Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 6 of 6
Improving older adults' functional ability through service use in a home care program in Hong Kong
- Authors:
- CHEUNG Chau-kui, NGAN Raymond Man-Hung
- Journal article citation:
- Research on Social Work Practice, 15(3), May 2005, pp.154-164.
- Publisher:
- Sage
Despite past findings about the contribution of home care services to older users’ functional ability, the effective processes and components of the services are not transparent. Such processes appear to rely on the actual use of component services of the home care programme. The study gathered 116 observations during 2 years concerning 49 home care service users in Hong Kong. The study shows that an older user maintained better functional ability with a longer time of using a home care program in Hong Kong using the service. The time effect, in turn, was primarily due to the increased use of seven services provided by the programme. Among the service components, the home-nursing services generated a unique contribution to the user's functional ability, with its prior score controlled. Multidisciplinary services under case management underpin an effective home care programme.
Predicting changes in the health-related quality of life of Chinese depressed older people
- Authors:
- CHAN Sally, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(1), January 2009, pp.41-47.
- Publisher:
- Wiley
This study aimed to identify predictors of change in Health Related Quality of Life (HRQoL) among community dwelling Chinese older people with depression. A community based prospective, longitudinal study was conducted in a regional psychiatric outpatient department. A convenience sample of 31 older people who were newly diagnosed with depression was recruited. Assessments were conducted at the first session of psychiatric consultation and again after 12 months. Measures included subjective perception of HRQoL, level of depression, number of medical conditions, activities of daily living, functional abilities, and social support. The majority of participants had significant improvement in their HRQoL, level of depression, and general health conditions at 12-month follow-up. The ability of instrumental activity of daily living skills was a predictor of baseline HRQoL and changes in 12-month follow-up. Level of depression was also a predictor of changes in HRQoL over the 12-months period. Treatment and interventions of depression were effective in improvement participants' mental condition and their perceived HRQoL. Interventions to promote older people's level of depression and their instrumental activity of daily living abilities could help to improve their perceived HRQoL. This study provides insight for healthcare professionals in planning innovative services to meet their health needs.
Everyday competence and depressive symptoms: social support and sense of control as mediators or moderators?
- Author:
- CHOU K.-L.
- Journal article citation:
- Aging and Mental Health, 9(2), March 2005, pp.177-183.
- Publisher:
- Taylor and Francis
Depression is common among the elderly members of Hong Kong Chinese society. The objectives of the present study are to assess the relationship between everyday competence and depressive symptoms and to test whether sense of control and social support mediate and moderate the impact of deterioration in everyday competence on depressive symptoms. The respondents were 393 people aged 60 years and older from a cross-sectional study of a representative community sample of the elderly population in Hong Kong and they were interviewed using a structured questionnaire. In multiple regression analyses, we found that everyday competence was significantly and negatively related to depressive symptoms (ß?=?-0.26, p?<?0.01) after we had adjusted age, gender, marital status, years of education, self-rated health status, and number of chronic illnesses. Moreover, both sense of control and social support were mediators in the linkage between everyday competence and depression. However, neither sense of control nor social support moderated the effect of everyday competence on depression. Findings suggest that both sense of control and social support play important roles in the relationship between everyday competence and depression.
Correlates of everyday competence in Chinese older adults
- Author:
- CHOU K. L.
- Journal article citation:
- Aging and Mental Health, 7(4), July 2003, pp.308-315.
- Publisher:
- Taylor and Francis
Whether older adults can maintain levels of adaptation that allow continuation of independent living is necessarily contingent upon the maintenance of levels of everyday competence. This study identifies factors correlated to everyday competence measured by a Chinese version of the Direct Assessment of Functional Abilities among Hong Kong Chinese elderly people. The respondents were 393 people aged 60 years or older from a cross-sectional study of a representative community sample of the elderly population in Hong Kong and they were interviewed in a face-to-face format. In multiple regression analyses, we found that self-rated health, sight, and global cognitive ability were positively associated with everyday competence whereas the presence of arthritis had a negative impact on the everyday competence. All these findings are consistent with previous Western studies.
The effect of Qigong on general and psychosocial health of elderly with chronic physical illnesses: a randomized clinical trial
- Authors:
- TSANG Hector W. H., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(5), May 2003, pp.441-449.
- Publisher:
- Wiley
Based on a model which summarized the etiological factors and consequences of depression in elderly with chronic physical illnesses, a randomized clinical trial of a special form of Qigong (The Eight Section Brocades) was conducted to assess if it improved the biopsychosocial health of participants. 50 geriatric patients in sub-acute stage of chronic physical illnesses were recruited and randomly assigned into the intervention and control group. The intervention group was given a 12-week period of Qigong practice while the control group was given traditional remedial rehabilitation activities. The intervention group participants expressed improvement in physical health, ADL, psychological health, social relationship, and health in general as reflected by scores of the Perceived Benefit Questionnaire and informal feedback. Although results are not significant in the generalization measures, it may be due to small effect size, small sample size, and short intervention period. Although not all of the hypotheses are supported, this report shows that Qigong (the Eight Section Brocades) is promising as an alternative intervention for elderly with chronic physical illness to improve their biopsychosocial health. More systematic evaluation with larger sample size and longer period of intervention is now underway in Hong Kong.
The effectiveness of the positive mood and active life program on reducing depressive symptoms in long-term care facilities
- Authors:
- LUO Hao, et al
- Journal article citation:
- Gerontologist, 60(1), 2020, pp.193-204.
- Publisher:
- Oxford University Press
Background and Objectives: Depression is prevalent among long-term care facility (LTCF) residents. However, interventions are not normally part of the management of these residents due to a shortage of mental health professionals. On the basis of Lewinsohn’s behavioural model of depression, the research developed a 12-week pleasant activity scheduling intervention, the Positive Mood and Active Life (PMAL) program. This study evaluated the effectiveness of the PMAL program on reducing depressive symptoms and improving quality of life among at-risk LTCF residents. Research Design and Methods: The study adopted a cluster randomised controlled trial design. Four LTCFs were randomly assigned as treatment sites and three provided care as usual. At-risk LTCF residents (N = 68) were identified using the Mood Resident Assessment Protocol from the Minimum Data Set 2.0. The PMAL program was delivered to 34 residents. The primary and secondary outcomes were depressive symptoms and quality of life, as measured by the Geriatric Depression Scale-15 (GDS-15) and the World Health Organization Quality of Life scale-BREF (WHOQoL-BREF), respectively. Results: After 12 weeks, the GDS-15 score in the intervention group showed a reduction from 7.59 to 5.67, with a significant treatment by time effect (p = .006), based on the mixed model analysis; the WHOQoL-BREF score also substantially increased from 69.83 to 86.61 (p = .000). Discussion and Implications: The PMAL program is effective in reducing depressive symptoms of at-risk LTCF residents. It is a feasible intervention that requires minimum resources and can be integrated with standardised assessment systems. (Edited publisher abstract)