| 1. |
- Barenfeld, Emmelie, 1981, et al.
(author)
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Moving From Knowledge to Action in Partnership: A Case Study on Program Adaptation to Support Optimal Aging in the Context of Migration
- 2019
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In: Journal of Applied Gerontology. - : SAGE Publications. - 0733-4648 .- 1552-4523. ; 38:8, s. 1096-1120
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Journal article (peer-reviewed)abstract
- This case study explored how a researcher–community partnership contributed to program adaptations when implementing person-centered group-based health promotion services to older people who have migrated to Sweden. The study was conducted over 3 years and various data sources were used: focus groups, individual interviews, documents, and archive material. Findings from different data sources and partners’ perspectives were triangulated to an overall case description using an iterative process. Adaptations were shaped through a dynamic process, negotiating toward suitable solutions that culminated in actions taken to adapt or inhibit adaptations. The negotiations were driven by the interplay within and between three reasons to adapt. The partners’ opportunities to influence the negotiation process depended on establishing common ground to shape adaptations. Practical implications are provided on how to move from knowledge to action when implementing person-centered group-based health promotion to support optimal aging in the context of migration.
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| 2. |
- Cederbom, Sara, et al.
(author)
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Home Help Service Staffs' Descriptions of Their Role in Promoting Everyday Activities Among Older People in Sweden Who Are Dependent on Formal Care.
- 2017
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In: Journal of Applied Gerontology. - : SAGE Publications. - 0733-4648 .- 1552-4523. ; 36:8, s. 971-992
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Journal article (peer-reviewed)abstract
- The study aimed to explore how home help service staff described their role in improving the abilities of older people, in particular, older women with chronic pain who are dependent on formal care, to perform everyday activities. Three focus group interviews were conducted, and a qualitative inductive thematic content analysis was used. The analysis resulted in one theme: struggling to improve the care recipients' opportunities for independence but being inhibited by complex environmental factors. By encouraging the care recipients to perform everyday activities, the staff perceived themselves to both maintain and improve their care recipients' independence and quality of life. An important goal for society and health care professionals is to improve older people's abilities to "age in place" and to enable them to age independently while maintaining their quality of life. A key resource is home help service staff, and this resource should be utilized in the best possible way.
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| 3. |
- Fang, ML, et al.
(author)
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Informing Understandings of Mild Cognitive Impairment for Older Adults: Implications From a Scoping Review
- 2017
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In: Journal of applied gerontology : the official journal of the Southern Gerontological Society. - : SAGE Publications. - 1552-4523. ; 36:7, s. 808-839
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Journal article (peer-reviewed)abstract
- The development of effective interventions for mild cognitive impairment (MCI) in older adults has been limited by extensive variability in the conceptualization and definition of MCI, its subtypes, and relevant diagnostic criteria within the neurocultural, pharmaceutical, and gerontological communities. A scoping review was conducted to explore the conceptual development of MCI and identify the resulting ethical, political, and technological implications for the care of older adults with MCI. A comprehensive search was conducted between January and April 2013 to identify English-language peer-reviewed articles published between 1999 and 2013. Our analysis revealed that the MCI conceptual debate remains unresolved, the response to ethical issues is contentious, the policy response is limited, and one-dimensional and technological interventions are scarce. Reflections on the conceptual, ethical, and policy responses in conjunction with the identification of the needs of older adults diagnosed with MCI highlight significant opportunities for technological interventions to effectively reposition MCI in the aging care discourse.
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| 4. |
- Hedman, Ragnhild, et al.
(author)
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Expressed Sense of Self by People With Alzheimer’s Disease in a Support Group Interpreted in Terms of Agency and Communion
- 2016
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In: Journal of Applied Gerontology. - : SAGE Publications. - 0733-4648 .- 1552-4523. ; 35:4, s. 421-443
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Journal article (peer-reviewed)abstract
- The self is constructed in cooperation with other people and social context influences how people perceive and express it. People with Alzheimer’s disease (AD) often receive insufficient support in constructing their preferred selves, but little is known about how they express themselves together with other people with AD. In accordance with Harré’s social constructionist theory of self, this study aimed to describe how five people with mild and moderate AD express their Self 2 (i.e., their personal attributes and life histories) in a support group with a facilitator experienced in communicating with people with AD. The participants’ expressions of their Self 2 were analyzed with qualitative abductive content analysis and interpreted in terms of agency and communion and a lack of agency and communion. The findings highlight the importance of supporting a sense of agency and communion when assisting people with AD in constructing their self.
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| 5. |
- Shield, Renée, et al.
(author)
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Choosing the Best and Scrambling for the Rest: Hospital–Nursing Home Relationships and Admissions to Post-Acute Care
- 2019
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In: Journal of Applied Gerontology. - : SAGE Publications. - 0733-4648 .- 1552-4523. ; 38:4, s. 479-498
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Journal article (peer-reviewed)abstract
- Objective: We explored post-Affordable Care Act hospital and skilled nursing facility (SNF) perspectives in discharge and admission practices. Method: Interviews were conducted with 138 administrative personnel in 16 hospitals and 25 SNFs in eight U.S. markets and qualitatively analyzed. Results: Hospitals may use prior referral rates and patients' geographic proximity to SNFs to guide discharges. SNFs with higher hospital referral rates often use licensed nurses to screen patients to admit more preferred patients. While SNFs with lower hospital referral rates use marketing strategies to increase admissions, these patients are often less preferred due to lower reimbursement or complex care needs. Conclusion: An unintended consequence of increased hospital-SNF integration may be greater disparity. SNFs with high hospital referral rates may admit well-reimbursed or less medically complex patients than SNFs with lower referral rates. Without policy remediation, SNFs with lower referral rates may thus care for more medically complex long-term care patients.
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| 6. |
- Tuvemo Johnson, Susanna, et al.
(author)
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Older adults' opinions on fall prevention in relation to physical activity level
- 2018
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In: Journal of Applied Gerontology. - : SAGE Publications. - 0733-4648 .- 1552-4523. ; 37:1, s. 58-78
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Journal article (peer-reviewed)abstract
- The purpose of this study was to explore and describe older adults' opinions regarding actions to prevent falls and to analyze differences in the opinions of highly versus less physically active older adults. An open-ended question was answered by 262 individuals aged 75 to 98 years living in the community. The answers were analyzed using qualitative content analysis, and differences in the categories were compared between highly and less physically active persons. Physical activity was measured according to a five-level scale. The content analysis resulted in eight categories: assistive devices, avoiding hazards, behavioral adaptive strategies, being physically active, healthy lifestyle, indoor modifications, outdoor modifications, and seeking assistance. Behavioral adaptive strategies were mentioned to a greater extent by highly active people, and indoor modifications were more often mentioned by less active older adults. Support for active self-directed behavioral strategies might be important for fall prevention among less physically active older adults.
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| 7. |
- Zambianchi, Manuela, et al.
(author)
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Positive attitudes towards technologies and facets of well-being in older adults
- 2018
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In: Journal of Applied Gerontology. - Thousand oaks : Sage Publications. - 0733-4648 .- 1552-4523. ; 37:3, s. 371-388
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Journal article (peer-reviewed)abstract
- The current study investigates the relevance of positive attitudes toward Internet technologies for psychological well-being and social well-being in old age. A sample of 245 elderly people (Mean age = 70; SD =9.1) filled in the Psychological Well-Being Questionnaire, the Social Well-Being Questionnaire, and Attitudes Toward Technologies Questionnaire (ATTQ). Favorable attitudes toward Internet technologies showed positive correlations with overall social well-being and all its components with the exception of social acceptance. Positive correlations with overall psychological well-being and two of its components, namely, personal growth and purpose in life, were also found. Two hierarchical multiple regression models underscored that positive attitudes toward Internet technologies constitute the most important predictor of social well-being, and it appears to be a significant predictor for psychological well-being as well. Results are discussed and integrated into the Positive Technology theoretical framework that sustains the value of technological resources for improving the quality of personal experience and well-being.
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