Search results for ‘Subject term:"older people"’ Sort:
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Understanding health anxiety among community dwelling seniors with varying degrees of frailty
- Authors:
- BOURGAULT-FAGNOU Michelle D., HADJISTAVROPOULOS Heather D.
- Journal article citation:
- Aging and Mental Health, 13(2), March 2009, pp.226-237.
- Publisher:
- Taylor and Francis
The levels of health anxiety among younger adults and older people, with either low or high levels of frailty were compared. Predictors of health anxiety in older people were explored. Forty-nine seniors with high levels of frailty were compared with 63 seniors with low levels of frailty and 130 younger adults. Comparisons were made on the Illness Attitudes Scale (IAS) and on a Medically Adjusted Illness Attitudes Scale, an adapted version ensuring scores reflect health anxiety, and not greater illness. Seniors also completed measures of frailty, pain, depression, trait anxiety and coping. Results varied depending on the health anxiety measure. Using the traditional IAS, seniors with high frailty experienced greater levels of health anxiety than seniors with low-frailty and younger adults. Using the medically adjusted version, seniors with high frailty experienced similar levels of heath anxiety compared with younger adults; seniors with low frailty had the lowest levels of health anxiety. Using multiple regression analysis, emotional preoccupation and trait anxiety uniquely predicted health anxiety among seniors. Researchers and clinicians should ensure that health anxiety measures actually assess health anxiety and not physical illness. Using an appropriate health anxiety measure, the results suggest seniors with relatively fewer health problems may experience reduced health anxiety compared with other older adults and younger adults. The results are considered in the context of research on aging and anxiety. Implications for clinical practice and future research are discussed.
Insight, quality of life, and functional capacity in middle-aged and older adults with schizophrenia
- Authors:
- ROSEMAN Ashley S., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(7), July 2008, pp.760-765.
- Publisher:
- Wiley
The quality of life (QOL) for individuals with schizophrenia is determined by a number of factors, not limited to symptomatology. The current study examined lack of insight as one such factor that may influence subjective QOL or functional capacity. It was hypothesized that insight would significantly interact with symptom severity to influence subjective QOL. Insight was not expected to influence the relation between symptom severity and functional capacity. Participants were middle-aged and older outpatients who met diagnostic criteria for schizophrenia or schizoaffective disorder, and subsyndromal depression. Insight, psychopathology, and subjective QOL were assessed via semi-structured interviews and functional capacity was assessed via performance-based measures. Insight interacts with negative symptom severity to predict subjective QOL. Severity of negative symptoms and insight contribute directly to functional capacity. Individuals with intact insight may be better able to manage their symptoms, resulting in improved QOL. Treatment implications for improving the QOL of middle age and older adults with schizophrenia are discussed.
Green gauge
- Author:
- JONES Ray
- Journal article citation:
- Care and Health Magazine, 3.05.05, 2005, p.32.
- Publisher:
- Care and Health
The author, director of adult and community services at Wiltshire County Council, provides a personal view on what the Green Paper adult social care means for disabled and older people.
Figuring out adult abuse
- Authors:
- MCCREADIE Claudine, QUIGLEY Leo
- Journal article citation:
- Community Care, 4.2.99, 1999, pp.24-25.
- Publisher:
- Reed Business Information
As recognition of the prevalence of adult abuse increases, the authors look at the lessons to be drawn from an experiment in Sheffield.
Working with older adults and their families - a review
- Authors:
- RICHARDSON Carolyn A., et al
- Journal article citation:
- Journal of Family Therapy, 16(3), August 1994, pp.225-240.
- Publisher:
- Wiley
Discusses family work with older adults by exploring some of the related literature published in the past ten years, and compares psychoeducational and systems-based approaches to work with later life families. Issues of bias and omissions in the existing literature, and the definition of family therapy with this client group are raised. Areas for future research are indicated.
Alone and vulnerable
- Author:
- CLODE Drew
- Journal article citation:
- Community Care, 30.1.92, 1992, p.14.
- Publisher:
- Reed Business Information
Looks at recent guidance from the ADSS on adults at risk and options available, which include extending powers of guardianship, as suggested by the Law Commission, and establishing multidisciplinary welfare tribunals.
Factors included in adult fall risk assessment tools (FRATs): a systematic review
- Authors:
- DE CLERCQ Hendrika, NAUDE Alida, BORNMAN Juan
- Journal article citation:
- Ageing and Society, 41(11), 2021, pp.2558-2582.
- Publisher:
- Cambridge University Press
Falls often have severe financial and environmental consequences, not only for those who fall, but also for their families and society at large. Identifying fall risk in older adults can be of great use in preventing or reducing falls and fall risk, and preventative measures that are then introduced can help reduce the incidence and severity of falls in older adults. The overall aim of our systematic review was to provide an analysis of existing mechanisms and measures for evaluating fall risk in older adults. The 43 included FRATs produced a total of 493 FRAT items which, when linked to the ICF, resulted in a total of 952 ICF codes. The ICF domain with the most used codes was body function, with 381 of the 952 codes used (40%), followed by activities and participation with 273 codes (28%), body structure with 238 codes (25%) and, lastly, environmental and personal factors with only 60 codes (7%). This review highlights the fact that current FRATs focus on the body, neglecting environmental and personal factors and, to a lesser extent, activities and participation. This over-reliance on the body as the point of failure in fall risk assessment clearly highlights the need for gathering qualitative data, such as from focus group discussions with older adults, to capture the perspectives and views of the older adults themselves about the factors that increase their risk of falling and comparing these perspectives to the data gathered from published FRATs as described in this review. (Edited publisher abstract)
Developing the assistive technology consumer market for people aged 50-70
- Authors:
- WARD Gillian, et al
- Journal article citation:
- Ageing and Society, 37(5), 2017, pp.1050-1067.
- Publisher:
- Cambridge University Press
Within the United Kingdom (UK), assisted living technologies are mostly provided through statutory health and social care services following assessment of individual need and application of eligibility criteria. This paper describes the first UK study to explore and develop business approaches and innovations required to make electronic assisted living technologies more accessible to consumers in their fifties and sixties. A robust mixed-method approach was used including a large sample size for a consumer survey, triangulation of methods and confirmation of research findings through validation workshops. This three-year study makes significant and original contributions to understanding consumer needs in this rapidly changing market and offers unique insights into the needs and wants of people aged 50–70. Analysis shows significant differences between consumer and business perceptions, indicating that marketing is not closely aligned to consumers' needs and is affecting the development of the market. New approaches to consumer-led business models are presented to improve information and marketing aimed at 50–70-year-old consumers. A ‘Broker/Independent Advisor’ business model showed most potential for meeting the needs of both consumer and business stakeholders. Findings support future development of an assisted living consumer market to meet growing levels of need and demand, and to offer greater consumer choice of mainstream technologies to enable people to age in place. (Edited publisher abstract)
A scoping review of treatments for older adults with substance use problems
- Authors:
- MOWBRAY Orion, QUINN Adam
- Journal article citation:
- Research on Social Work Practice, 26(1), 2016, pp.74-87.
- Publisher:
- Sage
Objectives: To identify effective treatment services for older, substance-using adults, an examination of the evidence associated with interventions for this group is presented. Methods: Using explicit, validated criteria to identify effective interventions, 22 publications were included in a review and were subject to a critical appraisal of study methodology. Results: The review identified four types of substance use treatment service settings for older adults, with mixed efficacy. These settings included (1) primary care settings or health clinics, (2) combined individual and group-based settings, (3) individual-based treatment settings, and (4) multiple treatment/multisite settings. Conclusion: Analyses of these publications revealed primary care settings or health clinic settings offered the most evidence of effective interventions, with noticeable gaps in research on interventions within other settings. Implications for social work practice and research are discussed. (Publisher abstract)
Providing high-quality end-of-life care universally
- Authors:
- HENRY Claire, HAYES Anita
- Journal article citation:
- Nursing Times, 109(33/34), 2013, pp.16-18.
- Publisher:
- Nursing Times
The National End of Life Care Programme was launched in November 2004, and has been instrumental in delivering the Department of Health's (2008) End-of-Life Care Strategy and the National Institute of Health and Clinical Excellence's (2011) Quality Standard for End of Life Care for Adults. End-of-life care now sits within the NHS Improving Quality. The authors discuss an overview of the programme's successes, challenges and priorities for the future. (Publisher abstract)