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The role of computer tuition in community health: a grounded theory approach
- Authors:
- NYCYK Michael, REDSELL Margaret
- Journal article citation:
- Ageing International, 31(4), 2006, pp.296-308.
- Publisher:
- Springer
- Place of publication:
- New York
This Australian study describes the impact of computer training has on the health outcomes of older adults at a community centre and its implications for influencing computer training practices. The objective of the study was to understand and link this group's self-reports of their health arising from attending lessons to improve the content and delivery of computer tuition.
Community nurses' self‐management support in older adults: a qualitative study on views, dilemmas and strategies
- Authors:
- VAN HET BOLSCHER‐NIEHUIS Marian J. T., et al
- Journal article citation:
- Health and Social Care in the Community, 28(1), 2020, pp.195-203.
- Publisher:
- Wiley
Providing self‐management support is an appropriate task for community nurses. However, the support of self‐management sometimes triggers tensions in practice. The aim of this study was to explore community nurses' views of self‐management, the dilemmas community nurses face when providing support of self‐management by older adults and the strategies they use to solve these challenges. A qualitative study was performed to collect data. Twenty‐one community nurses from the eastern part of the Netherlands were recruited through purposive sampling. The interviews were audiotaped, transcribed verbatim and a thematic analysis was carried out. The results show that community nurses find it difficult to give a clear, definitive description of the concept of self‐management. They relate self‐management to ‘taking control of your own life’, ‘making your own choices and decisions’ and ‘being self‐reliant’. Situations in which older adults exhibit considerable or little self‐direction or self‐reliance can lead to conflicts in self‐management support, namely: 1) ‘striving for optimal health and well‐being versus respecting older adults' choices’ and 2) ‘stimulating self‐reliance and self‐direction versus accepting a dependent attitude’. Different strategies are applied to resolve these scenarios. In the first case, strategies of ‘adapting’, ‘persuading’ and ‘taking control’ are used, and for the second case ‘empowering’, challenging’ and ‘tolerating’ are used. Creating a clear and shared understanding of ‘self‐management’ and facilitating community nurses to reflect on their dilemmas and strategies might help them in supporting self‐management by older adults. (Edited publisher abstract)
Health promotion for mild frailty based on behaviour change: perceptions of older people and service providers
- Authors:
- AVGERINOU Christina, et al
- Journal article citation:
- Health and Social Care in the Community, 27(5), 2019, pp.1333-1343.
- Publisher:
- Wiley
Mild frailty is common among older people, but it is potentially reversible with health promotion interventions. Behaviour change may be a key to preventing progression of frailty; however, we know little about what interventions work best and how a behaviour change approach would be perceived by this group. The aim of this study was to explore how mildly frail older people perceive health promotion based on behaviour change and what factors affect engagement with this approach. The study conducted semi‐structured interviews with 16 older people with mild frailty who received a pilot home‐based behaviour change health promotion service, including a dyad of older person/family carer, and two service providers delivering the service in two diverse areas of South England. Interviews were audio‐recorded, transcribed and thematically analysed. The concept of goal setting was acceptable to most participants, though the process of goal setting needed time and consideration. Goals on maintaining independence, monitoring of progress and receiving feedback were reported to increase motivation. Physical/mental capability and knowledge/perception of own needs were main determinants of the type of goals chosen by participants as well as the approach used by the project workers. Older people with complex needs benefited from care coordination, with a combination of goal setting and elements of social, practical and emotional support in varying proportions. Mildly frail older people responded well to a behaviour change approach to promote health and well‐being. Further consideration is needed of the most effective strategies based on complexity of needs, and how to overcome barriers among people with cognitive impairment. (Edited publisher abstract)
Lived experiences of ageing and later life in older people with intellectual disabilities
- Authors:
- KÅHLIN Ida, et al
- Journal article citation:
- Ageing and Society, 35(3), 2015, pp.602-628.
- Publisher:
- Cambridge University Press
Draws on the qualitative interviews with 12 people with intellectual disabilities (five men, seven women) to explore how older people with intellectual disability (ID), who live in group accommodation, describe their lived experience in relation to ageing and later life. Participants were aged between the ages of 48 and 71 (mean=64) and lived in four different group accommodation units in southern Sweden. A descriptive phenomenological analysis method was used, which disclosed a structure consisting of themes and sub-themes. The findings reveal the informants' lived experience of ageing and later life as a multifaceted phenomenon, expressed through the two themes. The first theme 'Age as a process of change’, included the sub-themes of bodily functions and health, activity and participation; and the supporting environment. The second theme ‘existential aspects of ageing’, included being old, becoming like others, and death and dying. The body is an essential element in their experience of ageing and growing old, and in how this experience is expressed. The study also found social, cultural and historical dimensions of the life-world to be important in the informants' experience of ageing and later life. This supports understanding of the existence of a collective life-world for older people with ID, the unique experiences the informants share because of their disability and its consequences for their lifecourse. (Edited publisher abstract)
Working with older drinkers
- Authors:
- WADD S., et al
- Publisher:
- University of Bedfordshire. Tilda Goldberg Centre for Social Work and Social Care
- Publication year:
- 2011
- Pagination:
- 33p.
- Place of publication:
- Luton
Evidence suggests that a significant and growing number of older people are at risk of alcohol-related harm, with a steady increase in the amount of alcohol consumed by older age groups in recent years. However, little is known about the nature of the problem and what strategies and treatment approaches work best with older drinkers. The aim of this study was to address this deficit by synthesising relevant published literature, insight from substance misuse practitioners who specialise in working with older people and the perspectives of older people with alcohol problems. One-to-one interviews were carried out with 11 older clients aged between 55 and 73 and a further 15 clients aged 50 and over took part in a focus group. Moderate drinking in later life had a beneficial effect on all-cause mortality and confers a number of psychological benefits, possibly through reduced stress and improved mood and sociability. However multiple biological, psychological and social changes that accompany the ageing process make older people uniquely vulnerable to alcohol problems. The report concluded that frontline health and social care staff may need to increase their competency in recognising and intervening with older people suspected of having an alcohol problem. Education and training for these workers should address attitudes and beliefs towards alcohol problems in old age.
Their story, my story: health of older men as caregivers
- Author:
- RUSSELL Richard
- Journal article citation:
- Generations, 32(1), Spring 2008, pp.62-67.
- Publisher:
- American Society on Aging
The author explores the topic of men as caregivers and the implications for their health from the perspectives of: coping with chronic illness; help and support; and emotional challenges. The author draws on ongoing research into the experiences of older male caregivers and his own experiences of caring for his wife who has been diagnosed with cancer.
The single assessment process in primary care: older people's accounts of the process
- Authors:
- POWELL Jackie, et al
- Journal article citation:
- British Journal of Social Work, 37(6), September 2007, pp.1043-1058.
- Publisher:
- Oxford University Press
Recent government policies have been active in addressing social inclusion and active participation of older people in many aspects of societal life. Drawing on a feasibility study of the Single Assessment Process as a ‘case-finding’ approach, this paper presents findings drawn from older people’s accounts of this experience. These accounts indicate the potential of the process for identifying ‘low-level’ need, whilst raising issues of access to formal services and resource constraint; also they underline the importance of understanding how older people seek ways of managing their own health and well-being, whilst continuing to contribute to the social cohesion of society by providing support to their peers and to younger generations. Interdependence, it is suggested, rather than dependence should underlie any approach to assessing older people’s needs, if we are to appreciate and build upon the complexity of older people’s strategies for actively managing their lives.
Quality of life and life satisfaction: perspective of institutionalised elderly women and men in Turkey
- Authors:
- GONEN Emine, OZMETE Emine
- Journal article citation:
- Indian Journal of Social Work, 66(3), July 2005, pp.262-279.
- Publisher:
- Tata Institute of Social Sciences
This article evaluates the quality of life, life satisfaction, and the relationship between the quality of life and life satisfaction of institutionalised elderly women and men. The study covered a total of 132 older people, consisting of 64 women and 68 men between the ages of 60-98 years, with sound mental health staying at three care and rehabilitation centres. Their quality of life and life satisfaction were assessed with scales. Life quality perception of men in terms of physical health is more positive compared to women. Life quality perception of women in terms of physical and social environment is more positive compared to men. In general, women have better life satisfaction them men. It is concluded that comprehension of life quality and life satisfaction will contribute to the development of applicable long-term service programmes required for the improvement of the life conditions of older women and men.
Situation of the elderly in the Himalayan Kingdom of Nepal
- Authors:
- CHALISE Hom Nath, SHRESHTA Sajan
- Journal article citation:
- Indian Journal of Social Work, 66(3), April 2005, pp.136-143.
- Publisher:
- Tata Institute of Social Sciences
This article examines the socioeconomic and health status of the elderly in Nepal. A total of 121 older people were interviewed in Kathmandu. The findings show that the majority reported serious health problems in the last year; most lived with their children; a significantly higher number of elderly women lived alone as compared to men; and the monthly income of the elderly was significantly low.
Self-rated health appraisal as cultural and identity process: African American elders' health and evaluative rationales
- Authors:
- MCMULLEN Carmit K, LUBORSKY Mark R
- Journal article citation:
- Gerontologist, 46(4), August 2006, pp.431-438.
- Publisher:
- Oxford University Press
The authors explored self-rated health by using a meaning-centered theoretical foundation. Self-appraisals, such as self-rated health, reflect a cultural process of identity formation, whereby identities are multiple, simultaneously individual and collective, and produced by specific historical formations. Anthropological research in Philadelphia determined (a) how African American elders appraise their health, and (b) how health evaluations reflect cultural and historical experiences within a community. The study interviewed and observed 35 adults aged 65 to 80, stratified by gender and self-rated health. It then used validated theme analysis of focused interview questions against the larger data set of field notes and transcripts. The results found that health appraisal reflected a complex process of adaptation and identity. Criteria for health included: independent functioning, physical condition, control and responsibility for health, and overall feeling. Evaluative rationales that shaped health appraisals were comparisons, restricted possibilities for self-evaluation, and ways of handling adversity. Evaluative rationales mitigated undesirable health identities (including low self-reported health) and provided mechanisms for claiming desired health identities despite adversity. Describing the criteria and evaluative rationales underlying self-appraisals of health extends current understandings of self-rated health and illustrates the sociohistorical context of individual assessments of well-being.