Assessing Age Inclusivity in Higher Education: Introducing the Age-Friendly Inventory and Campus Climate Survey (ICCS)

BACKGROUND AND OBJECTIVES

This study introduces a theoretical framework for assessing age inclusivity in higher education environments and describes the Age-Friendly Inventory and Campus Climate Survey (ICCS). The ICCS measures age-friendly campus practices as reported by administrators, perceptions of age friendliness by campus constituents, and the fit between objective practices and subjective perceptions as an overall indicator of age inclusivity.

RESEARCH DESIGN AND METHODS

The ICCS was administered at a public university in the northeastern United States. Administrators completed the Inventory of potential age-friendly campus practices associated with their units. Campus constituents (n = 688) completed the online Campus Climate Survey to assess subjective awareness of these practices, perceived age-friendliness, and personal beliefs about age inclusivity.

RESULTS

The Inventory yielded a score of 66% of potential age-friendly practices in place as reported by administrators. The Campus Climate Survey showed low overall perceptions of age-friendliness and varied beliefs about age inclusivity on campus. Fit was measured by comparing the Inventory practices and Campus Climate Survey awareness of the existence of 47 of 73 potential practices. Convergence on this campus showed an awareness of 36% of age-friendly practices.

DISCUSSION AND IMPLICATIONS

Based on the proposed theoretical framework for age inclusivity, the ICCS offers a way of assessing the age-friendliness of the objective environment across campus functions, the subjective environment across campus constituents, and the fit between subjective and objective environments on campuses. The ICCS will help higher education institutions identify strengths and challenges for advancing age inclusivity.

Developing an Age-Friendly University (AFU) audit: A pilot study

The University of Massachusetts Boston endorsed the Age Friendly University (AFU) principles in 2017, becoming the second campus in the Commonwealth to join the AFU movement. In order to demonstrate what it means to become an AFU, a research team worked to audit the University's level of age-friendliness. A workgroup of 12 volunteers from across campus departments and constituencies was convened in 2018 to operationalize the 10 principles with the goal of designing an audit tool and then piloting the tool. Nineteen key informants were interviewed representing a wide range of campus life including administration, career counseling, advising, communications, student life, campus services, distance education, and health and wellness services. Major themes emerged related to educational programming, accessibility and inclusivity. The importance of conducting an audit was demonstrated in the opportunities it presented to increase awareness among diverse stakeholders who comprise a campus community about making the vision of age-friendliness a reality.

Antinuclear antibodies in sickle cell disease

The frequency of antinuclear antibodies (ANA) and other antinuclear factors was prospectively evaluated in patients with sickle cell disease (SCD). Ten of 44 patients studied (22.7%) had positive ANA determinations at titers greater than or equal to 1:40 compared to 3 of 46 healthy controls (6.5%; p less than 0.03). Eight SCD patients had ANA titers of 1:160 or greater compared to none of the controls (p less than 0.003). No antibodies directed against other nuclear factors were found. An analysis of the patient histories revealed no statistical differences between the ANA-positive and ANA-negative SCD patients when correlated with disease activity.

Malignant lymphoma occurring in a family

Three patients, a 57-year-old man, his 60-year-old sister, and 81-year-old mother, developed non-Hodgkin's lymphoma within an interval of 12 months. There were histologic similarities of the biopsy material from these patients, but the clinical response was variable. Two patients achieved a sustained remission, and one expired after similar chemotherapy. Studies revealed slightly decreased numbers of circulating T lymphocytes in both surviving patients, and decreased cellular reactivity to mitogens in the man. HLA typing was not conclusive; HLA haplotypes were not the same as those reported in other families with non-Hodgkin's lymphoma. Electron microscopy of biopsy material revealed no viral inclusions. Except for the familial relationship, no common etiologic factors were identified.

Association of Myasthenia gravis and idiopathic thrombocytopenic purpura

We have described a case of myasthenia gravis associated with idiopathic thrombocytopoenic purpura. Clinical features of the six reported cases and an additional comatose patient with an enlarged hyperplastic thymus and idiopathic thrombocytopenic purpura have been reviewed.