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Establishing empirically-informed practice with caregivers: findings from the CARES program
- Author:
- BLACK Kathy
- Journal article citation:
- Journal of Gerontological Social Work, 56(6-7), 2013, pp.585-601.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
There is increasing interest in delivering efficacious interventions to caregivers. This study reports on the processes and findings from a modified approach of the Wraparound System of Care. The practice model is implemented over 4 phases and is based on 3 theoretical constructs and 10 principles. The evaluation utilized treatment fidelity measures and employed a quasi-experimental pretest/posttest design to examine caregiver outcomes (N = 120). Findings suggest significant improvement among caregivers’ self-reported health, life satisfaction, well-being, and quality of life, as well as a reduction in caregiver risk and burden. Delineation of the processes used in the model are presented. (Publisher abstract)
Adjusting to change
- Authors:
- UNIVERSITY OF BRIGHTON, AGE UK BRIGHTON AND HOVE
- Publishers:
- University of Brighton, Age UK Brighton & Hove
- Publication year:
- 2013
- Pagination:
- 14 minutes 8 seconds
- Place of publication:
- Brighton
One of six films made as part of an ESRC funded participatory research project which explored what well-being means to older people and how it is generated. This film introduces May, who is in her seventies. May's husband passed away some years ago and she now lives on her own. Recently she has suffered a significant and unexpected life event in the form of a stroke. Here she is met by Ellen, an occupational therapist and together they explore what the impact of this change has meant on May’s life. Sustaining wellbeing in the context of significant life changes is a theme that runs through all parts of these resources. The film is a scripted scenario based on interviews. (Edited publisher abstract)
Introduction to wellbeing
- Authors:
- UNIVERSITY OF BRIGHTON, AGE UK BRIGHTON AND HOVE
- Publishers:
- University of Brighton, Age UK Brighton & Hove
- Publication year:
- 2013
- Pagination:
- 6 minutes 46 seconds
- Place of publication:
- Brighton
One of six films made as part of an ESRC funded participatory research project which explored what well-being means to older people and how it is generated. The research was carried out by a team of older people, university researchers and a voluntary sector manager. This film starts by considering the idea of wellbeing. It then describes the process of making the project and what the team learnt about ethical practice in working with older people collectively in carrying out the research. It introduces ideas about care ethics. Members of the research team also talk about what they learnt about well-being and about their experiences of taking part in the research. The film is a scripted scenario based on interviews. (Edited publisher abstract)
Care and caring relationships
- Authors:
- UNIVERSITY OF BRIGHTON, AGE UK BRIGHTON AND HOVE
- Publishers:
- University of Brighton, Age UK Brighton & Hove
- Publication year:
- 2013
- Pagination:
- 14 minutes 8 seconds
- Place of publication:
- Brighton
One of six films made as part of an ESRC funded participatory research project which explored what well-being means to older people and how it is generated. The research was carried out by a team of older people, university researchers and a voluntary sector manager. This film features May, who is in her seventies and now lives along following the death of her husband some years ago. May is now receiving help and support from Ruth, a worker with a voluntary sector re-enablement service. Ruth has been helping to build May’s confidence since her stroke and wants to enable her to leave the house and enjoy some of the activities she did before. May is finding it hard to adjust to her needs for help. Her son also appears to find it hard to provide help in a way that does not make her feel a 'burden'. The film is a scripted scenario based on interviews. (Edited publisher abstract)
Social isolation, loneliness and return migration: evidence from older Irish adults
- Authors:
- BARRETT Alan, MOSCA Irene
- Journal article citation:
- Journal of Ethnic and Migration Studies, 39(10), 2013, pp.1659-1677.
- Publisher:
- Taylor and Francis
This study examines the extent to which a group of returned Irish migrants experience higher degrees of social isolation and loneliness compared to compatriots who never lived outside their country of birth. The data used are from the first wave of the Irish Longitudinal Study on Ageing (TILDA). In the TILDA sample, 24 per cent of men and 21 per cent of women have lived abroad for at least six months; 46 per cent of the male return migrants and 43 per cent of female return migrants have lived abroad for at least 10 years; and 67 per cent of men and 74 per cent of women left Ireland for the first time when aged 16–24. The results suggest that social isolation is a significant feature of the lives of return migrants and that the degree of social isolation is typically stronger for people who spent longer away and who have returned more recently. (Edited publisher abstract)
How can contemporary art contribute toward the development of social and cultural capital for people aged 64 and older
- Author:
- GOULDING Anna
- Journal article citation:
- Gerontologist, 53(6), 2013, pp.1009-1019.
- Publisher:
- Oxford University Press
Purpose: This article focuses on how visiting contemporary art galleries and discussing the artwork in facilitated focus groups affected culturally inactive participants’ social and cultural capital. The research is taken from a larger study that explored the contribution that visiting contemporary art galleries made to the well-being of people aged 64 and older. Design and Methods: A total of 19 participants were given guided visits around 3 contemporary art galleries in the United Kingdom. Participants were drawn from categories identified as not already actively engaged in cultural activities (men, those with a limiting disability, people from minority ethnic backgrounds, those in lower socioeconomic groups and people living alone). Before and after each visit, focus group interviews were used to gage the impact of participation in the intervention in terms of subjective well-being. Follow-up interviews were held with participants and group leaders 2 years after the visits. Results: Spontaneous reminiscence was a functional part of the discussion that facilitated shifts in participants’ social and cultural capital. Participants developed bonding social capital with each other, bridging social capital with group leaders, and linking social capital with gallery staff and researchers. Participants’ cultural capital developed in terms of an increase in knowledge and understanding of contemporary art. Implications: Understanding the interplay between social capital, cultural capital, and reminiscence has implications for programmers and policy makers trying to engage less culturally engaged participants in the arts. Developing bonding, bridging, and linking social capital and cultural capital through engagement with the arts may have implications for health, particularly among this demographic. (Publisher abstract)
Physical and social causes of hypothermia
- Author:
- DALPHINIS Julie
- Journal article citation:
- Nursing Times, 109(49/50), 2013, pp.12-15.
- Publisher:
- Nursing Times
Hypothermia has a number of physical and social causes, particularly among older people. This article discusses the causes of hypothermia, signs and symptoms, preventative measures, and immediate treatment in the community. An assessment checklist is also provided. (Edited publisher abstract)
Modeling causes of aggressive behavior in patients with dementia
- Authors:
- MORGAN Robert O., et al
- Journal article citation:
- Gerontologist, 53(5), 2013, pp.738-747.
- Publisher:
- Oxford University Press
Purpose of the Study: To examine factors predicting development of aggression in patients with dementia as a step toward developing preventive strategies and nonpharmacologic therapies. Design and Methods: Study participants were 171 nonaggressive, community-residing VA patients aged more than 60, newly diagnosed with dementia. Patients and caregivers were assessed at baseline and at months 5, 9, 13, 17, 21, and 25. Aggression was evaluated using the Cohen-Mansfield Agitation Inventory. Survival models incorporating direct and indirect effects were conducted to estimate associations between psychosocial factors (baseline and change measures of dementia severity, pain, depression, caregiver burden, patient–caregiver relationship, and nonaggressive physical agitation) and time to aggression onset. Results: Higher levels of baseline caregiver burden, worst pain, declining patient–caregiver relationship, and increasing nonaggressive physical agitation predicted increased risk of aggression. Baseline dementia severity and depression were indirectly related to onset of aggression. The association between increasing nonaggressive physical agitation and time to aggression onset was independent of the associations between our psychosocial measures and time to aggression onset. Implications: Potentially mutable factors were associated with development of aggression. The longitudinal design of this study and its sample of newly diagnosed, previously nonaggressive dementia patients strengthen prior findings in the literature. (Publisher abstract)
The evaluation of a Fall Management programme in a nursing home population
- Authors:
- BURLAND Elaine, et al
- Journal article citation:
- Gerontologist, 53(5), 2013, pp.828-838.
- Publisher:
- Oxford University Press
Purpose of the Study: This study evaluates a nursing home Fall Management programme to see if residents’ mobility increased and injurious falls decreased. Design and Methods: Administrative health care use and fall occurrence report data were analysed from 2 rural health regions in Manitoba, Canada, from June 1, 2003 to March 31, 2008. A quasiexperimental, pre-post, comparison group design was used to compare rates of three outcomes, falls, injurious falls, and falls resulting in hospitalisation, by RHA (programme vs nonprogramme nursing homes) and period (preprogram vs postprogram). Data collectors entered occurrence report information into spreadsheets. This was supplemented with administrative health care use data. Results: The programme appears to have benefited residents—falls trended upward, injurious falls remained stable, and hospitalised falls decreased significantly (0.036–0.021 per person-year [ppy]; p = .043). Compared with nonprogramme residents in the postperiod, both groups had the same fall rate, but programme residents had significantly fewer injurious falls (0.596–0.746 ppy; p = .02) and hospitalised falls (0.02–0.041 ppy; p = .023). Implications: These results are among a small body of literature showing that Fall Management was associated with improved outcomes in programme nursing homes from pre- to postperiod and compared with nonprogramme nursing homes. This research provides some support for the benefits of being proactive and implementing injury prevention strategies universally and pre-emptively before a resident falls, helping to minimise injuries while keeping residents mobile and active. Larger scale research is needed to identify the true effectiveness of the Fall Management programme and generalisability of results. (Publisher abstract)
A cap that fits: the 'capped cost plus' model
- Author:
- LLOYD James
- Publisher:
- Strategic Society Centre
- Publication year:
- 2013
- Pagination:
- 76
- Place of publication:
- London
The government has committed to implementing reform of care funding in England in April 2016. However, detailed analysis of the ‘capped cost’ reforms suggests they are unlikely to meet any of their objectives. Consequently, people’s care costs will not be capped; and a market in pre-funded care insurance is unlikely to emerge. Rather than providing peace of mind to the population, annual increases in the ‘cap’ may insttead cause worry and concern. With less than three years until the reforms are due to be implemented, this report examines in detail the issues facing the ‘capped cost’ model’ and identifies the options for policymakers to fix these problems. The report concludes by assembling a range of options into an alternative package of measures that could be implemented in April 2016: the ‘capped cost plus’ model. The model comprises: a ‘cap’ on the assessed care costs that individuals are expected to pay for out of their own pockets; changes to means testing thresholds and the financial support individuals receive, proportional to their level of wealth; and a standardised expected contribution by individuals to ‘living costs’ in residential care. (Edited publisher abstract)