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- Sandlund, Marlene, et al.
(författare)
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Gender perspectives on views and preferences of older people on exercise to prevent falls : mixed studies review
- 2017
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Ingår i: BMC Geriatrics. - : BioMed Central. - 1471-2318. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUNDTo offer fall prevention exercise programs that attract older people of both sexes there is a need to understand both women's and men's views and preferences regarding these programs. This paper aims to systematically review the literature to explore any underlying gender perspectives or gender interpretations on older people's views or preferences regarding uptake and adherence to exercise to prevent falls.METHODSA review of the literature was carried out using a convergent qualitative design based on systematic searches of seven electronic databases (PubMed, CINAHL, Amed, PsycINFO, Scopus, PEDro, and OTseeker). Two investigators identified eligible studies. Each included article was read by at least two authors independently to extract data into tables. Views and preferences reported were coded and summarized in themes of facilitators and barriers using a thematic analysis approach.RESULTSNine hundred and nine unique studies were identified. Twenty five studies met the criteria for inclusion. Only five of these contained a gender analysis of men's and women's views on fall prevention exercises. The results suggests that both women and men see women as more receptive to and in more need of fall prevention messages. The synthesis from all 25 studies identified six themes illustrating facilitators and six themes describing barriers for older people either starting or adhering to fall prevention exercise. The facilitators were: support from professionals or family; social interaction; perceived benefits; a supportive exercise context; feelings of commitment; and having fun. Barriers were: practical issues; concerns about exercise; unawareness; reduced health status; lack of support; and lack of interest. Considerably more women than men were included in the studies.CONCLUSIONAlthough there is plenty of information on the facilitators and barriers to falls prevention exercise in older people, there is a distinct lack of studies investigating differences or similarities in older women's and men's views regarding fall prevention exercise. In order to ensure that fall prevention exercise is appealing to both sexes and that the inclusion of both men and women are encouraged, more research is needed to find out whether gender differences exists and whether practitioners need to offer a range of opportunities and support strategies to attract both women and men to falls prevention exercise.
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| 3. |
- Bergvall-Kåreborn, Birgitta, et al.
(författare)
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A Model for Reflective Participatory Design : The Role of Participation, Voice and Space
- 2015
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Ingår i: 21st Americas Conference on Information Systems. - : Americas Conference on Information Systems. - 9780996683104
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Konferensbidrag (refereegranskat)abstract
- This paper aims to contribute to the participatory tradition in health informatics by presenting a model for reflective participatory design emerging from qualitative fieldwork in a participatory project aimed to improve the health and wellbeing of older people in the northern periphery regions of Europe, through new mobile services. The model brings together two established processes in novel ways: systems development and user participation. Within each process three concepts are presented to facilitate discussion and reflection at the concept level, the process level and the integrated process level.
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| 4. |
- Bergvall-Kåreborn, Birgitta, et al.
(författare)
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Participation in living lab : designing systems with users
- 2010
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Ingår i: Human Benefit through the Diffusion of Information Systems Design Science Research. - Berlin, Heidelberg : Encyclopedia of Global Archaeology/Springer Verlag. - 9783642121128 ; , s. 317-326
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Konferensbidrag (refereegranskat)abstract
- Drawing on a case study of a living lab, this paper considers the process of participation during the design stages of a health care project for the elderly in Sweden. While participation has an established history, more recently it has been described as an "old, tired concept" that is in need of revitalization in order to cater for changing IS practices. In this paper, we reflect on how participation materializes in a context that is quite dissimilar from more traditional development settings and report on the kinds of practices that may be used to assist design with users
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| 5. |
- Ghaye, Tony, et al.
(författare)
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Participatory and appreciative action and reflection (PAAR) : democratizing reflective practices
- 2008
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Ingår i: Reflective Practice. - : Informa UK Limited. - 1462-3943 .- 1470-1103. ; 9:4, s. 361-397
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Tidskriftsartikel (refereegranskat)abstract
- The paper introduces a new approach to reflecting and acting called participatory and appreciative action and reflection (PAAR). It explores its potential to enable individuals and groups to move forward, to improve their working practices and lives in particular communities and contexts. The paper situates PAAR in the historical context of participatory and action methodologies and reflective learning. It suggests that using PAAR requires four strategic ‘turns'. By turn we mean a change in direction from one way of thinking and practising to another. The four turns are: (i) away from a preoccupation with changing behaviours in order to solve problems, with ‘fixing' things and an engagement in deficit-based discourses, towards the development of appreciative insight, understanding the root causes of success and sustaining strengths-based discourses in order to amplify those things that will help build a better future from the positive present; (ii) away from self-learning (individualism and isolation) and towards collective learning through interconnectedness, appreciative knowledge sharing and the use of new forms of communications technology which enable simultaneous action in dispersed geopolitical spaces; (iii) away from one way of knowing and one perspective on truth to an acceptance of more pluralistic view of ways of knowing, of understanding human experience and putting this knowing to good use; (iv) away from reflective cycles and spirals and towards the use of a reflective learning (r-learning) framework comprising four mutually supportive processes. They are those of developing an appreciative ‘gaze', of reframing experience, of building practical wisdom and of achieving and moving forward.
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| 7. |
- Melander-Wikman, Anita, et al.
(författare)
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Developing mobile ICT for improved health, safety and well-being together with elderly people : experiences from the MyHealth@Age (2008-2010) project
- 2010
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Ingår i: Ubiquitous Healthcare and Supporting Technolgies (UBI-HEALTH'10). ; , s. 1-5
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Konferensbidrag (refereegranskat)abstract
- The population is ageing in most economically developed countries. For elderly persons, safety is seen as important. The fear of falling is an experience that has been reported by numerous studies. Falls present the most common cause of injury in old age. A "health ageing paradigm" is a comprehensive approach to prevent injuries from falling. Home-based and mobile monitoring technology is considered to assist elderly people in terms of keeping healthy and staying at home longer. The MyHealth@Age Project (2008-2010) involves partners from Northern Ireland, Norway and Sweden. It aims to provide mobile ICT products and services to promote a process of healthy ageing. Thirteen elderly persons, 63-80 years of age, are the research persons in the Swedish part. The project-methodology is participatory and collaborative. It draws upon FormIT, Participatory and Appreciative Action & Reflection research (PAAR) and Living Lab approaches. Three areas were identified; safety, prescribed healthcare and social networking. Safety and freedom of mobility were the most important identified needs. Much of the learning was accumulated with regard to the processes of empowerment. It is important to co-construct empowering research and development methodologies, products and services, which promote social participation of elderly persons in order to keep healthy, safe and to promote well-being
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| 9. |
- Melander-Wikman, Anita, et al.
(författare)
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Improving health and safety for elderly people through an ethic-of-appreciation
- 2009
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Ingår i: The Journal of Nutrition, Health & Aging. - 1279-7707 .- 1760-4788. ; 13:6, Suppl. 1, s. S449-
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- IntroductionThis paper uses data from My Health @ Age (2008-2010), an EU, Northern Periphery funded project. Its aim is to offer the rapidly ageing population in the northern periphery regions of Europe, improved health, safety and well-being through the use of new services and new mobile ICT products. The project methodology is informed by the values and processes of Participatory Design, Form-IT and appreciative action research. The project's aim and its approach raise a fundamental ethical question, namely, ' In what ways do ICT solutions for improving the quality of life for older people (over 65 years) in the northern periphery regions, have an ethical dimension?MethodsOur developing ethical awareness uses data from focus group meetings and storyboarding activities conducted with a group of 20 elderly persons, with/with out functional limitations, in Norrbotten, Sweden. Using conversational analysis, thematic elucidation, semiotic and iconographic analysis, we present our efforts to do the 'right thing' and the 'best thing' to enhance the well-being of elderly people.ResultsThis paper illustrates ethical conflicts and dilemmas associated with trying to balance user needs ( e.g. elderly people, health care professionals) with technological (product) design requirements and commercial or market opportunities. Four ethical themes have emerged which, collectively, form an etic-of-appreciation. They are the need to clearly demonstrate an;* Ethic of respect: Where the lived experiences of older people are actively listened to.*Ethic of empowerment: Where older people feel they have a voice in descisions about their well-being.* Ethic of critique: Where power differentials that often constrain and marginalise older adults, are confronted.* Ethic of concern: Where ICT solutions enable older people to feel dignified and treated with kindness.ConclusionICT and ethics need to be creatively synthesised into an ethic-of-appreciation. This is imperative for projects based on participatory design principles.ReferencesGhaye, T., Melander Wikman, A., Kisare, M., Chambers, P., Bergmark, U., Kostenius, C. and Lillyman, S. (2008) Participatory and appreciative action and reflection (PAAR) - democratizing reflective practices. Reflective Practice, 9(4) 361-397Melander Wikman, A., Jansson, M. & Ghaye, T. (2006) Reflections on an appreciative approach to empowering elderly people in home healthcare. Reflective Practice, 7; 4:423-443
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| 10. |
- Melander-Wikman, Anita, et al.
(författare)
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Methodology for empowering elderly persons in home care by means of ICT
- 2006
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Ingår i: Telemedicin and eHealth Beyond Tomorrow. ; , s. 83-
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- If future demands on health and home care are to be met effectively, implementing information and communication technology (ICT) is acknowledged as a necessity. New (mobile) ICT may also be seen as a tool for empowering elderly people. Enabling the right to self-determination among the elderly will also change professionals'ways of thinking, and thus the basis of their involvement. In the e-Home Health Care @ North Calotte project (eHHC, 2003-2005) a set of guidelines was developed for a methodology for empowennent when implementing mobile ICT into home healthcare. This project coordinated field trials in four municipalities in northern Finland, Norway and Sweden. The Swedish trial used a Participatory Action Research approach (PAR) and included Future Workshops, focus-group interviews, reflective interviews and observations. The aim of this study is to present the working process and the methods used when creating guidelines for a methodology for empowerment. The dimensions of empowennent are discussed, together with results from the Swedish trial in the eHHC project. The experiences from this trial show that to ensure the empowerment process when developing ICT in home care, close cooperation with clients, relatives and professionals is needed.
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