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- Dahlin-Ivanoff, Synneve, 1950, et al.
(author)
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Elderly persons in the risk zone: Design of a multidimensional, health-promoting, randomised three-armed controlled trial for "prefrail" people of 80+ years living at home
- 2010
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In: BMC geriatrics. - 1471-2318. ; 10:1
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Journal article (peer-reviewed)abstract
- ABSTRACT: BACKGROUND: The very old (80+) are often described as a "frail" group that is particularly exposed to diseases and functional disability. They are at great risk of losing the ability to manage their activities of daily living independently. A health-promoting intervention programme might prevent or delay dependence in activities of daily life and the development of functional decline. Studies have shown that those who benefit most from a health-promoting and disease-preventive programme are persons with no, or discrete, activity restrictions. The three-armed study "Elderly in the risk zone" is designed to evaluate if multi-dimensional and multi-professional educational senior meetings are more effective than preventive home visits, and if it is possible to prevent or delay deterioration if an intervention is made when the persons are not so frail. In this paper the study design, the intervention and the outcome measures as well as the baseline characteristics of the study participants are presented. METHODS: The study is a randomised three-armed single-blind controlled trial with follow-ups 3 months, 1 and 2 years. The study group should comprise a representative sample of pre-frail 80-year old persons still living at home in two municipalities of Gothenburg. To allow for drop-outs, it was estimated that a total of about 450 persons would need to be included in the study. The participants should live in their ordinary housing and not be dependent on the municipal home help service or care. Further, they should be independent of help from another person in activities of daily living and be cognitively intact, having a score of 25 or higher as assessed with the Mini Mental State Examination (MMSE). DISCUSSION: We believe that the design of the study, the randomisation procedure, outcome measurements and the study protocol meetings should ensure the quality of the study. Furthermore, the multi-dimensionality of the intervention, the involvement of both the professionals and the senior citizens in the planning of the intervention should have the potential to effectively target the heterogeneous needs of the elderly.
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| 2. |
- Ernsth Bravell, Marie, et al.
(author)
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Komplexa vårdbehov och skörhet
- 2024
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In: Omvårdnad & Äldre. - Lund : Studentlitteratur. ; :2, s. 519-537
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Book chapter (other academic/artistic)
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| 3. |
- Ernsth Bravell, Marie, et al.
(author)
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Äldres komplexa vårdbehov
- 2017
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In: Omvårdnad & äldre. - Lund : Studentlitteratur. ; , s. 219-232
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Book chapter (other academic/artistic)
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| 4. |
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| 5. |
- Almevall, Albin Dahlin, et al.
(author)
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Accepting the inevitable : A mixed method approach with assessment and perceptions of well-being in very old persons within the northern Sweden Silver-MONICA study
- 2021
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In: Archives of gerontology and geriatrics (Print). - : Elsevier. - 0167-4943 .- 1872-6976. ; 92
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Journal article (peer-reviewed)abstract
- BackgroundAs the group of very old persons will form an increasing part of society, the study of how well-being is described and affected by specific factors will be of importance to meet the future needs of these persons. The aim of the study was to increase knowledge of well-being in very old persons by combining assessments and perceptions using the Philadelphia Geriatric Morale Scale (PGCMS).MethodIn a mixed method, convergent parallel design, 52 persons 80 years or older were assessed and interviewed using the PGCMS to combine assessment of morale and descriptions of perceptions of well-being using a mixed method approach.ResultsQuantitative and qualitative results converged in four areas: not feeling lonely and being included, rating and perceiving health as good, high physical function/ability and being physically active, living in own house and feeling at home. Areas perceived as important to well-being captured only in qualitative analysis were having freedom and engagement. An example of insights not achievable from the quantitative or qualitative analysis alone was that individuals with high morale expressed anxiety about losing their health due to potential ageing-related threats and that individuals with low morale struggled with acceptance. Acceptance was the key strategy for handling adverse consequences of ageing in all described areas.ConclusionWhen using standardized assessment scales in clinical practice, it could be useful to combine quantitative and qualitative data. Acceptance was key for well-being; however, acceptance could be resigned or reorienting in nature.
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| 6. |
- Almevall, Albin Dahlin, et al.
(author)
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Associations between everyday physical activity and morale in older adults
- 2022
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In: Geriatric Nursing. - : Elsevier. - 0197-4572 .- 1528-3984. ; 48, s. 37-42
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Journal article (peer-reviewed)abstract
- Studies that objectively investigate patterns of everyday physical activity in relation to well-being and that use measures specific to older adults are scarce. This study aimed to explore objectively measured everyday physical activity and sedentary behavior in relation to a morale measure specifically constructed for older adults. A total of 77 persons (42 women, 35 men) aged 80 years or older (84.3 ± 3.8) wore an accelerometer device for at least 5 days. Morale was measured with the Philadelphia Geriatric Center Morale Scale (PGCMS). PGCMS scores were significantly positively associated with number of steps, time spent stepping, and time spent stepping at >75 steps per minute. Sedentary behavior did not associate with PGCMS. Promoting PA in the form of walking at any intensity–or even spending time in an upright position—and in any quantity may be important for morale, or vice versa, or the influence may be bidirectional.
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| 7. |
- Almevall, Ariel, et al.
(author)
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Self-rated health in old age, related factors and survival: A 20-Year longitudinal study within the Silver-MONICA cohort
- 2024
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In: Archives of gerontology and geriatrics (Print). - : Elsevier. - 0167-4943 .- 1872-6976. ; 122
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Journal article (peer-reviewed)abstract
- Introduction: Self-rated health (SRH) offers insights into the evolving health demographics of an ageing population.Aim: To assess change in SRH from old age to very old age and their associations with health and well-being factors, and to investigate the association between SRH and survival.Methods: All participants in the MONICA 1999 re-examination born before 1940 (n = 1595) were included in the Silver-MONICA baseline cohort. The Silver-MONICA follow-up started in 2016 included participants in the Silver-MONICA baseline cohort aged 80 years or older. Data on SRH was available for 1561 participants at baseline with 446 of them also participating in the follow-up. The follow-up examination included a wide variety of measurements and tests.Findings: Most participants rated their health as "Quite good" (54.5 %) at baseline. Over the study period, 42.6 % had stable SRH, 40.6 % had declined, and 16.8 % had improved. Changes in SRH were at follow-up significantly associated with age, pain, nutrition, cognition, walking aid use, self-paced gait speed, lower extremity strength, independence in activities of daily living, weekly physical exercise, outdoor activity, participation in organized activities, visiting others, morale, and depressive symptoms. SRH at baseline was significantly associated with survival (p < 0.05).Conclusion: This study demonstrates associations between changes in SRH and a multitude of health- and wellbeing-related factors, as well as a relation between survival and SRH, accentuating their relevance within the ageing population.
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| 8. |
- Andersson, Karin, et al.
(author)
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Bedding material properties and slurry C/N ratio affect the availability of nitrogen in cattle slurry applied to soil
- 2024
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In: Frontiers in sustainable food systems. - 2571-581X. ; 8
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Journal article (peer-reviewed)abstract
- Introduction: Cattle slurry used as fertilizer in crop production is a mix of feces, urine, water, and bedding material from the housing system. Previous studies have shown that slurry nitrogen (N) availability to crops is dependent on C/N ratio. As the bedding material can contribute a significant part of total slurry carbon (C), its characteristics may affect the C/N ratio of the slurry. There is increasing interest in using the solid fraction from mechanical slurry separation as bedding material, and therefore this study investigated the potential effect of this fraction on slurry N availability, compared with more commonly used bedding materials such as straw and sawdust. Methods: In two parallel 28-day laboratory incubations, net mineral N release and C mineralization from slurries applied to sandy loam soil were measured. The slurries comprised a liquid fraction (LF) from mechanical cattle slurry separation with a screw-press and different added bedding materials. Liquid fraction was mixed with two types of bedding material, solid slurry fraction (SF) and chopped straw, in different proportions, resulting in C/N ratios of 10, 12, and 14 in the slurry. In additional treatments, two other bedding materials, ground straw and sawdust, with slurry C/N ratio 12, were used. Results: For SF and chopped straw, similar negative linear correlations were seen between slurry C/N ratio and net mineral N release after 28 days. Carbon mineralization, expressed as a percentage of total C added, was higher from the mixture containing SF than that containing straw, while no clear relationship with C/N ratio was found. At slurry C/N ratio 12, net release of mineral N was 28–39% of total N and decreased in the order: sawdust>chopped straw=SF=ground straw. Net C mineralization at the same slurry C/N ratio was 33–46% and decreased in the order: SF=ground straw>chopped straw>sawdust. Discussion: For bedding materials with similar fiber composition (i.e., SF and straw), differences in C availability due to particle size or degree of degradation by microorganisms did not influence slurry N availability measurably. For sawdust, with high lignin content, the results indicate that limited C availability may lead to lower slurry N immobilization.
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