This study conducted semi-structured interviews to assess perceived advantages and barriers to taking part in falls-related interventions were carried out in six European countries (Denmark, the Netherlands, Germany, Greece, Switzerland and United Kingdom) with 69 people aged 68 to 97 years. The sample was selected to include people with very different experiences of participation or nonparticipation in falls-related interventions, but all individuals were asked about interventions that included strength and balance training. The results found attitudes were similar in all countries and contexts. People were motivated to participate in strength and balance training by a wide range of perceived benefits (interest and enjoyment, improved health, mood, and independence) and not just reduction of falling risk. Participation also was encouraged by a personal invitation from a health practitioner and social approval from family and friends. Barriers to participation included denial of falling risk, the belief that no additional falls-prevention measures were necessary, practical barriers to attendance at groups (e.g., transport, effort, and cost), and a dislike of group activities. Implications: Because many older people reject the idea that they are at risk of falling, the uptake of strength and balance training programs may be promoted more effectively by maximizing and emphasizing their multiple positive benefits for health and well-being. A personal invitation from a health professional to participate is important, and it also may be helpful to provide home-based programs for those who dislike or find it difficult to attend groups.
This study conducted semi-structured interviews to assess perceived advantages and barriers to taking part in falls-related interventions were carried out in six European countries (Denmark, the Netherlands, Germany, Greece, Switzerland and United Kingdom) with 69 people aged 68 to 97 years. The sample was selected to include people with very different experiences of participation or nonparticipation in falls-related interventions, but all individuals were asked about interventions that included strength and balance training. The results found attitudes were similar in all countries and contexts. People were motivated to participate in strength and balance training by a wide range of perceived benefits (interest and enjoyment, improved health, mood, and independence) and not just reduction of falling risk. Participation also was encouraged by a personal invitation from a health practitioner and social approval from family and friends. Barriers to participation included denial of falling risk, the belief that no additional falls-prevention measures were necessary, practical barriers to attendance at groups (e.g., transport, effort, and cost), and a dislike of group activities. Implications: Because many older people reject the idea that they are at risk of falling, the uptake of strength and balance training programs may be promoted more effectively by maximizing and emphasizing their multiple positive benefits for health and well-being. A personal invitation from a health professional to participate is important, and it also may be helpful to provide home-based programs for those who dislike or find it difficult to attend groups.
Subject terms:
intervention, older people, prevention, service uptake, user views, attitudes, falls;
Content type:
research
Location(s):
Denmark, Greece, Germany, Netherlands, Switzerland, United Kingdom
Researchers in ten countries (Bosnia-Herzegovina, Croatia, Finland, France, Germany, Hungary, Netherlands, Spain, Switzerland and the UK) examine 27 minority groups over a three-year period, looking at social and welfare structures, health, employment and living conditions. This project is the first venture to begin compiling information on minority elders on such a scale. While the experiences of each country are distinct, there are undoubtedly similarities that can be drawn in terms of poor access to housing, lower paid employment and a worse state of health. The project involves minority groups who came from former colonial possessions in the post-war period and those who have arrived more recently, fleeing war and dispossession. It also examines the provision of groups who have known no other homeland yet are endemically discriminated against, such as the Roma.
Researchers in ten countries (Bosnia-Herzegovina, Croatia, Finland, France, Germany, Hungary, Netherlands, Spain, Switzerland and the UK) examine 27 minority groups over a three-year period, looking at social and welfare structures, health, employment and living conditions. This project is the first venture to begin compiling information on minority elders on such a scale. While the experiences of each country are distinct, there are undoubtedly similarities that can be drawn in terms of poor access to housing, lower paid employment and a worse state of health. The project involves minority groups who came from former colonial possessions in the post-war period and those who have arrived more recently, fleeing war and dispossession. It also examines the provision of groups who have known no other homeland yet are endemically discriminated against, such as the Roma.
Subject terms:
older people, social welfare, welfare state, black and minority ethnic people, employment, Gypsies, health needs;
Content type:
research
Location(s):
Bosnia and Herzegovina, Croatia, Hungary, Finland, France, Germany, Netherlands, Switzerland, Spain, United Kingdom
Presents the findings of a quantitative study of Swiss elderly residents on the Costa Blanca (in the Province of Alicante, Spain) and of an ethnographic study of their British counterparts in Fuengirola and Los Boliches on the Costa del Sol (in the Province of Málaga). Examines the German concept Heimat and its value as an organising construct for understanding the aspirations and actions of foreign retirees resident in Spain, and explores whether globalisation undermines locality to the extent that being in a particular geographical place is no longer a prerequisite for feeling at home. Describes the social life and patterns of association of these groups of retired people, in terms of social clubs, leisure activities, voluntary associations, charity groups and self-help groups, relations with home, and relations to Spaniards and people from other countries. Compares the results of the two studies in an analysis of the strategies that the two groups adopt for constructing social communities and for finding a new home. Provides some insights into what older people seek in later life in terms of their residence, co-resident groups, social contacts and lifestyle choices.
Presents the findings of a quantitative study of Swiss elderly residents on the Costa Blanca (in the Province of Alicante, Spain) and of an ethnographic study of their British counterparts in Fuengirola and Los Boliches on the Costa del Sol (in the Province of Málaga). Examines the German concept Heimat and its value as an organising construct for understanding the aspirations and actions of foreign retirees resident in Spain, and explores whether globalisation undermines locality to the extent that being in a particular geographical place is no longer a prerequisite for feeling at home. Describes the social life and patterns of association of these groups of retired people, in terms of social clubs, leisure activities, voluntary associations, charity groups and self-help groups, relations with home, and relations to Spaniards and people from other countries. Compares the results of the two studies in an analysis of the strategies that the two groups adopt for constructing social communities and for finding a new home. Provides some insights into what older people seek in later life in terms of their residence, co-resident groups, social contacts and lifestyle choices.
Subject terms:
immigrants, home ownership, older people, retirement, social networks, social activities, ageing;
International Journal of Geriatric Psychiatry, 18(5), May 2003, pp.392-401.
Publisher:
Wiley
Under-treatment of depression in late-life is a subject of rising public health concern throughout Europe. This study investigates and compares the availability of services for depressed elderly persons in Denmark, France, Germany, Sweden, Switzerland and the UK. Additionally, it explores factors that might contribute to an adequate services supply for depressed elderly people. Review of the literature and guide supported expert interviews. Analysis of the practice of care provision for depressed elderly persons and of indicators for political and professional awareness, such as university chairs, certification processes and political programmes in gerontopsychiatry. Only Switzerland and the UK offer countrywide community-oriented services for depressed elderly persons. Clinical experience in treating depression in late-life is not regularly acquired in the vocational training of the concerned professionals. Indicators suggest that the medical society and health politics in Switzerland and the UK regard psychiatric disease in the elderly more importantly than it is the case in the other investigated countries. Service provision for depressed elderly persons seems to be more elaborated and better available in countries where gerontopsychiatry is institutionalised to a greater extend in the medical society and health politics.
Under-treatment of depression in late-life is a subject of rising public health concern throughout Europe. This study investigates and compares the availability of services for depressed elderly persons in Denmark, France, Germany, Sweden, Switzerland and the UK. Additionally, it explores factors that might contribute to an adequate services supply for depressed elderly people. Review of the literature and guide supported expert interviews. Analysis of the practice of care provision for depressed elderly persons and of indicators for political and professional awareness, such as university chairs, certification processes and political programmes in gerontopsychiatry. Only Switzerland and the UK offer countrywide community-oriented services for depressed elderly persons. Clinical experience in treating depression in late-life is not regularly acquired in the vocational training of the concerned professionals. Indicators suggest that the medical society and health politics in Switzerland and the UK regard psychiatric disease in the elderly more importantly than it is the case in the other investigated countries. Service provision for depressed elderly persons seems to be more elaborated and better available in countries where gerontopsychiatry is institutionalised to a greater extend in the medical society and health politics.
Subject terms:
literature reviews, mental health problems, older people, community mental health services, comparative studies, depression;
Content type:
research review
Location(s):
Denmark, France, Germany, Sweden, Switzerland, United Kingdom
This report, using data from the United Kingdom, France, Germany, the Netherlands, Spain, Finland, Hungary, Bosnia and Herzegovina, Croatia and Switzerland, is designed to inform and help plan the nature and direction of provision of health and social care services in the years to come. The project has the explicit intention of seeking to draw attention to the needs of minority ethnic (ME) elders and thereby improve the provision of services for them throughout Europe. Key findings showed that family was very important to ME elders in all countries and not surprisingly, most elders preferred to be looked after by their family in their own home. It is apparent that in every country there were significant proportions of ME elders on low incomes which were substantially less than the average incomes for elderly in the country concerned. In all countries there were quite significant proportions who described their general health as poor or very poor and these elders needed more medical treatment. The use of different health and social care services is not uniform across the different ethnic groups and countries. While each country has its own systems and procedures it is apparent that in all countries there are some elders who are failing to gain access to services. There are several things an organisation can do to help ME elders to overcome barriers and gain access to services. For example, information can be provided in appropriate languages, staff can be given training in culture-specific care, or new services may be designed specifically to meet the needs of different ME groups. The report makes several recommendations including the provision of clear information about the rights of the individual in accessing and using health and social care services and in different formats and languages. Adopt a person centred approach to patients and service users. Recognise that certain ethnic groups face particularly strong access barriers. Each of the issues is described in detail for each country included in the report.
This report, using data from the United Kingdom, France, Germany, the Netherlands, Spain, Finland, Hungary, Bosnia and Herzegovina, Croatia and Switzerland, is designed to inform and help plan the nature and direction of provision of health and social care services in the years to come. The project has the explicit intention of seeking to draw attention to the needs of minority ethnic (ME) elders and thereby improve the provision of services for them throughout Europe. Key findings showed that family was very important to ME elders in all countries and not surprisingly, most elders preferred to be looked after by their family in their own home. It is apparent that in every country there were significant proportions of ME elders on low incomes which were substantially less than the average incomes for elderly in the country concerned. In all countries there were quite significant proportions who described their general health as poor or very poor and these elders needed more medical treatment. The use of different health and social care services is not uniform across the different ethnic groups and countries. While each country has its own systems and procedures it is apparent that in all countries there are some elders who are failing to gain access to services. There are several things an organisation can do to help ME elders to overcome barriers and gain access to services. For example, information can be provided in appropriate languages, staff can be given training in culture-specific care, or new services may be designed specifically to meet the needs of different ME groups. The report makes several recommendations including the provision of clear information about the rights of the individual in accessing and using health and social care services and in different formats and languages. Adopt a person centred approach to patients and service users. Recognise that certain ethnic groups face particularly strong access barriers. Each of the issues is described in detail for each country included in the report.
Subject terms:
multicultural approach, older people, social policy, social care, social care provision, user views, black and minority ethnic people, cultural identity, ethnicity, health care;
Content type:
research
Location(s):
Bosnia and Herzegovina, Croatia, Hungary, Europe, Finland, France, Germany, Netherlands, Switzerland, Spain, United Kingdom
Europe wide collection of papers looking at what part education has to play in combating isolation and exclusion from mainstream life of the growing population of older people. Suggests new approaches to education for older people and ageing polices that focus on this issue and on the construction of an active and responsible citizenship for all.
Europe wide collection of papers looking at what part education has to play in combating isolation and exclusion from mainstream life of the growing population of older people. Suggests new approaches to education for older people and ageing polices that focus on this issue and on the construction of an active and responsible citizenship for all.
Subject terms:
older people, social policy, training, adult education, ageing, black and minority ethnic people, citizenship, education;
Location(s):
Cyprus, Hungary, Europe, Ireland, Germany, Netherlands, Sweden, Switzerland, United Kingdom
Provides a reference source for various modes of care (both formal and informal) for older people throughout Europe. Each chapter follows the same format and covers: demography; socio-political and administrative background; social security and pensions; housing; health care; mental health care; residential care; personal social services; voluntary care agencies and support organisations; leisure pursuits and education; and older people in rural areas.
Provides a reference source for various modes of care (both formal and informal) for older people throughout Europe. Each chapter follows the same format and covers: demography; socio-political and administrative background; social security and pensions; housing; health care; mental health care; residential care; personal social services; voluntary care agencies and support organisations; leisure pursuits and education; and older people in rural areas.
Subject terms:
housing, informal care, leisure, leisure activities, mental health services, older people, pensions, population, residential care, rural areas, social policy, social care provision, voluntary organisations, benefits, care homes, comparative studies, demographics, education, health care;