| 1. |
- Berner, Jesica, et al.
(författare)
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Case management for frail older adults through tablet computers and Skype
- 2016
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Ingår i: Informatics for Health and Social Care. - : Taylor & Francis. - 1753-8157 .- 1753-8165. ; 41:4, s. 405-416
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Tidskriftsartikel (refereegranskat)abstract
- Background: Frail older adults are high consumers of medical care due to their age and multiple chronic conditions. Regular contact with a case manager has been proven to increase well-being of frail older adults and reduce their number of health-care visits. Skype calls through tablet PCs can offer easier communication. Objective: This paper examines frail older adults’ use of tablet computers and Skype, with their case managers.Method: Interviews were conducted on 15 frail older adults. A content analysis was used to structure and analyze the data. Results: The results indicate that tablet computers were experienced in a positive way for most frail older adults. Conflicting feelings did emerge, however, as to whether the frail elderly would adopt this in the long run. Skype needs to be tested further as to whether this is a good solution for communication with their case managers. Strong technical support and well-functioning technology are important elements to facilitate use. Conclusion: Using Skype and tablet PCs do have potential for frail older adults, but need to be tested further.
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| 2. |
- Berner, Jessica, et al.
(författare)
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Factors influencing Internet usage in older adults (65 years and above) living in rural and urban Sweden
- 2015
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Ingår i: Health Informatics Journal. - : Sage Publications. - 1460-4582 .- 1741-2811. ; 21:3, s. 237-249
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Tidskriftsartikel (refereegranskat)abstract
- Older adults living in rural and urban areas have shown to distinguish themselves in technology adoption; a clearer profile of their Internet use is important in order to provide better technological and health-care solutions. Older adults' Internet use was investigated across large to midsize cities and rural Sweden. The sample consisted of 7181 older adults ranging from 59 to 100 years old. Internet use was investigated with age, education, gender, household economy, cognition, living alone/or with someone and rural/urban living. Logistic regression was used. Those living in rural areas used the Internet less than their urban counterparts. Being younger and higher educated influenced Internet use; for older urban adults, these factors as well as living with someone and having good cognitive functioning were influential. Solutions are needed to avoid the exclusion of some older adults by a society that is today being shaped by the Internet.
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| 3. |
- Bratt, Anna S., 1969-, et al.
(författare)
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Effects on life satisfaction of older adults after child and spouse bereavement
- 2017
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Ingår i: Aging & Mental Health. - : Routledge. - 1360-7863 .- 1364-6915. ; 21:6, s. 602-608
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Tidskriftsartikel (refereegranskat)abstract
- Background: Few studies have compared the impact of different familial losses on life satisfaction (LS). Furthermore, there is a lack of research on the effect of having lost both a child and a spouse among older adults. Sample: A random sample of 1402 individuals, 817 women and 585 men, aged 60–96 years from the Blekinge part of the Swedish National Study of Aging and Care (SNAC-B) participated in this cross-sectional study. Aims: The first aim was to compare the effects of child or spouse or both child and spouse bereavement on LS and, the second aim, to investigate if there were gender differences within the bereaved groups. Results: The results showed that having lost a child, spouse or both child and spouse had a negative association with LS, although this effect was small. Having experienced multiple losses did not predict more variance than a single child or spouse loss. Gender differences were found within all the bereaved groups with bereaved men having lower LS than bereaved women. Longer time since the loss was associated with higher LS. Conclusions: Bereaved older adults have somewhat lower LS than non-bereaved and bereaved men seem more affected than bereaved women. Future research needs to address older men´s experiences after the loss of a loved one.
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| 4. |
- Bratt, Anna S., 1969-, et al.
(författare)
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Exploring the Most Important Negative Life Events in Older Adults Bereaved of Child, Spouse, or Both
- 2018
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Ingår i: Omega. - : SAGE Publications Inc.. - 0030-2228 .- 1541-3764. ; 76:3, s. 227-236
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Tidskriftsartikel (refereegranskat)abstract
- Losing a child or a spouse is described as the worst of experiences. However, it is not known whether older adults bereaved of a child, spouse, or both child and spouse experience these losses as among the most important negative events in their lifetime. The aim of this study was to investigate whether the 1,437 older adults bereaved of a child, spouse, or both included in the southern part of the Swedish National Study of Aging and Care mentioned these losses when asked about their three most important negative life events. Gender differences in their choices of important negative life events were also explored. About 70% of those bereaved of a child or a spouse mentioned these losses as among their three most important negative life experiences. In the child-and-spouse-bereaved group, 48% mentioned both the loss of their child and spouse, while 40% mentioned either the loss of a child or a spouse. Gender differences were only found in the child-and-spouse-bereaved group, with a few more women mentioning the loss of the child but not the spouse, and the men showing the opposite pattern. © The Author(s) 2016.
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| 5. |
- Bratt, Anna S., 1969-
(författare)
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Surviving the loss of a child, a spouse, or both : Implications on life satisfaction and mortality in older ages
- 2016
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Losing a loved one – a child or a spouse –is described as one of the most stressful or negative experience of a person’s life. Aging is associated with a higher risk of the death of close family members, yet few studies have investigated the impact of such losses on different health outcomes either by type of loss or by the combined loss of both a child and a spouse. This thesis is based on three studies examining the effect of bereavement on the health of older adults who have lost a child, spouse, or both and whether the different losses were associated with Life Satisfaction (LS) or mortality. The sample was collected from the Swedish National Study of Aging and Care (SNAC).The results showed that the loss of a child, spouse or both was experienced as among the three most important negative life events in the bereaved groups. About 70% of those bereaved of a child or a spouse mentioned these losses as among their three most important negative life experiences. In the child-and-spouse-bereaved group, 48% mentioned both losses while 40% mentioned only the loss of a child or a spouse, but not both. However, only marginally effects on LS and mortality after child, spouse or child-spouse bereavement in older adults was found. Longer time since the loss was associated with higher LS and lower mortality risk, and type of loss did not seem to determine LS or mortality. Gender differences were found: child-, spouse and child-and-spouse-bereaved men had lower LS than the corresponding groups of bereaved women, and furthermore, child-bereaved men had an increased mortality risk compared to child-bereaved women. Finally, significantly more women in the child-and-spouse-bereaved group compared to the men in this group, mentioned the loss of their child but not the spouse, among the three most important negative life events.
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| 6. |
- Bratt, Anna S., 1969-, et al.
(författare)
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The Role of Neuroticism and Conscientiousness on Mortality Risk in Older Adults After Child and Spouse Bereavement
- 2016
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Ingår i: Aging & Mental Health. - : Routledge. - 1360-7863 .- 1364-6915. ; 20:6, s. 559-566
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Bereavement effects on mortality risk were investigated in 1150 randomly selected participants, aged 60-104, in the Swedish National Study of Aging and Care.Method: Cox proportional hazards models, controlling for age, gender, functional ability, the personality traits neuroticism and conscientiousness as well as time since the latest loss were used to predict mortality risk.Results: Having lost a child, spouse or both child and spouse did not predict mortality risk. An indirect link between bereavement and mortality was found showing for each year since loss the mortality risk decreased by about 1%. Neuroticism, but not conscientiousness, was associated with mortality risk, with a small-effect size.Conclusions: The different bereavements did not predict mortality risk while an indirect link was found showing that mortality risk decreased with time.
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| 7. |
- Dahl, Mats, et al.
(författare)
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Old and very old adults as witnesses: event memory and metamemory
- 2015
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Ingår i: Psychology, Crime and Law. - 1477-2744 .- 1068-316X. ; 21:8, s. 764-775
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Tidskriftsartikel (refereegranskat)abstract
- Older people constitute an important category of eyewitnesses. Episodic memory performance in older persons is poorer than in younger adults, but little research has been made on older persons' metacognitive judgments. Since more persons of advanced age will likely be called upon as witnesses in coming years, it is critical to characterize this population's metacognitive abilities. We compared event memory metacognition in old adults (66-year-old, n = 74) to very old adults (87 or 90 years old, n = 55). Participants were tested on their memory of a film, using questions with two answer alternatives and the confidence in their answer. As expected, the very old group had a lower accuracy rate than the old group (d = 0.59). The very old group, however, monitored this impairment, since their over-/underconfidence and calibration did not differ from the old group but they displayed a poorer ability to separate correct from incorrect answers (discrimination ability). Possibly, the very old group was able to monitor the level of their over-/underconfidence because they applied general self-knowledge about their memory skills. In contrast, the discrimination of correct from incorrect answers may be more dependent on ability to attend to the features of each retrieved memory.
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| 8. |
- Rennemark, Mikael, 1951-
(författare)
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Predictors of survival in the Swedish 60 to 96 years old population
- 2016
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Ingår i: European Journal of Public Health. - : Oxford University Press. - 1101-1262 .- 1464-360X. ; 26:Suppl 1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundLongevity is multi-determined. In this study, biological, social and psychological factors were included in a multivariate model in order to investigate their predictive ability of survival in a nine year follow up period.MethodsThe sample was drawn from the Swedish National study on Aging and Care (SNAC), including a representative database of Swedish inhabitants aged 60 to 96 years. The participants (N = 6986) were followed during the years 2002 to 2011. Data was collected including age, physical activity, body mass index (BMI), muscle strength, living alone or not, household economy, functional status, smoking habits and education. These variables were used as predictors in multiple logistic regression analyses in order to estimate the odds ratios of survival during the follow up period.ResultsDuring the nine year period, 4447 participants (64%) survived. Education was the strongest predictor of survival with 57% higher odds to survive for higher educated participants (P<.001. 95%CI = 1.38 – 1.78), followed by not living alone, which increased the odds of survival with 37% (P<.001. 95%CI = .65 - .83). Light physical activity increased the odds of survival with 18% (P<.001. 95%CI = 1.12 – 1.24) and not smoking was significant related to survival but the odds ratio was as low as 10% (P<.01. 95%CI = 1.03 – 1.71).ConclusionsSocial aspects such as education and not living alone are strong predictors of survival in older populations and must be considered in the understanding of differences in longevity. In addition, life habits such as physical activity and smoking behaviors should be taken into account.Key message:Both social and behavioral factors contribute to the understanding of differences in longevity in the Swedish population of 60 to 96 years old people in Sweden.
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| 9. |
- Rennemark, Mikael, 1951-, et al.
(författare)
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Relationships between frequency of moderate physical activity and longevity : an 11-year follow-up study
- 2018
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Ingår i: Gerontology and geriatric medicine. - : Sage Publications. - 2333-7214. ; 4, s. 1-8
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Moderate physical activity gains survival. There are, however, several variables that may affect this relationship. In this study, the relationship between moderate physical activity and longevity was investigated, taking into account age, gender, smoking habits, cohabitation status, body mass index, leg strength and balance, education level and cognitive function. Method: A sample of 8,456 individuals aged 60 to 96 years, representative of the Swedish population, was included. Participants were followed from 2004 to 2015. Cox regression analyses were used to investigate the predictive value of physical activity on longevity. Results: Participants still alive in the follow-up measure were more physically active on a moderate level. Being active 2 to 3 times a week or more was related to a 28% lower risk of not being alive at the follow-up measure. Discussion: The low frequency of physical activity, necessary for survival benefits should be considered in public health programs.
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| 10. |
- Rennemark, Mikael, 1951-, et al.
(författare)
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The study of personality traits in the Blekinge part of the Swedish National stydy on Aging and Care (SNACB)
- 2019. - 1
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Ingår i: Personality and Brain Disorders. - Switzerland : Springer. - 9783319900643 - 9783319900650 ; , s. 85-99
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Bokkapitel (refereegranskat)abstract
- Background: Personality has been shown to be related to numerous health-related factors. In the SNAC-B study, relationships between health variables and the personality traits of neuroticism (N), conscientiousness (C), agreeableness (A), openness (O), and extraversion (E) have been investigated. Aim: In this chapter, stability and change of personality during the ages of 60 to 90 years are explored. In addition, relationships between personality traits and health-related variables are presented. Methods: The results are based on data from the SNAC-B studies of 1402 men and women aged 60 to 90. The participants have been followed up during 12 years, while data on health, well-being, and autonomy have been continuously collected. In addition, variables assumed to influence health have been collected, such as lifestyles, demographic factors, social environment, and personality. Results: The results show personality to be stable over time according to rank order, but all personality traits except neuroticism were shown to have small but significant mean level changes. In addition, connections between a number of health-related variables and personality traits, such as mortality, self-care, work ability, and perception of pain, were indicated. Conclusions: The results indicate that the role of personality should be taken into account in research on health and aging. Personality traits have a lifelong influence on health behaviors and have been shown to affect both subjective and objective aspects of health and the way we cope with health-related experiences.
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