...support. Heterogeneous data evidencing technology-enhanced self-efficacy were narratively synthesized. Results: Five included articles contained 74 primary studies involving 9,004 participants with chronic obstructive pulmonary disease, hypertension, heart failure, or dementia. Evidence for self-care telehealth technology supporting the self-efficacy of older people with LTCs living at home was limited
(Edited publisher abstract)
Background and Objectives: Although telehealth research among the general population is voluminous, the quality of studies is low and results are mixed. Little is known specifically concerning older people and their self-efficacy to engage with and benefit from such technologies. This article reviews the evidence for which self-care telehealth technology supports the self-efficacy of older people with long-term conditions (LTCs) living at home. Research Design and Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA) guidelines, this overview of systematic reviews focused on four LTCs and the concept of “self-efficacy.” Quality was appraised using R-AMSTAR and study evaluation was guided by the PRISMS taxonomy for reporting of self-management support. Heterogeneous data evidencing technology-enhanced self-efficacy were narratively synthesized. Results: Five included articles contained 74 primary studies involving 9,004 participants with chronic obstructive pulmonary disease, hypertension, heart failure, or dementia. Evidence for self-care telehealth technology supporting the self-efficacy of older people with LTCs living at home was limited. Self-efficacy was rarely an outcome, also attrition and dropout rates and mediators of support or education. The pathway from telehealth to self-efficacy depended on telehealth modes and techniques promoting healthy lifestyles. Increased self-care and self-monitoring empowered self-efficacy, patient activation, or mastery. Discussion and Implications: Future research needs to focus on the process by which the intervention works and the effects of mediating variables and mechanisms through which self-management is achieved. Self-efficacy, patient activation, and motivation are critical components to telehealth’s adoption by the patient and hence to the success of self-care in self-management of LTCs. Their invisibility as outcomes is a limitation.
(Edited publisher abstract)
Subject terms:
older people, self care, self-determination, telehealth, long term conditions;
This handbook draws on insight from research and observations by the authors, with the aim of helping to develop outdoor environments for people with dementia as therapeutic spaces which have beneficial outcomes. The emphasis is on the environmental needs of people with dementia and distressed behaviour. This term is used instead of "challenging behaviour", because people become a challenge...
(Edited publisher abstract)
This handbook draws on insight from research and observations by the authors, with the aim of helping to develop outdoor environments for people with dementia as therapeutic spaces which have beneficial outcomes. The emphasis is on the environmental needs of people with dementia and distressed behaviour. This term is used instead of "challenging behaviour", because people become a challenge to others once they are distressed in themselves. The authors' aim is to keep the focus on a person's experience. Their approach is to consider the causes of distress by using nature as a therapeutic tool, rather than by trying to manage or change the behaviour solely through care practice indoors. The handbook is aimed at managers, owners and operators of care homes, nursing homes and day care facilities. It will also be helpful to landscape architects, architects, commissioners of services for older people and all those involved in the provision of dementia care services. It is one output of a design and research project called 'Therapeutic Dementia Care’ which was funded by the HIEC (Health, Innovation and Education Cluster) of the NHS in Central Lancashire.
(Edited publisher abstract)
Social Care and Neurodisability, 2(2), 2011, pp.71-79.
Publisher:
Emerald
Over the last 20 years, various interventions have been applied in dementia care. However, rehabilitation has been largely ignored for such degenerative diseases. This article describes a case study to highlight environmental design in rehabilitation for people with dementia. Environmental design compensates for impairment through accessibility and modifications, and is examined using the case...
Over the last 20 years, various interventions have been applied in dementia care. However, rehabilitation has been largely ignored for such degenerative diseases. This article describes a case study to highlight environmental design in rehabilitation for people with dementia. Environmental design compensates for impairment through accessibility and modifications, and is examined using the case study of Charnley Fold enhanced day care facility by exploring key points contributing to the success of this model, outcomes achieved and arguments for rehabilitative dementia care. This model of enhanced day care uses nature as a therapeutic tool and a powerful resource to facilitate the rehabilitative process. It achieves this through the design of the physical environment which maximises a person's participation with others and the natural world, resulting in outcomes such as confidence, enthusiasm, motivation, re-skilling, communication and mobility.
Subject terms:
mental health, older people, rehabilitation, building design, care homes, dementia, environmental factors;
Social Work and Social Sciences Review, 14(2), 2010, pp.37-54.
Publisher:
Whiting and Birch
The quality of dementia care in residential and nursing homes has been a cause for concern and the subject of a number of policy initiatives. This paper discusses the potential for different styles of leadership in developing a suitable organisational culture in which quality dementia care might develop and thrive. In-depth individual interviews of 4 residential home managers sought to explore...
The quality of dementia care in residential and nursing homes has been a cause for concern and the subject of a number of policy initiatives. This paper discusses the potential for different styles of leadership in developing a suitable organisational culture in which quality dementia care might develop and thrive. In-depth individual interviews of 4 residential home managers sought to explore their perspectives on what constitutes effective leadership within institutional residential care settings. Drawing on the findings of these interviews, the article argues that alongside strategic imperatives coming from the UK National Dementia Strategy (DH, 2009), there is a corresponding need for more 'bottom-up' approaches within dementia care settings themselves through the empowerment of staff. It argues that this would enable more participatory approaches to organisational development. The paper specifically discusses the concepts of both 'climate' and 'culture' in institutional care for older people and how these features can be enhanced to support a more person-centred approach. Particular emphasis is given to the significance of leading a culture of staff learning.
Subject terms:
leadership, nursing homes, older people, organisational culture, person-centred care, residential care, staff development, dementia;
Maintaining a connection to nature is increasingly recognised as an important component of caring for a person with dementia. The benefits of connecting the subjective experience of dementia sufferers with their physical environment include sensory stimulation and enhanced cognitive, psychological and physical well-being, as well as improved behaviour management.
Maintaining a connection to nature is increasingly recognised as an important component of caring for a person with dementia. The benefits of connecting the subjective experience of dementia sufferers with their physical environment include sensory stimulation and enhanced cognitive, psychological and physical well-being, as well as improved behaviour management.
Journal of Dementia Care, 15(6), November 2007, pp.24-28.
Publisher:
Hawker
The author discusses the benefits to people with dementia of everyday contact with gardens and the natural world, and gives guidance on how care homes can make engaging with nature a regular aspect of daily life. The author first looks at both sensory gardens and the new concept of the Dementia Care Garden.
The author discusses the benefits to people with dementia of everyday contact with gardens and the natural world, and gives guidance on how care homes can make engaging with nature a regular aspect of daily life. The author first looks at both sensory gardens and the new concept of the Dementia Care Garden.
Journal of Dementia Care, 14(2), March 2006, pp.19-21.
Publisher:
Hawker
This article reports on some of the findings of the Independent Project, which aims to examine the use of technology in relation to well-being and quality of life. The project conducted qualitative interviews with a total of 26 people with dementia living either within their own homes or within residential settings. Focus groups were also held with 18 professional carers and with 23 relatives...
This article reports on some of the findings of the Independent Project, which aims to examine the use of technology in relation to well-being and quality of life. The project conducted qualitative interviews with a total of 26 people with dementia living either within their own homes or within residential settings. Focus groups were also held with 18 professional carers and with 23 relatives of people with dementia. The article reports on: an analysis of the requirements of users; and analysis of environmental factors which either enable or challenge the success of technology and activities in homes where people with dementia live.
Subject terms:
leisure activities, older people, quality of life, user views, assistive technology, care homes, dementia, environmental factors;
Journal of Dementia Care, 14(3), May 2006, pp.30-31.
Publisher:
Hawker
The authors consider how psychological factors may influence the way in which new technology is accepted by people with dementia. When analysing the success or otherwise of an activity, psychological factors such as imagination, self-identity and perception may play a dominant role in one's decision to participate or not. In the article examples of psychological aspects identified during feedback...
The authors consider how psychological factors may influence the way in which new technology is accepted by people with dementia. When analysing the success or otherwise of an activity, psychological factors such as imagination, self-identity and perception may play a dominant role in one's decision to participate or not. In the article examples of psychological aspects identified during feedback sessions with people in residential care are presented. The article draws on the findings from the authors research project, 'The Independent Project: Investigating Enabling Domestic Environments for People with Dementia', which aimed to investigate the scope of assistive technologies to provide a positive contribution to well-being and quality of life for people with dementia.
Subject terms:
older people, quality of life, self-concept, user participation, assistive technology, dementia;