Search results for ‘Subject term:"older people"’ Sort:
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Do sedentary older adults benefit from community-based exercise?: results from the Active Start Program
- Authors:
- YAN Tingjian, et al
- Journal article citation:
- Gerontologist, 49(6), December 2010, pp.847-855.
- Publisher:
- Oxford University Press
This study assessed the effectiveness of Active Start, a community-based behaviour change and fitness programme, designed to promote physical activity among sedentary community-dwelling older adults. A quasi-experimental design was used. Data were analysed using a within-group pretest/post-test design to calculate changes in the intervention group and changes in the waitlist comparison group. Further analyses were conducted after the comparison group completed the intervention. Paired t tests were employed to analyse unadjusted mean changes in physical performance measures from pretest to post-test. Repeated measures analysis of covariance was then conducted to calculate the adjusted mean change for the intervention group. Significant improvement was found on all performance measures (strength, flexibility and balance) for the intervention group as a whole. Similar improvements were found among subgroups (Whites, African Americans and Hispanics). No significant changes were found in the comparison group when they were in the control condition; however, they significantly improved on all measures after completing the intervention. This study suggests that a community-based physical activity programme benefits sedentary, racially and ethnically diverse older adults by coupling a behavioural change support group and fitness classes.
Living well in later life: from prevention to promotion
- Authors:
- WISTOW Gerald, WADDINGTON Eileen, GODFREY Mary
- Publisher:
- University of Leeds. Nuffield Institute for Health
- Publication year:
- 2003
- Pagination:
- 6p.
- Place of publication:
- Leeds
This report argues for a switch in emphasis from avoiding higher intensity and more costly care to promoting older people's quality of life and their engagement in the community.
Quality of life in older people
- Authors:
- LIVINGSTON G., et al
- Journal article citation:
- Aging and Mental Health, 2(1), February 1998, pp.20-23.
- Publisher:
- Taylor and Francis
Discusses how measurement of health related quality of life (HQoL) has been developed as a way of describing health states in terms of an individual's perception of his/her position in life. Psychiatric morbidity, physical disability and quality of life were assessed by standardised questionnaire in older people living at home in an inner-city area. Argues that there is a clear need to develop measures of HQoL appropriate for older people. The IHQL in its presents version does not however show concurrent validity in older people in the community, suggesting that IHQL data should not be used in resource allocation decisions where older people are involved.
Perceived risks to independent living: the views of older community-dwelling adults
- Authors:
- MACK Ruthanna, et al
- Journal article citation:
- Gerontologist, 37(6), 1998, pp.729-736.
- Publisher:
- Oxford University Press
Gather the perceptions of older, community-dwelling adults about factors they considered essential for them to remain living within the community. In-depth interviews were conducted with 103 men and women over the age of 65 years who were living in their own home or apartment, within an urban centre in the United States of America. Factors such as finances, health, family support, a sense of identify, and a feeling of independence were perceived by older adults to contribute to their ability to remain living in the community. Importantly, older adults viewed threats to this continued independent living as both (a) factors connected to losses and maintenance of capability, but also (b) as impediments to further growth of their personal well-being.
Community care for the frail elderly: an urban experiment
- Authors:
- CHALLIS David, et al
- Journal article citation:
- British Journal of Social Work, 18(Supplement), 1988, pp.13-42.
- Publisher:
- Oxford University Press
Describes the development of the Gateshead project, outcomes, measures of quality of life and adequacy of care.
Home and community-based services and life satisfaction among homebound and poor older adults
- Authors:
- CHEN Qingru, et al
- Journal article citation:
- Journal of Gerontological Social Work, 62(7), 2019, pp.708-727.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Guided by the personal-environment (P-E) fit perspective, this study aims to: (1) describe characteristics of older people with homebound and low-income status; (2) investigate how the combination of homebound and low-income status is associated with life satisfaction; and (3) examine whether Home and Community-Based Services (HCBS) utilization moderates the association between homebound and low-income status and life satisfaction. Data were drawn from the 2012 Health and Retirement Study, and the sample included respondents who were 51+ years who completed a questionnaire for HCBS utilization (n= 1,662). Results describe sociodemographic, health-related, and environmental characteristics of older adults. Combined homebound and low-income status was a significant predictor of lower life satisfaction, but better life satisfaction when they used HCBS. These findings suggest that promoting HCBS utilization is a promising strategy to enhance well-being among those homebound and poor. Further studies are needed to test the effectiveness of HCBS with longitudinal data and to investigate the details of effective HCBS utilization such as frequency of use and types of services. (Edited publisher abstract)
Meeting the needs of older people living at home with dementia who have problems with continence
- Authors:
- DRENNAN Vari M., MANTHORPE Jill, ILIFFE Steve
- Journal article citation:
- Quality in Ageing and Older Adults, 18(4), 2017, pp.246-253.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to discuss the question of how to meet the needs of older people living at home with dementia who have problems with continence. The paper is focused on social care practice in community settings. Design/methodology/approach: This paper is practice focused and draws on the authors’ research and experiences in clinical care, workforce development and service improvement. Findings: This paper summarises research on incontinence and its negative effects on quality of life and care relationships. It describes the impact of incontinence in terms of social embarrassment, restricted social activity, extra work (such as laundry) and costs, but also distress. It links research with care practice, with a focus on people with dementia who may be at particular risk of both continence problems and of assumptions that nothing can be done to assist them. Social implications: This paper provides questions that could be addressed in commissioning and provision of services and argues that they need to be informed by care practitioners’ experiences. It provides details of sources of support that are available at national and local levels. Originality/value: This paper draws together research on continence and social care practice to provide a series of self-assessment questions for local services. It focuses on social care workers who are at the frontline of practice including personal assistants and carers. (Publisher abstract)
Impact of the Village model: results of a national survey
- Authors:
- GRAHAM Carrie L., SCHARLACH Andrew E., STARK Bradford
- Journal article citation:
- Journal of Gerontological Social Work, 60(5), 2017, pp.335-354.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Villages are a relatively new, consumer-directed model that brings together older adults in a community who have a mutual interest in ageing in place. These membership organisations provide social and civic engagement opportunities, volunteer provided support services, and referral to vetted community providers to achieve their primary goals of promoting independence and preventing undesired relocations. This cross sectional survey of 1,753 active Village members from 28 Villages across the US measured members’ perceived impacts in the areas of social connection, civic engagement, service access, health and well-being, and ability to age in place. Results showed that involvement in the Village was a key factor associated with greater perceived impacts. Over half of members perceive that the Village has improved their sense of connection to others and their feeling that they have someone to count on. Though younger members in better health were more likely to perceive impacts in social connections, results suggest older women, living alone with some disability may be the most likely to experience improved health, quality of life, and mobility. The implications for social work practice are discussed. (Edited publisher abstract)
"It's good to go places!": a review of literature around transport for older people
- Author:
- EVALUATION SUPPORT SCOTLAND
- Publisher:
- Evaluation Support Scotland
- Publication year:
- 2014
- Pagination:
- 37
- Place of publication:
- Edinburgh
This review of key pieces of literature tries to identify if formal or research based evidence backs up the view that community transport plays a key role in ensuring older people can access services and opportunities that they both want and need and whether this makes a significant contribution to their wellbeing and quality of life. The review identifies a number of outcomes that can come from using community transport. These are: people are less likely to miss their health appointments; people are more likely to be physically active – which affects mental well-being mobility and muscular strength, cardiovascular disease and falls; people are less likely to feel socially isolated, both in terms of getting out of the house and meeting people and in terms of the journey itself; people can maintain their independence and control; people have more opportunities for eating healthier as transport allows older people to shop around and get more value for their money; and community transport can contribute to mental well-being. (Edited publisher abstract)
Caring for depressed elderly in the emergency department: establishing links between sub-acute, primary, and community care
- Authors:
- JOUBERT Lynette, et al
- Journal article citation:
- Social Work in Health Care, 52(2/3), 2013, pp.222-238.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A significant proportion of elderly patients presenting to hospital emergency departments involve preexisting conditions including depression that, within elderly patients, is associated with social isolation, physical and mental health problems, and barriers to accessing community services. It is also often overlooked as a clinical diagnosis among the elderly. This study aimed to assess the efficacy of a brief depression screening tool and examine the change over time in quality of life and social factors for elderly patients who present to an Emergency Department in one Australian hospital. A total of 771 patients aged 65 years and over participated in the study, and based on exclusion criteria 66 were then fully screened for depression. Patients were screened for depression using a short form of the Geriatric Depression Scale (GDS-15). Participants were randomized into control (usual care) and intervention (an assertive outreach community management program) groups and assessed in relation to depression, quality of life, and social support/functioning at recruitment and 6 weeks post discharge. Approximately one in four participants experienced mild to moderate depression that was related to medical factors and associated reduced mobility. This study suggests that an assertive outreach program, with the inclusion of community intervention and links to social supports and services, could improve the management of depression in the elderly and associated health outcomes. (Edited publisher abstract)