 Subjects -> DISABILITY (Total: 103 journals)
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- The association between health literacy and self-care of hypertension
among older adults in five regions in Jordan-
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Authors: Mariam Kawafha, Khitam Alsaqer, Dua’a Al-Maghaireh, Haider Shiyyab, Abedelkader Al Kofahi, Mayyada Saleh
Abstract: This study aims to determine the relationship between health literacy and the self-care of hypertension in older adults in five regions in Jordan. A cross-sectional study was conducted with 1,100 older adult patients with hypertension who had follow-ups in cardiac clinics of the five biggest hospitals in five regions of Jordan. The research instruments included a Health Literacy Questionnaire (CHEWQ) and the self-care of hypertension inventory. The average health literacy score was 8.52 ± 1.6, indicating inadequate health literacy, while their self-care of hypertension score was 42.33 ± 10.9, indicating low self-care. Inadequate health literacy and factors such as marital status, education level, income and overall health status were linked to poor self-care of hypertension (p < 0.05). This study suggests that there is a need to assess the effectiveness of various health literacy interventions, such as educational programs and customized communication strategies, in enhancing self-care behaviors across diverse populations, particularly among the elderly. The study findings highlight the need for nursing interventions aimed at improving health literacy to enhance the ability of older adults in Jordan to manage their hypertension.
Citation: Working with Older People
PubDate: 2024-08-06
DOI: 10.1108/WWOP-06-2024-0029
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- The relationship between self-care management with quality of life at
elderly with hypertension in nursing home of Jember-
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Authors: Fahruddin Kurdi, Maharani Sekar Putri, Tantut Susanto
Abstract: This paper aims to examine the relationship between self-care management and quality of life in elderly hypertensives at the Jember Nursing Home. Thirty-five respondents were collected for a cross-sectional study with consecutive sampling. This study used the Hypertension Self-Management Behavior Questionnaire and Quality of Life-Elderly, as well as a questionnaire about individual characteristics. Kendall's Tau-b Test was used to analyze the data obtained from this study. The majority of the elderly in the Jember Nursing Home reported having moderate self-care management (46.9%) and moderate quality of life (57.1%). This study found a significant positive correlation between self-care management and quality of life (p-value = 0.001), which was weak and significant (r = 0.282). This research has limitations on the number of respondents used in this study, because this research was only conducted in one place (one site center). Include the respondent's features more in the past history, and only a few are related to the physical health domain. So that further research can be conducted on more respondents, with a wider coverage of locations and adding some of the characteristics of respondents related to the domain of physical and psychological health. The role of gerontology in overcoming loneliness in the elderly is to increase health service activities, both primary and secondary, such as monitoring blood pressure, providing consultations and routine examinations for the elderly related to hypertension and being able to control the dietary intake of hypertensive foods in the elderly. Elderly in nursing homes experience hypertension due to poor self-care management problems, which will have an impact on worsening quality of life conditions.
Citation: Working with Older People
PubDate: 2024-07-30
DOI: 10.1108/WWOP-01-2024-0004
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Unmet health-care needs among Jordanian Roma with chronic diseases
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Authors: Yasmeen Abu Sumaqa, Manar Abu-Abbas, Omar Khraisat, Ahmad Rayan, Mohammad Othman Abudari
Abstract: This study aims to identify the reasons for unmet health-care needs and related barriers among the Roma population with chronic diseases in Jordan. A descriptive survey with a cross-sectional design was conducted, involving a sample of 347 Jordanian Roma participants. Data collection was performed using a structured questionnaire based on the Canadian Community Health Survey. The analysis revealed that within the three categories of reasons for unmet health-care needs (accessibility, availability and acceptability), “Transportation issues” under the accessibility category constitute the most reported reasons: (mean = 90.4%, SD = 22.6%), followed by “Cost” (mean = 89.0%, SD = 26.2%) and “Care not available in the area” (mean = 85.8%, SD = 23.6%). Predictors of unmet health-care needs were being married, having health insurance and self-perception of mental health (OR = 0.215, p = 0.044), (OR = 0.391, p = 0.008) and (OR = 0.302, p = 0.002) respectively. Unmet health-care needs are highly prevalent among Jordanian Roma, rendering them a vulnerable group susceptible to other diseases. To address this pressing issue, concerted and comprehensive efforts should be made to improve the utilization and accessibility of health-care services within this community. Furthermore, efforts should be made to elevate their social standing and status. facilitate their integration into the broader community.
Citation: Working with Older People
PubDate: 2024-06-17
DOI: 10.1108/WWOP-02-2024-0007
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Role of psychological well-being, quality of life and distress tolerance
in caregivers of geriatric population: an Indian exploratory study-
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Authors: Abhinaya Sridhar, Harsha Kuriakose
Abstract: This study aims to gain an understanding of how caring for an ageing population affects caregivers’ psychological well-being, quality of life and ability to tolerate distress. This study provides valuable insights into the challenges faced by family caregivers and underscores the critical need for comprehensive support systems. A correlational method and cross-sectional research design was used for the study. For this, a sample of 200 caregivers in the age range of 25–60 years who were taking care of the geriatric population above the age of 70 years for a minimum of one year were chosen. Four questionnaires − Burden Scale for Family Caregivers, Psychological Well-Being Scale, World Health Organization’s Quality of Life Scale-BRIEF version and Distress Tolerance Scale were chosen. Correlation and multivariate regression were calculated using statistical package for social sciences (SPSS) 21 and Jamovi 3.4.1. This study found that there is a negative correlation of caregiver burden with psychological well-being, quality of life and distress tolerance. The sub-domains of self-acceptance, psychological health and tolerance levels were most impacted for the caregivers. Through multivariate regression, it was found that the caregiver burden significantly predicted psychological well-being and quality of life. This study focuses on the English-speaking caregivers which may overlook the diverse linguistic and cultural variations within the broader caregiver community in India and the data collection exclusively targeted family caregivers providing support to geriatric population without chronic illnesses. This restriction could potentially limit the generalizability of the findings to the broader caregiving context. The implications of this research are that for caregivers, this study underscores the importance of tailored support programmes that address the negative impact of caregiver burden on psychological well-being and quality of life. Health-care professionals can use the findings to incorporate mental health assessments and interventions within caregiving contexts, recognizing the interconnected nature of these variables. Policymakers can use the findings to inform policies related to caregiver support and health-care resource allocation. In India, the social norm is that children are expected to take care of their parents when they become old. Taking care of elderly parents can be challenging, even emotionally. As a result, this study will focus on how caregivers’ psychological well-being, quality of life and ability to tolerate distress are affected. Consequently, promoting the creation of community support groups and workplace mental health programmes which could give caregivers a forum to voice their concerns.
Citation: Working with Older People
PubDate: 2024-06-17
DOI: 10.1108/WWOP-03-2024-0015
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Jordanian nurses’ competencies in providing community care during
disaster: a cross-sectional survey-
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Authors: Yasmeen Abu Sumaqa, Sajeda Alhamory, Manar Abu-Abbas, Ahmad Rayan, Mutaz Foad Alradaydeh, Nour Alrida, Omymah Zain Alddin Al-Rajabi, Mohammad Y. Alzaatreh, Anas H. Khalifeh, Saleh Al Omar, Manal Mohamed Abd EINaeem
Abstract: The purpose of this paper is to assess the perceived level of Jordanian nurses’ competencies in offering care to the community during a disaster. A correlational descriptive design was used to assess nurses’ competencies in offering care for the community during a disaster. A total of 370 nurses (55 % males) aged 25−55 agreed to participate. The mean score of competencies of nurses who offer care to the community during the disaster was 2.11 (SD = 0.59) points. The results of correlation coefficient tests revealed a significant positive correlation between stated competencies level and nurses’ sex, receiving disaster education and training with rpb (371) = 0.13, p < 0.01; rpb (598) = 0.15, p = 0.004; rpb (598) = 0.21, p < 0.001, respectively. Furthermore, the “care of communities” subscale had a weak positive correlation with the. Nurses play a critical role in disaster response. However, there was a gap in nurses’ competencies for disaster, which shows there is a crucial need to include disaster management courses in the nursing curriculum and update disaster management courses in hospitals based on nurses’ needs to improve their competencies during disasters.
Citation: Working with Older People
PubDate: 2024-06-11
DOI: 10.1108/WWOP-02-2024-0008
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- A psychometric study of validation and cross-cultural adaptation of the
Holden Communication Scale for elderly with dementia in care homes-
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Authors: Abdullah Alkhawaldeh, Asem Abdalrahim, Mohammad Saleh, Ahmad Ayed, Anas Nawwaf Abed Alrohman Ababneh, Mohammad Rababa, Alaa Dalky, Rasmieh Al-Amer, Sami Al-Rawashdeh, Omar Al Omari, Mohammed ALBashtawy, Islam Oweidat, Haitham Khatatbeh, Zaid ALBashtawy
Abstract: This paper aims to validate and adapt the Arabic version of Holden Communication Scale (HCS) for assessing communication skills among old people with dementia in care home. A study involving 210 elderly residents from Jordanian care homes was conducted, where they completed the Arabic version of the HCS. Internal consistency and factor analysis techniques were precisely used to assess the scale's reliability. Additionally, cognitive function evaluation used the Arabic iteration of the Saint Louis University Mental Status (SLUMS) questionnaire, while communication skills were comprehensively appraised using the HCS. The Arabic HCS has strong content validity, with a one-component structure accounting for 60% of the variation and a three-factor structure accounting for 77.2% of the variance. The original three-subgroup structure of the scale was recreated, and internal consistency varied from 0.85 to 0.87, indicating good reliability. This study aimed to assess the reliability and validity of the Arabic version of the HCS among old people with dementia residing in care homes. The authors conducted examination of its psychometric properties within this unique population.
Citation: Working with Older People
PubDate: 2024-06-05
DOI: 10.1108/WWOP-12-2023-0057
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Association between intrinsic capacity and weak muscle strength in naval
medical center older adults-
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Authors: María J. Rojas-Puell, Danna Salazar-Gastelu, Fernando M. Runzer-Colmenares, Jose F. Parodi
Abstract: The purpose of this study was to determine the association between intrinsic capacity (IC) and dynapenia in older adults in outpatient clinics at the Naval Medical Center. The study design was observational, analytical and retrospective. The study from which the collected data came was an observational analytical cohort, whose main objective was to describe the factors associated with frailty in older adults. The population comes from the Peruvian Naval Medical Center. This was a retrospective, observational, analytical study of the factors associated with frailty in older adults from the Naval Medical Center of Peru. Data from 1667 participants was analyzed, 682 of them were female (40.9%) and 985 were male (50.1%); regarding age, most participants had 71–80 years (n = 761, 45.6%). Prevalence of the dynapenia was 34.5% (n = 576), and 80.08% (n = 1335) had an altered IC. In an adjusted model using Poisson regression, a prevalence ratio of 2.76 (95%, CI 2.06–3.70) was found. In conclusion, there is an association between IC and dynapenia in older adults. In Latin America and Peru, there is limited information regarding this topic and tools for the evaluation of IC.
Citation: Working with Older People
PubDate: 2024-06-04
DOI: 10.1108/WWOP-02-2024-0009
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Combining mobile health, action and coping plans to improve exercise
adherence and functionality among elderly with knee pain in Bangkok-
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Authors: Pattaraporn Piwong, Tiwaporn Junkhaw, Kavinash Loganathan, Murallitharan Munisamy, Ratana Somrongthong
Abstract: The known advantage of exercise for older adults who had knee pain is limited by low adherence to an exercise program. This study aims to determine the effect of the LINE application on action and coping plans on exercise adherence, self-efficacy for exercise, specific self-efficacy (task, maintenance and recovery), functional performance (knee range of motion, time up and go, 30-s chair stand and knee outcome for activities of daily living) and knee pain scale among older adults with knee pain in suburban Bangkok, Thailand. A total of 86 participants aged between 50 and 65 years old were divided into two groups for a period of 14 weeks: intervention (received action and coping plans via the LINE application) and control group (received usual care). All outcomes were measured at baseline and posttest except exercise adherence, which was collected postintervention. A significant difference between intervention and control groups across all outcomes. Within group comparisons before and after, the intervention indicates that participants of the intervention group significantly improved posttest. In conclusion, using mobile health technology in combination with action and coping plans was found to enhance older adults’ exercise adherence and motivation, thus, decreasing knee pain while increasing functionality. This study provides new insight into the combination of action and coping plans implementing with instant messaging through the LINE application which had a positive impact on enhance exercise adherence and knee functional performance of Thai elderly with knee pain.
Citation: Working with Older People
PubDate: 2024-05-28
DOI: 10.1108/WWOP-11-2023-0049
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Stress and work engagement among nurses in intensive care units:
Palestinian perspective-
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Authors: Mohammad Faisal Alali
Abstract: Work engagement denotes to a state of positive and affective motivation of elevated power joined with high educational levels and a great concentration on occupation and it is negatively affected by psychological problems. This study aims to assess the stress and work engagement among Palestinian nurses working in intensive care units. A cross-sectional design was adopted. A convenience sample consisting of 225 intensive care nurses from governmental hospitals was recruited to participate. Data collection used the Nursing Stress Scale and Utrecht Work Engagement Scale-9, and demographic data were used to gather data throughout the period from February 10 to March 30, 2023. Findings demonstrated that nurses’ stress levels were high (M = 105.9 ± standard deviation [SD] = 11.91). Concerning work engagement, the nurses endorsed moderate work engagement levels with a mean of 3.7 (SD = 0.4). Regarding work engagement subscales, the mean of vigor was 3.7 (0.6), dedication with a mean of 3.7 (0.6) and absorption with a mean of 3.7 (0.6). Also, the findings showed that stress, gender and monthly income were predictors of work engagement (p < 0.05). Despite the significant results, this study had the following limitations: the design was cross-sectional, which limits the ability to explore the cause and effect of the study variables, thus longitudinal studies are recommended. In addition, the study adopted a self-reported questionnaire based on participants’ understanding, culture and work context which could influence their responses. The intensive care nurses had high stress levels and moderate work engagement. Stress, gender and monthly income were predictors of the work engagement. Thus, interventions should be encouraged to minimize stress, which has a significant influence on work engagement.
Citation: Working with Older People
PubDate: 2024-05-21
DOI: 10.1108/WWOP-03-2024-0013
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- A descriptive phenomenological study of critically ill elderly patients’
experiences of treatment using high-flow nasal cannula after extubation-
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Authors: Watchara Tabootwong, Yoongtong Nathmontri, Chonticha Chantakeeree
Abstract: This study aims to describe the experiences of critically ill elderly patients (CIEPs) who were treated using the high-flow nasal cannula (HFNC) after extubation. A descriptive phenomenological approach was conducted to interview eleven CIEPs using face-to-face semi-unstructured interviews. Participants were selected through purposive sampling. Data were analyzed using Giorgi’s method. Experiences of CIEPs included their fears of failure, getting comfortable and uncomfortable, as well as asking for assistance. Fears of failure were described as involving worsening symptoms related to their diseases and failure of HFNC leading to the need for reintubation. While receiving HFNC, their breathing was comfortable, and they were free from intubation. However, they were uncomfortable because of the sensation of burning in the nasal passages. Additionally, they asked for assistance from nurses in managing their symptoms, and the alarms of HFNC oxygen therapy devices resulted in fears of HFNC failure. The paper indicates that CIEPs experienced physical and psychological impacts from HFNC oxygen therapy (e.g. burning sensation in the nose and fear of failure). Although they had comfortable breathing, being uncomfortable also occurred. Therefore, health-care professionals should support what CIEPs need and develop a program or guidelines for managing the complications of HFNC – neither burning noses nor psychological issues enhance the comfort of CIEPs – by considering age-related changes.
Citation: Working with Older People
PubDate: 2024-05-15
DOI: 10.1108/WWOP-12-2023-0054
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- New horizons in gerotranscendence interventions. Targeting nursing home
staff members and other caregivers: a scoping review-
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Authors: Taiane Abreu, Lia Araujo, Laetitia Teixeira, Oscar Ribeiro
Abstract: The aim of this scoping review is to describe the published gerotranscendence interventions targeting older adults’ caregivers and their outcomes. Six databases were searched, and three studies were selected for analysis: one short-term quasi-experimental study and two observational studies. The interventions consisted in an instructional moment about the gerotranscendence theory and a moment for sharing personal perceptions. Gerotranscendence interventions can be essential for the caregivers to have a better relationship with the older adults, as they could improve their perception on their needs. Even though the interventions presented promising results benefiting caregivers and older adults, none of the studies confirmed that these changes persisted in the long term and additional studies are needed to robustly investigate this subject.
Citation: Working with Older People
PubDate: 2024-05-10
DOI: 10.1108/WWOP-10-2023-0046
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Inequalities in the pandemic and post pandemic times of older people. Case
of Russia-
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Authors: Konstantin Galkin, Irina Grigorieva
Abstract: This paper aims to study the inequalities faced by older people through the analysis of semistructured interviews with older residents of Saint Petersburg and the villages in the Republic of Karelia in Russia. The authors begin the research by studying the nature of the perception of inequalities in older people’s lives, as well as examining the concept of inequality in the context of modern reality affected by the pandemic and postpandemic repercussions. Furthermore, the authors analyze empirical cases and, using thematic analysis, examine the specifics and the nature of the emerging inequalities, as well as the ways in which older people overcome them. In the modern world, individual rather than class competition is increasingly manifested, which stipulates the specific character of research associated with the necessity to study personal competition and interactions in the context of everyday life. The empirical basis of the study was 30 semistructured interviews conducted in 2022 in St. Petersburg and rural areas of the Republic of Karelia. The study of the everyday features of the manifestation of inequalities and ageism was carried out using modern sociological approaches. It is concluded that older people find ways to adapt to social changes in pandemic and postpandemic times through strategies such as emotional reflection on the past, hobbies, reviewing old resources and searching for new ones, changing ways of communication and solving problems. The desire to take care of one’s own well-being is becoming an important focus of attention for the older in their daily routine. These strategies create positive opportunities for adaptation and contribute to reducing the fears and anxiety of the elderly regarding the possible return to similar situations like the COVID-19 pandemic and related inequalities.
Citation: Working with Older People
PubDate: 2024-05-09
DOI: 10.1108/WWOP-01-2024-0005
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- The changing health-care system in Ghana: forms of care within residential
aged care facilities in urban Accra-
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Authors: Joy Ato Nyarko, Joana Kwabena-Adade, Andrews Kwabena-Adade
Abstract: The emergence of residential aged care facilities (RACFs) within the Ghanaian health-care system has raised eyebrows because, hitherto, the concept of nursing homes had largely been perceived as an anomaly. The purpose of this study is to understand this emerging phenomenon and the activities of care provided within two facilities in the nation’s capital, Accra. The study draws on participant observations and in-depth interviews with purposively sampled 15 residents in the two facilities and eight caregivers. The data were analysed using thematic approach. The study found that the daily forms of care mostly performed for the elderly were intimate and non-intimate physical, medical, emotional and spiritual and end-of-life care. The bulk of activities of care were performed in the morning. The study reveals that the changing landscape of health-care facilities in Ghana to include RACFs indicates RACFs have come to stay to provide different forms of care to older persons who otherwise were cared for by the family.
Citation: Working with Older People
PubDate: 2024-05-08
DOI: 10.1108/WWOP-01-2024-0006
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Geriatric health care in rural India: HR issues and public policy
constraints-
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Authors: Srirang Kumar Jha, Shweta Jha, Amiya Kumar Mohapatra
Abstract: The purpose of this paper is to emphasize the need for holistic geriatric health care in rural India. Many older people in Indian villages suffer from chronic ailments without any relief or intervention because of inaccessible and unaffordable health-care services. This paper explores how holistic health care can be assured for older people in Indian villages. This paper is based on reflections of the authors who have had experiences as caregivers to older persons within their respective families rooted in the Indian villages. Besides, they interacted with 30 older persons (18 males and 12 females in the age group of 60–80 years) living in the villages in three states of India, namely, Haryana, Rajasthan and Madhya Pradesh to develop a comprehensive viewpoint on the need of geriatric health care in rural India. Relevant reports, newspaper articles and research papers were also reviewed while developing viewpoints on such an important topic. Geriatric health-care facilities in rural India are abysmal. The older people in the villages cannot leverage health-care facilities that are generally inaccessible, inadequate and unaffordable. Even the government support for medical treatment is minuscule. Furthermore, there is lack of trained health-care professionals at all levels, namely, doctors, nurses and paramedic personnel. Training opportunities in geriatrics are also negligible. The scenario vis-à-vis geriatric health care in rural India can be upturned by increasing public spending on health-care infrastructure, increasing numbers of health-care professionals and expanding training programmes in geriatrics. This paper is based on the critical reflections of the authors as well as their informal interactions with some of the older people in the Indian villages.
Citation: Working with Older People
PubDate: 2024-05-08
DOI: 10.1108/WWOP-10-2023-0044
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Leaving loneliness alone: a brief research report on the pathways to
(digital) solutions involving older adults-
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Authors: Sara Guerra, Oscar Ribeiro, Rita Carvalho, Liliana Sousa
Abstract: Older adults often experience loneliness as a vicious circle, in which loneliness builds more loneliness. Breaking this cycle is key to minimize the experience of loneliness. MOAI LABS is a European project that adopts a codesign process to develop digital solutions to address loneliness in older adults. This study aims to adopt a solution-based approach to capture solutions that community-dwelling older Portuguese adults who feel loneliness already experience in their lives. Six individuals (aged 64–86 years) answered two solution-based questions: miracle and exceptions. Findings were obtained from one group discussion session that was audio-recorded, transcribed and submitted to qualitative analysis. Main findings suggest that participants feel comfort in imagining their desired scenarios that involve being with their loved ones, better health conditions, adequate housing settings and contact with nature. The findings highlight that leaving loneliness alone seems to be a path that may be facilitated by digital solutions that display solution-based questions, such as online platforms for social connection, virtual care and monitoring, design of smart home devices and the creation of immersive virtual reality experiences to explore nature, complemented by psychosocial support.
Citation: Working with Older People
PubDate: 2024-05-07
DOI: 10.1108/WWOP-03-2024-0014
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Material inheritance transmission by older childless Portuguese adults
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Authors: Daniela Silva, Marta Patrão, Liliana Sousa
Abstract: Material inheritance transmission is a normative task in later life that has been scarcely studied, particularly when involving older childless adults. This study aims to deepen the knowledge about the transmission of material inheritances by older (65+ years) childless Portuguese adults. This qualitative exploratory study comprises 43 participants. A semi-structured interview was administered and submitted to content analysis. Material inheritance transmission involves precipitant events (realizing they will not have children), deciding on content and moment (what and when), planning (getting legal advice, making a will and preventing family conflicts), distributing (usually based on values of reciprocity and strategic exchange) and resolution (marked by conflict). Material inheritances have been mostly studied from economic and legal perspectives. This research examines material inheritances transmissions within family dynamics, showing that older childless individuals seem to use material inheritances in a strategic exchange way, to ensure they will be well cared for in old age.
Citation: Working with Older People
PubDate: 2024-04-30
DOI: 10.1108/WWOP-02-2024-0011
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Biophilic designs: a solution for the psychological well-being and quality
of life of older people-
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Authors: Deepika Pandita, Himani Choudhary
Abstract: The study aims to explore how including biophilic elements in the architectural and interior design of assisted living facilities can improve the well-being and quality of life of older people. This research paper explores the concept of biophilic design and its potential benefits for assisted living facilities. A total of 39 peer-reviewed articles were reviewed. The research involved a comprehensive review of databases such as Scopus, EBSCO, Elsevier, JSTOR and Google Scholar using keywords and Boolean operators with reference to the study. The study’s inclusion criteria for articles were restricted to academic articles published between 2013 and 2022. The analysis of the current research will offer insights into the concept of biophilic design research and its impact on the well-being and quality of life of baby boomers in assisted living facilities. The research advocates the benefits of biophilic design to enhance the psychological well-being and quality of life of baby boomers dwelling in assisted living facilities. Biophilic design is a strategy that blends natural elements into built environments to improve our connection with nature to enhance the physical and psychological health of older people. In the context of assisted living facilities, where residents commonly experience a variety of physical and psychological health concerns, adopting biophilic design in architecture holds enormous promise. The research focuses on applying biophilic design in assisted living facilities and its holistic approach to the overall well-being of older people. The conceptual model proposed in the study has defined the positive aspects of the biophilic design on the psychological and physiological health of older people. Few studies have been done on the impact of biophilic design, specifically on baby boomers.
Citation: Working with Older People
PubDate: 2024-04-23
DOI: 10.1108/WWOP-01-2024-0003
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Self-management of dementia by family carers: a hybrid concept analysis
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Authors: Anas Shehadeh, Sharyn Hunter, Sarah Jeong
Abstract: This study aims to describe the current conceptualisation of self-management of dementia by family carers in the literature and from the views of dementia professionals and family carers, and to establish a more comprehensive concept of self-management of dementia by family carers. A hybrid concept analysis included three phases: the theoretical phase reviewed the literature on self-management of dementia by family carers; the fieldwork phase interviewed professionals and family carers; and the analytical phase synthesised and discussed the findings from the previous two phases. The findings revealed that self-management of dementia by family carers encompasses four domains: supporting care recipients, self-care, sustaining a positive relationship with care recipients, and personal characteristics and skills. The findings highlighted the essential elements of the construct of self-management of dementia by family carers. The findings can be used as a conceptual framework of self-management and are useful in designing and evaluating self-management support interventions for family carers.
Citation: Working with Older People
PubDate: 2024-02-19
DOI: 10.1108/WWOP-10-2023-0041
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Towards inclusiveness in dementia services for black and minoritised
communities in the UK-
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Authors: Anya Ahmed, Lorna Chesterton, Matthew J. Ford
Abstract: The purpose of this paper is twofold: to explore the existing evidence around dementia services and interrogate the overarching UK policy development relating to service inclusion of black and minoritised groups. The paper will go on to identify the implications for the dementia wellness pathway and make recommendations regarding how services can be more inclusive. This paper examines the policy/practice landscape around dementia care provision and observes if lessons can be learnt to improve health outcomes for people living with dementia from black and minoritised communities. A review of dementia policy demonstrates how opportunities to improve the awareness, diagnosis and post-diagnostic support for minoritised communities are being missed. The outcomes of this mean that individuals are denied vital treatment and support, which could enhance quality of life and delay the progression of dementia. The authors’ premise is that not meeting the dementia support needs of less-heard communities has negative financial as well as social and health-related outcomes and has wider resonance and implications for all stages of the dementia wellness pathway. Moreover, there is a legal responsibility for public services to provide culturally sensitive, responsive, appropriate and available care, to all people, without discrimination. This paper offers a valuable review of policy and practice around dementia care in the UK and makes recommendations to improve health outcomes for people living with dementia from black and minoritised communities.
Citation: Working with Older People
PubDate: 2024-01-25
DOI: 10.1108/WWOP-03-2023-0007
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Designing for everyone: can the principles of dementia-friendly design
inform design for neurodiversity in health-care settings'-
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Authors: Sarah Waller, Simon Chester Evans, Jennifer Bray, Teresa Atkinson
Abstract: There is increasing interest in the UK in developing environments that support people who are neurodiverse. This paper aims to report on a project to develop a cognitively supportive environmental assessment tool to improve the design of health centres, where the majority of National Health Service consultations take place, for all users, including people living with dementia and those who are neurodiverse. A three-stage process was used: a literature review; the development of a matrix of key design features for people living with dementia, autism and other neurodiverse conditions; and the development of an environmental assessment tool and guide for users, which included easy-to-read versions to maximise service user involvement. The overarching concepts of dementia-friendly design can be adapted to create designs for everyone, including those who are neurodiverse. There is a paucity of research in environmental design for primary care from the patient’s perspective, and, more generally, further research on design for adults with learning disabilities and autism is needed. The tools are free to download. With adaptation, they have potential applicability across health and care settings. This project has confirmed that the principles of dementia-friendly design are applicable, with modifications, to a wider group of neurodiverse people. Critically, each person’s response to sensory stimuli is individual rather than determined by their condition.
Citation: Working with Older People
PubDate: 2024-01-25
DOI: 10.1108/WWOP-09-2023-0038
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Impact of cat-assisted therapy (Ca-AT) among elderly patients with
Alzheimer’s disease at home: a case study-
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Authors: Najah Shawish, Mariam Kawafha, Andaleeb Abu Kamel, Dua’a Al-Maghaireh, Salam Bani Hani
Abstract: This study aims to explore the effects of cat-assisted therapy (Ca-AT) on a patient in their homes, specifically investigating the effects on patient’s memory, behavioral pathology and ability to perform activities of daily living, independently. A case study design was used in patient’s homes using three measuring scales, namely, Mini-Mental State Examination (MMSE), Barthel index (BI) and Behavioral Pathology in Alzheimer’s Disease (AD) Rating Scale. The MMSE and BI mean scores were increased, whereas the Behavioral Pathology mean score was decreased. Patient negative behaviors were improved specifically, aggressiveness, anxieties, phobias, and caregiver burden was decreased. Patients with AD could significantly benefit from Ca-AT in their own homes, and it could decrease caregiving burden. Ca-AT is a newly developed type of animal-assisted therapy that uses cats to treat patients, especially elderly people with AD, in their homes.
Citation: Working with Older People
PubDate: 2024-01-25
DOI: 10.1108/WWOP-10-2023-0042
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Homecare nursing: a survey of citizen experiences with health-care
professionals in the time allotted for homecare-
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Authors: Dorte Wiwe Dürr, Linda Hindsgaul Mikkelsen, Grete Moth
Abstract: Research-based knowledge on homecare nursing is scarce and further information is warranted about citizens’ perceptions of receiving home care under existing conditions. The purpose of this study was to investigate citizen experiences with health-care professionals in the time allotted for home care. A questionnaire survey was distributed to 348 citizens receiving home care. The questionnaire consisted of questions whether the citizens experienced that enough time was available during the homecare visit and how the conversation and care relationship with the health-care professionals were experienced. The differences in responses were analysed using Fisher’s Exact Tests. Overall, 94% of the citizens reported that sufficient time had been available and that care relationship and conversation with the health-care professionals had been positive during the homecare visit. However, the findings indicated that citizens aged more than +76 years and citizens with a high educational level were more prone to report that the nurses did not spend enough time during the home visit. The findings offer useful insights for the professionals in delivering appropriate home care. Listening to citizens’ wishes and needs for home care could lead to better individualised care. Especially the youngest and oldest of the citizens seem to have specific experiences that call for further investigation.
Citation: Working with Older People
PubDate: 2024-01-25
DOI: 10.1108/WWOP-10-2023-0045
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- Companion animals and/or social media use among Portuguese
community-dwelling older adults: profile and impact on well-being and
social interaction-
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Authors: Liliana Sousa, Jéssica Fernandes, Pedro Sá-Couto, João Tavares
Abstract: Companion animals and social media are two important factors of social interaction and well-being among the older population. This study aims to compare social media use and/or having companion animals with respect to sociodemographic variables in conjunction with loneliness, social isolation, depression, satisfaction with life and satisfaction with social support. This cross-sectional study involves a sample of 250 older community-dwelling adults. The questionnaire comprised sociodemographic, companion animals and social media questions and scales to assess social isolation, loneliness, satisfaction with life and social support and depression. Data were analyzed using descriptive and inferential statistics. Four groups emerged: “companion animal/s, no social media” (37.6%); “none” (33.6%); “social media and companion animal/s” (14.4%); and “social media, no companion animal/s” (14.4%). Social media users (with or without companion animals) are the youngest and with higher levels of education; caregivers of companion animals (no social media use) are in-between in terms of age and level of education; and those without companion animals and no social media users are the oldest and with less formal education. This research examines and compares two key influencers of older adults’ well-being and social interaction (social media and companion animals), that have been researched mostly separately. Findings underlined the cohort effect in the use of social media, suggesting that future older adult cohorts will use more social media whether they have or do not have companion animals.
Citation: Working with Older People
PubDate: 2024-01-25
DOI: 10.1108/WWOP-11-2023-0050
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
- What is the impact of seasonal ambient changes on the incidence of falls
among older adults'
 Open Access Article-
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Authors: Richard Byrne, Declan Patton, Zena Moore, Tom O’Connor, Linda Nugent, Pinar Avsar
Abstract: This systematic review paper aims to investigate seasonal ambient change’s impact on the incidence of falls among older adults. The population, exposure, outcome (PEO) structured framework was used to frame the research question prior to using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis framework. Three databases were searched, and a total of 12 studies were found for inclusion, and quality appraisal was carried out. Data extraction was performed, and narrative analysis was carried out. Of the 12 studies, 2 found no link between seasonality and fall incidence. One study found fall rates increased during warmer months, and 9 of the 12 studies found that winter months and their associated seasonal changes led to an increase in the incidence in falls. The overall result was that cooler temperatures typically seen during winter months carried an increased risk of falling for older adults. Additional research is needed, most likely examining the climate one lives in. However, the findings are relevant and can be used to inform health-care providers and older adults of the increased risk of falling during the winter.
Citation: Working with Older People
PubDate: 2024-01-25
DOI: 10.1108/WWOP-12-2023-0052
Issue No: Vol. ahead-of-print, No. ahead-of-print (2024)
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