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Outcomes and well-being part 1: a comparative longitudinal study of two models of homecare delivery and their impact upon the older person self-reported subjective well-being
- Author:
- GETHIN-JONES Stephen
- Journal article citation:
- Working with Older People, 16(1), 2012, pp.22-30.
- Publisher:
- Emerald
This paper investigated the impact of two models of home care delivery for older people, and how these two models impact on the older persons' self-reported well-being. It examined whether altering the delivery of care to an outcome-focused model would improve the individual participant's subjective well-being and save money for the local authority. An 18 month longitudinal study was conducted on 40 service users aged 65 and over whom all had critical and substantial care needs. Half of the sample of service users was receiving the new form of outcome-focused care and the other half were a comparison group who were receiving care packages according to the traditional form of delivery that could be characterised as a “task-focused” model. Participants identified: quality of life issues; where they were seeking improvement; and change over time in relation to these. Findings revealed an improvement in subjective well-being in the group receiving outcome-focused care. Implications for practice are discussed.
The benefits of befriending: a study using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS)
- Author:
- BEFRIENDING NETWORKS
- Publisher:
- Evaluation Support Scotland
- Publication year:
- 2015
- Pagination:
- 20
- Place of publication:
- Edinburgh
This study undertaken by Befriending Networks explores perceptions of change in mental well-being among older clients of befriending (and related) projects following receipt of befriending support, using WEMWBS as a measuring tool. The report presents the findings of a survey of 123 older clients of 37 befriending projects, showing that there was a highly positive perception of change in mental well-being and recognition of other benefits linked to receipt of befriending. Participants identified improvements, which were attributed to the receipt of befriending, in their social life and connectedness to others, 16 mental/psychological well-being, coping, confidence, independence, physical activity and trust in others. The findings also suggest that befriending may have a greater beneficial effect on women and the very old. However, as a result of methodological limitations, these findings needed to be treated cautiously and confirmed using a more robust study design. (Edited publisher abstract)
Development of the carer well-being and support (CWS) questionnaire
- Authors:
- QUIRK Alan, et al
- Journal article citation:
- Mental Health Review Journal, 17(3), 2012, pp.128-138.
- Publisher:
- Emerald
A psychometrically validated measure is needed to evaluate outcomes in carers of people with mental health problems, including dementia. This study aimed to validate the Carer well-being and support questionnaire (CWS). Participants included carers of 10 people with mental health problems, 5 carers of people with psychosis, and 8 carers of people with dementia. Development and evaluation of the measure was conducted in three phases. The authors deconstructed an existing questionnaire (CUES-C) to produce a long version measure. This was trialled with carers to reduce the number of items and a preliminary evaluation of the psychometric properties of the remaining items was undertaken. A second field test was conducted with the item-reduced questionnaire measure to evaluate acceptability, reliability and validity. Findings revealed that the CWS well-being scale showed moderate acceptability and good reliability and validity. The CWS support scale shows moderate acceptability and good reliability. The authors concluded that the CWS was a reliable, valid measure of carer well-being and support.
Outcomes and well-being part 2: a comparative longitudinal study of two models of homecare delivery and their impact upon the older person self-reported subjective well-being. A qualitative follow up study paper
- Author:
- GETHIN-JONES Stephen
- Journal article citation:
- Working with Older People, 16(2), 2012, pp.52-60.
- Publisher:
- Emerald
This qualitative study investigated why outcome-focused home care appeared to be associated with an increase in older individuals' subjective well-being. Participants included 20 service users, who were subject of two semi-structured interviews; one interview at the start of the intervention and one at the six month stage. The data were then analysed under core themes raised by the service user in these interviews. The sample was divided into two, with one group receiving the outcome-focussed model of care and the other group receiving the traditional time focused care. Findings indicated that service users' subjective well-being improved due to the ability of outcome-focused care to provide consistency, flexibility and most importantly the ability of the service user to form a relationship with the homecare workers providing their care. Implications for practice are discussed.
Care-related quality of life in old age: concepts, models and empirical findings
- Editors:
- VAARAMA Marja, PIEPER Richard, SIXSMITH Andrew, (eds.)
- Publisher:
- Springer
- Publication year:
- 2008
- Pagination:
- 96p.
- Place of publication:
- Heidelberg
While best-practice data exist for long-term care, quality of life as a concept, measure and standard for care outcomes remains elusive. This book, which includes new instruments for evaluating care, brings together the findings of a European research initiative, the Care Keys Project. This addressed quality of life issues among frail, care-dependent older people, taking their social as well as health needs into account. It covered Finland, Estonia, Germany, Sweden and the United Kingdom. The writers explain the theory behind Care Keys, its methodology, empirical findings, and practical considerations in promoting effective, efficient elder care aimed at social and emotional well-being and including disabled and cognitively impaired patients. The book brings together gerontological knowledge from medical, psychology, nursing, sociology, economics, and health care systems perspectives. It introduces an integrated theory of care-related quality of life that emphasises social, emotional and mental aspects as well as physical longevity. The editors present a practice oriented framework for quality management of long-term care toward improving elders’ quality of life. They examine quality of life in home and long-term care settings across the five European member countries of Care Keys and describe the Care Keys Toolkit, featuring innovative measures for monitoring and evaluating care and troubleshooting for problem areas.
Change in stress and social support as predictors of cognitive decline in older adults with and without depression
- Authors:
- DICKINSON Whitney J., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(12), December 2011, pp.1267-1274.
- Publisher:
- Wiley
This study investigated whether increased in stressful life events or decreased social support lead to subsequent cognitive decline among older adults, with and without depression. Participants included 112 depressed and 101 non-depressed older people who enrolled in the Neurocognitive Outcomes of Depression in the Elderly study in the United States. They were clinically assessed, agreed to interviews on stressful life events and social support, and underwent neuropsychological tests. Cognitive measure was by way of the Consortium to Establish a Registry in Alzheimer's disease Total Score (CERAD TS). Findings revealed that a decline in the total number of stressors was associated with a subsequent improvement on CERAD TS. In terms of social support and decreased social interaction, instrumental social support predicted decline in cognitive performance. The authors concluded that biological studies should be conducted to further understand the relationship between stress, social support and cognition in older people, both with and without depression.
A pilot study of the physiological and behavioural effects of Snoezelen in dementia
- Authors:
- DIEPEN Erik Van, et al
- Journal article citation:
- British Journal of Occupational Therapy, 65(2), February 2002, pp.61-66.
- Publisher:
- Sage
Recent interest in the use of Snoezelen as an intervention for agitated behaviour in patients with dementia remains supported by limited evidence of efficacy. This pilot study aimed to develop an approach for assessing the effects of Snoezelen on agitated behaviour in patients with dementia and its comparability with an existing control intervention. Ten patients with dementia were randomised to receive a 4-week course of either Snoezelen or reminiscence therapy. The therapeutic effects were assessed using the Agitation Behaviour Mapping Instrument (ABMI) and the Cohen-Mansfield Agitation Inventory (CMAI) and by heart rate recording.
Negative consequences of hearing impairment in old age: longitudinal analysis
- Authors:
- STRAWBRIDGE William J., et al
- Journal article citation:
- Gerontologist, 40(3), June 2000, pp.320-326.
- Publisher:
- Oxford University Press
To determine whether functional and psychosocial outcomes associated with hearing impairment are a direct result or stem from prevalent comorbidity, the authors analysed the impact of two levels of reported hearing impairment on health and psychosocial functioning one year later with adjustments for baseline chronic conditions, Physical functioning, mental health, and social functioning decreased in a dose-response pattern for those with progressive levels of hearing impairment compared with those reporting no impairment. The results demonstrate an independent impact of hearing impairment on functional outcomes, reveal increasing problems with higher levels of impairment, and support the importance of preventing and treating this highly prevalent condition.
Short-term persistent depression following hip fracture: a risk factor and target to increase resilience in elderly people
- Authors:
- ZIMMERMAN Sheryl Itkin, et al
- Journal article citation:
- Social Work Research, 23(3), September 1999, pp.187-196.
- Publisher:
- Oxford University Press
Persistent depression is a risk factor for poor recovery following hip fracture in older people. The purpose of this American study is to clarify the relationship between depression and functional recovery at one year and to investigate which characteristics discriminate people who are at greatest risk of poor outcomes. Results suggest that persistent depression as a marker for poor recovery generalizes beyond hip fracture.
Perceived social control as a mediator of the relationships among social support, psychological well-being and perceived health
- Authors:
- BISCONTI Toni L., BERGEMAN C.S.
- Journal article citation:
- Gerontologist, 39(1), February 1999, pp.94-103.
- Publisher:
- Oxford University Press
The purpose of the present study was to delineate the process by which social support facilitates better health outcomes in older adulthood. In order to best understand the process behind the support-outcome relationship, an aspect of perceived control specific to the social domain was hypothesised to mediate the said relationship. This examination begins to illuminate the process by which social support may facilitate well-being in older adulthood by focusing on the internal structures that may play a crucial role in the utilisation of the social support.