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Working with Older People
Journal Prestige (SJR): 0.162
Number of Followers: 40  
 
Hybrid Journal Hybrid journal   * Containing 1 Open Access Open Access article(s) in this issue *
ISSN (Print) 1366-3666 - ISSN (Online) 2042-8790
Published by Emerald Homepage  [362 journals]
  • Knowledge and practice toward basic life support among nurses working with
           SARS-CoV-2 patients in Jordanian hospitals

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      Authors: Ahmed Mohammad Al-smadi , Salam Bani Hani , Abedalmajeed Shajrawi , Ala Ashour , Marwa Halabi , Areej Mousa , Mustafa Mohammad Al Smadi
      Abstract: The purpose of this paper is to assess nurse’s knowledge and practice regarding basic life support (BLS) skills while working with SARS-CoV-2 patients in Jordanian hospitals. A cross-sectional survey was conducted among 386 nurses with direct contact with SARS-CoV-2 patients at Jordanian hospitals. A self-administered structured questionnaire was used based on the American Heart Association (AHA) guidelines. A total of 386 participants were recruited. The mean years of experience were 7.89 (SD = 5.97). About three quarters of participants revealed they deal with SARS-CoV-2 patients directly (n = 284, 73.6%). The total mean score of nurse’s knowledge was 4.44 (SD = 1.22), while the total mean score of practice was 8.44 (SD = 2.05). Independent t-test was used, which revealed a statistically significant difference between educational level and total score of nurse’s knowledge [t(386) = 0.215 and p = 0.001] and between training to deal with SARS-CoV-2 during BLS and total score of practice [t(386) = 2.66 and p = 0.008]. Pearson correlation discloses a positive correlation between the total score of knowledge and practice (r = 0.343 and p = 0.001). In general, nurses revealed a moderate level of knowledge and practice of BLS skills. However, assessing nurse’s knowledge and practice during the outbreak of SARS-CoV-2 plays a key role in identifying the gap in nurse’s knowledge and practice, and therefore, it will have an impact on providing high-quality BLS to save infected patients while providing maximum safety according to AHA guidelines. This study is the first study that examined the level of knowledge and practice of BLS skills during SARS-CoV-2 pandemic in Jordan.
      Citation: Working with Older People
      PubDate: 2022-11-15
      DOI: 10.1108/WWOP-09-2022-0039
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Resilience in later life: the impact of social exclusion on access to
           networks of support

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      Authors: Kirsty Bagnall , Sophie Yarker
      Abstract: The aim of this paper is to respond to a gap in the literature around resilience in later life for older people from minority groups of identity or experience. Specifically, it argues that we need to pay greater attention to how access to different types of social capital may leave some older people more or less able to cope with adverse events and how experiences of social exclusion can limit access to important networks of support during times of crisis. This paper draws on research conducted to inform the resilience strategy of Greater Manchester in 2019, and specifically looked at how this strategy could better address the needs of the regions’ diverse ageing population. It used a qualitative design including focus groups with older women of Punjabi heritage living in Greater Manchester, interviews with staff from a community and voluntary organisation working with these women, and interviews with staff at an organisation supporting refugees and asylum seekers in Greater Manchester who specifically worked with older adults. The research found that belonging to a minority group and experiences of social exclusion gave participants in this study both resources and vulnerabilities when it came to dealing with external shocks in later life. Whilst participants in this study had access to strong networks of bonding capital based on shared identity and experience, social exclusion often meant they faced barriers to accessing network of support outside of these communities. Findings from this study have implications for both future research and policy. In the case of the latter there are implications for those working in resilience planning in terms of how to address the needs of diverse older populations. For researchers, this paper has implications for how we understand the impacts on inequality in later life particularly in the context of the COVID-19 pandemic. The originality of this paper lies in its consideration of the impact of inequalities and social exclusion on the resilience of older people in times of crisis. It included older people from minority groups of identity and experience addressing an important gap in the literature.
      Citation: Working with Older People
      PubDate: 2022-11-03
      DOI: 10.1108/WWOP-09-2022-0037
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • The benefits of independent older people’s representation and why its
           development should be supported

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      Authors: Steven George Milsom
      Abstract: The purpose of this papers is to set out the advantages to local communities of independent representation of older people by older people through active and vibrant older people’s forums and groups and the rationale for Councils in Wales to support their revitalisation and development. This paper describes how semi-structured action research and follow-up discussion and analysis over a two-year period was undertaken by older people with representatives of Older Peoples Forums and groups to identify a strategy to restart and revitalise independent forums post pandemic to represent the voice of older people to government at all levels. Facilitation of the independent and self-determined voice of older people through genuine co-production with Forums can help Councils meet statutory duties and ensure their policies and services for older people are developed and informed from the direct experience of those receiving them. This will also help address the impacts of an ageing population and meet the national aim to create age-friendly communities across Wales. This research provides a basis for Councils to work with Independent Older Peoples Forums and groups to restart and regenerate the forums and promote the self-determined voice of older people to government at all levels. In an ageing society older people should be empowered and enabled to make their own decisions. The principle of self-determination by older people for older people directly and through co-productive engagement with them by local authorities has meaning and purpose that should be promoted and implemented. If age-friendly communities are to be developed across Wales, then collaboration on this basis is required including through independent 50+ forums in localities.
      Citation: Working with Older People
      PubDate: 2022-11-03
      DOI: 10.1108/WWOP-09-2022-0038
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Understandings of mild cognitive impairment (MCI): a survey study of
           public and professional perspectives

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      Authors: Heather Yemm , Elizabeth Peel , Dawn Brooker
      Abstract: This paper aims to report the findings of a survey study exploring perceptions about cognitive impairment. These findings are relevant to public health campaigns and education programmes. A survey exploring respondents’ views and knowledge about mild cognitive impairment (MCI) was circulated via UK networks. A total of 417 respondents completed the survey, including people living with cognitive impairment (n = 10), care partners (n = 23), older adults (n = 83), younger adults (n = 83), general health-care professionals (n = 96), dementia specialist health-care professionals (n = 48) and dementia specialists (n = 40). Respondents were more confident in their knowledge about dementia than cognitive impairment but wanted more information about both conditions. Younger adults were uncertain about many aspects of MCI, and were the most likely to view MCI as a normal part of ageing. Diet (45.1%, n = 188) and personal behaviour (63.8%, n = 266) were the least endorsed possible causes of MCI, suggesting a lack of awareness of lifestyle choices as risk factors for MCI. The results highlight the need to provide education and awareness raising about MCI to enable people to seek help in a timely manner and be able to make informed lifestyle choices that may reduce their risk of MCI and dementia. Implementing education about MCI and dementia in schools is a key target, as younger people were the most uncertain or misinformed about these topics. It is clear that further public health initiatives around MCI are both warranted and welcomed by the general public.
      Citation: Working with Older People
      PubDate: 2022-11-02
      DOI: 10.1108/WWOP-08-2022-0035
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Exploring the triggers of psychological distress among Jordanian patients
           with heart failure: a phenomenological study

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      Authors: Yasmeen Abu Sumaqa , Ferial A. Hayajneh , Mohammad Alnaeem , Sajeda Alhamory , Ibrahim R. Ayasreh , Manar Abu-Abbas
      Abstract: This study aims to gain a deeper understanding of triggers of psychological distress among Jordanian patients with heart failure (HF). A phenomenological study was adopted. In-depth, semi-structured, audio-taped interviews were conducted for 25 patients with HF. The analysis was done using interpretative phenomenological analysis. The main theme of the findings can be expressed as “faced with stressors that are unable to cope with”, which encompasses circumstances and contexts associated with the psychological distress they faced. The following four sub-themes emerged from the data: being endorsed in significant life changes, feeling guilty about being a burden, financial burden aggravating stress and feeling overwhelmed by the fear of death. The findings revealed that psychological distress is affected directly by many triggers. The findings indicate the need for informing health-care providers to support these patients and address the challenges and develop clinical guidelines to assess psychological distress among these patients.
      Citation: Working with Older People
      PubDate: 2022-10-28
      DOI: 10.1108/WWOP-09-2022-0042
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Need-driven dementia compromised behavior theory and health belief model:
           a theory critique

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      Authors: Mohammad Rababa
      Abstract: The purpose of this paper is to critique and evaluate need-driven dementia compromised behavior theory and the health behavioral model using Meleis’ (2010) criteria of theory evaluation. Theory critique using Meleis’ (2010) criteria of theory evaluation. This paper provides a conclusion about each theory in terms of agitation in the elderly. Meleis’s (2010) criteria will be used for both theories to evaluate different components such as the relationship between structure and function, diagram of the theory, circle of the contagiousness, usefulness and external components. The critique of the two theories broadened the nurses’ understanding of the connection between the NDB model and the behavior symptoms, including agitation and its related issues. Further studies need to be conducted to shed light on the other aspects of the behavioral symptoms in elderly with dementia that supports the results of this study, like its specific causes, trigger factors and other intervention strategies. Nurses should be able not only to understand the patient’s behavior symptoms but also to decode them into communication signals to meet their needs in a more effective way.
      Citation: Working with Older People
      PubDate: 2022-10-25
      DOI: 10.1108/WWOP-09-2022-0040
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Dysphagia in nursing home residents: a cross-sectional study

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      Authors: Isabel de Jesus Oliveira , Flávio Filipe Sousa Ferreira , Licínia Vanessa Rodrigues Fernandes
      Abstract: This paper aims to disseminate the results of research aiming to identify the prevalence of dysphagia and related clinical factors in nursing home residents. A cross-sectional descriptive study was developed, including 99 residents in five nursing homes. A sociodemographic questionnaire and the Gugging Swallowing Screen for dysphagia screening were used for data collection. The prevalence of dysphagia was 59.59%. A significant correlation was found between dysphagia and worse scores for fall risk, pressure ulcer, level of independence for activities of daily living and cognitive functioning. Results should be interpreted carefully due to sample size and specific country context. A larger sample must be achieved in further research. Nurses must receive proper training to perform systematic dysphagia screening, and it should be considered, given the high prevalence, the inclusion of professionals specially trained for rehabilitating dysphagic residents in nursing home teams. The social and economic burden of dysphagia, in addition to all the implications on the person’s quality of life, requires a differentiated focus on this issue by nursing home managers. Nursing homes have nurses providing health care; however, trained professionals for dysphagia treatment commonly are not. These results highlight the importance of systematic screening for dysphagia in all residents, thus promoting timely intervention to prevent respiratory and nutritional complications.
      Citation: Working with Older People
      PubDate: 2022-09-26
      DOI: 10.1108/WWOP-06-2022-0024
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Exploring dialogic analysis and thematic analysis of place conversations
           with older adults

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      Authors: Joyce Weil
      Abstract: Although thematic analysis is a commonly used technique, this paper aims to explore the potential advantages (and drawbacks) of both thematic analysis and a dialogic approach to qualitative data analysis. Initially, the epistemology and application of each design, thematic analysis and dialogic analysis are compared. Then, examples of coding segments of narrative data from 85 open-ended interviews with older adults exploring the meaning of place and place-attachment are presented through both thematic and dialogic analyses. The conclusion offers suggestions about how dialogic analysis can add additional context and more participant inclusion and agency to thematic analysis. The blending of these two qualitative analysis approaches offers better emphasis on fully presenting older individuals’ narratives.
      Citation: Working with Older People
      PubDate: 2022-09-19
      DOI: 10.1108/WWOP-07-2022-0026
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Factors predicting burden among male caregivers of older adults with
           stroke

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      Authors: Sirinthip Nimitphuwadon , Pornchai Jullamate , Naiyana Piphatvanitcha , Sivasankari Nadarajan , Watchara Tabootwong
      Abstract: This study aims to examine the factors predicting burden among the male caregivers of older adults with stroke. This was a descriptive cross-sectional study. A simple random sampling technique was used to recruit 98 male caregivers in the outpatient department’s neurological clinic, at Banphaeo General Hospital. Data was collected using six questionnaires: the demographic questionnaire, the center for epidemiologic studies depression scale, the perceived health status interview form, the caregiver and patient relationship interview form, the Barthel ADL index and the Zarit burden interview. Descriptive statistics and stepwise multiple regression analysis were used for data analysis. The male caregivers of older adults with stroke had a mild to moderate level of burden. Factors such as depression of caregivers and activities of daily living of older adults predicted the burden among male caregivers, explaining 53.6% of the variance. The findings imply that nurses can plan new approaches and interventions to alleviate the burden of male caregivers by reducing their depression levels and encouraging activities of daily living in the older adults. In addition, effective programs can be developed to provide informational support to caregivers for reducing their burden level. Male caregivers with depressive symptoms had an increased caregiving burden. Therefore, health-care professionals should support and formulate guidelines to reduce the burden of caregiving among the male caregivers by considering predictive factors.
      Citation: Working with Older People
      PubDate: 2022-09-15
      DOI: 10.1108/WWOP-08-2022-0032
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • The essential features of Meeting Centres: development of the UK criteria
           for community support for people affected by dementia

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      Authors: Shirley Evans , Jennifer Bray , Dawn Brooker , Nathan Stephens
      Abstract: Meeting Centres (MCs) are a complex community-based psychosocial intervention to support people affected by dementia. The purpose of this paper is to describe the process of identifying the essential features of MCs from a UK perspective. The essential features were examined within a concept analysis framework, which combines both static and evolutionary methods, enabling multiple stakeholder groups to be included in the process in an iterative manner. Eleven essential features were developed, providing a conceptual model of the UK MCs. The underpinning rationale is sufficiently flexible to enable community-based development, while at the same time providing a robust platform upon which to build the evidence base. While some features may be common to other types of community-based support, the combination of characteristics and the underpinning ethos differentiates MCs and enables each one to meet the needs of its own community.
      Citation: Working with Older People
      PubDate: 2022-09-14
      DOI: 10.1108/WWOP-03-2022-0009
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Retirement experience, retirement satisfaction and life satisfaction of
           baby boomers

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      Authors: Amberyce Ang , Cynthia Chen , Kalyani Mehta
      Abstract: The practice of mandatory retirement age implies that some retirees may be forced to retire or are compelled to continue working. Retirement would then be determined by age and not by their personal choices. Against this backdrop, this study aims to understand the associations retirement transition types (voluntary or involuntary retirement) with retirement satisfaction and life satisfaction. This mixed research study seeks to understand how the retirement transition type in the form of voluntary or involuntary retirement is associated with retirement satisfaction and life satisfaction. In this study, 103 Singapore baby boomer retirees were interviewed and a questionnaire was administered. Results showed that voluntary retirement and high social–emotional resources had significant positive associations with retirement satisfaction, and that financial resources and retirement satisfaction had significant associations with life satisfaction. Based on this study’s findings, a synthesized conceptual model was designed to illustrate the different roles and associations of resources with retirement satisfaction and life satisfaction. A retirement trajectory model was also created to cater for policy design at various stages of the retirement experience. The retirement experience is multi-dimensional. It is highly relevant to almost every older adult. The relevance of this topic also meant that the findings in this study carry a potentially higher impact. Using the life span and multi-level perspectives to examine retirement, the findings in this study invite several timely human resources (HR) and national policy reviews. This paper proposed HR policy practices at three main points – late-career, retirement and bridge employment. A unique feature of this study was to differentiate and compare “retirement satisfaction” with “life satisfaction”, and the differentiation of “retirement transition”, “retirement adjustment” and the “retirement trajectory”. The differentiation of these concepts can better shape policies targeted at different phases of the retirement experience. In addition, the resource-based dynamic perspective was used to identify and understand the types of resources that have significant associations with retirement and life satisfaction. For example, social–emotional resources were found to be significantly associated with retirement satisfaction, and financial resources were found to be significantly associated with life satisfaction.
      Citation: Working with Older People
      PubDate: 2022-09-14
      DOI: 10.1108/WWOP-03-2022-0014
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Social capital and health outcomes among older adults in India: a
           multilevel analysis

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      Authors: Jyoti Jyoti , S.P. Singh , Manzoor Ahmad Malik
      Abstract: The social capital theory is increasingly being looked at as a valuable paradigm to understand if community socioeconomic factors influence health behaviours and outcomes. This requires an understanding of the forms in which social capital manifests and the levels at which it operates. Thus, the purpose of this paper is to study if social capital is associated with health outcomes among older adults in India and providing an estimate of the extent to which the neighbourhood differences in health outcomes among the older adults can be attributed to social capital. The authors find several forms of social capital to be associated with health outcomes among older adults. The results show that community-level social capital variables collectively explain 12.81% unexplained neighbourhood variation in self-rated health, 2.5% variation in psychological well-being and 11.32% variation in the ability to perform activities of daily living, respectively. The findings highlight the role social capital plays in serving as a coping mechanism for older adults to survive deteriorating health and social exclusion and call for conscious investment in building social capital.
      Citation: Working with Older People
      PubDate: 2022-09-13
      DOI: 10.1108/WWOP-05-2022-0019
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Promoting the person-centred aspects of dignity and well-being: learning
           from older persons’ experiences of living in residential care facilities
           

         This is an Open Access Article Open Access Article

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      Authors: Charlotte Roos , Anna Swall , Lena Marmstål Hammar , Anne-Marie Boström , Bernice Skytt
      Abstract: Dignity and well-being are key aspects of the legislation and policies that regulate care of older persons worldwide. In addition, care of older persons should be person-centred. Dignity and well-being are described as results of person-centred care (PCC). The purpose of this study was to gain an understanding of important aspects for older persons to experience dignity and well-being in residential care facilities (RCFs). This study had a qualitative approach, and individual semi-structured interviews were conducted with 20 older persons living in RCFs. Data were analysed using inductive content analysis. To experience dignity and well-being older persons emphasized the importance of preserving their identity. To do this, it was important to be able to manage daily life, to gain support and influence and to belong to a social context. However, the findings indicate a need for improvements. Insights into older persons’ experiences of important aspects for experiencing dignity and well-being in RCFs can be used by first-line managers and registered nurses when designing improvement strategies to promote PCC. Dignity and well-being are described as results of PCC. The findings provide an understanding of what older persons perceive as important for experiencing dignity and well-being in RCFs. The findings are useful when designing improvement strategies to promote PCC.
      Citation: Working with Older People
      PubDate: 2022-09-13
      DOI: 10.1108/WWOP-08-2022-0034
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Health-care system in Jordan: challenges and solutions

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      Authors: Mohammad Rababa
      Abstract: This study aims to explore the challenges in the Jordanian health-care system and the potential solutions for these challenges. A narrative literature review was conducted. The challenges of the health-care system in Jordan related to geriatric care are the new emergence of nursing homes; the limited health-care services and supplies; the growing aging population; the dramatic change in the family structure. There are many credible approaches used to solve those challenges, including social networking, advocacy, education and research, lobbying and financial support. There is a lack of research studies examining the perceived barriers and facilitators of geriatric care in Jordan from the perspectives of health-care professionals, health-care managers and older adults themselves. Future intervention studies are recommended to target the challenges in the Jordanian health-care system concerning geriatric care.
      Citation: Working with Older People
      PubDate: 2022-09-09
      DOI: 10.1108/WWOP-07-2022-0028
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • A case study of implementing interprofessional education in care home
           settings

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      Authors: Melanie Stephens , Lydia Hubbard , Siobhan Kelly , Andrew Clark , Lorna Chesterton
      Abstract: The purpose of this paper is to report on an interprofessional (IPE) student training scheme recently conducted in three care homes across the Northwest of England. The intervention was designed as a feasibility study to explore the impacts such schemes have on residents, students and care home staff. Additional lessons emerged that contribute to the design and direction of future IPE initiatives in other care homes and care settings. This case study outlines how the intervention was designed and implemented and the findings from its evaluation. This paper uses Biggs’ (1993) presage–process–product framework to evaluate the process of setting up care homes as a site of collaborative learning. Collaborative working between stakeholders is necessary for the successful implementation of IPE in care home settings. The process is complex and requires communication and commitment across all levels of engagement. For this model to grow and have a beneficial impact on older people’s lives, there are layered factors to consider, such as the socio-political context, the characteristics of the individuals who participate and diverse approaches to learning. This case study reports the subjective views of the research collaborators. While this raises the potential for bias, it presents an “insider” perspective of the research process and offers learning that might be beneficial in efforts to run future IPE training schemes. To the best of the authors’ knowledge, no other research studies or published interventions have been identified that explicitly address the experiences of implementing an IPE training scheme in UK care home settings. This paper will therefore be useful to academic researchers, individuals managing student placements and to health and social care staff who wish to learn about of the value of IPE learning schemes.
      Citation: Working with Older People
      PubDate: 2022-09-08
      DOI: 10.1108/WWOP-04-2022-0018
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Older people’s perceptions and self-reported usage of the mobile app,
           “Hear Me Now”: a feasibility study

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      Authors: Glenda Cook , Annette Hand , Jill Wales , Alexandra Kirton
      Abstract: Mobile technology and applications offer a new approach to personalised care for older people. Hear Me Now (HMN), developed by Maldaba Ltd, is an application for smartphones and tablets. Although originally conceived and co-produced by individuals with learning disabilities and their supporters, anecdotal evidence from specialist practitioners indicated that older people with chronic health conditions and frailty might also benefit from use of the HMN app. This feasibility study sought to explore whether older people could use the HMN app and examine their usage. The aim of this feasibility study was to explore whether older people could use HMN and to examine their usage of this application. A purposive sample of six individuals (M = 4; F = 2) aged between 65 and 90 years was recruited for the study. Following training, the participants used HMN at home for different purposes over three months. Concurrently, the participants took part in an online interview every three weeks (N = 5 interviews). They also completed the Task Load Index (NASA-TLX) questionnaire during Weeks 1 and 12 and the system usability scale during Week 12 to assess usability of HMN. The participants used the HMN app for a range of purposes and indicated that their confidence and skills increased when using HMN. Though the participants reported diverse experiences of using HMN for different purposes, it was clear the majority considered this app helpful in managing daily life and their health conditions; however, they also experienced barriers in its use such as dexterity and visual problems. This is a small feasibility study that was restricted to older people using the HMN app. Though valuable insights were obtained from the participants, the evidence that older people could use HMN to support their personal activities and to self-manage health conditions remains anecdotal. Further research is therefore warranted following adaptation of HMN for use by older people. This study indicates that patient self-management apps such as HMN have the potential to enable older adults with long-term health conditions to play an active role in managing their condition.
      Citation: Working with Older People
      PubDate: 2022-09-06
      DOI: 10.1108/WWOP-03-2022-0010
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Dispersed communities in age-friendly work: an intersectional approach to
           place-based working

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      Authors: Sarah Wilkinson , Luciana Lang , Sophie Yarker
      Abstract: The purpose of this paper is to present alternative ways of addressing inequality in age-friendly work by drawing attention to the limitations of place-based approaches in meeting the needs of dispersed communities. A case study of the age-friendly programme Ambition for Ageing (AfA) is used to explore three examples of working with minority communities. Place-based age-friendly development risks further marginalising older people belonging to dispersed communities of identity or experience; therefore, we need to adopt adopt an intersectional approach to inequality in later life. Three ways that age-friendly programmes may become more inclusive of minority groups who are geographically dispersed are identified: bringing community members together; co-production; and supporting visibility in mainstream settings. This paper brings together insights from the AfA programme, critically assessing place-based approaches in relation to working with dispersed communities of identity. It offers some ways to mitigate limitations through adopting tailored equality approaches.
      Citation: Working with Older People
      PubDate: 2022-09-06
      DOI: 10.1108/WWOP-07-2022-0025
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Verbal elder abuse in India: a descriptive phenomenological study

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      Authors: Avanish Bhai Patel
      Abstract: Verbal abuse of the aged people in later life is a matter of grave concern in contemporary times. Aged people are abused by family members, relatives and neighbors in the form of yelling, taunting, swearing and threats, among other things. These abusive behaviors have the greatest influence on their social standing and well-being, and they cause society and families to dismantle their social networks as a result. This study aims to understand the nature of verbal elder abuse as a social phenomenon under the theoretical framework of sociocultural paradigm and examines the causes. The descriptive phenomenology method has been applied in this study. The study has been conducted on a sample of 60 elderly living in Kanpur district of Uttar Pradesh. The concern of using descriptive phenomenology in the present study is to understand the nature of verbal abuse against the elderly systematically by exploring cultural, situational and social aspects of verbal abuse in Indian society. This method analyzes the reality behind the verbal elder abuse as a social phenomenon and relationship between elderly and their abusers. The study finds an increase in verbal elder abuse in Indian families, which can range from psychological torture to physical torture, and includes insults, humiliation and neglecting the needs of the elderly for food, clothing, shelter and medical attention. The study also points out that reduction in attachment is as a responsible factor for verbal abuse with the elderly in modern times. This is an original paper. This paper talks about the most concerning issue of verbal abuse which is faced by aged people in their family and society. Basically, this paper has applied the descriptive phenomenological method for the analysis of verbal elder abuse as a social phenomenon in the sociocultural context of Indian society.
      Citation: Working with Older People
      PubDate: 2022-09-01
      DOI: 10.1108/WWOP-03-2022-0011
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Sport for confidence: a collaborative programme of physical activity,
           sport and exercise for people with Young Onset Dementia

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      Authors: Mary Tilki , Charlotte Curran , Liz Burton , Lyndsey Barrett
      Abstract: This paper aims to showcase an innovative programme of physical activity and sport to enhance the health and well-being of people with Young Onset Dementia (YOD). It is hoped that this will inspire similar collaborations between day and activity centres and exercise/sports facilities. A case study of a collaborative programme between Peaceful Place, a day service for people with YOD and Sport for Confidence in Essex. It draws upon the observations and reflective accounts of those implementing the programme. People with YOD chose and engaged in a range of physical activities and sports, resulting in increased fitness, flexibility and mobility. There were improvements in memory, cognition for some and reductions in anxiety and depression for most. The main benefits were fun, enjoyment, confidence, a sense of achievement, self-esteem, improved social interaction and wider relationships. Participants were also motivated to take more exercise, get outdoors and try new challenges and experiences. Given the predicted rise in people with YOD, this paper offers insight into ways of supporting them to be active physically and socially, thus, improving health, well-being and quality of life. This paper is the account of professionals deeply involved in all stages of negotiating, consulting, developing, overcoming challenges and implementing the programme.
      Citation: Working with Older People
      PubDate: 2022-09-01
      DOI: 10.1108/WWOP-07-2022-0029
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Quality of life among post-stroke Jordanian survivors: a prospective study

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      Authors: Marwa N. Alhalabi , Salam H. Bani Hani
      Abstract: This study aims to assess the quality of life (QOL) and the related factors in patients post-stroke in Jordan. Prospective, the cross-sectional study recruited 100 participants with stroke from three public hospitals from December 1, 2021 to February 1, 2022. Patients with stroke were interviewed to fill the stroke-specific quality of life questionnaire. Forty-five per cent of the participants were male. More than half of the participants (53%) were married, and the average age of the participants was 63.6 (SD =3.8). Most of the participants had an ischemic stroke (86%) with an affected left side (65%). The overall QOL of the participants was leveling at (M = 123.5, SD = 45.2), which is a moderate level. It was found statistical significance differences among participants according to gender, type of stroke, affected side and presence of comorbidities (Table 1). There were some limitations in this study. First, this study was based on mild to moderate Jordanian stroke survivors and did not include critically ill stroke survivors; the QOL critically ill stroke survivors may differ, which could affect the generalizability of data among all stroke survivors. Second, this study is prospective, and this type of study is prone to bias that could influence the reliability of the results. It is recommended to conduct a mixed-method study to reveal an in-depth understanding of the associated factors with QOL, to ensure reliability and to reflect a better view of the Jordanian population. To sum up, there is a reduction in the level of QOL among stroke survivors; hence, it is crucial to focus on detecting factors contributing to reducing the QOL and taking individual differences between sexes, type and location of the stroke, and comorbidities into consideration to develop a treatment plan that enhances the QOL and well-being for survivors of stroke. Taking individual differences between sexes, type and location of the stroke and comorbidities into consideration to develop a treatment plan that enhances the QOL and well-being of survivors of stroke. The findings of this study bring a strong insight toward assessing the main factors indicating a decrease QOL among stroke survivors.
      Citation: Working with Older People
      PubDate: 2022-09-01
      DOI: 10.1108/WWOP-08-2022-0033
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Impact of social isolation due to COVID-19 on vulnerable geriatric
           population: a study of physical and psychological wellbeing

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      Authors: Purvi Pujari , Anuj Kumar , Pranjali Pujari
      Abstract: The purpose of this study is to gain a deeper understanding of the impact of social isolation due to COVID-19 on the vulnerable geriatric population. Ten individual interviews of people above 70 years of age were conducted in 2021. The data was collected through interviews and observation. The authors observed the people from the age. The geriatric population faced physical challenges like poor sleep and digestive health along with neglect of their persisting ailments, which needed attention. Mental issues were also very serious, such as fear of death, anxiety, stress and depression. This paper urges the policymakers to focus on coming up with support systems for the geriatric population and finding long-term solutions to mitigate the repercussions faced by them. This paper attempts to underline the mostly unnoticed physical and psychological issues troubling usually neglected strata of the population as they do not make a part of an income-earning segment.
      Citation: Working with Older People
      PubDate: 2022-07-27
      DOI: 10.1108/WWOP-06-2022-0023
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Older workers’ retirement preparation and roles of corporation top
           leaders in South Korean workplace

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      Authors: Eunkyung Kim
      Abstract: This paper aims to explore how heads in South Korean workplace perceive the retirement preparation of older Korean workers and their roles in accordance with life design perspective. Qualitative in-person interviews were conducted with top leaders of 15 corporations in small- and medium-sized enterprises (SMEs) and analyzed by using a conventional content analysis. Top leaders in corporations consider that older Korean workers whose retirement preparation is their own responsibility have not been actively preparing for their postretirement life. Nevertheless, some of these heads are attempting to assist with career development or career transition. Some believe that older workers should work as long as they are capable and should be retained after the official retirement age. These exploratory findings are preliminary, and the top-down mechanism might work differently in a specific sector. Future research merits a large-scale investigation of each specific business. It is implied that policy initiatives should support SMEs with subsidy programs for older workers’ employment, empowering longer working as healthy pathways to postretirement. This pilot study indicates some degree of possible roles of top corporate leaders for workers’ retirement preparation in terms of career development and career transition and retainment of older workers.
      Citation: Working with Older People
      PubDate: 2022-05-19
      DOI: 10.1108/WWOP-04-2022-0016
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Economic, social and cultural concepts for building a healthy community
           among residents of a Japanese shopping street

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      Authors: Yuki Ohashi , Sanae Sugawara , Akiko Ozaki
      Abstract: This study aims to highlight the value of economics, social relations and culture in building a healthy community by interpreting qualitative data. A qualitative descriptive approach was used between June 2016 and May 2017 and interviews were analysed inductively. Twenty residents of a shopping street in Tohoku, a rural town in north-eastern Japan, participated in this survey. This study focused on the residents’ value of economics, social relations and culture in building a healthy community. People acquired economic benefits in the hope of gaining irreplaceable relationships with customers and residents, including memorable stories and heart-to-heart satisfaction. The narratives reflected not only the ideal aspects of social relations but also realistic and complex aspects, such as feelings of being uncomfortable with strangers, whether they were long-term residents or newcomers. The daily life of the town is a story, which is built based on customs fostered and strengthened through capital bonds. To build a healthy community, people residing on shopping streets have unique care systems in which multiple glass shop windows make it easier to tell narrative stories, communicate or request assistance, which is very different from knocking on doors in suburban neighbourhoods.
      Citation: Working with Older People
      PubDate: 2022-05-12
      DOI: 10.1108/WWOP-08-2021-0041
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • No fuss please! I’m deafblind: a personal point of view and some
           friendly suggestions

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      Authors: Roger Wilson-Hinds
      Abstract: This paper aims to offer practical suggestions as to factors needing consideration when meeting, interacting with or assessing the needs of an older person living with acquired deafblindness. The paper’s author draws on his personal experience of living with acquired deafblindness to offer practical suggestions. This paper offers an experiential definition of acquired deafblindness, before providing practical suggestions related to engaging with deafblind people, distinguishing between acquired deafblindness and cognitive decline, and assessing hearing and sight levels. There is a paucity of literature on the lived experience of older people living with acquired deafblindness. This paper offers both a unique insight into this experience combined with practical suggestions for those in contact with older deafblind people.
      Citation: Working with Older People
      PubDate: 2022-04-27
      DOI: 10.1108/WWOP-03-2022-0013
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Mental health status and factors related on mental health status of the
           older adults living alone

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      Authors: Sarinrut Juntapim , Ampornpun Theranut
      Abstract: This study aims to describe the mental health status and factors related to the mental health status of older adults living alone. This is a descriptive correlational study. Older adults living alone from the urban area of the Northeast of Thailand were recruited randomly from within a stratified sampling frame and received a questionnaire. Data were collected using a demographic form, way of coping, social support, family relationship, and Thai Mental Health Indicator-15 (TMHI-15). Data were analysed using descriptive statistics, Spearman's rank correlation coefficient, and Chi-square test. The mental health status related to personal factors at p < 0.05 including gender, education level, income, health status, coping strategies, social support and family relationship are related to mental health status. This study provides further empirical support for older adults who are living alone, especially females who have low income and have a disease. Consequently, policy on social support in older adults should be directed to developing a range of divergent intervention strategies. This study requires some form of long-term care as well as utilization of treatment and support services, enhanced quality of life for older adults living alone. This study requires some form of long-term care as well as utilization of treatment and support services, enhanced quality of life for older adults living alone. This study provides further empirical support for older adults who are living alone.
      Citation: Working with Older People
      PubDate: 2022-04-25
      DOI: 10.1108/WWOP-08-2021-0045
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • What determines the willingness of older Polish employees to learn'

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      Authors: Karolina Pawłowska-Cyprysiak , Katarzyna Hildt-Ciupińska
      Abstract: The issue of educational activity of elderly people is very important. It is an area not only closely related to the productivity of the employees in the company and their retention but also to the broadly understood quality of life of the elderly. The purpose of this study was to develop a model of conditions for the willingness to learn in the case of older employees. The study group consisted of employees aged 50+, the so-called older employees. The selection of the group was intentional. The questionnaires were completed by employees of companies that agreed to participate in the survey. To identify the direct predictors of the willingness to participate in training, a logistic regression analysis was carried out. The model allows to explain 19.1% of the variance of the dependent variable. Higher age value reduces the chance that a person will want to participate in training, while higher number of employees in the company, the need to learn new things at work, greater emotional demands and a greater sense of effectiveness increase these chances. Research on training and the willingness to learn is more often carried out among younger employees than the group of employees 50+. Defining what influences the willingness to learn among this group allows to design activities aimed on development and satisfying needs of older employees in this area.
      Citation: Working with Older People
      PubDate: 2022-04-20
      DOI: 10.1108/WWOP-11-2021-0060
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Broadcasting, through TV, social services information to older persons

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      Authors: Telmo Silva
      Abstract: The purpose of this paper is to depict the field trial to evaluate the usability and usefulness of an Interactive TV platform that aims to promote the info-inclusion and quality of life of Portuguese older adults by delivering informative content about public and social services. The present paper reports the process of a field trial conducted to test an iTV platform’s usability and user experience along with 21 senior users. A high-fidelity prototype was tested with potential users for two weeks to collect data in a “real life” background to gather valuable information to refine the solution according to the target public needs. The results revealed positive usability levels and overall satisfaction of the users in interacting with the system, yet not stopping them from giving their inputs and feedback. The informative videos sent to the platform were considered adequate, the remote control was simple and caused no problems, the video library and the splash screen were both positively reviewed. This original research offers insights on how valuable is making field trial in the development of an innovative technology regarding this target population. Also, it was possible to understand that older adults want to be informed. Despite this, most of the time, they are unable to find the information efficiently. These results also supported the usefulness of the +TV4E platform.
      Citation: Working with Older People
      PubDate: 2022-04-11
      DOI: 10.1108/WWOP-01-2022-0001
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Decent work in care homes: lessons and implications of the pandemic
           experience from Scotland

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      Authors: Stephen Gibb , Hartwig Pautz
      Abstract: The purpose of this paper is to identify lessons and implications on the theme of decent work in social care. This has long been highlighted as integral to improving social care for the elderly. The COVID-19 pandemic experience reveals lessons and implications about the systemic absence of decent work in one place, Scotland, in care homes. The main lesson and implication is a need for change beyond the focus on levels of pay and systemic advocacy of decent work as it is conventionally understood. Data was collected using qualitative, semi-structured interviews with 20 care workers in care homes.[AQ4] A range of care system institutional stakeholders was also interviewed. A range of care system institutional stakeholders was also interviewed. Decent work in social care may only be progressed to the extent that a culture change is achieved, transcending the institutional stasis about who owns and engages with progressing decent work. This is a study in one place, Scotland, with a small sample of frontline care workers in care homes and representatives from a range of institutions. Effective culture change for decent work in care homes needs to be a higher research priority. More explicit culture policies can be a mechanism by which overall decent work and system change may be catalysed and sustainably secured together. Explicit culture change is here set out with respect to operational, institutional and national domains. There needs to be social policy and political support for situating decent work to be part of a broader culture change around care work with the elderly. A culture-oriented change plan as well as new resourcing and structures can together ensure that the nadir of the pandemic experience was a historical turning point towards transformation rather than being just another low point in a recurring cycle. The situating of systemic decent work progress within a broader culture change, and modelling that culture change, are original contributions.
      Citation: Working with Older People
      PubDate: 2022-04-06
      DOI: 10.1108/WWOP-02-2022-0007
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Family involvement in low-salt diet for hypertensive older adults

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      Authors: Suharno Usman , Andi Masyitha Irwan , Rosyidah Arafat
      Abstract: The purpose of this study was to examine the effect of family involvement in the educational sessions and follow-up meetings on compliance with the low-salt diet for hypertensive older adults. Randomized controlled trial was used in this study with a total of 30 hypertensive older adults divided into two groups (n = 15). The intervention group involved one family member during the educational sessions and follow-up meetings. Conversely, no family member was involved in the control group. The intervention group showed a significant (p < 0.05) increase in compliance level on the attitude (knowledge) and subjective norm (psychomotor and family support) subscales. The perceived obstacle subscale and the salt concentration in food and urine excretion significantly decreased both after educational sessions and follow-up meetings (p < 0.05). However, the control group did not. A relatively small number of samples would have affected the results, but in this study, randomization was applied in sample collection. By encouraging the involvement of family members in the educational sessions and follow-up meetings, it could enhance compliance of low-salt diet among hypertensive older adults. The findings and outputs provide a combination of family involvement and the Geragogy learning model through educational sessions and follow-up meetings that could enhance a low-salt diet adherence among older adults with hypertension in the community.
      Citation: Working with Older People
      PubDate: 2022-04-04
      DOI: 10.1108/WWOP-05-2021-0022
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Buffering role of positive religious coping against the helplessness of
           elderly people under Covid stress

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      Authors: M.J. Antony Wilson , Surendra Kumar Sia
      Abstract: This study aims to understand the relationship between Covid stress and helplessness among the elderly people in Tirunelveli district of Tamil Nadu, a southern state of India, and moreover, whether positive religious coping can have any influence on this relationship. Following a field study approach, data were collected from 187 elderly people aged more than 60 years in different parts of the Tirunelveli district. Moderated regression analysis was carried out to examine the moderating role of positive religious coping on the relationship between Covid stress and helplessness. In line with the formulated hypotheses, the findings reveal a significant positive contribution of Covid stress toward the helplessness of elderly people. However, despite Covid stress, the helplessness gets reduced for elderly people executing a higher level of positive religious coping. The findings substantiate the conservation of resources theory and suggest the role of positive religious coping as a personal resource against the stress experienced by the elderly. The findings of the present study indicate the responsibility of government agencies, community leaders, family members as well as religious leaders in providing the scope to the elderly for religious interactions as well as practices that may facilitate positive religious coping among them. The present study is one of its kind to be carried out among community-dwelling elderly under the pandemic crises. Moreover, the buffering role of positive religious coping as a personal resource to withstand the difficult situation has been examined in this study in an empirical manner.
      Citation: Working with Older People
      PubDate: 2022-04-01
      DOI: 10.1108/WWOP-02-2022-0006
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Classifying elders neglect, insult and abuse through financial hardship
           and physical health

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      Authors: Naval Bajpai , Kushagra Kulshreshtha , Prince Dubey , Gunjan Sharma
      Abstract: Aging has detrimental effects on elders due to their physical health and financial hardship. Elders face neglect, insult and abuse in society due to causes related to physical health and financial issue from caregivers. This study aims to identify the measures of physical health and financial hardship and classifies elders under neglect, insult and abuse categories. The propositions of existence and classifying elders under neglect, insult and abuse categories were tested by using discriminant analysis and their profiling was done by perceptual mapping technique. The elder neglect category identified as a prominent category due to physical health while elder insult and abuse were caused by physical health and financial hardship both. The present study portrays the multi-dimensional facets related to elders’ ill-treatment. The elder’s ill-treatment categories were profiled to imply the measure of elevating elders’ dignity and care at a personal level and society at large. This study classifies elders under neglect, insult and abuse categories. This classification may facilitate the medical practitioners, academicians and government and non-government social welfare agencies in understanding elder abuse with new perspectives.
      Citation: Working with Older People
      PubDate: 2022-04-01
      DOI: 10.1108/WWOP-03-2021-0008
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Evaluating inconsistency in health responses: evidence from elderly in
           India

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      Authors: Dona Ghosh
      Abstract: This paper explored the reliability of self-reported health and the impact of the social position in determining the inconsistent health response (IHR), in late life. Reliability of self-reported health is important to evaluate, as it is the primary step for asking health-care facility. As self-reported health is a subjective measure, elderly people might have a tendency of under-reporting the health problem because of lower socioeconomic status. This incidence can cause inaccurate estimate of the health problem of the aged at the time of formulating health policy or providing health-care infrastructure. Therefore, the purpose of this study is to explore the sources of inconsistent responses of self-reported health by comparing it with the existence of chronicle ailment and to identify the vulnerable group that health care supports. The study uses nationally representative unit-level data from the National Sample Survey of India. Using the bi-variate probit model, joint estimation of reported health and IHRs is determined. The study compares perceived and actual health status and explores how individual characteristics and socioeconomic position contributes to IHRs among the elderly population. Major findings of this study are as follows: firstly, self-reported health has little reliability, as it is compared with the existence of chronicle ailment. Older people in the rural areas have greater tendency to under-estimate the health problem, whereas urban elders tend to over-estimate it; and secondly, the inconsistency in health response is significantly associated with social caste, economic status and attainment of education. The results of this study from bivariate probit model offer deeper understandings about the reliability of self-reported health and provide further insights to improve policy design formulated to mitigate the health inequality among the elders. This study might be helpful to design an inexpensive and easily available health measure, which is very important for a highly populated aging country with limited health-care resources. To the best of author’s knowledge, it is the first study that has identified the sources of inconsistent health and direction of inconsistency that is where self-reported health over- or under-estimates the actual health response among the elderly in a developing country like India, where the growth rate of population aging is faster than the world.
      Citation: Working with Older People
      PubDate: 2022-03-25
      DOI: 10.1108/WWOP-05-2021-0023
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Family caregivers’ experiences of providing care for hospitalized older
           people with a tracheostomy: a phenomenological study

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      Authors: Watchara Tabootwong , Katri Vehviläinen-Julkunen , Pornchai Jullamate , Edwin Rosenberg , Hannele Turunen
      Abstract: The purpose of this paper is to describe family caregivers’ experiences of providing care for older people with a tracheostomy during hospitalization. A descriptive phenomenological approach was used in this study. A total of 40 family caregivers were interviewed face-to-face in medical-surgical wards. Data was analyzed using Giorgi’s phenomenological method. Family caregivers described meanings of providing care, learning how to provide care, caring activities, impacts of caregiving, support needs and qualities of being a caregiver. Meanings included filial responsibility, spousal attachment and end of life care. Caring activities were varied. Impacts experienced were reported as physical, psychological, social and financial. Caregivers expressed the need for information from the nursing team and assistance from their relatives. Positive caregiver qualities that were described included loving to provide care for older people and confidence and sincerity in caregiving. Although caring for older people with a tracheostomy was difficult and came with challenging impacts, family caregivers were willing to support their loved ones due to feelings of family responsibility. The paper addresses family participation in providing care for people with a tracheostomy. They experience physical, psychological, social and financial consequences of caregiving. Therefore, health-care professionals should support family caregivers with education, training and awareness of supports and resources for dealing with problematic impacts and other expressed needs.
      Citation: Working with Older People
      PubDate: 2022-03-25
      DOI: 10.1108/WWOP-08-2021-0043
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • COVID-19 outbreak in India: age-wise analysis of patients

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      Authors: Rajan Kumar
      Abstract: The purpose of this paper is to indicate the current situation of the COVID-19 outbreak in India, the world's second-most populous country. India reported its first COVID-19 case in the southern province of Kerala in late January 2020. Since then, the outbreak has spread to other provinces and union territories, with the highest number of cases reported in Maharashtra province as of 24 May 2020. This paper presents the age- and gender-wise analysis of COVID-19 patients in Maharashtra province and the whole nation. It shows that 75% of them belong to the age group of 21–60 years and the age above 50 years has a very high fatality rate of 14.52% in Maharashtra. This analysis also shows that 76% of COVID-19 cases are in males in the nation. The data indicates that in the nation, 75.3% of the deaths are in the age group over 60 years and 86% of cases of death had diabetes-related comorbidity, hypertension, chronic kidney problems and heart problems. In India, the case-fatality rate, which estimates the proportion of deaths among identified confirmed cases, is 2.93% as of 24 May, which is significantly less than that many countries. To the best of the author’s knowledge, this is the first attempt to indicate the current situation of the COVID-19 outbreak in India based on age and gender.
      Citation: Working with Older People
      PubDate: 2022-03-21
      DOI: 10.1108/WWOP-05-2020-0022
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Loneliness and psychological well-being among community-dwelling elderly
           people: the mediating role of death anxiety

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      Authors: N. Sreelekha , Surendra Kumar Sia
      Abstract: The present study aims to investigate the relationship between loneliness and psychological well-being and examine whether death anxiety mediates the association between loneliness and psychological well-being among community-dwelling elderly people in the Kerala state of India. A total of 209 participants (125 males and 84 females) were selected for this study through the convenience sampling method. SPSS (version 22) was used to estimate descriptive and correlational indices. Mediation analysis was conducted using Hayes Process macro-Version 3.5 and 5,000 bootstrapped sample-based analysis. Results indicate the significant indirect effect of loneliness on psychological well-being through the influence of death anxiety. It was thus concluded that lonely feelings among elderly people lower psychological well-being and death anxiety partially mediates the relationship of loneliness and psychological well-being. The cross-sectional study with the use of questionnaires might not be adequate to establish causal links. All the participants were from community-dwelling. So it reduces the possibility of generalizing the findings to institutional settings. The study recommends the need and importance of mental health support for elderly people through community intervention programs to reduce their feeling of loneliness. The present study contributes to the existing body of knowledge by substantiating the mediating role of death anxiety in the relationship between loneliness and the psychological well-being of elderly people staying at home.
      Citation: Working with Older People
      PubDate: 2022-03-18
      DOI: 10.1108/WWOP-08-2021-0042
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • The contribution effect of learning experience on financial well-being of
           government retirees in North-Central Nigeria

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      Authors: Benard Alkali Soepding
      Abstract: This study aims to determine the contribution effect of learning experience on the financial well-being of government retirees in North-Central Nigeria. Special emphasis was placed on the contribution effect of the elements of the learning experience. This study used correlational and cross-sectional research designs based on a questionnaire survey of 376 retirees drawn from North-Central Nigeria. A confirmatory factor analysis was used to identify the factors of learning experience using the Analysis of Moments of Structures (AMOS) software, version 23. The contributory effect of the confirmed sub-domains of learning experience on the financial well-being of retirees was established using hierarchical regression. Confirmatory factor analysis results confirmed that financial knowledge, financial planning and financial self-efficacy are factors of learning experience. Although the sub-domains of the learning experience are significant predictors of financial well-being, financial knowledge has a significant effect on financial well-being, followed by financial planning and financial self-efficacy. The sub-domains of learning experience collectively explain about 46.5% of the variance in the financial well-being of retirees in North-Central Nigeria. Unlike most other documentation on financial well-being, which has focused on the general effect of the learning experience as a global variable, this study explores the role played by the three dimensions of learning experience and methodologically isolates the contribution of each dimension with respect to retirees in developing countries. As such, we uncover the reality that all the sub-domains of the learning experience are significant for the financial well-being of retirees in a developing country context, though in varying effects.
      Citation: Working with Older People
      PubDate: 2022-03-16
      DOI: 10.1108/WWOP-07-2021-0037
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Attitudes toward and willingness to work with older people and its
           predicting factor among medical science students in Iran

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      Authors: Fatemeh Rashidi , Arman Azadi
      Abstract: As the aging population increases steadily, the demands for specialized nurses and geriatricians willing to work in geriatric settings will probably explode. Accordingly, the medical sciences students’ attitude toward older adults and their willingness to work with them must be determined. This study aims to determine the medical sciences students’ attitude toward older people and its relationship with their willingness to work with this population. In addition, it sought to determine the variables that could predict students’ attitudes toward the elderly. A cross-sectional design using a stratified random sampling method was used to recruit a sample of 305 Iranian medical sciences students with a response rate of 97.4%. The instruments for data collection were composed of three parts: socio-demographic characteristics of participants, Kogan’s Attitudes toward Old People Scale and the Willingness to Work with Elderly People Scale (WEPS). Data were analyzed in SPSS version 23 (IBM SPSS statistics 23.0). The participants’ mean (SD) age was 22.95 (2.53). Most of them (69%) were women, and 51% were nursing students. The findings showed that 70% of students had a slightly positive attitude toward the elderly and only 12.8% of them declared geriatric setting as their workplace preference in the future. Experience of volunteering activities with elders, WEPS score, workplace preference after graduation and gender were the predictors of medical science students’ attitudes toward the elderly. This paper further develops previous research on the attitudes of Iranian medical sciences students toward older adults.
      Citation: Working with Older People
      PubDate: 2022-03-16
      DOI: 10.1108/WWOP-11-2021-0054
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Differentials and predictors of hospitalisation among the elderly people
           in India: evidence from 75th round of National Sample Survey (2017-2018)

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      Authors: Saddaf Naaz Akhtar , Nandita Saikia
      Abstract: There is limited evidence on the determinants of hospitalisation and its causes in India. This study aims to examine the differential in the hospitalisation rates and its socioeconomic determinants. This study also examines the causes of diseases in hospitalisation among the elderly (≥60 years) in India. This study used data from the 75th round of the National Sample Survey Organizations, collected from July 2017 to June 2018. The elderly samples in this survey are 42,759, where 11,070 were hospitalised, and 31,689 were not hospitalised in the past year or 365 days. This study estimated hospitalisation rates and carried out binary logistic regression analysis to examine the associations of hospitalisation with the background variables. The cause of diseases in hospitalisations was also calculated. The hospitalisation rate was lower among elderly female compared to elderly male. Elderly who belongs to middle-old aged groups, non-married, North-Eastern region, Southern region, general caste, health insurance, partially and fully economically dependent have a higher chance of being hospitalised. About 38% elderly were hospitalised due to communicable diseases (CDs), 52% due to non-communicable diseases (NCDs) and 10% due to injuries and others (IO). Nearly 40% elderly were hospitalised in public hospitals due to CDs, whereas 52% were hospitalised in private hospitals due to NCDs and 11% due to IO. Firstly, this study is based on cross-sectional survey due to which temporal ambiguity averted to draw causal inferences. Secondly, other significant factors can also predict hospitalisations and provide insightful results, such as lifestyle factors, behavioral factors, obesity, mental state and several personal habits such as smoking cigarettes, drinking alcohol, consuming tobacco or other harmful substances. But this information was not available in this study. Even with these limitations, the hospitalisation issues among the elderly are beneficial to understand the current circumstances of CDs, NCDs and injury and other diseases for India and its states to formulate health policy. Early screening and early treatment for NCDs are needed, which are non-existent in almost all parts of India. It is essential to necessitate and identify the important factors that best predict hospitalisation or re-visit of hospital admission. Although, the medical advances in India have made rapid strides in the past few decades, it is burdened none the less, as the doctor–patient ratio is very low. It is important to develop preventive measures to minimize the accidents and causalities to avoid substantial cost associated with elderly health care. Raising awareness, promotion of healthy life style and improving the quality of good health-care provisions at primary level is a necessity. The findings, practical and social implications provide a way forward for the health policymakers to potentially alter the future research to reduce associated comorbidities, unnecessary hospitalisations and other medical complications.
      Citation: Working with Older People
      PubDate: 2022-03-15
      DOI: 10.1108/WWOP-11-2021-0055
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Effect of second wave COVID 19 pandemic on anxiety level of senior
           citizens: a case study

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      Authors: Ajay Kumar Behera
      Abstract: The purpose of this study is to explore the effect on distress of senior citizen’s anxiety levels in quarantine during the second wave of COVID-19 pandemic. This is a descriptive study, in which data were collected using the online survey method, a sociodemographic form, a semi-structured data form for second wave COVID-19, the anxiety-level scale and the distress scale. Data were collected during the period when a curfew was imposed for the senior citizen. Data were analyzed using a structural equation model. According to the structural equation model, anxiety was determined as a predictor of distress. The anxiety levels of the senior citizen who were 60–69 years old, female, single; had inadequate knowledge about the pandemic; and had not encountered a similar pandemic before considered that family bonding was affected negatively, so they became alone and reported that they became bored, exhausted and distressed during the pandemic, which increased their distress levels. Anxiety affects distress in the senior citizens. One of the policy implications of this study is that governments should provide behavioral support to citizens during a pandemic. For example, short-term home-based psychological interventions should be developed to reduce the negative effects of the second wave of COVID-19 pandemic on mental health. The anxiety levels increased distress levels for those senior citizens who considered their information about the second wave of COVID-19 insufficient; had hyper-emotionality; longed for their families; and felt tense, overwhelmed and lonely during the pandemic. In addition, factors such as constraints of flexibilities, prevention of socialization and decreased physical movements also affect distress in senior citizens.
      Citation: Working with Older People
      PubDate: 2022-03-14
      DOI: 10.1108/WWOP-05-2021-0024
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Life under COVID-19 lockdown: an experience of old age people in India

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      Authors: Anuj Kumar , Nishu Ayedee
      Abstract: The purpose of this paper is to highlight the pain and suffering of elderly age people during the COVID-19 lockdown. It was an unpleasant experience for old age people. In this paper, primarily, the information has been collected through interviews and observation. The researchers interviewed the older people and discussed their experience during the lockdown, and they also observed their activities during that period. The main results of this paper suggested that lockdown appeared as double-edge sword for old age and elderly people. They are not allowed to go outside to safeguard their lives, and inside the home, they are facing issues of anxiety, fear and mental trauma. They are not able to complete their daily routine, and it is hampering their mental strength. The paper is based on firsthand information received from an old-age couple.
      Citation: Working with Older People
      PubDate: 2022-03-14
      DOI: 10.1108/WWOP-06-2020-0027
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Ageing in the unusual times and adapting to the new normal – an
           Indian perspective

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      Authors: Munmun Ghosh
      Abstract: The COVID-19 pandemic has changed the way of our living. Social and physical distancing has become an inevitable part of our life. Although the younger counterpart can adapt to the situation quickly, it is extremely difficult for the elderly (60 years and above) who are locked in their homes to manage this situation on their own, especially those who live alone. In this scenario, how can we help the elderly who are caught at home' How will they again fight with social and physical distancing and the pandemic' The purpose of the study is to acknowledge the fact that the elderly need urgent consideration and attention and suggested ways to adapt to the “new normal.” The viewpoint discussed the diverse ways through which the elderly can be motivated to adapt in the current situation in a pandemic hit environment. The viewpoint highlighted in detail the prospects, challenges and considerable steps that need to be taken by the important stakeholders (practitioners and policymakers) in our society to support the elderly. The viewpoint emphasised on the need of creating separate policies and implementation of the same at various levels. Although the government does have acts and policies for the welfare and maintenance of the elderly, they should now also re-think of a more concrete and sustainable policy to take care of the elderly, especially during a crisis. Ageing is inevitable, the reflections of this study will also allow the families and the society to cushion the elderly in their families and around them. This work will also create an opportunity for the practitioners to work for this under-explored community and look forward to catering to their needs.
      Citation: Working with Older People
      PubDate: 2022-03-14
      DOI: 10.1108/WWOP-07-2020-0034
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Ageing perception and social functioning in older adults: a narrative
           review

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      Authors: Elaheh Shoushtari-Moghaddam , Mohammad Hossein Kaveh , Mahin Nazari
      Abstract: Older people have a different perception of ageing and different factors can influence this perception. Among the factors influencing the perception of ageing are various functions including physical, mental and social functioning of the elderly. Therefore, in this study, the authors intend to investigate the relationship between the perception of ageing and social functioning. A systematic search was conducted of four electronic databases (PubMed, Embase, Web of Science and Scopus). Citations within identified reports were also searched. Studies were included if they included perceptions of ageing and social functioning measures involving older participants. Study selection and data extraction were conducted using predefined criteria. Older adults’ perceptions of ageing and social functioning were assessed with a variety of measures. From a total of 79 articles, eight reports met the criteria for inclusion. In these studies, the positive and negative aspects of ageing perception and various social functions of the elderly in society such as economic, political, social activities; social support; and formal and informal participation have been raised. The results of this narrative review demonstrate that there is a two-way relationship between the perception of ageing and social functioning. Therefore, it is suggested that appropriate practical and educational interventions be taken to increase the positive perception of ageing in the elderly and increase the social performance of the elderly in society.
      Citation: Working with Older People
      PubDate: 2022-03-16
      DOI: 10.1108/WWOP-09-2021-0051
      Issue No: Vol. 26 , No. 3 (2022)
       
  • Depression and anxiety in patients with heart failure: contributing
           factors, consequences and coping mechanisms: a review of the literature

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      Authors: Yasmeen Abu Sumaqa , Ferial A. Hayajneh
      Abstract: The purpose of this study is to integrate evidence on contributing factors, consequences, in addition to coping mechanisms of depression and anxiety in patients with heart failure. An integrative review was conducted by searching three main electronic databases: Web of Sciences, MEDLINE and Science Direct. Twenty-four studies met the inclusion criteria and were included in the final review process. The review identified the most common contributing factors, consequences and coping mechanisms of depression and anxiety in patients with heart failure. Patients with heart failure have high anxiety and depression prevalence rates. It is recommended to include routine assessment and management of anxiety and depression in heart failure protocols to improve clinical outcomes.
      Citation: Working with Older People
      PubDate: 2022-03-11
      DOI: 10.1108/WWOP-12-2021-0061
      Issue No: Vol. 26 , No. 3 (2022)
       
  • Neurological music therapy for physical and psychological well-being among
           older people in the USA

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      Authors: Maanas Sharma
      Abstract: In the USA, the well-being of older people is increasingly precarious. There is a paucity of research into methods of care outside of traditional, costly, intensive methods. Moreover, any literature that does so fails to connect different fields of study or aspects of well-being. This paper aims to identify alternate, cheaper methods to traditional care methods that also take a more holistic approach to older peoples’ lives. Connecting research conducted by gerontologists, psychologists and neurologists, and framing the results through Census data and economic research, the author proposes music therapy interventions for older people. Music therapy has significant benefits on physical, cognitive and psychological well-being. Moreover, these treatment methods are significantly cheaper than traditional methods and are even more effective in specific cases. Specifically, though, the research methods reveal that music therapy that engages participants formally, is group-based and uses participants’ preferred music is the most potent form of therapy to achieve the stated goals. Implementing such interventions across the country could be easily done by coordinated efforts by legislatures, administrative agencies, community groups and health-care infrastructure. As opposed to varied methods used, which undermine the broad application of results, research should primarily use the proposed three-pronged approach as “music therapy” in future investigation. Moreover, proposing music therapy as a valuable alternative in some cases of elderly care may alleviate some stress on future American health-care resources.
      Citation: Working with Older People
      PubDate: 2022-03-08
      DOI: 10.1108/WWOP-05-2021-0026
      Issue No: Vol. 26 , No. 3 (2022)
       
  • Traditional dance “Molong Kopi” for maintaining of health status among
           older adults in long-term care of Indonesia

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      Authors: Kholid Rosyidi Muhammad Nur , Tantut Susanto , Rismawan Adi Yunanto , Latifa Aini Susumaningrum , Hanny Rasni
      Abstract: This study examined the influence of traditional dance “Molong Kopi” for maintaining health status of older adult (OA) in long-term care of Indonesia. A randomized control trial study conducted 21 of OA intervention group and 20 of OA control group. Molong Kopi dance intervention was carried out for eight weeks. Health status was measured on blood pressure, risk for fall, balance and quality of sleep of OA. There was a significant differences between the intervention group and the control group on systole blood pressure, fall risk and sleep quality (p < 0.05). The number of OA who were not at risk for fall after the intervention were increased from 14 to 38%. The quality of sleep of OA was also changed to good sleep quality from 43 to 90%. Molong Kopi dance in OA can reduce systolic blood pressure, reduce the risk of falls and improve sleep quality better.
      Citation: Working with Older People
      PubDate: 2022-03-08
      DOI: 10.1108/WWOP-04-2021-0017
      Issue No: Vol. 26 , No. 3 (2022)
       
  • Physical health, access to health services and quality of life of older
           Thai adults working in fruit orchards

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      Authors: Sutham Nanthamongkolchai , Supaporn Tanta-Au , Pimsurang Taechaboonsermsak , Wanich Suksatan
      Abstract: Improving people’s quality of life (QoL) has become a prominent policy goal. However, nothing is known about how QoL evolves as people age, especially for those working in fruit orchards. This study aims to determine the associations of physical health and access to health services with QoL, and the factors predicting the QoL of older Thai adults working in fruit orchards. A cross-sectional study was conducted among 255 adults aged 60–69 years recruited through stratified random sampling. Data were collected through questionnaires. The collected data were then analyzed using the Chi-square test, Pearson’s correlation coefficient and stepwise multiple regression analysis. It was found that the study participants were generally physically healthy (36.5% at the “good” level and 56.5.5% at the moderate level) and generally had access to health services when they were most ill (78.2% at the “good” level and 21.8% at the moderate level). The overall QoL was good for 56.3% of the participants. The factors associated with and predicting the QoL of the participants were found to be social support, self-esteem and access to health services (p < 0.05), which were found to be capable of predicting the QoL of the participants with 35.1% accuracy. On the basis of this study’s findings, it is suggested that agencies providing care for older adults organize activities to promote the good health and self-esteem of older adults, obtain social support for them and provide them with convenient access to health-care facilities to improve their QoL.
      Citation: Working with Older People
      PubDate: 2022-03-07
      DOI: 10.1108/WWOP-11-2021-0058
      Issue No: Vol. 26 , No. 3 (2022)
       
  • The role of environmental design in enabling intergenerational support for
           people with dementia – what lessons can we learn from Japan

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      Authors: Grant Gibson , Martin Quirke , Melanie Lovatt
      Abstract: Japan, the world’s “oldest” society, has adopted intergenerational care programmes as one solution to the challenges of caring for its growing population of people living with dementia. Many countries are drawing inspiration from these intergenerational programmes, but research exploring factors influencing intergenerational care practice and how far these programmes can be translated in other countries is more limited. This paper aims to explore how environmental design features are used to support intergenerational initiatives in Japan. By examining four case studies, the paper illustrates how intergenerational engagement can be enabled and supported through environmental design. The research adopts a qualitative methodology, using observations, workshops and photographic elicitations within four case study sites: two residential care facilities, a community centre and supported housing scheme and a restaurant staffed by people with dementia. Two key themes emerge: encouraging community engagement through intergenerational shared spaces, and the role of intergenerationality in supporting social and economic participation. The paper concludes with a discussion of some of the key principles through which other countries can translate lessons gained from the Japanese experience of intergenerational programmes into their own health and social care systems. This paper provides international evidence of the role environmental design plays in supporting the development of intergenerational relationships among people with dementia and the wider community. Intergenerational engagement is community engagement; therefore, promoting community engagement is essential to promoting intergenerational care practice. Environmental design can play a key role in providing affordances through which such relationships can develop.
      Citation: Working with Older People
      PubDate: 2022-03-07
      DOI: 10.1108/WWOP-12-2021-0064
      Issue No: Vol. 26 , No. 3 (2022)
       
  • Perception of barriers in physical activity participation among
           middle-aged adults: a qualitative study

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      Authors: Shivangi Sharma , Ammar Suhail
      Abstract: This study aims to explore perceived barriers to participating in regular physical activity (PA) among middle-aged adults in Una, Himachal Pradesh, India. This study used qualitative methodology. The authors conducted face-to-face semi-structured interviews among adults between 40 and 60 years of age. Eleven interviews were conducted in participants’ vernacular language and were audio-recorded. The recordings were transcribed, and emergent findings were evaluated and interpreted using an open-ended method. PA was mostly related to household chores by female participants. Male participants considered their daily tasks synonymous with PA. The main barriers identified were lack of enthusiasm/time, advancing age and declining health status, misperceptions of being physically active, lack of skill/knowledge, family responsibilities, lack of social support, lack of open spaces, parks and other facilities, and social restrictions due to the pandemic. The findings of this study will aid in designing better interventions targeted at promoting PA. Identification of the existing modifiable barriers can be a target source for most public health programs. The barriers existing among the community must be addressed to achieve the recommended level of PA. The promotional strategies should focus on individual factors, such as increasing self-efficiency and knowledge about recommended levels of PA. The social barriers must also be addressed through peer support and group-based activities. Health policies should emphasize making societies more active by ensuring more open spaces and parks. Barriers to PA may differ among the socioeconomic strata and geographical locations. The present study explored barriers among working adults in an urban Indian setting.
      Citation: Working with Older People
      PubDate: 2022-03-04
      DOI: 10.1108/WWOP-12-2021-0063
      Issue No: Vol. 26 , No. 3 (2022)
       
  • Spreading the word: enablers and challenges to implementing a nature-based
           intervention for people living with dementia

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      Authors: Jennifer Bray , Simon Chester Evans , Teresa Atkinson
      Abstract: When new interventions are piloted, the implementation process often takes a back seat but can be key to ensuring that an intervention is successful. This paper aims to highlight the enablers and challenges encountered when implementing a nature-based intervention for people living with dementia. The evaluation adopted a mixed methods approach including case studies, telephone interviews with delegates and interviews with participants. Thematic analysis was used to identify overarching themes relating to the enablers and challenges of implementing the intervention. Challenges related to understanding how the intervention fitted with existing work and practicalities of what an organisation can offer to support the implementation process. A stable underlying support structure for delegates is required, along with suitable advertising, transport and facilities to support participants. While there is no “one size fits all” approach to implementing an intervention, these findings will help organisations to consider where to focus their support. The implementation of interventions is often poorly understood but is important when supporting the wider roll out of an intervention. While this paper reports on a nature-based intervention, the learning will be relevant and applicable more broadly for organisations aiming to implement a new intervention and complements previous work relating to the challenges of implementing arts activities.
      Citation: Working with Older People
      PubDate: 2022-03-02
      DOI: 10.1108/WWOP-11-2021-0057
      Issue No: Vol. 26 , No. 3 (2022)
       
  • Working with Older People

    • Free pre-print version: Loading...

       
 
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