1. Division of Geriatric Medicine & Gerontology EunMi Park, Ed.D. – Johns Hopkins Medicine Samuel C. Durso, MD, AGSF – Johns Hopkins Medicine Gary J. Confessore, Ed.D. – George Washington University East Asia Forum for Adult Education 6 th General Assembly November 19 – 23, 2005 Tokyo, Japan A Case Study of Educational Practices for the Aging Global Population

2. Division of Geriatric Medicine & Gerontology Problem Statement  The population of older adults has increased substantially.  The United Nations projects continued rapid worldwide growth of this group.

3. Division of Geriatric Medicine & Gerontology (Continued) Projected Populations Over Age 65 Country or Region200520252050 China 7.6%13.7%24.5% Hong Kong, SAR12.7%24.0%39.3% Japan19.5%28.0%34.3% Korea 8.8%18.6%32.6% Macau, SAR 7.9%19.1%30.3% Singapore 8.1%19.5%37.1% Taiwan 9.6%17.8%29.3% World 7.3%10.6%16.4%

4. Division of Geriatric Medicine & Gerontology (continued) Problem Statement  To produce effective educational implementations and outcomes, leaders in several sectors need to undertake innovative lifelong learning approaches for older adults.

5. Division of Geriatric Medicine & Gerontology Purpose of the Study  To describe recent educational practices intended to meet the educational needs of older people  To produce comparative information to outline contemporary global trends in this field.

6. Division of Geriatric Medicine & Gerontology Research Questions  How are educational leaders of the multi- sectors responding to learning needs of older adults in the global society?  What are the implications of this for EAFAE leaders?

7. Division of Geriatric Medicine & Gerontology Methodology  Case - World Congress of the International Association of Gerontology (IAG-WC) Association of Gerontology (IAG-WC)  Sample - 163 abstracts addressing contemporary multi-sector contemporary multi-sector educational needs in aging educational needs in aging published in the proceedings of published in the proceedings of The 2001 17th IAG-WC The 2001 17th IAG-WC ( Note: 1997 16 th IAG-WC No abstracts in Education 2005 18 th IAG-WC Yet to be published)  Analysis - Qualitative comparative analysis

8. Division of Geriatric Medicine & Gerontology Finding #1: IAE-WC 2001 Presenters OriginPresentersAbstracts EAFAE 467 (11%) 14 (9%) China 146 3 Hong Kong, SAR 10 1 Japan 246 7 Korea 58 2 Macau, SAR 0 0 Singapore 18 1 Taiwan 0 0 Other Asia-Oceania 69 (2%) 2 (1%) Rest of World 3541 (87%) 147 (90%) Total 4086 (100%) 63 (100%)

9. Division of Geriatric Medicine & Gerontology Finding #2: Abstract Categories Category EAFAEOthers Category Total n Within Region Between Regions n Within Region Between Regions Learner1179%6%17651%94%187 (52%) Method 17%1% 7321%99% 74 (21%) Content 00% 5917%100% 59 (16%) Setting 214%6% 3410%94% 36 (10%) Outcome 00% 41%100% 4 (1%) Regional Total 14100%4%346100%96%360 (100%)

10. Division of Geriatric Medicine & Gerontology Finding #3: Abstracts by Learner (52%) Category ProfessionalsOther Learners Regional Total n Within Category Between Category n Within Category Between Category EAFAE10 8%91%1 1% 9% 11 (6%) Others11292%64%6499%36% 176 (94%) Total122100%65%65100%35% 187 (100%)

11. Division of Geriatric Medicine & Gerontology Finding #4: Abstracts by Method (21%) Category Learner Involvement Other Methods Regional Total n Within Category Between Category n Within Category Between Category EAFAE1 2% 8%1248%92% 13 (18%) Others4898%79%1352%21% 61 (82%) Total49100%66%25100%44% 74 (100%)

12. Division of Geriatric Medicine & Gerontology Finding #5: Abstracts by Content (16%) Category Patient Health Issues Other Content Regional Total n Within Category Between Category n Within Category Between Category EAFAE00% 0 0 (0%) Others54100%92%5100%8% 59 (100%) Total54100%92%5100%8% 59 (100%)

13. Division of Geriatric Medicine & Gerontology Finding #6: Abstracts by Setting (10%) Category Technology BasedOther Settings Regional Total n Within Category Between Category n Within Category Between Category EAFAE1 5%100%0 0% 1 (3%) Others18 95% 51%17100%49% 35 (97%) Total19100% 53%17100%47% 36 (100%)

14. Division of Geriatric Medicine & Gerontology Finding #7: Abstracts by Outcome (1%) Category n (%) EAFAE 0 (0%) Other 4 (100%) Program Development 2 (Switzerland, Canada) Policy Development 2 (U.S., Canada)

15. Division of Geriatric Medicine & Gerontology Summary of Distinctive Areas Category Most Distinctive Area in each category within EAFAE (between) within Others (between) Learner (52%) Professionals (65%) 91% (8%) 64% (92%) Method (21%) Individual Involvement (66%) 8% (2%) 79% (98%) Content (16%) Patient Care Issues (92%) 0% (0%) 92% (100%) Setting (10%) Technology Based (53%)100% (5%) 51% (95%) Outcome (1%) Program Development (50%) Policy Development (50%) 0% (0%) 50% (100%)

16. Division of Geriatric Medicine & Gerontology Conclusion CaseComparisonn (%)Findings IAE-WC Abstracts in Education 163 (5%) Low Focus on Education Total Abstracts 3159 (100%) Analysis of 163 (5%) abstracts using identified five categories EAFAE Analysis Total by the Five Identified Categories 14 (4%) Low Focus on Education - mainly for professionals, - relatively new in technology based educational setting - Not specific reports on individual client involvement method, specific content focus, outcome based program and policy development Others 346 (96%) Relatively Compatible Focus on Education

17. Division of Geriatric Medicine & Gerontology Implication for EAFAE Members  More proactive, specialized, advanced educational efforts in EAFAE region to meet the larger population based educational needs of older people  Adult Lifelong Learning and Human Development Experts may form inter- disciplinary teams to study worldwide educational response to this growing population