Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 4 of 4
Rhythmic stepping exercise under cognitive conditions improves fall risk factors in community-dwelling older adults: preliminary results of a cluster-randomized controlled trial
- Authors:
- YAMADA Minoru, et al
- Journal article citation:
- Aging and Mental Health, 15(5), July 2011, pp.647-653.
- Publisher:
- Taylor and Francis
In Japan, roughly half of older adults living in the community experience fear of falling. This pilot evaluated whether a 24-week programme of rhythmic stepping exercise (RSE) would be effective in improving physical function and reducing fear of falling in older adults. Twenty five participants from two living units from Kyoto, Japan, were randomised into an RSE group, and a 27 from another two living units into non-rhythmic stepping exercise (NRSE) group participated in a pilot cluster randomised controlled trial. Each exercise group received 60 min group training sessions once a week for 24 weeks. Measurement was based on the difference in physical functions between the RSE and NRSE groups. Findings revealed significant differences between the two groups for locomotive function. Relative risk was much higher for fear of falling for participants in the NRSE group compared with patients in the RSE group. The authors concluded that the results suggest that the RSE programme is more effective in improving locomotive function and fear of falling.
Care of older people: a comparison of systems in North America, Europe and Japan
- Authors:
- CARPENTER Iain, et al, (eds)
- Publisher:
- Farrand
- Publication year:
- 1999
- Pagination:
- 225p.
- Place of publication:
- London
Comparative analyses of care systems and policies for older people: in North America, European countries, and Japan. The book centres on assessment needs and outcomes.
Positive affect among nursing home residents with Alzheimer's dementia: the effect of recreational activity
- Authors:
- SCHREINER A. S., YAMANOTO E., SHOTANI H.
- Journal article citation:
- Aging and Mental Health, 9(2), March 2005, pp.129-134.
- Publisher:
- Taylor and Francis
The experience of positive emotions is an integral component of quality of life. Research suggests that cognitive deficits in persons with dementia may impede their ability to generate pleasurable moments and hence decrease their positive affect. Therefore, structured recreation activities may have the potential to significantly improve resident affect. However, differences in affect between ordinary time and recreation time are not well known. The present study used previously published structured-observation instruments to measure affect and behaviour among 35 dementia residents at two nursing homes in Japan during ordinary time and during recreation time. A total of 3,854 one-minute observations were coded. Dementia residents expressed happiness over seven times more often during recreation time than during ordinary time. Over 60% of ordinary time was solitary, with 65.72% of all observed affect being ‘Null Affect'. A total of 43.75% of residents expressed happiness only during recreation time. In addition 48.9% of all behaviour during ‘Ordinary Time' was coded as ‘Null Behaviour', which indicated that the resident was sitting and doing nothing. Findings indicate that recreation time is significantly higher in positive affect than ordinary time and that virtually all residents benefited from recreation.
Patterns of outcome of caregiving for the impaired elderly: a longitudinal study in rural Japan
- Authors:
- ARAI Y., et al
- Journal article citation:
- Aging and Mental Health, 6(1), February 2002, pp.39-46.
- Publisher:
- Taylor and Francis
This longitudinal study investigates the experiences among Japanese caregivers who provide informal care at home to the impaired elderly over one year. Between 1998-1999, 47 pairs of impaired elderly and their caregivers were followed. Caregivers were interviewed initially and then again 12 months later. Logistic regression demonstrated that caring for someone with dementia was five times more likely to be associated with an unsuccessful outcome. The caregiver spouse was five times more likely to be associated with a successful outcome, while daughters-in-law were more likely to have an unsuccessful outcome. The present study suggests that changes in well-being among caregivers in Japan are similar to those observed in most studies in the West, and there was evidence of both the adaptation and wear-and-tear models among caregivers over time.