Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 24
Client satisfaction with home care services in rural Russia
- Authors:
- STRUYK Raymond, et al
- Journal article citation:
- Journal of Aging and Social Policy, 18(1), 2006, pp.87-105.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
This study explores the satisfaction of a sample of 300 frail elders living in a rural Russian area with the support services provided by social service agency staff. The client population lives in extremely difficult conditions in terms of housing and associated communal services. They reported very high levels of satisfaction with the agency-provided services, both general satisfaction and their satisfaction with the specific services received during the reference visit inquired about by the interviewer. The degree of satisfaction is likely related to the difficulty of their living environment and their probable poverty, as well as the quality of services received. Attempts to relate the variance in the satisfaction ratings to the extent of activity limitations and the volume of formal and informal care using multivariate analysis met with limited success, owing in part, at least, to the limited variance in the dependent variables. Nevertheless, the patterns identified are broadly consistent with expectations based on modelling previously done for the U.S. populations receiving at-home care. The results clearly indicate the value of providing such services to frail elders in such circumstances.
Rural older adults at home
- Authors:
- CASSIDY-CAYWOOD Whitney, HUBER Ruth
- Journal article citation:
- Journal of Gerontological Social Work, 42(3/4), 2003, pp.229-245.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The authors discuss circumstances that affect rural seniors living in their own homes. The strengths perspective informs this discussion, allowing the reader to consider several alternatives to the deficit-focused mentality that often pervades those who work with elders who are, sometimes, and perhaps stereotypically, regarded as frail. Issues unique to rural areas are addressed, programmes that serve rural seniors are reviewed, and suggestions are made for the service provider working with this population. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
The Oxford conference: supporting older people in general housing; proceedings of an international symposium at Wadham College, Oxford 28th-30th March 1990
- Author:
- ANCHOR HOUSING TRUST
- Publisher:
- Anchor Housing Trust
- Publication year:
- 1990
- Pagination:
- 120p.
- Place of publication:
- Oxford
Papers from a conference that brought together people from a variety of different organisations and disciplines. Includes papers on: housing agency services in Britain; rural initiatives in Northern Ireland; staying put in the Netherlands; the Oxford Agewell Project; commercial enterprises and sheltered housing; and the multi-functional centre - the Danish experience.
The 'home-care principle' in everyday making of eldercare policy in rural Sweden
- Authors:
- NYHLEN Sara, GIRITLI-NYGREN Katarina
- Journal article citation:
- Policy and Politics, 44(3), 2016, pp.427-439(13).
- Publisher:
- Policy Press
Translating the urban based national policy of eldercare to a rural context is seen as a key activity for rural policy actors since the fact that rural municipalities face different issues to urban areas is not reflected in the operational plans for eldercare. The aim of this article is to highlight the process by which urban based policies are enacted in rural municipalities by analysing how the home-care principle in eldercare policies is framed and implemented by different actors at various administrative levels in three rural municipalities. It becomes evident how the institutional position is crucial in the enactment process. (Publisher abstract)
Unmet home care service needs of rural older adults with Alzheimer's disease: a perspective of informal caregivers
- Authors:
- LI Hong, et al
- Journal article citation:
- Journal of Gerontological Social Work, 55(5), July 2012, pp.409-425.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A majority of rural older adults with Alzheimer’s disease (AD) live at home and are cared for by informal caregivers. Services designed to assist older adults and their caregivers, such as meals-on-wheels and in-home personal care, may be less accessible in rural communities. The aim of this study was to assess the unmet service needs of rural older adults with AD and to identify factors that were related to these needs. Data were collected during in-depth telephone interviews conducted with 109 informal caregivers of AD patients in central Illinois. The findings indicated that over half of the patients experienced unmet service needs in 1 or more areas of activities of daily functioning. Informal caregiver burden and patient's gender and functional status were significantly related to patients' unmet service needs. Patients' use of formal services was marginally related to their unmet service needs. The article concludes that a comprehensive needs assessment should be conducted with both patients and their caregivers in order to better address patients' service needs.
Rural older adults' access barriers to in-home and community-based services
- Author:
- LI Hong
- Journal article citation:
- Social Work Research, 30(2), June 2006, pp.109-118.
- Publisher:
- Oxford University Press
This American study identified specific access barriers to seven commonly used in-home and community-based services (HCBS) and examined factors that were related to barriers to these services. The data used in this study were extracted from the 1999 National Long Term Care Survey and included 283 dyads of rural older adults and their caregivers. The HCBS to which caregivers most frequently reported access barriers were respite care, transportation, and homemaker services. Although access barriers varied depending on individual services, the main access barriers were unavailability, unawareness, and affordability of HCBS. Findings showed that predisposing, enabling, and need factors had differential influence on access barriers to individual services. The older adult's race, educational attainment, and Medicaid enrolment were significant predictors of access barriers to homemaker services. The older adult's educational attainment and annual household income were significant predictors of access barriers to home modification services. Implications of these findings for social work practice are discussed.
The amount of informal and formal care among non-demented and demented elderly persons - results from a Swedish population-based study
- Authors:
- NORDBERG G., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(9), September 2005, pp.862-871.
- Publisher:
- Wiley
This study describes the amount of formal and informal care for non-demented and demented persons living at home in a population-based sample. The population consisted of all inhabitants, 75 + years, living in a rural community (n = 740). They were clinically examined by physicians and interviewed by nurses. The results found the amount of informal care was much greater than formal care and also greater among demented than non-demented. There was a relationship between the severity of the cognitive decline and the amount of informal care while this pattern was weaker regarding formal care. Tobit regression analyses showed a clear association between the number of hours of informal and formal care and cognitive decline although this pattern was much stronger for informal than formal care. The authors concluded that informal care substitutes rather than compliments formal care and highlights the importance of future studies in order to truly estimate the amount of informal and formal care and the interaction between them.
The influence of rural location on utilization of formal home care: the role of Medicaid
- Authors:
- McAULEY William J., et al
- Journal article citation:
- Gerontologist, 44(5), October 2004, pp.655-664.
- Publisher:
- Oxford University Press
This research examines the impact of rural–urban residence on formal home-care utilization among older people and determines whether and how Medicaid coverage influences the association between rural–urban location and risk of formal home-care use. The authors combined data from the 1998 consolidated file of the Medical Expenditure Panel Survey Household Component with data from the Area Resource File to generate the analytical data set. They established two measures of formal home-care utilization: home care reimbursed through any source, and Medicare-reimbursed home health care. Our measures of rural–urban residence included metropolitan counties, nonmetropolitan counties having towns of at least 10,000 people, and nonmetropolitan counties with no towns of 10,000 people. The authors used logistic regression analyses to examine main effects and interaction effects of Medicaid coverage and residence on the two types of formal home care under controls for person-level characteristics and state fixed effects. The unadjusted logistic analyses demonstrate that older people who reside in the most rural counties (nonmetropolitan counties having no town of 10,000) are significantly more likely than metropolitan residents to use any formal home care and Medicare home health care. The fully adjusted logistic analysis results point to an interplay between residential status and Medicaid coverage with regard to formal home-care use. In comparison with metropolitan residents covered by Medicaid, the adjusted relative risk of any formal home-care use is significantly higher for Medicaid enrollees residing in nonmetropolitan counties having no town of 10,000 people. Use of Medicare home health care is significantly greater for residents of the most rural counties, irrespective of their Medicaid coverage, as well as Medicaid-covered residents of nonmetropolitan counties having a town of at least 10,000 people. In nonmetropolitan areas, Medicaid may be an important mechanism for linking older individuals with formal home care, especially Medicare home health care, and with the services that generate formal home care. Formal home care, including Medicare home health care, may substitute for less available forms of care in the most rural of nonmetropolitan areas. Therefore, policies that limit access to formal home care could lead to increased service-related vulnerabilities among older rural residents.
Care planning for people with dementia who live alone
- Author:
- GILMOUR Helen
- Journal article citation:
- Journal of Dementia Care, 12(1), January 2004, pp.33-34.
- Publisher:
- Hawker
This article explores care planning in the lives of 10 people with moderate dementia who live alone. These 10 people formed a small available consenting sub-group identified by a larger study that explored dementia prevalence rates, social circumstances, lifestyle and living arrangements, health status and service provision among 435 people with dementia residing in a rural area in Northern Ireland.
Impact of a home-based nutrition and exercise intervention in improving functional capacity associated with falls among rural seniors in Canada
- Authors:
- JOHNSON Shanthi, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 19(4), 2018, pp.261-272.
- Publisher:
- Emerald
Purpose: A six-month randomized controlled trial was conducted to examine the impact of a home-based nutrition and exercise intervention on functional capacity to prevent falls among rural seniors. The paper aims to discuss this issue. Design/methodology/approach: Men and women (n=134), aged 60 and older were assigned to one of four groups: exercise, nutrition, exercise-nutrition and control. Participants in the exercise and exercise-nutrition groups performed a home-based exercise programme (Home Support Exercise Program), and the nutrition and exercise-nutrition groups received a liquid nutritional supplement (Ensure®) for six months. Participants were assessed at baseline and six months on functional mobility, balance, flexibility and endurance. Findings: There were significant group differences over time for functional reach and the Timed Up and Go test, with significant differences existing between exercise and nutrition-exercise and exercise and nutrition groups, respectively. Overall, the exercise group out-performed the other groups in terms of functional capacity and psychological well-being. Research limitations/implications: Improvement of functional health among rural seniors is achievable through the delivery of a home-based intervention focusing on exercise and nutrition. Practical implications: The study also shows that the effective delivery of an intervention to successfully address a fundamental and persistent problem is possible using existing resources; however, it requires a commitment of focus and energy over considerable time. Social implications: The approach and findings promotes seniors to age in place in rural context. It shows feasibility of delivering a practical intervention in the rural setting through the health care infrastructure of home care. Originality/value: Apart from the rural context, the study was innovative at many levels. Specifically, this intervention addressed a significant health issue (functional capacity, falls and injuries), involved frail rural seniors (often hard to reach through community-based programmes), provided a feasible intervention (multiple component exercise programme), used existing infrastructure (e.g. home care), and espoused community development principles (active involvement of community partners, researchers, and trainees). As well, the study had built-in mechanisms for monitoring and support through the involvement of home service workers who received training. This approach created a strong research to practice connection (another innovation) and was critical for the credibility of the investigation, as well as the sustainability of the intervention. Another innovation was the inclusion of a population health perspective as the study framework. From the population health perspective, this research addressed several determinants of health in rural and urban areas that include: physical environment (intervention within people’s home and rural context), social environment and social support networks (through existing infrastructures of home support workers), health services (availability of health promotion strategy delivered through the health care system) and personal health practices and coping skills (exercise). (Edited publisher abstract)