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This is to certify that the thesis entitled ADULT EDUCATION AS A SUPPORT SYSTEM FOR ADULT OFFSPRING WITH AGING PARENTS presented by Betty Johnson McMahon has been accepted towards fulfillment of the requirements for M . A . Aggree in FCE Major professor Date 52/7‘ i1 07 639 MSU LIBRARIES .m— ‘.' RETURNING MATERIALS: Place in book drop to remove this checkout from your record. flfl§§_wi11 be charged if book is returned after the date stamped beiow. AUG 2 5 goon ADULT EDUCATION AS A SUPPORT SYSTEM FOR ADULT OFFSPRING WITH AGING PARENTS By Betty Johnson McMahon A THESIS Submitted to Michigan State University in partial fulfillment of the requirements for the degree of MASTER OF ARTS Department of Family and Child Ecology 1982 G/HM/ ABSTRACT ADULT EDUCATION AS A SUPPORT SYSTEM FOR ADULT OFFSPRING WITH AGING PARENTS by Betty Johnson McMahon This eXploratory study was designed to gain insight into the concerns of adult offspring as they face responsibilities of aging parents. Secondly, the adult offspring openness to educa- tion as a method for addressing their concerns along with the characteristics of those who seek information was explored. A sample of fifty mid-life adult offspring was interviewed. The interview schedule linked possible areas of concern with methods of instruction. For each content area selected, respon- dents were asked to choose a method of instruction. The younger the age of the respondent, the more requests for information. Similarly, the higher the level of education the more requests for additional information. All content areas were selected by over half the respondents. Information related to the aging process was of greatest concern. Instructional methods that allowed personal interaction were selected for content areas of a personal nature. Conversely, independent methods were selected for informational material. DEDICATION To my Mother who taught her “caboose" about life ACKNOWLEDGEMENTS I wish to express special appreciation to the chairperson of my committee, Dr. Barbara Ames, for her understanding and encouragement. She gave unselfishly of her time, energy, and professional wisdom. Appreciation is expressed to my committee members, Dr'. E. Jane Dyer and Dr. Joseph Levine for their helpful sugges- tions. Thank you to my husband whose precious love and support has given me the courage to keep going, and to my children for their good humor when dinner was late, mother was absent and her nerves raw. Gratitude to the 50 adult offspring who so kindly gave of their time. I treasure our time together. TABLE OF CONTENTS LIST OF TABLES . Chapter I. INTRODUCTION Historical Perspective Population shifts . . Changing work patterns for women . Effectiveness of adult education to address concerns of aged parents and aging offspring Objective of the Study . . . . . Research Questions Definition of Terms II. REVIEW OF LITERATURE Issues and Concerns for Adult Offspring with Aging Parents . . . . . . Adult Education . Intergenerational Education III. PROCEDURE Procedure Used . . Selection of Sample Interview Schedule Interview Sequence . . Interviewer Reliability . Methods of Analysis Limitations IV. ANALYSIS AND DISCUSSION Question 1 Question 2 . Interaction Questions .1 and. 2 . Question 3 . Discussion iv Page vi 00V (1) (I) 010101 th-H—e H NH Page V. CONCLUSIONS, IMPLICATIONS AND SUMMARY . . . . 75 Summary . . . . . . . . . . . . . . 7S Implication . . . . . . . . . . 80 For Gerontology. . . . . 80 For Adult Education/Intergenerational 81 Education . . . . . . . . For Future Research . . . . . . . . 83 Conclusion . . . . . . . . . . . . 85 APPENDICES A. Interview Schedule -Parent . . . . 89 3. Interview Schedule -Adult Offspring . . . 100 C. Volunteer Brochure . . . . . . 113 D. Consent Statement . . . . . . . . . 115 E. Thank you note . . . . . . . . . 116 LIST OF REFERENCES 117 LIST OF TABLES TABLE 1. Frequency Distribution of Categories of Contact Groups 2. Summary of Content Area Selection by Frequency and Z Statistic 3. Frequency Distribution for Method of Instruction 4. Frequency Distribution-Knowledge of the Aging Process by Methods of Instruction 5. Frequency Distribution-Dealing with Chronic Illness 10. 11. 12. 13. 14. 15. by Method of Instruction Frequency Distribution-Coping with Stress by Method of Instruction . Frequency Distribution-Community Resources by Method of Instruction Frequency Distribution-Physical Care of the Elderly by Method of Instruction Frequency Distribution-Emotional Needs of Self/Elderly by Method of Instruction Frequency Distribution-Making the Home Safe by Method of Instruction Frequency Distribution-Intergenerational Relations by Method of Instruction Frequency Distribution-Coping with Loss or Death by Method of Instruction Frequency Distribution-The Family as a Support System by Method of Instruction Frequency Distribution-Improved Communications by Method of Instruction Frequency Distribution-Time Use/Family and Work by Method of Instruction vi Page 30 4O 43 46 47 48 49 50 51 52 53 54 55 56 57 TABLE Page 16. Frequency Distribution-Nurturance and Love by 58 Method of Instruction 17. Frequency Distribution-for the Methods of Instruction 59 by Content Area 18. Demographic Characteristics by Frequency Distribution 62 of Adult Offspring Who EXpressed High and Low Interest 19. Scatter Diagram for Average Age by Number of Content 64 Areas Selected vii CHAPTER I INTRODUCTION The American society is aging. The population over 65 is the country's fastest growing segment of the population. The situa- tion confronting American families is unique because a large aging population simply did not exist at any previous time in history. The over 65 population is increasing both numerically and propor- tionally. In 1900, persons 65 years and over constituted about four percent of the total population of 3.1 million persons (Current Population Reports, 1979). By 1940, the over 65 popula- ation had nearly tripled to 9.0 million. It more than doubled again to 20.1 million by 1970. The number of persons 65 and over is expected to be approximately 31 million by the year 2000, and leap by 29% around 2010 to 2020 as the "baby boom“ cohort reaches 65 (Current Population Reports, 1978, Spark and Brody). This shift in population is a function of changing mortality, fertility, and migration rates. A larger proportion of each cohort is living at any given point in time. As death rates decline, there is the possibility of substantial further reduction of death rates of the older population (Current Population Reports, 1978). Successive cohorts of women have born fewer children than did their mothers and grandmothers. The ratio of older "dependent" to younger producers has risen (Treas, 1977). However, since 2 fertility is largely under voluntary control, fertility levels may fluctuate widely (Current P0pulation Reports, 1978). The older p0pulation has experienced both growth and change in composition. An older relative today is more likely to be a woman, a widow, and very old (Treas. 1977). The growth ratio of the female population to the male population for 1970-80 will be about three-quarters as a result of the higher male mortality rate (Current Population Reports, Jan.1978). Seventy-five percent (75%) of older men in 1978 were commonly married and living with their wives. Thirty-seven percent (37%) of the older women lived with their husbands. Among older women, the major reason for being unmarried is death of the husband. In 1978, 52% of the women 65 years and over, and 69% of those 75 and over, are widowed (Current Population Reports, 1979). A rise is expected in the proportion of the total p0pulation age 75 and over; from four percent in 1975 to five and one-half percent by 2000 (Current Population Reports, 1978). Treas (1977) noted that no longer are the children of these “frail elderly" prime-age adults. The very old in the greatest need of care have offspring who are the "young old" with their declining energy, health, and finances. If family support systems are now taxed by the high ratio of aged to young family members, the future promises little relief. Women still are considered the primary care givers of the elderly. The changing patterns of women's lives will impact upon the adult offspring/parent relationship. The overall annual labor force participation rate for women increased from 43% in 1970 to 3 about 50% in 1978. In June 1978, the monthly rate passed the 50% mark for the first time in U.S. history (Current P0pulation Reports, 1980). Middle-aged women have been entering the work force at a rapid rate. Fifty-seven percent (57%) of all women age 45-54 are now working (Brody, 1979 - U.S. Department Labor Force Statistics, March 1978). Over the past twenty years, a considerable body of research has modified the view of the relationship between the older person and family. This research has provided evidence that although most elderly do not live with their children, family ties usually are maintained. For those 75 years and older, the percentage living with their offspring has stabilized at between 20-25% of the total (Mindel, 1979). Shanas (1973) found that 84% of those over 65 lived less than an hour away from one of their children. Eighty- four percent (84%) had seen at least one of their children within the previous week, and 90% within the last month. An extended family helping network usually exists, ready to provide some assistance to older persons when the need arises (Shanas, 1973; Troll, 1971 aui 1979; Silverman, 1977; Kaufman, 1980). Eighty percent (80%) of the supportive services received by’ elderly individuals living in the community is provided by family members (U.S.Department of Health and Human Services, 1980). The demOgraphic trends show an increased number of older family members who will potentially be in need of care. At the same time, the care-taker generation is becoming fewer in number, older, and more apt to be in the labor force. These trends indicate a need for supportive services for the aging family. 4 One possible method of support. is educational groups that provide information about the physical and psychological aspects of the aging process, discussion of possible needs, and information about existing services and resources before the advent of a. crisis, and reassurance to both middle-generation children and their aging parents (Ragan, 1979). Educational activities, such as educating all generations to understand the difference between the ages, may allay unwarranted fear. A review of Educational Resources Information Center (ERIC), National Institute of Mental Health, and National Council of Family' Relations indicates that the approach of educating the middle generation for better care of the elderly population is so new that it can be considered first round research. Silverman, (1979) in a demonstration project entitled, “As People Grow Older" presented sessions on the issues facing mid-life children and aging parents. She reports that many of the participants in the program felt they gained the ability to deal with their own aging as well as the aging process of their relatives. Without exception, all felt the experience was helpful. The changing social structure, along with the retained value of parental care-giving, points up the need for further study in family needs and a method for using our knowledge to support the aging family. Supporting the middle generation will benefit both the parent and child. The middle generation can then be a model for their children for accepting aging as a natural part of the life cycle. 5 Objectives of the Study 111 the past, much information has been gathered concerning the middle-life parent and adolescent offspring. However, the relationship on the opposite end of the spectrum, aging parent and adult offSpring, is just beginning to come into focus as a time of concerns, stresses, and need for supportive and educational services. The nature of the problem is two-fold. First, today's adult offspring are pioneers in the sense that they face a unique set of concerns as they attempt to carry out their filial responsibilityu Parents are living longer and caregivers are more apt to be older, employed, and fewer in number. More insight is needed as to the fears, concerns, and supportive needs of the adult offspring. Second, the adult offspring as learner is discriminating in the way information is received. A better understanding of the adult learner's preferences for' modes of learning is needed so that the desired information can be presented in a manner that is both applicable and acceptable. Concerns need to be identified and appr0priately addressed. Research Questions The Research questions are designed to clarify the ways the adult offSpring perceive their own needs, and to identify the preferred method of instruction for the area of concern. This researcher is making two assumptions. First, the adult 6 offspring will perceive some problem areas as the needs of aging dependent parent/parents are faced. Second, as the adult off- Spring recognizes areas of concern, some will have an interest in seeking information and support from outside the family unit. Research questions are as follows: 1) What content areas are of concern to the adult offspring? 2) What format would the adult offspring find desirable for receiving information in the area of concern? 3) What are the characteristics of the adult offspring who seek information and support from outside the family unit? Definition of Terms Aging Parent: The person age 65 or over who belongs to the parent generation. Adult Offspring: The person who belongs to the adult son or daughter generation. The offspring has reached mid-life and is at least 45 years of age. Filial Resppnsibility: The adult offspring's obligations to meet the needs of the aging parent. "Duty" is emphasized, rather than satisfaction, and is usually connected with protection, care, and financial support (U.S. Department of Health and Human Services, 1980). Adult Education: Adult education is any planned and organized activity provided by an individual, an institution, or 7 any other instrumentality that is intended specifically to assist any adult to learn and which is under the immediate and continuing supervision of an instructional agent who manages the conditions for learning in such a way as to facilitate the successful achievement of the learning objectives (Axford, 1980). Educational Gerontology: The study and practice of instructional endeavors for and about aged and aging individuals (Sherron, 1978). Matrix: A data collection system used with the interview schedule (see question 178.5 - 178.17 Appendix B). The content areas were listed on the vertical axis and methods of instruction on the horizontal axis. The participant was asked if' he/she desired information and, if so a method of instruction was selected. The matrix facilitated a systematic comparison of con- tent and format. CHAPTER II REVIEW OF LITERATURE The review of literature is divided into three sections. The first section deals with the concerns and issues that face adult offSpring as they take on filial responsibility. The second section deals with adult education and the characteristics of the adult learner. The third section eXplores the possibility of interaction between adult education and the perceived needs for information and support from Outside the family unit by the adult offspring. Issues and Concerns for Adult Offspring with Aging Parents A review of the literature shows that certain issues and concerns already have been identified as being particularly relevant to the adult offspring/parent relationship. The adult offSpring has the task of meeting his/her own developmental needs, including both physical and psychological changes. The inter- related issues oH\mu:eg:He=z m N e m a H mm: mEHH m N e HH 0 N mcoHHeoHcassoo a e e HH H N Heeeaem HHHEan H m m NH m m gHemo\mmoH m m m a HH m aeHeaeeHe am :O:Hmcm:o HcH 1- N - HH mH HH :u mz HecoHHoEN - e e m mH mH mmmLHm N o m m m mH mmmcHHH uHcocgu Hecomcme 2... age“... 2. 3 Hum H: H: gmcHEOm aosmxcoz mcHHmmcaou Humnaam HcheaHoHnge om co ummemv eme< H: OH: ou an :o HHO HmcH He meeeHez eeH Lee ee HHe eHeHmHa Hue ?ueen .HH mamaH 60 In summary, workshop with those of similar problems was the mode for the method of instruction. Media was the least frequently selected method of instruction. Instructional methods which permitted the adult Offspring some control over the presentation of material were preferred over methods in which the presentation was controlled by another individual. The method of instruction was examined in relationship to the nature of the subject material. When the subject material was more personal in nature, the adult Offspring preferred methods of instruction which involved personal interaction. Conversely, when the subject material was informational, individual learning methods were preferred. 61 Research Question 3 What are the Characteristics of the Adult Offspring who Seeks Information and Support from Outside the Family Unit? All respondents chose at least one content area in which they desired to receive additional information. Based on a possible 13 topic the median point for number of areas chosen was 11.51. For analyzing the characteristics of adult offspring who sought additional information. The sample population was divided at the median point. The adult Offspring that chose 1-11 content areas were categorized as low interest. Those who chose 12-13 content areas were categorized as high interest. Twenty-three adult offspring are in the low interest group and 27 in the high interest group. Table 18 illustrates the frequencies for the total sample population. Low interest groups and the high interest groups across the characteristics of sex, marital status, educational level, age and family income are detailed in Table 18. 62 TABLE 18. Demographic Characteristics by Frequency Distribution of Adult Offspring Who EXpressed High and Low Interest (N = 50) Characteristic Total Low High Respondents ' Interest Interest SEX Female 44 21 21 Male 6 2 4 MARITAL STATUS Married 42 21 21 Widow/Widower 3 -- 3 Other 5 2 3 AGE* 35 - 39 2 -- 2 40-44 6 1 5 4S - 49 19 8 ll 50 - 54 8 4 4 55 - 59 8 4 4 60 - 64 6 5 1 65 - 69 1 1 -- *Mean 50.5 53.0 48.3 Standard Deviation 7.09 7.30 6.25 RACE Caucasian 50 23 27 Black -- -- -- Other 63 TABLE 18 - Continued Characteristic Total Low High Respondents Interest Interest EDUCATIONAL LEVEL 9 - 11 Completed 1 -- 1 High School Graduate 9 7 2 Some College or Vocational l3 7 6 Bachelors Degree 12 3 9 Some Graduate Work 8 2 6 Masters Degree 4 3 1 Beyond Masters 1 -- 1 Ph.D. 1 -- 1 No Response -- -- 1 FAMILY INCOME 5,000 - 9,999 2 l 1 10,000 - 19,000 6 3 3 20,000 - 29,000 13 5 8 30,000 - 39,999 12 5 7 Over 40,000 12 5 7 Median No Comment 5 4 l 64 TABLE 19. Scatter Diagram for Average Age by Number of Content Areas Selected* (N = 50) Average Age 56.6 3 56.3 1 56.0 1 55.5 2 52.6 4 52.0 3 51.3 4 50.0 1 47.5 13 47.0 1 46.0 1 44.5 14 Number of Subject 1 2 3 4 5 6 7 8 9 10 11 12 13 Areas *The average age of the person who selected a given number of content areas is on the vertical axis. The numbers in the body represent the number of persons who selected a given number of content areas. The number of content areas selected is on the horizontal axis. As the age decreases the number of content areas chosen tends to increase. _J 65 In summary, the sample was divided at the median point into those offSpring with low interest and those with high interest in receiving additional information in the content areas. A tytest of comparison of means indicated the age means where significantly different at p.<.05. As age decreased, the requests for additional information increased. The level of formal education may be a possible indicator of low or high interest in additional information. Those adult off- Spring who had higher levels of education showed a higher interest in receiving additional information. There was no difference between high and low interest among sex or income levels. DISCUSSION The discussion is presented in three sections 1) Research Question 1, 2) Research Question 2 and the Interaction Between Questions 1 and 2, and 3) Research Question 3. Research Question 1: What Content Areas are of Concern to the Adult Offspring? An interest in additional information was eXpressed in all areas of concern; knowledge of the aging process, dealing with chronic illness, cuping with stress, community resources, physical areas of the elderly, emotional needs of self/elderly, making 66 the home safe, intergenerational relationships, coping with death and loss, the family as a support system, improved communications, time use/family and work, nurturance and love. Each of the content areas was indicated by at least 56% of the sample as being of concern. Any content area chosen 33 times or more could not have happened by chance alone. (see Table 15). The median for the number of subject areas chosen was 11.5. The high level of interest for additional information by the adult offspring may reflect two factors. One, parents frequently continue to be a significant other in the life of their children (Alam, 1978). Any information that can lead to a better quality of life for the parent might strike a responsive note. Secondly, the research was being done by an interviewer from a university that supports an adult education program. The participants may have felt that an affirmative response would lead to having infor- mation made available. The level of reSponse will be addressed further in question three. The data suggests another line of inquiry. Eleven of the 13 content areas could not have been selected at such a high frequency level by chance alone. Similarities within the content areas give some indication of the reasons for the ranking order. Knowledge of the aging process and dealing with chronic illness were bi-models. Both content areas are related to physical aspects of aging. Physical changes and illness are an integral part of the aging process. 67 Kasworm (1978) suggests that adult learners wish information that is directly related to the immediate concern of daily lives. The adult offspring of this study, as well as the parents, are at the age where the results of the aging process is relevant. The mean age of the adult offspring and parent are 50.50 and 76.88 respectively. Havighurst (1948) described the developmental task of middle-age as meeting the responsibility for needs of the aging parent. Neugarten (Cohn and Gans, 1978) suggested that physical changes are apparent to the mid-life person, and they begin to count time as time-left-to-live rather than time-from-birth. Sixty-eight percent (68%) of the sample population indicated they were concerned about the general health of their parents (Appendix 8, Question 117). Johnson (1977) suggested that good health of the elderly is an important variable in how elderly parents and their adult offspring regard one another. Robinson (1978) stressed that adult offspring feel a sense of confinement when parents become ill. How well a parent ages and copes with illness impacts on the adult offSpring. Knowledge of the aging process and dealing with chronic illness might be of interest to adult Offspring for both personal and parental reasons. The content area of coping with stress was selected by 42 adult offspring. Question 173.3 (see Appendix B) asked the participants what their greatest stress was when considering parents becoming dependent. Emotional stress was cited by 25 adult Offspring. Physical stress was cited by seven adult offspring. Time stress was indicated by 13 adult‘offSpring. 68 Financial stress was indicated by one. NO concern was indicated for financial stress. Combining emotional, physical stress and financial 92% indicated a concern. The content areas of family as a support system and improved communication were significant at the p.< .05 level, but rank 10 and 11 (see Table 15). The content areas of time use for family and work and love and nurturance were not chosen at a significant level. The subject material in these four areas can be viewed as aspects of the interpersonal relationship of the adult offspring and their parent. This relationship is one of involvement and satisfaction for the adult offspring. The data. suggests the adult offspring and their parents were conmunicating. Ninety percent of the adult offSpring visit with their parents weekly (see Appendix 8, Question 24). ‘Thirty-nine respondents (78%) indicated they have a regular telephone conversation with their parents (see Appendix 8, Question 43). The adult offspring indicated weekly sharing through time spent with the parent, meals, and family activities (see Appendix 8, Questions 24-38.1). Gifts for special occasions were part. of the sharing pattern. The relationship was rated as satisfying by' 96%. of the adult offspring (see Appendix 8, Question 76). The communication, visiting, and nurturing patterns found in this sample correspond with the findings of Shanas (1973). Shanas reported 84% of those 65 and over had seen at least one child within the previous week, and that 80% of the supportive care was done by the family. 69 In summary, there was a significant level (p.<.05) of requests for additional information “hi eleven of the thirteen content areas. The significant level of responses could be a result. of the regard and concern the adult. Offspring hold for their parents. Knowledge of the aging process and dealing with chronic illness were bi-modal. Both are relevant to the life of the adult offspring as well as to the parent. The four content areas that were less frequently selected (i.e., family as a support system, improved communications, time use for family and work, and love and nurturance) relate to aspects of the personal adult offSpring/parent relationship. The lower response rate in these content areas may reflect the adult offspring's satisfaction with their parent relationship. Research Question 2, and Interaction Between Questions 1 and 2: Research Question 2: What format would the adult offspring find desirable for receiving information in their area of concern? The respondents showed a preference for methods of instruction that allowed them a measure of control over the material and its presentation. Knowles (1974) suggested the greatest difference between children and adults is that children see themselves as a dependent personality; however, adults are self-directing. Andragogy is based on the adult. being self- directing and treated with respect. The adult educator should plan with the adult learner a sequence of experiences that will produce the desired learning. 7D Loege, et. al. (1963) suggested that adults must be free to assess and reject the expert knowledge of the instructor in light of the results of their own experience. A workshop with those with similar problems, was the mode of instruction selected by reSpondents. Workshops offer both control and support to the adult learner. Seminar with small groups offer an interaction 'h1 which the learner can exercise some control. Adult learners are in control of the type of reference materials they desire and from whom they receive them. One-to-one counsel is a personal interaction that offers a degree of control to the participant. Conversely, a unini-course (lecture) involves the Inaterial which is prepared and presented entirely by another. Media was the least desired method of instruction. With media not only is the material prepared and presented by another, there is no opportunity for questions. Apolonio (1981), in the National Assessment of Family Education Needs, used a sample Of family professionals. These professionals listed among the most needed support services “Educational Television Programs with Family Themes." The findings of this study, however, suggest the adult does not wish to use media as a learning method for interpersonal relationships. More personal methods of instruction may have been preferred because they offer both personal interaction with another person or group and allow the adult offspring to be partner in the learning experience. 71 The care of a parent is a personal and sometimes an emotional experience. The selection of methods of instruction for areas of concern reflected this. The workshOp1 with those with similar problems was perceived as having elements of a support system. Ragan (1979), stated that support groups for~ middle-generation caretaking adults allows peers to discuss their concerns about the various adjustments they are called upon to make, and to share strategies for coping with their parents' aging. Such groups provide Opportunity to air feelings Of frustration, guilt and conflict evoked by trying to fulfill aging parent's expectations, while struggling to maintain time for the realization of personal expectations. The content areas which may evoke an emotional response are chronic illness, c0ping with stress, emotional needs, taping with loss and death, intergenerational relationships, communication, love and nurturance, and time use. For these content areas the method of instruction was skewed toward the end of the continuum that allows personal involvement. Reference materials was the selected mode for subjects that were informational in nature, such as community resources, making the home safe and physical care. The adult Offspring chose to be self directed where support was not perceived as a part of the educational experience. 72 Research Question 3: What are the Characteristics of the Adult Offspring Who Seeks Information and Support from Outside the Family Unit? The primary characteristic that divided those who indicated low interest (chose additional information in 1-11 content areas) and those who indicated high interest (chose additional information in 12-13 content areas) was the age of the adult offspring. The mean age for the adult offspring who indicated low interest was 53. The mean age for those who showed a high interest was 48.3. The number of content areas selected tended to increase as age decreased. Brody (1979) suggested that some middle-aged women can be characterized as "women in the middle." They are in the middle between the demands of their parents and children. The 48—year-Old may be more apt to have the last of her children at home and be adjusting to the absence of those who have left home or are in the process of leaving. They are women who are feeling the conflicts of transition. The 53-year-Old may be more likely to have made the major part of the adjustments to the “empty nest“ stage and would not be eXperienc- ing as much stress within the nuclear family. Fifty-seven percent (57%) of all women age 45-54 are now in the labor force. (Brody, 1970 - U.S. Department of Labor Force Statistics, March, 1978). Silverman (1978) proposed that such changes in social values and forms as are indicated by the in- creasing participation of middle-aged women in the labor force 73 can lead to conflict and guilt. The women are again in the middle between demands. The younger age of the adult offspring who shows the higher interest in information and support from outside the family unit may be related to the stage of the nuclear family and increased participation of women in the work force, both of which might put stress on the female caregiver. Education level gave some indication as to whether the adult offspring would demonstrate a low or high interest in receiving information on the tOpics. Seventy (70%) percent of those participants who had a high school education or less selected a low interest in further information. Sixty-two (62%) percent with education beyond high school indicated a high interest in further information. The two persons with Ph.0. degrees had a high interest level. Cross (1981) reported that one of the most consistently reported findings on adult learning is that the desire for learning is apparently additive and insatiable. The people taking advantage of learning opportunities are those who are already among the most educated. The findings of this research seem to be in agreement with Cross. Seventy-eight (78%) of the sample had at least some education beyond high school. The median number of content areas in which additional information was requested was 11.5 out of a possible 13. This response level was significant at p.< .05 in 11 of the 13 subject areas. Age is a possible indicator for those who seek additional information outside the family unit. The data suggests education level might prove to be an indicator. This research did not cite any other characteristic that could be used as an indicator. 74 In summary, an interest in additional information was eXpressed in all thirteen content areas. Knowledge of the aging process and dealing with chronic illness were bi-modal. Each of these content areas dealt with aspects of the aging process and related to both the adult offspring and the parent. The adult offspring indicated satisfaction with their parent relationship. Content areas that dealt with aspects of the interpersonal relationship were requested less frequently. The level of requests for eleven of the thirteen content areas were signifi- cant at p.<.05 using a Z statistic. The node fOr method of instruction was workshop with those with similar problems. Media was the least requested method of instruction. The adult offspring selected instructional methods that allowed for personal interaction for subject material that was personal in nature. Independent forms of instruction were selected for material that was informational in nature. The adult Offspring preferred methods of instruction that involved them in the presentation of the material. The age of the adult offspring was an indicator of a high or low interest in additional information. As age decreased the requests for additional information increased. Formal educational level may be a possible indicator of interest in additional information. The higher the education level the greater the interest in additional information. CHAPTER V SUMMARY, IMPLICATIONS, CONCLUSIONS The study being reported was a pilot study that explored the concerns of adult offspring facing filial responsibility and the potential of educational gerontology as a method of addressing concerns. It only has been recently that the adult offspring] parent relationship has been given attention through research. Educational gerontology is one of the most recent additions to the field of study and practice related to the process of human aging. A review of Educational Resources Information Center (ERIC), National Institute of Mental Health, and National Council of Family Relations indicated that the approach of educating the middle generation for better care and understanding of the elderly population is so new that it can be considered first round research. SUMMARY Fifty (50) adult offspring age 45 plus were interviewed in a one-to-one interview. The interview schedule explored patterns of family interaction, health care, use and non-use of community 75 76 resources, living arrangements, attitudes and perceived needs of the adult offspring as they face filial responsibility. The interview schedule used a matrix to record the data. This allowed the linking of possible content areas of concern with methods of instruction. The matrix was the primary focus of this research. The content areas were selected from areas of concern most frequently occurring in existing gerontological literature. The content areas are as follows: knowledge of the aging process, dealing with chronic illness, coping with stress, community resources, physical care of the elderly, emotional needs of self and elderly, making the home tsafe, intergenerational relationships, coping with death and loss, the family as a support system, improved comnunications, time use/family and work, and nurturance and love. The adult offspring were asked if they' wished additional information on the content area of concern. If an affirmative response was given, they were asked to choose a preferred method of instruction. The six methods of instruction listed in the matrix represent those used in adult educational programming. The methods of instruction are as follows: one-to-one counseling, workshops with those with similar problems, small group seminars, mini-course (lecture), reference materials, and TTedia (T.V., radio). The methods from those which have a high degree of involvement between the adult offspring and another person or group to methods the adult OffSpring can carry out independently. 77 The number of persons who selected a given content area was significant for eleven of the thirteen content areas. Using a Z statistic with p.<.05 the significant content areas are in descending order: khowledge of the aging process, dealing with chronic illness, caping with stress, community resources, physical care of the elderly, emotional needs of self/elderly, making the home safe, intergenerational relationships, coping with death and loss, the family as a support system, and improved communications. Time use/family and work and nurturance and love are not significant using a 2 test of proportion with p.<.05. The median number of requests was 11.5. One possible explanation for the demonstrated interest in additional information is the degree of caring indicated by the adult offspring for their parent. All 50 participants lived within an hour of the parent and were communicating, sharing meals and activities and spending time with their parent on a regular basis. The parent/adult Offspring relationship was seen as satisfying. The parents quality of life is a concern of the adult offspring. The sample was divided at the median point. Those who re- quested 1-11 content areas were indicated as having low interest. Those who requested 11-13 content areas were indicated as having high interest. There was a significant difference between the age of those with high and low interest using a tytest (p.<.05). The younger the adult Offspring, the more likely they were to request a greater number of content areas. The existing research 78 suggested reasons for this interest by the younger offspring. The younger adult OffSpring are more apt to be in the middle between his/her nuclear family and the family of origin. The women age 45-54 are in the labor force at an unprecedented level (57%), placing them 'hi the nfiddle between career and home obligations. Mid-life adults are in the develOpmental stage of learning to COpe with both their own and parents' aging process. Education also was cited as a possible indicator for the level of responses to the content areas. The median educational level for the sample was a completed bachelor's degree. Of the adult offspring with a high school education or below, 70% indicated a. low interest level. Of the adult Offspring with education levels beyond high school, 62% indicated a high level Of interest. The two persons with Ph.D. degrees had a high interest level. The respondents with the most years of formal schooling indicated the greatest interest for additional information in areas of concern. Knowledge of the aging process and dealing with chronic illness was selected by 43 adult Offspring. Both content areas relate to the concern Of the aging process. The mid-life off- spring may find additional information about aspects of aging relevant to their own lives as well as to the life of their parent. The request rate was lower for content areas that are related to aspects of the adult. Offspring/parent relationship; family' as a support system, improved communication, time 79 use/family and work, and nurturance and love. Response to questions about conmunication patterns indicate that 90% Of the adult OffSpring are visiting with the parent at least weekly, 78% communicating by telephone and all sharing activities. The adult offspring indicated they are sharing time, gifts, and supportive services. The relationship is perceived as satisfying 96% of the sample population. It is suggested that the adult offspring have a feeling of confidence in their abilities to love, manage time, communicate with the parent and be supportive. There was a relationship between the nature of the content area chosen and method of instruction. In content areas that were more personal, such as dealing with illness and coping with stress, the method of instruction selected also tended to be more personal. Personal methods of instruction are workshops with those with similar problems, small group seminars and one-to-one counseling. Conversely, non-personal methods such as reference material, mini-course (lecture) and media were preferred for informational material. Methods of instruction that allow the adult learner control and interaction such as workshops, seminars and use of reference materials were preferred over those which were controlled by another. Material and presentation are controlled by another in media and mini-course. 80 IMPLICATIONS The findings of this exploratory research study have implications for gerontology, adult education, and for future research. Gerontology: Gerontology is concerned with all aspects of the person and family living during the latter half of the life cycle. However, middle-aged men and women generally have been overlooked as a group. The result of this research indicates that the elder generation is not the only generation concerned about aspects of aging. The mid-life offspring showed a high interest level for additional knowledge of the aging process and dealing with chronic illness and stress. The overall pattern of interest for additional information coupled with the level of communica- tion, visiting, and sharing of the parent and offspring indicate that the adult Offspring are taking their filial responsi bility and seeking support outside the family unit. Family life educa- tion is needed to teach the aging family. Extension programs within the comnunity could give support to the mid-life offspring and thereby aid the middle and elderly generation. This study has implications for those who are involved in health care. The adult offspring requested information about such content areas as chronic illness, physical care of the elderly, and coping with death and loss. Workshops with those with similar problems was the selected mode for learning. Clinics, nursing 81 home and hOSpitals should take the adult offspring into consider- ation when dealing with the physical and psychological problems of the aged. Seminars or workshops for families could offer support to the family as they face problems of aging parents. The in- formed offspring would be better prepared to understand and work with treatment programs. The study indicates that the adult offspring are willing to assist their elderly parents. This willingness has implications for policy makers. Programs and policies that offer assistance to the adult offspring with aging parents may be more beneficial in the long run than programs that bypass the offspring. For example, a change in funding for Medicare to allow' expenses incurred in adapting a home for an elderly parent may be much less costly and address family needs more effective than sending the elderly person to a nursing home. The development of such programs as day care for the elderly would assist the working caretaker. Providing needed assistance to the offSpring may well be cost effective. A supportive family is a valuable asset for the elderly. Adult Education/Intergenerational Education: The high interest in additional information may well indicate a target audience for adult education programming. Content areas frequently requested were aging, health care, coping with stress and COping with emotional needs. The findings of this study support previous research in adult education. The adult learner is problem centered, self-directed, 82 interested in learning what has immediate application, and wants to have control. Education can blend the techniques of adult education with the concerns of the mid-life offspring. This would allow the adult offspring to utilize their own experiences while learning. Educational gerontology is a new area of endeavor. A pilot progrwn offering 13 selection of subjects from, for example, the five most frequently' mentioned areas of concern, and using a workshop format could offer an opportunity to test this study. Both the adult offspring and researcher in education might benefit. A pre-test, post-test and evaluation would be a critical part of the program. The interest. hi a workshop with those of similar problems not only suggests a method of instruction, but also suggests a way to promote the educational opportunity. Promotion may highlight the opportunity to join those with similar concerns. A program could give an opportunity' to involve the larger comnunity. Representatives from health care industries, social services and community organizations that offer services for the elderly could be included to give a diversified program and build a community support network for the adult offspring. Women are the primary caregivers for the elderly. Today's woman is apt to be employed because more middle aged women are in the labor force than at any previous time in history. Special attention should be given to when and where the program would be presented. Further research may' be needed to get the proper combination of location and time. 83 Organizations such as NOW and Women's Resource Center offer a ready-made avenue for informal learning Opportunities. Organi- zations directed at the needs of women can be both supportive and informative. Media was the least frequently selected method of instruc- tion. The lower response level for media may indicate that it is not an acceptable avenue for teaching material that is as personal as aging and adult offspring/parent relationships. Future Research: The selected content areas were based on areas of concern that were found in the existing literature. They proved to be of concern for the sample population of this study. The range of methods of instruction allowed participants to choose the degree of involvement they thought appropriate and non- threatening. The one-to-one interview in the home of the adult offspring allowed a relaxed and open exchange. The interview was a learning experience for the participant. Concerns were verbalized and in some cases questions answered. If at all possible, it is helpful if the interviewer can have c0pies of directories Of community services for the participant. Analysis would be more productive if more Of the responses were recorded as interval or ratio data to allow for more sophisticated statistical procedures. Variables should be identified using the same terminology' throughout. the interview schedule. 84 It would be helpful to ask the adult offspring to rate their interest in the content area instead of responding yes or no. They may have responded in the affirmative when in reality there interest level was low. The sample was homogenous; Caucasian, predominantly female and predominantly college educated. The addition to the research team of interviewers from the minority communities might increase minority participation. Representation of the minority popula- tion would give a more representative sample. The sample was drawn from the Michigan State University community. Even though three counties were covered the overall education level is high. A replicated study in a rural or blue collar comunity would allow for comparisons that cannot be made with this sample. The research raises the question as to why the adult offspring whose mean age is 48 is more interested in additional information than those with a wean age of 53. A longitudinal study of those persons with high interest might give insight. The interview could be repeated in five years. This researcher suggests that if the high request rate was due to pressure created by the "emptying nest" phase and mid-life developmental needs, the need for information will decrease. If the high level of response was created by pressures from the unprecedented number of women in the labor force and the increased number of elderly needing care, the interest level should remain high. 85 Further research might be aimed at the correlation between the desire for information and level of education. Collecting education level data on a ratio level would allow for closer examination. It might be suggested that persons with lower educ- ational level seek less information because the educational options are threatened because they perceive less need or do not consider education effective. This sample was predominantly mothers and daughters. Research of the relationship between fathers and sons is an unex- plored area. A similar research study using a sample of fathers and sons could add further insight to the families involvement in parent care. Are the concerns of males different, from those expressed by the female population? As females increase their participation in the labor force male involvement in parent care may be of increased importance. CONCLUSION Few studies have addressed the education of adult offspring for their role with aging parents. It only has been recently that the concerns of this adult Offspring/parent relationship has begun to come into focus. The overall objectives of this study were to address questions about (1) the areas of concern for adult offSpring as they face filial responsibility, (2) the preferred instructional 86 method for information in the area of the concern, and (3) the characteristics of those who seek additional information outside the family unit. Following are the conclusions for each question. 1. Content Areas of Concern to both the mid-life adult offspring and the parent were selected most frequently. Knowledge of the aging process, dealing with chronic illness and c0ping with stress were highly significant, using a Z test of proportions at p.<.OOOOO68. The selection of time use and love and nurturance could have occurred by chance alone. Twenty-seven of the 50 adult offspring selected 12-13 of the 13 subject areas as being areas of concern, the median was 11.5. The adult Offspring have concerns about several aspects of their relationship with the aging parent. 2. Methods of Instruction which allowed personal interaction were preferred for content areas which were more personal in nature. Workshops with those with similar problems, small group seminars, and one-to-one counseling were chosen most frequently. For material (Hi an informational nature, instructional methods that allowed the adult Offspring a degree of control over the presen- tation were preferred over mini-course (lecture) or media. 3. The Characteristic Of age was found to be an important indicator of those who sought information outside the family unit. The younger the mid-life respondent, the higher the interest in additional information. 87 Education level was not tested for significance, but tended to be an indicator for the number of requests for additional information. The more formal education, the more open the respondents were to additional information. Neither sex nor income were indicators for the amount of information sought by the adult offspring. This is an eXploratory study which suggests the family is a caring unit and is interested in additional information and support through education. Further research should test the re- lationship between age, education, sex and race and the desire for further education. Collecting education level data on a ratio level would allow for closer examination. This research hypothesizes that persons with lower educational level seek less information because the educational Options are threatening and they consider education too impersonal to be effective. This sample was predominantly mothers and daughters. Research of the relationship between fathers and sons is an un- eXplored area. A similar research study using a sample Of fathers and sons could add further insight to the family's involvement in parent care. This researcher hypothesizes that males would express a desire for less personal and more informational material. As females increase their participation in the labor force, male involvement in parent care may be of increased importance. Pilot studies in formal and informal settings would give important insight to the adult offspring's needs. The middle 88 generation has accepted responsibility and deserves support. The findings of gerontology coupled with the principles of adult education can offer many options to the mid-life adult facing filial responsibility. APPENDICES APPENDIX A 89 . 2.: .a on bus. .9 .- .au 50‘.- .- 33.. .22. :2. .o e: 2.. .. .2... . . 1.1:... .a a. .oao .9 Adam so... .- Ha..ao .Hooc-ou 5.0- .3 to. 0:. -. Hoc- .ao. cos. oeol .. It... .0 . 1.... .o . .l-.oco .o .055. .s o... .- Hoooc soon 3. 00.... soHJooovsco.,o u... so. on a... can. a... 1.. , 03- .0 - .30. .o 1l-oco .o .oo... .v 1-Iococ .- .a..c so; as a... on..—. a... :0: H... soc. neon .. . . on. .u s... .0 , on. .0 cosa. .u .llucoc .c Hos-a so. oi o.o.aosos on.... pool so: use. 3.3. 050- .. .. etc .9 ; s... .o . 111cc. .4 .oosa. .s 1.10.0: .- Hooeo .Hcaou..c. on. c. a... H...... a... .0 u... no: 53:. Inc. oeel .. . 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[93 p u a 3003 O 390‘.) 0&2 6.8. 2.3.5.. -I. ...: .... 32.3.8... 9.12:3 ... ... .....u ... 2...... 0.. ...: .8. 0...... 0.. ....c..o.. 2.0.2.... ... 29.2.3... 0.. ...: 2.52.8 -..... ......» ....o a... ....- ..q........... -..... 3...... 0.. ...: ......ol....... ..< .ul.. me- .~ ..0.....3... o... ...... ... 2.2.3.... a... .0...... ...: ....e...o.... ...- o. ...... 0.. 2... .6. .59.... ... .2... 2... 20.3.3.3... 0.. ...: ....a 3.0.5.5... ...0. ... oi... ......» ... 32. o... ...: to... -.o... as. .0... 9:...ae ea..... 12-..... 2...... .2. 2.5... 3:93.. .3.: 35.8 5.5.9.3.. 55.8... o... 5...... 3...... ....- ..u»..uo...o. m. ....o an ..a... .a 0.. .....e... ......u ....- .go... o... ......» -.o.=. oz. :. u.aa.u...oa o. .3....3. ......z ...... ...... -..... .1..: .... 03.6... ...... .....u -....a... 9...... ...... .....o... .... ...... ...... 3:... .23.... .... ...—... a ... .5... 0.. ...: 3:... ...: .5... ......u -.....u 5..—.63.... ...... ..0..?5. m>....2...... .... ...vc: ..m... .3.... ... ...... ....o.-...-...........:o.. ...... .=o. .c. ..u.:a:oe 9:. .cc. ..v:. ....a ......z. 2...... .52.... 5.55... -..... o... ...c... ...:- ...:.o. a. .. 2:... a... .o 32...... o... .25.. 1.3.3.2533... .... ...... 3:... -....o, ...... o... 3...... .... ...oiu... ......a ..o... ...... .22.... :2... 9...»... o.- .oo:..... 3...... .92... v... ... 0.2... 2. a. .6... an... .95.... u... ... ...-... o... a. 3.2. .3.. .c- .o a. :. u.o .u.ucooo ou.>.u. ....o ...e........... .2323...» .. .3.... ...... o... ... .... 3 2...... «...... P: :25... ...... 59.2.... ..0..... ... 23.3.... .2. ...... ...... 932...... o... ......330332; 2...... 2. ... .... 9...! ...... ...... ......— u’..u.. «...! ...caca. a... ->.. o.o .:c..ma .a=.= .a:.azo=u .. ...-.... 5.2.9! a... ...0. .......< APPENDIX D 2115 CONSENT STATEMENT I would like your help in learning more about the relationships between older adults and their children. I n asking you to let we visit you in your hue and ask you questions about your needs for services, use of public services. and general living situation. During our visits you are free to not answer any question, ask questions of he. , and end our visit at any tine. Our discussion will be between you and he. with no one else seeing your answers with your nae. including your son or daughter who is also particinting in the study. PLEASE READ THE FOLLWING STATEKNT MD SIGN BELUJ: I have read the above stat-ent and-.mpletely understand what is being asted of ee. I would like to participate in this project. Date Signature APPENDIX E 116 I. ................. ............ ... .. ... . ....s. .a—ocuugpm .mEaLuocn ugauau mc—no—m>wu g. pamnpms umos on p——: vugmgm o>ug so» =o_uu5gom:— ugh .muuv. use» conga on mmwcacvp—vx Lao» ucn copuuucaoou Lao» wouupumcnnm a: .xvaum po:o_uauo:mucuu:_ mg» :— a=*umn—u.ugun so» so» scagp coma LIST OF REFERENCES LIST OF REFERENCES Alam, Sterling E., "The Aging Parent and the Adult Child," The Journal of Home Economics, Vol.70, (Fall 1978), pp.26-28. Axford, Roger N., Adult Education: The Open Door to Lifelon Learning, The A.G. Hallin Publishing Company, Indiana, P.A., (1 O). Borland, Dolores C., "Research on Middle Age: An Assessment," The Gerontologist, Vol.18, No.4, (1978), pp.379-386. Brahce, Carl, "As Parents Grow Older," Institute of Gerontology, University of Michigan, (1979). Brody, Elaine, "Women in the Middle," and “Family Help to Older People,“ The Gerontologist, Vol.21, No.5, (0ct.1981), pp.471-479. Brody, Elaine, Linda J. Davis, Mark Fulcomer, and Pauline Jonsen, "Three Generations of women: Comparisons of Attitudes and Preferences for Service Providers," presented 32nd annual meeting of the Gerontological Society, Washington, D.C., (Nov. 1979). Butler, Robert N., "Public Interest Report No.20 - Nhy Shouldn't Providers and Consumers (Older Pepple and Their Families) Joined Together in an Alliance for Older People?" Int'l J., Aging and Human Development, Vol.7 (3), (1976). Cross, K. Patricia, Adults as Learners, Joss-Bass Publications, (1981) Cohen, Stephen Z. and Bruce Michael Gans, The Other Generation Gap, A Warner Communications Company, (1978) Current Population Reports, “A Statistical Portrait of Women in the Unit States: 1978," U.S. Department of Commerce, (Feb.1980). Current Population Reports, “Social and Economic Characteristics of the Older Population:1980,“ U.S. Department of Commerce, (Aug. 1979). Current Population Reports, “Demographic Aspects of Aging and the Older Populationfiin the United States,“ U.S. Department of Commerce, (Jan.1978). Fengler, Alfred P. and Vivian Wood, I'The Generation Gap: An Analysis of Attitudes on Contemporary Issues,“ The Gerontologist, (Summer 1972), part 1. 117 118 Havighurst, Robert J., Developmental Tasks and Education, The University of Chicago Press, (1948). Houle,Cyril 0.,The Inquiring Mind,Madison:University of Wisconsin,196l Hudis, Iris Ellen, et.al., "A Group Program for Families of the Aging: A Service Strategy for Strengthening Natural Supports," Thirtieth Annual Scientific Meeting, Gerontological Society, San Francisco, (Nov.1977). Johnson, Elizabeth S. and Barbara J. Bursk, "Relationship Between the Elderly and Their Adult Children," The Gerontologist, Vol.17, No.1, (1977). Kasworm, Carol E., "Old Dogs, Children, and Watermelon Wine: Focus on the Older Adult Learner," Educational Horizons, (1978). Kaufman, Allan, "Social Policy and Long-Term Care of the Aged,” Social Work, (March 1980), pp.133-137. Kidd, J.R., How Adults Learn, Association Press, New York, (1973). Knowles, Malcolm S., The Modern Practice of Adult Education: Andragogy versus Pedagogy, Association Press, New York, (1974). Knox, Alan B., Adult Development and Learning, Jossey-Bass Publications (1977). Lorge, Irving, Howard McClusky, Gale Jensen, and Wibar Hallenbeck, Adult Education Theory and Method, Adult Education Association of U.S.A., (1963). Mindel, Charles H., "Multigenerational Family Households: Recent Trends and Implications for the Future," The Gerontologist, Vol.19, No.5, (1979). Nie,Norman H.,C.Hadai Hull, Jean G Jenkins, Karen Steinbrenner and Dale Bent, Statistical Packa e for the Social Sciences,2nd Ed,New York, McGraw-Hill, 1975 Ragan, Pauline K., Aging Parents, The University of Southern California Press, (1979). Robinson, Betsy and Majda Thurnher, "Taking Care of Aged Parents: A Family Cycle Transition,“ The Gerontologist, Vol.19, No.6, (1979). Sanders, L. Thomas and Wayne C. Seelbach, "Variations of Preferred Care Alternatives for the Elderly: Family versus Nonfamily Sources,“ Family Relations, (July, 1981). 119 Shanas, Ethel, "Family Help Patterns and Social Class in Three Countries Middle Age and Aging, Bernice Neugarten, The University of Chicago Press, (1973). Sherron, R. H. and 0. Barry Lumsdin, Introduction to Educational Gerontology, Hemisphere Publishing Corporation, Washington, D.C., 1978. Silverman, Alida, "The Presentation of "As Parents Grow Older": A Community-Based Intervention Strategy," 32nd Annual Meeting, Gerontological Society, Washington, D.C., (Nov.26, 1979). Silverman, Alida, Beatrice H. Kahn and Gary Anderson, "A Model for Working with Multigenerational Families," Social Casework, (March 1977). Simos, Bertha 6., "Adult Children and Their Aging Parents," Social Work, (May 1973). 99.78-85. Smith, Linda,“Kinkeeping in the Middle Generation: The Effects of Role Strain.“ Presented at the Annual Meeting of the Gerontological Society, Washington, D.C., (Nov.1979). Spark, Geroldine M. and Elaine Brody, "The Aged are Family Members," Family Process, Vol.4, No.2, (Sept.1965). Strieb, Gordon, "Intergenerational Relations: Perspectives of the Two Generations on the Older Parents,“ Journal of Marriage and Family, Vol.27 (4), (1965). 99.469-476. Treas, Judith, "Family Support Systems for the Aged, Some Social and Demographic Considerations,“ The Gerontologist, Vol.17, No.6, Troll, Lillian, Sheila J. Miller and Robert C. Atchley, Family in Later Years, Wadsworth Publishing Company, Inc., Calif., (1979). Troll, Lillian, "The Family of the Late Life: A Decade Review," Journal of Marriage and the Family, (May 1971), pp.263-285. Social Security Administration, “...thy father and thy mother..." A Second Look at Filial Resoonsibility and Family Policy, U.S. Department of Health and Human Services, Office of Policy, Office of Research and Statistics, (1980). 93 03145 5789 S E R 1111411 A1” R111 $11 L” Y” U” 511” R11 E" W" NH1 U" E11111 T” Am “"47“ NH 1 11