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Resilience and coping as predictors of general well-being in the elderly: a structural equation modeling approach
- Authors:
- TOMÁSA José Manuel, et al
- Journal article citation:
- Aging and Mental Health, 16(3), April 2012, pp.317-326.
- Publisher:
- Taylor and Francis
Well-being is a complex construct concerning optimal experience and functioning. One of the constructs that can determine well-being is coping. This study aimed to explore the relationships between problem-focused coping, emotion-focused coping and resilience with well-being in the elderly. Hypotheses about these relationships are tested within a structural modelling framework. The aims of this article are: to test for the validity of the 3 constructs involved in the structural model; to test for the effects of both coping strategies and resilient coping on well-being in a sample of elderly, by means of a structural model with latent variables; and to empirically study whether a brief scale of resilient coping could predict well-being over and above that predicted by the coping resources. The study participants comprised 225 non-institutionalised elderly people living in the city of Valencia, Spain. The participants completed a survey with included measures of well-being, resilient coping, and coping strategies. Analyses indicate that the best predictive model is that with a single predictor of well-being: resilient coping. Resilient coping is able to predict a significant and large part of the variance in well-being, without the need for including coping strategies.
Detection scales for the risk of domestic abuse and self-negligent behavior in elderly persons (EDMA)
- Authors:
- TOUZA Carmen, PRADO Carmen, SEGURA Mari P.
- Journal article citation:
- Journal of Elder Abuse and Neglect, 24(4), 2012, pp.312-325.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This research formed part of a project aiming to develop a useful tool for social services professionals to enable them to identify elderly individuals who are suffering domestic abuse or present self-neglectful behaviour. The developed instrument, the EDMA, consists of 2 scales: the Elder Scale; and the Alleged Abuser Scale. The purpose of this article is to present the results of a study carried out to determine the psychometric properties of the EDMA. The study involved the participation of 46 professionals from Social Services in Majorca, Spain. The professionals selected participants whom they knew well in order to sort them into 3 subgroups: appropriate treatment; inappropriate treatment; and abuse. The EDMA Elder scale was completed for 278 elders (90 in the appropriate treatment group, 76 in the inappropriate treatment group, and 112 in the abuse group) and the EDMA Alleged Abuser Scale was completed for 229 individuals. The findings in terms of the reliability and validity of the instrument are discussed, and the instrument and its test results are compared with other established instruments. The results indicate that the EDMA could be used to detect situations of risk of domestic abuse and self-neglectful behaviour.
Prediction of burden in family caregivers of patients with dementia: A perspective of optimism based on generalized expectancies of control
- Authors:
- CONTADOR Israel, et al
- Journal article citation:
- Aging and Mental Health, 16(6), August 2012, pp.675-682.
- Publisher:
- Taylor and Francis
This study explored the predictors of burden for informal caregivers of patients with dementia. It assessed the moderating role of generalised expectancies of control (GEC) between caregiver stress and burden. One hundred and thirty patients with dementia along with their main family caregivers were assessed from different rural areas of the province of Salamanca, Spain. Patients with dementia were assessed on dementia stage, cognitive-functional impairment and behavioural symptoms. Clinical variables of patients and GEC were considered as potential predictors of burden in the hierarchical regression analysis. The Zarit Burden Interview (ZBI) Scale was used as an outcome measure. Findings indicated that the clinical variables could not predict burden in caregivers significantly. Family caregivers with high expectancies of self-efficacy and contingency were less vulnerable to stress. Implications for future research are discussed.
Long-term care quality assurance policies in European countries
- Authors:
- DANDI Roberto, et al
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 89p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. This report analyses the quality assurance policies for long-term care (LTC) in the following countries: Austria, Estonia, Finland, France, Germany, Hungary, Italy, Latvia, Poland, Slovakia, Slovenia, Spain, Sweden, the Netherlands, and the United Kingdom. First, it discusses quality assurance in LTC by analysing: the dimensions of quality, the policy frameworks for quality in LTC, the different levels of development of LTC quality policies at the international, national, organisational, and individual levels. Second, it describes the methodology for collecting and analysing data on quality policies in the selected countries. Finally, it discusses the results, identifying four clusters of countries based on quality policies and indicators for LTC. These clusters are compared to the clusters identified in Work Package 1 of the ANCIEN project. Policy recommendations are proposed.
Quality assurance indicators of long-term care in European countries
- Authors:
- DANDI Roberto, CASANOVA Georgia
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 128p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. The report presents the quality indicators that were collected by the ANCIEN project partners in each country. The main contribution of this report is a classification of the quality assurance indicators in different European countries according to three dimensions: organisation type; quality dimensions; and system dimensions. The countries that provided quality indicators, which are used at a national level or are recommended to be used at a local level by a national authority, are: Estonia, Finland, France, Germany, Hungary, Italy, Latvia, the Netherlands, Spain, Sweden and the United Kingdom. In total, 390 quality indicators were collected. Each quality indicator has been assigned to one or more options in each dimension.
Towards a model of externalisation and denationalisation of care? The role of female migrant care workers for dependent older people in Spain
- Author:
- ROMERO Belén Agrela
- Journal article citation:
- European Journal of Social Work, 15(1), 2012, pp.45-61.
- Publisher:
- Taylor and Francis
The aim of this article is to analyse the role of migrant care workers in relation to older dependent people in Spain. This new model of care has come about due to: the rapid ageing of the population of Spain; the lack of formal care services; and the increasing presence of women in the labour market resulting in a shortage of informal care. These factors have led to a situation in which ‘importing’ female immigrants has become something of an ‘informal solution’ among both policy-makers and people who require their services. This article analyses how this point has been reaching, drawing primarily upon the connection established between the welfare state, the feminisation of migrations, and global care chains. It describes the limitations of the public system of protection of elders, as well as those of formal care services, making eldercare reliant upon family involvement. Since the high cost of private companies’ services cannot be met by all family budgets, resorting to migrant carers emerges as a solution to the problem. Finally, the article argues that the current conditions favour the production of social inequalities related to gender, class and nationality, and considers the implications for social work practice.
Health status and well-being of older adults living in the community and in residential care settings: are differences influenced by age?
- Authors:
- RODRIGUEZ-BLAZQUEZ Carmen, et al
- Journal article citation:
- Aging and Mental Health, 16(7), September 2012, pp.884-891.
- Publisher:
- Taylor and Francis
This study investigated factors influencing health status and well-being variables between institutionalised and non-institutionalised older adults, as well as the interaction effect of institutionalisation and age. Data on a total of 468 older adults from ten Spanish provinces were analysed. Socio-demographic variables and measures on well-being, health status, functional ability, depression, loneliness and comorbidity were used. Significant differences in health status variables, but not in well-being were detected between groups. Controlling for age, differences in health status were found to be not significant in both groups. In the non-institutionalised group, people aged 78 years or more reported a significantly lower well-being than younger counterparts. Analysis showed that depression, functional dependence, loneliness and sex were associated with health status, while depression, health status, loneliness and the interaction of age-institutionalisation were related to well-being. The results suggest that age influences community-dwelling older adults' well-being to a greater extent than it does to institutionalised older people. Implications for practice are discussed.
EFORTT: ethical frameworks for telecare technologies for older people at home: final research report
- Author:
- LANCASTER UNIVERSITY
- Publisher:
- Lancaster University
- Publication year:
- 2012
- Pagination:
- 31p.
- Place of publication:
- Lancaster
EFORTT (Ethical Frameworks for Telecare technologies for older people at home) is an EU funded project which aimed to examine the ethical, social and gender implications of telecare interventions (remote care technologies worn, installed or embedded in homes) for older citizens in Spain, England, Norway and the Netherlands. The project involved the use of fieldwork (including documentary analysis, practice observations, and interviews with users, carers and practitioners) to gather information about preventive and responsive remote care practices, and recruitment of citizens' panels of older people and carers in each of the 4 partner countries as forums for views on telecare and future directions of care. Analysis of findings from the research was used to identify key themes and issues to inform discussion at the September 2010 Ageing with Technologies participative conference on care in Europe for practitioners, users, carers, policy makers and academics, the concluding session of which brought together proposals and priorities for future action on telecare which emerged from the discussions. This report describes the context and main findings of the research and its implications for policy and practice. The recommendations for ethical telecare development include providing care at home that is meaningful, sufficient and dignified, and ensuring engagement of older people in designing, developing and decision making about care.