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- Wongsala, Manothai
(författare)
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Active ageing among older Thai adults in north-eastern Thailand – implementing the Plan-Do-Study-Act cycle
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Active ageing is agreed as the national agenda by the Thai Government to sustain the older population to live well in society as a valued resource. Activities to promote active ageing are often provided in group formats, initiated by health providers, and often without promoting capacity and responsibility to enhance active ageing by older adults themselves. Therefore, a model which encourages this capacity and responsibility in older adults and suits Thai healthcare traditions is needed. This thesis aims to explore and describe older Thai adults’ experiences of enhancing active ageing by implementing the Plan-Do-Study-Act (PDSA) cycle. The cycle was applied to group meetings named Lomwong Saangsook (LS) meetings. Study I explored how older Thai adults experience and describe active ageing through its basic pillars of health, participation, and security based on individual interviews which were analysed with qualitative content analysis. Active ageing was described related to local culture and living context. Health was described as the ability to maintain daily living and an adaptive mindset. Participation was described as maintaining social networks, being valuable and respected. Security was described in relation to children and having manageable living conditions as well as managing to finalize life well. Study II explored interactions among older adults during participating in LS-meetings. Participant observation with thematic analysis was used. The PDSA cycle supported them to reach their individual goals of lifestyle change to enhance active ageing in group contexts. Study III explored experiences of applying the PDSA cycle among older Thai adults through focus group interviews which were analysed with thematic analysis. The PDSA cycle provided the environment to learn in a group dynamic with the support of moderators. Study IV described older adults´ experiences of lifestyle changes six months after finishing carrying out the meetings. Individual interviews were conducted and analysed with qualitative content analysis. Some older Thai adults kept their individual goals and adjusted the routes to reach these goals so they were suited to their own context. They also formed other new goals inspired by knowledge gained during the LS-meetings and the success of other members. Older Thai adults have their own perspectives on active ageing through its three basic pillars. They have capacity and responsibility to take the initiative to enhance their own active ageing by applying the PDSA cycle. Findings can be applied to create practices to support enhancing active ageing for the older Thai population. Keywords: Active ageing, lifestyle change, PDSA cycle, qualitative, Thailand
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| 2. |
- Wongsala, Manothai, 1971-, et al.
(författare)
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Experiences of lifestyle changes among Thai older adults six months after applying the PDSA cycle
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Background: Thai older adults are valuable resources in their society. The Thai health service system is challenged when it comes to ensuring that older Thai adults can continue to live healthy and independent lives in society. It is of great value to support independence and improve older people's active ageing. Promoting lifestyle changes by applying the Plan-Do-Study-Act cycle (PDSA cycle), at group meetings in a municipality context, is a way of focusing on active ageing. Objectives: To describe older adults´ experiences of lifestyle change six months after finishing group meetings applying the PDSA cycle. Methods: A qualitative approach with individual interviews and a qualitative content analysis were used with 12 Thai older adults who participated in the meetings applying the PDSA cycle. Results: Three categories and six sub-categories emerged: Keeping individual goals, influenced by the surroundings, and formulation of additional goals were the overall categories. Discussion: These Thai older adults showed that they had the ability to make lifestyle changes with the support of the PDSA cycle, but not all maintained their planned activities after six months. The question is how healthcare professionals and the surroundings, may further support and motivate these people to maintain these changes based on their own preferences in a sustainable way.
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| 3. |
- Pietilä Rosendahl, Sirpa, PhD, Associate Professor, Senior Lecturer, et al.
(författare)
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Twinship experienced by twins reared apart versus together
- 2014
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Ingår i: The Gerontologist. - : Oxford University Press. - 0016-9013 .- 1758-5341. ; 54:Suppl_2, s. 111-112
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to explore and describe how older twins reared apart and reared together experience the twin relationship over a life course. Method: The life stories of 30 Swedish older (70+) identical and fraternal twins were analyzed with qualitative content analysis. Results: The relationship patterns among twins reared apart were related to the time of separation, family upbringing, time together after re-union and over the life course. Twins who spent their first years in the biological family and thereafter separated could continue their relationship over the life course, showing the same kind of relationship patterns as twins reared together. Twins who were separated during their first year after birth and reunited several years later showed a more complex relationship pattern, where some lacked an emotionally close relationship and others gradually developed such a relationship over the years. This finding challenges popular views on twins reared apart being emotionally close.
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| 4. |
- Goodyear, Ann-Christine, et al.
(författare)
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‘I wish I had asked for support earlier’ : Immigrant family caregivers' experiences of living with a person with dementia
- 2023
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Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 37:3, s. 710-719
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Immigrant family caregivers are increasing worldwide, likewise the number of older people with dementia. Caring for a person with dementia is demanding, with the carer's own life put on hold. Immigrant family caregivers have been less studied. Therefore, the aim of this study was to explore immigrant family caregivers' experiences of living with an older person with dementia.Method: A qualitative approach was chosen, consisting of open-ended interviews analysed using qualitative content analysis. The ethical principles of the Helsinki Declaration were applied in the study, which was duly approved by a regional ethics review board.Results: The content analysis resulted in three main categories: (i) the diverse roles of a family caregiver; (ii) the impact of language and culture on daily life and (iii) wish for support from society.Conclusions: Living with a person with dementia is demanding and burdensome and the consequences of working without any rest may increase social isolation and impair quality of life. Immigrants and country-born family caregivers living with a person with dementia seem to have similar care experiences, but immigrant family caregivers seem to receive help rather late due to a lack of information about the services available, language barriers and to financial reasons. A wish for support earlier on in the caring process was expressed, likewise for care services in the participants' native language. The various Finnish associations and peer support were important sources of information about support services. Together with culturally adjusted care services, these could contribute to better access to care, to quality and to equal care.
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| 5. |
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| 6. |
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| 7. |
- Pietilä Rosendahl, Sirpa, PhD, Associate Professor, Senior Lecturer
(författare)
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Gender Differences in Life Long Influences of Twins : How Men and Women talk about These Influences
- 2015
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Ingår i: The Gerontologist. - : Oxford University Press. - 0016-9013 .- 1758-5341. ; 55:Suppl_2, s. 584-585
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to explore how male and female older twins experience their lifelong relationship with one another. Method: Qualitative data consisting of 32 life stories of Swedish older (70+) identical and fraternal twins were analyzed with narrative analysis. Results: Both male and female older twins experienced their twin relationships as the emotionally closest as related to other sibling relationships. Female twins stressed open and frequent communication as an important aspect contributing to closeness in the twin relationship, whereas the male twins related closeness to doing activities together. Dependency was stressed as emotionally draining in the female twin relationships, meaning that both of the twin sisters had not separated emotionally from one another. In contrast, the male older twins talked about competition as an aspect that was emotionally draining. Males and females define emotional closeness differently. The relationship patterns for both female/male older twins remained stable over the life course.
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| 8. |
- Pietilä Rosendahl, Sirpa, PhD, Associate Professor, Senior Lecturer
(författare)
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Twinship from a family perspective : experiences of adults twins, their non-twin siblings and parents
- 2017
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Ingår i: Innovation in Aging. - : Oxford University Press. - 2399-5300. ; 1:suppl_1, s. 943-
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Tidskriftsartikel (refereegranskat)abstract
- Twins do not exist apart from a family and, for a more comprehensive understanding, twinship needs to be seen in its family context. The objective of this study was to explore twinship from the perspectives of adult twins, their non-twin siblings and parents. Methods: Qualitative methodology based on semi-structured interviews of middle-aged twins, their non-twin siblings and parents within their families. The data were analyzed using qualitative content analysis. Findings: Twinship was described by the twins as an emotionally close relationship with the co-twin but also feeling unnoticed as individuals when treated as a ‘unit’ by family members. Likewise, the older non-twin siblings could feel unnoticed, due to the parental attention given to the twins and, to compensate, take on a ‘caregiving role’ for the twins. Depending on the parents’ insights on twinship, they could facilitate or limit the development of the sibling relationships within the family.
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| 9. |
- Pietilä Rosendahl, Sirpa, PhD, Associate Professor, Senior Lecturer
(författare)
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Twinship from the perspective of older twins and their siblings
- 2016
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Ingår i: The Gerontologist. - : Oxford University Press. - 0016-9013 .- 1758-5341. ; 56:Suppl_3, s. 494-
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore the experiences of twinship as described by older twins and their siblings. Method: Qualitative data based on interviews with 14 Swedish older (70+) identical and fraternal twins and with 15 siblings to twins, which were analyzed with qualitative content analysis. Results indicate that the siblings particularly in larger families substituted as parents in the raising of the twins, whereas in smaller families the role of the siblings were more unclear. In addition to bonding to one another, both twins also found comfort in having a supportive relationship of their own with yet one other sibling in the family and influential in the developing of the individual identity of the twins. For the siblings of the twins, engaging in the raising of the twins, was a way to prevent the feeling of being unnoticed.
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| 10. |
- Pietilä Rosendahl, Sirpa, PhD, Associate Professor, Senior Lecturer, et al.
(författare)
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Twinship over the life course : Individuality and relationship in the life stories of older twins
- 2013
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Ingår i: The Gerontologist. - : Oxford University Press. - 0016-9013 .- 1758-5341. ; 53:S1, s. 431-
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to explore, describe and understand experiences of twinship as told in the life stories of 35 older (70+) identical and fraternal twins, participants of the SATSA and Gender-studies in Sweden. Method: The open-ended interviews were analyzed with narrative analysis. Results: Twinship was described as relational, i.e, the relationship to the co-twin and as a negotiation between the individual and the twin identity. Three kinds of twin relationship patterns, characterized by different levels of emotional involvement were identified and labelled: nurturing, draining or superficial relationship. An attachment theoretical perspective was used in interpreting the differences in the relationship patterns. Each set of twins showed a unique balance between individualization and the twin identity which also was linked to the type of twin relationship pattern. In addition, these older twins experienced that their social environment tried to impose a twin identity upon them contradictive to their own experiences.
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