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Dignity and older Europeans: final report of focus groups of UK older people
- Author:
- DIEPPE Paul
- Publisher:
- Dignity and Older Europeans Consortium
- Publication year:
- 2004
- Pagination:
- 60p.
- Place of publication:
- Cardiff
Using focus groups with older people, this study explored how older people view human dignity in their lives, taking account of how this might be affected by factors such as age, illness, social and economic aspects, health and illness. The themes that emerged from the data are presented and compared to a philosophical account of dignity. The conclusion lists points for policy, education and service development in health and social care.
A systematic review of older people's perceptions of facilitators and barriers to participation in falls-prevention interventions
- Authors:
- BUNN Frances, et al
- Journal article citation:
- Ageing and Society, 28(4), May 2008, pp.449-472.
- Publisher:
- Cambridge University Press
The prevention of falls is currently high on the health policy agenda in the United Kingdom, which has led to the establishment of many falls-prevention services. If these are to be effective, however, the acceptability of services to older people needs to be considered. This paper reports a systematic review of studies of older people's perceptions of these interventions. The papers for review were identified by searching electronic databases, checking reference lists, and contacting experts. Two authors independently screened the studies and extracted data on the factors relating to participation in, or adherence to, falls-prevention strategies. Twenty-four studies were identified, of which 12 were qualitative. Only one study specifically examined interventions that promote participation in falls-prevention programmes; the others explored older people's attitudes and views. The factors that facilitated participation included social support, low intensity exercise, greater education, involvement in decision-making, and a perception of the programmes as relevant and life-enhancing. Barriers to participation included fatalism, denial and under-estimation of the risk of falling, poor self-efficacy, no previous history of exercise, fear of falling, poor health and functional ability, low health expectations and the stigma associated with programmes that targeted older people.
Count us in: meeting the changing needs and expectations of ethnic minority older people in Scotland
- Author:
- JOSHI Rohini Sharma
- Publishers:
- Trust Housing Association Ltd, Hanover Scotland, Bield Housing & Care
- Publication year:
- 2020
- Pagination:
- 76
- Place of publication:
- Edinburgh
This report, published by Trust, Hanover (Scotland) and Bield Housing Associations outlines the findings from interviews and focus groups with older ethnic minority people living in Scotland. The interviews involved 355 participants and covered the key topics of: home environment, financial wellbeing, physical and mental health, care needs and caring responsibilities, and participation in society. The report highlights issues and barriers facing older ethnic minority people in each of these areas. In addition, 19 community staff also participated in focus group discussions. The recommendations include: that social services make earlier interventions to ensure home adaptations are made before they become urgent; developing sheltered housing and care accommodation to meet the needs of people with different cultural and language needs; and a wider network of lunch clubs, drop-in centres and day centres. (Edited publisher abstract)
Concerns about aging and caregiving among middle-aged and older lesbian and gay adults
- Authors:
- CZAJA Sara J., et al
- Journal article citation:
- Aging and Mental Health, 20(11), 2016, pp.1107-1118.
- Publisher:
- Taylor and Francis
Objectives: Despite the increasing number of lesbian and gay older adults, research geared towards health and well-being of this population is limited. Many lesbian and gay seniors experience health disparities and are at risk for poor health outcomes. The aims of this study were to gather in-depth information on the concerns of lesbian and gay elders with respect to ageing and care needs. Method: The sample included 124 gay men and lesbian women aged 50+ years. Data were gathered via focus groups and questionnaires. The focus groups addressed: (1) concerns about ageing in the LGBT community, (2) barriers to needed support and services, (3) concerns about caregiving and (4) needed programs for lesbian and gay seniors. Results: Concerns expressed about ageing included: lack of financial security, lack of family or social support, fears about the lack of someone to provide needed care, and discrimination in healthcare or service communities. Participants also indicated concerns about being alone and vulnerable and a need for resources and support programmes, specifically for lesbian and gay older adults and for lesbian and gay caregivers. Conclusions: These findings suggest needed areas of support and programmes for older gay men and lesbian women. They also suggest that healthcare professionals might need more training regarding the particular needs and concerns of this community. (Edited publisher abstract)
Report of the community led research project focussing on: the needs of Chinese older people with dementia and their carers
- Authors:
- CHAN Nancy, et al
- Publisher:
- National Institute for Mental Health in England
- Publication year:
- 2007
- Pagination:
- 121p.
- Place of publication:
- Leeds
The aim of this research project was to investigate the needs of older Chinese people with dementia and their carers in the Greater Manchester area. The particular areas of interest relate to understanding and awareness of dementia and the support needs among Chinese older people and carers. Data was collected by means of questionnaires which were completed by 72 respondents (28 males and 44 females). All of the respondents were born outside the UK, and almost 75% had lived in the UK for over 20 years, 75% of them had come from Hong Kong. The findings from the different sections of the questionnaires are presented: profiles of the respondents; dementia awareness; services from the family doctor; and health and social care needs. The findings demonstrate in particular that the respondents had a lack of awareness and understanding of dementia and of how to access mental health services. The report concludes that it is important to provide individual and family support for the people with dementia and their carers, and to develop services which are culturally appropriate for Chinese older people. Some key recommendations are provided.
The sensitivity of United Kingdom health-care services to the diverse needs of Chinese-origin older people
- Authors:
- CHAU Ruby C.M., YU Sam Wai-Kam
- Journal article citation:
- Ageing and Society, 30(3), April 2010, pp.383-401.
- Publisher:
- Cambridge University Press
This paper contributes to the debate on how to make British health care services more responsive to the needs of older people who are members of recent immigrant groups. Focus is on Chinese-origin elders. Their diverse migrant histories, cultural backgrounds and attitudes to both “traditional” and Western health-care practices are discussed. The paper has four sections. The first argues that more awareness of the cultural diversity of ethnic minority groups will increase the sensitivity of health-care services to their needs and therefore raise their ability to access and benefit from the services. The authors examine the attitude of people of Chinese culture to their traditional health beliefs, values and practices, and whether there is a tradition among the Chinese of actively using elements of foreign culture to enhance their quality of life. The second and third parts of the paper discuss the various strategies adopted by Chinese-origin older people in Britain to improve their health and examine the responses in China to new western medical knowledge and practices. The fourth part considers the ways in which the sensitivity of British health-care services to the needs of ethnic-minority groups can be improved with a focus on the use of the culturagram instrument and procedure. The authors comment that the findings draw attention to the principles that health-care services should be made user-centred and needs-oriented.
Healthcare-seeking behaviours of older Iranian immigrants: health perceptions and definitions
- Author:
- MARTIN Shadi Sahami
- Journal article citation:
- Journal of Evidence-Based Social Work, 6(1), January 2009, pp.58-78.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The purpose of this qualitative study was to explore how cultural differences influence the healthcare-seeking behaviours of older Iranian immigrants in the United States. Older immigrants were defined as Iranians who were aged 50 years or more when they left their country. Cultural differences were examined in a variety of areas including definitions and perceptions of health, illness and care. Seven men and eight women, aged 53 to 87 years, completed in-depth, semi-structured interviews. The findings showed that participants’ definitions of health, illness and care differ significantly from mainstream Western definitions. The results demonstrated that these differences influence the participants’ healthcare-seeking behaviours. For example, Iranian immigrants define health holistically (including the mind, body, emotions and spirit) and, hence, they expect their health providers to care for them as a whole person and to not just focus on illness/disease elimination. The older Iranian immigrants’ frustration with Western medicines’ lack of attention to their “ruh” combined with their lack of trust in modern medicine and their pride keep many of them from seeking care when needed and from complying with their treatment. The author makes recommendations for change which include cultural training for medical staff and the use of cultural brokers.
Quality of life perceptions and social comparisons in healthy old age
- Authors:
- BEAUMONT J. Graham, KENEALY Pamela M.
- Journal article citation:
- Ageing and Society, 24(5), September 2004, pp.755-769.
- Publisher:
- Cambridge University Press
This paper reports a study of the influence of healthy older people's type of residence and social comparison strategies on their quality of life perceptions. Data were collected from 190 participants aged 65 or more years resident in one London Borough. Participants were classified by their type of residence, and their quality of life was assessed by the Schedule for Evaluation of Individual Quality of Life: Direct Weighting (SEIQoL-DW). Among the reported social comparison judgements, the dominant strategy was ‘Downward Contrast’. It was the sole strategy for 78 per cent of those studied, and was significantly associated with a higher perceived quality of life. Among other statistically significant findings, it was found that positive orientation, optimistic orientation, and the use of Contrast rather than Identification comparisons associated with a better reported quality of life. The over-riding influence of Downward Contrast comparisons was also confirmed: this strategy appears to be adaptive and functional in enhancing perceived quality of life. The effect is not mediated by depression, although differences in comparison strategy were observed among groups with different residential status. The possibility of an intervention to enhance the perceived quality of life is discussed.
National service framework for older people: audit of policies for age-related criteria; NSF standard one; rooting out age discrimination
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2001
- Pagination:
- 15p.
- Place of publication:
- London
This guide provides for the initial identification of aged based policies within the NHS to ensure compliance with first milestone for action within standard one of the National Service Framework for older people. In particular, the government has made clear that denying health and social care on the basis of age is unacceptable.
Participatory research with older people: a sourcebook
- Author:
- HESLOP Mandy
- Publisher:
- Help Age International
- Publication year:
- 2002
- Pagination:
- 86p.,bibliog.
- Place of publication:
- London
This book has been produced as a resource to help all preparatory stages of participatory research with older people. It offers an overview of the research process and contains practical examples and case studies involving older people. Topics covered: planning and carrying out research; using research; training and research tools.