| 1. |
- Barnes, S, et al.
(author)
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Does the design of extra care housing meet the needs of the residents? : a focus group study
- 2012
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In: Ageing & Society. - Cambridge : Cambridge University Press. - 0144-686X .- 1469-1779. ; 32:7, s. 1193-1214
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Journal article (peer-reviewed)abstract
- The study objective was to explore the views of residents and relatives concerning the physical design of extra-care housing. Five focus groups were conducted with residents in four extra-care schemes in England. One focus group was carried out with relatives of residents from a fifth scheme. Schemes were purposively sampled to represent size, type, and resident tenure. Data were analysed thematically using NVivo 8. Two over-arching themes emerged from the data: how the building supports the lifestyle and how the building design affects usability. Provision of activities and access to amenities were more restrictive for residents with disabilities. Independent living was compromised by building elements that did not take account of reduced physical ability. Other barriers to independence included poor kitchen design and problems doing laundry. Movement around the schemes was difficult and standards of space and storage provision were inadequate. The buildings were too hot, too brightly lit and poorly ventilated. Accessible external areas enabled residents to connect with the outside world. The study concluded that, while the design of extra-care housing meets the needs of residents who are relatively fit and healthy, those with physical frailties and/or cognitive impairment can find the building restrictive resulting in marginalisation. Design across the dependency spectrum is key in meeting the needs of residents. Inclusive, flexible design is required to benefit residents who are ageing in situ and have varying care needs.
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| 2. |
- Bellardini, Helena, et al.
(author)
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The effect of gender on strength training in older people : a Swedish population study
- 2012
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In: Psychology and Health. - : Routledge. - 0887-0446 .- 1476-8321. ; 27:s1, s. 155-156
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Journal article (peer-reviewed)abstract
- Background: Physical exercise contributes to healthy ageing, and strength training has beenshown to improve independence in older people.Method: Six hundred older people wererandomly selected from the Swedish population, and sent a self-completion questionnaire(57% response rate, n¼343) examining exercise history, current strength training, andperceived benefits and barriers to strength training.Results: Gender was associated with aperceived positive effect of strength training on quality of life (Women 42% vs. Men 27%).The most commonly reported benefits of strength training were better mobility (71%), energy(70%), and muscle strength (69%), with most benefits endorsed more commonly by womenthan men. The most commonly reported barriers to strength training were believing otherforms of exercise more suitable (49%) and cost (20%; Women 31% vs. Men 13%).Discussion:To better promote healthy ageing, interventions should be embedded in an understanding ofthe effect of gender on exercise behaviour.
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| 3. |
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| 4. |
- Bień, Barbara, et al.
(author)
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Disabled older people’s use of health and social care services and their unmet care needs in six European countries
- 2013
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In: European Journal of Public Health. - : Oxford University Press. - 1101-1262 .- 1464-360X. ; 23:6, s. 1032-1038
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Journal article (peer-reviewed)abstract
- Background: The national health and social care systems in Europe remain poorly integrated with regard to the care needs of older persons. The present study examined the range of health and social care services used by older people and their unmet care needs, across six European countries. Methods: Family carers of older people were recruited in six countries via a standard protocol. Those providing care for disabled older people (n = 2629) provided data on the older person’s service use over a 6-month period, and their current unmet care needs. An inventory of 21 services common to all six countries was developed. Analyses considered the relationship between older people’s service use and unmet care needs across countries. Results: Older people in Greece, Italy and Poland used mostly health-oriented services, used fewer services overall and also demonstrated a higher level of unmet care needs when compared with the other countries. Older people in the United Kingdom, Germany and Sweden used a more balanced profile of socio-medical services. A negative relationship was found between the number of different services used and the number of different areas of unmet care needs across countries. Conclusions: Unmet care needs in older people are particularly high in European countries where social service use is low, and where there is a lack of balance in the use of health and social care services. An expansion of social care services in these countries might be the most effective strategy for reducing unmet needs in disabled older people.
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| 5. |
- Dahlberg, Lena, 1970-, et al.
(author)
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Correlates of social and emotional loneliness in older people : evidence from an English community study
- 2014
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In: Aging & Mental Health. - : Taylor & Francis. - 1360-7863 .- 1364-6915. ; 18:4, s. 504-514
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Journal article (peer-reviewed)abstract
- Objectives: Loneliness is an important influence on quality of life in old age, and has been conceptualised as consisting of two dimensions, social and emotional. This paper describes analyses that sought to produce models of social and emotional loneliness in older people, using demographic, psychological and health, and social variables.Method: Older people (aged 65+, N=1255) from the Barnsley metropolitan area of the United Kingdom were recruited randomly from within a stratified sampling frame, and received a questionnaire-based interview (response rate: 68.1%). The questionnaire contained items and scales on demographic, psychological and health and social characteristics, and a validated measure of loneliness that assesses both social and emotional loneliness.Results: Of the respondents, 7.7% were found to be severely or very severely lonely, while another 38.3% were moderately lonely. Social and Emotional Loneliness shared 19.36% variance. Being male, being widowed, low well-being, low self-esteem, low income comfort, low contact with family, low contact with friends, low Activity, low Perceived Community Integration, and receipt of community care were significant predictors of Social Loneliness (R=.50, R2=.25, F(18, 979)=18.17, p<.001). Being widowed, low well-being, low self-esteem, high activity restriction, low income comfort, and non-receipt of informal care were significant predictors of Emotional Loneliness (R=.55, R2=.30, F(18, 973)=23.00, p<.001).Conclusion: This study provides further empirical support for the conceptual separation of emotional and social loneliness. Consequently, policy on loneliness in older people should be directed to developing a range of divergent intervention strategies if both emotional and social loneliness are to be reduced.
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| 6. |
- Dahlberg, Lena, 1970-, et al.
(author)
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Predictors of loneliness among older women and men in Sweden : A national longitudinal study
- 2014
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Conference paper (other academic/artistic)abstract
- Objectives: To examine the extent to which older women and men (70+) report feelings of loneliness with a focus on: a) changes in reported loneliness as people age, and b) which factors predict loneliness.Methods: Data from the 2004 and 2011 waves of SWEOLD, a longitudinal national survey study, was used. The prediction of loneliness in 2011 by data collected in 2004 was examined in three logistic regression models for the total sample (n=587), for women and for men.Results: Older people moved in and out of frequent loneliness over time, but there was a general increase in loneliness as they aged. Recent widowhood and depression increment were associated with loneliness in both women and men. Loneliness, widowhood, depression and mobility problems measured in 2004 predicted loneliness uniquely in women in 2011; whereas low level of education and social contact reduction predicted loneliness uniquely in men.Discussion: Loneliness is not always a stable condition, demonstrating the importance of longitudinal research. Gender differences in incidence and predictors make it important to look at women and men separately both when researching loneliness and when targeting interventions to prevent or reduce loneliness in older people.
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| 7. |
- Dahlberg, Lena, 1970-, et al.
(author)
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Psychological, health and social predictors of emotional and social loneliness in older people
- 2013
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In: Proceedings of the 20th IAGG World Congress of Gerontology and Geriatrics, Seoul, Korea.
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Conference paper (peer-reviewed)abstract
- Background: Loneliness in old age has been shown to have negative outcomes such as mortality, physical and mental health problems, and reduced activity levels. To reduce loneliness in older people, factors associated with loneliness and open to intervention must be identified.Methods: Older people (aged 65+, N=1255) from the United Kingdom received a questionnaire-based interview (response rate: 66.0%). The questionnaire covered items on demographic, psychological, health and social characteristics. It also contained the de Jong-Gierveld Loneliness Scale (de Jong-Gierveld & Kamphuis, 1985), measuring Emotional and Social Loneliness.Findings: Eight percent of the respondents were found to be severely or very severely lonely, while another 38% were moderately lonely. Being female, widowed, low well-being, low self-esteem, high activity restriction, and high concern about personal finances were significant predictors of Emotional Loneliness (F(17, 976)=25.59, R2=.31, p<.001). Being female, widowed, low well-being, low self-esteem, high concern about personal finances, low contact with family, low contact with friends, low engagement, and low perceived community integration were significant predictors of Social Loneliness (F(17, 982)=19.63, R2=.25, p<.001).Discussion: This study provides empirical evidence for conceptual separation of emotional and social loneliness. Consequently, different targets for intervention are required in order to reduce emotional and social loneliness respectively, although psychological intervention has the potential to reduce both. Background: Loneliness in old age has been shown to have negative outcomes such as mortality, physical and mental health problems, and reduced activity levels. To reduce loneliness in older people, factors associated with loneliness and open to intervention must be identified.Methods: Older people (aged 65+, N=1255) from the United Kingdom received a questionnaire-based interview (response rate: 66.0%). The questionnaire covered items on demographic, psychological, health and social characteristics. It also contained the de Jong-Gierveld Loneliness Scale (de Jong-Gierveld & Kamphuis, 1985), measuring Emotional and Social Loneliness.Findings: Eight percent of the respondents were found to be severely or very severely lonely, while another 38% were moderately lonely. Being female, widowed, low well-being, low self-esteem, high activity restriction, and high concern about personal finances were significant predictors of Emotional Loneliness (F(17, 976)=25.59, R2=.31, p<.001). Being female, widowed, low well-being, low self-esteem, high concern about personal finances, low contact with family, low contact with friends, low engagement, and low perceived community integration were significant predictors of Social Loneliness (F(17, 982)=19.63, R2=.25, p<.001).Discussion: This study provides empirical evidence for conceptual separation of emotional and social loneliness. Consequently, different targets for intervention are required in order to reduce emotional and social loneliness respectively, although psychological intervention has the potential to reduce both.
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| 8. |
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| 9. |
- Di Rosa, Mirko, et al.
(author)
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A typology of caregiving situations and service use in family carers of older people in six European countries : The EUROFAMCARE study
- 2011
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In: GeroPsych. - Bern : Hogrefe Publishing. - 1662-9647 .- 1662-971X. ; 24:1, s. 5-18
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Journal article (peer-reviewed)abstract
- This paper presents the EUROFAMCARE study findings, examining a typology of care situations for family carers of older people, and the interplay of carers with social and health services. Despite the complexity of family caregiving situations across Europe, our analyses determined the existence of seven “caregiving situations,” varying on a range of critical indicators. Our study also describes the availability and use of different support services for carers and care receivers, and carers’ preferences for the characteristics of support services. Our findings have relevance for policy initiatives in Europe, where limited resources need to be more equitably distributed and services should be targeted to caregiving situations reflecting the greatest need, and organized to reflect the preferences of family carers.
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| 10. |
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| 11. |
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| 12. |
- Gilhooly, M. L., et al.
(author)
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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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In: The Gerontologist. - : Oxford University Press. - 0016-9013 .- 1758-5341. ; 52:s1, s. 185-185
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Journal article (peer-reviewed)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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| 13. |
- Lewis, Alan, et al.
(author)
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EVOLVE : a tool for evaluating the design of older people’s housing
- 2010
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In: Housing, Care and Support. - : Pier Professional. - 1460-8790. ; 13:3, s. 36-41
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Journal article (peer-reviewed)abstract
- EVOLVE is a tool for evaluating the design of housing for older people. It is used to assess how well a building contributes to the physical support and personal well-being of older people. Developed from research into extra care housing, it can be used for a variety of building types, including sheltered housing and individual private houses. The tool can be used by architects, housing providers, commissioners, researchers and individual tenants or home owners. EVOLVE can be used as a briefing document or an aid to design. It can provide a rational basis to the selection of proposals in a competitive procurement process. The EVOLVE tool can also be used to evaluate existing housing stock, including schemes where remodelling is under consideration.
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| 14. |
- Matlabi, H., et al.
(author)
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Experiences of extra care housing residents aged fifty-five an over with home-based technology
- 2012
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In: Social behavior and personality. - : Scientific Journal Publishers Ltd. - 0301-2212 .- 1179-6391. ; 40:2, s. 293-300
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Journal article (peer-reviewed)abstract
- Technological interventions could help older people live independently. In this study with 160 people aged 55 and over who were living in extra care housing in England we aimed to explore awareness of, access to, attitudes towards availability, and use of home-based technological (HBT) devices, and factors that influence the use of devices. A quantitatively designed and structured questionnaire was developed for this study. The majority of new HBT devices were not available in living units or schemes. Moreover, most basic appliances and emergency call systems were used in the living units. We found that in order to increase the use of technological devices among the elderly, their perceptions, capabilities, attitudes, and needs should be assessed in the designing, planning, and supplying process.
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| 15. |
- Matlabi, H, et al.
(author)
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Tha contribution of home-based technology to older people's quality of life in extra care housing
- 2011
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In: BMC Geriatrics. - : Springer Science and Business Media LLC. - 1471-2318. ; 11
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Journal article (peer-reviewed)abstract
- Background: British government policy for older people focuses on a vision of active ageing and independent living. In the face of diminishing personal capacities, the use of appropriate home-based technology (HBT) devices could potentially meet a wide range of needs and consequently improve many aspects of older people's quality of life such as physical health, psychosocial well-being, social relationships, and their physical or living environment. This study aimed to examine the use of HBT devices and the correlation between use of such devices and quality of life among older people living in extra-care housing (ECH). Methods: A structured questionnaire was administered for this study. Using purposive sampling 160 older people living in extra-care housing schemes were selected from 23 schemes in England. A face-to-face interview was conducted in each participant's living unit. In order to measure quality of life, the SEIQoL-Adapted and CASP-19 were used. Results: Although most basic appliances and emergency call systems were used in the living units, communally provided facilities such as personal computers, washing machines, and assisted bathing equipment in the schemes were not well utilised. Multiple regression analysis adjusted for confounders including age, sex, marital status, living arrangement and mobility use indicated a coefficient of 1.17 with 95% CI (0.05, 2.29) and p = 0.04 [SEIQoL-Adapted] and 2.83 with 95% CI (1.17, 4.50) and p = 0.001 [CASP-19]. Conclusions: The findings of the present study will be value to those who are developing new form of specialised housing for older people with functional limitations and, in particular, guiding investments in technological aids. The results of the present study also indicate that the home is an essential site for developing residential technologies.
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| 16. |
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| 17. |
- McKee, Kevin, 1961-, et al.
(author)
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Five years from now : Correlates of older people’s expectation of future quality of life
- 2014
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In: Age Well - Challenges for Individuals and Society.
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Conference paper (peer-reviewed)abstract
- Few studies have explored older people’s expected future quality of life (QoL), despite evidence that perceptions of one’s future influence healthy ageing. Research on this topic should embrace a range of potential influences, including perceptions of one’s neighbourhood and region. This study examined expected QoL in a random sample of the population of Dalarna, a Swedish region. A self-completion questionnaire assessed demographic characteristics, current neighbourhood and regional evaluations, self-evaluations, expectations for the future, and current and expected QoL. In total, 786 people aged ≥ 65 years participated. Current QoL was favourably evaluated, and while expected QoL also received a positive assessment, the mean value for expected QoL was notably lower than that for current QoL (t(755)=24.06, p<.05). Indeed, only 3.6% (n=27) of participants rated their expected QoL higher than their current QoL. A sequential multiple regression model explained 44% of the variance in older people’s expected QoL. Nine IVs were significant (p<.05) in the final model of expected QoL: current QoL (1% unique variance explained), age (1%), education level (1%), Regional Development Beliefs (1%), Perceived Regional Status (2%), self-reported health (3%), social influence (1%), Expected Regional Opportunity (3%) and expected change in housing need (1%). Our findings establish the significance of an older person’s perception of their locality for their expected future QoL. Policies that focus only on individual and relational factors for the promotion of healthy ageing are overlooking the potential contribution of an older person’s connection to their neighbourhood and region.
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| 18. |
- McKee, Kevin
(author)
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Frailty falls and the Body Drop
- 2011
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In: Aging Clinical and Experimental Research. - 1594-0667 .- 1720-8319. ; 23:Suppl. 1, s. 80-
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Journal article (peer-reviewed)
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| 19. |
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| 20. |
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| 21. |
- McKee, Kevin, et al.
(author)
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The association between receipt of informal care and health in older people
- 2011
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In: Psychology and Health. - : Informa UK Limited. - 0887-0446 .- 1476-8321. ; 26:Suppl. 2, s. 173-
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Journal article (peer-reviewed)abstract
- Background: Older people as care-receivers are under-researched. We examined the health and well-being of older people with differing levels of care need and receipt. Methods: Community resident older people (N = 1250) from a single UK metropolitan area were randomly recruited, and completed a questionnaire on social exclusion via interview. Participants were categorised into one of the four groups: receiving informal care; receiving informal support; no receipt of informal care/support despite need and no receipt of informal care/support, no need. Findings: Associations (p < 0.001) between group membership and health status (F = 75.7), functional status (F = 159.1), well-being (F = 29.5) and loneliness (F = 28.9) indicated the ‘receiving care’ and ‘no receipt of care/support despite need’ groups had the poorest health profiles. Logistic regression determined primary predictors of group membership. Discussion: A significant group of older people receives no informal care/support despite frailty. Research is needed to determine why some older people do not receive informal care appropriate to their needs.
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| 22. |
- McKee, Kevin, et al.
(author)
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The willingness of informal carers of older people to continue caring : results of the EUROFAMCARE study
- 2010
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In: Psychology and Health. - : Informa UK Limited. - 0887-0446 .- 1476-8321. ; 25:Suppl. 1, s. 59-59
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Journal article (other academic/artistic)abstract
- Objectives: The willingness to continue in the caregiving role has been shown to be one of the most significant factors in the breakdown of family care of an older person. Willingness to care was considered in the EUROFAMCARE study, which examined the characteristics of caregiving in six European countries. Methods: Nearly 6000 informal carers of older people (n = 1000 in Germany, Italy, Sweden, Greece, Poland and the UK) were recruited using a shared sampling protocol and interviewed using a standardized questionnaire. Logistic regression procedures determined the best model of willingness to care in each country. Results: Between 29% and 14% of the variance in willingness to care was explained by the models. No single variable was significant in the models across all countries, but the negative impact of care was associated with low willingness in five countries, while being a son/daughter carer was associated with high willingness in four. The category of variables that explained the most variance in willingness to care was ‘caregiving circumstances and relationships’. Conclusions: If a carer's motivation for caregiving is to be maintained, support for carers must adequately address any negative impact of their role, and use a relationship-centred approach.
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| 23. |
- Melander-Wikman, Anita, et al.
(author)
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Project: e-Balance
- 2014
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Other publication (pop. science, debate, etc.)
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| 24. |
- Nordin, Susanna, 1967-, et al.
(author)
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A person-centered design can support accessibility and equality in residential care facilities
- 2013
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Conference paper (peer-reviewed)abstract
- It is well known that the world foresees an ageing population for whom the physical environment plays a central role in everyday life and wellbeing. Creating a health care environment that ensures accessibility and equality, shows respect and dignity will therefore be a great challenge. With increasing levels of frailty many older persons will be more or less depending on the care environment. A modern person-centered building design considers both individual and specific needs related to old age, in order to support quality of life and care. However, many of the existing buildings do not meet modern standards and there is a need for methods to evaluate the quality of the building design. According to a recently performed review there are few validated tools measuring the physical environment, especially in terms of a person-centered approach. This study presents a translated and validated tool for evaluating design quality in nursing home facilities. The tool is based on the idea that there is a relationship between high quality caring environments and quality of life of older persons. It makes a person-centered evaluation of the building, covering aspects such as privacy, personalization, safety, choice and control. These are essential factors to assure older persons a dignified ageing as equal members of the society.
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| 25. |
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| 26. |
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| 27. |
- Nordin, Susanna, et al.
(author)
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Att anpassa ett engelskt instrument som mäter designkvalitet på äldreboende till svenska förhållanden : utmaningar och erfarenheter
- 2012
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Conference paper (peer-reviewed)abstract
- Äldre tillbringar mycket tid i sin bostad varför kvalitet på den fysiska miljön har stor påverkan på deras livskvalitet. Det finns dock fortfarande en brist på giltiga instrument som kan utvärdera kvaliteten på byggnadsdesign. I denna artikel presenterar vi resultaten från den första fasen av ett projekt, i syfte att utveckla ett instrument för att utvärdera kvaliteten designen av den fysiska miljön. I denna fas har vi översatt och anpassat ett engelskt instrument till svenska förhållanden. Först utfördes en systematisk litteraturstudie över instrument för att utvärdera den fysiska vårdmiljön. Resultatet visade att Sheffield Care Environment Assessment Matrix (SCEAM) var ett instrument med potential för användning för särskilt boende för äldre och i svenska förhållanden. Först översattes instrumentet till svenska och därefter testades validiteten och reliabiliteten. I artikeln rapporteras utmaningar och erfarenheter av översättningsproceduren.
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| 28. |
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| 29. |
- Nordin, Susanna, et al.
(author)
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Care staff's perceptions of older people's care environments
- 2014
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Conference paper (peer-reviewed)abstract
- Care staff’s perception of older people’s care environmentsOlder persons living in residential care facilities are a highly frail group, often suffering from functional and cognitive impairment. The interaction among the well-being of the residents, the care provided and the design of the building has to be understood and considered when designing care environments. A supportive environment for both residents and care staff is a recognized dimension of quality of care and consequently the staff’s satisfaction with the care environment is important for the care given and in turn the older person’s wellbeing. AIMThe aim with this study was to describe the care staff’s perception of older people’s residential care environments in terms of improvements to meet the users needs. METHOD This study has a qualitative design focusing on an open-ended question of a self-completion questionnaire. There was 50 nursing staff from 14 different residential care facilities included in the study. The questionnaire, Staff Perception of Older People’s Residential Care Environments (SPORE) contains items on staff satisfaction with the care environment together with an open-ended question on staff’s perception of the needs for environmental improvements. The responses were analyzed with content analysis. RESULTSAccording to the results, the care staff perceived deficiendes in the residential care environments and several aspects were highlighted as being in need of improvement. During the process of analysis, five categories emerged: Environments for physical support, Environments for cognitive support, Room for recreation, Access to outside areas, and Room space and building layout. These categories were found to be related to the possibilities to access the care environment and are represented by the theme Accessibility. CONCLUSIONThis study shows that the care staff perceives a need for improvements in order to offer accessible residential care environments. It is crucial that older people with disabilities can move around safely and independently, and find the way within and outside the building. Therefore, it should be a core issue to design care environments with high accessibility to support this frail group of people.
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| 30. |
- Nordin, Susanna, et al.
(author)
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Designing for person-centered care in residential care facilities
- 2014
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Conference paper (peer-reviewed)abstract
- Designing for person-centered care in residential care facilitiesAuthors:Nordin S, Dalarna University, Falun, Sweden; Wijk H, Sahlgrenska University Hospital, Göteborg, Sweden; McKee K, Dalarna University, Falun, Sweden; Elf M, Dalarna University, Falun, SwedenThe physical environment is a resource for promoting health and wellbeing, and affects people’s behavior and functioning. In residential care facilities for older persons, the physical environment has a particular significance, as with increasing levels of frailty many older people depend on aspects of the environment to compensate for reduced levels of functioning in order to manage their everyday life. A high-quality building design can ensure that a care facility promotes residents’ quality of life and person-centered care. However, methods for evaluating design quality in residential care facilities are lacking, especially methods that adopt a person-centered approach. This paper presents a Swedish version of an instrument developed for the evaluation of residential care facilities in the United Kingdom, The Sheffield Care Environment Assessment Matrix (SCEAM).The Swedish version of the instrument, S-SCEAM consists of 215 items that indicate the presence or absence of building features. Each item belongs to one of several domains that address important aspects of residents’ quality of life such as community, privacy, physical support, choice and control. The instrument can be applied to different types of care facilities and can be used as a guide when planning and designing new care buildings, to assess existing ones or to evaluate care buildings quantitatively for research purposes. For example, the relationship between design quality and quality of life of residents can be examined statistically.In Sweden, there have been no instruments evaluating residential care facilities, and the knowledge is limited regarding the relationship among the quality of the design, the quality of care and the quality of life of older persons. Evaluating care environments is an important step to achieve evidence based knowledge in this field. In the longer term such knowledge can be brought into policy on housing for frail older people and contribute to enhancing the quality of living environments and life experiences of this vulnerable section of our population.
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| 31. |
- Nordin, Susanna, et al.
(author)
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Evaluating design quality in older people's residential care facilities: Adaptation of the Sheffield Care Environment Assessment Matrix (SCEAM) for use in Sweden with focus on linguistic challenges.
- 2014
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Conference paper (peer-reviewed)abstract
- BackgroundThere is increasing interest in how the physical enviroment can support health and well-being in residential care facilities (RCF) for older people. A recent review showed a lack of instruments for evaluating design quality in RCF. The SCEAM was identified as an instrument appropriate for Swedish RCF. SCEAM is a British instrument, developed to evaluate building design of RCF. The instrument is person-centered and uses the needs of frail older people as the basis for understanding how well the residential care facility is designed. AimThe aim of the present study was to translate, adapt, and further develop the SCEAM instrument for use in Sweden. Method The study had a mixed-method design using both quantitative and qualitative methods ProcedureThe forward-backward translation method was used in five stages, broadly within two phases: translation and adaptation. The translation phase involved: 1) forward translation and 2) backward-translation. The adaptation phase involved: 3) first test of content validity of the target language instrument; 4) consultation and further adaptation; 5) final test of content validity of the revised target language instrument ResultsIn this paper we focus on the linguistic challenges in translation of an instrument developed to evaluate the quality of the physical environment of RCF. A lengthy process of translation of the Sheffield Care Environments Assessment Matrix (SCEAM) has produced an instrument that fill a need of an instrument with a strong focus on the importance of the physical environment of RCF in the society. The instrument has a potential for use when planning new environments, during interventions and follow up as for quality assessment.
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| 32. |
- Nordin, Susanna, et al.
(author)
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Translation and cultural adaptation of an instrument evaluating design quality in residential care facilities
- 2013
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In: Nordic Advances in Health Care Sciences Research, November 13-14, 2013 in Lund. ; , s. 96-96
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Conference paper (peer-reviewed)abstract
- INTRODUCTION: The population is rapidly ageing and in the near future the number of elderly will exceed the number of children. Society faces a huge challenge providing older persons high quality care and a dignified old age. With increasing levels of frailty many older people are depending on the physical environment in order to manage their everyday life, and the building design is essential in supporting quality of life and person-centered care. However, methods for evaluating design quality in residential care facilities are lacking, especially in terms of person-centeredness. A British instrument was chosen on the basis that it captures several aspects in the care environment of importance for the quality of life and care for older people.AIM: This study aims at describing the process of translating and culturally adapting a British instrument for evaluating design quality in Swedish care facilities for older people. METHOD and RESULT: The process involves seven phases; forward translation, reconciliation, back translation, harmonization, cognitive debriefing, proof-reading and pre-testing. In the first phase the items were translated from the source to the target language followed by discussions between the researchers and the translator for reconciliation. Then the items were translated from the target language back into the source language. After language harmonization the instrument was reviewed and discussed by an expert group in order to identify imprecise concepts and receive valuable comments. Finally, the items were proof-read to correct typographical errors before pre-testing the instrument. Experiences and challenges of the procedure are discussed.CONCLUSION: Cultural appropriate instruments are essential in order to validly measure the design quality in residential care facilities. This study shows the complexity of translating and adapting a British instrument for use in a Swedish care context.
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- Nosowska, Geraldine, et al.
(author)
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Using structured observation and content analysis to explore the presence of older people in public fora in developing countries
- 2014
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In: Journal of Aging Research. - : Hindawi Publishing Corporation. - 2090-2204 .- 2090-2212. ; , s. 860612-
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Journal article (peer-reviewed)abstract
- There is a lack of research on the everyday lives of older people in developing countries. This exploratory study used structured observation and content analysis to examine the presence of older people in public fora, and considered the methods’ potential for understanding older people’s social integration and inclusion. Structured observation occurred of public social spaces in six cities each located in a different developing country, and in one city in the United Kingdom, together with content analysis of the presence of people in newspaper pictures and on television in the selected countries. Results indicated that across all fieldwork sites and data sources, there was a low presence of older people, with women considerably less present than men in developing countries. There was variation across fieldwork sites in older people’s presence by place and time of day, and in their accompanied status. The presence of older people in images drawn from newspapers was associated with the news/non-news nature of the source. The utility of the study’s methodological approach is considered, as is the degree to which the presence of older people in public fora might relate to social integration and inclusion in different cultural contexts.
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- Orrell, Alison, et al.
(author)
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Improving continence services for older people from the service-providers’ perspective : a qualitative interview study
- 2013
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In: BMJ Open. - : BMJ. - 2044-6055. ; 3:7
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Journal article (peer-reviewed)abstract
- Objective: To examine in depth the views and experiences of continence service leads in England on key service and continence management characteristics in order to identify and to improve our understanding of barriers to a good-quality service and potential facilitators to develop and to improve services for older people with urinary incontinence (UI).Design: Qualitative semistructured interviews using a purposive sample recruited across 16 continence services.Setting: 3 acute and 13 primary care National Health Service Trusts in England.Participants: 16 continence service leads in England actively treating and managing older people with UI.Results: In terms of barriers to a good-quality service, participants highlighted a failure on the part of commissioners, managers and other health professionals in recognising the problem of UI and in acknowledging the importance of continence for older people and prevalent negative attitudes towards continence and older people. Patient assessment and continence promotion regardless of age, rather than pad provision, were identified as important steps for a good-quality service for older people with UI. More rapid and appropriate patient referral pathways, investment in service capacity, for example, more trained staff and strengthened interservice collaborations and a higher profile within medical and nurse training were specified as being important facilitators for delivering an equitable and highquality continence service. There is a need, however, to consider the accounts given by our participants as perhaps serving the interests of their professional group within the context of interprofessional work.Conclusions: Our data point to important barriers and facilitators of a good-quality service for older people with UI, from the perspective of continence service leads. Further research should address the views of other stakeholders, and explore options for the empirical evaluation of the effectiveness of identified service facilitators.
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- Orrell, A., et al.
(author)
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The relationship between building design and residents’ quality of life in extra care housing schemes
- 2013
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In: Health and Place. - : Elsevier BV. - 1353-8292 .- 1873-2054. ; 21, s. 52-64
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Journal article (peer-reviewed)abstract
- Well-designed housing is recognised as being an important factor in promoting a good quality of life. Specialised housing models incorporating care services, such as extra care housing (ECH) schemes are seen as enabling older people to maintain a good quality of life despite increasing health problems that can accompany ageing. Despite the variation in ECH building design little is known about the impact of ECH building design on the quality of life of building users. The evaluation of older people’s living environments (EVOLVE) study collected cross-sectional data on building design and quality of life in 23 ECH schemes in England, UK. Residents’ quality of life was assessed using the schedule for the evaluation of individual quality of life-direct weighting (SEIQoL-DW) and on the four domains of control, autonomy, self-realisation and pleasure on the CASP-19. Building design was measured on 12 user-related domains by means of a new tool; the EVOLVE tool. Using multilevel linear regression, significant associations were found between several aspects of building design and quality of life. Furthermore, there was evidence that the relationship between building design and quality of life was partly mediated by the dependency of participants and scheme size (number of living units). Our findings suggest that good quality building design in ECH can support the quality of life of residents, but that designing features that support the needs of both relatively independent and frail users is problematic, with the needs of highly dependent users not currently supported as well as could be hoped by ECH schemes. © 2013 Elsevier Ltd.
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