TILE is marketed internationally through a network of qualified dealers.

SportsArt19510 144th Avenue NE, Suite A-1Woodinville WA 98072Toll-free: 800-709-1400Tel: 425-481-9479Fax: [email protected]

SportsArt Fitness offers a full line of fitness equipment that is comfortable, easy to use and highly adjustable to meet the needs of active adults.

SPRI Products1769 Northwind BoulevardLibertyville IL 60048Toll-free: 800-222-7774Tel: 847-680-7774Fax: [email protected]

SPRI helps people enjoy a healthier, hap-pier, active lifestyle. SPRI offers simple, effective exercise products for all fitness levels. Exclusive 15% discount for all ICAA members/subscribers (refer to code: ICAADISCOUNT).

Starcraft Bus Sales13385 Yorba AvenueChinoCA91710Toll-free:888-993-5032Tel:909-993-5031Fax:[email protected]


I C A A P R E F E R R E D B U S I N E S S P A R T N E R SStarcraftBusSalesspecializesinprovid-ingADA[AmericanswithDisabilitiesAct] and wheelchair-equipped buses and minivans for retirement, assisted-living and long-term care communities. OrganizationscancountonStarcraftfor superior quality, construction and durability.

SwimEx, Inc.846 Airport RoadFall River MA 02720Toll-free: 800-877-7946Tel: 508-646-1600Fax: [email protected]

SwimEx pools offer an exercise environ-ment that’s gentle on joints, and takes up little space. The pools feature an adjustable paddlewheel water current that is smooth and nonturbulent for clients’ exercise rou-tines or swimming strokes.

Technogym USA700 Route 46 EastFairfield NJ 07004Toll-free: 800-804-0952Tel: 206-623-1488Fax: [email protected]/us

At Technogym, The Wellness Company, we create, design and manufacture innova-tive solutions to foster the physical and psychological well-being of people, and enhance quality of life through physical activity.

TurboSonic USAPO Box 12771020 Wasco Street, Suite DHood River OR 97031Toll-free: 877-664-7245Tel: 541-436-0870Fax: [email protected]

With one 10-minute session daily, TurboSonic’s sound-activated whole-body vibration exercise unit stimulates cells and all muscle groups, improving strength, en-durance and range of motion. TurboSonic exercise benefits all fitness levels, especially older adults with disabilities.

WaterFitc/o Desert Southwest Fitness602 East Roger RoadTucson AZ 85705Toll-free: 800-873-6759Tel: 520-292-0011Fax: [email protected]

WaterFit offers educational courses (via correspondence or on-site workshops) based on current health and medical fitness science and practice. WaterFit also supplies equipment for water exercise comfort, pro-gression and safety.

YogaFit Training Systems Worldwide1540 South Robertson BoulevardLos Angeles CA 90035Tel: 310-205-0430, ext. 312 (Marina Kolaric)Fax: [email protected]

YogaFit is a leading yoga fitness educa-tion school, with over 200,000 instructors trained on six continents. YogaFit hosts Mind Body Fitness (MBF) Conferences, teacher trainings and retreats worldwide, all open to instructors, teacher trainees and yoga enthusiasts.

New Preferred Business Partners

Direct Supply6767 North Industrial RoadMilwaukee WI 53223Toll-free: 800-634-7325Tel: 800-634-7325Fax: [email protected]

Direct Supply is a leading provider of healthcare, clinical, furnishings, environ-mental and foodservice equipment—along with innovative eCommerce and service solutions—to the senior living profession.

Want more information?

Tolearnaboutthebenefitsofbecoming an ICAA Preferred Business Partner, call ICAA

toll-freeat866.335.9777.


Catch up with the association that supports professionals in older-adult wellness

d i r e c t i o n s

Continued with the sidebar on page 110

ICAA’s CEO renews WEF network participationColinMilner,founderandCEOofthe International Council on Active Aging®(ICAA),willtakepartforthesixth consecutive year in the World EconomicForum’sNetworkofGlobalAgenda Councils. Through this network, thought leaders in business, government, academia, society, and international organizations address key global issues and opportunities, including population aging.

TheWorldEconomicForum,basedinGeneva,Switzerland,isanindependent,nonprofit organization “committed to improving the state of the world by en-gaging leaders in partnerships to shape global, regional and industry agen-das.” The Network of Global Agenda Councils is designed to further the WEF’smissionandstrategicvision,andtackle global issues of vital importance. Each of the network’s 80-plus coun-cils brings together a community of 15–20 international experts to “provide interdisciplinary thinking, stimulate dialogue, shape agendas and catalyze initiatives.” These communities encour-age new thinking and solutions.

Milnerlooksforwardtosharinghisknowledge with the Network’s Global Agenda Council on Ageing 2013, as well asparticipatingintheSummitontheGlobal Agenda to be held in Abu Dhabi,UnitedArabEmirates,inNovember.

ICAA forms global alliances to support active agingEfforts are underway to more closely connect governmental agencies and for-profit and nonprofit organizations around the world that are striving to promote active aging. ICAA is working to create a global network of organiza-tions that support and learn from each other. As a start, the association has established informal alliances with the following four organizations:

• ActiveAgeingAustralia,afor-profitmember organization, “promotes physical activity for a lifetime of health” for all Australians.

• AustralianHumanRightsCommis-sion, an independent statutory orga-nization created by and reporting to Australia’s federal parliament, works to promote and protect human rights in that country.

• BritishHeartFoundationNationalCentre for Physical Activity and Health, partofLoughboroughUniversity’sSchoolofSport,ExerciseandHealthSciences,isaleaderinpromotingphysi-cal activity and health in the United Kingdom.

• CouncilforThirdAge(C3A),anin-dependent organization set up to pro-mote active aging, has evolved into a “catalytic role” and now “aims to cre-ateavibrantpro-ageSingapore.”

The goal is to expand the network of col-laborating organizations, over time, to many other countries.

SupportingICAA’sAustralianefforts,CEOColinMilnerwillvisitthatcountryin November to give presentations at events for Active Ageing Australia and AgedCareAustralia.Milnerwilltalkabout some trends in active aging on a global level.

Coalition supports call to promote walking for healthAsamemberorganizationoftheOsteo-arthritis Action Alliance, ICAA signed a letterthattheArthritisFoundationsenttotheUnitedStatesSurgeonGeneralRe-gina Benjamin on April 30 in support of her Call to Action on Walking. The letter was submitted in response to an invita-tion for public comments. Noting full supportfortheSurgeonGeneral’sinitia-tive,theOAActionAlliancecollectivelyrequested that the call to action include:

• recognitionthatarthritisisachroniccondition that results in health and physical activity disparities

• informationabouttheArthritisFoundation’sevidence-basedWalkWith Ease Program

• strategiesandtacticsfromthe ArthritisFoundation’s2012report,

“EnvironmentalandPolicyStrategiesto Increase Physical Activity Among Adults with Arthritis”

ICAA also submitted a comment sup-porting the Call to Action.

TheOAActionAlliance,establishedin2011, is a coalition of 45 organizations that collaborate “to prevent and con-trol osteoarthritis by promoting effec-tive programs, policies and commu-nicationstrategies.”TolearnmoreaboutOAActionAlliance,visitwww.oaaction.org.

Spreading the wordICAA supports active-aging education for professionals who fulfill fitness and wellness roles in different sectors. Recent examples include the following:

• Asofpresstime,ICAAleaderColinMilnerwillpresenton“TheWellnessRevolution” at canfitpro’s 20th annual conferenceinToronto,Ontario,inAugust. Canfitpro is Canada’s associa-tion for fitness professionals.

• JulieMilner,ICAA’sChiefOperat-ingOfficer,currentlyservesontheRecreationLeadership/ManagementProgram Advisory Board for the DepartmentofRecreationStudiesatLangaraCollege,Vancouver,BritishColumbia. The college, which has atwo-yearRecreationLeadershipDiplomaProgram,alsooffersanewBachelorofRecreationManagementdegree(thirdandfourthyear).Moreinformation is available online at www.langara.bc.ca/departments/

recreation/index.html.

The ICAA Preferred Business Partner Program is another great way to keep your products and services in front of ICAA members year-round.

Become an ICAA Preferred Business Partner


3307 Trutch Street Vancouver BC V6L 2T3 CanadaToll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464

To learn about the benefits of becoming an ICAA Preferred Business Partner, call ICAA toll-free 866.335.9777 or email [email protected]

Or go online to www.icaa.cc

ICAA-PBP full page ad.indd 1 13-06-11 5:22 PM


The ICAA Preferred Business Partner Program is another great way to keep your products and services in front of ICAA members year-round.

Become an ICAA Preferred Business Partner


3307 Trutch Street Vancouver BC V6L 2T3 CanadaToll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464

To learn about the benefits of becoming an ICAA Preferred Business Partner, call ICAA toll-free 866.335.9777 or email [email protected]

Or go online to www.icaa.cc

ICAA-PBP full page ad.indd 1 13-06-11 5:22 PM


d i r e c t i o n sContinued from page 108

ICAA Forum 2013: bridging wellness to healthcare

Todiscusstherelevanceofwellnesstothe changes in healthcare caused by the AffordableCareActintheUnitedStates,theICAAForum2013wasconvenedbythe International Council on Active Aging®inMay2013.

Executives and senior managers in age-qualified housing and home care, fitness, and wellness services discussed the op-portunities and challenges for building a bridge between wellness services and medical care. Attendees at the ICAA Forumareinvitedbecausetheyworkinorganizations with multiple locations, and have the ability to influence a large number of organizations and older adults.

TheForum’stopicwasstrategicopportu-nities for providers of older-adult hous-ing and wellness services to partner with hospitals to help reduce readmissions, or assistAccountableCareOrganizationsand physicians in managing chronic con-ditions. What will improve the health and quality of life among older adults and meet business objectives?

Unique to this discussion was the population of older adults who live in-

dependently or with some assistance (but notskillednursing),andthedeliveryofservices that the older adults pay for them-selves, out of pocket, without insurance reimbursement.

The discussion was informed by represen-tatives presenting the points of view and experiences of geriatric medicine, a hospi-tal system, nonmedical home care services, accountable care organizations and health-care policy, and retirement communities. The panel of experts included:

• PaulHogan,Co-FounderandChair-man,HomeInsteadSeniorCare

• SharonJessup,RegionalMarketingandSalesDirector,LifeCareServices

• MaraMcDermott,DirectorofFederalAffairs, California Association of

Physician Groups• KevinO’Neil,MD,ChiefMedical Officer,BrookdaleSeniorLiving• BarbaraResnick,PhD,CRNP,profes-

sor,UniversityofMarylandSchoolofNursing, and chairman of the board, AmericanGeriatricsSociety

• MarySmith,VicePresidentofSeniorServicesandRehab,FauquierHealth

There was a general consensus that a busi-ness opportunity exists for wellness pro-viders to become the bridge between older

adults and the medical world. However, in order to position wellness as a partner to healthcare providers, preparation would likely include:

• definingthewordwellness;• implementingasystemtotrackout-

comes and monitor the progress of individuals; and

• bringingtogethermultipleorganiza-tions that would themselves partner to develop a unified message describ-ing the value of wellness services, which could then be used to raise awareness among medical providers and policymakers.

ICAA is evaluating the suggestions made by attendees and presenters that are feasible for the association to lead.

–SummarypreparedbyICAA’sPatriciaRyan,MS,VicePresidentofEducation

Thanks to ICAA Forum 2013 sponsors: Cornell Communications, Keiser, LifeTrail Advanced Wellness System by Playworld Systems, Matrix Fitness, Morrison Man-agement Specialists, NuStep Inc., SCIFIT and Technogym USA.

At the ICAA Forum 2013, thought leaders in active aging discussed strategic opportunities with healthcare organizations . Photo: Julie Milner


Become an ICAA Champion

Founding Partners

Shape his view of aging. Become an ICAA Champion or Partner in ICAA’s Changing the Way We Age® Campaign and help change society’s views and expectations of aging.

ICAA Champions help spread the word about the untapped human potential associated with aging and how tapping this potential can help us address many of society’s challenges and opportunities. By visiting sites in the community, these active-aging role models educate children and older adults about the positive aspects of aging.

To learn how you or your organization can get involved, call the International Council on Active Aging® at 866-335-9777 or visit www.changingthewayweage.com

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Technogym® Global Partner

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Documents

THE JOURNAL ON - ICAAicaa.cc/data/product/4278_a55ddfc213f437e72c09ee8f48fddbba.pdf · to the Journal on Active Aging® or ICAA Functional U®. International Council on Active Aging®