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Effective implementation approaches for healthy ageing interventions for older people: a rapid review
- Authors:
- OWUSU-ADDO Ebenezer, et al
- Journal article citation:
- Archives of Gerontology and Geriatrics, 92, January-February 2021, p.104263.
- Publisher:
- Elsevier
Background and objectives: Systematic reviews on healthy ageing interventions have primarily focused on assessing their effectiveness, not the implementation processes underpinning them, and the factors influencing program effectiveness. This has created a knowledge gap about what are effective implementation approaches, and how to scale up such interventions at the population level. Our aim in this rapid review was to synthesise the evidence on implementation of effective healthy ageing interventions, and to identify the factors that influence population-level implementation of these interventions. Design and methods: Following the PRISMA checklist, the researchers searched for papers in six databases: Ovid Medline, Ovid Embase, CENTRAL, CINAHL, PsycArticles and PsycINFO. A narrative synthesis was used to summarise the results. Results: Twenty-nine articles reporting on 21 healthy ageing interventions (studies) were included in the review. The findings show that a wide range of approaches to implementation were used including collaborative partnership, co-design, use of volunteers, person centred-care, and self-directed/professional-led approaches. The key implementation drivers were the use of behavioural change techniques, social interaction, tailoring of interventions, booster sessions, and multi-component and multi-professional team approach to intervention design and delivery. Conclusion: The effectiveness of healthy ageing interventions is contingent on a number of factors including the type of implementation approaches used, the context in which programs are implemented, and the specific mechanisms that may be at play at the individual older adult level. (Edited publisher abstract)
Positive health among older Traveller and older homeless adults: a scoping review of life‐course and structural determinants
- Authors:
- CUSH Peter, et al
- Journal article citation:
- Health and Social Care in the Community, 28(6), 2020, pp.1961-1978.
- Publisher:
- Wiley
Concepts related to positive health in later life are increasingly prevalent within community‐based health and social care policy. With a greater emphasis on inclusion health for older populations, there is a critical need to understand the determinants of such states for those most at risk of societal disadvantage. Focusing on two such groups, the aim of this article is to synthesise international research on the life‐course and structural determinants of positive subjective health for older homeless people and older Irish Travellers. Two scoping reviews were conducted (one for each group) to capture state‐of‐the art knowledge published from 1998 to 2020. The reviews were completed from July to December 2018, and repeated from March to April 2020. Thirty‐eight publications were included in the final sample (older Travellers: 10 sources; older homeless: 28 sources). Specific life‐course and structural factors were evident for both groups, as well as commonalities with respect to: accumulated exclusions; complexity of needs; accommodation adequacy/stability and independence and resilience. Research gaps are identified concerning: lack of conceptualisation of positive health; the application of life‐course perspectives and the absence of an environmental gerontological analysis of the situations of both groups. (Edited publisher abstract)
Who are the baby boomers of the 1960s?
- Authors:
- YOUNG Aideen, TINKER Anthea
- Journal article citation:
- Working with Older People, 21(4), 2017, pp.197-205.
- Publisher:
- Emerald
Purpose: The 8.3 million babies who were born during the 1960s in the UK are 48-57 years old. With growing concern about population ageing, and the oldest of this large cohort on the brink of later life, it is timely to provide an overview of selected characteristics of this cohort in order to help predict likely needs and choices for services and products in later life. The paper aims to discuss these issues. Design/methodology/approach: A synthesis (non-systematic) of the academic and grey literature plus data from various sources including the Office for National Statistics was used to construct a picture of the 1960s baby boomer. Findings: Characteristics with the potential to signify lifestyle changes among this, compared with previous, cohorts of older people include: a higher probability of living alone in old age due to high rates of childlessness and divorce; a possibly larger proportion of their lives spent with one or more chronic conditions, although the prevalence of disability affecting activities of daily living is lower than for previous cohorts; high levels of home ownership; increased rates of employment at older ages; but reduced wealth compared with previous cohorts. Originality/value: The term baby boomer is generally used to denote people born in the undifferentiated surge of births that occurred in the USA between 1946 and 1964. In the UK, post Second World War spike in births was followed by a separate, broad surge in births across the 1960s but there has been very little analysis specifically of the 1960s cohort in this country. This paper addresses that gap, by bringing together the available evidence and data on this specific cohort in the UK. (Publisher abstract)
Socio-economic position and subjective health and well-being among older people in Europe: a systematic narrative review
- Authors:
- READ Sanna, GRUNDY Emily, FOVERSKOV Else
- Journal article citation:
- Aging and Mental Health, 20(5), 2016, pp.529-542.
- Publisher:
- Taylor and Francis
Objectives: Previous studies of older European populations have established that disability and morbidity vary with indicators of socio-economic position (SEP). The authors undertook a systematic narrative review of the literature to ascertain to what extent there is evidence of similar inequalities in the subjective health and well-being of older people in Europe. Method: Relevant original research articles were searched for using Medline, Global Health, Embase, Social Policy and Practice, Cinahl, Web of Science and International Bibliography of the Social Sciences (IBSS). The authors included studies of SEP and indicators of subjective health and well-being (self-rated health; life satisfaction; quality of life) conducted since 1991 using population-based samples of older people in Europe and published 1995–2013. Results: A total of 71 studies were identified. Poorer SEP was associated with poorer subjective health and well-being. Associations varied somewhat depending on the SEP measure and subjective health and well-being outcome used. Associations were weaker when social support and health-related behaviours were adjusted for suggesting that these factors mediate the relationship between SEP and subjective health and well-being. Associations tended to be weaker in the oldest age groups. The patterns of associations by gender were not consistent and tended to diminish after adjusting for indicators of health and life circumstances. Conclusion: The results of this systematic narrative review of the literature demonstrate the importance of social influences on later life subjective health and well-being and indicate areas which need further investigation, such as more studies from Eastern Europe, more longitudinal studies and more research on the role of mediating factors. (Edited publisher abstract)
Health and ageing in Slovenia: literature review
- Authors:
- PAHOR Majda, DOMAJNKO Barbara
- Journal article citation:
- Ageing International, 32(4), December 2008, pp.312-324.
- Publisher:
- Springer
- Place of publication:
- New York
The study aims to establish whether professional and scientific literature in Slovenia provides grounds for the integrated approach in care for the elderly. Literature review is used as the method of data collection and analysis. Relevant publications were searched for through the national electronic interdisciplinary bibliographic database. Data was collected twice, for the period from 1994 to 2003 and from 2004 to 2006, to establish the publishing trend. A chart is drawn, based on a distinction among three levels: disciplinary, multi-interdisciplinary and the level of integration. It outlines the conceptualization of elderly people’s health as shaped through selected literature, and another one exposes its changes in time. Results show the prevalent presence of the functionalist theoretical perspective on ageing and the bio-medical model of care for the elderly. The voice of the elderly is poorly acknowledged. Data testify to the lack of literature that would support the implementation of the integrated approach to the health of the elderly.
Cancer treatments
- Authors:
- MARAMALDI Peter, DUNGAN Sheryn, POORVU Nancy L.
- Journal article citation:
- Journal of Gerontological Social Work, 50(S1), 2008, pp.45-77.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
As survival rates for various cancers improve, with some now being seen as chronic illnesses, cancer is an increasingly important topic within gerontology. Demand for psychosocial interventions to improve the health and quality of life of those with cancer is rising, and this systematically conducted review aims to identify evaluation studies that are evidence-based. The majority that are disease-specific relate to breast cancer (15), with a smaller number (3) covering prostate cancer. In addition, the review identifies eight studies of treatments directed at patients with a variety of diagnoses. In the case of breast cancer, most treatments are group-based and designed to promote mutual aid. The use of complementary therapies is also a common feature. All these studies reported at least some improvement in health-related quality of life. Other studies used psycho-educational interventions to improve disease awareness and these gave positive results for both patients and carers. The paper concludes with a ‘treatment resource appendix’ directed at US practitioners. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Simple measures for assessing the physical, mental and social functioning of older people
- Authors:
- LOWLES Ruth V., PHILP Ian
- Journal article citation:
- Generations Review, 11(2), June 2001, pp.12-14.
- Publisher:
- British Society of Gerontology
This literature review aims to identify the shortest, simplest and cheapest measures for assessing physical, mental and social functioning of older people.
The elderly in modern society
- Author:
- TINKER Anthea
- Publisher:
- Longman
- Publication year:
- 1984
- Pagination:
- 369p.,bibliog.,tables.
- Place of publication:
- Harlow
Ambient assisted living technologies to support older adults’ health and wellness: a systematic mapping review
- Authors:
- CHOUKOU MA, et al
- Journal article citation:
- European Review for Medical and Pharmacological Sciences, 25(12), 2021, pp.4289-4307.
- Publisher:
- Verduci Editore
- Place of publication:
- Rome
While the proportion of the Older Adults (OAs) population is growing, this shift raises a challenging question: “How can we support OAs to lead independent and healthy lifestyle?”. Many researchers have been studying Ambient Assisted Living Technologies (or AALTs) over the last three decades to tackle this challenge. However, no literature can provide an overall view of research in the field of AALTs and linkages between technical development and related healthcare needs. Thus, we conducted a systematic mapping review of literature focusing on AALTs (N = 7006) to explore three main research questions: 1) When, where, and how AALTs are studied?; 2) What is the technological maturity level of AALTs used to support a health and wellness, and where were they evaluated and/or implemented?; and 3) To which health and wellness purposes are AALTs deployed? We found several noticeable imbalances in literature and identified some strategies to move this field of investigation further and to bring AALTs applications clser to clinical practice. While research in the area is gradually blossoming, the area mainly leads in only a few countries. Furthermore, the majority of research targeted asymptomatic older adults living at home. We hope this paper will help researchers easily understand what type of research, with whom, and where are available in AALT now. Potential challenges associated with AALTs research are also discussed. (Edited publisher abstract)
A scoping review: characteristics and outcomes of residents who experience involuntary relocation
- Authors:
- WEAVER Raven H., ROBERTO Karen A., BROSSOIE Nancy
- Journal article citation:
- Gerontologist, 60(1), 2020, pp.e20-e37.
- Publisher:
- Oxford University Press
Background and Objectives: Relocation to a residential care facility has been described as the most significant relocation affecting older adults, yet subsequent relocations, like in the case of a facility closure, have received minimal attention in the scholarly research literature. This paper reviews the published literature on involuntary relocation, focusing on the experiences of residents, families, and staff and the effects of involuntary relocation on nursing home residents’ health. Research Design and Methods: A scoping review was conducted to identify peer-reviewed studies reporting on involuntary relocation of nursing home residents. A total of 28 quantitative, qualitative, and mixed-method articles met inclusion criteria. Results: Researchers mostly relied on longitudinal designs and quantitative indicators of functional health, cognitive status, psychological and emotional well-being, environment, and relocation context to examine residents’ mortality risk and health outcomes associated with involuntary relocation. Inclusion of qualitative and mixed-method approaches was infrequent, as were indicators of social engagement and perceptions of relocation. Residents’ awareness of and preparation for involuntary relocation positively influenced their health and well-being. Family involvement was frequently hindered by communication challenges with facilities. Staff expressed concern about residents, experienced increased workload demands, and acknowledged challenges with planning and communication. Discussion and Implications: Based on the collective findings, the authors propose a conceptual model of critical factors at play during relocation for consideration for guiding future research and developing provisions to current policies guiding relocation processes. Facilities and policymakers need to consider procedures that enhance planning efforts and decision-making among this vulnerable population and their families. (Edited publisher abstract)