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- Coping with the post-COVID-19 pandemic: perceived changes of older adults
in their life satisfaction, depression, and quality of life-
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Authors: Bushra Rashid Al-Ghafri, Maram Qasim Al Nabhani, Hamed Al-Sinawi, Abdulaziz Al-Mahrezi, Zahir Badar Al Ghusaini, Ahmed Mohammed Al-Harrasi, Yaqoub Al-Saidi, Moon Fai Chan
Abstract: As a result of the COVID-19 pandemic, many countries have implemented preventive measures that may negatively affect the physical and mental health of older adults. This study aims to investigate the changes in life satisfaction, depressive symptoms and quality-of-life (QoL) of older adults during the post-COVID-19 pandemic in Oman. A prospective four-week follow-up study was conducted in one health-care center in Muscat, Oman. Convenience sampling was used, and the recruitment was from November 2021 to October 2022, with 38 participants aged 60–81, of whom 36 completed the study. The study evaluated changes in psychological well-being over time and analyzed gender differences. The study revealed a positive impact of the preventive measures on the QoL (F = 3.08, p = 0.032) and a reduction in depressive symptoms (F = 3.09, p = 0.045). However, there was no significant change in life satisfaction (F = 1.90, p = 0.165). In particular, older women reported decreased depression (F = 5.31, p = 0.006), while older men reported improved QoL (F = 4.27, p = 0.025). Few studies have reported on the well-being issues of older adults in Oman during the pandemic. Thus, the findings of this study can contribute to the international understanding of the impact of pandemics on the well-being of older adults in Oman and help health-care professionals tailor health-care programs for older adults in the community setting. This study provides valuable insights into the well-being of older adults in Oman during the pandemic. Understanding the effects of long-term health hazards is crucial for developing community-level intervention plans and strategies for older adults in the community setting.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-09-29
DOI: 10.1108/QAOA-02-2023-0007
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Paws for thought' Developing dog projects for older people in prison
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Authors: Helen Codd
Abstract: This study aims to assess the nature and scope of dog-based programmes in prisons, assessing critically the potential opportunities, benefits, challenges and risks of developing innovative dog-based programmes for older prisoners in England and Wales. This paper outlines the potential benefits and challenges of developing dog-based programmes for older prisoners and sets out next steps for future research and practice. This study is based on a scoping review of published research literature on prison dog programmes (PDPs) in the USA, the UK and other countries, with particular reference to older people in prison, followed by semi-structured interviews with six members of an expert advisory group. The literature review and data from the qualitative interviews were analysed thematically. There is a substantial body of published research literature which supports PDPs as having identifiable positive impacts for people and also dogs, and also published research which highlights the benefits to older people of dog ownership or participation in dog-based activities. However, much of this research is small-scale and qualitative, and it has been argued that there is a lack of a quantitative evidence base. This research concludes that findings from the literature review and the semi-structured interviews support further research and the creation of pilot projects to develop dog-based projects for older people in prison. This study was small-scale, and the findings need to be approached with caution. The literature review searched a small number of databases and filtered out articles published in languages other than English, and the review of the grey literature focused on reports from the UK. The number of experts interviewed was small and there was no direct consultation with older people in prison nor with older people with recent personal lived experience of imprisonment and community resettlement. A more extensive future study would benefit from a more extensive literature review, a larger group of participants and the inclusion of service users, prison managers and government policymakers, subject to the appropriate ethical and security approvals. At the time the research took place, ongoing COVID-19 restrictions on prison research meant that research with current prisoners and prison managers would not have been approved by the HMPPS NRC. This research provides a research-based justification for future dog projects for older prisoners, leading potentially to improved well-being for older people in prison. This study brings together the published research literature on PDPs with the research literature on the needs and experiences of older people in prison for the first time, and identifies potential directions for future research.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-09-08
DOI: 10.1108/QAOA-11-2022-0069
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- …And (epistemic) justice for all: a cautionary tale of knowledge
inequality in participatory research-
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Authors: Andrew Fletcher
Abstract: Significant funding has been made available in the UK for social, behavioural and design research that aims to improve health and wellbeing for older adults. The growing importance and use of participatory and co-creative approaches in this field not only reflects a general turn in social research but also seeks to redress power imbalances between researchers and researched. This paper aims to use Miranda Fricker’s concept of “epistemic injustice” as a lens to describe the author’s experience with one such project, and highlight the cautions and considerations that must be made when navigating, handling and amalgamating “other people’s knowledge”. Personal and theoretical reflection. Primary data for this paper consists of first-hand insider observations on how different forms of knowledge were treated in an interdisciplinary, intersectoral participatory research context. Some participatory studies are hampered by insufficient consideration for a range of ways of thinking, including between researchers and participants, younger and older adults, different academic disciplines or academia and industry. This can harm project integrity and outcomes, potentially eroding trust in academic research. By reflecting on a recent participatory study in healthy ageing, this paper outlines a theoretical basis to increase the benefits of working with different stakeholders across health and care, design, business and academia. It concludes by suggesting ways that researchers might address epistemic injustice, and so recognise and properly value the range of knowledge types encountered in participatory research.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-09-05
DOI: 10.1108/QAOA-03-2023-0021
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Complexity and practice on NHS mental health in-patient dementia
assessment wards-
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Authors: Lesley Jones, Nicky Cullum, Ruth Watson, John Keady
Abstract: This study aims to address this need. In the UK, people with dementia admitted to National Health Service mental health in-patient dementia assessment wards [dementia assessment wards] present as complex and experience a number of changed behaviours, such as excessive walking, agitation and aggression. The complexity of the presentation of dementia has been identified as underpinning pre-and post-admission to these care environments, but limited study has so far been conducted to explore the boundaries and meaning of complexity and its relationship to dementia assessment ward practice. An online electronic survey of UK-based national dementia leaders was conducted in 2018. Nineteen completed questionnaires were returned, and mental health nurses comprised the largest sub-sample. Qualitative data of the free-text responses were analysed using manifest content analysis. Four routes to admission to a dementia assessment ward were identified. Multiplicity of needs and interconnectedness were seen as important domains in uncovering the meaning of complexity. The importance of life story and formulation approaches were highlighted. Challenges uncovered included, better understanding changed behaviour and its relationship to complexity, the need for understanding the boundaries of complexity and making visible care practices on these specific wards. Findings can be used to produce a heightened awareness about the meaning and function of complexity in dementia assessment wards. Policymakers and researchers need to increase the emphasis on this area of mental health and dementia care. Further training for the multidisciplinary team on formulation approaches could help to improve the evidence-base for practice.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-08-17
DOI: 10.1108/QAOA-07-2022-0043
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Exploring overnight social care for older adults: a scoping review
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Authors: Naomi Boyle, Diane Seddon, Gill Toms
Abstract: Demand for care at home is growing because of the increase in life expectancy, an ageing population and the chronic conditions that often accompany longevity. Daytime care at home services have been widely reported on, but less is known about overnight care at home. This paper aims to gather evidence about overnight social care for older adults in their homes. Recent studies were identified through searches in three electronic databases. Studies published in English between January 2016 and June 2022 exploring overnight care at home for older adults were eligible for inclusion. An additional Google search identified home care services within the UK currently providing overnight support. The review retrieved five relevant papers, highlighting the paucity of research in this area. A narrative review of the literature identified common themes that suggested domiciliary night care staff play an integral role in meeting the overnight care and support needs of older adults who wish to be cared for at home. Despite the limited evidence base in this area, the Google search for UK domiciliary services who provide overnight support identified several active programmes. To the best of our knowledge, this is the first scoping review exploring the provision of overnight social care to older adults in their own homes. The review highlights the need for further research to inform commissioning and practice development.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-08-04
DOI: 10.1108/QAOA-11-2022-0070
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Interventions to promote ageing in place: developing the Village model in
Manchester-
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Authors: Patty Doran, Mhorag Goff, Chris Phillipson
Abstract: The Village model, most extensively developed in the USA, is an innovative response to ageing populations and older adults who wish to remain living independently within their community. The “Urban Villages” participatory action research study aimed to test the potential of the Village model to work with groups of older adults in two economically deprived, inner-city neighbourhoods in Manchester, UK. Participatory methods were used to work with residents to, first, adapt the Village model to the Manchester setting, and second, to develop and deliver community projects that supported ageing in place. The study aimed to involve marginalised individuals and groups in the co-design, leadership and implementation of the projects. Ethnographic methods were applied to observe and reflect on the development of “Urban Villages”. Interviews and focus groups were organised to gather the views of the residents involved in the community projects. Residents were supported to develop and test seven projects, all aimed at reducing social isolation and supporting ageing in place. The study provides new insights into challenges related to co-production with older people in deprived neighbourhoods. These challenges are presented under the following headings: individual capacity and expectations; collective capacity including communication and knowledge; and the capacity of place. To date, only a limited amount of literature is available showing how co-production with older adults can be realised when working with marginalised groups and deprived communities. The paper explores the potential of participatory approaches to develop age-friendly initiatives through strengthening the capacity of older adults to age in place.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-07-25
DOI: 10.1108/QAOA-03-2023-0022
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Joint Strategic Needs Assessments in London, the LGBTQ+ population and the
latter’s health, care and wellbeing needs-
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Authors: Ben Thomas, Mark Sladen
Abstract: Joint Strategic Needs Assessments (JSNAs) are intended to help create evidence-based priorities for public health commissioning at local government level in the UK. They are supposed to consider the needs of people with protected characteristics, and this study aims to look at how the JSNAs for London are serving the city’s lesbian, gay, bisexual, transgender and queer (LGBTQ+) population. JSNAs are documentary data and are in the public domain. Each of the 31 JSNAs for London was individually assessed against a series of questions designed to test their inclusion of the local LGBTQ+ population. Fewer than one in five of London’s JSNAs: had a dedicated LGBTQ+ section; cited bespoke research into, or engagement with, the local LGBTQ+ population; made recommendations for specialist services for people from this community; or considered intersectionality in the context of this population. This study demonstrates that many of London’s JSNAs contain little information on the city’s local LGBTQ+ population and only minimal assessment of its health, care and wellbeing needs. Recommendations include conducting further research on this population at the local level, using available guidance and engaging best practice.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-07-12
DOI: 10.1108/QAOA-02-2023-0004
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Exploring the use of images to support short break conversations with
unpaid carers-
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Authors: Gill Toms, Diane Seddon, Emma Miller, Nick Andrews
Abstract: Short breaks enable unpaid carers to have a life alongside caring, supporting their physical and emotional well-being. In the UK, short breaks are usually explored during a Carers Assessment. The conversations underpinning these assessments require considerable skill and presently there are few tools to support the exploration of short break needs, desired outcomes and options. Images are used in other conversations to enhance communication, help people consider options and broaden thinking. This study aims to explore whether and how stakeholders thought images might support short break conversations. To improve access to meaningful short breaks, we need to be guided by the insights of unpaid carers, those they support, practitioners, commissioners and policymakers. We hosted two online involvement events, designed to facilitate the exchange of perspectives and ideas amongst diverse stakeholders. The events explored the acceptability, facilitators and challenges of using images to enhance unpaid carer short break conversations. The online events were attended by 47 short break stakeholders. These stakeholders saw merit in using images to support short break conversations. They identified several facilitators and challenges to introducing images into practice. The paper highlights how this learning can inform future research and practice development. Supporting the well-being of older unpaid carers is a pertinent concern as the number of older unpaid carers continues to grow. This paper reports on how stakeholders have informed the earliest stages of practice and research development in a relevant area and provides a model of involvement that others can emulate.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-06-26
DOI: 10.1108/QAOA-01-2023-0001
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Funding a “good death”: the financial crisis facing hospices
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Authors: Peter Scourfield
Abstract: This paper aims to highlight current finding issues relating to the provision of hospice care services which are largely provided by the independent sector and heavily reliant on charitable fund raising. The primary focus is on the UK, but it is an issue of relevance to many other countries around the world. The paper is an opinion piece informed by contemporary reports, official publications and research findings, as well as the author’s own work within the hospice sector. As with many other countries around the world, the bulk of hospice funding in the UK comes from charitable donations of various kinds. However, the impact of COVID-19 highlighted both the fragility of this funding model and the precarious nature of hospice sector finances currently. This is an issue of growing importance that affects older people and their families not only in the UK but in all countries with ageing populations. Hospices play an important role in providing end-of-life care and, with demand for services steadily rising due to demographic trends, there are important questions about the sustainability of the current hospice funding model. Issues of funding require a much higher level of engagement from policymakers if hospice care is going to continue to play a significant part in achieving a good death for people from all sections of society. Although hotly debated within the hospice sector and in official reports, this issue has yet to be properly examined within academic circles.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-06-21
DOI: 10.1108/QAOA-05-2023-0032
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Importance of meaningful engagement: how and why older adults volunteer in
uncertain times-
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Authors: Renee Dumont, Alicia M. Sellon, Tina M.K. Newsham, Mary C. Hollifield, Alicia Thomas, Melannie Pate, Elizabeth Fugate-Whitlock
Abstract: Many older adults engage in volunteer activities, drawing meaning and purpose through such efforts. Social distancing restrictions, put in place during Covid-19 surges to reduce the risk of transmission, disrupted older adult volunteers’ lives and volunteer experiences. Social distancing measures provide a unique opportunity to explore what happened when the choices around pausing or stopping volunteering were not entirely within the control of older adults. This paper aims to explore the experiences of older adult volunteers as they navigated uncertainties and made difficult decisions around balancing their safety and their desire to continue volunteering. The authors conducted interviews with 26 community-dwelling older adults, age 50+, who had engaged in volunteer activities for at least 1 h a week prior to the start of the pandemic. The interviews were conducted on the phone or via Zoom. The authors used thematic analysis to help us analyze the data and identify patterns from participants’ experiences. Despite the risk presented by Covid-19, most participants volunteered during the pandemic. They continued some or all of their previous activities with safety-related adjustments, with some seeking new or different opportunities. Participants’ discussions highlight the challenges of volunteering during the pandemic and the importance of engagement to their resiliency and subjective well-being. This paper provides original contributions to understanding how and why older adults volunteered during the Covid-19 pandemic. The social distancing measures provide a novel opportunity to enrich our understanding of the meaningfulness and value of volunteerism to older adults’ lives and subjective well-being.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-06-02
DOI: 10.1108/QAOA-03-2023-0012
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Evaluation of a training programme to train older adults as facilitators
in a memory training project: using Kirpatrick’s model-
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Authors: Cristina Vidal-Marti
Abstract: This study aims to explain the evaluation of a training programme for older adults to make them facilitators of a memory training project. Older adults were trained as facilitators to respond to the need to continue training memory and promote the active role of adults in the community. The Kirkpatrick model was used to comprehensively evaluate the training programme. The participants were 89 older adults from the city of Barcelona, with an average age of 73.1 years old. To evaluate the training programme, six instruments were administered, adapted to the four levels established in Kirkpatrick’s model. The results obtained show that the programme to train facilitators enables older adults to become facilitators in a memory training project. Two limitations have been identified. The first is to analyse the extent to which the participants learned from the facilitator’s memory training project. The second is the methodological improvement for future research on two issues: strengthening the validity of the instruments and incorporating a control group. The implications for practice, presented in this article, are twofold. One is the importance of lifelong learning as a resource for remaining healthy. Another implication is the active role of older adults in the community. This research enables older adults to become involved in responding to their own needs such as memory training. In turn, it contributes to promoting active ageing and community participation.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-05-29
DOI: 10.1108/QAOA-03-2022-0019
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Knowledge, attitudes and experiences of menopause among “early” and
“on-time” women-
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Authors: Ana Isabel Córdoba Iñesta, Pilar Ortí Notari, Barbara M. Gfellner
Abstract: Attitudes, experiences and knowledge about menopause are relevant, especially when menopause starts earlier than expected. This study aims to examine women who underwent this transition “early” and “on-time” according to these factors. The sample included 117 women, 69 with “on-time” and 48 with premature menopause. Participants completed three questionnaires. Women with premature menopause had a better understanding of it but more negative attitudes and a higher incidence of physical and psychological symptoms, although they indicated greater feelings of control over their symptoms. Moreover, “early” menopause women appeared to exhibit greater anxiety. Results underscore the need to inform women about menopause as a natural developmental process. This paper shows the menopause as a difficult transition especially for women with early menopause.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-05-24
DOI: 10.1108/QAOA-06-2022-0036
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Community living older adults’ appraisal of future health and care
needs: a cross-sectional study-
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Authors: Marian van het Bolscher-Niehuis, Stephanie Jansen-Kosterink, Miriam Vollenbroek-Hutten
Abstract: Efficacious self-management at older ages requires the ability to make an accurate appraisal of one’s current and future health situation. Therefore, the purpose of this study is to explore how community living older adults, with different self-perceived health status, appraise their future health status and their future health-care and housing needs. The study population, 555 community living older adults, aged 65–75, completed a questionnaire for self-screening of their general health status. The results show that over 70% of the older adults, even many of those who perceive their own health status to be “poor” or “fair” and those who are “frail”, do not expect deterioration in their physical or mental health nor extra health-care or housing needs within the next half year. In addition, a substantial part of the respondents, particularly those who perceive their general health as less favourable, tend to have a “wait-and-see” attitude and want to live their life day-to-day. Community living older adults may not always be able or motivated to monitor their own health condition and prepare themselves for changing needs. Supporting older adults by motivating and teaching them to monitor their condition and overcome barriers to engage in pro-active coping can help older adults to manage the negative consequences of ageing while they have still sufficient resources available. The findings of this study can help health-care professionals to tailor the support of older adults’ self-management.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-05-01
DOI: 10.1108/QAOA-09-2021-0067
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Evaluating a transitional care program for the oldest adults: results from
the quantitative phase of a mixed-methods study-
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Authors: Wilma van der Vlegel-Brouwer, Marjolein van der Vlegel, Jean Ellen Duckworth, Hazel Partington, Anneke de Jong
Abstract: This quantitative phase of a mixed-methods study aims to describe the effect of the Transitional Care Bridge (TCB) programme on functional decline, mortality, health-care utilisation and health outcomes compared to usual care in a regional hospital in the Netherlands. In a pre- and post-cohort study, patients aged ≥70 years, admitted to the hospital for ≥48 h and discharged home with an Identification of Seniors at Risk score of ≥2, were included. The TCB programme, started before discharge, encompassed six visits by the community nurse (CN). Data were obtained from the hospital registry and by three questionnaires over a three months period, addressing activities of daily living (ADL), self-rated health, self-rated quality of life and health-care utilisation. In total, 100 patients were enrolled in this study, 50 patients in the TCB group and 50 patients in the usual care group. After three months, 36.7% was dependent on ADL in the TCB group compared to 47.1% in the usual care group. Mean number of visits by the CN in the TCB group was 3.8. Although the TCB group had a lower mortality, this study did not find any statistically significant differences in health outcomes and health-care utilisation. Challenges in the delivery of the programme may have influenced patient outcomes. More research is needed on implementation of evidence-based programmes in smaller research settings. A qualitative phase of the study needs to address these outcomes and explore the perspectives of health professionals and patients on the delivery of the programme. This study provides valuable information on the transitional care programme in a smaller setting.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-03-07
DOI: 10.1108/QAOA-03-2022-0018
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- From the ground up: assessing the face validity of the Quality of Life –
Aged Care Consumers (QOL-ACC) measure with older Australians-
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Authors: Jenny Cleland, Claire Hutchinson, Candice McBain, Jyoti Khadka, Rachel Milte, Ian Cameron, Julie Ratcliffe
Abstract: This paper aims to assess the face validity to inform content validity of the Quality of Life – Aged Care Consumers (QOL-ACC), a new measure for quality assessment and economic evaluation in aged care. Semi-structured interviews were conducted with older adults (66–100 years) receiving aged care services at home (n = 31) and in residential care (n = 28). Participants provided feedback on draft items to take forward to the next stage of psychometric assessment. Items were removed according to several decision criteria: ambiguity, sensitive wording, not easy to answer and/or least preferred by participants. The initial candidate set was reduced from 34 items to 15 items to include in the next stage of the QOL-ACC development alongside the preferred response category. The reduced set reflected the views of older adults, increasing the measure’s acceptability, reliability and relevance. Quality of life is a key person-centred quality indicator recommended by the recent Royal Commission into Aged Care Quality and Safety. Responding to this policy reform objective, this study documents a key stage in the development of the QOL-ACC measure, a new measure designed to assess aged care specific quality of life.
Citation: Quality in Ageing and Older Adults
PubDate: 2023-02-15
DOI: 10.1108/QAOA-07-2022-0046
Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
- Editorial
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Authors: Fiona Poland, Anne Killett
Abstract: Editorial
Citation: Quality in Ageing and Older Adults
PubDate: 2023-06-09
DOI: 10.1108/QAOA-06-2023-094
Issue No: Vol. 24, No. 1/2 (2023)
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Hybrid journal (It can contain Open Access articles)
