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- Malinowsky, Camilla, et al.
(författare)
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Using a screening tool to evaluate potential use of e-health services for older people with and without cognitive impairment
- 2014
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Ingår i: Aging and Mental Health. - Stockholm : Karolinska Institutet, Dept of Neurobiology, Care Sciences and Society. - 1360-7863 .- 1364-6915.
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: E-health services are increasingly offered to provide clients with information and a link to healthcare services. The aim of this study is to investigate the perceived access to and the potential to use technologies important for e-health services among older adults with MCI or mild AD and controls. Method: The perceived access to and perception of difficulty in the use of everyday technology (such as cell phones, coffee machines, computers) was investigated in a sample of older adults (n=118) comprising three subsamples: adults with mild cognitive impairment (MCI) (n=37), with mild Alzheimer’s disease (AD) (n=37) and controls (n=44) using the Everyday Technology Use Questionnaire (ETUQ). The use of seven technologies important for e-health services was specifically examined for each subsample and compared between the subsamples. Results: The findings demonstrated that the older adults in all subsamples both perceive access to e-health technologies and potentially would use them competently in several e-health services. However, among persons with AD a lower proportion of perceived access to the technology was described, as well as for persons with MCI. Conclusion: To make the benefits of e-health services available and used by all clients, it is important to consider access to the technology required in e-health services and also to support the clients’ capabilities to understand and use the technologies. Also, the potential use of the ETUQ to explore the perceived access to and competence in using e-health technologies is a vital issue in the use of e-health services.
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| 6. |
- Axmon, A, et al.
(författare)
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Psychiatric diagnoses in relation to severity of intellectual disability and challenging behaviors : a register study among older people
- 2018
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Ingår i: Aging and Mental Health. - : Informa UK Limited. - 1364-6915 .- 1360-7863. ; 22:10, s. 1344-1350
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate the possible association between severity of intellectual disability (ID) and presence of challenging behavior, respectively, on diagnoses of psychiatric disorders among older people with ID.METHODS: People with a diagnosis of ID in inpatient or specialist outpatient care in 2002-2012 were identified (n = 2147; 611 with mild ID, 285 with moderate ID, 255 with severe or profound ID, and 996 with other/unspecified ID). Moreover, using impairment of behavior as a proxy for challenging behavior, 627 people with, and 1514 without such behavior were identified.RESULTS: Severe/profound ID was associated with lower odds of diagnoses of psychotic, affective, and anxiety disorders than was mild/moderate ID. People with moderate ID had higher odds than those with mild ID of having diagnoses of affective disorders. Diagnoses of psychotic, affective, and anxiety disorders, and dementia were more common among people with challenging behavior than among those without.CONCLUSIONS: People with severe/profound ID had lower odds of receiving psychiatric diagnoses than those with mild and moderate ID. Whether this is a result of differences in prevalence of disorders or diagnostic difficulties is unknown. Further, challenging behaviors were associated with diagnoses of psychiatric disorders. However, the nature of this association remains unclear.
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| 7. |
- Bartels, Sara Lauren, et al.
(författare)
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Do you observe what I perceive? : The relationship between two perspectives on the ability of people with cognitive impairments to use everyday technology
- 2019
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Ingår i: Aging & Mental Health. - : Routledge. - 1360-7863 .- 1364-6915. ; 24:8, s. 1295-1305
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Everyday technologies (ETs) can be challenging to use, particularly for older adults with cognitive impairments. This study evaluated the relationship between the self-perceived ability to use ET and observable performance of self-chosen and familiar, but challenging ETs in people with mild cognitive impairment (MCI) or dementia.Method: A self-perceived report, the Everyday Technology Use Questionnaire (S-ETUQ), and a structured observational tool, the Management of Everyday Technology Assessment (META), assessing the perceived and observed ability to use ET, were used in 41 people with MCI and 38 people with dementia. Correlations were investigated with non-parametric statistical tests.Results: In the dementia group, self-perceived report and observational scores correlated on a significant medium level (Rs=0.44, p = 0.006). In the MCI group, no significant correlation was found.Conclusion: The findings of this study suggest the ability of older adults with cognitive impairments to use ETs can be depicted with self-perceived reports as well as with observations. However, the combination of both approaches is recommended to get a comprehensive picture. While the S-ETUQ provides a broad picture of the use, presence and relevance of technologies in an individual’s life, the META describes a specific human-technology interaction in detail. Furthermore, the results suggest people with early dementia retain the ability and insight to accurately reflect on their own ability to use ET, emphasizing the need to include their experiences in research and clinical work.
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| 8. |
- Berg, Anne Ingeborg, 1973, et al.
(författare)
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Living with stable MCI: Experiences among 17 individuals evaluated at a memory clinic.
- 2013
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Ingår i: Aging & mental health. - : Informa UK Limited. - 1364-6915 .- 1360-7863. ; 17:3, s. 293-9
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Mild cognitive impairment (MCI) is a state of mildly impaired cognitive functioning but with an intact capability of performing basic daily activities. Few studies have targeted personal narratives from persons living with MCI, the major focus in this study is directed to methods for better predictions of the likelihood for conversion to dementia. This study directly explores experiences among individuals who have lived with MCI over seven years without converting to dementia. Methods: Seventeen individuals, who had been diagnosed with MCI across four occasions over a seven-year period at a memory clinic, were interviewed at a single occasion about their experiences of living with MCI, life events, stress, coping, psychosocial resources, and lifestyle behaviors. Results: Thematic analysis of the transcripts of the interviews resulted in themes revolving around the life situation and events related to the first visit at the memory clinic, coping with lower cognitive capacity with the aim of enhancing quality of life, and worries about dementia and further cognitive deteriorations. Conclusion: The participants' experiences of living with MCI indicate that issues and changes in life situations such as long-term stress, retirement, loss of relatives, perceived heritability of dementia, needs to be understood in the context of the individual's understanding and interpretation of their everyday cognitive functioning. Also, supportive long-term contacts with the specialist care unit were vital for creating a personal understanding of MCI. Addressing the intra-personal dynamics of cognitive functioning in the boundary between normal and pathological cognitive aging can also improve diagnostic accuracy.
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- Berg, Anne Ingeborg, 1973, et al.
(författare)
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What matters, and what matters most, for change in life satisfaction in the oldest-old? A study over 6 years among individuals 80+.
- 2009
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Ingår i: Aging & mental health. - : Informa UK Limited. - 1364-6915 .- 1360-7863. ; 13:2, s. 191-201
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: The study investigates whether markers of life satisfaction identified in a cross-sectional study-quality of social network, self-rated health, depressive symptoms, locus of control and widowhood, in addition to financial satisfaction and the personality traits of extraversion and neuroticism-predict change in life satisfaction (LSI-Z) across four measurement occasions during a 6-year period in individuals aged 80+. METHOD: Data were drawn from the Swedish OCTO-Twin-study of individuals aged 80 and older. RESULTS: Growth curve analysis showed a relatively consistent significant linear decline in life satisfaction, but certain markers predicted change in life satisfaction. The loss of spouse, in particular in men, and higher levels of depressive symptoms were related to lower levels of life satisfaction over time. CONCLUSION: The results from the study question the notion of a life-long stability of life satisfaction.
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| 10. |
- Berg, A I, et al.
(författare)
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What matters most for life satisfaction in the oldest-old?
- 2006
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Ingår i: Aging & Mental Health. - : Informa UK Limited. - 1360-7863 .- 1364-6915. ; , s. 257-264
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to examine factors associated with life satisfaction in the old-est-old within a spectrum of psychosocial and health related variables. Scores on the life satis-faction index (LSI-Z) were related to scales and questions regarding, demographics, depres-sion, locus of control, cognitive function, functional capacity (instrumental and personal ac-tivities of daily living), self-rated overall health and medically based health, and social net-work. The sample consisted of 315 participants, aged 80-98 years; (M = 83 years, 66% women). Regression analyses indicated that social network quality, self-rated overall health, sense of being in control of one's life, and depressive symptoms were significantly associated with life satisfaction. There was no gender difference in overall life satisfaction. However, there were different patterns of variables associated with life satisfaction in men and women. Self-rated overall health and depressive symptoms were related to life satisfaction in women, whereas widowhood was significantly associated with lower life satisfaction among men. The results emphasize the need to analyse associates of life satisfaction within a broader context of psychosocial variables and separately for men and women.
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