| 1. |
- Arnetz, Judith E., et al.
(författare)
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Organizational Climate Determinants of Resident Safety Culture in Nursing Homes
- 2011
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 0016-9013 .- 1758-5341. ; 51:6, s. 739-749
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Tidskriftsartikel (refereegranskat)abstract
- Purpose of the Study: In recent years, there has been an increasing focus on the role of safety culture in preventing costly adverse events, such as medication errors and falls, among nursing home residents. However, little is known regarding critical organizational determinants of a positive safety culture in nursing homes. The aim of this study was to identify organizational climate predictors of specific aspects of the staff-rated resident safety culture (RSC) in a sample of nursing homes. Design and Methods: Staff at 4 Michigan nursing homes responded to a self-administered questionnaire measuring organizational climate and RSC. Multiple regression analyses were used to identify organizational climate factors that predicted the safety culture dimensions nonpunitive response to mistakes, communication about incidents, and compliance with procedures. Results: The organizational climate factors efficiency and work climate predicted nonpunitive response to mistakes (p < .001 for both scales) and compliance with procedures (p < .05 and p < .001 respectively). Work stress was an inverse predictor of compliance with procedures (p < .05). Goal clarity was the only significant predictor of communication about incidents (p < .05). Implications: Efficiency, work climate, work stress, and goal clarity are all malleable organizational factors that could feasibly be the focus of interventions to improve RSC. Future studies will examine whether these results can be replicated with larger samples.
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| 2. |
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| 3. |
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| 4. |
- Balducci, C, et al.
(författare)
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Negative impact and positive value in caregiving : Validation of the COPE index in a six-country sample of carers
- 2008
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Ingår i: The Gerontologist. - 0016-9013 .- 1758-5341. ; 48:3, s. 276-286
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The present study attempts to further validate the COPE Index on a large sample of carers drawn from six European countries. Design and Methods: We used a cross-sectional survey, with approximately 1,000 carers recruited in each of six countries by means of a common standard evaluation protocol. Our saturation recruitment of a designated quota of carers occurred by means of several channels, in identified geographical zones within countries. Interviews were carried out with primary informal carers by use of a common assessment tool. We subjected items of the COPE Index to principal component analysis and we assessed emergent components through the use of Cronbach's alpha reliability procedures. We examined factor components as summative scales for confirmatory correlations with caregiving and psychological variables. Results: Three components emerged, which we identified as the negative impact of caregiving, the positive value of caregiving, and the quality of support for caregiving. Internal consistency was good for negative impact and satisfactory for positive value and quality of support. Negative value was most consistently and strongly correlated with caregiving and psychological variables, although we did find diverse associations between these variables and the COPE Index subscales. Implications: The COPE Index is a brief, first-stage assessment of some sophistication that can enable health and social care professionals to develop appropriately targeted interventions to enhance the positive aspects of the caregiving experience and quality of support, as well as reduce the negative impacts of caregiving. Copyright 2008 by The Gerontological Society of America.
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| 5. |
- Baxter, Rebecca, et al.
(författare)
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Illuminating Meanings of Thriving for Persons Living in Nursing Homes
- 2020
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 1758-5341 .- 0016-9013. ; 60:5, s. 859-867
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND OBJECTIVES: Thriving has been described as a multidimensional concept that can be used to explore place-related well-being; however, there has been limited research into the meaning of thriving in aged care. This study aimed to illuminate meanings of thriving as narrated by persons living in nursing homes. RESEARCH DESIGN AND METHODS: Narrative interviews were conducted with 21 persons residing in a rural Australian nursing home. The interviews were audio-recorded, transcribed, and interpreted using a phenomenological hermeneutic approach. RESULTS: Meanings of thriving could be understood as: Striving toward acceptance of being in a nursing home while maintaining a positive outlook; Feeling supported and cared for while maintaining a sense of independence; Balancing opportunities for solitude and company while living with others; and, Feeling a sense of home while residing in an institutional environment. The meanings of thriving, as presented through the interpretive lens of Gaston Bachelard's "Poetics of Space," encompassed having access to literal, metaphorical, and symbolic doors, as well as having the freedom to open, close, and use these doors however the person wishes. DISCUSSION: Exploring meanings of thriving in nursing homes could contribute towards understanding and implementing positive life-world constructs in research and practice. These findings could be used to inform and enhance person-centered care practices by maximizing opportunities for persons residing in nursing homes to have options and choices, and the agency to make decisions where possible, in relation to their everyday care and living environment. © The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America.
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| 6. |
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| 7. |
- Bildtgard, Torbjörn, et al.
(författare)
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Changing sexual practices in intimate relationships in later life - a life course perspective
- 2014
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Ingår i: The Gerontologist. - 0016-9013 .- 1758-5341. ; 54:Suppl. 2, s. 76-76
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- In late modernity sex has escaped its reproductive cage and people form pure relationships, based on mutual satisfaction (Giddens). Ironically, although older people are per definition non-reproductive, they have been neglected in studies on sexuality. The aim is to study sexual attitudes and practices among older people in life-course perspective. We present results from 1) a qualitative interview study with 28 63–91 year old Swedes currently dating or in a relationship (married, cohabiting, LAT) initiated 60+ and 2) a quantitative survey including 1225 60–90 year old Swedes (response rate 42%). The interviews revealed a normative change, from condemnation of extra-marital sex in young adulthood to encouragement of sexual relationships but not marriage in later life. Despite restrictive norms, the survey showed a majority (93%) had had their sexual debut before marriage. All informants had experienced the 1960’s sexual liberation and today liberal attitudes seem to encompass later life. Most had had rather active sexual lives. Half or the survey respondents had had ≥4 more sexual partners, and one in five ≥10. Today, an active sex-life was regarded as important for a good relationship. Many informants had interpreted sexual decline as “natural” and age-related, but re-discovered sexuality with their new partner. The survey confirmed relationship length as a better predictor of sexual activity than age. Cohort and period effects will be discussed. It has been argued that sexual practices will become more liberal in the future by cohort replacement. Our data indicates that “the future might already be here”.
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| 8. |
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| 9. |
- Bildtgård, Torbjörn, 1970-, et al.
(författare)
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New intimate relationships as a resource for independent living in later life
- 2014
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Ingår i: The Gerontologist. - 0016-9013 .- 1758-5341. ; 54:Suppl. 2, s. 11-11
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Despite increased research interest in transitions into new intimate relationships in later life, little focus has been on how transitions affect older people’s social networks. We investigate the impact of entering into new intimate relationships in later life on interdependent lives. Results are based on both qualitative interviews with 28 Swedes (63–91 years) either dating or living in new relationships initiated 60+ (marriage, cohabitation, LAT), and a quantitative survey to 60–90 year old Swedes (n=1225; response rate 42%). A central theoretical frame is Elder’s (1994) principle of interdependent lives. A new relationship usually meant integration into the new partner’s social and filial networks (some problems will be discussed) and a restructuring of the relationship chain so that time and energy is redirected to the new partner. A new partner was described as a resource for living independent lives by the older informants, and as a way of “unburdening” the children. Finally, the qualitative interviews hinted at a hierarchy of dependencies. This was confirmed by the survey. A majority of respondents would primarily turn to their partners for social, emotional and practical support, with children as a distant second and “others” third. An exception was personal hygiene, where partners remained the first choice, but where the social services were preferred to children. This hierarchy was the same in new relationships. The results, partly contradicting previous research findings, are discussed in light of Western individualism generally and Swedish welfare-state and state supported individualism in particular.
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| 10. |
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| 11. |
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| 13. |
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| 14. |
- Dahl, Anna, et al.
(författare)
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BODY MASS INDEX IN EARLY AND LATE MIDLIFE AND COGNITIVE ABILITIES IN LATE LIFE
- 2011
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Ingår i: Gerontologist. - : Oxford University Press (OUP). - 0016-9013. ; 51:Supplement 2
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Konferensbidrag (refereegranskat)abstract
- The aims of this study were to study the association between early and late midlife body mass index (BMI), change in BMI, and late life cognitive abilities in a dementia free sample. BMI was calculated from self-reported height and weight in early midlife (mean age 39.9 years, range 25-50) (1963 or 1973) and from assessed weight and height in late midlife (mean age 61.1 years, range 50-75). Starting in 1986 participants were assessed five times at three year intervals on a cognitive test battery in the longitudinal Swedish doption/Twin Study of Aging (N=657). Latent growth curve models, adjusting for pairness, showed that persons with higher BMI in early midlife had significantly lower cognitive performance across domains in late life. Moreover, obesity was significantly associated with a steeper decline in perceptual speed and non-significantly associated with steeper decline in verbal and spatial abilities. Both being underweight and overweight/obese in late life were associated with an increased risk of lower cognitive abilities across domains. However, when decline in BMI was controlled for, underweight in late midlife was no longer associated with lower cognitive ability in any domain. Further, being underweight across midlife, and weight loss between early and late midlife, were each associated with lower mean level cognitive abilities in late life (centered at age 65). In conclusion, several different weight patterns were associated with lower cognitive abilities in late life. Weight patterns may be an important clue to understand the association between weight and cognitive health in late life.
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| 15. |
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| 16. |
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| 17. |
- Davey, Adam, et al.
(författare)
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Aging in Sweden: Local variation, local control
- 2014
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 0016-9013 .- 1758-5341. ; 54:4, s. 525-532
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Tidskriftsartikel (refereegranskat)abstract
- Aging in Sweden has been uniquely shaped by its history—most notably the long tradition of locally controlled services for older adults. We considered how local variations and local control shape the experience of aging in Sweden and organized the paper into 3 sections. First, we examine aging in Sweden along demography, economy, and housing. Next, we trace the origins and development of the Swedish welfare state to consider formal supports (service provision) and informal supports (caregiving and receipt of care). Finally, we direct researchers to additional data resources for understanding aging in Sweden in greater depth. Sweden was one of the first countries to experience rapid population aging. Quality of life for a majority of older Swedes is high. Local control permits a flexible and adaptive set of services and programs, where emphasis is placed on improving the quality and targeting of services that have already reached a plateau as a function of population and expenditures.
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| 18. |
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| 19. |
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| 20. |
- Edvardsson, David, et al.
(författare)
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Measuring person-centered care : a critical comparative review of published tools
- 2010
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 0016-9013 .- 1758-5341. ; 50:6, s. 834-846
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Tidskriftsartikel (refereegranskat)abstract
- Purpose of the study: To present a critical comparative review of published tools measuring the person-centeredness of care for older people and people with dementia. DESIGN AND METHODS: Included tools were identified by searches of PubMed, Cinahl, the Bradford Dementia Group database, and authors' files. The terms "Person-centered," "Patient-centered" and "individualized" (US and UK spelling), were paired with "Alzheimer's disease," "older people," and "dementia" in various combinations. The tools were compared in terms of conceptual influences, perspectives studied and intended use, applicability, psychometric properties, and credibility. RESULTS: Twelve tools eligible for review were identified. Eight tools were developed for evaluating long-term aged care, three for hospital-based care, and one for home care. One tool, Dementia Care Mapping, was dementia specific. A common limitation of the tools reviewed is that they are yet to be used and validated beyond the development period; thus, their validity, reliability, and applicability needs further exploration. Also, the perspective of people with dementia remains absent. IMPLICATIONS: The review demonstrates the availability of a multitude of tools for measurement of person-centered care in different settings and from different perspectives, even if further testing of the tools is needed. The conceptual underpinnings of the tools are rarely explicit, which makes it difficult to ascertain the conceptual comparability of the tools.
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| 21. |
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| 22. |
- Eklund, Kajsa, 1952, et al.
(författare)
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Long term outcome of frailty and ADL following "Continuum of care for frail elderly persons"
- 2012
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Ingår i: The Gerontologist. 2012 GSA Annual Scientific Meeting Abstracts. - 0016-9013 .- 1758-5341. ; 52:S1
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The current trend in Western societies facing a growing proportion of older people is to support frail older persons to remain in their homes as long as possible, so-called ageing in place. Older persons comprise a group whose reserve of strength is decreasing, and whose activity and participation levels will deteriorate with increasing frailty, often leading to dependence in daily activities. Frail older persons need integrated care from different caregivers at different care levels with multi-professional competences. An intervention study for frail community-dwelling older people was designed, creating a continuum of care from the hospital through and back to their own homes. Objectives were to evaluate its effects on activities of daily living (ADL) and frailty up to one year. The study design was a RCT with participants randomized to either the intervention or a control group with follow-ups at three-, six- and 12 months. The study group includes 161 older people who sought care at the emergency department at Mölndal hospital, Sweden, and discharged to their own homes. Inclusion criteria were age 80 and older or 65 to 79 with at least one chronic disease and dependent in ADL. Frailty was measured as a sum of eight core frailty indicators and ADL with the ADL staircase. The analyses were made on the basis of the intention-to-treat principle. At both three- and twelve-month follow-up the intervention group had a higher OR in improved number of ADL managed independently. There were no significant differences between the groups regarding frailty.
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| 23. |
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| 24. |
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| 25. |
- Eneslätt, Malin, et al.
(författare)
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Exploring Community-Dwelling Older Adults’ Considerations About Values and Preferences for Future End-of-Life Care : A Study from Sweden
- 2020
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Ingår i: The Gerontologist. - : Oxford University Press. - 0016-9013 .- 1758-5341. ; 60:7, s. 1332-1342
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Tidskriftsartikel (refereegranskat)abstract
- Background and ObjectivesThere is a substantial body of research on advance care planning (ACP), often originating from English-speaking countries and focused on health care settings. However, studies of content of ACP conversations in community settings remain scarce. We therefore explore community-dwelling, older adults’ reasoning about end-of-life (EoL) values and preferences in ACP conversations.Research Design and MethodsIn this participatory action research project, planned and conducted in collaboration with national community-based organizations, we interviewed 65 older adults without known EoL care needs, about their values and preferences for future EoL care. Conversations were stimulated by sorting and ranking statements in a Swedish version of GoWish cards, called the DöBra cards, and verbatim transcripts were analyzed inductively.ResultsWhile participants shared some common preferences about EoL care, there was great variation among individuals in how they reasoned. Although EoL preferences and prioritizations could be identical, different individuals explained these choices very differently. We exemplify this variation using data from four participants who discussed their respective EoL preferences by focusing on either physical, social, existential, or practical implications.Discussion and ImplicationsA previously undocumented benefit of the GoWish/DöBra cards is how the flexibility of the card statements support substantial discussion of an individual’s EoL preferences and underlying values. Such in-depth descriptions of participants’ reasoning and considerations are important for understanding the very individual nature of prioritizing EoL preferences. We suggest future users of the DöBra/GoWish cards consider the underlying reasoning of individuals’ prioritizations to strengthen person-centeredness in EoL conversations and care provision.
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| 26. |
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| 27. |
- Ernsth Bravell, Marie, et al.
(författare)
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Reciprocal patterns of support of very old people and their families
- 2016
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 1758-5341.
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Konferensbidrag (refereegranskat)abstract
- Introduction: The aging population is often considered as a threat that will deplete family and societal resources. Yet older people may be a resource, giving support and care to their family. The aim of this study is to analyze patterns of giving and receiving support by the oldest old with their family. Method: Data were used from the OCTO2- study, a Swedish population-based sample of 171 women and 156 men, 75–90 years. Respondents completed the Intergenerational Support Index to examine patterns of receiving and giving care and support and factors associated with support exchanges. Results: Results showed that the oldest old gave as much support as they received within the family. Most of the older persons receiving formal help from the community (79%) continued giving support to family. The most common types of support given and received within the family were emotional (89% given, 90% received) and practical (44% given, 46% received). Older persons gave more financial support (26%) than they received (2%). Age, gender, functioning in daily life activities and satisfaction with life were associated with giving different types of family support. Conclusion: Old-old people in Sweden are not just consumers of care, but are involved in reciprocal patterns as receivers and providers of care and support. It is not a simple opposition between being a giver and receiver of informal support simultaneously, but more knowledge is needed about the complex interplay between various form of care and support.
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| 28. |
- Ernsth Bravell, Marie, et al.
(författare)
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The importance of social network factors among older adults in need of regular care
- 2016
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 1758-5341.
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Konferensbidrag (refereegranskat)abstract
- Introduction: As populations continue to age, the need for formal care is increasing. As criteria for formal care services become stricter, older adults with greater health problems may remain at home longer and become increasingly reliant on help from their social networks. Knowledge on how different social network factors affect use of care is limited. This study aimed to analyze 1) how personal outlook and objective and subjective social network factors change over time and 2) how these factors are associated to the use of care among older adults. Methods: Data from 7 follow-up questionnaires from the Swedish Adoption Twin Study of Aging (SATSA) were used, spanning a 23-year period. Individuals older than 55 years at baseline were included. Objective social network measures included: number of neighbors, acquaintances, close friends, confidants, and caregivers. Subjective social networks were measured as the satisfaction with these different contacts. Personal outlook included feelings of loneliness and satisfaction with life. The outcome was measured as self-reported receipt of weekly care. Multivariate logistic regression explored the relationship between social network factors and weekly care. Results: Among the 1,065 older individuals in the sample, changes in social networks were most concentrated in the oldest individuals (85+ years at baseline). Increasing age (p<0.0001) was associated with an increased likelihood of weekly care, while never feeling lonely was associated with a much lower likelihood of weekly care (p=0.034). Conclusion: Age and personal outlook factors are important considerations in formal care needs among older populations.
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| 29. |
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| 30. |
- Finkel, D., et al.
(författare)
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Longitudinal trends in functional biological age : Impact of lifestyle factors
- 2015
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 0016-9013 .- 1758-5341. ; 55:Suppl 2, s. 61-61
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Tidskriftsartikel (refereegranskat)abstract
- Composites of measures of biological aging (e.g., Anstey and colleagues, Wahlin and colleagues) can be more meaningful than simple chronological age and provide insights into the aging process and its covariates. The Swedish Adoption/Twin Study of Aging provides longitudinal data on measures of vision, hearing, gait, grip strength, and lung function from 642 individuals ranging in age from 47 to 87 at wave 1. Individuals were included who participated in at least one of 5 measurement waves covering 16 years of follow-up; 69% participated in at least 3 waves. The 5 measures are combined and transformed to T-scores to create FBioAge. A two-slope age-based latent growth curve model (LGCM) was applied to the data (note that results for a time-based LGCM were similar). Phenotypic analyses indicated an inflection point in rates of change at age 75: the rate of increase in FBioAge was twice as fast after age 75, compared with prior to age 75. Analysis of the impact of several covariates on the LGCM parameters indicated that most impacted the intercept, only. Thus, on average higher (i.e., older) FBioAge was indicated for women, individuals with less education, smokers, drinkers, individuals who reported more illnesses, and individuals who reported poorer subjective health. Two variables impact the rate of change in FBioAge. Faster rate of change was predictive of mortality and childhood SES impacted the rate of change prior to age 75, only. In future research we will examine how FBioAge relates longitudinally to aging-sensitive functions, such as cognitive abilities.
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| 31. |
- Fischer, Björn, et al.
(författare)
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The Importance of User Involvement : A Systematic Review of Involving Older Users in Technology Design.
- 2020
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 0016-9013 .- 1758-5341. ; 60:7, s. e513-e523
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND OBJECTIVES: There is a lack of understanding of how older adults' involvement and participation matters in actual design practice. This systematic literature review investigates existing empirical studies involving older users during the design of technologies and explores the nature and consequences of involving older people.RESEARCH DESIGN AND METHODS: Our literature review is informed by the guidelines of the PRISMA statement. We examined the included studies by means of thematic content analysis to identify the nature of older users' involvement and existing evidence on what consequences it has.RESULTS: In total, 40 empirical studies published in the period 2014-2018 are included in the review. Most empirical studies involve older people from local networks, with underlying stereotypical images and at lower levels of participation. The results reveal three main consequences of involving older users: learning, adjusted design, and an increased sense of participation. Furthermore, we found that user involvement is a structured process whose outcomes are contingent on a range of premises.DISCUSSION AND IMPLICATIONS: Synthesizing the results, we develop the concept of user involvement and present an analytical framework. Our results have implications for researchers and policy makers, since they throw into question the widely held assumption that involving older people inevitably yields beneficial outcomes.
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| 34. |
- Friedman, Barbara Bodorkos, et al.
(författare)
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Are People Ready for Personalized Brain Health? Perspectives of Research Participants in the Lifebrain Consortium
- 2020
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Ingår i: The Gerontologist. - : Oxford University Press. - 0016-9013 .- 1758-5341. ; 60:6, s. E374-E383
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND OBJECTIVES: A healthy brain is central to physical and mental well-being. In this multi-site, qualitative study, we investigated views and attitudes of adult participants in brain research studies on the brain and personalized brain health as well as interest in maintaining a healthy brain.DESIGN AND METHODS: We conducted individual interviews with 44 adult participants in brain research cohorts of the Lifebrain consortium in Spain, Norway, Germany, and the United Kingdom. The interviews were audio recorded, transcribed, and coded using a cross-country codebook. The interview data were analyzed using qualitative content analysis.RESULTS: Most participants did not focus on their own brain health and expressed uncertainty regarding how to maintain it. Those actively focusing on brain health often picked one specific strategy like diet or memory training. The participants were interested in taking brain health tests to learn about their individual risk of developing brain diseases, and were willing to take measures to maintain their brain health if personalized follow-up was provided and the measures had proven impact. The participants were interested in more information on brain health. No differences in responses were identified between age groups, sex, or countries.DISCUSSION AND IMPLICATIONS: Concise, practical, personalized, and evidence-based information about the brain may promote brain health. Based on our findings, we have launched an ongoing global brain health survey to acquire more extensive, quantitative, and representative data on public perception of personalized brain health.
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| 35. |
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| 36. |
- Garçon, Loïc, et al.
(författare)
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Medical and assistive health technology : Meeting the needs of aging populations
- 2016
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 0016-9013 .- 1758-5341. ; 56, s. 293-302
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Tidskriftsartikel (refereegranskat)abstract
- Purpose of the Study: To identify policy gaps in the delivery and availability of assistive health technology (AHT) and medical devices (MD) for aging populations, particularly in low- and middle-income countries (LMICs). Design and Methods: The findings presented in this paper are the results of several narrative overviews. They provide a contextual analysis of the conclusions and evidence from WHO commissioned research and expert consultations in 2013 and 2014, as well as a synthesis of literature reviews conducted on AHT and MD. Results: Practical, life-enhancing support for older people through AHT, MD, and related health and social services is a neglected issue. This is particularly so in LMICs where the biggest increases in aging populations are occurring, and yet where there is commonly little or no access to these vital components of healthy aging. Implications: Health technologies, especially medical and assistive health technology, are essential to ensure older people's dignity and autonomy, but their current and potential benefits have received little recognition in LMICs. Viewing these technologies as relevant only to disabled people is an inadequate approach. They should be accessible to both older adults with disabilities and older adults with functional limitation. Many countries need much greater official awareness of older adults' needs and preferences. Such attitudinal changes should then be reflected in laws and regulations to address the specificities of care for older people.
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| 37. |
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| 38. |
- Gilhooly, M. L., et al.
(författare)
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Vibrating underpants, smell sensors and hospital continence services : tools and technologies for improving the lives of people with incontinence
- 2012
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Ingår i: The Gerontologist. - : Oxford University Press. - 0016-9013 .- 1758-5341. ; 52:s1, s. 185-185
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Tidskriftsartikel (refereegranskat)abstract
- Social isolation, loss of self esteem and depression are often a consequence of incontinence. The overall aim of this interdisciplinary project was to reduce the impact of continence difficulties and, thus, assist older people in maintaining a positive identity and good quality of life. The TACT3 project was comprised of three research work packages:Assistive technology development:Vibrating underpants: A washable fabric underwear wetness sensor and alert mechanism has been developed to alert continence pad users of leakage. In addition, a colour change odour indicating formula has been developed to indicate the presence of the odour of urine at a just imperceptible level.Challenging environmental barriers to continence: Two sets of stakeholders were involved, older people with continence difficulties and toilet providers. Focus groups, workshops, interviews and photographic diaries were conducted to identify key issues. A web based map locating toilets in London was developed which is called the Great British Toilet Map.Improving continence interventions and services: 140 patients and their carers were interviewed twice within a 12 month interval from a specialist continence clinic for older people and generic continence clinic. Twenty health and social care managers and 200 practitioners were also be interviewed. Care outcomes are being analysed from each clinic and a cost benefit analysis will be carried out.Key findings from this three year interdisciplinary project are highlighted. Prototypes of the vibrating underpants and the odour sensor will be on display. This research was funded by the UK New Dynamics of Ageing Programme.
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| 39. |
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| 42. |
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| 43. |
- Gustafsson, Susanne, et al.
(författare)
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Long-term outcome for ADL following the health-promoting RCT : elderly persons in the risk zone
- 2013
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Ingår i: The Gerontologist. - 0016-9013 .- 1758-5341. ; 53:4, s. 654-663
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To examine independence in activities of daily living (ADL) at the 1- and 2-year follow-ups of the health-promoting study Elderly Persons in the Risk Zone.Design and Method: A randomized, three-armed, single-blind, and controlled study. A representative sample of 459 independent and community-dwelling older adults, 80 years and older, were included. A preventive home visit was compared with four weekly multiprofessional senior group meetings including a follow-up home visit.Results: Analysis showed a significant difference in favor of the senior meetings in postponing dependence in ADL at the 1-year follow-up (odds ratio [OR] = 1.92, 95% confidence interval [CI] = 1.19–3.10) and also in reducing dependence in three (OR = 0.52, 95% CI = 0.31–0.86) and four or more ADL (OR = 0.40, 95% CI = 0.22–0.72) at the 2-year follow-up. A preventive home visit reduced dependence in two (OR = 0.40, 95% CI = 0.24–0.68) and three or more ADL (OR = 0.37, 95% CI = 0.17–0.80) after 1 year.Implications: A long-term evaluation of Elderly Persons in the Risk Zone showed that both senior meetings and a preventive home visit reduced the extent of dependence in ADL after 1 year. The senior meetings were superior to a preventive home visit since additional significant effects were seen after 2 years. To further enhance the long-term effects of the senior meetings and support the process of self-change in health behavior, it is suggested that booster sessions might be a good way of reinforcing the intervention.
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| 44. |
- Gustafsson, Susanne, et al.
(författare)
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Long-term outcome for ADL following the health-promoting RCT-Elderly persons in the risk zone
- 2013
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Ingår i: The Gerontologist. - : Oxford University Press. - 0016-9013 .- 1758-5341. ; 53:4, s. 654-663
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To examine independence in activities of daily living (ADL) at the 1- and 2-year followups of the health-promoting study Elderly Persons in the Risk Zone. Design and Method: A randomized, three-armed, single-blind, and controlled study. A representative sample of 459 independent and community-dwelling older adults, 80 years and older, were included. A preventive home visit was compared with four weekly multiprofessional senior group meetings including a follow-up home visit. Results: Analysis showed a significant difference in favor of the senior meetings in postponing dependence in ADL at the 1-year follow-up (odds ratio [OR] = 1.92, 95% confidence interval [CI] = 1.19-3.10) and also in reducing dependence in three (OR = 0.52, 95% CI = 0.31-0.86) and four or more ADL (OR = 0.40, 95% CI = 0.22-0.72) at the 2-year follow-up. A preventive home visit reduced dependence in two (OR = 0.40, 95% CI = 0.24-0.68) and three or more ADL (OR = 0.37, 95% CI = 0.17-0.80) after 1 year. Implications: A long-term evaluation of Elderly Persons in the Risk Zone showed that both senior meetings and a preventive home visit reduced the extent of dependence in ADL after 1 year. The senior meetings were superior to a preventive home visit since additional significant effects were seen after 2 years. To further enhance the long-term effects of the senior meetings and support the process of self-change in health behavior, it is suggested that booster sessions might be a good way of reinforcing the intervention.
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| 46. |
- Hallgren, Jenny, et al.
(författare)
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Factors associated with hospitalization among older people in Sweden : Results from the Satsa Study
- 2015
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Ingår i: The Gerontologist. - : Oxford University Press. - 0016-9013 .- 1758-5341. ; 55, s. 678-679
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Tidskriftsartikel (refereegranskat)abstract
- Background: Hospitalization among older people is common and associated with risk of adverse outcomes such as iatrogenic disorders and physical impairments. Knowledge about personal characteristics and social factors related to hospitalization is scarce. In order to understand which factors that are related to hospitalization risk, a prospective study with a multifactorial approach was conducted.Methods: In 2003, 794 Swedish persons (mean age 70.1 years, 60.7% females) answered a postal questionnaire as a part of the population-based longitudinal Swedish Adoption/Twin Study of Aging (SATSA). Participants were asked about physiological and psychological health, personality and socio economic factors. During seven years of follow-up, information on hospitalizations and the associated diagnoses were obtained from the Swedish National Inpatient Register.Results: Preliminary results show that 484 persons (61.0%) had at least one hospital admission during the follow-up period. The most common causes of admission were cardiovascular diseases and tumors. Cox proportional hazard regression model controlling for age, sex and dependency within twin pairs, showed that higher locus of control (HR=0.89, 95% CI=0.83-0.96), marital status (widow/widower (HR=0.64, 95 % CI=0.50-0.81) and unmarried (HR=0.67, 95% CI=0.50-0.90)), and support from friends (HR=0.93, 95% CI=0.87-0.99) were associated with lower risk of hospitalization, while greater numbers of diseases (HR=1.11, 95% CI=1.03-1.20) and negative life events (HR=1.16, 95% CI=1.00-1.34) were associated with increased risk of hospitalization.Discussion: Our results show that both personal and social factors were important for the risk of hospitalization. This might be used in future interventions for understanding health care utilization.
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| 47. |
- Hanson, Elizabeth, et al.
(författare)
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Blended Learning Networks Supported by Information and Communication Technology : An Intervention for Knowledge Transformation Within Family Care of Older People
- 2011
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 0016-9013 .- 1758-5341. ; 51:4, s. 561-570
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: This article describes an innovative practice called Blended Learning Networks (BLNs) whose aim is to enable older people, their families, and care providers to exchange knowledge, learn together, and support each other in local development work so that care is improved for older people. BLNs were established in 31 municipalities, headed up by a local facilitator. They were supported by a national themed network consisting of virtual meetings between local facilitators and national facilitators at the Swedish National Family Care Competence Centre. Design and Methods: An evaluation was conducted to explore the utility of the BLNs so that any improvements to the model could be instigated. Focus group interviews were conducted with members of 9 BLNs, and self-evaluation questions were discussed in 16 BLNs. Limitations are that not all BLN members participated in the evaluation, and local facilitators conducting self-evaluations were not trained in focus group dynamics. Virtual focus groups were carried out with 26 of the 31 local facilitators and with the national facilitators. Results: Participants reported an increased understanding of caregiver issues and of each group's roles. Of particular value were the stories shared by caregivers and the potential for change locally due to the involvement of decision makers. The practice demanded considerable skills of the local facilitators. An initial education for new local facilitators was deemed necessary. Implications: BLNs is a unique practice of community communications and knowledge transfer as it creates partnerships among all key stakeholder groups that act as a catalyst for improving care for older people.
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| 48. |
- Hanson, Elizabeth, et al.
(författare)
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Practice Concepts and Policy Analysis
- 2011
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Ingår i: The Gerontologist. - : Oxford University Press on behalf of The Gerontological Society of America.. - 0016-9013 .- 1758-5341. ; 51:2, s. 261-272
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Tidskriftsartikel (refereegranskat)abstract
- This article describes an innovative practice called Blended Learning Networks (BLNs) whose aim is to enable older people, their families, and care providers to exchange knowledge, learn together, and support each other in local development work so that care is improved for older people. BLNs were established in 31 municipalities, headed up by a local facilitator. They were supported by a national themed network consisting of virtual meetings between local facilitators and national facilitators at the Swedish National Family Care Competence Centre. Design and Methods: An evaluation was conducted to explore the utility of the BLNs so that any improvements to the model could be instigated. Focus group interviews were conducted with members of 9 BLNs, and self-evaluation questions were discussed in 16 BLNs. Limitations are that not all BLN members participated in the evaluation, and local facilitators conducting self-evaluations were not trained in focus group dynamics. Virtual focus groups were carried out with 26 of the 31 local facilitators and with the national facilitators. Results: Participants reported an increased understanding of caregiver issues and of each group's roles. Of particular value were the stories shared by caregivers and the potential for change locally due to the involvement of decision makers. The practice demanded considerable skills of the local facilitators. An initial education for new local facilitators was deemed necessary. Implications: BLNs is a unique practice of community communications and knowledge transfer as it creates partnerships among all key stakeholder groups that act as a catalyst for improving care for older people.
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