Lena Ashok
Biographic Data
| ID | 1158117 |
|---|---|
| NAME | Lena Ashok |
| GIVEN NAMES | Lena |
| FAMILY NAME | Ashok |
| SIGNATURE | ASHOK L |
| AFFILIATIONS | Manipal Academy of Higher Education |
| ORCID | 0000-0003-2441-3224 |
| VERIFIED | Yes |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 4 |
| WORKS AS AUTHOR | 20 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2020 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Demand-Choice-Dilemma-Decision
The deterioration of family-based care and rising functional impairment among older adults have led to greater reliance on paid care, which remains sparse in low- and middle-income care economies. The present study aims to explore the demands and dilemmas in paid care as perceived by caregivers, receivers, and service providers. A qualitative exploratory design grounded in an interpretivist approach is used to explore demands and dilemmas in paid…
Development and psychometric validation of the measure of alternative care and support (Macs) for community-dwelling older adults
The deeply embedded cultural expectation of filial caregiving in India often creates a nuanced discourse on formal care provisions for older adults ageing outside intergenartional coresidence. The present study aims to develop and validate MACS (Measure of Alternative Care and Support) for older adults outside of intergenerational households. An exploratory sequential design was used for developing and validating MACS, followed by content validat…
Role of spiritual experiences in shaping the quality of intergenerational relationships - exploring views of older adults in South India
Objectives: To investigate how the older adults in India use spiritual thoughts and practices in their everyday lives to shape intergenerational care relationships and cope with challenges in such relationships.Methods: Twenty-five qualitative interviews were conducted with older adults aged 55 to 85 years from two South Indian states from the diverse socio-economic backgrounds.Interview transcripts were analyzed using thematic analysis principle…
Living apart, ageing well
The intersection of increased life expectancy, youth migration, and the disintegration of joint families has led to the emergence of trans-local family structures, where older adults age outside of international co-residence . The concerns of ageing are exacerbated when older adults age apart from their children, often leading to stagnation and loss of vitality in old age . The present study aimed to explore how older adults flourish in South Ind…
Gender-based determinants of psychological distress among emerging adult students in coastal Karnataka
In the study setting, psychological distress was prevalent among emerging adults, with a higher incidence among females. Adverse childhood events and substance use further elevated vulnerability. These findings highlight the critical need for culturally relevant and gender-sensitive mental health interventions
Not all heroes wear capes
The COVID-19 pandemic prompted significant transitions in many lives, with UNICEF reporting that 73% sought help for physical and mental well-being. This study is grounded in life course theory, examining youths’ emotional and behavioral adaptations during this period. The study was carried out to explore the lived experiences of youth during and after the COVID-19 pandemic through photovoice methodology. Employing a qualitative, community-based …
Exploring the Reasons to Age Well in Place
The convergence of youth migration and the disintegration of joint families have resulted in households with older adults living alone or with a spouse. Despite the potential to relocate with their kin afar, older adults in migrant households often choose to age in place amidst the vulnerabilities of long-distance care. The study aims to explore the perceptions and experiences of aging well in migrant households using an inductive approach. In-de…
Shared decision-making among older adults with multimorbidity in Kerala’s primary care
Introduction: Multimorbidity is an increasing public health challenge among older adults, particularly in Kerala, India. Shared decision-making (SDM) is central to person-centered care for this group, yet its implementation remains inconsistent in low- and middle-income countries (LMICs). Methods: This qualitative study explored the experiences and perspectives of older adults with multimorbidity regarding SDM in Kerala's primary care. Sixteen ad…
Enablers and Barriers to Alternative Care
BACKGROUND: Decline of intergenerational co-residence, risk of functional and emotional deprivations in old age, and the diminishing capacity of families to care in-person for their older parents have intensified the demand for formal care provisions among left-behind older adults in migrant households of Kerala. While several attempts have been made to quantify the accessibility and utilisation of geriatric care, there is a dearth of evidence on…
Care Beyond Co-Residence’
The convergence of youth migration and the nuclearization of families has altered conventional living arrangements in India, indicating a sharp rise in the number of families in which older adults live alone due to the outmigration of their adult children. This study aims to explore the perceptions of left-behind older adults regarding long-distance care practices by their adult children and to describe the practical and functional care deficits …
Predictors of Adolescent Internalizing and Externalizing Mental Health Symptoms
The age of the adolescent, their gender, and the type of school they attended emerged as predictors of the emotional and behavioral problems among them
Perceptions of safety during everyday travel shaping older adults’ mobility in Bengaluru, India
Our findings indicate that the use of public transport needs to be encouraged among older adults by enhancing necessary safety features following the age-friendly cities framework. Furthermore, it can help policymakers develop transport polices, which suit the mobility needs of older adults
Job stress amongst female faculty members in higher education
Women academicians in higher education in India have a more rigorous path to follow than their male counterparts in achieving their due professional status. There are several factors that hinder their progress, including patriarchal concepts in certain role expectations from women; stereotyping of women in certain roles; and non-acceptance of women in certain others. The notions about women that have thus got embedded in the higher education sect…
Defining e-research in social work
The COVID-19 pandemic disrupted social work researchers for whom fieldwork is the crux of data collection. Resilient as humankind is, researchers must innovate to look at society and communities digitally. This review paper explores e-research as an option for social researchers. It summarises and synthesizes existing literature on digital research in social work. What is e-research? What is the position of the researcher in this context? What ar…
Unpacking the role of transport inequalities among older adults for accessing healthcare in Bengaluru, India
Mobility, access to transport and healthcare play a crucial part in healthy ageing. However, these often posechallenges for older adults in the global South. This study applies the three concepts of 'motility' (access, competence and appropriation), to explore transport inequalities and barriers to access healthcare services for older adults in Bengaluru, India. The paper draws on interviews with sixty adults, aged 50 years and over, residing in …
Views and experiences of adult children concerning intergenerational relationships with their older kin
The tradition of intergenerational care and support exchanges in Indian families is assumed to be disturbed because of changes in family structure brought on by modern life, which is mainly based on studies investigating experiences of older adults regarding the impact of socio-economic change on their care arrangement. However, there is a large gap in understanding the experiences of adult children from a larger relational perspective, more than…
“Through their eyes, I can work” – rural physicians' perceptions about mobile phone use among community health workers – a qualitative analysis
Purpose Physicians who are primary care providers in rural communities form an essential stakeholder group in rural mobile health (mHealth) delivery. This study was exploratory in nature and was conducted in Udupi district of Karnataka, India. The purpose of this study is to examine the perceptions of rural medical officers (MOs) (rural physicians) regarding the benefits and challenges of mobile phone use by community health workers (CHWs). Desig…
Women in Higher Education
Higher education is anticipating vacancies in senior leadership positions over the coming years. Women are likely to be candidates for these openings, as the number of women pursuing doctoral degrees is rising. However, in the present scenario, there is a dearth of women in senior leadership positions in India. With a purpose to identify the factors influencing the decision of women to take up senior leadership positions, a cross-sectional survey…
Work-Life Balance and Gender Differences
Teaching responsibilities in today’s higher education sector are increasingly demanding. Apart from the focus on the quality of teaching-learning activities, teachers of today are evaluated for their active involvement in professional and societal growth. Women in academia shoulder equal responsibilities as of men, but in India, women play multiple roles in the non-work setting unlike men. The primary objective of this cross-sectional study was t…
Older adults in traditional and modern living arrangements in southern India
Older adults in traditional and modern living arrangements in southern India
Views and experiences of adult children concerning intergenerational relationships with their older kin
The tradition of intergenerational care and support exchanges in Indian families is assumed to be disturbed because of changes in family structure brought on by modern life, which is mainly based on studies investigating experiences of older adults regarding the impact of socio-economic change on their care arrangement. However, there is a large gap in understanding the experiences of adult children from a larger relational perspective, more than…
Older adults in traditional and modern living arrangements in southern India
Women in Higher Education
Higher education is anticipating vacancies in senior leadership positions over the coming years. Women are likely to be candidates for these openings, as the number of women pursuing doctoral degrees is rising. However, in the present scenario, there is a dearth of women in senior leadership positions in India. With a purpose to identify the factors influencing the decision of women to take up senior leadership positions, a cross-sectional survey…
Work-Life Balance and Gender Differences
Teaching responsibilities in today’s higher education sector are increasingly demanding. Apart from the focus on the quality of teaching-learning activities, teachers of today are evaluated for their active involvement in professional and societal growth. Women in academia shoulder equal responsibilities as of men, but in India, women play multiple roles in the non-work setting unlike men. The primary objective of this cross-sectional study was t…
“Through their eyes, I can work” – rural physicians' perceptions about mobile phone use among community health workers – a qualitative analysis
Purpose Physicians who are primary care providers in rural communities form an essential stakeholder group in rural mobile health (mHealth) delivery. This study was exploratory in nature and was conducted in Udupi district of Karnataka, India. The purpose of this study is to examine the perceptions of rural medical officers (MOs) (rural physicians) regarding the benefits and challenges of mobile phone use by community health workers (CHWs). Desig…
Job stress amongst female faculty members in higher education
Women academicians in higher education in India have a more rigorous path to follow than their male counterparts in achieving their due professional status. There are several factors that hinder their progress, including patriarchal concepts in certain role expectations from women; stereotyping of women in certain roles; and non-acceptance of women in certain others. The notions about women that have thus got embedded in the higher education sect…
Defining e-research in social work
The COVID-19 pandemic disrupted social work researchers for whom fieldwork is the crux of data collection. Resilient as humankind is, researchers must innovate to look at society and communities digitally. This review paper explores e-research as an option for social researchers. It summarises and synthesizes existing literature on digital research in social work. What is e-research? What is the position of the researcher in this context? What ar…
Unpacking the role of transport inequalities among older adults for accessing healthcare in Bengaluru, India
Mobility, access to transport and healthcare play a crucial part in healthy ageing. However, these often posechallenges for older adults in the global South. This study applies the three concepts of 'motility' (access, competence and appropriation), to explore transport inequalities and barriers to access healthcare services for older adults in Bengaluru, India. The paper draws on interviews with sixty adults, aged 50 years and over, residing in …
Views and experiences of adult children concerning intergenerational relationships with their older kin
The tradition of intergenerational care and support exchanges in Indian families is assumed to be disturbed because of changes in family structure brought on by modern life, which is mainly based on studies investigating experiences of older adults regarding the impact of socio-economic change on their care arrangement. However, there is a large gap in understanding the experiences of adult children from a larger relational perspective, more than…
Predictors of Adolescent Internalizing and Externalizing Mental Health Symptoms
The age of the adolescent, their gender, and the type of school they attended emerged as predictors of the emotional and behavioral problems among them
Perceptions of safety during everyday travel shaping older adults’ mobility in Bengaluru, India
Our findings indicate that the use of public transport needs to be encouraged among older adults by enhancing necessary safety features following the age-friendly cities framework. Furthermore, it can help policymakers develop transport polices, which suit the mobility needs of older adults
Shared decision-making among older adults with multimorbidity in Kerala’s primary care
Introduction: Multimorbidity is an increasing public health challenge among older adults, particularly in Kerala, India. Shared decision-making (SDM) is central to person-centered care for this group, yet its implementation remains inconsistent in low- and middle-income countries (LMICs). Methods: This qualitative study explored the experiences and perspectives of older adults with multimorbidity regarding SDM in Kerala's primary care. Sixteen ad…
Enablers and Barriers to Alternative Care
BACKGROUND: Decline of intergenerational co-residence, risk of functional and emotional deprivations in old age, and the diminishing capacity of families to care in-person for their older parents have intensified the demand for formal care provisions among left-behind older adults in migrant households of Kerala. While several attempts have been made to quantify the accessibility and utilisation of geriatric care, there is a dearth of evidence on…
Care Beyond Co-Residence’
The convergence of youth migration and the nuclearization of families has altered conventional living arrangements in India, indicating a sharp rise in the number of families in which older adults live alone due to the outmigration of their adult children. This study aims to explore the perceptions of left-behind older adults regarding long-distance care practices by their adult children and to describe the practical and functional care deficits …
Demand-Choice-Dilemma-Decision
The deterioration of family-based care and rising functional impairment among older adults have led to greater reliance on paid care, which remains sparse in low- and middle-income care economies. The present study aims to explore the demands and dilemmas in paid care as perceived by caregivers, receivers, and service providers. A qualitative exploratory design grounded in an interpretivist approach is used to explore demands and dilemmas in paid…
Development and psychometric validation of the measure of alternative care and support (Macs) for community-dwelling older adults
The deeply embedded cultural expectation of filial caregiving in India often creates a nuanced discourse on formal care provisions for older adults ageing outside intergenartional coresidence. The present study aims to develop and validate MACS (Measure of Alternative Care and Support) for older adults outside of intergenerational households. An exploratory sequential design was used for developing and validating MACS, followed by content validat…
Role of spiritual experiences in shaping the quality of intergenerational relationships - exploring views of older adults in South India
Objectives: To investigate how the older adults in India use spiritual thoughts and practices in their everyday lives to shape intergenerational care relationships and cope with challenges in such relationships.Methods: Twenty-five qualitative interviews were conducted with older adults aged 55 to 85 years from two South Indian states from the diverse socio-economic backgrounds.Interview transcripts were analyzed using thematic analysis principle…
Living apart, ageing well
The intersection of increased life expectancy, youth migration, and the disintegration of joint families has led to the emergence of trans-local family structures, where older adults age outside of international co-residence . The concerns of ageing are exacerbated when older adults age apart from their children, often leading to stagnation and loss of vitality in old age . The present study aimed to explore how older adults flourish in South Ind…
Gender-based determinants of psychological distress among emerging adult students in coastal Karnataka
In the study setting, psychological distress was prevalent among emerging adults, with a higher incidence among females. Adverse childhood events and substance use further elevated vulnerability. These findings highlight the critical need for culturally relevant and gender-sensitive mental health interventions
Not all heroes wear capes
The COVID-19 pandemic prompted significant transitions in many lives, with UNICEF reporting that 73% sought help for physical and mental well-being. This study is grounded in life course theory, examining youths’ emotional and behavioral adaptations during this period. The study was carried out to explore the lived experiences of youth during and after the COVID-19 pandemic through photovoice methodology. Employing a qualitative, community-based …
Exploring the Reasons to Age Well in Place
The convergence of youth migration and the disintegration of joint families have resulted in households with older adults living alone or with a spouse. Despite the potential to relocate with their kin afar, older adults in migrant households often choose to age in place amidst the vulnerabilities of long-distance care. The study aims to explore the perceptions and experiences of aging well in migrant households using an inductive approach. In-de…
Qualitative research (10 works) · Intergenerational Family Dynamics and Caregiving (9 works) · Medicine (9 works) · Sociology (9 works) · Psychology (8 works) · Geriatric Care and Nursing Homes (4 works) · Gerontology (4 works) · Mental health (4 works) · Migration, Aging, and Tourism Studies (4 works) · Political science (4 works)