Research Agendas on Ageing by rae18192

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									Research Agendas on Ageing
Global Perspectives – Gary Andrews
                                                                                  Global Life Expectation at Birth
           Median Age by Regions of the World
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                                                                                                             ur
                                                                                                                y
  1950       1970       1995       2020


2000                                                                        Percent of older person (>60) and children (<15)
                                                                                            developed world
1500
                                                                     2050
1000
                                                                                                        % older persons
 500                                                                 1998
                                                                                                        % children

     0                                                               1950
          1960        1990         2020        2050
BUT WHAT DO WE REALLY KNOW ABOUT40IT
         WORLD POPULATION AGED 60 YRS AND OVER IN MILLIONS
                    0  10 20 30
Kofi Annan,
UN Secretary-General-1999
 …We are in the midst of
 a silent revolution that
 extends well beyond
 demographics, with
 major economic, social,
 cultural, psychological
 and spiritual
 implications...
Madrid International Plan of Action on Ageing
                   2002


            Ageing is:
           life-long, and
           society-wide
Madrid International Plan of Action on Ageing
                   2002

      Priority Directions for Policy Action:

          I. Older Persons and Development


   II. Advancing Health and Wellbeing into Old Age


       III. Ensuring Enabling and Supportive
                   Environments
 RESEARCH                    POLICY


INFORMATION                     What is it?
KNOWLEDGE                     Why is it so?

UNDERSTANDING           What does it mean?

POLICY          What should we do about it?

PROGRAMMES            How should we do it?
            United             Nations
                 with the
 International Association of Gerontology


      Supported by Novartis Foundation
for Gerontology and the German Government
Research Agenda on Ageing for the 21st Century




 Overall Objective:

 To develop a world-wide policy-related
 research agenda on ageing for the twenty-
 first century.
Research Agenda on Ageing for the 21st Century

The Research Agenda on Ageing for the Twenty-
First Century is designed to promote the
implementation of the Madrid International Plan of
Action on Ageing. The Research Agenda identifies
priorities for research and data collection in order to
support the implementation and monitoring of
policy actions proposed in the International Plan.
Simultaneously, the Research Agenda encourages
researchers to pursue studies in policy related areas
of ageing where the findings may have practical and
realistic applications.
    IAG Statement to the 1st World assembly on Ageing,
                       Vienna 1982
“ Demographers have documented with increasing accuracy
national, regional, and world trends in population ageing and the
dynamics of population growth...;
Epidemiologists and social scientists have documented the
association between ageing and impaired function...;
Biomedical, behavioural, and social scientific research has
identified the types and extent of problem areas related to human
ageing; but this research has also documented both the extent to
which the majority of older adults remain socially integrated and
competent and the possibility that some decremental aspects of
ageing may be modifiable…;and
Experience gained in planning within both developed and
developing countries provide useful concepts and procedures for
problem identification and for program design, implementation,
and evaluation for responding to issues posed by population
ageing…”
   20 years on: to the 2nd World Assembly on Ageing ,
     A SOCIETY FOR ALL Madrid 2002
“ Demographers have explored with much more accuracy
and greater detail the dynamics of population change – the
AGES– with a positive vision
effects of major fertility shifts, migration, the social,
economic, health and geographics of the demographic
    of achievement of greater
transition..;
Epidemiologists and social scientists have tracked the
   longevity for all with good
dynamics of the social, economic and health trajectories of
ageing across the life course..;
  health and quality of life –
Biomedical, behavioural, and social scientific research has
identified the prospects for healthy, positive, active and
productive ageing and the determinants that mediate these
   irrespective of race, creed,
positive outcomes, …;and
Greater awareness has dawned of the inextricable linkages
 gender, location or any other
between population ageing and development – the
apocalyptic associations of poverty, ageing and disease
societal or individual defining
that herald a potentially disastrous future for humankind
BUT at the same time point to the prospects for creative
             characteristic
and positive directions and interventions that hold out the
 prospects for:
                                            A/RES/57/177
           General Assembly

   Forty-seventh session
   Agenda item 93 (a)

       RESOLUTION ADOPTED BY THE GENERAL ASSEMBLY
   57/177. Situation of older
   women in society

The General Assembly,

   ... 6. Welcomes the adoption in April 2002 by the Valencia Forum of
 researchand academic professionals of the Research Agenda on Ageing
     for the Twenty-First Century, to support the implementation of the
           Madrid International Plan of Action on Ageing, 2002…
                            77th plenary meeting
                              18 December 2002
Key Research Arenas
      Healthy/Active Aging
      Biological Determinants
      Physical, Mental & Social
       Functioning
      Care Systems
      Family, Kin and Community
      Economic Security
      Quality of Life
      Social Participation and
       Integration
      Macro-Societal Change and
       Development
      Policy Processes and Evaluation
                              Priority 1
   Research into the relationships of population ageing and socio-
                       economic development.



The interrelationships of rapid population ageing and socio-
economic development remain ill understood and in the
context of national development planning often overlooked.
For developing countries, in particular, this relationship will
become increasingly critical. More research is needed to
identify the contributions made by older persons to social,
cultural, spiritual and economic ‘capital’ of all nations. The
productive contribution of older persons to society should be
better measured and monitored along with clearer definition
of the complex reciprocal social and economic exchanges
that occur in all societies.
                             Priority 2
Research into current practices and options for maintaining material
                      security into older age.




    This research effort is relevant in the developed
    world where serious questions have emerged about
    the long term sustainability of many national income
    security systems. It is also critical in the developing
    countries many of which have only the most
    rudimentary or even no systems in place or planned
    for the immediate future.
                            Priority 3
Research into changing family structures, intergenerational transfer
systems and emergent patterns of family and institutional dynamics.




  The changing nature of ‘family’ and traditional attitudes
  and behaviours between generations is widely claimed to
  be changing in most situations. Studies are needed that
  can track these changes and identify the economic and
  social impacts on individuals, communities and society.
                          Priority 4
      Research into the Determinants of Healthy Ageing




Health is a central issue associated with increase in
longevity and population ageing. The maintenance of
health status and functioning with age is a critical factor
impacting upon many other aspects of the lives of older
persons, their families and communities.
                                Priority 5
Research into Basic Biological Mechanisms and Age Associated Disease.




The opportunities presented by recent developments in the
understanding of basic biological genetic, molecular and
cellular aspects of life processes present astounding potential
for unravelling the complex relationships between the
fundamental mechanisms of ageing and the emergence of age
associated disease. The prospects are greatly increased for the
identification of efficacious pharmacological and other
interventions that may prevent, ameliorate or reverse a range
of chronic diseases that are linked to ageing.
                              Priority 6
 Research into Quality of Life and Ageing in diverse cultural, socio-
             economic and environmental situations.




Ideas of what constitutes ‘well-being’ and ‘good quality of
life’ with ageing clearly vary according to the social,
cultural, economic and traditional context in which it is
examined. There is a need for greater understanding of these
fundamental variations in ageing and life experience. Much
could be learned from well-framed and sensitively
undertaken comparative research in settings of various
social and economic development and cultural diversity.
International Plan                           Research Agenda on Ageing
for Action on
Ageing 2002                Major Research Priorities                 Critical Research     Key      I
                                                                          Arenas
 Priority direction I:     Priority 1. Relationships of                                     M       M
                           population ageing and socio-economic      1. Social                      P
 Older Persons and         development.                                                     e
                                                                     Participation and
    Development            Priority 2. Current practices and         Integration.                   L
                           options for maintaining material
                                                                     2. Economic
                                                                                            t
                           security into older age.                                                 E
                           Priority 3. Changing family               Security               h
                           structures, intergenerational transfer    3. Macro-Societal              M
                           systems and emergent patterns of          Change and             o       E
                           family and institutional dynamics.        Development
                                                                                            d       N
 Priority direction II:    Priority 4. Determinants of Healthy       4. Healthy Ageing      o       T
Advancing health and       Ageing                                    5. Biomedical
                           Priority 5. Basic Biological                                     l       A
  well-being into old      Mechanisms and Age Associated
                                                                     6. Physical &
          age              Disease.
                                                                     Mental                 o       T
                           Priority 6. Quality of Life and           7.Quality of Life              I
                           Ageing in diverse cultural, socio-                               g
                           economic and environmental                                       i       O
                           situations.
                                                                                            c       N
                           Priority 3. Changing family                8. Care Systems
 Priority direction III:   structures, intergenerational transfer                           a
                                                                      9. Changing
Ensuring enabling and      systems and emergent patterns of           Structures &
       supportive
                           family and institutional dynamics.
                                                                      Functions of
                                                                                            l
                           Priority 6. Quality of Life and Ageing
     environments          in diverse cultural, socio-economic and    Families, Kin &
                           environmental situations.                  Community           Issues
Implementation and follow-up                                          10. Policy Process & Evaluation
A Raft of Research Agendas
   and Related Reports
RAA - 21 Research Agenda on Ageing for the 21st Century – UN (2001)
IPA - Madrid International Plan of Action on Ageing 2002
WHO - World Health Organization – Positive Ageing Policy Framework (2002)
NIA - US National Institute on Aging – Action Plan for Research (2002)
APA - American Psychological Association (1993)
NRC - US National Research Council (2001)
UK - UK Government Foresight Program (2002)
CIHR - Canadian Institutes Of Health Research - Institute On Ageing (2002)
GA - Geneva Association – Four Pillars (2003)
EU - European Union – Fifth Framework Programme (2002)
NZ - NZ Positive Ageing Strategy (2001)
NSAA - National Strategy for an Ageing Australia (2001)
HAR - Review of Healthy Ageing research in Australia (2002)
Scope - NHMRC Scoping Study on Biological Research on Aging (2003)
                           Linkages

                               FAMILY
                                              HEALTHY                             SOCIAL
                               STRUCTURE/                           QUALITY OF                    PHYSICAL AND   CARE
                    ECONOMIC                  AGEING/     BIOMED.                 PARTICIPATION
         EMPLOYMENT            INTER-                               LIFE / WELL                   MENTAL         SYSTEMS   ATTITUDES
                    SECURITY                  HEALTH      AGEING                  AND
                               GENERATIONAL                         BEING                         FUNCTIONING    ACCESS
                                              PROMOTION                           PRODUCTIVITY
                               TRANSFERS

RAA 21
IPA

WHO
NIA
APA
NRC
CIHR
UK
GA
EU
NZ
NSAA
HAR
SCOPE
                     Participation/Intergenerational
              SocialLinkages
                           Relationships
            Healthy Ageing and Biomedical Research
          EMPLOYMENT
                     ECONOMIC
                     SECURITY
                                FAMILY
                                STRUCTURE/
                                INTER-
                                               HEALTHY
                                               AGEING/
                                               HEALTH
                                                           BIOMED.
                                                           AGEING
                                                                     QUALITY OF
                                                                     LIFE / WELL
                                                                                   SOCIAL
                                                                                   PARTICIPATION
                                                                                   AND
                                                                                                   PHYSICAL AND
                                                                                                   MENTAL
                                                                                                                  CARE
                                                                                                                  SYSTEMS   ATTITUDES


             – improving and maintaining health
                                GENERATIONAL                         BEING                         FUNCTIONING    ACCESS
                                               PROMOTION                           PRODUCTIVITY
                                TRANSFERS

 RAA 21
 IPA

Income, employment, security and the older worker
 WHO
 NIA
 APA
 NRC                  Care Systems, Best Practice,
 CIHR
 UK                 Programs and Services Research
 GA
 EU
 NZ
                    Policy, Planning and Evaluation
 NSAA
 HAR
 SCOPE
              Rights, Social and Cultural Diversity
            Quality of Life, Overcoming Barriers,
                 Independence and Activity
A global and regional agenda on aging for the 21st Century
that will increase understanding of critical policy-related
aspects of aging in order to improve quality of later life,
reduce inequalities and ensure sustainability of societal
and human development.
Recognizing: diversity in societies at differing levels of
demograhic as well as social and economic development.

Policies
NGOs                 Governments      Private Sector
                                POSITIVE
Education/
Academic Centres
and Institutes                   Development Banks
                                OUTCOMES
Training
International Intergovernmental
         Organisations:         FOR Researchers
                              IndividualALL
      WHO,UNFPA, SECs
Programs                        SOCIETY
A series of Regional Expert Workshops to examine
 the implication of the Research Agenda at regional
level and identify priorities for action and
implementation. Auspiced by the UN program on ageing and
the IAG these have been convened and organised by the
Adelaide based Centre for Ageing Studies


    The first of these titled: Research Agenda on
    Ageing– Africa’s Priorities in the 21st Century
    was held in Cape Town, South Africa linked with
    the African regional conference – GeriatrixAfrica
    '03 in March 2003. Funding for this workshop
    was provided by Help the Aged (UK).
A further expert workshop funded by IAG and Help
the Aged (UK) took take place in association with
the International Association of Gerontology
European Regional Meeting in Barcelona Spain in-
July 2003.

And another in association with the COMLAT (Latin
American Region) in Santiago, Chile last month.

A final regional workshop is planned this year
immediately prior to the Asia Oceania regional
meeting of IAG in Tokyo in November.
      Conditions of Success



• Political will and commitment
• Ethic of evidence and accountability
• Common understood language
• Ownership
• Incentives
• Results
How to Improve the Impact of Research


• Involvement of users: definition of
  objectives and priorities, financing,
  interpretation - dialogue between
  researchers and policy makers

• Quality of communication: language, format,
  timeliness, modalities

• Monitoring and feed-back – continuing
  dialogue and measurement of outcomes
             CLOSE THE
               GAP!

                      Relevance
        Utility
                   Accuracy

                     Appropriateness
             Accessibility
Timeliness


         Global/Regional
         National/Local
  RESEARCH-POLICY-LOOP

CHALLENGES    ?    RESEARCH




OUTCOMES




  POLICIES   Knowledge
             Understanding
  ACTION
             Information

								
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