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Older people's sense of coherence: relationships with education, former occupation and living arrangements
- Authors:
- CIAIRANO Silva, et al
- Journal article citation:
- Ageing and Society, 28(8), November 2008, pp.1075-1091.
- Publisher:
- Cambridge University Press
Few studies have explored the combination of individual and contextual conditions that influence psychological health among older people. This study aimed to analyse the sense of coherence (SOC) in a sample of Italian senior citizens in relation to gender, educational level, living arrangements and former employment, when controlling for age. The short version of the SOC scale (Antonovsky 1987), which has items for the ‘comprehensibility’, ‘manageability’ and ‘meaningfulness’ components, was administered to a sample of 198 senior citizens of both genders and with an average age of 68.5 years. The findings showed that: (a) senior citizens with a higher level of education and who had retired from jobs with a high level of responsibility perceived reality as more controllable, manageable and meaningful; (b) with greater age, the perception that life's challenges are worth facing decreased; and (c) there was an interaction between living arrangements and education level, viz. those with higher education, and those with lower education living with a spouse or partner, perceived reality as more meaningful and their life challenges as worth facing. It is important to investigate further the activities that help maintain a high sense of coherence throughout the life span, and to design social policies that support senior citizens who live alone, because they appear psychologically weaker than others.
The effects of a physical activity programme on the psychological wellbeing of older people in a residential care facility: an experimental study
- Authors:
- CIAIRANO Silva, LIUBICICH Monica Emma, RABAGLIETTI Emanuela
- Journal article citation:
- Ageing and Society, 30(4), May 2010, pp.609-626.
- Publisher:
- Cambridge University Press
This study analyses the physical and psychological benefits associated with physical exercise sessions given by 6 specially trained instructors on older people living in a northern Italian residential care home. Previous research, mostly focusing on older people living independently suggests that physical exercise (formal or e.g. gardening or housekeeping) may minimise or reverse physical frailty and spontaneously boost basic activities such as unassisted dressing and washing, while formal physical exercise programmes in nursing home residents decreased depression and anxiety levels and increased cognitive functioning. The effects of such aerobic activity interventions on the residents’ general health perceptions, perceptions that health limits moderate to heavy physical exercise, and positive and negative self-perceptions were assessed. Twenty two, mixed gender, self-sufficient, older people (10 control, 12 test - given two 45 minute sessions for 13 weeks over 5 months) of average age 80.6 years, completed the Italian version of the 36-item Short Form Health Survey Questionnaire, pre and post-test. The findings showed that the perception that one’s health can limit moderate to heavy physical activity decreased post intervention in the test group while it increased in the control group, positive self-perception remained stable in the test group but it was reduced in the control group and that there was no interaction between group and time with respect to general health perceptions and negative self-perception.
Common experiences of staff working in integrated health and social care organisations: a European perspective
- Author:
- COXON Kirsite
- Journal article citation:
- Journal of Integrated Care, 13(2), April 2005, pp.13-21.
- Publisher:
- Emerald
Presents a comparison of the views of staff working in 18 integrated care settings, undertaken as part of the PROCARE study of integrated health and social care. The data reveals commonalities across the nine European countries (Austria, France, Germany, Italy, Finland, UK, Denmark, Greece and the Netherlands). Increased job satisfaction was an advantage of integrated working, but respondents also reported difficulties in working with hospitals or medical professionals, and continued barriers to integrated working generally. Single standalone organisations such as home care teams reported the clearest benefits from integrated working, while cross-agency models continued to encounter significant barriers to health and social care integration.