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Assessing patterns of home and community care service use and client profiles in Australia: a cluster analysis approach using linked data
- Authors:
- KENDIG Hal, et al
- Journal article citation:
- Health and Social Care in the Community, 20(4), July 2012, pp.375-387.
- Publisher:
- Wiley
The delivery of care requires knowledge on the ways in which individuals access available services. This study identified groups of Home and Community Care (HACC) clients in New South Wales, Australia, based on patterns of actual service use, and explored the health and social needs and resources of client groups that accessed different services. Multiple data sets linked at the individual level provide a basis to investigate the complexity of access to service use. Analyses based on clients’ type and volume of community service use was conducted between 2006 and 2008 on the 4890 HACC clients in the linked dataset and nine distinct clusters of clients were identified. Three of these clusters were considered complex in terms of the range of community and hospital assistance received, while the others comprised mainly of one or two dominant service types. The findings provide a client-centred approach to evaluate access to local services that are being reformed to better integrate the delivery services currently funded and managed separately by national and state governments.
CARDI: a model for working across disciplines, sectors and borders
- Author:
- O'SULLIVAN Roger
- Journal article citation:
- Quality in Ageing and Older Adults, 13(1), 2012, pp.6-15.
- Publisher:
- Emerald
The Centre for Ageing Research and Development (CARDI) was established in Ireland in 2007 to share information across all of Ireland. This article charts the organisation's development and focuses on the development and learning from its grants programme, established to support ageing research in Ireland, north and south. CARDI has promoted and helped support the development of a community of researchers on ageing across Ireland via its grants programme, networking events and communication's strategy. There is growing momentum, interest and potential in an all-Ireland approach to research on ageing and older people. The paper also explores the development of ageing research in Ireland, illustrating how it is of benefit to researchers, policy makers and older people.
Using photovoice with older adults: some methodological strengths and issues
- Authors:
- NOVEK Sheila, MORRIS-OSWALD Toni, MENEC Verena
- Journal article citation:
- Ageing and Society, 32(3), April 2012, pp.451-470.
- Publisher:
- Cambridge University Press
Photovoice is a qualitative research technique in which participants record and reflect on their community through photography, and is gaining popularity as a participatory research methodology. This paper examines the application of photovoice in a study with older adults looking at age-friendly community characteristics in one city and three rural communities in Manitoba, Canada. The study recruited 30 participants over 50 years of age, who were provided with cameras and took photographs to illustrate their perceptions of the extent to which communities were age-friendly. Participants recorded information about the photographs and why they were taken, and all participants were interviewed and took part in discussion groups which included photos and commentary from each group member. The article discusses the strengths of photovoice, for example in capturing physical and social environments and as a participatory process, and issues encountered, including use of cameras, ethics and safety, and participant characteristics. The authors conclude that photovoice is an effective tool for eliciting older people's perceptions of and concerns about their communities and identifying priorities for change, noting that the methodology can be adapted to accommodate the needs of older people but that there are challenges to be overcome.
Keeping wartime memory alive: an oral history project about the wartime memories of people with learning difficulties in Cumbria
- Authors:
- DIAS John, et al
- Journal article citation:
- Disability and Society, 27(1), 2012, pp.31-49.
- Publisher:
- Taylor and Francis
In this article, the authors discuss an oral history project funded by the Heritage Lottery that recorded the memories of eight people with learning difficulties during the Second World War in Cumbria, UK, before their personal histories were lost forever. The process of emancipatory research is examined in relation to the main project findings. Some difficult issues were experienced by the team, such as the ill-health and death of participants, negotiating access with gatekeepers and concerns around decision-making. Cumbria experienced limited war activity, but people’s lives changed in subtle ways. This led to discussion around false/given memories; formal/informal interview processes and transcription/recording issues. The unexpected revelation of the study was the knowledge created around approaches to inclusion.
Institutional abuse of older adults: what we know, what we need to know
- Authors:
- MCDONALD Lynn, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 24(2), April 2012, pp.138-160.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The objectives of this literature review were to identify and summarise research on the incidence and prevalence of elder abuse in institutional settings, to identify knowledge gaps, and to propose strategies for collecting Canadian elder abuse prevalence data. Literature searches were undertaken to identify relevant material published between 1998 and 2008, and 69 studies in English and French were selected for review; 11 interviews with experts about methodological issues in prevalence studies were also undertaken. The article presents the results of the review, covering evidence for institutional abuse, types of abuse, risk factors, causal explanations, and limitations of the research. It discusses prevalence research as a possible starting point for national research on institutional abuse in Canada, looking at the focus of the study, sampling and data collection. The authors conclude that their review and its findings indicate the need for a prevalence study of elder abuse in institutional settings in Canada and can be used to inform future research.
The dynamics of ageing: evidence from the English Longitudinal Study of Ageing 2002-10: wave 5
- Editors:
- BANKS James, NAZROO James, STEPTOE Andrew
- Publisher:
- Institute for Fiscal Studies
- Publication year:
- 2012
- Pagination:
- 337
- Place of publication:
- London
This and previous English Longitudinal Study of Ageing (ELSA) reports present a detailed picture of the lives of people in England aged 50 and over. This report of wave 5 uses data based on interviews with 10,274 people (including 9,000 "core" participants), collected from July 2010 to June 2011 inclusive, a period of considerable change with the installatoin of the Coalition government and the start of a period of austerity. The report discusses three main themes: pension wealth; social detachment in older age; and health and psychological well-being. A chapter on methodology explains the sample design, interview content and the approach to fieldwork. Reference tables on the economic, social and health domains summarise important variables collected by ELSA. Design and collection was carried out as a collaboration between the Department of Epidemiology and Public Health at University College London (UCL), the Institute for Fiscal Studies (IFS), the National Centre for Social Research (NatCen), and the School of Social Sciences at the University of Manchester. (Original abstract)
Feasibility study for a survey measuring abuse and neglect of older adults
- Authors:
- MAYDA Jacqueline, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 24(2), April 2012, pp.161-178.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Statistics Canada prepared a feasibility study in 2008 to investigate issues associated with conducting surveys of abuse and neglect of older adults in community and institutional settings in Canada. This article, based on the feasibility study, discusses possible approaches for a Survey of Senior Abuse, covering survey objectives and data requirements, survey design considerations, and questionnaire and collection methodology. It presents survey options, a tentative list of key activities and cost estimates, and potential concerns. Noting that there is a need for high quality data in this area for policy planning and research, it concludes that both institutional and household-based surveys could be designed and implemented to collect the required information on senior abuse. It strongly recommends cognitive testing and pilot testing of questionnaires in both household and institutional settings prior to data collection.
Gay and Pleasant Land? Exploring sexuality, ageing and rurality in a multi-method, performative project
- Authors:
- FENGE Lee-Ann, JONES Kip
- Journal article citation:
- British Journal of Social Work, 42(2), 2012, pp.300-317.
- Publisher:
- Oxford University Press
This paper considers how issues such as social exclusion and discrimination may impact upon older lesbians and gay men living in rural communities. It presents a discussion of a research project that is taking place as one part of the New Dynamics of Ageing Programme. The Gay and Pleasant Land? project is a multi-method project aiming to explore sexuality, ageing and rurality in the south-west of England and Wales. This paper considers the challenges of attempting to elicit the views and experiences of marginalised groups of older people using a range of different methods. The methods used in the project include visual ethnography, focus groups and interviews using the Biographic Narrative Interpretive Method (BNIM). The findings of the project are being used in the development and production of a short, professionally made film. It is envisaged that this film will be used as a dissemination tool. Performative Social Science methods and its philosophical grounding in Relational Aesthetics have formed the bedrock of the project and are fundamental to its participatory approach. Implications for research with marginalised groups in rural communities are discussed, alongside a consideration of multi-methods and the use of tools from the within social work research.